Ukuqothuka Kwe-Epidermal Okubangelwa Yinto Eyingozi Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqothuka kwe-epidermal okubangelwa yinto eyingozi (TEN) kuyisimo esingavamile kodwa esibuhlungu sesikhumba lapho izindawo ezinkulu zesikhumba sakho ziqala khona ukuhluthuka ngokushesha ngamaqabunga. Cabanga ngakho njengoba isivikelo sesikhumba somzimba wakho siwohloka ngokushesha, kufana nendlela umlilo omkhulu ongaqala ngayo ukubukeka nokubuzwa.

Lesi simo sihlupha ilungu elikhulu lomzimba wakho futhi sidinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba i-TEN izwakala iyesabekayo, ukuqonda ukuthi iyini nokuthi ilapheka kanjani kungakusiza uzizwe ulungile futhi ungakhathazeki ngalolu bhubhane lwezokwelapha.

Ukuqothuka Kwe-Epidermal Okubangelwa Yinto Eyingozi Yini?

Ukuqothuka kwe-epidermal okubangelwa yinto eyingozi kuyisimo esibuhlungu sesikhumba esenza ukuthi ingxenye yangaphandle yesikhumba sakho ife ihlukaniswe nezinye izigaba ezingaphansi. Isikumba sakho siqala ukuhluthuka ngamaqabunga amakhulu, sishiya izindawo ezimnyama, ezibuhlungu.

Lesi simo singxenye yezimo zesikhumba, i-Stevens-Johnson syndrome iyingxenye ephansi kakhulu futhi i-TEN iyona ebuhlungu kakhulu. Uma odokotela bebona ukuhluthuka kwesikhumba okumboza ngaphezu kuka-30% kobuso bomzimba wakho, bayakubiza ngokuthi i-TEN.

Igama elithi "ingozi" alisho ukuthi ubolele ngendlela evamile. Kunalokho, libhekisela endleleni isimo sakho sokuvikela umzimba sakha ngayo indawo eyingozi yamangqamuzana esikhumba sakho, sibangela ukuthi afe ngokushesha.

Ziyini Izimpawu Zokuqothuka Kwe-Epidermal Okubangelwa Yinto Eyingozi?

Izimpawu ze-TEN zivame ukuvela ngokushesha, ngokuvamile ezinsukwini ezimbalwa ngemuva kokubangela. Umuthi wakho uzokunika izimpawu eziningi zokuqala ngaphambi kokuba ukuhluthuka okukhulu kwesikhumba kuqale.

Izimpawu zokuqala zivame ukuzwakala sengathi uqala ukugula:

• Ukuthuthumela okungafika ku-102°F noma ngaphezulu
• Ubuhlungu entanyeni oluzwakala lubi futhi lubuhlungu
• Ukuzwakala ukushisa noma ukukhahlela emehlweni
• Ubuhlungu bomzimba jikelele nokukhathala
• Ukwehluleka ukudla

Njengoba isimo siqhubeka, izimpawu zesikhumba ziyaba yingxaki enkulu:

• Amabala abomvu, abanzi anamelana ngokushesha emzimbeni wakho
• Amabhabha avela bese aphuka kalula
• Izingcezu ezinkulu zesikhumba eziqothuka uma zithintwa
• Izindawo ezinobuhlungu, ezingcolile lapho isikhumba siqothukile khona
• Isikumba esiqothuka ngokucindezela okuthambile (njengephepha le-wet sheet)

I-TEN iphinde ithinte ama-mucous membranes akho, okuyizindawo ezimanzi ngaphakathi emzimbeni wakho:

• Amaqhubu obuhlungu ngaphakathi emlonyeni okwenza ukudla kube nzima
• Amehlo abomvu, avuvukile anezinqubo ezingaba khona zokubona
• Ukuvuvukala nobuhlungu endaweni yobudoda
• Ukuhileleka kwe-respiratory tract okubangela ubunzima bokuqeda

Lezi zimpawu zihlukanisa i-TEN kwezinye izimo zesikhumba ngoba zithinta izinhlelo eziningi zomzimba ngesikhathi esifanayo. Ukuhlanganiswa kokulahleka okubanzi kwesikhumba nokuhileleka kwe-mucous membrane yilokho okwenza le meko ibe nzima kangaka futhi idinga ukunakekelwa kwezokwelapha ngokushesha.

