Created at:1/16/2025
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I-Pityriasis rosea iwukukhishwa okungajwayelekile, okwesikhashana kwesikhumba okuvamise ukuvela njengezinqamule ezinezikali, ezimhlophe noma ezipinki emzimbeni wakho, ezingalweni, nasemiileni. Nakuba igama lingase lizwakale liyesabekayo, le meko ayinabi ubuthi futhi ngokuvamile iyaphela yodwa phakathi kwamasonto angu-6 kuya kwangu-12 ngaphandle kwemiphumela ehlala njalo.
Cabanga njengendlela yesikhumba sakho yokudlula inqubo emfushane, eziqedela yodwa ebonakala ikhathazayo kunalokho okuyikho empeleni. Abantu abaningi abathuthukisa i-pityriasis rosea baneminyaka ephakathi kuka-10 no-35, futhi kuvamise ukuvela kakhulu ngezinyanga zasebusika nasekwindla.
Isici esivelele kakhulu se-pityriasis rosea yiphethini yayo ehlukile yokuthuthukiswa okuvame ukusiza odokotela ukuthi bayibone ngokushesha. Le meko ngokuvamile iqala ngalokho okubizwa ngokuthi “i-herald patch” - indawo eyodwa enkulu enesimo se-oval evela kuqala, ngokuvamile esifubeni sakho, emuva, noma esiswini.
Le ndawo yokuqala ngokuvamile iphazamiseka njenge-ringworm ngenxa yokubonakala kwayo okuyisangqa, okunezikali. Ingaba kuphi na phakathi kwama-sentimitha angu-2 kuya kwangu-10 ububanzi futhi inenhlabathi enyukile, enezikali ngomngcele ocacile.
Phakathi nesonto eli-1 kuya kweli-2 ngemuva kokuba i-herald patch ivele, izinqamule ezincane ziqala ukuvela emzimbeni wakho. Nanka okungase ukubone njengoba ukukhishwa kuqhubeka:
Ukukhahlela kuvame ukubonakala kakhulu uma ufudumele, njengoba nje ngemva kokuzivocavoca, ukugeza amanzi ashisayo, noma ukuba endaweni efudumele. Abantu abaningi bathola ukukhahlela kuphatheka, yize ngezinye izikhathi kungaba nzima kakhulu, ikakhulukazi ebusuku.
Ngokungavamile, abanye abantu bangase babe nezimpawu ezifana ne-influenza ezincane ngaphambi kokuba kube khona isihlungu, kufaka phakathi ukukhathala, izikhathi zikhanda, noma ubushushu obuncane. Noma kunjalo, lezi zimpawu azivamile futhi uma zivela, zivame ukuba zingandile kakhulu.
Imbangela eqondile ye-pityriasis rosea ayiqondakali ngokuphelele, kodwa ucwaningo lwezokwelapha luphakamisa ngokuqinile ukuthi luhlobene nokutheleleka yi-viral. Ochwepheshe abaningi bakholelwa ukuthi ama-virus athile, ikakhulukazi i-human herpesvirus 6 ne-7, angase aqalise lesi simo kubantu abathintekayo.
Lezi zifo zivame kakhulu futhi abantu abaningi bayazi ngesikhathi sobuntwana, ngokuvamile ngaphandle kokuthuthukisa noma yiziphi izimpawu. Noma kunjalo, uma i-immune system yakho ihlangana nalezi zifo futhi kamuva ekuphileni, ingase iphendule ngokuthuthukisa i-pityriasis rosea.
Kubalulekile ukuqonda ukuthi i-pityriasis rosea ayithatheki - awukwazi ukuyithola komunye umuntu noma uyisakazele kubanye. Lesi simo sibonakala sengumphendulo we-immune system yakho oyingqayizivele kunokuba kuyi-infection esebenzayo engadluliselwa.
