Ukuqala Kwe-Seborrheic Dermatitis? Izimpawu, Izimbangela, Nokwelashwa

I-Seborrheic dermatitis iyisimo esivamile, esiqhubekayo sesikhumba esibangela amabala abomvu, ane-scale, namagqabi ezindaweni zomzimba wakho lapho ama-oil glands asebenza khona kakhulu. Ungase uyazi kangcono njenge-dandruff uma ithonya isikhumba sakho, kodwa ingase ibuye ibonakale ebusweni bakho, esifubeni, nakwezinye izindawo ezineoli yesikhumba sakho.

Lesi simo sithinta izigidi zabantu emhlabeni jikelele futhi sihlala sivela sihamba ekuphileni kwakho. Nakuba kungase kube ukukhungatheka futhi ngezinye izikhathi kuyihlazo, i-seborrheic dermatitis ilawuleka ngokuphelele ngendlela efanele nokwelashwa.

Ziyini izimpawu ze-seborrheic dermatitis?

Izimpawu ze-seborrheic dermatitis zingase zihluke kuye kokuthi ivela kuphi emzimbeni wakho, kodwa ngokuvamile zihilela isikhumba esibomvu, esivuthayo esinamagqabi aneoli noma awomile. Uzoqaphela ngokuvamile la mabala ezindaweni lapho isikhumba sakho sikhiqiza khona amafutha ngokwemvelo.

Nawa amanye amaphuzu avamile ongawabona:

• Amabala abomvu, avuthayo esikhumba angase azizwe afudumele noma ebuhlungu
• Ama-scale abukeka eneoli noma anefutha angase abe mhlophe, oluhlaza okwesundu, noma oluyibomvu
• Ukuqhekeka kwesikhumba okufana ne-dandruff, ikakhulukazi esikhumbeni sakho
• Ukukhahlela okuvela kokuncane kuya kokukhathazayo kakhulu
• Ukuvutha noma ukuzwakala kubunzima ezindaweni ezihlaselekile
• Ukuwa kwezinwele ezimweni ezinkulu lapho isikhumba sihilelekile

Lesi simo sivame ukubonakala esikhumbeni sakho, kodwa singathinta nezipukane zakho, eceleni kwempumulo yakho, ngemuva kwezindlebe zakho, nesifuba sakho. Abanye abantu baqaphela ukuthi izimpawu zabo ziyaqina ngesikhathi sezimo ezincintisana noma izinguquko zesizini.

Ziyini izinhlobo ze-seborrheic dermatitis?

I-Seborrheic dermatitis ikakhulukazi iza ngezindlela ezimbili eziyinhloko, nokuqonda ukuthi yiluphi uhlobo olukuyo kungasiza ukuqondisa indlela yakho yokwelapha. Indawo nobudala bakho ngokuvamile kunquma ukuthi yiluphi uhlobo olukuyo.

Uhlobo lokuqala yi-seborrheic dermatitis yabantu abadala, evame ukuthinta abantu ngemuva kokuthomba futhi ingaqhubeka ubude bomuntu obala. Lolu hlobo ngokuvamile lubonakala esikhumbeni sakho, ebusweni, nasezindaweni eziphezulu zomzimba ezinemithombo yamafutha eminingi.

Uhlobo lwesibili yi-seborrheic dermatitis yengane, evame ukubizwa ngokuthi “i-cradle cap” uma ithonya izikhumba zezingane. Lolu hlobo ngokuvamile lubonakala ezinyangeni ezimbalwa zokuqala zokuphila futhi ngokuvamile liyaphela ngokwalo njengoba ingane ikhula.

Kukhona futhi uhlobo olukhulu olungavamile olungase lube khona kubantu abanesimiso somzimba esibuthakathaka. Lolu hlobo luvamise ukuba lubanzi futhi luhlala isikhathi eside, ludinga ukuphathwa okukhulu kwezokwelapha.

Yini ebangela i-seborrheic dermatitis?

Imbangela eqondile ye-seborrheic dermatitis ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ivela ekuhlanganiseni izinto ezisebenza ndawonye. Ukukhiqizwa kwamafutha emvelo yesikhumba sakho, izinhlobo ezithile ze-yeast, nokuphendula kwesistimu yakho yokuvimba konke kudlala indima ebalulekile.

