Created at:1/16/2025
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I-Rosacea yisimo esivamile sesikhumba esibangela ubomvu nemithambo yegazi ebonakalayo, ikakhulu ebusweni bakho. Yisimo esingapheli sokuvuvukala esithinta izigidi zabantu emhlabeni jikelele, futhi sivame ukuvela ngemva kweminyaka engama-30.
Nakuba i-rosacea ingase ibe nzima futhi ngezinye izikhathi ihluphe, kubalulekile ukwazi ukuthi lesi simo singaphathwa ngokuphelele ngendlela efanele. Abantu abaningi baphila ngokunethezeka nge-rosacea uma nje beqonda izinto ezibangela ukwanda kwesimo sabo bese basebenzisana nodokotela ukuthola ukwelashwa okuphumelelayo.
I-Rosacea yisimo sesikhumba esingapheli esithinta ikakhulu ingxenye ephakathi yobuso bakho. Ibangela ubomvu obuhlala njalo, ngokuvamile buhambisana nezimbobo ezincane, ezibomvu ezingase zibukeke zifana ne-acne.
Lesi simo ngokuvamile sithuthuka kancane kancane ngokuhamba kwesikhathi, siqala ngokubhoboza okungezikhathi ezithile okuba khona njalo futhi kuhlala njalo. Ngokungafani nokushisa kwelanga okwesikhashana noma ukuhlaba okubangelwa ukukhathazeka, ubomvu obuhambisana ne-rosacea abuyeki ngokushesha futhi buyaqhubeka bukhula uma lungaphathwa kahle.
Okwenza i-rosacea ibe yiyona iwukuthi akuyona nje indaba yokubonakala. Abantu abaningi baye baba nokuhlupheka komzimba, kufaka phakathi ukushisa, ukuthamba, noma imizwa eqinile ezindaweni ezinomthelela. Lesi simo singathinta futhi amehlo akho, sibangele ukumomotheka, ukuvuvukala, nokuzwela ekukhanyeni.
Izimpawu ze-rosacea zingase zihluke kakhulu kumuntu nomuntu, kodwa kunezibonakaliso ezibalulekile okufanele uzilinde. Lezi zimpawu ngokuvamile zivela ekhathini lakho, emathathini, ekhaleni, nasebunzini.
Nawa zimpawu ezivamile ongazihlangabezana nazo:
Ubukhulu balezi zimpawu bungase buhluke, ngokuvamile buqalwa izinto ezithile ezifana nokukhanya kwelanga, ukucindezeleka, noma ukudla okuthile. Ngezinye izinsuku isikhumba sakho singase sizizwe siqondile, kuyilapho ngezinye izinsuku ubomvu nokuvuvukala kungase kube kukhulu.
Odokotela bahlukanisa i-rosacea zibe izinhlobo ezine eziyinhloko ngokuya ngezimpawu eziyinhloko ozibonayo. Ukuqonda uhlobo lwakho kusiza ekutholeni indlela yokwelapha ephumelelayo.
I-Erythematotelangiectatic Rosacea (ETR) uhlobo oluvamile kakhulu, oluqanjwe ubomvu obuhlala njalo nemithambo yegazi ebonakalayo. Ubuso bakho bungase buzizwe njengokungathi buhlala buqholiwe, futhi ungase ube nemizwa yokushisa noma ukuthamba.
I-Papulopustular Rosacea ihilela izimbobo ezibomvu namafinyila agcwele i-pus angase abukeke afana ne-acne. Noma kunjalo, ngokungafani ne-acne evamile, ngeke ubone ama-blackheads, futhi izimbobo zivame ukuvela ephakathi kobuso bakho kunokuba zisakazeke kwezinye izindawo.
I-Phymatous Rosacea ayivamile kodwa iyingozi kakhulu, ibangela ukukhuluphala, ukuphamba kwesikhumba. Lolu hlobo ngokuvamile luthinta ikhathi, ludala lokho okuthiwa ngezinye izikhathi "i-rhinophyma," kodwa lungathinta futhi ikhaleni lakho, ibunzi, amathunzi, noma izindlebe.
I-Ocular Rosacea ikakhulukazi ithinta amehlo akho namaphethelo amehlo, ibangela ubomvu, ukumomotheka, ukushisa, nokuzwela ekukhanyeni. Ungase uzizwe sengathi unethile emehlweni akho noma uhlangabezane nama-styes avamile emaphethelweni akho.
Imbangela eqondile ye-rosacea ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ithuthuka ngokuhlanganiswa kwezinto zofuzo, ezokuzungezile, nezokusiza umzimba. Ukusebenza komzimba wakho kokuvuvukala kubonakala sengathi kudlala indima ebalulekile kulesi simo.
