Ukuqabuka Yini I-Scabies? Izimpawu, Izimbangela, & Ukwelashwa

I-scabies iyisimo esithathelwanayo sesikhumba esibangelwa ama-mites amancane ahlala phansi kwesikhumba sakho. Lezi zidalwa ezincane kakhulu zenza imigodi ezingeni langaphandle lesikhumba sakho, okuholela ekukhafini okukhulu nesikhumba esiqinile esivame ukuba sibi kakhulu ebusuku.

Nakuba umqondo wama-mites ahlala phansi kwesikhumba sakho ungase ube yinto engathandeki, i-scabies iyakwelashwa ngokuphelele futhi ivame kakhulu kunalokho ocabanga ngakho. Izigidi zabantu emhlabeni wonke zijabulana ne-scabies unyaka wonke, futhi ngokwelashwa okufanele, ungasusa la ma-mites futhi uthole impumuzo ezimpawu ezingathandeki.

Iyini i-Scabies?

I-Scabies kwenzeka lapho ama-mites amahle ahlala phansi kwesikhumba sakho ukuze afake amaqanda. La ma-mites mancane kangangokuba awunakubona ngamehlo akho, aulingana nokungaphansi kwengxenye yesigamu semilimitha ubude.

Ama-mites amahle enza imigodi emincane ngaphansi nje kwesikhumba sakho, lapho afake khona amaqanda angu-2-3 nsuku zonke cishe amasonto angu-6-8. Uma la maqanda ephuma, ama-mites amasha asebenza indlela yawo ekuqaleni kwesikhumba bese aphinda leli qophelo.

Uhlelo lwakho lokulwa nezifo luphendula kula ma-mites nemikhiqizo yabo yokuqothula, okuholela ekukhafini okukhulu nesikhumba. Lokhu kuphendula kokungafani kuvame ukuthatha amasonto angu-2-6 ukuze kuqale uma kuqala ukuba ne-scabies, kodwa kuphela izinsuku ezingu-1-4 uma usuke ubike.

Ziyini Izimpawu Ze-Scabies?

Uphawu olukhulu kakhulu lwe-scabies ukukhafina okukhulu okuyoba sibi kakhulu ebusuku noma ngemuva kokugeza amanzi ashisayo. Lokhu kwenzeka ngoba ama-mites asebenza kakhulu ezimweni ezishisayo, futhi izindlela zakho zemvelo zenza ube nomuzwa wokukhafina ebusuku.

Nazi izimpawu eziyinhloko ongazihlangabezana nazo:

• Ukushwabana okukhulu, ikakhulukazi ebusuku
• Amabala amancane abomvu noma izikhumba ezikhulelwe esikhumbeni sakho
• Imizila emincane, engalingani esikhumbeni sakho (imizila yokumba)
• Isibazi esingase sibukeke njengezinduku ezincane ezibomvu, i-hives, noma i-eczema
• Amaqhuzu okuqoba izindawo ezihlaselekile
• Izikhumba ezinzima esikhumbeni (ezimweni ezinkulu)

Isibazi sivame ukuvela ezindaweni ezithile lapho isikhumba sakho sincane futhi sifudumele. Uzosibona kakhulu phakathi kweminwe yakho, ezinzipeni zakho, ezingalweni, ezinhlangothini, emadolweni, nasesigabeni sobulili.

Ezinganeni ezincane nasezinganeni, i-scabies ivame ukuhlasela ikhanda, ubuso, intamo, izandla, nezinyawo. Abantu abadala abavamile ukuthola i-scabies kulezi zindawo, okusisiza odokotela ukuthi bahlukanise nezinye izimo zesikhumba.

Imiphi Imikhakha Ye-Scabies?

Abantu abaningi bathuthukisa i-scabies ejwayelekile, kepha kunamanye amafomu ahlukene alobu buhlungu. Ukuqonda lezi zinguquko kungakusiza ukuthi ubone ukuthi yini ongahlangana nayo nokuthi yini okufanele uyiqonde ekwelapheni.

I-scabies ejwayelekile yifomu elivamile kakhulu, elihlasela abantu abaphilile abanezimpande zokulwa nezifo eziphelele. Ngokuvamile uba nama-mite angu-10-15 emzimbeni wakho wonke, futhi izimpawu zikhula njengoba uhlelo lwakho lokulwa nezifo luphendula ekubeni khona kwawo.

