Hidradenitis suppurativa
https://en.wikipedia.org/wiki/Hidradenitis_suppurativa
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References
What is hidradenitis suppurativa? 28209676 NIH
Hidradenitis suppurativa – surunkali bo‘lib, qayta tiklanadigan va hayotingizga jiddiy ta’sir ko‘rsatishi mumkin bo‘lgan teri kasalligi. Bu soch follikulalarining yallig‘lanishidan kelib chiqadi va ko‘pincha bakterial infektsiyalarga olib keladi. Shifokorlar odatda sizda mavjud bo‘lgan yaralarning turlariga (masalan, tugunlar, xo‘ppozlar yoki sinus yo‘llari), ularning joylashgan joyiga (odatda teri burmalarida), qanchalik tez-tez qaytib kelishiga va qancha vaqt davomida yopishib qolishiga qarab tashxis qo‘yishadi.
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.
Medical Management of Hidradenitis Suppurativa with Non-Biologic Therapy: What’s New? 34990004 NIH
Biologik bo'lmagan va protsessual bo'lmagan muolajalar odatda engil kasalliklar uchun yolg'iz qo'llaniladi, o'rtacha va og'ir kasalliklar uchun esa biologik terapiya va jarrohlik bilan birlashtirilishi mumkin. Oxirgi tadkikotlar HS alevlenmeleri va lokalizatsiya qilingan lezyonlar uchun to'g'ridan-to'g'ri lezyon ichiga yuborilgan kortikosteroidlarni qo'llash samaradorligiga qo'shimcha dalillarni taqdim etadi. Bundan tashqari, faqat tetratsiklinlardan foydalanish, klindamitsinni rifampitsin bilan birlashtirish kabi, samarali bo'lishi mumkinligini ko'rsatadigan dalillar mavjud.
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.
Hidradenitis Suppurativa: A Systematic Review and Meta-analysis of Therapeutic Interventions 30924446Hidradenit suppurativa uchun ko'plab davolash usullari, jumladan antibiotiklar, retinoidlar, antiandrogenlar, immunitetni pasaytiruvchi dorilar, yallig'lanishga qarshi dorilar va erta lezyonlar uchun radiatsiya terapiyasi qo'llaniladi. Tavsiya etilgan eng samarali davolash usullari adalimumab va lazer terapiyasidir. Jarrohlik, oddiy eksizyon yoki terini payvandlash bilan to'liq mahalliy eksizyon, boshqa davolash usullariga yaxshi javob bermaydigan og'ir, rivojlangan holatlarda afzal ko'riladigan variantdir.
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.
Aniq sababi odatda noaniq, ammo genetik va atrof‑muhit omillarining kombinatsiyasi bo‘lishi mumkin, deb ishoniladi. Kasallikka chalinganlarning taxminan uchdan bir qismi oila a‘zolaridan birida ham kasallik mavjud. Boshqa xavf omillariga semirish va chekish kiradi. Kasallik infektsiya yoki yomon gigienadan kelib chiqmaydi.
Hozircha aniq davolash usuli ma’lum emas. Yaralarni drenajlash maqsadida ularni kesib tashlash sezilarli foyda keltirmaydi. Antibiotiklar keng qo‘llanilsa‑da, ularning samaradorligi bo‘yicha dalillar cheklangan. Immunosupressiv dorilarni ham sinab ko‘rish mumkin. Kasallik og‘ir bo‘lganda, lazer terapiyasi yoki zararlangan terini olib tashlash uchun operatsiya tavsiya etiladi. Kamdan‑kam hollarda, terining shikastlanishi teri saratoniga olib kelishi mumkin.
Hidradenitis suppurativa ning engil holatlari ham mavjud bo‘lib, uning tarqalishi aholining 1‑4 % ini tashkil etadi. Ayollarda erkaklarnikiga qaraganda uch baravar ko‘proq tashxis qo‘yiladi. Kasallik odatda yoshlik davrida boshlanadi.