Khungu lokhala ndi khungu, kukwanira kwake ndi kufanana kwake kumadalira kuchuluka kwa melanini m'maselo. Izi ndi nkhumba zomwe sizigwirizana ndi mtundu wa epidermis, komanso tsitsi, iris. Kwa anthu ambiri, mafinya ambiri amakhala ofanana m'madera onse a khungu, koma pafupifupi 1 peresenti ya anthu padziko lapansi ali ndi chisokonezo chokhudzana ndi kuchepa kwa chiwerengero chawo.
Vitiligo - ndi chiyani?
Pambuyo pa dzina lachidziwitso la matendawa muli lingaliro losavuta la zachipatala. Leukoderma, leukodermia kapena vitiligo ndizosinthidwa pakhungu la pigmentation. Nthawi zambiri zimakhudza anthu amdima ndi amdima omwe ali ndi maso a bulauni. Matenda a vitiligo akhoza kupanga pachiyambi pa msinkhu uliwonse, koma amayamba makamaka pa unyamata. Zizindikiro zoyamba za matenda omwe munthu amazindikira kuyambira zaka 10 mpaka 30.
Vitiligo - zomwe zimayambitsa
Matendawa akhala akuwerengedwa ndi madokotala, adadziwika kale. Kafukufuku wa nthawi yayitali sanayambe kuwathandiza kukhazikitsa chikhalidwe cha mtundu wa vitiligo - mtundu wanji wa matenda, ndi chifukwa chake umachitika, sichinafikepo. Pali zinthu zokha zomwe zimapangitsa anthu ena kukhala ndi leukoderma. Vitiligo - zifukwa:
- zovuta;
- cholengedwa chobadwa;
- kuwonongeka kwa ziphuphu;
- zolephera za hormoni;
- Matenda a chiwindi ndi m'mimba;
- matenda a chithokomiro;
- kugwiritsa ntchito mankhwala ena;
- zovuta;
- kuledzera;
- zowawa;
- zilonda zam'thupi za ziwalo;
- khungu lophatikizana ndi zida zomangira;
- ntchito pa kupanga mankhwala owopsa;
- Kutupa kapena njira zowakomera m'matumbo;
- matenda a shuga .
Zovuta za vitiligo
Matendawa sali oopsa kwa thanzi labwino kapena moyo wa munthu. Leukoderma ndizophwanya khungu lopaka khungu, zomwe sizimapweteka kwambiri. Nthawi zina pamakhala mavuto okhaokha, chifukwa munthu amene ali ndi vitiligo angamve ngati akulakwitsa kapena wosasangalatsa chifukwa cha mtundu wosagwirizana wa epidermis.
M'zinthu zina, matendawa amagwirizanitsidwa ndi matenda awa:
- choyimira alopecia;
- scleroderma ;
- matenda aakulu a kapangidwe ka zakudya;
- psoriasis;
- chofiira ;
- kupweteka kwa chiwindi kugwira ntchito.
Leukoderma sichikhoza kuchititsa matendawa. Mfundoyi ndi yosavuta kutsimikizira ngati mumaphunzira vitiligo mwatsatanetsatane - ndi matenda otani, ndi njira zotani zomwe zikuyendera. Matenda amatha kukhala chifukwa cha matendawa, koma samawavutitsa. Leukoderma imakhudza khungu kokha ndipo imakhudza kwambiri matenda a melanin m'magazi ake.
Vitiligo - Zizindikiro
Chithunzi cha kachipatala cha matenda omwe akupezekawo ndi ochindunji kwambiri ndipo amapezeka pa phwando loyamba mu dermatologist. Zizindikiro za vitiligo zimangokhala ndi mawonedwe owonetsera:
- mapangidwe pa khungu labwino la mawanga oyera;
- Tsitsi lopanda tsitsi lomwe limakhudzidwa pa malo okhudzidwa;
- kufalikira ndi kuyanjana kwa mawanga mu malo akuluakulu;
- nthawi zina - kutayika kosasunthika kwa zigawo zina.
