Kurapa Sarudzo dzeHidradenitis Suppurativa

Zvemukati

• Misoro yekurapa
• Zvimwe zvinokanganisa
• Mishonga inorwisa mabhakitiriya
• Misoro inorwisa mabhakitiriya
• Zvimwe zvinokanganisa
• Oral mishonga inorwisa mabhakitiriya
• Zvimwe zvinokanganisa
• Mishonga yemarwadzo
• Zvimwe zvinokanganisa
• Corticosteroids
• Zvimwe zvinokanganisa
• Hormone kurapa
• Zvimwe zvinokanganisa
• Retinoids
• Zvimwe zvinokanganisa
• Biologics
• Zvimwe zvinokanganisa
• Chiedza, lasers, uye mamwe magetsi
• Zvimwe zvinokanganisa
• Kurapa kwekuvhiya
• Zvimwe zvinokanganisa
• Kuchengetwa kwekukuvara
• Natural kurapwa
• Kutora

Hidradenitis suppurativa (HS) chirwere chisingaperi cheganda chinokanganisa maAmerican. Vanhu vane HS vanoona kuputika kwemapimple- kana mabota-akafanana nemaronda pane nzvimbo dzemuviri wavo uko ganda rinobata ganda.

Nzvimbo dzakabatwa dzinogona kusanganisira:

• hapwa
• magaro
• mazamu
• kugomera
• zvidya zvepamusoro

Maronda anorwadza eHS anogonawo kuzadza nemvura isinganhuwi-hwema inogona kudonha pasina yambiro.

Ikozvino hapana mushonga weHS. Nekudaro, kune nzira dzakasiyana siyana dzekurapa uye dzekuvhiya dzinogona kukubatsira kugadzirisa zviratidzo zvako, zvinoenderana neazvino makiriniki mirau kubva kuUnited States neCanada Hidradenitis Suppurativa Foundations.

Kana iwe uchigara neHS, zvinobatsira kuti uzive nzira dzese dzekurapa dziripo kuti iwe ugowana yakanakira iwe.

Verenga pamusoro kuti udzidze nezvemhando dzakasiyana dzemarapirwo eHS uye mashandiro awo.

Misoro yekurapa

Mushonga wekurapa chinhu chaunoshandisa chaicho paganda rako. Mishonga yekurapa inogona kuuya nenzira dzakasiyana siyana, kusanganisira mafuta, mafuta ekuzora, uye makirimu.

Zvichienderana nechigadzirwa, mishonga yekurapa inogona kushanda kuchenesa nzvimbo yakakanganiswa, kurerutsa kutsamwa, kana kubatsira mukuporesa kwechironda. Misoro yekurapa yeHS inowanzo zvigadzirwa zvakadai semishonga inorwisa mabhakitiriya kana kurapwa kweacne. Mimwe mienzaniso ndeiyi:

• chlorhexidine
• zinc pyrithione
• resorcinol cream, 15%

Aya ekumusoro ekurapa ekurapa anogona kushandiswa kune hunyoro kusvika pakati nepakati HS. Kunyangwe ivo vasingashande kubata izvo zviri kukonzera mamiriro, ivo vanogona kubatsira kurerutsa zvimwe zvezviratidzo zvacho.

Mishonga inorwisa mabhakitiriya inogona kushandiswawo pakurapa HS. Nyaya yepamusoro clindamycin (Cleocin T, Clinda-Derm) inoonekwa seye.

Zvimwe zvinokanganisa

Mishonga yekurapa inogona kukonzera kutsamwa kweganda. Izvi zvinogona kusanganisira zviratidzo senge kutsvuka, kuchenesa, kana kutsva kwekunzwa.

Mishonga inorwisa mabhakitiriya

Musoro uye muromo unorwisa mabhakitiriya unogona kushandiswa kurapa HS.

Misoro inorwisa mabhakitiriya

Misoro inorwisa mabhakitiriya, senge clindamycin (Cleocin T, Clinda-Derm), inowanzo gadzirirwa hunyoro HS. Vanogona kurapa hutachiona, kuderedza kuzvimba, uye kudzivirira maronda matsva kubva pakuumba.

Ivo vanogona zvakare kudzora hwema hunogona dzimwe nguva kuperekedza hutachiona.