Ezinye izinto ezingase zikwenze ube nethuba elikhulu lokuthuthukisa i-pityriasis rosea zihlanganisa ukuba ne-immune system ebuthakathaka ngenxa yokucindezeleka, ezinye izifo, noma imithi ethile. Noma kunjalo, abantu abaningi abaphilile ngokuphelele bathuthukisa lesi simo ngaphandle kwanoma yiziphi izimbangela ezicacile.
Ngokungavamile, imithi ethile ingabangela isihlungu esibukeka sifana kakhulu ne-pityriasis rosea. Lokhu kuhlanganisa imithi ethile ye-blood pressure, imithi ye-antimalarial, ne-antibiotics ethile. Uma usanda kuqala imithi entsha futhi uthuthukise uhlobo olufanayo lwesihlungu, kufanele uxoxe nodokotela wakho.
Kufanele ubone udokotela noma omunye umhlinzeki wezempilo uma uthola isihlungu esingase sibe yi-pityriasis rosea, ikakhulukazi uma ubona uphiko oluqala olukhulu olulandelwa amaqatha amancane ahlukanekile emzimbeni wakho. Nakuba lesi simo singalimali, kubalulekile ukuthola ukuxilongwa okuqondile ngoba ezinye izimo zesikhumba zingabonakala zifana.
Nawa ama-simo athile lapho kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha:
Ukuthola ukuxilongwa okuqondile kubaluleke kakhulu ngoba izimo ezinjenge-eczema, i-psoriasis, i-syphilis yesibili, kanye nezifo ze-fungal ngezinye izikhathi zingabonakala zifana ne-pityriasis rosea. Udokotela wakho ngokuvamile angakwazi ukuxilonga i-pityriasis rosea ngokubukeka kwayo okuhlukile kanye nesakhiwo, kodwa ngezinye izikhathi angase acebise ukuhlolwa ukuze kuvinjwe ezinye izimo.
Uma ungaqiniseki ukuthi isihlungu sakho sihambisana nesakhiwo esivamile se-pityriasis rosea, kuhlale kungcono ukuba sihlolwe. Ukubonisana kwasekuqaleni kungakunika ukuthula kwengqondo futhi kuqinisekise ukuthi uthola ukunakekelwa okufanele uma kudingeka.
Ukuqonda ukuthi ubani onenkinga enkulu yokuthola i-pityriasis rosea kungakusiza ukwazi ukuthi yini okulindelekile nokuthi nini kufanele uqaphele kakhulu izimpawu. Lesi simo sinezinye izakhiwo ezicacile mayelana nokuthi sibathinta bani kakhulu.
Ubudala buwumsebenzi obubalulekile ekuthuthukiseni le meko. Imikhakha eminingi ivela kubantu abaneminyaka ephakathi kuka-10 no-35, kanti amazinga aphezulu abonakala kubantu abasebasha nabantu abadala abasebasha. Abantwana abaneminyaka engaphansi kuka-10 nabantu abadala abaneminyaka engaphezu kuka-60 bangathuthukisa i-pityriasis rosea, kodwa akunamkhawulo kulezi zikhathi zobudala.
Ezinye izinto eziningi zingathinta ingozi yakho:
Kubalulekile ukuqaphela ukuthi ukuba ne-pityriasis rosea kanye kuvame ukunika uvikeleko ekuthuthukiseni futhi. Abantu abaningi ababhekana nale meko ngeke bayithole okwesibili, nakuba kunezimo ezingavamile zokubuyela kabusha okuye kwabikwa.
Isimo sakho sonke sempilo asithinti kakhulu ingozi yakho - womabili abantu abaphilile nalabo abanezinkinga zempilo ezincane bangathuthukisa i-pityriasis rosea ngokulinganayo. Isimo alibonakali lihlobene nokudla, imikhuba yokuzivocavoca, noma izimo eziningi zempilo ezingapheli.