Yini ebangela i-Toxic Epidermal Necrolysis?

Izigameko eziningi ze-TEN zenzeka ngoba i-immune system yakho inenhlanhla enkulu kumithi ethile. Umuthi wakho uqonda umuthi njengomhlaseli ongozi futhi uqala ukuhlaselwa okulimaza isikhumba sakho.

Imithi evame ukuxhumana ne-TEN ihlanganisa:

• I-Allopurinol (esetshenziswa ekwelapheni i-gout)
• I-Anticonvulsants efana ne-phenytoin, i-carbamazepine, ne-lamotrigine
• Ama-antibiotic e-Sulfonamide (imithi ye-sulfa)
• Eminye imithi ebuhlungu efana ne-oxicam NSAIDs
• Eminye ama-antibiotic kuhlanganise i-penicillins ne-quinolones

Ezimeni ezingavamile, i-TEN ingathuthukiswa ezinye izici:

• Ukutheleleka kwe-viral njenge-Epstein-Barr virus noma i-cytomegalovirus
• Ukutheleleka kwe-bacterial, ikakhulukazi i-mycoplasma
• Ezinye izigqoko, nakuba lokhu kungavamile kakhulu
• Izithasiselo zezimila noma imithi yokuthengisa ngaphandle kwesikripthi

Ngesinye isikhathi odokotela abakwazi ukuthola into ebangela leli cala, lokhu kungadumaza kodwa akuyishintshi indlela lesi simo siphathwa ngayo. Okubaluleke kakhulu ukuthola ukunakekelwa okufanele kwezokwelapha ngokushesha, kungakhathaliseki ukuthi yini ebangela lesi simo.

Ukuphendula kuvame ukuqala ezinyangeni ezimbalwa zokuqala uma uqala ukusebenzisa imithi emisha, nakuba kungase kwenzeke ngisho nangemva kwezinyanga eziningi usebenzisa le mithi. Ukwakheka kwakho kwe-genetic kungase kuchaze ukuthi unethuba elingakanani lokuba naleli cala ngemithi ethile.

Kufanele Ubone Udokotela Nini Nge-Toxic Epidermal Necrolysis?

I-TEN ihlale iyingozi yezokwelapha edinga ukunakekelwa esibhedlela ngokushesha. Kufanele uye endaweni yokwelapha ngokushesha uma ubona noma yiluphi uhlobo lokushisa, isikhumba esibomvu esibanzi, kanye nezindawo lapho isikhumba sakho siqala khona ukuqhekeka noma ukukhula amabhabhu.

Shaya u-911 noma uye endaweni yokwelapha ngokushesha uma uhlangabezana nalokhu:

• Isikhutha esihlukana ngamaqabunga amakhulu uma sithintwa kancane
• Isikhumba esibomvu, esiqinile esembozwe izindawo ezinkulu zomzimba wakho
• Izilonda ezibuhlungu emlonyeni, emehlweni, noma endaweni yobudoda
• Ukushisa okuphezulu kanye nezinguquko zesikhumba
• Ukukhuluphala ukugwinya noma ukuphefumula kanye nezimpawu zesikhumba

Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo. I-TEN ithuthuka ngokushesha, futhi ukwelashwa kwasekuqaleni endaweni yesibhedlela kungenza umehluko omkhulu ekuphileni kwakho futhi kunciphisa ingozi yezinkinga ezinkulu.

Uma usebenzisa imithi futhi ubona ngisho nezinguquko ezincane zesikhumba kanye nokushisa, xhumana nodokotela wakho ngokushesha. Bangakusiza ukuthi ubone ukuthi kufanele uyekise ukusebenzisa imithi bese ufuna ukunakekelwa okusheshayo.

Yiziphi Izinto Ezifaka Ingozi Ye-Toxic Epidermal Necrolysis?