Zomwe zimagwira mtima kapena zizindikiro zina za leukoderma mwa anthu sizimatero. Zingathetsere ngati vuto lodzikongoletsera, makamaka amayi. Ngati malamulo a dzuwa sakuwonekera, amawotchedwa. Khungu lopanda mtundu wina wa magetsi limapangitsa kuti dzuwa liziyenda mofulumira kwambiri kuposa liwu labwino la epidermis. Izi zimabweretsa mfundo yakuti imatentha nthawi yomweyo.
Mafomu a vitiligo
Pali mitundu itatu ya leukoderma, ena mwa iwo ndi osowa kwambiri. M'munsimu mungathe kuona mwatsatanetsatane mtundu wa vitiligo, zithunzi zikuphatikizidwa:
- Fomu yokhazikika. Malo osungunuka amapezeka mu thupi lonse. Izi zimaphatikizapo subspecies - acrofacial (mawanga okha kumapazi ndi nkhope), zonyansa (depigmentation ndi zosiyana, osati kumadera ena), zosakaniza (kuphatikiza mitundu yosiyanasiyana ya matenda).
- Mtundu wa vitiligo. Mawanga amapangidwa m'madera ena, ochepa chabe. Subspecies: focaloration (kujambula pang'onopang'ono pa 1-2 malo), segmental (depigmentation kokha pa theka la thupi), mucous (mafinya osapezeka pakamwa, pamimba) leukoderma.
- Mawonekedwe a chilengedwe chonse. Nthendayi yosavuta kwambiri. Mabala a Vitiligo ndi angapo, amatha kusokonezeka. Zotsatira zake, malo akuluakulu a khungu, opitirira 80 peresenti ya pamwamba pake, amamasulidwa.
Kuti mupeze matenda oyenera, zidzatengera zambiri za vitiligo, mtundu wanji wa matenda ndi momwe chikhalidwe chake chiriri:
- khola - malo samasintha kwa nthawi yaitali;
- Kupititsa patsogolo - kufotokozera patsogolo kukuwonjezeka;
- osasunthika - malo ena otukuka amatha, ena amawonekera.
Chigawo china chimaphatikizapo kulekana kwa mtundu wa mawanga:
- buluu - ndi mthunzi wofanana;
- tricolor - pakati pa khungu labwino ndi loyeretsedwa ndilopakatikati;
- zofiira zinayi - kuzungulira malo amtunduwu ndi chidziwitso chakuda;
- yotenthedwa - malire a malo otukukawo ali okwera ndi otentha.
Kuzindikira kwa vitiligo
Leukoderma ya khungu imapezeka mosavuta pa kafukufuku wa dermatologist chifukwa cha kuwonongeka kwa epidermis ndi zizindikiro zoopsa. Nthawi zina maphunziro owonjezereka amafunika kutsimikizira vitiligo, gawo loyambirira la matendali lingathe kutsanzira zovuta zina. Kusanthula komwe kunaperekedwa kuti mupeze matenda a leukoderma:
- kuyesa magazi;
- chiphunzitso;
- chikopa cha khungu;
- kuyendera ndi nyali ya Wood .
Vitiligo - mankhwala
Chifukwa cha kusowa kwina kokwanira za chiyambi ndi zomwe zimayambitsa matenda, zimakhala zovuta kukhazikitsa chithandizo chabwino. Ngakhale palibe njira zothandiza, momwe mungachitire vitiligo. Zomwe zilipozo zimayesetseratu kuchepetsa zizindikiro zomwe zilipo kale za leukoderma, kuteteza mawonekedwe atsopano owonetsedwa, kusakanikirana ndi kufalikira kupyolera mu thupi.
Kodi ndingathe kuchotseratu vitiligo?
Yankho la funsolo ndi loipa. Ndizosatheka kuchepetsa chiopsezo chotenga matendawa. Vitiligo amachiritsidwa ndi moyo, pogwiritsa ntchito njira zochiritsira zosiyana, kusintha kwake nthawi ndi nthawi malingana ndi momwe alili panopa. Nthawi zina zimatha kukwaniritsa zotayirira ndikuwapatsa mtundu pafupi ndi mthunzi wa epidermis.