Izinto eziningi zibonakala sengathi zinikezela ekukhuleni kwe-rosacea:
Okubalulekile ukuqonda ukuthi izinto ezithile zingenza izimpawu zakho zibe zimbi uma usuvele une-rosacea. Lezi zinto eziqalayo zihlukahluka kumuntu nomuntu, kodwa ezivamile zifaka ukukhanya kwelanga, ukucindezeleka, isimo sezulu esishisayo, ukudla okunoshukela, utshwala, nemikhiqizo ethile yokunakekela isikhumba.
Kwezinye izimo ezingavamile, abanye abantu bathuthukisa izimpawu ezifana ne-rosacea ngenxa yezinye izimo eziyisisekelo, ezifana ne-systemic lupus noma i-dermatomyositis. Lezi zimo zidinga ukuhlolwa okukhethekile kwezokwelapha ukuze zihlukaniswe ne-rosacea evamile.
Kufanele ucabange ukuya kudokotela uma ubona ubomvu bokubuso obuhlala njalo obungaphuli ngokwalo phakathi kwamasonto ambalwa. Ukwelashwa kwasekuqaleni kungavimbela lesi simo ekukhuleni nasekwenzeni kube nzima ukusiphatha.
Hlela i-aphoyintimenti uma uhlangabezana nokushisa, ukuthamba, noma imizwa ebuhlungu kanye nobomvu. Lezi zimpawu ngokuvamile zibonisa ukuthi umsebenzi wesikhumba sakho uyonakele futhi udinga ukunakekelwa kwezokwelapha.
Funani ukunakekelwa kwezokwelapha ngokushesha uma amehlo akho ebomvu, omomotheka, noma avuvukile kanye nezimpawu zobuso. I-Ocular rosacea ingase ithonye ukubona kwakho uma ingaphathwa, ngakho kubalulekile ukunaka izimpawu ezihlobene namehlo ngokushesha.
Kufanele futhi ubone udokotela uma izimpawu zakho zithinta impilo yakho yansuku zonke noma ukuzethemba kwakho. I-Rosacea iyakwelashwa kakhulu, futhi ayikho isizathu sokulwa nokuhlupheka noma ukuzizwa ungazethembi uma ukwelashwa okuphumelelayo kukhona.
Izinto eziningi zingandisa amathuba akho okukhula kwe-rosacea, yize ukuba nalezi zingozi akusho ukuthi uzokhula lesi simo. Ukuziqonda kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi uqaphele izimpawu zokuqala.
Nawa ama-risk factors ayinhloko okufanele uwaqaphele:
Nakuba lezi zinto zikhuphula ingozi, kubalulekile ukuqaphela ukuthi i-rosacea ingathinta abantu bazo zonke izinhlobo zesikhumba nezimvelaphi. Amadoda, yize engathinteki kakhulu, ngokuvamile ahlangabezana nezimpawu ezinzima kakhulu, ikakhulukazi uhlobo olukhuluphala kwesikhumba oluthiwa yi-phymatous rosacea.
Ezinye izimo zofuzo ezingavamile zingase zikhethe umuntu ezimpawu ezifana ne-rosacea, yize lezi zimo zidinga ukuhlolwa kwezokwelapha okuqondene nokuhlinzwa kwezokwelapha ukuze zihlolwe kahle.
Nakuba i-rosacea ngokuvamile ingabi yingozi empilweni yakho yonke, ingase ibangela izinhlupheko eziningi uma ingaphathwa. Ukuqonda lezi zinkinga ezingase zivele kusiza ekugcizeleleni ukuthi ukwelashwa kwasekuqaleni nokuphathwa okuqhubekayo kubaluleke kangakanani.
Izinhlupheko ezivamile zifaka:
Izindaba ezinhle ukuthi lezi zinhlupheko zivimbeka ngokuphelele ngokwelashwa okufanele nokuqeda izinto eziqalayo. Abantu abaningi abasebenza ngokuqhubekayo nodokotela babo bangagcina isikhumba esinempilo, esiqondile futhi bavimbele ukukhula zibe izimo ezinzima kakhulu.
Kwezinye izimo ezingavamile, i-ocular rosacea enzima ingase ibangela izinhlupheko ze-cornea ezingase zithinte ukubona. Yingakho noma iyiphi isimo ezihlobene namehlo kufanele ihlolwe ngokushesha ngudokotela noma ochwepheshe wamehlo.