Nakuba i-TEN ingase ibe kubantu abasebenzisa imithi ethile, ezinye izinto zingase zikhulise amathuba akho okuthola leli cala. Ukuqonda lezi zinto ezifaka ingozi kuzokusiza wena neqembu lakho lokunakekelwa kwezempilo ukwenza izinqumo ezifanele mayelana nemithi.

Ubudala kanye nezakhiwo ze-jeni zidlalela indima ebalulekile engozini ye-TEN:

• Ukuba ugodu kunyaka we-40 ukwandisa ingozi yakho
• Izinguquko ezithile ze-jeni, ikakhulukazi izinhlobo ze-HLA, zenza abanye abantu babe sengozini enkulu
• Ukuba nomlando womndeni wezinkinga ezinzima zemithi
• Ukuba ngezizwe ezithile (abanye abantu base-Asia banengozi enkulu ngemithi ethile)

Isimo sempilo esithinta isimiso sakho sokuvikela umzimba singakwandisa ingozi:

• Ukutheleleka yi-HIV noma i-AIDS
• Izifo zokuziphatha komzimba njenge-lupus
• Ukulimala, ikakhulukazi ukulimala kwegazi
• Ukuhlinzwa kwesitho samuva nje
• Ukuthatha imithi ecindezela isimiso sakho sokuvikela umzimba

Ezinye izinto ezingase zifake isandla zihlanganisa:

• Ukuthatha imithi eminingi ngesikhathi esisodwa
• Ukuba uke waba ne-Stevens-Johnson syndrome ngaphambili
• Ukutheleleka kwamuva, ikakhulukazi ukutheleleka yi-viral
• Ukusebenza kancane kwemithi ngenxa yezakhiwo ze-jeni

Ukuba nezinto ezingozini akusho ukuthi uzophuthuma uthuthukise i-TEN, kodwa kusho ukuthi wena nodokotela wakho kufanele niqaphele kakhulu lapho niqala imithi emisha. Iqembu lakho lokunakekelwa kwempilo lingaxoxa ngokuhlolwa kwe-jeni uma uvela kubantu abasezingozini futhi udinga ukuthatha imithi eyaziwayo ngokubangela i-TEN.

Ziyini Izingozi Ezingase Zenzeke Ngokwe-Toxic Epidermal Necrolysis?

I-TEN ingabangela izinkinga ezinzima ngoba ukulahlekelwa izindawo ezinkulu zesikhumba kwakho kuchaphazela imisebenzi eminingi yomzimba. Isikhumba sakho ngokuvamile sivikela ekutholakaleni kokutheleleka futhi sisiza ukulungisa ubushushu bomzimba wakho kanye nokujwayelekile koketshezi.

Izingozi eziqala ngokushesha zihlanganisa ukutheleleka nokulahlekelwa koketshezi:

• Ukuphelelwa amanzi okukhulu njengoba umzimba wakho ulahlekelwa uketshezi ngesikhumba esiyonakele
• Ukutheleleka ngamabhaktheriya endaweni lapho isikhumba siqothuke khona
• I-sepsis, okuwukuthi lapho ukutheleleka kusakazeka kuwo wonke umjikelezo wegazi
• Ukungahlangani kahle kwama-electrolyte okuthinta inhliziyo yakho nezinye izitho
• Ubunzima bokuhlala ubushushu bomzimba obujwayelekile

Izinkinga zeziso zingaba nemiphumela ehlala isikhathi eside:

• Ukuqina kweliso eliqala ukungcolisa ukubona
• Amehlo omile ngenxa yezitho zokukhipha izinyembezi ezonakele
• Ukuqina kwamehlo okutholakala kungadinga ukulungiswa ngokusebenza
• Ezimweni ezinkulu, ubuthakathaka bungase buvele

Ezinye izinhlelo zomzimba zingathinteka:

• Izinkinga zephunga kufaka phakathi i-pneumonia noma ubunzima bokuqeda
• Izinkinga zezinso ezivela ekusweleni amanzi noma imithi
• Ukusebenza okungalungile kwesibindi, ikakhulukazi uma isenzo sasiyihlobene nemithi
• Izinkinga zokubetha kwenhliziyo ngenxa yokungalingani kwama-electrolyte

Izinkinga zesikhathi eside zingafaka ukuqina okungapheli, ukushintsha kombala wesikhumba, kanye nezinkinga eziqhubekayo zokulawula ukushisa. Kodwa-ke, ngokwelashwa okusheshayo kunyunithi yokushisa okukhethekile noma endaweni yokunakekelwa okuqondene, abantu abaningi bayaphila kahle e-TEN.