Izinto eziningi zifaka isandla ekukhuleni kwalesi simo:

• I-Malassezia yeast ehlala ngokwemvelo esikhumbeni sakho kodwa ingase ikhule kakhulu ezindaweni ezineoli
• Ama-oil glands asebenza ngokweqile akhiqiza indawo lapho i-yeast ikhula khona
• Ukufana kwemfuyo okwenza abanye abantu babe sengozini
• Ukuhluka kwe-hormone, ikakhulukazi ngesikhathi sokukhula noma izikhathi zokuguquka kwe-hormone
• Ukuqina nokukhathala okungase kubuthakathaka amandla esistimu yakho yokuvimba ukulondoloza ibhalansi yesikhumba
• Ukuhluka kwesimo sezulu, ikakhulukazi isimo sezulu esibandayo, esomile esingase siqinisise isikhumba sakho
• Imithi ethile engase ithinte isimiso sakho sokukhulula noma amazinga e-hormone

Kubalulekile ukuqonda ukuthi i-seborrheic dermatitis ayibangelwa ukungcola okubi noma ukutheleleka. Awukwazi ukuyithola komunye umuntu, futhi ukuyiba nayo akusho ukuthi awunakekeli kahle isikhumba sakho.

Nini okumele ubheke udokotela nge-seborrheic dermatitis?

Kufanele ucabange ukuya kudokotela uma izimpawu zakho zithinta impilo yakho yansuku zonke noma uma ukwelashwa okungaphezu kokuthengwa esitolo kungakuniki usizo ngemuva kwamasonto ambalwa. Ukuqondiswa kwesikhathi esisheshayo kwesiphakamiso sobungcweti kungakusiza ulawule lesi simo ngokuphumelelayo futhi uvikele ukuba sibi.

Funani usizo lokwelashwa uma uhlangabezana nokukhahlela okukhulu okuhlupha ubuthongo bakho, ubomvu olukhulu nokuqhekeka, noma izimpawu zokutheleleka njengokuhlupheka okukhulu, ukushisa, noma i-pus. Udokotela wakho angakusiza anqume indlela yokwelapha engcono kakhulu yesimo sakho esithile.

Kufanele futhi ubone udokotela uma ungaqiniseki ukuthi izimpawu zakho empeleni yi-seborrheic dermatitis, njengoba ezinye izimo zesikhumba zingase zibukeke zifana. Ukuthola ukuxilongwa okuchane kwenza uthole ukwelashwa okufanele.

Ziyini izinto ezingase zikhulise amathuba okuthola i-seborrheic dermatitis?

Izinto ezithile zingase zikhulise amathuba akho okuthola i-seborrheic dermatitis, nakuba ukuba nalezi zinto ezingase zikhulise amathuba akusho ukuthi uzoyithola lesi simo. Ukuqonda lezi zinto kungakusiza uqonde ukuthi kungani ungase ube nezimpawu.

Nawa amanye amaphuzu avamile okumele uwazi:

• Ubudala, ngezingane ezingaphansi kwezinyanga ezi-3 nabantu abadala abaphakathi kweminyaka engu-30-60 abathinteka kakhulu
• Ubulili besilisa, njengoba amadoda ethola lesi simo ngokuvamile kunabesifazane
• Uhlobo lwesikhumba esineoli olukhulisa ngokwemvelo i-sebum
• Ukuqina nokuntuleka kokulala okungase kubuthakathaka isimiso sakho sokukhulula
• Izimo zezinzwa njenge-Parkinson's disease noma ukulimala ekhanda
• Izifo zesimiso somzimba kufaka phakathi i-HIV/AIDS noma abantu abatholwe izitho
• Izimo zempilo yengqondo njengokucindezeleka noma ukuphazamiseka kokudla
• Imithi ethile, ikakhulukazi leyo ecindezela isimiso somzimba

Ukuba noyedwa noma ngaphezulu kwalabo abangase bakhulise amathuba akusho ukuthi uzoyithola ngokuqinisekile i-seborrheic dermatitis. Abantu abaningi abanawo lawo maphuzu abawutholi lesi simo, kanti abanye abangenazo izinto ezingase zikhulise amathuba bangase basithole.

