Kutinhira uye Kukuvadza kweNzvimbo dzeganda
Scleredema chirwere cheganda umo ganda rinowedzera uye rinomesa, dzimwe nguva rine rutsvuku. Chii chinokonzera scleredema hachizivikanwi. Inowanzobatanidzwa nechirwere cheshuga, uye pakati pevanhu vane chirwere cheshuga , varume vanobatwa kakawanda kupfuura vakadzi (10: 1). Scleredema inogona kuitika mushure mehutachiona hwehutachiona kana kuti streptococcal throat infection , uye mumatambudziko aya, vakadzi vanobatwa kaviri kakawanda sevarume.
Pasinei nokuti dzimwe nguva inonzi "scleredema" munhu mukuru, chirwere chinowanikwa kune vanhu vemakore ose uye marudzi ose emadzinza.
Zviratidzo
Apo ganda rinowanikwa, nzvimbo inoshandiswa yeganda inowedzera uye yakaoma. Inogona kuve yakatsvuka kana yakasvibiswa muvara, uye inogona kutarisa seganda rearangi (inonzi peau d'orange). Muzviitiko zvakawanda, scleredema inotanga pachiso, mutsi, kana kumusoro. Inogona kupararira kumaoko kana pachipfuva, asi maoko nemaoko hazviwanzobatwa. Zvimwe zviratidzo zvinogona kuitika zvichienderana nenharaunda yakabatwa:
- chiso - kuoma mukuzarura meso kana muromo
- ganda pamusoro pemasangano - kumira zvishoma
- rurimi - kuoma kutaura kana kudzora
Mune vamwe vanhu, scleredema haibatsiri chete ganda asi dzimwe nhengo dzomuviri dzakadai semwoyo, chiropa, spleen , mitsipa, kana huro.
Kuziva
Scleredema inowanzofungidzirwa zvichienderana nekuonekwa kweganda uye nhoroondo yezvokurapa yeumwe munhu (zvakadai sokuva nechirwere cheshuga kana kutapurirwa kwechangobva kuitika).
Muenzaniso weganda (biopsy) inotorwa uye inoongororwa pasi pe microscope kuti ibudise hutachiona. Mutsipa wemutsipa we streptococcal throat infection unowanikwa uye ropa reluga rinotarirwa chirwere cheshuga. Kuongororwa kweropa kunonyanya kuitwa kuti uongorore zvirwere zveropa zvakadai seyande myeloma inogona kuonekwa mushure mokunge scleredema inotanga.
Kurapa
Mhando dzakawanda dzakasiyana dzemishonga dzakamboedzwa semishonga ye scleredema, asi hapana mishonga yakaratidza kuti yakanakisisa. Vanhu vanogona kubatsirwa ne corticosteroids, cyclosporine , methotrexate, UVA1 phototherapy, kana psoralen ane ultraviolet chiedza A. Kana utachiona huripo, antibiotic inogona kudiwa. Kana chirwere cheshuga chiripo, chinofanira kudzorwa nekudya, maitiro, nemishonga. Kurapa kwepanyama kunogona kubatsira kana kufamba kupi kwemuviri wemuviri kuchidzivirirwa.
Vanhu vanowedzera scleredema mushure mehutachiona vanowanzove nekfupi kwenguva yechirwere, uye zviratidzo zvinogadzirisa mukati memwedzi mitanhatu kusvika kumakore maviri. Vanhu vane chirwere cheshuga vanokura scleredema vane zviratidzo kwenguva yakareba, kazhinji makore mazhinji.
> Sources:
> MedicineNet.com. Tsanangudzo yeScleredema
> Rosenbach, M. (2006). Scleredema. eMedicine. http://www.emedicine.com/derm/topic385.htm