Imwe nzira yekurapa nemishonga inorwisa mabhakitiriya inogona kusanganisira kuisa mafuta kune ako HS maronda kaviri pazuva. Nguva yekurapwa kwakadai inosiyana kubva pamunhu kusvika pamunhu.

Zvimwe zvinokanganisa

Mhedzisiro yemhedzisiro yemakemikari inorwisa mabhakitiriya inogona kusanganisira kupisa kwakapisa uye njodzi yekurwisa mabhakitiriya.

Oral mishonga inorwisa mabhakitiriya

Mishonga inorwisa mabhakitiriya inogona kupihwa chirwere chisina kuonda. Nekudaro, ivo anowanzo shandiswa mune zvine mwero kune zvakakomba kesi dzeHS kana kana kurapwa kwemusoro kwanga kusiri kushanda.

Kufanana nemusoro wemishonga inorwisa mabhakitiriya, iyi mishonga inobatsira kurapa hutachiona uye kugadzirisa kuzvimba.

Mishonga inorwisa mabhakitiriya inoshandiswa kurapa hutachiona hunokonzerwa neHS inosanganisira:

• tetracycline mishonga inorwisa mabhakitiriya
• clindamycin
• metronidazole (Flagyl)
• moxifloxacin (Avelox)
• rifampin (Rimactane)
• dapsone

Ivo vanowanzo kutorwa nemuromo kwemazuva manomwe kusvika gumi. Zvimwe zviitiko zvinogona kutora nguva yakareba yekurapa. Zvichienderana nekuomarara kwemamiriro ako, unogona kugamuchira imwe antibiotic kana akawanda maantibioti.

Zvimwe zvinokanganisa

Mhedzisiro yemishonga inorwisa mabhakitiriya inogona kusanganisira manyoka, Clostridium difficile hutachiona hutachiona, uye ngura-yero kune shava kutsvuka kwemuti weti.

Mishonga yemarwadzo

HS-inosangana nehurombo inogona kubva kune akasiyana masosi, anosanganisira maronda, mapundu, uye vanga. Izvi zvinoita kuti marwadzo manejimendi ive yakakosha yekurapa kweHS.

Iko kurwadziwa kunosangana neHS kunogona kuve kwakasiyana muchimiro. Semuenzaniso, inogona kuve yakaoma kana isingagumi pamwe nekukonzeresa kana kusazvimba.

Mishonga yemarwadzo inogona kushandiswa inosanganisira:

• lidocaine (Ztlido)
• nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• acetaminophen (Tylenol)
• opioid
• anticonvulsants

Misoro yekurapa mishonga senge lidocaine dzimwe nguva ingashandiswa kurapa kurwadziwa kwakanyanya kweHS. Izvi zvinogona kushandiswa zvakananga kunzvimbo yakakanganiswa.

Mishonga yekurwadziwa nemumuromo inowanzo sarudzwa kugadzirisa marwadzo ane hukama neHS. Yekutanga-mitsetse yekurwadziwa mishonga inosanganisira acetaminophen uye NSAIDs, senge ibuprofen (Advil, Aleve) uye naproxen (Naprosyn).

Kana yekutanga-mitsetse yekurwadziwa mishonga isingabatsiri, kosi-pfupi kosi yeapioid inogona kupihwa. Iyo opioid tramadol (ConZip, Ultram) inogona kushandiswa seimwe nzira kune echinyakare maopioid senge codeine uye morphine.

Uyezve, mamwe maanticonvulsants, akadai gabapentin (Neurontin) uye pregabalin (Lyrica), anogona kushanda pakubvisa marwadzo europathiki.

Zvimwe zvinokanganisa

Mimwe mhedzisiro yemhedzisiro inosanganiswa nemishonga yekurapa dzakasiyana. Enzaniso dzinogona kusanganisira kushungurudzika mudumbu, kuda kurutsa uye kurutsa, uye kupatira. Kushandisa maopioid zvakare kune njodzi yekupindwa muropa.

Corticosteroids

Corticosteroids inogona zvakare kushandiswa kudzora kuzvimba, kudzikisira, uye kugadzirisa marwadzo. Inogona kupihwa kuburikidza nejekiseni kana nemuromo.

Injected corticosteroids, inonziwo intralesional corticosteroids, inogona kushandiswa mune zvinyoro kesi. Iyo jekiseni inogadzirwa yakanangana nenzvimbo yakakanganiswa uye inogona kubatsira kudzikamisa marwadzo nekuzvimba.