Izindaba ezinhle ukuthi i-pityriasis rosea ayivamile ukubangela izinhlanganisela ezinzima futhi ngokuvamile iphela ngokuphelele ngaphandle kwemiphumela ehlala njalo empilweni yakho noma ukubonakala kwakho. Kubantu abaningi, isimo simane nje sibe yinto engenakwenzeka edinga ukuthi ubekezele ngenkathi liqhubeka.
Kodwa-ke, kunezinhlobo ezimbalwa zezinhlanganisela okufanele uzazi, nakuba ngokuvamile zingenazinkinga futhi zilawuleka:
Ukushintsha kombala wesikhumba okukhulunywe ngakho ngenhla kuvame ukuwohloka kancane ezinyangeni eziningi ngemuva kokuba umkhuhlane ususiwe, nakuba kwezinye izimo kungathatha unyaka wonke ukuze umbala wesikhumba wakho uqondile ngokuphelele. Ukusebenzisa ukunakekelwa kwesikhumba okuthambile nokuvikela izindawo ezibuhlungu ekukhanyeni kwelanga kungasiza ekunciphiseni lezi zinguquko.
Kwezinye izimo ezingavamile, abantu abanesistimu yokuvikela umzimba ebuthakathaka bangase babe nohambo olukhulu noma olude lwe-pityriasis rosea. Ngaphezu kwalokho, uma ukhulelwe futhi uthola le meko, ikakhulu ekhatrini lokuqala, udokotela wakho uzofuna ukukugcina uqaphile, nakuba izinkinga ezinzima ngesikhathi sokukhulelwa azivamile.
Izinkinga eziningi zingavikeleka ngokugwema ukukroba okukhulu, ukugcina isikhumba sinomswakama, nokulandela iziphakamiso zedokotela wakho zokuphatha izimpawu.
Ngeshwa, ayikho indlela ethembekile yokuvimbela i-pityriasis rosea njengoba singayiqondi ngokuphelele yonke imikhakha ebangela ukuthuthukiswa kwayo. Ngenxa yokuthi cishe ihlobene namagciwane avamile abantu abaningi abahlangana nawo ekuphileni kwabo konke, ukugwema ukukhishwa akuyona into eyenzeka noma edingekayo.
Nokho, ukugcina impilo enhle jikelele kanye nesistimu yokuthimba ezinamandla kungasiza ekunciphiseni amathuba akho okukhula izimo eziningi zesikhumba, kufaka phakathi i-pityriasis rosea. Lokhu kusho ukuthi kufanele ugxile emikhonyeni yempilo eyisisekelo esekela ukuvikela kwemvelo komzimba wakho.
Nazi ezinye izindlela zempilo jikelele ezingase zibe usizo:
Njengoba i-pityriasis rosea ivame ukwenzeka ngezikhathi zokucindezeleka noma ngemva kwezinye izifo, ukunakekela impilo yakho jikelele nokuphuza kuyindlela yakho engcono kakhulu. Kodwa-ke, ngisho nabantu abalandela zonke lezi zikhuthazo bangase bathuthukise lesimo.
Khumbula ukuthi ukuba ne-pityriasis rosea kanye kuvame ukunikeza ukuvikelwa ezigabeni zesikhathi esizayo, ngakho uma usuvele uhlangane nayo, akunakwenzeka ukuthi uyithuthukise futhi. Lokhu kuvikelwa kwemvelo kuyinye yezinzuzo ezimbalwa zalesimo.
Ukuxilonga i-pityriasis rosea kuvame ukuba lula kubanakekeli bezempilo ngenxa yokubonakala kwayo okuhlukile kanye nesakhiwo sayo esiqondene nokuthuthuka. Odokotela abaningi bangakwazi ukubona lesimo ngokuhlola ngamehlo isikhumba sakho, ikakhulukazi uma ungachaza ukuthi isihlungu saqala kanjani futhi saqhubeka kanjani.
Udokotela wakho uzokuqondisa ngesikhathi sezimo zakho, uqale ngemibuzo mayelana nokuthi uqale nini ukubona i-herald patch nokuthi ama-patches amancane athuthukiswe kanjani ngemva kwalokho. Leli qhinga lemicimbi kuvame ukuba yiyona nto ebalulekile ekwenzeni ukuxilonga okuchaneka.