Nakuba ungakwazi ukuvimbela ngokuphelele i-rosacea uma unesizathu sokuvela kwofuzo, ungathatha izinyathelo eziningi zokunciphisa ingozi yakho nokuvimbela ukwanda kwesimo uma usuvele unesimo. Ukuvimbela kugxile ekuvikeleni isikhumba sakho nokuqeda izinto eziqalayo ezaziwayo.
Ukuvikelwa elangeni kubaluleke kakhulu ekuvimbeleni nasekuphatheni i-rosacea. Sebenzisa i-sunscreen ebanzi enezinto ezivikelayo ezingaphansi kwe-SPF 30 nsuku zonke, ngisho nasezinsukwini ezinamvula, futhi ubeke iziqalo eziyisigcawu uma uchitha isikhathi ngaphandle.
Imikhuba yokunakekela isikhumba ebuthakathaka ingenza umehluko omkhulu ekuvimbeleni ukuvuvukala. Khetha imikhiqizo engenayo i-fragrance, i-hypoallergenic eklanywe yesikhumba esibuhlungu, futhi ugweme ukukroba okuqinile noma ukwelashwa okuhlushwayo okungase kuqalise ukuvuvukala.
Ukuqonda nokuqeda izinto zakho eziqalayo enye yezindlela ezinhle kakhulu zokuvimbela. Gcina idayari ubhale lapho izimpawu zakho zikhula khona nokuthi udle ini, wenzeni, noma wathini emahora ngaphambi kwalokho. Izinto ezivamile eziqalayo zifaka ukudla okunoshukela, iziphuzo ezishisayo, utshwala, ukucindezeleka, nokuqhuma kokushisa.
Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca okuvamile, nokulala okwanele kungasiza futhi ekuvimbeleni ukwanda kwesimo, njengoba ukucindezeleka kuyinto evamile eqalayo kwabantu abaningi abane-rosacea.
Ukuhlola i-rosacea ngokuvamile kuhilela ukuhlolwa ngamehlo kwesikhumba sakho nokuxoxa ngezimpawu zakho nomlando wakho wezokwelapha. Ayikho i-blood test ethile noma i-biopsy edingekayo ezimweni eziningi ze-rosacea.
Udokotela wakho uzobheka iphethini evamile yobomvu, ngokuvamile ithinta ingxenye ephakathi yobuso bakho. Uzokubuza ngesikhathi lapho izimpawu zakho zaqala khona, izinto eziqalayo ezibukeka zizenza zibe zimbi, nokuthi unemlando womndeni wezimo ezifanayo zesikhumba.
Inqubo yokuhlola ngokuvamile ihlanganisa ukuhlola amehlo akho, ngisho noma ungenazo izimpawu ezicacile zamehlo. Abantu abaningi bane-ocular rosacea ephansi abangase bangayiqapheli ekuqaleni, kodwa ukutholwa kwasekuqaleni nokuphathwa kungavimbela izinhlupheko.
Kwezinye izimo, udokotela wakho angase afune ukuqeda ezinye izimo ezingase zibukeke zifana ne-rosacea, ezifana ne-seborrheic dermatitis, i-lupus, noma ukungezwani. Lokhu kungase kuhilele ukuhlolwa okwengeziwe noma ukudluliselwa kudokotela wesikhumba ukuze kwenziwe ukuhlolwa okukhethekile.
Ngokungavamile, uma izimpawu zakho zingavamile noma zingaphenduli ekwelapheni okuvamile, udokotela wakho angase akukhuthaze i-biopsy yesikhumba ukuze aqinisekise ukuhlolwa futhi aqede ezinye izimo zesikhumba ezivuvukalayo.
Ukuphathwa kwe-rosacea kugxile ekulawuleni izimpawu, ekuvimbeleni ukwanda kwesimo, nasekuvikeleni isikhumba sakho ekubeni konakala okwengeziwe. Izindaba ezinhle ukuthi abantu abaningi babona ukuthuthuka okukhulu ngokwelashwa okuqhubekayo, okufanele.
Imithi yokugcoba ivame ukuba yindlela yokuqala yokwelapha futhi ingasebenza kakhulu kwabantu abaningi. Udokotela wakho angase abelethe:
Kwezinye izimo ezinzima noma lapho ukwelashwa kokugcoba kunganelisi, imithi yomlomo ingase ikhuthazwe. Lokhu kungase kuhlanganise ama-antibiotics amancane njenge-doxycycline, asebenza ngokunciphisa ukuvuvukala kunokulwa nokutheleleka.
I-Laser ne-light therapies ingasebenza kakhulu ekwelapheni imithambo yegazi ebonakalayo nobomvu obuhlala njalo. Lokhu ukwelashwa kusebenza ngokuqondisa imithambo yegazi ebanzi ngaphandle kokonakalisa izicubu zesikhumba ezizungezile.