Oral corticosteroids anoshandiswa kune akaenzana kusvika kumatambudziko akakomba. Kana ikatorwa nemuromo, corticosteroids inogona kukanganisa muviri wese. Izvi zvinogona kubatsira kubvisa maronda eHS aripo uye kudzivirira matsva kubva pakuumba.

Yepfupi-yenguva kosi yemumuromo corticosteroids inogona kushandiswa kugadzirisa kupenya-kumusoro kwezviratidzo.

Yakareba-temu muromo corticosteroids inogona zvakare kushandiswa mune dzakakomba HS kesi dzisiri kupindura kune akajairwa kurapwa. Nekudaro, mune idzi kesi, iyo yakaderera dhosi inogoneka inofanirwa kupihwa.

Zvimwe zvinokanganisa

Injected corticosteroids inogona kutungamira pakurwadziwa padyo nenzvimbo yejekiseni, kumeso kumeso, uye kushaya hope.

Mimwe mhedzisiro mhedzisiro yemuromo corticosteroids yakakwira BP, kurema kuwedzera, uye mafungiro anochinja. Kushandiswa kwenguva yakareba kunogona kutungamira mukuonda kweganda, shuga yakakwira muropa, uye osteoporosis.

Hormone kurapa

HS inofungidzirwa kuti inokanganiswa nemahormone anonzi androgens. Hormonal shanduko, senge panguva yekuenda kumwedzi uye nepamuviri, inogona kuwedzera zviratidzo zveHS.

Nekuda kwemhedzisiro yemahormone paHS, chiremba wako anogona kukurudzira kurapa kwehomoni senge ingangoita yekurapa sarudzo. Hormone kurapa kunogona kubatsira kudzikisira marwadzo uye kudzikisa huwandu hwehuwandu hwemvura inoyerera kubva kuHS maronda panguva yemoto.

Hormone kurapwa kweHS kunogona kusanganisira kutora anotevera marudzi emishonga:

• zvekudzivirira pamuromo zvine estrogen
• spironolactone (Aldactone)
• finasteride (Propecia, Proska)
• metformin (Glumetza)

Hormone therapy yeHS inogona kutorwa nemuromo. Inogona kushandiswa seye chete kurapa (monotherapy) kune HS nyoro kusvika pakuenzanisa. Muzviitiko zvakakomba, inogona kushandiswa pamwe chete nemamwe marapirwo.

Kushandiswa kwekudzivirira kubata pamuviri kunongova neprogestin kunowanzo dzivirirwa. Izvi zvinodaro nekuti kune humwe humbowo hweanecdotal hwekuti HS inogona kuwedzera kuipa kana uchishandisa iri mhando yemishonga.

Zvimwe zvinokanganisa

Mhedzisiro yemhedzisiro yekurapa kwehomoni mune vakadzi inogona kusanganisira kuwanda kweropa kana ikatorwa panguva yekuzvitakura. Varume vanogona kuona kudzikira libido uye matambudziko ejaculating.

Muzviitiko zvisingawanzoitika, varume nevakadzi vanogona kukura mapundu ezamu semhedzisiro.

Retinoids

Retinoids mishonga inotorwa kubva muvhitamini A. Inoshanda nekuderedza kukura kwemasero eganda uye inogona kudzora kuzvimba. Retinoids inogona kushandiswa kurapa akasiyana siyana ekuputira ganda mamiriro, kusanganisira acne uye psoriasis.

Oral retinoids inogona kubatsira kune vamwe vanhu vane HS. Kana iwe wakatemerwa retinoid yemumuromo yeiyo HS yako, inogona kunge iri imwe yeiyi:

• isotretinoin (Amnesteem, Claravis)
• acitretin (Soriatane)

Oral retinoids inowanzo kungokurudzirwa seyechipiri- kana wechitatu-mutsara kurapwa kweHS. Izvo zvinogona zvakare kunyorerwa kana yakaoma acne ikaitika pamwe neHS maronda.

Zvimwe zvinokanganisa

Oral retinoids haifanire kutorwa panguva yekuzvitakura, sezvo inogona kutungamira mukuremara kwakakomba kuberekwa. Zvimwe zvinogona kuve nemhedzisiro zvinosanganisira ganda rakaoma, miromo yakatsemuka, uye kurasikirwa kwenguva bvudzi.