I-scabies ehlanganisiwe (ebizwa nangokuthi i-scabies yaseNorway) yifomu elibuhlungu kakhulu elihlasela abantu abanezimpande zokulwa nezifo ezibuthakathaka. Lo mkhuba uhilela izinkulungwane noma ngisho nemiliyoni yama-mite, edala izicucu zesikhumba esinzima, esiqinile esinama-mite amaningi aphilayo.

I-scabies enodular ithuthuka lapho uhlelo lwakho lokulwa nezifo ludala amabala amancane, aqinile (ama-nodules) njengomphendulo kuma-mite. La ma-nodules angaqhubeka amasonto noma izinyanga ngisho nangemva kokususwa kwama-mite, ikakhulukazi ezindaweni ezifana nezinhlangothi, i-groin, nendawo yobulili.

Yini Ebanga I-Scabies?

I-scabies lidluliselwa ngokuxhumana okuqondile, okuphakathi kwesikhumba nesikhumba somuntu onalesi simo. Ama-mites awakwazi ukuqhuma noma ukuhamba, ngakho-ke adinga ukuxhumana okuqinile komzimba ukuze adlule komunye umuntu kuya komunye.

Ukuhlangana kobulili kuyindlela evamile kakhulu yokudlulisela i-scabies kubantu abadala, kodwa noma yiluphi uthintana olude lungadlulisela ama-mites. Lokhu kufaka phakathi ukubamba izandla isikhathi eside, ukulala embhedeni ofanayo, noma ukunakekela umuntu onesi-scabies.

Ungathola i-scabies nakwezinye izinto ezingcolile, nakuba lokhu kungavamile. Ama-mites angaphila ngaphandle kwesikhumba somuntu izinsuku ezingu-2-3, ngakho-ke ukwabelana ngemibhede, izingubo, noma ama-towels nomuntu onalesi sifo ngezinye izikhathi kungadlulisela lesi simo.

Isimo sokuhlala ezikhaleni ezinabantu abaningi sikwandisa ingozi yakho ngoba kwenza kube khona amathuba amaningi okuxhumana okuqinile. Kungakho izifo ze-scabies ngezinye izikhathi zenzeka emakhaya okuhlengikazi, ezikhungweni zokunakekela izingane, emajele, nasekampheni zabaphambukeli.

Kufanele Ubone Udokotela Nini Nge-Scabies?

Kufanele ubheke umhlinzeki wezempilo uma une-itching eqinile ebiyelayo ebusuku, ikakhulukazi uma ubona izicubu ezincane noma imigqa esikhumbeni sakho. Ukwelashwa kwasekuqaleni kungavimbela lesi simo ekudluliselweni kwabanye futhi kukusindise ekuhluphekeni amasonto amaningi.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthola izimpawu zokutheleleka kwe-bacteria yesibili ngokuqoba. Lezi zimpawu zihlanganisa ukwanda kokubomvu ezingxondeni, ukushisa, i-pus, ukubomvu okubomvu endaweni ethintekile, noma ukufiphaza.

Xhumana nodokotela wakho ngokushesha uma une-immune system ebuthakathaka futhi ucindezela i-scabies. Abantu abanesimo sengqondo njenge-HIV, umdlavuza, noma labo abasebenzisa imithi yokucindezela i-immune system bangathuthukisa i-scabies ehlanganisiwe, edinga ukwelashwa okunamandla.

Uma usuqeqeshwe nge-scabies kodwa izimpawu zakho azithuthukanga ngemva kwamasonto angu-2-4, buyela kumhlinzeki wakho wezempilo. Ngezinye izikhathi ukwelashwa kudinga ukuphindaphindwa, noma ungase ube nokutheleleka okwesibili okudingayo ukunakekelwa okwengeziwe.

Yiziphi Izinto Ezingozi Ze-Scabies?

Noma yini ingakuthola i-scabies kungakhathaliseki ubudala, ubulili, noma amazinga okuhlanzeka. Kodwa-ke, izimo ezithile zikhuphula amathuba okutholakala kwamatshwele abangela lesi simo.