Kwezinye izimo ezingavamile ze-phymatous rosacea enzima, izinketho zokwelapha zingase zicatshangelwe ukubumba kabusha izicubu zesikhumba ezikhuluphale. Lezi zinqubo ngokuvamile zenziwa ngabachwepheshe besikhumba noma ochwepheshe bokuhlinzwa abanezinsiza ezikhethekile.
Ukuphatha i-rosacea ekhaya kuhilela ukwakha indlela yokunakekela isikhumba ebuthakathaka nokwenza izinguquko zokuphila ezisekela impilo yesikhumba sakho. Ukuzinza endleleni yakho yansuku zonke yokunakekela kubalulekile ekutholeni ukuthuthuka.
Qala ngokuhlanza okuthambile, okungenayo i-fragrance okungayihlanza isikhumba sakho esivikelayo. Amanzi afudumele asebenza kangcono, njengoba amanzi ashisayo angase aqalise ukuqhola futhi enze ubomvu bube zimbi.
Faka i-moisturizer ethambile, i-hypoallergenic ngesikhathi isikhumba sakho sisacwebe kancane ukuze usizo ekuvaleni ukunisela. Bheka imikhiqizo eklanywe ngokukhethekile yesikhumba esibuhlungu noma esinobunzima be-rosacea, evame ukugwema izinto ezivamile eziqalayo.
Ukucindezela okubandayo kungase kunikeze usizo ngokushesha ngesikhathi sokukhula kwesimo. Sebenzisa i-cloth ehlanzekile, ethambile egcotshwe emanzini abandayo bese uyifaka ngobumnene ezindaweni ezinomthelela imizuzu engama-10-15 njengoba kudingeka.
Gcina idayari yezimpawu ukuze uqaphele izinto eziqalayo futhi uqonde izibonelo. Qaphela ukuthi udle ini, imikhiqizo oyisebenzisayo, imisebenzi oyenzayo, nezinto ezokuzungezile lapho izimpawu zikhula khona. Lolu lwazi lubaluleke kakhulu ekuphatheni isikhathi eside.
Cabanga ngezindlela zokuphatha ukucindezeleka ezifana nokuphumula okujulile, ukuzindla, noma i-yoga ebuthakathaka, njengoba ukucindezeleka kwengqondo kungase kuqalise izimpawu ze-rosacea kwabantu abaningi.
Ukulungiselela i-aphoyintimenti yakho nodokotela kungasiza ekuqinisekiseni ukuthi uthola uhlelo lokwelapha oluphumelelayo lwe-rosacea yakho. Ukufika uhlanganyele ngolwazi olufanele kusiza udokotela wakho ukwenza ukuhlolwa okuchane kanye nezincomo zokwelapha.
Letha uhlu lwezimpawu zakho zonke ezikhona, kufaka phakathi lapho zaqala khona nokuthi zishintshe kanjani ngokuhamba kwesikhathi. Qaphela noma yiziphi izibonelo ozibonile, ezifana nezinkathi zosuku lapho izimpawu zibi khona noma izinto eziqalayo ezibukeka zibangela ukwanda kwesimo.
Hlanganisa uhlu oluphelele lwemithi yonke, izithasiselo, nemikhiqizo yokunakekela isikhumba oyisebenzisayo njengamanje. Faka kokubili imikhiqizo yokwelapha ne-over-the-counter, njengoba eminye imikhiqizo ingenza izimpawu ze-rosacea zibe zimbi.
Bhala phansi noma yimiphi imibuzo ofuna ukuyibuza, ezifana nezinketho zokwelapha, isikhathi esilindelekile sokuthuthuka, noma izinguquko zokuphila ezingasiza. Unganqikazi ukubuza nganoma yini ekukhathazayo.
Uma kungenzeka, letha izithombe zesikhumba sakho ngesikhathi sokukhula kwesimo, ikakhulu uma izimpawu zakho zingasebenzi ngesikhathi se-aphoyintimenti. Lokhu kungasiza udokotela wakho ukuqonda ubukhulu besimo sakho.
Cabanga ukuletha ilungu lomndeni omethembayo noma umngani ongakusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-aphoyintimenti futhi anikeze ukwesekwa ngesikhathi sohambo lwakho lokwelashwa.
Into ebaluleke kakhulu okumele uyiqonde nge-rosacea iwukuthi yisimo esilawuleka esiphendula kahle ekwelapheni okufanele nezinguquko zokuphila. Nakuba idinga ukunakekelwa okuqhubekayo, abantu abaningi bangafinyelela ekulawuleni okukhulu kwezimpawu futhi bagcine isikhumba esiqondile, esinempilo.