Ngesikhathi sokuxilongwa komzimba, umhlinzeki wakho wezinsizakalo zezempilo uzobheka izici ezithile ezimbalwa:
Ezimweni eziningi, akudingeki ukuhlolwa okuengeziwe ngoba ukubonakala ngamehlo kuqondakala. Kodwa-ke, uma udokotela wakho engabaza ngokuxilongwa noma uma isikhumba sakho singalandeli iphethini evamile, angase akukhuthaze ukuthi wenze ukuhlolwa okulula.
Lezi zivivinyo ezengeziwe zingafaka i-KOH ukuvimbela ukutheleleka kwamagciwane, lapho ukukhahlela okuncane kwesikhumba kuhlolwa ngaphansi komkhiqizo. Ngokungaqondakali, uma kukhona ukukhathazeka ngezimo ezinye njenge-syphilis yesibili, udokotela wakho angase ayalele ukuhlolwa kwegazi.
Ngezinye izikhathi ukuxilongwa kwesikhumba kungacatshangelwa uma isikhumba sibonakala singavamile noma singaphenduli njengoba kulindelekile, kodwa lokhu akukhoqile. Umgomo uhlala ukusebenzisa indlela engathinti kangako ehlinzeka ngokuxilongwa okuqinisekile.
Into ebaluleke kakhulu okumele uyiqonde mayelana nokuphatha i-pityriasis rosea ukuthi isimo sizoxazulula ngokwalo ngaphandle kwanoma iyiphi impilo ethile yezokwelapha. Impilo eningi igxile ekuphatheni izimpawu, ikakhulukazi ukukhahlela, ngenkathi ulinda isikhumba siyaphela ngokwemvelo phakathi kwamasonto ayi-6 kuya kwangu-12.
Ezimweni ezilula ngokukhahlela okuncane, ungase ungadingi noma iyiphi impilo ngaphandle kokunakekelwa kwesikhumba okuthambile nokubekezela. Kodwa-ke, uma ubhekene nokungakhululeki, izindlela eziningi zingakusiza ukuba ukhululeke ngesikhathi senqubo yokwelapha.
Nazi izinketho zokwelapha ezivamile kakhulu udokotela wakho angase azincoma:
Kubantu abanesimo esinzima kakhulu esinekhroba elikhulu eliphazamisa ubuthongo noma imisebenzi yansuku zonke, udokotela wakho angancoma ukwelashwa okunamandla. Lokhu kungafaka ama-corticosteroids oyincelayo okusetshenziswa isikhathi esifushane noma imithi ekhethekile yokufaka ngaphandle eyenzelwe izimo zesikhumba esivuvukayo.
Abanye abantu bathola ukuthi ukukhanya kwelanga okulandelwayo noma ukwelashwa nge-UV kungasiza ukushesisa ukulungiswa kokukhishwa, kodwa lokhu kufanele kwenziwe kuphela ngaphansi kokunakekelwa kwezokwelapha. Ukukhanya kwelanga okuningi kungalimaza isimo noma kubeka izinguquko zombala.
Ezimeni ezingavamile lapho ukukroba kunzima futhi kuqhubeka, udokotela wakho angacabanga ngeminye imithi yokwelapha noma akuqondise kudokotela wezifo zesikhumba ukuze uthole ukunakekelwa okukhethekile.
Ukukhathalela kahle isikhumba sakho ekhaya kungathuthukisa kakhulu amazinga akho okududuzeka futhi kungasiza ukuvimbela izinkinga ngenkathi umzimba wakho uqeda ngokwemvelo. Okubalulekile ukuba mnene ngesikhumba sakho futhi ugweme noma yini engase ikhulise ukuvuvukala noma ukukroba.
