Hidradenitis suppurativa chirwere chisingagumi chinokanganisa mafungiro e sweat
Kusvuta mitiro unotyisa unogona kukuuraya. Kusvuta kwakaipa pamapapu ako, mwoyo wako ... uye ganda rako. Hongu, kusvuta kunogona kukanganisa ganda rako. Kunyanya, kana ukasvuta, njodzi yako ye hidradenitis suppurativa inowedzera. (Kusvuta kunokonzera kukwidza .)
Hidradenitis chirwere chinoputika chakafanana nekanyanyisa chakaipa chepine iyo inowanzotanganisa mazamu e sweat mu-armpits nekugomera.
Nezviitiko zvakakomba, hidradenitis inobatwa nekuvhiyiwa kana kushandura muviri.
Chii Chinonzi Hidradenitis?
Mukuwedzera kune kuipa mazamu uye kugomera, hidradenitis inogonawo kukanganisa dzimwe nzvimbo dzakapfuma muapocrine sweat glands kusanganisira chidya chepamusoro uye anus. (Hazviwanzoitiki, hidradenitis inogonawo kutambudza dzimba dzakapoteredza bhomba kana nzeve.)
Hidradenitis inotanga kuvhara bvudzi follicles uye inovhara mazamu akapoteredza. Izvi zvinopesana nekuputika uye utachiona hunoita kuti chirwere ichi chinorwadza uye chisanzwisisike.
Vanhu vane hidradenitis vanouya nematema uye masumbu kana mapiritsi anokwanisa kubatana nema tunnel (fistulas) pasi peganda. Hidradenitis inokonzerawo pus drainage, pimples, nodules, cysts uye kupora.
Hidradenitis inowanzozivikanwa pakati pevakadzi, veAfrica America, vanhu vanorema, vanhu vane chirwere cheshuga nevanhu vane acne. Hidradenitis inowanzotanga kupa muhuduku huri muduku uye inogona kukanganisa munguva yezvipembenene.
Kazhinji, iyo ye hidradenitis yaxes uye inosangana. Vhiki imwe munhu munhu anokwanisa kuuya nemarwadzo anotsvaira, matsvuku, neropa-uye-pren-drenched, uye vhiki inotevera zvose zvakasara zviri kupera, kungoita kuti kudzokorora kudzokorora mazuva akawanda kana masvondo gare gare.
Kupera kusvuta uye kuora kurasikirwa-kunyange zvishoma ne10 muzana yemuviri wako-kunogona kuderedza zviratidzo zve hidradenitis.
Kunyange zvakadaro yakawanda seystonidal cyst, hidradenitis haisi kazhinji chimwe chinhu chinoenda pachako pachako. Panzvimbo pezvo, kuvanzika kunowedzera kuipa kunze kwokurapa nokukurumidza. Mune mamwe mazwi, kutanga kuongororwa uye kurapwa ndicho chinhu chinokosha pakununura. (Nepo pilonidal cyst inowanzoporeswa nekuvhiyiwa , kurapwa kwakawanda kwe hidradenitis kunongoderedza zviratidzo.)
Hidradenitis Treatment
Zvinangwa zvekurapa zvinosiyana zvichienderana nemurwere uye zvinosanganisira:
- kuderedza kwekuputika
- kubvisa kwekuvhiringidza
- kudzivirira kuputika
- kubvisa zvitsva
- kubvisa matanho pasi peganda (fistulas)
Mishonga yakasiyana-siyana yehutachivhadhi yepo inosanganisira zvinotevera:
- maantibayoti, anodzivisa kupisa uye kubatsira kurwisa utachiona
- bleach baths
- acne washes
- acne mishonga
- kuberekwa-kudzora mapiritsi
- methotrexate, iyo inoita kuti maitiro ezvirwere zvemusununguko apindure
- corticosteroid injections
- therapy inonzi radiation inotakura mutoro wekusvibiswa kwemazuva uye inoshandiswa kudarika mazuva ano kupfuura kare
- ronda kupfeka
- mhinduro retinoids, iyo yakaratidzwa kubatsira rubatsiri rwevarwere
Kazhinji, hapana mushonga mumwe kana kurapa kusina kupirisa kunobudirira kana uchibata hidradenitis; pane kudaro, kurapwa kwakabatanidzwa.
Kana sirivhadeniti inowedzera mukati meganda, kuvhiyiwa ndiyo nzira yakanakisisa; Kuvhiya kusarudzwa kunosanganisira laser kurapwa, incision uye kukwira mvura, deroofing, uye kukanganisa (kutora nzvimbo dzakabatwa kunze).
Zvinosuruvarisa, vashomanana vevanhu vane kunyanya yakaoma hidradenitis iyo inopesana nemishonga isingasaruriri pamusoro apa. Uyezve, vanhu ava varombo vasarudzo vanovhiya pamusana pehuwandu hwezviremera zvavo. Kuvanhu ava varwere, muna 2015 FDA yakagamuchira biologic agent kana immunomodulator inonzi Adalimumab (Humira).
Adalimumab inoshanda kuderedza kupisa kunopindirana nemusununguko wemuviri. Mumakiriniki ekuedzwa, adalimumab yakaratidza kuti inokurumidza kubudirira kwete kungoita kuderedza kuputika asiwo nhamba yemavhutu uye mapfupa anotevera hidradenitis.
Pasi Pasi
Kana iwe kana mumwe munhu waunoda ari kutambura nehistradenitis, tapota iva nechokwadi chekuita musangano pamwe nechiremba wekuchirapa kana dermatologist.
(Iwe ungazopedzisira watumirwa kunechiremba wokurapa.) Hapana chikonzero chekutsungirira ichi chinetso chisina kunaka kunyanya kana kurapa kunobudirira kuripo.
Sources
Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr. Chitsauko 115. Hidradenitis Suppurativa. Mu: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. The Color Atlas of Family Medicine, 2e . New York, NY: McGraw-Hill; 2013.
Zarchi K, Dufour D, Jemec GE. Kubudirira Kurapa Kwekuwedzera Hidradenitis Suppurativa With Anakinra. JAMA Dermatol. 2013; 149 (10): 1192-1194.