Ukuhlala ezimeni ezikhukhumele kuyakha ingozi enkulu kakhulu ngoba kukhuphula amathuba okuxhumana kwesikhumba isikhathi eside. Lokhu kuhlanganisa amakamelo okuhlala emakolishi, ama-barracks ezempi, amakhaya okuhlengikazi, nemindeni enabantu abaningi.

Ukuba nesistimu yokuvimba ebuthakathaka kukubeka engozini enkulu yokuthola uhlobo olukhulu lwe-scabies. Lokhu kuhlanganisa abantu abane-HIV / AIDS, iziguli ze-kansa ezithola i-chemotherapy, abamukelayo be-organ transplant, nalabo abasebenzisa i-corticosteroids isikhathi eside.

Ukuziphatha ngokobulili nabalingani abaningi kukhuphula ingozi yokubhebhetheka, njengokunakekela izihlobo ezikhulile noma ukusebenza ezindaweni zokunakekelwa kwezempilo. Izingane ezisezikhungweni zokunakekelwa kwezingane nazo zibhekene nengozi enkulu ngenxa yokuxhumana okuphindaphindiwe eduze ngesikhathi sokudlala nemisebenzi yokunakekelwa.

Ziyini Izingozi Ezingaba khona ze-Scabies?

Inkinga evamile kakhulu evela ku-scabies ukutheleleka kwe-bhaktheriya okubangelwa ukukroba izindawo ezishaywe isikhumba. Uma ukroba, ungadala amanxeba avulekile avumela amabhaktheriya afana ne-Staphylococcus noma i-Streptococcus ukungena esikhuneni sakho.

Lezi zifo ze-bhaktheriya zingabangela ezinye izimpawu ozofuna ukuzigcina amehlo kuzo:

• Ubuhlungu obukhulu nobuhlungu ezindaweni ezithintekile
• Amanxeba agcwele i-pus noma ama-crusts anemibala ye-honey
• Ukubomvu okusakazeka kusuka esikhuneni
• Ama-lymph nodes avuvukile
• Ukuqanduka nokubukeka ungaphili kahle

Ezimweni ezingavamile, ukutheleleka kwe-bhaktheriya okungaphathwe kungabangela izimo ezingathi sína njenge-cellulitis noma ukuphuza igazi. Kungakho kubalulekile ukugwema ukukroba nokufuna ukwelashwa ngokushesha.

Abantu abane-scabies ezinamatheleyo babhekene nezinselele ezengeziwe ngoba bayadluliseka kalula futhi bangasakaza kalula lesi simo kubalandeli bomndeni, abantu ababakhathalelayo, nabasebenzi bezempilo. Ama-crusts amakhulu angenza ukwelashwa kube nzima futhi kuthathe isikhathi eside.

I-Scabies Ihlonishwa Kanjani?

Udokotela wakho uzoqala ngokuhlola isikhumba sakho bese ebuza ngezimpawu zakho, ikakhulukazi ukukhahlela okukhulu ebusuku. Bazobheka iphethini yokuqhuma okukhethekile nemigqa yokuqhuma, ikakhulu ezindaweni ezivamile njengophakathi kweminwe yakho nasezinzipeni zakho.

Ukuqinisekisa ukuxilongwa, udokotela wakho angase enze ukuhlunga isikhumba. Bazogqoka isampula encane kusuka emgodini noma ebumpu bese beyihlola ngaphansi komkhiqizo ukuze babuke izinambuzane, amaqanda, noma imikhiqizo yokuphuma kwezinambuzane.

Ngezinye izikhathi odokotela basebenzisa indlela ebizwa ngokuthi yi-dermoscopy, lapho befake khona amafutha emhlophe esikhumbeni sakho bese beyihlola ngedivayisi ekhethekile yokukhulisa. Lokhu kungabasiza ukubona imigqa yokuqhuma ngokucacile futhi baqonde izinambuzane ezisebenzayo.

Ezimweni lapho ukuxilongwa kungacaci, udokotela wakho angase aphakamise ukwelashwa okuzamayo. Uma izimpawu zakho ziphucuka ngemithi ye-scabies, lokhu kuqinisekisa ukuxilongwa ngisho noma izinambuzane zingatholakali esampulini yesikhumba.

Iyini Ukwelashwa kwe-Scabies?

Imithi yokwelapha ebizwa ngokuthi yi-scabicides ibulawa izinambuzane namaqanda azo. Udokotela wakho uzokhetha inketho engcono kakhulu ngokuya ngeminyaka yakho, isimo sempilo, nobunzima bokuqhuma.

