Vatsvakurudzi vakawana ruzivo rwakakwana rwehutano pakati pehutano hwemuviri wevitiligo, nezvimwe zvirwere zvinotapukira. Kunyanya, vitiligo inobatanidza zvikuru nehuwandu hwezvirwere zvekuzvimirira, kusanganisira:
- Kuita zvirwere zvetachiona zvakadai seHashimoto's thyroiditis uye Graves 'chirwere
- Pernicious anemia
- Rheumatoid arthritis
- Psoriasis
- Lupus
- Chirwere chinokonzera chirwere
- Tora 1 chirwere cheshuga
Kunyanya, kutsvakurudza kwakaratidza kuti kupararira kwehutachiona hwehutachiona hwemotokari mumapfumbamwe 14 muzana kune vanhu vane vitiligo, uye ngozi yekutengesa chirwere chetachiona chega (kana une vitiligo) inowedzera nezera.
Nhoroondo yeVitiligo
Vitiligo, iyo inonziwo piebald peganda kana kuti inowana leukoderma, ndiyo mamiriro ayo iyo pigment inorasikirwa kubva munzvimbo dzeganda, zvichiita kuti dzive dzakachena, dzakanaka. Kurasikirwa kwe pigment kunobva ku melanocytes, masero anobudisa pigment. Bvudzi rinokura munharaunda idzodzo rinogona kukanganisa, kuchenesa zvakare. Mune vitiligo, ganda pacharo harinotambudziki, asi vamwe vanhu vanocherechedza ganda kubvambura kana kusagadzikana.
Kune marudzi akasiyana eve vitiligo:
Kwete-segmental Vitiligo
Uyu ndiwo rudzi rwakanyanya kupfuura rwevitiligo. Mavara acho anoonekwa kumativi maviri omumuviri uye anowanzoenzaniswa. Mavara acho anonyanya kuwanika munzvimbo dzinowanikwa pachena kune zuva kana paganda rinosangana nechisimba, kukakavara, kana kushungurudzika.
Ikoko kune zvikamu zvishanu zviduku zvisiri segmental vitiligo:
- Generalized - hapana chairo kana kuti chiyero apo mabheji anoitika
- Acrofacial - kunyanya paminwe, zvigunwe, uye chiso
- Mucosal - inowanikwa mumukati membrane nemiromo kana mukati marital mucosa
- Zvisikwa zvose - zvinofukidza muviri wose, uye hazviwanzoitiki
- Focal - mashoma akapararira mavara machena munzvimbo duku, kazhinji inowanikwa muvana
Segmental Vitiligo
Ichi chimiro che vitiligo chinopararira nokukurumidza asi chakanyanyisa kudarika chisina-segmental. Izvo zvisinganyanyozivikanwi kupfuura zvisiri-segmental.
Mixed Vitiligo
Mixed vitiligo zvinoreva munhu ane uchapupu hwezvinhu zvose zviri zviviri uye nonsegmental vitiligo.
Vitiligo duku kana Hypochromic Vitiligo
Iko rudzi rwevitiligo runoratidzwa nevakashoma vakaparadzaniswa mabhena machena pane trunk uye scalp, inowanikwa mumasikati ane ganda
Chikonzero cheVitiligo
Hapana chakajeka-chikonzero chikonzero nei melanocytes kufa. Zvimwe zvezvikonzero zvinofungidzirwa kuita kuti vitiligo ive:
- Chirwere chekuzvidzivirira, uko maitiro ezvirwere zvemusununguko asingabatsiri kurwisa uye anoparadza maranocytes muganda
- Kusagadzikana mumuviri wekushungurudzika kwehutano hunove hune hutachiona mumasikirwo
- Virusi
Zvimwe zvinhu zvinonzi zvinoita kuti zviitiko zvevitiligo, kusanganisira:
- Zviitiko zvinorwadza kana kusagadzikana kusingaperi
- Kunyanya kupisa kwezuva
- Kunyanya kumakemikari ane utsinye
Kuongororwa kweVitiligo
Chiremba achaongororwa vitiligo nekuongorora mhuri yako uye nhoroondo yezvokurapa, uyewo kuongorora mumuviri. Chiremba wako anogona kuraira kuongororwa kweropa kuti aongorore utano hwako hwehutachiona, huchipa hukama pakati pevitiligo uye chirwere chetachiona chemotokari.
Chiremba wako achawanzobvunza mibvunzo, kusanganisira:
- Iwe une dzimwe nhengo dzemhuri ine vitiligo here?
- Iwe une mhuri yehutano hwezvirwere zvekudzivirira here?