Biologics

Kune mamwe makesi akaomarara eHS asingapindure kune maantibiotiki kana kurapwa kwehomoni, biologic zvinodhaka zvinogona kuve sarudzo. Biologics inobatsira muviri wako kurwisa HS nekunangisa zvikamu zvemuviri wako zvinoita kuti kuzvimba.

Biologics inoshandiswa kuburikidza nejekiseni kana intravenous (IV) infusion. Ivo vanowanzo kutorwa pasvondo uye vanogona kupihwa kumba kana kuchipatara kana kukiriniki nachiremba.

Iyo chete HS kurapwa iyo inogamuchirwa neKudya neDrug Administration (FDA), uye iyo ine humbowo hwakasimba hwekushandisa, ndeye adalimumab (Humira). Iyi biologic yakatenderwa kurapa zvine mwero kusvika kune yakaoma HS.

Zvimwe biologics, senge infliximab (Remicade) uye anakinra (Kineret), inogona zvakare kuve inoshanda pakurapa HS.

Zvimwe zvinokanganisa

Migumisiro inogona kusanganisira:

• kurwadziwa padyo nenzvimbo yejekiseni
• kupindwa nechando
• kunetseka kufema
• yakaderera BP
• kuwedzera njodzi yezvirwere

Kana iwe uine hutachiona, chiremba wako angangorega kushandisa biologics uye ongorora dzimwe nzira dzekurapa.

Kazhinji asi zvakakomba mhedzisiro zvinogona kusanganisira autoimmune tsinga zviratidzo uye moyo kutadza. Biologics inogona zvakare kukonzera njodzi yakakura ye lymphoma. Taura nachiremba wako nezvezvakanakira uye njodzi dzerapi iyi.

Chiedza, lasers, uye mamwe magetsi

Masimba emagetsi akati wandei anogona kutariswa kubatsira kubata HS. Izvi zvinowanzo shandiswa zvine mwero kusvika kune zvakanyanya HS asi zvinogona zvakare kushandiswa kune zvinyoro kesi.

Imwe yemaitiro aya inosanganisira kushandisa laser kurapa maronda anoshanda. Simba rinobva kune laser rinogona kuparadza bvudzi follicles, kubatsira kubvisa HS maronda. Rudzi urwu rwekurapa runogona kusanganisira matatu kusvika mana emasevhisi ekurapa laser.

Photodynamic therapy inoshandisa zvinodhaka zvinonzi photosensitizers uye nechiedza sosi yekuuraya masero asina kujairika. Photosensitizing zvinodhaka zvinoshandiswa kumusoro kana jekiseni pazvironda. Masero eHS anobva atora mushonga uyu. Kana mwenje unovhenekwa, mushonga unobata nemaseru uye unovaita kuti vafe.

Radiation kurapwa kwave kuchishandiswa kurapa HS uye kunogona kutungamira mukuvandudzika kune vamwe vanhu. Zvisinei, sezvo zvichisanganisira kuisa muviri wako kumwaranzi, chiremba wako anogona kutanga akurudzira kumwe kurapwa kutanga.

Zvimwe zvinokanganisa

Zvinogoneka kuti iwe unonzwa kumwe kusagadzikana panguva yeiyi maitirwo. Mimwe mhedzisiro yemhedzisiro iwe yaunogona kusangana mushure maizvozvo inogona kusanganisira kusagadzikana kwenguva pfupi, kutsvuka, kana kuzvimba munzvimbo yakarapwa.

Kurapa kwekuvhiya

Mhando dzakasiyana dzekuvhiya dzinowanikwa pakurapa kweHS, kubva pane zvidiki zvidiki kusvika pakubviswa kwakazara kweganda rakakanganiswa nemaronda.

Kunyangwe iwe uchikodzera kuvhiyiwa HS kunoenderana nekuomarara kweHS yako uye nemabatiro aunoita kune dzimwe nzira dzekurapa.