I-Permethrin cream iyindlela evamile yokwelapha i-scabies ejwayelekile. Uzoyifaka le cream engu-5% emzimbeni wakho wonke kusukela entanyeni phansi, uyishiye isikhathi esingu-8-14 amahora, bese uyigeza. Abantu abaningi badinga ukusetshenziswa okukodwa kuphela, nakuba abanye badinga ukwelashwa kwesibili ngemuva kweviki.

Amathebule e-Ivermectin anikeza enye indlela, ikakhulu kubantu abangakwazi ukubekezelela ukwelashwa okusetshenziswayo ngaphandle noma abanesihlalo esiqinile. Abantu abadala bavame ukuthatha izilinganiso ezimbili ezihlukaniswe ngamaviki angu-1-2, futhi le mithi isebenza ngokuphazamisa nokubulala ama-mites.

Ngokuqondene nesifo esihlala esiqinile, odokotela bavame ukuhlanganisa kokubili ikhilimu le-permethrin namathebule e-ivermectin. Le ndlela eqinile iyasiza ekususeni inani elikhulu lama-mites akhona kuleli banga elibi le-condition.

Wonke umuntu endlini yakho udinga ukwelashwa ngesikhathi esifanayo, ngisho noma bengakabi nazimpawu. Lokhu kuvimbela ukutheleleka kabusha futhi kuyeka isimiso sokusabalalisa phakathi kwamalungu omndeni.

Ukuthi Ungayithatha Kanjani Ukwelashwa Kwasekhaya Ngesikhathi Sesihlalo?

Ngesikhathi uphehla isihlalo, ukugeza yonke izingubo, imibhede, nama-towels emanzini ashisayo (okungenani 122°F) kusiza ekususeni noma yimaphi ama-mites angase afihleke ezindwangu. Omisa lezi zinto ngomlilo ophezulu okungenani imizuzu engu-20.

Izinto ezingageziwa kufanele zivalwe ezibekweni zeplastiki okungenani amahora angu-72. Ama-mites azobulawa ngaphandle kokuxhumana nabantu phakathi nalesi sikhathi, okwenza lezi zinto ziphephile ukuzisebenzisa futhi.

Sula ama-mattresses akho, amakhaphethi, nefenisha ehlalwe kahle, bese uphonsa ngokushesha ibhegi le-vacuum. Nakuba ama-mites angaphili isikhathi eside kude nolusu lwabantu, le nyathelo eliengeziwe linikeza ukuthula kwengqondo.

Gcina iinzipho zakho zimfushane futhi zihlanzekile ukuze unciphise ukulimala okuvela ekukromeni. Cabanga ngokugqoka iziqhwaga ebusuku uma ukukroba kunzima, njengoba lokhu kungakuvimbela ekukromeni ngesikhathi ulele.

Ukucindezela okubandayo ne-calamine lotion kungakunika impumuzo yesikhashana ekukromeni. Ama-antihistamines afana ne-diphenhydramine angakusiza futhi ulele kangcono ngesikhathi sokwelashwa.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ngaphambi kokubona udokotela, yenza uhlu lwazo zonke izimpawu zakho nokuthi zaqala nini. Qaphela ukuthi ukukroba kubi kakhulu ngezikhathi ezithile zosuku futhi yiziphi izindawo zomzimba wakho ezithinteka kakhulu.

Bhala phansi noma yikuphi ukuxhumana okuqonde kakhulu okwenze njengamanje nabanye, kuhlanganise amalungu omndeni, abalingani bobulili, noma izimo ezihilela ukuxhumana kwesikhumba isikhathi eside. Lolu lwazi lusiza udokotela wakho ukuthi aqonde ukuthi ungase ube udluliselwe kanjani.

Letha uhlu lwawo wonke amaphilisi owathatha njengamanje, kuhlanganise nemikhiqizo yokuthengisa ngaphandle kwelayisensi kanye nezinhlanganisela. Amanye amaphilisi angathinta ukuthi yiziphi izindlela zokwelapha i-scabies ezikuphephile kuwe ukuthi uzisebenzise.

Lungiselela imibuzo mayelana nezinketho zokwelapha, isikhathi esithathayo ukusebenza, nokuthi yini okulindelekile ngesikhathi sokuphulukana. Buza mayelana nokwelapha amanye amalungu omndeni nokuvimbela ukutheleleka kabusha.