Ukuphathwa kwasekuqaleni kwenza umehluko wangempela ekuvimbeleni ukukhula nezinhlupheko. Uma ucindezela ukuthi ungase ube ne-rosacea, ungalindi ukufuna iseluleko sezokwelapha. Uma uqala ukwelashwa okufanele, imiphumela yakho yesikhathi eside izoba ngcono.
Khumbula ukuthi i-rosacea ithonya wonke umuntu ngokuhlukile, ngakho ukuthola indlela yokwelapha efanele kungase kudinge isikhathi nokubekezela. Okusebenza komunye umuntu kungase kungasebenzi komunye, kodwa ngokuqhubeka nokuqondisa kwezokwelapha, ungathola izindlela zokuphatha ezisebenza kahle.
Ukuphila nge-rosacea akusho ukwamukela ukuhlupheka okuqhubekayo noma ukuzizwa ungazethembi ngokubonakala kwakho. Ngezindlela zokwelapha zanamuhla nokuqonda kangcono kokuphatha izinto eziqalayo, ungagcina indlela yokuphila esebenzayo, ezethembayo ngenkathi ugcina izimpawu zakho zilawulwa kahle.
Cha, i-rosacea ne-acne ziyizimo ezihlukile, yize ngezinye izikhathi zingase zibukeke zifana. I-Rosacea ngokuvamile ithinta ingxenye ephakathi yobuso bakho futhi ayinawo ama-blackheads noma ama-whiteheads afana ne-acne. I-Rosacea futhi ivame ukubangela ubomvu obuhlala njalo futhi ingathinta amehlo akho, okuyinto engayenziwa yi-acne. Ukwelashwa kwalezi zimo nakho kuhlukile, ngakho kubalulekile ukuthola ukuhlolwa okuchane.
I-Rosacea ngokuvamile iyisimo esingapheli esingapheli ngokuphelele ngaphandle kokwelashwa. Noma kunjalo, izimpawu zingase zihluke, ngezikhathi zokuthuthuka okulandela ukwanda kwesimo. Nakuba kubonakala sengathi "iyaphela" okwesikhashana, isimo esiyisisekelo ngokuvamile sihlala, futhi izimpawu ngokuvamile zibuyela noma zibe zimbi ngokuhamba kwesikhathi ngaphandle kokuphathwa okufanele. Ukwelashwa kwasekuqaleni kungavimbela ukukhula futhi kusize ekutholeni izikhathi ezinde zesikhumba esicacile, esiqondile.
Yebo, ngokuvamile ungagqoka i-makeup nge-rosacea, kodwa ukukhetha imikhiqizo efanele kubalulekile. Bheka i-makeup elebhelwe njenge-hypoallergenic, engenayo i-fragrance, ne-non-comedogenic. I-makeup yeminerali ngokuvamile iyamukeleka kwabantu abane-rosacea. Ama-primer aluhlaza-tinted angasiza ekuqedeni ubomvu ngaphambi kokufaka i-foundation. Susa i-makeup ngobumnene ngokuhlanza okuthambile, futhi cabanga ngokwenza i-patch test ngaphambi kokuzama imikhiqizo emisha.
Ukudla ngokuqinisekile kungathinta izimpawu ze-rosacea kwabantu abaningi, yize izinto eziqalayo zihlukahluka kumuntu nomuntu. Izinto ezivamile zokudla eziqalayo zifaka ukudla okunoshukela, iziphuzo ezishisayo, utshwala (ikakhulukazi iwayini ebomvu), amachizi asebekhulile, nokudla okuphezulu ku-histamine. Ukugcina idayari yokudla kungakusiza ekuqondeni izinto zakho eziqalayo. Noma kunjalo, awudingi ukugwema wonke ukudla okungenzeka kube yinto eqalayo ngaphandle uma ubona ukuthi kwenza izimpawu zakho zibe zimbi.
Cha, i-rosacea ayidluliseleki nhlobo. Awukwazi ukuthola i-rosacea komunye umuntu, futhi awukwazi ukuyisakaza kwabanye abantu. I-Rosacea yisimo sesikhumba esivuvukalayo esithuthuka ngenxa yohlanganiswa kokukhethwa kwofuzo, izinto zesimiso sokuvikela umzimba, nezinto ezokuzungezile eziqalayo. Nakuba ingase idluliselwe emindenini ngenxa yofuzo oluhlanganyelwe, ukudluliselwa komuntu nomuntu ngqo akwenzeki.