Ziyini izinhlupheko ezingase zibe khona ngenxa ye-seborrheic dermatitis?

Nakuba i-seborrheic dermatitis ngokuvamile ingabi yingozi, ingase ihole ezinhluphekweni eziningi uma ingaphathwa noma uma iba sibi. Lezi zinhlupheko ngokuvamile zilawuleka ngokunakekelwa okuhle nokunakekelwa kwezokwelapha uma kudingeka.

Izinhlupheko ezivamile ongahlangabezana nazo zihlanganisa:

• Ukutheleleka okubangelwa amabhaktheriya ngenxa yokukhahlela okweqile kwezindawo ezikhahlelayo
• Ukuwa kwezinwele okwesikhashana, ikakhulukazi lapho isikhumba sithinteka kakhulu
• Ukushintsha kombala wesikhumba okungase kuqhubeke ngemuva kokuba ukuvuvukala kuphelile
• Ama-scar ezimweni ezingavamile lapho lesi simo sibaba kakhulu noma sivame ukutheleleka
• Uthonyo lwengqondo oluhlanganisa ukuhlazeka noma ukwehla kokuzethemba
• Ukuphazamiseka kokulala ngenxa yokukhahlela okuqhubekayo, ikakhulukazi ebusuku

Izindaba ezinhle ukuthi lezi zinhlupheko zingavikeleka ngokwelashwa okuhle nokunakekelwa. Abantu abaningi abane-seborrheic dermatitis bangalawula lesi simo ngokuphumelelayo ngaphandle kokuba nezinhlupheko ezinkulu.

I-seborrheic dermatitis ingavikeleka kanjani?

Nakuba ungakwazi ukuvimba ngokuphelele i-seborrheic dermatitis, ikakhulukazi uma unayo ngokwemfuyo, ungathatha izinyathelo zokunciphisa ukukhula kwesimpo futhi ulawule izimpawu zakho ngokuphumelelayo. Ukuvimbela kugxile ekugcineni isikhumba esinempilo nokugwema izinto ezibangelayo ezaziwayo.

Nawa amaqhinga asebenzayo okumele uwasebenzise ukuvimba ukukhula kwesimpo:

• Geza izinwele zakho njalo nge-shampoo ebushelelezi ukususa amafutha amaningi namasosha esikhumba
• Sebenzisa amanzi afudumele esikhundleni samanzi ashisayo, angase aqinisise isikhumba sakho
• Lawula ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca, noma ukwelashwa
• Thola ubuthongo obanele ukusekela isimiso sakho sokukhulula
• Gwema imikhiqizo yesikhumba ebuhlungu ene-alcohol noma izihlanzi ezinamandla
• Gcoba isikhumba sakho njalo ngemikhiqizo ebushelelezi, engenazo izihlanzi
• Limita ukubonakala kwakho ezimweni zezulu ezibi uma kungenzeka

Khumbula ukuthi amasu okuvimbela asebenza kangcono uma eba yingxenye yendlela yakho yansuku zonke. Ukuzinza emikhwenyoni yakho yokunakekela isikhumba kunganciphisa kakhulu ubukhulu nobunzima bokukhula kwesimpo.

I-seborrheic dermatitis ixilongwa kanjani?

Ukuxilongwa kwe-seborrheic dermatitis ngokuvamile kuhilela ukuhlolwa komzimba ngudokotela noma i-dermatologist. Bazobheka izindawo zesikhumba sakho ezithintekile futhi babuze ngezimpawu zakho, umlando wakho wezokwelapha, nanoma yiziphi izindlela oziqaphelayo.

Udokotela wakho uzohlola amabala abomvu, ane-scale, nendawo yawo emzimbeni wakho. Njengoba i-seborrheic dermatitis inokubonakala okuhlukile futhi ivame ukubonakala ezindaweni ezithile, ukuxilongwa ngokuvamile kulula ngokuhlola ngamehlo kuphela.

Kwezinye izimo, udokotela wakho angase enze ukuhlolwa okwengeziwe ukuze akhiphe ezinye izimo ezingase zibukeke zifana. Lokhu kungase kuhlanganise ukuthatha isampula encane yesikhumba sokuhlaziywa kwelabhori noma ukuhlola ukutheleleka kwe-fungal, ikakhulukazi uma izimpawu zakho zingavamile noma zingaphenduli ekwelapheni okuvamile.

