Ukwelashwa kwe-acopaticial alopecia

Ezenzweni zokwelapha, kuyisiko ukwahlukanisa izimpandla zibe izinhlobo eziningana, kuya ngohlobo lwesithombe sasemtholampilo. I-Cicatricial alopecia yisifo esingajwayelekile. Ngale ndlela yokugunda, ethinta ikakhulukazi abesifazane abangaphezu kweminyaka engama-40, izinhlamvu zezinwele ziyachithwa, bese kuthi izibazi zivele esikhumbeni. Cicatricial alopecia kunzima ukuyelapha.

Izimbangela eziqondile zokuthuthukiswa kwe-acopaticial alopecia zihlala zingaziwa. Kusungulwa ukuthi i-pathology ayibangelwa yifa. Noma kunjalo lesi sifo singaba khona ngemuva kwesizinda sokuhlukunyezwa kofuzo:

ichthyosis (phazamisa ukubhubhiswa kwesikhumba),
ukuvuvukala kwesikhumba,
ukuthuthukiswa okungajwayelekile kwama-follicle nokuningi.

Umngcipheko wobungozi wokuqhakanjiswa kwe-alopecia ye-cicatricial ifaka phakathi abantu abatholakala benama-pathologies athathekayo kanye nezinye; i-syphilis, isifo sofuba, i-psoriasis, i-lichen nabanye.

Ukuvela kwalesi sifo kungaholela ekulimaleni kwemishini esikhumbeni: ukulimala, ukusha, kuvezwa amakhemikhali.

Kubalulekile! Lolu hlobo lwempandla lubangelwa ukushintshwa kwezicubu ezijwayelekile zezicubu ezithintekile noma ukuguqulwa kwesikhumba kwe-atrophic.

Lokhu kwephula umthetho kuholela ekulimaleni kwesikhumba. Njengomphumela wokuvezwa okunjalo, izicubu zasendaweni ziyavutha. Kamuva, isikhumba esonakalisiwe sivalwe ngemivimbo ebomvana.

Esigabeni sokugcina sokuthuthuka kwe-pathology, izindawo ezibandakanya kuphela izicubu ezithintekayo zakhiwa endaweni yenkinga. Ngaphakathi kwakamuva akukho mithambo yegazi eyondla ama-follicle. Ngenxa yokushoda komoya-mpilo, laba bayaphela, ngenxa yalokho ukukhula kwezinwele kuyema endaweni yenkinga.

I-Cicatricial alopecia ihlukaniswe:

Okuyinhloko. Ngaleli fomu, izimpandla zikhula ngokushesha ngemuva kokubhujiswa kohlu lwezinwele.
Okwesibili. I-Pathology yenzeka ngenxa yokuqhubeka kwenqubo yokuvuvukala. Uhlobo lwesibili lwempandla alupheli.

Kuya ngesici se-causative i-acopecia ye-acopecia iba njengo:

exnicating panniculitis,
i-eosinophilic pustular folliculitis,
i-follicular degeneration syndrome
I-Brock's pseudo-pelads,
decalcifying folliculitis,
i-follicular lichen planus.

Indlela ye-x-ray ye-pathology nayo iyodwa. Isifo esinjalo senzeka ngesikhathi sokwelashwa kwesifo sokukhunta. Ukwelashwa nge-X-ray kubangela ukuncipha kwezinwele futhi kulimaze isikhumba.

Ngokusho kwasendaweni, i-alopecia ye-cicatricial ihlukaniswe ngebunzi (ebunzini) ne-androgen-encike (ikakhulu - umqhele).

Izithombe zemitholampilo

Uhlobo lwesithombe somtholampilo ku-cicatricial alopecia lunqunywa uhlobo lwesici oludale ukuthuthukiswa kwalesi sifo. Ukuphela kwezimpawu ezinokwethenjelwa zokuba khona kwe-pathology ubugundi bengxenye ehlukile yekhanda nokuvuvukala kwezicubu zasendaweni. Izimpawu ezisele zingaba ngokulandelayo:

isifo sezinhlungu
ukulunywa okukhulu nokuvutha,
ukuvuvukala nokubomvu kwesikhumba,
ukukhonkotha.

Kubalulekile! Izinwele ezine-alopecia ye-cicatricial ziyaphuma ngokushesha ngemuva kokuchayeka emcabangweni we-causative factor noma ngaphezulu kwesikhathi njengoba inqubo yokuvuvukala iqhubeka.

Izindlela Zokuxilonga

Inhloso yezinyathelo zokuxilonga ze-alopecia ye-cicatricial ukuhlonza izimbangela zesifo. Ama-pathologies alandelayo avame ukuhambisana nobunqunu balolu hlobo:

i-mycosis,
isifo sokuqina kwesikhumba,
ukuvuvukala keloid kwezimpawu,
ukutheleleka ngegciwane noma ngegciwane,
sarcoidosis nabanye.