Ukuvimbela izinkinga kubalulekile ukuthola ukunakekelwa kwezokwelapha ngokushesha nokwelashwa amaqembu ezempilo anamava ekuphatheni izimo zesikhumba ezinkulu.

I-Toxic Epidermal Necrolysis Ihlonishwa Kanjani?

Odokotela bangakwazi ukuxilonga i-TEN ngokuhlola isikhumba sakho nokufunda ngemlando wakho wokusungula imithi. Ukuhlanganiswa kokukhishwa okubanzi kwesikhumba nokuhileleka kwe-mucous membrane kudala iphethini ehlukile abaguli abanolwazi bayibona.

Iqembu lakho lezokwelapha lizoqala ngokuhlolwa komzimba okuhleliwe:

• Ukuhlola ukuthi yingakanani ingxenye yomzimba wakho ethintekile ngokukhishwa kwesikhumba
• Ukuhlola isikhumba ngomgomo olukhanyayo ukubona ukuthi siyakwazi ukusuka kalula yini
• Ukuhlola umlomo wakho, amehlo, kanye nezindawo zangasese ngezilonda
• Ukuqapha isimo sakho jikelele kufaka phakathi izimpawu ezibalulekile

Izivivinyo zegazi zisiza ekuhloleni ukuthi isimo sithinta kanjani umzimba wakho:

• Ukuhlolwa kokubala kwamagazi okugcwele ukuhlola ukutheleleka noma ezinye izinkinga
• Amazinga e-electrolyte ukuhlola ibhalansi yamanzi nemînerali
• Izivivinyo zomsebenzi welaphe futhi lezinso
• Izivivinyo zokuqeda ezinye izimbangela zezimpawu zakho

Ngezinye izikhathi odokotela bathatha isampula encane yesikhumba (i-biopsy) ukuqinisekisa ukuxilongwa nokuqeda ezinye izimo. Ngaphansi komkhiqizo, i-TEN ibonisa izindlela ezibonakalayo zokufa kweseli yesikhumba ezisiza ekuhlukaniseni kwezinye izifo zesikhumba.

Iqembu lakho lezokwelapha lizobuye libuyekeze wonke amaphilisi owawuthathe muva nje, kufaka phakathi amaphilisi omthetho, amaphilisi angaphezu kokuthengiswa, kanye nezinye izithasiselo. Lo mlando wamaphilisi ubalulekile ekutholeni isithuthukisi esingaba khona nokuvimbela ukusebenzisana kwesikhathi esizayo.

Iyini Ukwelashwa kwe-Toxic Epidermal Necrolysis?

Ukuphathwa kwe-TEN kugxile ekususeni isithuthukisi, ukusekela umzimba wakho ngenkathi isikhumba sakho siyaphilisa, nokuvimbela izinkinga. Uzodinga ukunakekelwa okukhethekile esibhedlela, ngokuvamile endaweni yokushisa lapho abasebenzi abanolwazi lokuphatha izindawo ezinkulu zesikhumba esilimele.

Isinyathelo sokuqala ngaso sonke isikhathi ukuyeka ukusetshenziswa kwephukuli okungenzeka ukuthi kubangele ukusebenzisana:

• Ukuyeka ngokushesha wonke amaphilisi angabalulekile
• Ukuthola nokuyeka iphilisi elingaba yimbangela
• Ukushintshela kweminye imithi kuphela uma kudingeka kakhulu
• Ukugwema imithi ehlobene engase ibe nomphumela ofanayo

Ukukhathalela okusekayo kusiza umzimba wakho ukuba ubhekane ngenkathi isikhumba sakho siphulukana:

