Akusizi kahle, kodwa akukho lutho lokukhathazeka ngakho
Ingabe ukhulelwe futhi uhlangabezana nokushona emzimbeni wakho?
Ama-papurtic urticarial papules kanye nama-plates okukhulelwa (PUPPP), owaziwa ngokuthi ukuqhuma kwe-polymorphic of pregnancy, ukushayeka okuvame kakhulu kubesifazane abakhulelwe. (Qaphela: Lesi simo singabuye sabizwe ngokuthi i-PUPPS noma i-PEP.) Ngokujwayelekile kwenzeka ekukhulelweni kokuqala komfazi, ngesikhathi sesithathu sezinyanga ezintathu (ngokuqala kokuqala kwamaviki angu-35), noma kubomama abaphethe izimpande.
Ngokujabulisayo, i-PUPPP ayithinti ukukhulelwa okulandelayo.
Ukubukeka
Ukuqhuma kwe-PUPPP cishe njalo kuqala emanzini athile (striae) wesisu. Akubandakanyi inkinobho yesisu, yilokho odokotela abakwazi ukuhlukanisa izimpawu ezivela kwezinye izivunguvungu ezivamile zokukhulelwa.
Ukuqhuma kuqukethe amacembe amancane, abomvu, abomvu emagqabeni ahlukaniswayo akhula ndawonye ukuze enze amasondo amakhulu esiswini. Ngezinye izikhathi ukuqhuma kungabandakanya ama-vesicles amancane (ama-bumps ahlanzekile, agcwele amanzi). Esikhathini sezinsuku ezimbalwa, ukuqhuma kungasakazeka phezu kwamathanga, izikhwebu, amabele nezikhali.
Ukuqhuma kuyinto pruritic (inzwa engathandeki yesikhumba esikunika isifiso sokuyishaya), ngakho igama layo. Lesi simo asilimazi kumama-ukuba kanye nomntwana, kodwa kungacasula kakhulu. Igcina isilinganiso samasonto ayisithupha futhi ixazulula ngokwayo ngemva kwamasonto amabili emva kokubeletha. Ukuvutha okunzima kunazo zonke kungapheli isonto elilodwa.
Izimbangela
Isizathu se-PUPPP asiziwa. Akuhlotshaniswa ne- preeclampsia , ukuphazamiseka kwe-autoimmune, ukungavamile kwe-hormonal, noma ukungavamile kokubeletha. Nakuba amazinga aphezulu e-DNA yesibusilisa esilisa angatholakala kwi-biopsies yesikhumba ye-rash. Njengoba amaphesenti angaba ngu-70 abesifazane abano-PUPPP bebeletha abafana, kuye kwacatshangelwa ukuthi i-DNA yesibindi lesilisa ingase isebenze njengesikhumba esicasulayo.
Ukuzikhukhumeza okwenyuka ngesisindo somama kukhula futhi kuhlotshaniswa ne-PUPPP, okwenza abanye abacwaningi bakhombise ukuthi ukukhula kodonga lwamathumbu okusheshayo nesisu kulimaza izicubu ezixhumeneyo, okwenza impendulo evuthayo.
Ukuxilongwa
Azikho izivivinyo ze-laboratory ezithola i-PUPPP, ngakho-ke ukuxilongwa kwe-PUPPP kungumtholampilo, okusho ukuthi kusekelwe kuphela ekubukeni kwe-rash. Ama-biopsies esikhumba awavamile ukwenza ngaphandle uma kukhona umbuzo mayelana nokuxilongwa.
Ukwelapha
Ukwelashwa kwe-PUPPP kuphawulekayo. Lokhu kusho ukuthi imithi inikezwa ekunciphiseni ukuqhuma nokunciphisa ukucheka, kufaka phakathi okulandelayo.
- Ama-steroid aphezulu kakhulu angama-creams noma amafutha okugcoba angahle anqunywe ukuze akwazi ukususa futhi avimbele ukusabalalisa kwe-rash.
- Uma i-rash ingaphansi kokulawula, ukuguqula kwisterosi esezansi ephansi esetshenziselwa kancane kancane kuphakanyiswa.
- Ama-antihistamine omlomo anjenge-Atarax, i-Benadryl ne-Zyrtec ngokuvamile ayisebenziseka kangako ukushaywa kunama-steroids kodwa angase abe usizo ebusuku ukusiza ngokulala.
- Ama-steroids omlomo ngokuvamile agwenywe ngesikhathi sokukhulelwa, kodwa kungadingeka ukulawula ukushaywa kwamacala amabi kakhulu. Udokotela wakho angase futhi acabangele ukunciphisa abasebenzi (uma usondelene nosuku lwakho lokulethwa nokushaywa kweqile kunqanda) esikhundleni sokukuqala ngomthamo we-steroids ngomlomo.
Izwi elivela ku-Verywell
Gcina lokhu engqondweni: Nakuba kuphazamiseka futhi kungakhululekile, i-PUPPP iyacaca phakathi kwamasonto ambalwa emva kokubeletha. Futhi akubanga neze umonakalo wesikhathi eside kuwe noma ingane yakho.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecologists. (Juni 2014). Izimo Zesikhumba Phakathi Nokukhulelwa.
> Brzoa, Z., Kasperska-Zajac, A., Oleś, E., Rogala, B. (2007). Amapulisi ama-Pruritic e-urticarial kanye nama-plaques wokukhulelwa. J Midwifery Womens Health, Jan-Feb, 52 (1), 44-8.
> Tunzi, M., Grey, GR (2007). Izimo Zesikhumba Esivamile Phakathi Nokukhulelwa. Am Fam Physician, Jan, 75, 2, 211-18.