Isisekelo sokuxilongwa iyi-biopsy yezicubu eziqoqwe endaweni yenkinga. Indlela ikuvumela ukuthi uhlole inqubo yokuqhekeka isikhumba futhi ukhombe isigaba samanje sokubhujiswa kwezikhwanyana zezinwele.

I-Trichoscopy ne-Phototricoscopy zinikeza imiphumela efanelekile. Zombili izindlela zikuvumela ukuthi usethe:

uhlobo lwesikhumba
isimo sezinwele,
usayizi kanye nesilinganiso phakathi kwezinwele ezinempilo nezonakele,
isigaba samanje sekhanda.

I-Trichoscopy ne-Phototricoscopy nazo zenziwa ukukhipha ezinye izinhlobo ze-alopecia.

Umgomo wokwelapha i-alopecia ye-cicatricial ukukhipha isisusa esincumisayo futhi unciphise inqubo yokuqina. Uhlobo lokwelashwa lukhethiwe kucatshangelwa izimbangela zokuthuthuka kwe-pathology.

Ngama-mycoses, ama-dermatoses nezinye izifo Kuvezwa le mithi elandelayo:

antimalarial,
ama-immunosuppressants
antibacterial
ama-thiazolidinediones (izidakamizwa ezilwa nesifo sikashukela).

Ngaphezu kokuthatha izidakamizwa ezihlelekile, kuyadingeka ukwelapha izindawo ezinenkinga yesikhumba ngamafutha amaningi, okubandakanya ama-corticosteroids ne-cyclosporin. Kunconywa futhi ukufaka izidakamizwa ezindaweni ezithintekile ezivimba noma zivuse (ngokuya izinkomba) ukungasebenzi komzimba kwendawo.

Kungenzeka ukubuyisela umsebenzi we-follicle ngendlela eyinhloko ye-alopecia. Uma izicubu ze-bulb zihlala zisebenza, umuthi we-antihypertensive ufakwa ngqo ezindaweni eziyinkinga. Lo muthi uvusa ukukhula kwezinwele.

I-alicecia ye-Cicatricial idinga ukwelashwa okuhlala isikhathi eside. Ukwelashwa kwezidakamizwa kwenzelwe ukumisa ukulahleka kwezinwele nokuqeda izimpawu ezihambisana nakho. Ngaphezu kwalokho, kubalulekile ukwelapha izifo ezihlanganyele, inkambo yazo ehambisana nokugcwala ezingxenyeni ezihlukene zomzimba.

Kubalulekile! Noma isimo sekhanda sizinza, kungenzeka ukuphindeka kwe-alopecia ye-cicatricial kusasele iminyaka eminingana ngemuva kokuphothulwa kokwelashwa.

Uma lesi sifo singaqhubeki kungakapheli unyaka noma ngaphezulu, kunqunywe indawo yokuhlinza izinwele

Le ndlela, eyaziwa ngokuthi i-follicular micrographing, ifaka ukufakelwa kwesikhumba salowo onikela ngezikhwanyana ezinempilo zibe yizingqinamba ezindaweni ezinobunzima. Ngemuva kokusebenza okunjalo, indawo yesikhumba iyancishiswa.

Ukuvimbela

Ngenxa yokuthi imbangela yangempela yokwakhiwa kwe-acopaticial alopecia ayikasungulwa, Odokotela abakazikhiqizi izindlela eziqondile ze-prophylactic ezingavimbela ukuqina kwekhanda. Ukuze unciphise amathuba alesi sifo, kunconywa ukuqinisa izinwele ngezinwele ezingama-Vitamin namamaski akhethekile. Ngaphezu kwalokho, ama-pathologies abangela ukuvuvukala kwezicubu kufanele aphathwe ngesikhathi.

I-Cicatricial alopecia ayibeki engcupheni empilweni yomuntu nasempilweni. Ngaphezu kwalokho, i-pathology ikhulisa ukubukeka kwesiguli, okuholela ekuthuthukisweni kokuphazamiseka kwengqondo. Ukwelashwa kwe-acopaticial alopecia ayikwazi ukuvimba ukukhula kwesifo kabusha.

Amavidiyo awusizo

Izinhlobo zezimpandla: isidleke, i-androgenic (androgenetic), i-cicatricial, egxila, yokuphikisa, isiyonke.

I-Alopecia - izimbangela, izici nokwelashwa.

Izimbangela zokwenzeka

Kwesinye isikhathi lesi sifo senzeka ngenxa yokuchayeka njalo komuntu kuma-x-ray. Ukugxila kokulahleka kwezinwele kuvela ekhanda ngokungalingani futhi kube nesimo esingalungile. Ezindaweni eziyimpandla, i-atrophy yesikhumba iyabonakala, engahambisani nokubumbeka noma ukuqhekeka. Ngokuhamba kwesikhathi, amafomu izicubu zezicubu ezindaweni ezithintekile, ngenxa yokuthi izingcezu zezinwele zichithwe ngokuphelele.

