Pityriasis Rosea

IPityriasis rosea iwukukhishwa okubanda okuqala njengendawo ebomvu enesimo soval ebusweni, esifubeni, esiswini noma emhlane. Lokhu kubizwa ngokuthi iherald patch futhi kungaba ubukhulu obufika ku-4 inches (amasentimitha angu-10). Khona-ke ungathola amabala amancane avela phakathi komzimba ngesimo esifana namagatsha omkhiwane awohlokile. Ukukhishwa okubanda kungakhahla.

Pityriasis (pit-ih-RIE-uh-sis) rosea kungenzeka kunoma iyiphi iminyaka kodwa kuvame kakhulu phakathi kweminyaka engu-10 kuya ku-35. Kuya kuphela ngokwalo phakathi kwamasonto angu-10.

Ukwelashwa kungasiza ekuqedeni izimpawu.

Ukukhishwa okubanda kuhlala amasonto amaningana futhi kuphela ngaphandle kokushiya amabala. Ama-lotion anemiphumela yokwelapha anganciphisa ukukhahla nokukhawulezisa ukuphela kokukhishwa okubanda. Kodwa-ke, ngokuvamile, akukho ukwelashwa okudingekayo. Isimo asiwona oluthakazelayo futhi aliphindaphindwa.

IPityriasis rosea iqala ngokuvamile ngesikhumba esicishe sibe yi-oval, esiphakamile kancane, esiqinile — esibizwa ngokuthi yi-herald patch — ebusweni, emhlane, esifubeni noma esiswini. Ngaphambi kokuba kuvele i-herald patch, abanye abantu baba nobuhlungu ekhanda, ukukhathala, umkhuhlane noma ukuhlunguluka komlomo.

Ezinsukwini ezimbalwa kuya emavikini ambalwa ngemuva kokuba kuvele i-herald patch, ungase uqaphele izicubu ezincane noma amabala aqinile ebusweni, emhlane, esifubeni noma esiswini afana nesakhiwo somuthi wepayini. Ukukhishwa kungabangela ukukhahlela.

Bona uhlinzeki wakho wezempilo uma uthuthukisa isihlungu esibi kakhulu noma esingakahlambulukanga ezinyangeni ezintathu.

Imbangela eqondile yepityriasis rosea ayicaci. Ingase iqalwe yisifo esibangelwa yi-virus, ikakhulukazi izinhlobo ezithile ze-herpes virus. Kodwa-ke ayihlobene ne-herpes virus ebangela amaqhubu. I-pityriasis rosea ayiwuhlaseleli.

Ukuba namalungu omndeni anamapitshiyasi rosea kukwandisa ingozi yokuthi uthole le meko. Ukuthatha imithi ethile kungase kukwandisa ingozi yale meko. Izibonelo zihlanganisa i-terbinafine, i-isotretinoin, i-omeprazole, igolide, i-arsenic ne-barbiturates.

Izinkinga ze-pityriasis rosea azivamile. Uma zenzeka, zingafaka:

• Ukukhahlela okukhulu
• Izibazi zesikhashana (eziphila amasonto kuya ezinyangeni) zesikhumba esimnyama noma esilula kunokujwayelekile (i-post-inflammatory hyperpigmentation noma i-hypopigmentation), okungavamile kakhulu kubantu abanesikhumba esimnyama noma esimnyama

Emasimini amaningi, umhlinzeki wakho wezempilo angakwazi ukuqaphela i-pityriasis rosea ngokubuka isihlungu. Ungase udinga ukukracula noma mhlawumbe i-biopsy yesikhumba, okuhilela ukuthatha ingxenye encane yesihlungu ukuze kuhlolwe. Lo viwo lungasiza ekuhlukaniseni isihlungu se-pityriasis rosea kwezinye izinhlobo ezifanayo.

I-pityriasis rosea ngokuvamile iyahamba yodwa ngaphandle kokwelashwa ezinyangeni ezingu-4 kuya kwezingu-10. Uma isihlungu singapheli ngaleso sikhathi noma ukukhahlela kukukhathaza, xoxa nodokotela wakho mayelana nokwelashwa. Isimo siyaphela ngaphandle kokushiya amabala futhi ngokuvamile alibuyi. Uma izindlela zokwelapha ekhaya zingalulamisi izimpawu noma zifinyeze isikhathi se-pityriasis rosea, udokotela wakho angase anikeze imithi. Izibonelo zihlanganisa i-corticosteroids ne-antihistamines. Udokotela wakho angase futhi aphakamise ukwelashwa kokukhanya. Ekwelapheni kokukhanya, uvezwa ekukhanyeni kwemvelo noma okwenziwe umuntu okungase kululamise izimpawu zakho. Ukwelashwa kokukhanya kungase kubangele amabala olukhuni oluhlala njalo, aphakathi komnyama kunokujwayelekile (i-post-inflammatory hyperpigmentation), ngisho nangemva kokuba isihlungu siyaphela.

Lezi zindlela zokunakekela uqobo zingasiza ekuqedeni ubuhlungu be-pityriasis rosea:

• Thatha imithi yokwelapha ukwanda kokungazizwa kahle (antihistamines), efana ne-diphenhydramine (Benadryl, nezinye).
• Geza ngamanzi afudumele. Hlanganisa amanzi okugeza ngomkhiqizo wokugeza oqhekezwe nge-oatmeal (Aveeno).
• Faka umthambisi, i-calamine lotion noma i-corticosteroid cream engayona imithi yokuqala.
• Viwe isikhumba sakho elangeni. Faka i-sunscreen ebanzi-spectrum ene-sun protection factor (SPF) okungenani engu-30, ngisho nasezinsukwini ezinamvula. Faka i-sunscreen ngokukhulu, bese uyifaka kabusha njalo ngemizuzu emibili – noma ngokuphindaphindiwe uma uqubha noma uqhaqhazela.