• Amanzi e-IV ukuze ubeke esikhundleni salokho olahlekile ngesikhumba esilimele
• Ukuqapha ngokucophelela amazinga e-electrolyte nomsebenzi wezinso
• Ukulawulwa kokushisa ngoba isikhumba esilimele asinakulawula kahle ukushisa komzimba
• Ukusekelwa kokudla ukuze kusize ukululama, ngokuvamile ngezikhwephu zokudla
• Ukuphathwa kobuhlungu ngamaphilisi afanele

Ukukhathalela isikhumba kudinga amasu akhethekile:

• Ukuhlanza ngobumnene nokubopha izindawo ezibuhlungu
• Ukuvimbela ukutheleleka ngama-antibiotics aphezulu uma kudingeka
• Ukusebenzisa imibhede ekhethekile noma izindawo zokunciphisa ukucindezeleka kwesikhumba esihlongiphayo
• Ukugwema ukuphatha okungadingekile kwesikhumba esibuthakathaka

Abanye odokotela bangase banikeze imithi ezosiza isimiso sakho sokuvikela umzimba:

• I-Corticosteroids, nakuba ukusetshenziswa kwayo kuphikiswana
• I-Immunoglobulin therapy ezimweni ezithile
• Imithi yokuvimbela isisu sakho nokuvimbela izihlamba

Ukukhathalela amehlo kubaluleke kakhulu ukuvimbela izinkinga zobumona isikhathi eside. Odokotela bezamehlo bavame ukunikeza ukwelashwa okukhethekile ukuvikela i-corneas yakho nokuvimbela ama-scarring.

Indlela Yokuphatha Ukuphulukisa Ekhaya Ngemva kwe-Toxic Epidermal Necrolysis?

Ukuphulukisa kwe-TEN kuthatha isikhathi, futhi uzodinga ukunakekelwa okqhubekayo kwezokwelapha ngisho nalapho usushiye isibhedlela. Isikhumba sakho sizophila kancane kancane ezinyangeni ezimbalwa kuya ezinyangeni, kodwa ungathatha izinyathelo zokusekela le nqubo ngokuphepha ekhaya.

Ukukhathalela isikhumba kuhlala kuyinto yakho ephambili ngesikhathi sokuphulukisa:

• Gcina izindawo eziphilile zihlanzekile ngezihlanzi ezimnene, ezingenamphumulo
• Faka izimonyo ezimisiwe ukuvimbela ukumomotheka nokweqile
• Vikele isikhumba esisha ekukhanyeni kwelanga ngezingubo ne-sunscreen
• Gwema izifebe ezinzima, ukuhlanza, noma noma yini engase icasule isikhumba esiphilisayo
• Qaphela izimpawu zokutheleleka njengokwanda kokubomvu, ubushushu, noma i-pus

Ukukhathalela amehlo kuyaqhubeka kubalulekile ngisho nalapho usushiye isibhedlela:

• Sebenzisa ama-eye drops noma ama-ointments amisiwe njengoba kuqondiswe
• Gqoka izibuko lelanga ukuvikela amehlo azinzile ekukhanyeni okukhulu
• Gcina ama-aphoyintimenti okulandelela nodokotela wakho wamehlo
• Bika noma yikuphi ukushintsha kobumona noma ukungakhululeki kwamehlo ngokushesha

Ukusekela impilo yakho yonke kusiza ukuphulukisa:

• Dla ukudla okunomsoco ukuze unikeze izakhiwo zokululama kwesikhumba
• Hlala uthambile kodwa ungagcini amanzi ngaphandle kweseluleko sezokwelapha
• Thola ukuphumula okwanele ukuvumela umzimba wakho ukuba ugxile amandla ekululameni
• Thatha imithi ebekiwe ngqo njengoba kuqondiswe

Qapha izimpawu zezexwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha, kufaka phakathi ubushushu bomzimba, ubuhlungu obukhula, izimpawu zokutheleleka, noma noma yikuphi ukusabela okusha kwesikhumba emithi. Iqembu lakho lokunakekelwa kwezempilo lizokubeka izikhathi zokubuyela emuva njalo ukuqapha intuthuko yakho nokubhekana nanoma yikuphi ukukhathazeka.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Uma ubhekene ne-TEN, iningi lokunakekelwa kwakho kwezokwelapha okuqala kuzokwenzeka ekamelweni lemiphumela nehhosipitalini. Noma kunjalo, ukulungiselela izikhathi zokubuyela emuva nezindiza zezokwelapha zesikhathi esizayo kubalulekile ekunakekelweni kwakho okuqhubekayo nokuvimbela ukusabela kwesikhathi esizayo.

