Hidradenitis suppurativa
☆ Kwiziphumo zika-2022 ze-Stiftung Warentest ezivela eJamani, ukwaneliseka kwabathengi ngeModelDerm bekungaphantsi kancinci kunokubonisana nge-telemedicine ehlawulweyo.
Hidradenitis suppurativa (inqanaba I) ekhwapheni. Le yimeko embi kakhulu ye Hidradenitis suppurativa.
References
Hidradenitis suppurativa sisigulo solusu esinganyangekiyo, esihlala sibuya, kwaye sinokuchaphazela kakhulu ubomi bakho. Ibangelwa kukuvuvukala kwiifollicle zeenwele, kwaye ihlala ikhokelela kusulelo lwebhaktiriya. Oogqirha badla ngokuyixilonga ngokujonga kwiindidi zezilonda onazo (ezifana namaqhuqhuva, amathumba, okanye amaphecana e-sinus) , apho akhoyo (ahlala emigutyeni) , kwaye abuya kangaphi kwaye ancamathele ixesha elingakanani na.
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.
Unyango lwe-non-biologic kunye ne-non-procedural treatments luqhelekileyo lusetyenziswa yedwa kwisifo esincinci kwaye sinokudibaniswa nonyango lwe-biologic kunye noqhaqho oluphakathi ukuya kwisifo esibi. Izifundo zamva nje zibonelela ngobungqina obongezelelweyo bokusebenza ekusebenziseni i-corticosteroids efakwe ngokuthe ngqo kwizilonda ze-HS kunye nezilonda zendawo. Ngaphaya koko, kukho ubungqina obubonisa ukuba ukusebenzisa i-tetracyclines iyodwa kunokusebenza kanye njengokudibanisa i-clindamycin ne-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.
Uninzi zonyango lusetyenziselwa i-hidradenitis suppurativa, kubandakanywa i-antibiotics, i-retinoids, i-antiandrogens, i-immune-suppressing drug, i-anti-inflammatory amayeza, kunye ne-radiotherapy kwizilonda zokuqala. Olona nyango lucetyiswayo luphezulu yi-adalimumab kunye ne-laser therapy. Utyando, nokuba kukusikwa okulula okanye ukucocwa ngokupheleleyo kwasekhaya ngokuxhunywa eluswini, lolona khetho lukhethwayo kwiimeko ezimandundu, ezikwinqanaba eliphezulu ezingaphenduli kakuhle kolunye unyango.
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.
Oyena nobangela udla ngokungacaci, kodwa kukholelwa ukuba ubandakanya indibaniselwano yemfuza kunye nemiba yokusingqongileyo. Malunga nesinye kwisithathu sabantu abanesi sifo sinelungu lentsapho elichaphazelekayo. Ezinye izinto eziyingozi ziquka ukutyeba ngokugqithiseleyo nokutshaya. Imeko ayibangelwa sisifo, ukungacoceki.
Akwaziwa unyango. Ukusika izilonda ezivulekileyo ukuvumela ukuba zikhuphe amanzi akuphumeleli kwinzuzo ebalulekileyo. Ngelixa i-antibiotics isetyenziswa ngokuqhelekileyo, ubungqina bokusetyenziswa kwabo bubi. Amayeza e-immunosuppressive nawo anokuzanywa. Kwabo banesifo esiqatha, unyango lwelaser okanye utyando lokususa ulusu oluchaphazelekayo lunokuba luncedo. Kunqabile ukuba kubekho isilonda solusu sibe ngumhlaza wolusu.
Ukuba iimeko ezincinci ze- hidradenitis suppurativa zibandakanyiwe, ngoko uqikelelo lwe-frequency yayo luvela kwi-1-4% yabemi. Abasetyhini basengozini ephindwe kathathu yokufunyaniswa benayo kunamadoda. Ukuqala kwenzeka kubantu abadala abancinci.