Vitiligo

Vitiligo chirwere cheganda umo mune kurasikirwa kwemavara (pigment) kubva kunzvimbo dzeganda. Izvi zvinoguma zvisina kuenzana mavara machena asina pigment, asi ganda rinonzwa senge rakajairika.

Vitiligo inoitika kana masero ekudzivirira muviri achiparadza maseru anoita brown pigment (melanocytes). Uku kuparadzwa kunofungidzirwa kunge kuri nekuda kwedambudziko rekuzvimiririra. Dambudziko rekuzvimiririra rinoitika kana immune system, iyo inowanzo chengetedza muviri kubva kuhutachiona, kurwisa nekuparadza hutano hwemiviri pachinzvimbo. Chikonzero chaicho che vitiligo hachizivikanwe.

Vitiligo inogona kuoneka chero pazera. Iko kune yakawedzera mwero wechiitiko mune dzimwe mhuri.

Vitiligo inosanganisirwa nezvimwe zvirwere zvemuviri:

• Addison chirwere (kusagadzikana kunoitika kana adrenal gland isinga gadzi kukwana mahormone)
• Utachiona chirwere
• Anonemia anemia (kuderera kwemasero matsvuku eropa anoitika kana ura husinga gone kunyatsotora vhitamini B12)
• Chirwere cheshuga

Nzvimbo dzakatsetseka dzese dzinonzwa-ganda pasina pigment inoonekwa kamwe kamwe kana zvishoma nezvishoma. Idzi nzvimbo dzine muganhu wakasviba. Iyo micheto yakanyatsotsanangurwa, asi isina kujairika.

Vitiligo inowanzo bata kumeso, magokora nemabvi, kumashure kwemaoko netsoka, uye nhengo dzesikarudzi. Inobata mativi ese emuviri zvakaenzana.

Vitiligo inonyanya kuoneka muvanhu vane ganda rakasviba nekuda kwekusiyana kwemachira machena anotarisana neganda rakasviba.

Hapana imwe shanduko yeganda inoitika.

Anopa hutano hwako anogona kuongorora ganda rako kuti asimbise kuongororwa.

Dzimwe nguva, mupi anoshandisa mwenje wehuni. Ichi chioko chemaoko chema ultraviolet chinokonzeresa nzvimbo dzeganda rine pigment shoma kupenya chena yakajeka.

Mune zvimwe zviitiko, ganda biopsy inogona kudikanwa kutonga kunze zvimwe zvikonzero zve pigment kurasikirwa. Wako mupi anogona zvakare kuitisa bvunzo dzeropa kuti aongorore huwandu hwehutachiona kana mamwe mahormone, glucose mwero, uye vhitamini B12 kutonga kunze kwekumwe kusangana kwakabatana.

Vitiligo inonetsa kurapa. Matanho ekutanga ekurapa anosanganisira anotevera:

• Phototherapy, nzira yekurapa umo ganda rako rinonyatso kuoneswa kune mashoma mwero weultivhiolet. Phototherapy inogona kupihwa yega, kana mushure mekutora mushonga unoita kuti ganda rako rive nechiedza. A dermatologist anoita kurapwa uku.
• Mamwe ma lasers anogona kubatsira kugadzirisa ganda.
• Mishonga inoshandiswa kuganda, senge corticosteroid makirimu kana mafuta ekuzora, immunosuppressant makirimu kana mafuta ekuzora akadai pimecrolimus (Elidel) uye tacrolimus (Protopic), kana mishonga yemusoro yakadai sa methoxsalen (Oxsoralen) inogona kubatsira.

Ganda rinogona kutamiswa (kubatanidzwa) kubva munzvimbo dzinowanzo kuvezwa uye kuiswa munzvimbo dzine kurasika kwe pigment.

Akawanda ekuvhara-kumusoro makeups kana dhayi reganda anogona kuvhara vitiligo. Kumbira mupiki wako mazita ezvigadzirwa izvi.

Muzviitiko zvakanyanyisa kana ruzhinji rwemuviri rwukakanganiswa, ganda rakasara rinenge riine pigment rinogona kubviswa, kana kusvibiswa. Uku shanduko yekusingaperi iyo inoshandiswa senge yekupedzisira sarudzo.

Izvo zvakakosha kuti urangarire kuti ganda risina pigment riri panjodzi huru yekukuvara kwezuva. Ive neshuwa yekushandisa yakafararira-spectrum (UVA uye UVB), yakakwira-SPF sunscreen kana sunblock. Girazi rezuva rinogona zvakare kubatsira kuita kuti mamiriro acho asanyanye kuoneka, nekuti ganda risina kubatika rinogona kusasviba muzuva. Shandisa zvimwe zvidziviriro pakuratidzirwa nezuva, senge kupfeka ngowani ine rimu rakafara uye refu ruoko hembe nebhurugwa.

Rumwe ruzivo uye rutsigiro rwevanhu vane vitiligo mamiriro uye mhuri dzavo zvinogona kuwanikwa pa:

• Vitiligo Tsigiro Yemarudzi - vitiligosupport.org

Iyo kosi ye vitiligo inosiyana uye haina fungidziro. Dzimwe nzvimbo dzinogona kuwanazve pigment yakajairika (kuchenesa), asi dzimwe nzvimbo nyowani dzekurasikirwa neruvara dzinogona kuoneka. Ganda rinogadziridzwa rinogona kunge rakareruka kana kusviba kupfuura iro rakakomberedza ganda. Nguruve kurasikirwa kunogona kuwedzera kuwedzera nekufamba kwenguva.

Shevedza musangano kuti uwane musangano nemupi wako kana nzvimbo dzeganda rako dzikarasikirwa nemavara pasina chikonzero (semuenzaniso, pakanga pasina kukuvara paganda).

Autoimmune kusagadzikana - vitiligo

• Vitiligo
• Vitiligo - zvinodhaka zvinokonzerwa
• Vitiligo kumeso
• Vitiligo kumusana uye ruoko

Dinulos JGH. Zvirwere zvine chekuita nechiedza uye kusagadzikana kwemavara. Muna: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 19.

Mupfuuri T, Ortonne JP. Vitiligo uye zvimwe zvinetso zve hypopigmentation. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chitsamba 66.

Patterson JW. Kushungurudzika kwemavara. Mune: Patterson JW, ed. Weedon's Ganda Pathology. 5 ed. Philadelphia, PA: Elsevier; 2021: chits. 11.