Patchy ganda ruvara

Patchy ganda ruvara inzvimbo uko iro ganda reganda risingaenzane nenzvimbo dzakareruka kana dzakasviba. Ganda rinotetereka kana rine makwapa rinoreva shanduko yetsinga yeropa paganda rinokonzeresa kutaridzika.

Irregular kana patchy discoloration yeganda inogona kukonzerwa ne:

• Shanduko mu melanin, chinhu chinogadzirwa mumasero eganda chinopa ganda ruvara rwayo
• Kukura kwebhakitiriya kana zvimwe zvipenyu paganda
• Ropa mudziyo (vascular) shanduko
• Kuzvimba nekuda kwemamwe mapundu

Izvi zvinotevera zvinogona kuwedzera kana kudzikisa kugadzirwa kwemelanin:

• Majini ako
• Pisa
• Kukuvadza
• Kujekesa kune radiation (senge kubva kuzuva)
• Kuratidzirwa kune simbi dzinorema
• Shanduko mumazinga ehormone
• Mamwe mamiriro akadai se vitiligo
• Humwe hutachiona hutachiona
• Dzimwe rashes

Kujekeswa kuzuva kana ultraviolet (UV) mwenje, kunyanya mushure mekutora mushonga unonzi psoralens, unogona kuwedzera ruvara rweganda (pigmentation). Kuwedzera kugadzirwa kwe pigment kunonzi hyperpigmentation, uye kunogona kukonzeresa kubva kumamwe mapundu pamwe nekuratidzwa nezuva.

Yakadzikira kugadzirwa kwe pigment inonzi hypopigmentation.

Ganda reganda shanduko inogona kuve yavo mamiriro, kana iwo anogona kukonzerwa nemamwe marapirwo mamiriro kana kusagadzikana.

Yakawanda sei pigment pigment iwe yaunogona kubatsira kuona kuti ndedzipi hosha dzeganda iwe ungangodaro kukura. Semuenzaniso, vanhu vane ganda rakareruka vanonyanya kufunga nezvekupiswa kwezuva uye kukuvara. Izvi zvinomutsa njodzi yekenza yeganda. Asi kunyangwe mune vanhu vane ganda rakasviba, kuwanda kwezuva zvakanyanya kunogona kutungamira kumagomarara eganda.

Mienzaniso yekenza yeganda inowanzozivikanwa ndeye basal cell carcinoma, squamous cell carcinoma, uye melanoma.

Kazhinji, ruvara rweganda shanduko ndewekushongedza uye haukanganisa hutano hwepanyama. Asi, kushushikana kwepfungwa kunogona kuitika nekuda kwekuchinja pigment. Dzimwe pigment shanduko inogona kunge iri chiratidzo chekuti uri panjodzi yemamwe matambudziko ekurapa.

Zvinokonzera kuchinja pigment zvinogona kusanganisira chero zvinotevera:

• Acne
• Café-au-lait mavara
• Kucheka, kupara, maronda, kurumwa nezvipembenene uye hutachiona hushoma hweganda
• Erythrasma
• Melasma (chloasma)
• Melanoma
• MaMoles (nevi), kugeza trunk nevi, kana hofori nevi
• Dermal melanocytosis
• Pityriasis alba
• Radiation kurapa
• Rashes
• Kunzwisisa kune zuva nekuda kwekuita kwemushonga kana zvimwe zvinodhaka
• Kupisa kwezuva kana zuva
• Tinea versicolor
• Isingaenzaniswi kuisa chezuva chezuva, zvichitungamira kunzvimbo dzekupisa, tan, uye kwete tan
• Vitiligo
• Acanthosis nigricans

Mune zvimwe zviitiko, ruvara rweganda rwakajairika runodzoka rwoga.

Iwe unogona kushandisa makemikari akaomeswa ayo anotsvaira kana kujekesa ganda kudzikisira kushanduka kwemavara kana kunyangwe matauriro eganda pane nzvimbo dzakakwiridzirwa dzakakura kana dzichioneka kwazvo. Bvunza dermatologist yako kutanga nezve kushandisa zvigadzirwa zvakadaro. Tevedza rairo dziri pasuru nezvekuti ungashandisa sei zvigadzirwa zvakadaro.

Selenium sulfide (Selsun Blue), ketoconazole, kana tolnaftate (Tinactin) lotion inogona kubatsira kurapa tinea versicolor, inova hutachiona hwefungal hunogona kuratidzika sehombodo dzakapetwa. Nyorera sekurairwa kunzvimbo yakakanganiswa zuva nezuva kudzamara mavara ane mavara ashaika. Tinea versicolor inowanzo dzoka, kunyangwe nekurapwa.

Unogona kushandisa zvipoda kana dhayi reganda kuviga shanduko yeganda. Makeup inogona kubatsira zvakare kuviga ganda rine mota, asi haizorape dambudziko.

Dzivisa kusvibiswa kwezuva kwakanyanyisa uye shandisa chinodzivirira zuva neSPF ingangoita makumi matatu. Hypopigmented ganda rinopisa zuva zviri nyore, uye ganda rakapatsanurwa rinogona kutosviba. Mune vanhu vane ganda rakasviba, kukuvara kweganda kunogona kukonzera kusingaperi hyperpigmentation.

Bata chiremba wako kana:

• Iwe une chero rinogara ganda ganda shanduko idzo dzisina inozivikanwa chikonzero
• Iwe unoona nyowani nyowani kana kumwe kukura
• Kukura kuripo kwachinja ruvara, saizi, kana kutaridzika

Chiremba anonyatsoongorora ganda rako uye obvunza nezve nhoroondo yako yekurapa. Iwe zvakare uchabvunzwa nezve ako ganda zviratidzo, senge pawakatanga kucherechedza ganda rako richinja shanduko, kana rakatanga kamwe kamwe, uye kana iwe uine chero kukuvara kweganda.

Miedzo inogona kuitwa inosanganisira:

• Zvipenga zveganda maronda
• Ganda biopsy
• Mwenje wehuni (ultraviolet mwenje) kuongororwa kweganda
• Kuongororwa kweropa

Kurapa kunoenderana nekutariswa kwedambudziko reganda rako.

Dyschromia; Mottling

• Acanthosis nigricans - pedyo-kumusoro
• Acanthosis nigricans paruoko
• Neurofibromatosis - hofori cafe-au-lait nzvimbo
• Vitiligo - zvinodhaka zvinokonzerwa
• Vitiligo kumeso
• Halo nevus

Calonje E, Brenn T, Lazar AJ, Billings SD. Kushungurudzika kwemavara. Muna: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. McKee's Pathology yeGanda. 5 ed. Philadelphia, PA: Elsevier; 2020: chitsiko 20.

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

Ubriani RR, Clarke LE, Ming ME. Asina-neoplastic kusagadzikana kwe pigmentation. Mune: Busam KJ, ed. Dermatopathology. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.