Sei mushonga wechibhokisi wechibhokisi uchisiya mavanga?

Zvemukati

• Mushonga wakashanda sei?
• Nei mavanga akaitika?
• BCG vs. chibhokisi chitsvuku
• Matipi ekudzima vanga
• Kutora

Mhedziso

Chibhokisi chirwere chehutachiona, chinotapukira chinokonzera kuputika kweganda uye fivha. Munguva yekukwirwa kwakanyanya kwechibhokisi muzana ramakore rechimakumi maviri, vanhu vanofungidzirwa kuti vatatu pagumi vakafa nehutachiona vamwe vazhinji vakasara vasina chimiro, sekureva kwe.

Neraki, vaongorori vakakwanisa kugadzira jekiseni rekudzivirira hutachiona uhu. Hutachiona hwakabaiwa hutachiona huripo, asi hausi hutachiona hwe variola hunozivikanwa nekukonzera chibhokisi. Pane kudaro, hutachiona hwejekiseni hunobayiwa. Nekuti hutachiona uhu hwakafanana nehutachiona hwevavarola, muviri unowanzo gadzira masoja ekudzivirira kurwisa hutachiona hwechibhokisi.

Kuburikidza nehutachiona hwakapararira hwejekiseni yechibhokisi, vanachiremba vakazivisa hutachiona hwechibhokisi kuti “hwatsakatika” muUnited States muna 1952. Muna 1972, majekiseni echibhokisi akaita kuti chive chiito chekubaiwa muUnited States.

Kugadzirwa kwechirwere chechibhokisi chakange chiri chiitiko chikuru chekurapa. Asi mushonga wacho wakasiya mucherechedzo wakasiyana kana vanga.

Nepo vanhu vazhinji vane chibhokisi chekudzivirira chibhokisi vakura, Dhipatimendi reU.S. reHutano neHuman Services rakapa mushonga uyu mushure megore ra1972 kuvashandi vezvehutano nemapoka ekupindura chibhokisi kubva kumadhipatimendi ezvehutano nekuda kwekutya kuti hutachiona hwechibhokisi hunogona kushandiswa sechombo nemagandanga.

Mushonga wakashanda sei?

Mushonga wechibhokisi unoburitswa nenzira yakasarudzika uchienzaniswa nemamwe majekiseni anoshandiswa nhasi. Semuenzaniso, furu inopfurwa inoendeswa mune imwechete-nguva tsvimbo uchishandisa imwechete tsono nongedzo inopfuura nepakati pezvikamu zveganda uye mumhasuru. Mushonga wechibhokisi unopihwa uchishandisa tsono yakasarudzika (maviri-prong) tsono. Panzvimbo yekuboora ganda imwe nguva, munhu arikupa jekiseni anozoita punctures dzakawanda muganda kuendesa hutachiona kune ganda reganda, inova iyo dura riri pasi peepidermis chete inoonekwa nenyika. Mushonga uyu haupinde mumatanho akadzika eganda, senge tunyama tudiki.

Kana hutachiona hwasvika pane ino dermal layer, inotanga kuwanda. Izvi zvinokonzeresa diki, rakatenderera bundu rinozivikanwa se papule kukura. Iyo papulera inozokura kuita vheche, iyo inotaridzika kunge blister izere nemvura. Pakupedzisira, iyi nzvimbo ine blist ichatsemuka. Kunyange izvi zvichiratidza izvo vanachiremba vanowanzoona sekubudirira kubaya, zvinogona kusiya mucherechedzo kune vamwe vanhu.

Nei mavanga akaitika?

Mavanga senge chibhokisi chekudzivirira chiverengero fomu nekuda kwemuviri wemuviri kurapa maitiro. Kana ganda rakuvara (sezvazvakaita nhomba yechibhokisi), muviri unopindura nekukurumidza kugadzirisa nyama. Mhedzisiro yacho vanga, iro richiri ganda reganda, asi tambo dzeganda dzakarongedzwa munzira imwechete panzvimbo yenzira dzakasiyana senge rese ganda. Akajairika maseru eganda anotora nguva kukura apo zvinyama zvinyoro zvinogona kukura nekukurumidza. Kunyange mhedzisiro yacho ichidzivirira, vanhu vanogona kusiiwa chiyeuchidzo chinoonekwa chekukuvara kweganda.

Kune vanhu vazhinji, chibhokisi chibhokisi chidiki, denderedzwa vanga riri pasi pane ganda rakatenderedza. Mazhinji mavanga evanhu haana kukura kudarika saizi yepenzura, kunyangwe mamwe angave aine mavanga makuru. Dzimwe nguva dzinogona kuve dzinonamira uye ganda rinonzwa rakasimba pavari. Ichi chigumo chechisikigo chekukura kwetishu.

Vamwe vanhu vane kupesana kwakasiyana kwekuzvimba kukuvara kweganda. Ivo vanogona kuve vanowanzo tenderera kuumba yakawandisa vanga turu muchimiro chekeloid. Ichi chivara chakasimudzwa chinokura mukupindura kukuvara kweganda. Ivo vanozivikanwa kuti vanogadzira pabendekete uye zvinogona kukonzera kukwidziridzwa, kupararira vanga rinoita kunge chimwe chinhu chadurukira paganda uye kuomarara. Vanachiremba havazive kuti sei vamwe vanhu vachiwana keloids uye vamwe vasingadaro. Ivo vanoziva avo vane nhoroondo yemhuri yemakeloid (ane makore gumi kusvika makumi matatu), uye avo vemuAfrica, Asia, kana chizvarwa cheSpanish vanowanzove nemakeloid, sekureva kweAmerican Academy yeDermatology.