Kuchiza kwa vitiligo - mankhwala
Kusankhidwa kwa mankhwala kumachitika kokha ndi dermatologist woyenera. Chiwongolero chimadalira pazidziwitso zomwe analandira pa nkhani yeniyeni ya vitiligo - ndi mtundu wanji wa matenda, mwa mtundu wanji umene umapezeka, kaya ndizotheka kupita patsogolo ndi kutupa kwa mawanga. Chithandizo chingaphatikizepo:
- Antioxidants. Izi zimaphatikizapo mavitamini, michere, minerals, bioflavonoids, lipids, peptides ndi nucleotides. Mankhwalawa amagwiritsidwa ntchito ndi Actovegin, Berlition, Epadol ndi ena.
- Ndalama zapanyumba. Pambuyo pa kuyesedwa kwa mphamvu, mafuta a glucocorticosteroid ochokera ku vitiligo amasankhidwa - Elokom, Dermovajt, Alkometazon ndi ofanana. Mankhwala oletsa kutupa amalimbikitsa Elidel ndi Protopic.
- Odzidzidzimadzi. Pofuna kukonza kupanga ma antibodies motsutsana ndi melanin, makamaka ma interferons amagwiritsidwa ntchito.
Kuchiza kwa vitiligo ndi ultraviolet
Kutsekemera kumachitika m'njira zikuluzikulu zikuluzikulu, koma kuti zikhale zofunikira kwambiri kuti zithetse mankhwala osokoneza bongo. Amachulukitsa mphamvu ya ultraviolet:
- Oksoralen;
- Beroxane;
- Chisokonezo;
- Lamadine;
- Psoberan;
- Ammifurni;
- Metoxalene;
- Psoralen ndi zofanana.
Leukoderma - "kutentha kwa dzuwa":
- PUVA mankhwala . Pa malo owonetsedwapo chinthu chogwiritsira ntchito photoactive chimagwiritsidwira ntchito, pambuyo pake zimakhala zotsimikiziridwa ndi mawonekedwe a mawonekedwe otalika a ultraviolet.
- Zotsatira za Narrowband. Kuwonjezera, koma njira yogwira mtima. Mzere wosakanizidwa wa epidermal umakhala wonyezimira ndi miyeso ya ultraviolet pamtunda wa 311 nm.
Kuchiza kwa vitiligo ndi laser
Njirayi imasonyeza zotsatira zabwino - dera la mawanga limachepa, mapangidwe awo ndi kusakanikirana kwatha. Kutulutsa laser si njira yothetsera vitiligo kwathunthu. Iyenera kumalizidwa ndi maphunziro nthawi zonse, kukonzekera zotsatira zomwe zapezeka. Malinga ndi dera la lesion, dermatologist imasankha magawo abwino kwambiri.
Musanayambe mankhwala, mtundu wa vitiligo umaphunzira mosamala - ndi mtundu wanji wa matenda a khungu, momwe umathamangira, kaya mawanga akuwotchedwa. Pambuyo pofufuza mkhalidwe wa wodwalayo, njira yothandizira epidermis ndi laser yochepa yomwe ili ndi mawonekedwe a 300 mpaka 380 nm. Dothilo limapangitsa kuti maselo owonongeka asasokonezeke, osakhala ndi melanocyte, ndipo amachititsa kuti thupi likhale labwino.
Kuchiza kwa vitiligo ndi mankhwala owerengeka
Mankhwala ochiritsira amapereka maphikidwe ambiri omwe ali achilengedwe a antioxidants. Ndi thandizo lawo, sizidzatheka kuthetseratu matenda a vitiligo, kuti athe kuchepetsa kukula kwake ndi pang'onopang'ono chitukuko. Njira yosavuta yopezera antioxidants ndiyo kutenga masamba a masamba, mwachitsanzo, chitowe chakuda kapena wort St. John's wort.
Vitiligo - chithandizo cha mankhwala ochiritsira ochokera ku zitsamba
Zosakaniza :
- nyengo yamtengo wapatali - 2 tbsp. makuni;
- luso - 2 tbsp. makuni;
- Yarrow - 2 tbsp. makuni;
- madzi - lita imodzi.
Kukonzekera, ntchito
- Thirani 3 tbsp. supuni ya supuni ya madzi otentha.
- Kuumirira kufikira kwathunthu ozizira.
- Sungani yankho.
- Tengani kasanu ndi kamodzi pa tsiku kwa 100 ml ya mankhwala.