Hidradenitis suppurativa
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Hidradenitis suppurativa (ìre I) san armpit. Is e cùis gu math tlàth a tha seo de Hidradenitis suppurativa.
References
Is e suidheachadh craiceann leantainneach a th’ ann an Hidradenitis suppurativa , a chumas a’ tighinn air ais, agus a bheir buaidh mhòr air do bheatha. Tha e air adhbhrachadh le sèid anns na follicles fuilt, agus gu tric bidh e a’ leantainn gu galairean bacteriach. Mar as trice bidh dotairean ga dhearbhadh le bhith a’ coimhead air na seòrsaichean lotan a th’ agad (leithid nodules, abscesses, no sinus tracts) , far a bheil iad (mar as trice ann am pìosan craiceann) , agus dè cho tric a thilleas iad agus dè cho fada ‘s a mhaireas iad.
Hidradenitis suppurativa is a chronic, recurrent, and debilitating skin condition. It is an inflammatory disorder of the follicular epithelium, but secondary bacterial infection can often occur. The diagnosis is made clinically based on typical lesions (nodules, abscesses, sinus tracts), locations (skin folds), and nature of relapses and chronicity.
Hidradenitis suppurativa is a chronic, recurrent, and debilitating skin condition. It is an inflammatory disorder of the follicular epithelium, but secondary bacterial infection can often occur. The diagnosis is made clinically based on typical lesions (nodules, abscesses, sinus tracts), locations (skin folds), and nature of relapses and chronicity.
Bithear a’ cleachdadh leigheasan neo-bhith-eòlasach agus neo-mhodhail leotha fhèin gu cumanta airson galairean tlàth agus faodar an cur còmhla ri leigheas bith-eòlasach agus lannsaireachd airson galair meadhanach gu dona. Tha sgrùdaidhean o chionn ghoirid a 'toirt seachad fianais a bharrachd air èifeachdas airson a bhith a' cleachdadh corticosteroids air an stealladh gu dìreach a-steach do na leòintean airson lasachaidhean HS agus leòintean ionadail. A bharrachd air an sin, tha fianais ann gum faodadh cleachdadh tetracyclines leis fhèin a bhith a cheart cho èifeachdach ri bhith a’ cothlamadh clindamycin le rifampicin.
Non-biologic and non-procedural treatments are often used as monotherapy for mild disease and can be used in conjunction with biologic therapy and surgery for moderate to severe disease. Recent studies highlighted in this review add support for the use of intralesional corticosteroids for HS flares and localized lesions, and there is evidence that monotherapy with tetracyclines may be as effective as the clindamycin/rifampicin combination.
Non-biologic and non-procedural treatments are often used as monotherapy for mild disease and can be used in conjunction with biologic therapy and surgery for moderate to severe disease. Recent studies highlighted in this review add support for the use of intralesional corticosteroids for HS flares and localized lesions, and there is evidence that monotherapy with tetracyclines may be as effective as the clindamycin/rifampicin combination.
Tha mòran leigheasan air an cleachdadh airson hidradenitis suppurativa, a’ toirt a-steach antibiotics, retinoids, antiandrogens, drogaichean dìon-dìon, cungaidhean anti-inflammatory, agus radiotherapy airson lotan tràth. Is e na prìomh leigheasan a thathar a’ moladh adalimumab agus laser therapy. Is e lannsaireachd, an dàrna cuid gearradh sìmplidh no cuir às gu h-ionadail le grafadh craiceann, an roghainn as fheàrr airson cùisean cruaidh, adhartach nach eil a’ freagairt gu math ri leigheasan eile.
Many treatments are used for hidradenitis suppurativa, including antibiotics, retinoids, antiandrogens, immune-suppressing drugs, anti-inflammatory medications, and radiotherapy for early lesions. The top recommended treatments are adalimumab and laser therapy. Surgery, either simple excision or complete local excision with skin grafting, is the preferred option for severe, advanced cases that don't respond well to other treatments.
Many treatments are used for hidradenitis suppurativa, including antibiotics, retinoids, antiandrogens, immune-suppressing drugs, anti-inflammatory medications, and radiotherapy for early lesions. The top recommended treatments are adalimumab and laser therapy. Surgery, either simple excision or complete local excision with skin grafting, is the preferred option for severe, advanced cases that don't respond well to other treatments.
Mar as trice chan eil an dearbh adhbhar soilleir, ach thathas a’ creidsinn gu bheil e a’ toirt a-steach measgachadh de fhactaran ginteil agus àrainneachd. Tha ball teaghlaich air a bheil buaidh aig timcheall air trian de dhaoine leis a’ ghalair. Am measg nam factaran cunnairt eile tha reamhrachd agus smocadh. Chan eil an suidheachadh air adhbhrachadh le galar, droch shlàinteachas.
Chan eil fios air leigheas. Chan eil buannachd mhòr ann a bhith a’ gearradh nan lotan gus leigeil leotha drèanadh. Ged a tha antibiotics air an cleachdadh gu cumanta, chan eil fianais ann airson an cleachdadh. Faodar cungaidh-leigheis immunosuppressive fheuchainn cuideachd. Anns an fheadhainn le galair nas miosa, dh’ fhaodadh gum bi e comasach làimhseachadh laser no lannsaireachd gus an craiceann air a bheil buaidh a thoirt air falbh. Is ann ainneamh a dh’ fhaodadh dochann craiceann fàs gu bhith na aillse craiceann.
Ma tha cùisean tlàth de hidradenitis suppurativa air an gabhail a-steach, tha an tuairmse air cho tric ‘s a tha e bho 1-4% den t-sluagh. Tha boireannaich trì tursan nas dualtaiche a bhith air a dhearbhadh le e na fir. Tha tòiseachadh mar as trice ann an òigeachd.