Uhlelo lwakho lwansuku zonke lokukhathalela isikhumba kufanele lugxile ekuqinisiseni izindawo ezihlaselekile, ukuzigcoba, nokuzivikela ekuvuvukaleni okwengeziwe. Lokhu kusho ukwenza ukulungiswa okwesikhashana emikhwenyeni yakho evamile yokugeza nokuqamba.
Nawa amasu okuhlanzeka ekhaya aphezulu kakhulu:
Uma kukhulunywa ngokulawula ukukhahlela, yima ekuthambekeleni kokukracula izindawo ezithintekile, njengoba lokhu kungabangela ukutheleleka okwesibili noma ukululama okude. Esikhundleni salokho, zama ukufaka ithusi elipholisiwe, elinomswakama ezindaweni ezakhahlelayo noma uthinte indawo ngobumnene kunokuyikracula.
Izinto ongazithenga ngaphandle kwesikripthi eziwusizo kubantu abaningi zihlanganisa ukugqoka ngamanzi e-oatmeal, angakhulisa isikhumba esicasukile, nokufaka ijeli le-aloe vera ngenxa yezimfanelo zayo zokuphola nokunciphisa ukuvuvukala. Noma kunjalo, hlala uvivinya imikhiqizo emisha endaweni encane kuqala ukuze uqiniseke ukuthi ayibangeli ukucaphuka okwengeziwe.
Phawula imisebenzi noma izimo ebonakala zenza izimpawu zakho zibe zimbi, njengokujima emoyeni oshisayo noma ukugqoka izinto ezithile, bese uzama ukuzilungisa njengoba kudingeka phakathi nesikhathi sakho sokululama.
Ukuba ulungile nge-aphoyintimenti yakho nodokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kanye nezincomo zokwelashwa ezifanele kakhulu. Njengoba iphethini nesikhathi sokuthuthuka kwe-pityriasis rosea kubalulekile ekuxilongweni, ukuba nalolu lwazi luhleliwe kusengaphambili kuzosiza kakhulu.
Qala ngokubhala phansi ukuthi uqale nini ukubona izinguquko zesikhumba nokuthi isihlungu siqhubekile kanjani kusukela ngaleso sikhathi. Uma kungenzeka, thatha izithombe zezindawo ezithintekile ezigabeni ezahlukene, njengoba lokhu kungasiza udokotela wakho ukuqonda ukuthuthuka kwezimpawu zakho.
Nanku okumele ukulungiselele ukukuxoxa nomhlinzeki wakho wezinsizakalo zezempilo:
Yenza uhlu lwemibuzo oyifunayo ukuyibuza, njengokuthi isimo sihlala isikhathi esingakanani, yini ongayenza ukuze uzizwe ukhululekile, noma nini okufanele ulandelele. Unganqikazi ukubuza noma yini ekukhathazayo noma ebonakala ingacaci.
Gqoka izingubo ezivumela ukufinyelela kalula ezindaweni ezihlazwe ukuze udokotela wakho akwazi ukuhlola isihlungu ngokuphelele. Gwema ukufaka ama-lotion, ama-cream, noma i-makeup ezindaweni ezihlazwe ngosuku lokuqokwa kwakho, njengoba lokhu kungaphambana nokuhlolwa.
Uma uneminye imicabango mayelana nokuxilongwa noma izincomo zokwelashwa, zizwe ukhululekile ukucela incazelo noma ukuxoxa ngokuthanda kwakho kokuphatha isimo.
Into ehlala ikhumbulekile mayelana ne-pityriasis rosea ukuthi iyisimo esizimiselwa ngokwalo esizozisombulula ngokuphelele ngokwalo, ngokuvamile phakathi kwamasonto angu-6 kuya kwangu-12. Nakuba isihlungu singase sibukeke sikhathaza futhi sibangele ukungakhululeki, asiyona ingozi enkulu yempilo noma ishiye imiphumela ehlala njalo kubantu abaningi.