Munguva yekukwirira kwezvinetso zvechibhokisi, kuva nechirwere chekudzivirira chibhokisi chaive chiratidzo chinobatsira nekuti vakuru vehutano vanogona kufunga kuti munhu akabayiwa nhomba. Semuenzaniso, vakuru vanoona nezvekupinda nekubuda kwevanhu pachitsuwa cheEllis kuNew York vaizivikanwa kuti vaiongorora maoko evatorwa kuti kuve nemushonga wechibhokisi wechibhokisi vasati vapinzwa muUnited States.

Kunyangwe paine vanga rakaumbwa, jekiseni rinozivikanwa nekukonzeresa kushomeka kushoma kana rapihwa paruoko, zvichienzaniswa nemagaro kana dzimwe nzvimbo

BCG vs. chibhokisi chitsvuku

Pamusoro pekuziva maronda kubva kubhomba yechibhokisi, pane mumwe mushonga unokonzera ronda rakafanana. Izvi zvinozivikanwa seBacillus Calmette-Guérin kana BCG yekudzivirira. Mushonga uyu unoshandiswa kuchengetedza vanhu kubva kuhutachiona hwevanhu. Mhando mbiri dzekudzivirira dzinogona kusiya mavanga epamusoro emaoko.

Kazhinji, munhu anogona kutaura mutsauko uripakati pekudzivirira chibhokisi uye mavanga eBGG nekufunga zvinotevera zvinotevera:

• Mushonga wechibhokisi hauna kugoverwa zvakanyanya muUnited States mushure megore ra1972. Kana munhu akazvarwa mushure menguva ino, vanga ravo rekudzivirira chirwere ingangodaro vanga reBCG.
• Kubaya BCG hakuwanzoshandiswa muUnited States, sezvo tibhii ichiitika pamitengo yakaderera. Zvisinei, mushonga unoshandiswa kakawanda munyika dzinowanikwa huwandu hweTB hwakanyanya, seMexico.
• Kunyangwe mhando dzekutsvaira dzinogona kusiyana, bg BCG inowanzo simudzwa uye yakapoteredzwa zvishoma. Chitsvuku chibhokisi chinowanzo kuve chakashushikana, kana pasi peganda. Yakatenderedzwa zvishoma, iine mativi akasangana.

Iyo jekiseni reBGG rinounzwawo mukati, senge mushonga wechibhokisi.

Matipi ekudzima vanga

Mishonga yekurapa chibhokisi yakangofanana neyeyekuvhunza kazhinji. Mamwe matipi ekuderedza kutaridzika kwekavara anosanganisira:

• Kupfeka sunscreen nguva dzese pamusoro pevanga. Kubuda kwezuva kunogona kukonzera kuti zvinyama zvinyoro zvioneke sekusviba uye kuita mbishi. Izvi zvinogona kuita kuti mushonga wechibhokisi wechibhokisi chionekwe zvakanyanya.
• Kuisa mafuta ekuzora ganda anogona kubatsira kudzikisa vanga. Mienzaniso inosanganisira cocoa butter, mafuta echisikigo, aloe, kana mafuta ekuzora ane allium cepa (hanyanisi girobhu). Nekudaro, izvi zvekurapa hazvina kuratidzwa nesainzi kuzara kudzikisa kuoneka kwemavanga.
• Kutaura kune chiremba nezve dermabrasion, maitiro anoshanda kubvisa ekunze matanda eganda kusimudzira kupora. Mhedzisiro yenzira iyi yekurapa mavanga haifano fungidzike.
• Kutaura kune chiremba nezve revision scar, maitiro anosanganisira kubvisa iro rakakanganiswa ganda uye kusona ronda kumashure pamwechete. Kunyangwe izvi zvichigadzira rimwe vanga, zvine musoro, vanga idzva harinyatso kuoneka.
• Kutaura nachiremba nezve kubatanidzwa kweganda, iro rinotsiva nzvimbo ine ganda rakatsva, rine hutano. Nekudaro, iro ganda rinotenderera kwakatenderedzwa pakaisirwa huni kunogona kuoneka kwakasiyana zvakasiyana.

Kana chibhokisi chako chikaita keloid, unogona kuisa machira esilicone (sebhandeji) kana gel kune keloid. Izvi zvinogona kubatsira kudzikisa saizi yekeloid.

Kutora

Pakati pevashandi vanopfuura makumi matatu nemazana mashanu nemazana mashanu vakagamuchira mushonga wechibhokisi mugore ra2003, fungidziro inofungidzirwa makumi maviri nemasere mushure mekubaiwa nhomba, maererano nemagazini inonzi Clinical Infectious Diseases. Pakati peavo vanosangana nekushaiwa, avhareji nguva yekucheresa vanga raive mazuva makumi matanhatu nemana.

Kunyangwe zvibhokisi zvechibhokisi zvingave zvichiripo, munhu anofanirwa kuongorora kuti vanga ravo rinoda kurapwa here kudzikisa kutaridzika kwaro. Mazhinji mavanga anobviswa kana kuvandudzwa pakuonekwa kweyekushongedza, kwete zvehutano.