Hidradenitis suppurativa - I-Hidradenitis Suppurativa
☆ Emiphumeleni ka-2022 ye-Stiftung Warentest evela eJalimane, ukwaneliseka kwabathengi nge-ModelDerm bekungaphansi kancane kunokuxhumana okukhokhelwayo kwe-telemedicine.
I-Hidradenitis Suppurativa (Hidradenitis suppurativa) (isiteji I) ekhwapheni. Lesi isimo esincane kakhulu se-I-Hidradenitis Suppurativa (Hidradenitis suppurativa).
References
Hidradenitis suppurativa yisimo sesikhumba esingamahlalakhona, esilokhu sibuya, futhi singaba nomthelela omubi empilweni yakho. Kubangelwa ukuvuvukala kwezinhlayiya zezinwele, futhi ngokuvamile kuholela ezifweni ezibangelwa amagciwane. Odokotela bavamise ukukuxilonga ngokubheka izinhlobo zezilonda onazo (njengamaqhuqhuva, amathumba, noma ama-sinus tracts) , ukuthi akuphi (imvamisa asemiphethweni yesikhumba) , nokuthi zibuya kangaki nokuthi zihlala isikhathi eside kangakanani.
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.
Izindlela zokwelapha ezingezona ezebhayoloji nezingezona zenqubo zivame ukusetshenziswa zodwa ezifweni ezithambile futhi zingahlanganiswa nokwelashwa kwe-biologic kanye nokuhlinzwa kwezifo ezimaphakathi kuya ezinzima. Ucwaningo lwakamuva lunikeza ubufakazi obengeziwe bokusebenza kahle kokusebenzisa i-corticosteroids ejovwe ngqo ezilonda zokuqubuka kwe-HS kanye nezilonda zendawo. Ngaphezu kwalokho, kunobufakazi obuphakamisa ukuthi ukusebenzisa i-tetracyclines iyodwa kungase kuphumelele njengokuhlanganisa 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.
Imithi eminingi isetshenziselwa i-hidradenitis suppurativa, okuhlanganisa ama-antibiotics, ama-retinoids, ama-antiandrogens, izidakamizwa ezicindezela umzimba, imithi elwa nokuvuvukala, kanye ne-radiotherapy yezilonda zakuqala. Izindlela zokwelapha ezinconyiwe eziphezulu yi-adalimumab kanye ne-laser therapy. Ukuhlinzwa, noma ukuhlinza okulula noma ukuhlinza okuphelele kwendawo ngokuxhunyelelwa kwesikhumba, kuyinketho ekhethwayo ezimweni ezinzima, ezithuthukile ezingaphenduli kahle kwezinye izindlela zokwelapha.
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.
Imbangela yangempela ngokuvamile ayicacile, kodwa kukholakala ukuthi ihlanganisa inhlanganisela yezinto zofuzo kanye nemvelo. Cishe ingxenye yesithathu yabantu abanalesi sifo inelungu lomndeni elithintekile. Ezinye izici eziyingozi zihlanganisa ukukhuluphala nokubhema. Lesi simo asibangelwa ukutheleleka, ukungahlanzeki.
Alikho ikhambi elaziwayo. Ukusika izilonda ukuze zikwazi ukukhipha akuholeli enzuzweni enkulu. Ngenkathi ama-antibiotic evame ukusetshenziswa, ubufakazi bokusetshenziswa kwawo abulungile. Imithi ye-immunosuppressive ingase izame. Kulabo abanesifo esibi kakhulu, ukwelashwa nge-laser noma ukuhlinzwa ukususa isikhumba esithintekile kungase kusebenze. Kuyaqabukela, isilonda esikhunjeni sibe umdlavuza wesikhumba.
Uma izimo ezithambile ze- i-hidradenitis suppurativa (hidradenitis suppurativa) zifakiwe, khona-ke isilinganiso sokuvama kwayo sisuka ku-1-4% wabantu. Abesifazane banamathuba aphindwe kathathu okutholakala nawo kunabesilisa. Ukuqala kuvame ukuba umuntu omdala osemusha.