- Wakave nekuputika kwakakomba kana kupisa kwezuva risati rasvika mavara machena achiratidza here?
- Uri pasi pomuviri kana mupfungwa kunetseka here?
- Ko vhudzi rako rakave rakachena risati rava nemakore makumi matatu here?
- Iwe unonzwisisa zuva here?
Kurapa kweVitiligo
Kazhinji zvichida, iwe uchada kuona dermatologist kunyatsoongorora vitiligo. Chiremba anogona kukubatsira iwe kutanga chirongwa chekurapa kubatsira kubatsira kugadziriswa kweganda. Nepo kune maitiro akawanda ekurapa kwevitiligo, hapana mushonga.
Kurapa kunoenderana nezera rako, hutano huzhinji, zvaunofarira, uye nzvimbo yevitiligo mumuviri wako.
Vamwe vanhu vanosarudza kusabata vitiligo yavo.
Mishonga yevitiligo inosanganisira zvinotevera:
Phototherapy ne UVB chiedza
Nzvimbo yakakanganiswa inoratidzwa nechiedza cheVB. Iyi mushonga inogona kuitwa pamba, uye nokuti inogona kuitwa zuva rega rega kumba, inoonekwa seimwe yemishonga inobatsira zvikuru.
PUVA chiedza chirwere
T kurapa kwake kunoshandisa UVA chiedza kuti iite nzvimbo dzakasununguka uye inowanzoitwa muhofisi yechiremba.
Ganda rinogunzva / makeup
Nzvimbo dzakakanganiswa dzinogona kuvharwa nezvigadzirwa zvezvenje uye zvigadzirwa.
Depigmenting
Kana nzvimbo yakakanganiswa yakakura, seyo inopfuura 50 muzana yemuviri, muviri wose unogona kuenzaniswa kuitira kuti uenzane nenharaunda yakakanganiswa nevitiligo.
Topical steroids
Dzimwe nguva mapeti steroid anoshandiswa kunzvimbo dzakakanganiswa zvinogona kumira kupararira kwechirwere. Iko kurapwa hakuwanzoitiki pane vitiligo iri panze.
Zvokudya zvinovaka muviri, herbs, uye nzira dzakakwana
Vitiligo Support International ine mufananidzo wakanaka wezvakasiyana-siyana zvekudya, zvemishonga uye nzira dzakakwana dzevitiligo
Zvisarudzo zviviri zvitsva zviri kuratidzawo kuvimbiswa mukurapa vitiligo.
PC-KUS
PC-KUS inyaya yepamusoro yakagadzirwa muEurope. Mune rumwe ruzivo rwevanenge vanenge 2 500 varwere vane vitiligo, vazhinji vaikwanisa kudzorera mavara emucheka uye vhudzi nemishonga yePC-KUS.
Tofacitinib
Tofacitinib, Janus kinase inhibiting drugs, yakawanikwa yekukurudzira kududzirwa mune vamwe vitiligo varwere. Zvimwe zvidzidzo zvakadzika zvinodiwa kuti zvive nechokwadi chokuti mushonga wacho wose wakachengeteka uye unoshanda mukurapa vitiligo.
Shoko Rinobva
Kunyange zvazvo vitiligo isiri chirwere chinopisa upenyu, chinogona kutora mararamiro kune hutano hwomunhu. Kuwana ruzivo pamusoro pevitiligo, kutsvaga kutarisirwa kwakanaka kubva kune dermatologist, nekubatanidza nevamwe vane vitiligo chinhu chinokosha chekutarisana zvakanaka.
Pakupedzisira, kana iwe kana munhu waunoda ane vitiligo, zvine musoro kukurukura nachiremba wako kuwana TSH yeropa rekuongorora uye kuongororwa kwezvirwere zvehutachiona.
> Sources:
> American Academy of Dermatology. Vitiligo.
> Baldini E et al. Vitiligo uye Autoimmune Thyroid Matambudziko. Front Endocrinol (Lausanne). 2017; 8: 290.
> Grimes PE. (2017). Vitiligo: Pathogenesis, kliniki, uye kuongororwa. Tsao H, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Liu LY, Strassner JP, Refat MA, Harris JE, King BA. Kudzokorora muvitiligo kushandiswa kweJanus kinase inhibitor tofacitinib kunoda kuwirirana chiedza. J Am Acad Dermatol . 2017 Oct; 77 (4): 675-82.
> Vrijman C et al. Kuwanda kwechirwere chetachiona muvarwere vane vitiligo: kugadzirisa kuongorora. Br J Dermatol 2012 Dec; 167 (6): 1224-35.