Yini ukwelashwa kwe-seborrheic dermatitis?

Ukwelashwa kwe-seborrheic dermatitis kugxile ekulawuleni izimpawu, ukunciphisa ukuvuvukala, nokulawula i-yeast ebangela lesi simo. Udokotela wakho cishe uzokuncoma ukuhlanganiswa kwezindlela ezilungele izimpawu zakho ezithile nobunzima besimo sakho.

Amakhetho ayinhloko okwelashwa ahlanganisa:

• Ama-shampoos ane-medicine anezingxenye ezihlanganisa i-ketoconazole, i-selenium sulfide, noma i-zinc pyrithione
• Ama-creams noma ama-lotions e-antifungal ukulwa nokukhula kwe-yeast
• Ama-corticosteroids ebushelelezi ukunciphisa ukuvuvukala ngesikhathi sokukhula kwesimpo
• Ama-calcineurin inhibitors afana ne-tacrolimus ezindaweni ezinzima njengobuso bakho
• Ukulungiswa kwe-coal tar ezimpawu zesikhumba ezinzima
• Imithi ye-antifungal yokudla ezimweni ezinkulu noma ezibanzi

Uhlelo lwakho lokwelashwa lungase ludinge ukulungiswa ngokuhamba kwesikhathi njengoba izimpawu zakho zishintsha noma ziphucuka. Abantu abaningi bathola ukuthi ukushintshana phakathi kwama-shampoos ahlukene ane-medicine kusiza ukuvimbela isikhumba sabo ekumelana nanoma yiluphi ukwelashwa olulodwa.

Indlela yokuphatha i-seborrheic dermatitis ekhaya?

Ukulawula ekhaya kudlala indima ebalulekile ekulawuleni i-seborrheic dermatitis kanye nokwelashwa kwezokwelapha. Imikhuba yansuku zonke elula inganciphisa kakhulu izimpawu zakho futhi isize ukuvimba ukukhula kwesimpo noma ukuba sibi.

Nawa amasu okunakekelwa ekhaya ongawasebenzisa:

• Geza izindawo ezithintekile nsuku zonke ngezinto zokuhlanza ebushelelezi, ezingenazo izihlanzi
• Faka i-moisturizer ngenkathi isikhumba sakho sisacwebezelayo ukugcina ukufuma
• Sebenzisa i-humidifier ezindaweni ezomile ukuvimbela isikhumba ekuwomile kakhulu
• Susa ama-scale ngobumnene ngebhulashi ebushelelezi noma i-washcloth, ugweme ukugcoba ngamandla
• Gqoka izingubo ezibukhali, ezivumela umoya ukuze unciphise ukuqiniswa kwesikhumba
• Gwema ukukhahlela noma ukukhetha ezindaweni ezithintekile, ngisho noma zikhahlela
• Gcina amazinga okucindezeleka elawuleka ngokuzivivinya njalo nokulala okwanele

Ukuzinza emkhwenyoni yakho yokunakekelwa ekhaya kuyisihluthulelo sempumelelo yesikhathi eside. Lezi zindlela ebushelelezi zisebenza kangcono uma zihlanganiswa nanoma yikuphi ukwelashwa okunconywe ngudokotela wakho.

Kufanele ulungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela i-appointment yakho nodokotela kungakusiza wenze kakhulu isikhathi sakho futhi kuqinisekise ukuthi uthola ulwazi nokwelashwa okudingayo. Ukufika ulungile ngemininingwane ethile ngezimpawu zakho kuzosisiza udokotela wakho enze ukuxilongwa okuchane nohlelo lokwelashwa.

Ngaphambi kwe-appointment yakho, bhala phansi ukuthi izimpawu zakho zaqala nini, yini ebonakala izenza zibe ngcono noma zibe sibi, nanoma yikuphi ukwelashwa osele uzama. Thatha izithombe zezindawo ezithintekile uma zingabonakali njalo, njengoba izimpawu zingase ziye ziye.