Butha ulwazi olubalulekile lwezokwelapha ngaphambi kwezikhathi zakho zokubonisana:

• Dala uhlu oluphelele lwemithi yonke obuyithatha ngaphambi kokuthi i-TEN ivele
• Faka izinsuku ezichwepheshile lapho uqale khona imithi ngayinye
• Qaphela noma yiziphi izithasiselo, amavithamini, noma imithi yokuthengisa ngaphandle kwesikweletu owayisebenzisa
• Letha amaphepha okukhishwa namarekhodi ezempilo avela ekuhlaleni kwakho esibhedlela
• Bala noma yiziphi izifo ezaziwayo noma ukusabela kwemithi ngaphambili

Bhala izimpawu zakho namandla akho okukhathazeka:

• Landelela indlela esikhumba sakho siyaphilisa ngayo nanoma yiziphi izindawo ezinengxaki
• Qaphela noma yikuphi ukushintsha kokubona noma ukungakhululeki kwamehlo
• Bhala amazinga obuhlungu nokuthi imithi isebenza kangcono kangakanani
• Bhala imibuzo mayelana nesikhathi sakho sokuphulukisa
• Khumbula noma yiziphi izimpawu ezintsha noma ukukhathazeka

Lungiselela imibuzo yeqembu lakho lokunakekelwa kwezempilo:

• Imiphi imithi okufanele uyigweme ngokuphelele esikhathini esizayo?
• Ziziphi izimpawu zezinkinga okufanele uzilinde?
• Ukulindela nini ukubuyela kwesikhumba sakho esimweni esijwayelekile?
• Ingabe udinga ukuhlolwa kwe-genetic ukuze ubone ingozi yemithi esikhathini esizayo?
• Yiziphi izazi zezokwelapha okufanele uqhubeke uzibona?

Cabanga ukuthi ulethe umngani noma ilungu lomndeni omethembayo emihlanganweni, ikakhulukazi ngesikhathi usalulama. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi bakhulume ngezidingo zakho uma ungazizwa kahle.

Iyini into ebaluleke kakhulu ngo-Toxic Epidermal Necrolysis?

I-Toxic epidermal necrolysis yisimo esibuhlungu kodwa esingaphekwa esidinga ukunakekelwa kwesibhedlela ngokushesha. Nakuba kuzwakala kuyesabekayo, ukuqonda ukuthi ukwelashwa okusheshayo ezikhungweni zezokwelapha ezikhethekile kuholela ekuphileni kwabantu abaningi kungakulethela induduzo ethile esimweni esesabekayo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-TEN ihlale iqalwa yimithi, futhi ukuyeka imithi ebangela inkinga ngokushesha kubalulekile ekuphileni. Uma usuke waba ne-TEN, kuzodingeka uqaphele kakhulu ngemithi yesikhathi esizayo, kodwa lokhu akusho ukuthi awukwazi ukuthola ukwelashwa kwezokwelapha uma kudingeka.

Iqembu lakho lokunakekelwa kwezempilo lizokusiza ukuba udale uhlelo lokusebenzisa imithi ephephile kusukela manje. Lokhu kungafaka ukuhlolwa kwe-genetic, ukuphatha ulwazi lokuqapha impilo, nokusebenzisana eduze nezazi zezokwelapha eziqonda isimo sakho.

Ukuphulukana kuthatha isikhathi, kodwa abantu abaningi abamukela ukwelashwa okufanele bayaphila kahle. Isikhumba sakho sinamandla okuzithuthukisa, futhi ngokunakekelwa okufanele nokulandelwa kwezokwelapha, ungalindela ukubuyela emisebenzini evamile njengoba uphulukana.