Vanhu vane HS yakakomba iyo isina kupindura kune mamwe marudzi ekurapa ndivo vakanaka musarudzo yekuvhiyiwa. Zviratidzo zveHS zvakanyanya zvinogona kusanganisira:

• maronda akapararira kana mamota
• vanga
• tunnel dzakawanda dzinobatanidza pasi peganda

Dzimwe dzemaitiro ekuvhiya ayo anogona kushandiswa anosanganisira:

• Deroofing: Chiremba anovhiya anobvisa machira ari pamusoro pematanera kana mamota, achibvumira nzvimbo iri pachena kupora. Iyi nzira inowanzo shandiswa pakurapa maronda kana tunnel.
• Kunakidzwa: Chiremba anovhiya anobvisa ronda uye mamwe eganda rine hutano rakakomberedza. Izvi zvinogona kuitwa ne scalpel, laser, kana electrosurgical chishandiso. Inoshandiswa kune maronda akawandisa, anowanzoitika.
• Excision uye abudise: Chiremba anovhiya rimwe kana maviri maronda uye ozoabvisa. Izvi zvinokurudzirwa chete kuti upe rubatsiro rwepfupi-pfupi kune maronda asina kubuda.

Kana iwe uchifunga kuti unogona kuve mukwikwidzi akanaka wekuvhiya, taura nachiremba wako nezvechisarudzo chingave chakakukodzera.

Zvimwe zvinokanganisa

Mimwe mhedzisiro yemigumisiro yekuvhiyiwa kweHS inosanganisira kupora kana hutachiona panzvimbo yekuvhiya. Uyezve, kuvhiyiwa kunongobata imwe nharaunda, saka maronda anogona kuoneka munzvimbo nyowani.

Kuchengetwa kwekukuvara

Kuchengeta maronda zvichitevera kuvhiyiwa kweHS kwakakosha zvakare. Chiremba wako achasarudza kupfeka kwakaringana zvichienderana nenzvimbo uye kukura kwekuvhiyiwa. Ivo vanogona zvakare kukurudzira kushandisa antiseptic geza panguva yekurapa.

Kana uchichengeta ronda mushure mekuvhiyiwa kweHS, zvakakosha kutevedzera zvakajairika maitiro ekuchengetedza ronda, kusanganisira:

• gara uchigeza maoko usati wabata nzvimbo
• kunzvenga mbatya dzinogona kukwiza pachironda
• kutevera mirairo yechiremba wako nezvekuti riini uye kangani yekuchenesa ronda rako kana kuchinja kupfeka kwaro
• kunyatso tarisa zviratidzo zvehutachiona hunogona kuitika

Natural kurapwa

Kune mashoma marapirwo echisikigo uye mararamiro maratidziro anogona kubatsira neHS yako.

Kusvuta fodya uye kuve pamusoro peavhareji huremu kwave kuri kwakanyanya kuwedzera chirwere cheHS. Kudzidzira mararamiro ehupenyu sekurega kusvuta uye kuchengetedza huremu hwakadzikama kunogona kubatsira kugadzirisa zvirinani zviratidzo zvako.

Pamusoro pezvo, pane zvimwe zviitiko zvinogona kuwedzera kutsamwisa ganda rako. Unogona kuona zvichibatsira kudzivirira kuita zvinotevera zvinhu munzvimbo kana nharaunda yakakanganiswa:

• kupfeka mbatya dzakakamira kana dzinodzora
• kuchenesa nemidziyo yakaoma, yakadai semabhurashi kana machira ekuwachira
• uchishandisa mabhandeji ekunamatira
• kushandisa zvigadzirwa zvinogona kunge zvine zvinogumbura, senge sipo kana zvinonhuwira
• kuveura ndebvu

Kune zvekare zvimwe zvinoratidza kuti dhayeti yekuwedzera, kunyanya ne zinc, inogona kubatsira vanhu vane hunyoro kusvika pakati nepakati HS. Nekuda kweizvi, chiremba wako anogona kukurudzira mukanwa zinc ekuwedzera. Usapfuure, kunyangwe - zinc yakawandisa inogona kukonzera kushushikana mudumbu.

Kudzivisa chikafu chine mukaka kana mbiriso yemubiki kunogona kubatsira vamwe vanhu vane HS. Zvisinei, kumwe kutsvagurudza kunodiwa kutsigira izvi.

Kutora

Kune zvakawanda zvinogona kurapwa kweHS, imwe neimwe iine yayo bhenefiti uye inogona kuitika mhedzisiro. Marapirwo api (kana marapirwo) anogona kukurudzirwa kwauri anoenderana nekuoma kwemamiriro ako.

Izvo zvakakosha kuti unyatso kurukura nezve ako marapirwo sarudzo nachiremba wako kana dermatologist. Ive neshuwa yekuvazivisa ivo kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Kushanda pamwe chete kunogona kukubatsira kubata HS yako.