Cabanga nge-pityriasis rosea njengokungakhululeki okwesikhashana kunokuba yingozi yezokwelapha. Umzimba wakho uhamba nje ngenqubo, nakuba ibonakala futhi ngezinye izikhathi ingakhululeki, ngokuvamile ayinampilo futhi izoqeda ngokwemvelo ngaphandle kokudinga ukwelashwa okunzima.
Ukulawula le simo ngempumelelo kuncike ekubekezela, ekunakekelweni kohlangothi oluthambile lolusu, nasekulawuleni izimpawu ezifanele uma kudingeka. Abantu abaningi bathola ukuthi ukuqonda ukuthi yini okulindelekile kusiza ukunciphisa ukukhathazeka ngesimo futhi kwenza isikhathi sokulinda sibekezeleleke kakhulu.
Khumbula ukuthi ukuba ne-pityriasis rosea kanye ngokuvamile kunikeza ukhuseleko oluhlala njalo, ngakho-ke akunakwenzeka ukuthi uzoliphinde uhlangabezane. Gxila ekuqapheleni kahle ulusu lwakho ngesikhathi senqubo yokululama futhi ungangabazi ukuthintana nodokotela wakho uma unezinkinga noma uma izimpawu zakho zibonakala ziba zimbi kunokuba zibe ngcono kancane.
Ngokunakekelwa okuhle nethemba eliqondile, ungadlula kule simo ukhululekile futhi ubuyele emkhakheni wakho ojwayelekile uma isihlungu sesulu.
Ukuqeqesha umzimba ngokuvamile ungaqhubeka nakho, kodwa ungase ufune ukushintsha umkhuba wakho ukuze ugweme ukukhishwa okukhulu kokubila nokushisa kakhulu, okungandisa ukukhahlela. Ukugeza emachibini ane-chlorine kufanele kube kuhle, kodwa geza ngemuva kwalokho bese uthambisa ulusu lwakho. Gwema ama-hot tub noma ama-sauna, njengoba ukushisa kungenza izimpawu zibe zimbi.
I-pityriasis rosea ngokuvamile ayibangeli ama-scars ahlala njalo uma ilulama ngokwemvelo. Noma kunjalo, ungase uqaphele ukushintsha okwesikhashana kombala wolusu lapho ama-patches ayekhona, ikakhulukazi uma unolusu olukhanyayo. Lezi zinguquko zombala zivame ukuphela ezinyangeni ezimbalwa, yize kungathatha unyaka wonke ukuze umbala wolusu wakho ulinganise ngokuphelele.
Ungasebenzisa imikhiqizo yokunakekela olukhuni nemikhiqizo yokuzilungisa ubuso enhle, engenayo iphunga elikhulu, kodwa gwema noma yini enephunga elikhulu, utshwala, noma amakhemikhali aqinile angase akhulise ukucasuka kwesikhumba sakho. Namathela emikhiqizo ebhaliwe njenge-hypoallergenic noma eklanywe ngesikhumba esibuhlungu. Hlala uqala ukuhlola imikhiqizo emisha endaweni encane ukuqinisekisa ukuthi ayibangeli ukucasuka okwengeziwe.
Ukubuyela kwe-pityriasis rosea kuyinto engavamile kakhulu. Abantu abaningi abake baba nale meko bayathola ukhuseleko futhi ngeke bayibone futhi. Uma uthola isikhumba esifanayo esikhathini esizayo, kungenzeka ukuthi iyisimo esingafani sesikhumba okufanele sihlolwe yisikhungo sezokunakekelwa kwezempilo.
Izimpawu zokutheleleka kwe-bacteria yesibili zihlanganisa ukwanda kokubomvu ezingxenyeni, ukushisa lapho kuthintwa khona, i-pus noma ukopha okuphuzi, ukubomvu okwandayo okuvela ezindaweni ezihlazwe, noma ubuhlungu obukhulu kunokukroba. Uma ubona noma yiziphi lezi zimpawu, xhumana nodokotela wakho ngokushesha njengoba ungase udinga ukwelashwa ngama-antibiotic.