Imibuzo Evame Ukubuzwa Ngo-Toxic Epidermal Necrolysis

Ingabe i-toxic epidermal necrolysis ingenzeka ngaphezu kwesikhathi esisodwa?

Yebo, i-TEN ingabuya uma uthintana nemithi efanayo noma imithi ehlobene eyabangela isiqephu sakho sokuqala. Kungakho kubalulekile ukwenza uhlu oluphelele lwemithi okufanele uyigweme. Udokotela wakho uzokusiza ukuthi ungaziboni nje kuphela imithi ethile ebangelwe yi-TEN, kodwa futhi nemithi ehlobene engabangela ukusabela okufanayo. Ukuphatha ulwazi lokuqapha impilo nokukwazisa bonke abahlinzeki bezempilo ngomlando wakho kusiza ukuvimbela iziqephu zesikhathi esizayo.

Kuthatha isikhathi esingakanani ukuphulukana ne-toxic epidermal necrolysis?

Isikhathi sokuphulukana sihluka kuye ngokuthi isikhumba esingakanani esasithintekile nokuthi impilo yakho iyaphi. Abantu abaningi bachitha amasonto angu-2-6 esibhedlela phakathi kwesigaba esibuhlungu. Isikhumba esisha sivame ukukhula kabusha phakathi kwamasonto angu-2-3, kodwa ukuphulukiswa okuphelele kungathatha izinyanga eziningi. Ezinye iziphumo, ikakhulukazi emehlweni noma amabala, zingaba ziphakade. Iqembu lakho lezokwelapha lizokunika isikhathi esicacile esisekelwe esimweni sakho somuntu siqu nokuthi uphendula kangcono kanjani ekwelapheni.

Ngizoba namabala aphakade evela ku-toxic epidermal necrolysis?

Abantu abaningi bayaphuka yi-TEN ngaphandle kwamabala amakhulu, ikakhulukazi ngokunakekelwa okufanele kwezokwelapha. Noma kunjalo, kukhona amathuba okuthi kube namabala, ikakhulukazi ezindaweni lapho kwaba khona khona ukutheleleka noma ukuphulukiswa kwaba nzima. Izinkinga zamehlo zivame ukubangela ukuguquka okuphakade kunamabala esikhumba. Ukusebenza nochwepheshe abanjengabachwepheshe bezikhumba nabachwepheshe bezamehlo ngesikhathi sokuphulukana kusiza ukunciphisa imiphumela yesikhathi eside nokubhekana nanoma yimaphi amabala avela.

Ingabe i-toxic epidermal necrolysis iyadluliseka?

Cha, i-TEN ayidluliseki nhlobo. Awukwazi ukuyithola komunye umuntu noma uyidlulisele kwabanye. I-TEN iyisimo sokusabela kwesistimu yokuvimba emithini noma ezinye izinto ezikhuthazayo, hhayi ukutheleleka. Amalungu omndeni nabasebenzi bezempilo abadingi ukukhathazeka ngokubamba i-TEN ngokuba eduze komuntu onayo. Noma kunjalo, uma uthola ukutheleleka okwesibili ngesikhathi se-TEN, leyo mitheleleko ethile ingadinga izinyathelo zokuvikela.

Ngingaphinde ngithathe imithi ngokuphephile ngemva kokuba ngine-toxic epidermal necrolysis?

Yebo, ungathatha imithi ngokuphephile ngemva kwe-TEN, kodwa kuzodingeka uqaphele kakhulu ngokukhetha imithi. Iqembu lakho lezempilo lizokwenza uhlu lwemithi okufanele uyigweme futhi liqonde ezinye izindlela eziphephile zezidingo zakho zezokwelapha zesikhathi esizayo. Ukuhlolwa kwe-genetic kungasiza ekuqondeni ukuthi yiziphi izigaba zemithi eziphephile kuwe. Ngalokhu, qiniseka ukuthi ukhombisa bonke abahlinzeki bezempilo umlando wakho we-TEN ngaphambi kokuthola noma iyiphi imithi emisha, kufaka phakathi imithi yokuthengisa ngaphandle kokubhalwa yi-doctor kanye nezinye izinto ezikhuthazayo zempilo.