Letha uhlu lwemithi yonke, izithasiselo, nemikhiqizo yokunakekela isikhumba oyisebenzisayo njengamanje. Futhi, lungiselela imibuzo ngezindlela zokwelapha, izikhathi ezilindelekile zokuthuthuka, nokuhluka kwesitayela sokuphila okungasiza ekulawuleni isimo sakho.

Iyini into ebalulekile nge-seborrheic dermatitis?

I-Seborrheic dermatitis iyisimo sesikhumba esilawuleka esithinta izigidi zabantu emhlabeni jikelele. Nakuba ingase ihlale isikhathi eside futhi ngezinye izikhathi ikhungathekisa, ukuhlanganiswa okuhle kokwelashwa kwezokwelapha nokunakekelwa ekhaya okuzinzile kungalawula izimpawu zakho ngokuphumelelayo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo asiyona iphutha lakho, futhi akusona isithombe semikhuba yakho yokuhlanzeka. Ngokubekezela nendlela efanele, abantu abaningi bangafinyelela ekuthuthukiseni okukhulu ezimpawu zabo nasempilweni yabo.

Ukusebenza nodokotela ukuthuthukisa uhlelo lokwelashwa oluqondene nawe, kanye nemikhuba yansuku zonke yokunakekela isikhumba ebushelelezi, kukunika ithuba elihle lokulawula i-seborrheic dermatitis ngempumelelo isikhathi eside.

Imibuzo evamile mayelana ne-seborrheic dermatitis

Ingabe i-seborrheic dermatitis iyathukuthela?

Cha, i-seborrheic dermatitis ayithukutheli nhlobo. Awukwazi ukuyithola komunye umuntu noma uyisakazele kubanye abantu ngokuxhumana ngqo. Lesi simo sibangelwa ukukhiqizwa kwamafutha emvelo yesikhumba sakho, i-yeast evamile ehlala esikhumbeni sakho, nokuphendula kwesistimu yakho yokuvimba kulawo mafutha.

Ingabe i-seborrheic dermatitis ingabangela ukulahleka kwezinwele okungapheli?

I-Seborrheic dermatitis ayivamile ukubangela ukulahleka kwezinwele okungapheli. Ukulahleka kwezinwele okuhlotshaniswa nalesi simo kunokwesikhashana futhi kuzokhula kabusha uma ukuvuvukala kulawulwa. Noma kunjalo, izimo ezinkulu, ezingaphathwanga ezihilela ukukhahlela okuphindaphindayo nokuvuvukala ngezinye izikhathi kungase kuholele ekulahlekeni kwezinwele okungapheli ezindaweni ezithintekile.

Ingabe ukudla kuthinta i-seborrheic dermatitis?

Nakuba kungekho bufakazi besayensi oluqinisekile lokuthi ukudla okuthile kubangela i-seborrheic dermatitis, abanye abantu baqaphela ukuthi izimpawu zabo ziphucuka uma bedla ukudla okuhlanzekile okugcwele amavithamini naminerali. Ukugcina impilo enhle ngokudla okuhle kungasekele isimiso sakho sokukhulula futhi kungenzeka kusize ekulawuleni lesi simo.

Kuthatha isikhathi esingakanani ukwelashwa ukusebenza?

Abantu abaningi baqala ukubona ukuthuthuka phakathi kwamasonto angu-2-4 ngemuva kokuqala ukwelashwa okufanele, nakuba lokhu kungase kuhluke kuye kobunzima besimo sakho nezindlela ozisebenzisayo. Ama-shampoos amanye ane-medicine angase anikeze usizo ngokusetshenziswa okumbalwa, kanti ukwelashwa okusetshenziswayo esikhumbeni kungase kudinge amasonto ambalwa ukubonisa imiphumela ephelele.

Ingabe ukucindezeleka kungenza i-seborrheic dermatitis ibe sibi?

Yebo, ukucindezeleka kungenza ukukhula kwesimpo kube sibi noma kwenze izimpawu ezikhona zibe sibi. Ukucindezeleka kuthinta isimiso sakho sokukhulula futhi kungaphazanyiswa ibhalansi yesikhumba sakho, okwenza kube lula ukuvuvukala nokukhula kwe-yeast. Ukulawula ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca, noma ukwelashwa kungaba yingxenye ebalulekile yohlelo lwakho lokwelashwa jikelele.