Uma kungenzeka, gwema ukusebenzisa ama-lotion noma amakhilimu ezindaweni ezibuhlungu ngaphambi kokuqokwa kwakho, njengoba lokhu kungenza kube nzima ku dokotela wakho ukubona isihlungu ngokucacile.

Iyini Iphuzu Eliyinhloko Mayelana Ne-Scabies?

I-Scabies iyisimo sesikhumba esingelashwa esithinta izigidi zabantu emhlabeni jikelele. Nakuba ukukhahlela okukhulu kanye nesihlamba kungabi nakho ubuhlungu futhi kuphazamise, amaphilisi okwelapha angasusa ama-mites ngokuphumelelayo uma esebenzisa kahle.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-scabies idinga ukwelashwa ngokwelashwa—izindlela zokwelapha ezingaphandle kwelayisensi ngeke zisuse ama-mites. Ukwelashwa kwasekuqaleni kuvimbela izinkinga futhi kuvimba ukusabalala kulabo abaseceleni komndeni nabaxhumana nabo.

Wonke umuntu endlini yakho udinga ukwelashwa ngesikhathi esifanayo, ngisho noma engenazo izimpawu. Lolu hlelo oluhlanganyele, oluhlanganiswe nokuhlanza kahle izingubo kanye nembhede, luqinisekisa ukususwa okuphelele kwama-mites.

Ngokwelashwa okufanele, abantu abaningi babona ukuthuthuka okukhulu phakathi kwamasonto angu-1-2, nakuba ukukhahlela okungase kuqhubeke amasonto ambalwa njengoba isikhumba sakho siphulukana nokuphazamiseka kokuzalwa.

Imibuzo Evame Ukubuzwa Mayelana Ne-Scabies

Ungathola yini i-scabies ezilwaneni ezifuywayo?

Cha, awukwazi ukuthola isikali ezinjeni, emakateni, noma kwezinye izilwane ezifuywayo. Izinambuzane ezibangela isikali kubantu ziyizinhlobo ezithile futhi azikwazi ukuphila noma ukuzala ezilwaneni. Noma kunjalo, izilwane ezifuywayo zingaba nohlobo lwazo lwe-mange, olubangelwa yizinambuzane ezahlukene.

Kuthatha isikhathi esingakanani ukuba izimpawu zesikali zivele ngemva kokubekwa?

Uma lokhu kuyisikhathi sakho sokuqala ukuba nesikali, izimpawu zivame ukuvela emavikini angu-2-6 ngemva kokubekwa. Noma kunjalo, uma uke waba nesikali ngaphambili, isimo sakho sokuvikela siyabona izinambuzane ngokushesha, futhi izimpawu zingathuthuka ezinsukwini ezingu-1-4 zokubekwa kabusha.

Kungani isikali likhubaza kakhulu ebusuku?

Isikali liyakhubaza kakhulu ebusuku ngoba izinambuzane ziyaphila kakhulu ekushiseni, futhi imikhuba yemvelo yomzimba wakho yansuku zonke ikwenza ube nomuzwa wokukhahlela ebusuku. Ngaphezu kwalokho, awunamaphekula amaningi ebusuku, okwenza uqaphele ukukhahlela.

Kuphephile yini ukuya emsebenzini noma esikoleni une-scabies?

Kufanele uhlale ekhaya emsebenzini noma esikoleni uze uqede ukwelashwa okugcwele ngemithi yokwelapha. Odokotela abaningi bancoma ukulinda amahora angu-24 ngemva kokuqala ukwelashwa ngaphambi kokubuyela emisebenzini evamile, njengoba awusacatshangelwa ukuthi unokuqubuka ngaleso sikhathi.

Ingabuya yini isikali ngemva kokwelashwa?

Isikali singabuya uma ubekwa kabusha kubantu abane-infection noma uma ukwelashwa kokuqala bekungaphelele. Kungakho kubalulekile ukwelapha wonke amalungu omndeni ngesikhathi esifanayo. Ukwehluleka kokwelashwa kweqiniso kuyinto engavamile uma imithi isebenza kahle, kodwa ukutheleleka kabusha okuvela kubantu abangaphathwe kuyinto evamile.