I-alicecia ye-Cicatricial kunzima ukuyelapha ngenxa yokuthi izimbangela zalolu hlobo lwempandla zingasehluka futhi akukhona ngaso sonke isikhathi ukunquma zona.

Uhlobo lwe-Cicatricial lokulahlekelwa izinwele esithombeni.

Izinhlobo ze-alopecia ze-cicatricial:

I-alopecia eyisisekelo (yenzeka ngenxa yokubhujiswa kwe-bulb yezinwele ngesikhathi senqubo yokuvuvukala).
I-alicecia yesibili yecicatricial (kunokwehla kwezinwele eziningi ngenxa yokuqhubeka kwesifo kanye nokulimala okuhlukahlukene).

Ngohlobo lwesibili lwesifo, ukubhujiswa kwama-follicle kwenzeka ngokushesha futhi kuyinqubo engenakuphikwa.

Izici ezifaka ukubonakala kwe-alopecia ye-cicatricial:

neoplasms emzimbeni,
isifiso sokuthola ifa (isb. ukungabi khona kokudlayo),
izifo ezithathelwanayo (i-syphilis, isifo sofuba, uchoko, njll.),
Ukutsha, kokubili amakhemikhali nakwezokushisa,
ukulimala kwemishini esikhumbeni,
Isifo se-Lassuer-Little,
izifo ezingamahlalakhona.

Ukubhujiswa kwe-bulb yezinwele ngokuvuvukala.

Nakani! Lesi sifo singenzeka ngenxa yokusebenzisa isikhathi eside izidakamizwa ze-steroid noma i-frostbite.

Ukuxilonga

I-alicecia ye-Cicatricial alopecia kwabesifazane nakwabesilisa beminyaka ehlukile kufanele ihlolwe kuphela uchwepheshe onekhono. Ukuze usungule isifo esisitholayo, izikhalazo zesiguli ngeke zanele. Kunconywe ukuthi kwenziwe i-scalp isikhumba biopsy, okuzocacisa kuphela isigaba sokubhujiswa kwama-follicles wezinwele, kepha futhi nesigaba sokukhiqizwa kwesikhumba. Ukuthola idatha eyengeziwe, odokotela batusa ukwenza i-trichograph, ngenxa yokuthi unganquma isimo nobuningi be-hairline. Ngezizathu ezingaziwa zokwakhiwa kwe-pathology enjalo, iziguli kufanele zibonane nodokotela wamazinyo nodokotela ozonikeza ukuhlolwa okwelulwa ngokwengeziwe.

Izifo ezihambisana ne-pathology:

lupus erythematosus,
i-sarcidosis,
lichen planus
izifo ezi-pustular, njll.

I-trichograph yezinwele kungenye yezindlela zokuthola i-alopecia.

Umgomo oyinhloko wokwelapha i-alopecia ye-cicatricial ukumisa ukuqhubeka kokulimala kwesikhumba, kanye nokususa imbangela yalesi sifo. Ukuvuselelwa kweziguli okunalesi simo se-pathological kuqala ngokuhlolwa okuningiliziwe kokubuka, ukucaciswa kwesimo samanje sezempilo kanye nokutholwa kwezifo ezingamahlalakhona kanye nokulimala okungaba nomthelela ekwakhiweni kwe-alopecia ye-cicatricial. Ukuphela kwendlela yokusindisa isiguli ebunqedeni ukungenelela kokuhlinzwa, sibonga ukuthi isikhafu sizosuswa, futhi endaweni yaso odokotela basifaka isembozo esigcwele sesikhumba esiqukethe izicubu ezinamafutha, imithambo yegazi kanye namafafaza wezinwele afakiwe.

Ngesikhathi sokuqala kwesifo ukuthuthukiswa kwesifo, kungenzeka ukuxazulula inkinga ngendlela yezokwelapha. Ukwelashwa okunjalo kungamisa ukuphuma ngokweqile kwezinwele. Kaningi, odokotela banikeza ama-anti-spectrum ama-antibiotic, kanye nama-immunostimulants. Ukwelashwa ngezidakamizwa nakho kuzohlose ukuqeda imbangela yesifo, ukuze ukwazi ukuthola imiphumela emihle ngempela.

Ngaphambi kokusebenzisa umuthi, kufanele uthintane nodokotela wakho.

Indlela yokwelashwa engeyona ebuhlungu futhi eyingozi kakhulu ye-alopecia ye-cicatricial ukusetshenziswa kohlelo lwezinwele. Le ndlela yokufaka esikhundleni se-hairline ithandwa kakhulu emhlabeni wonke, ngoba sibonga ngayo ungathola ngokushesha ukubukeka okukhangayo futhi unomphela. Uhlelo lwezinwele lukunamathiselwe okwenziwe ngesandla kwezinwele zemvelo kwisisekelo esincanyana se-silicone ebusweni bekhanda lesiguli. Ubude, umthunzi, ukwakheka nobunwele bezinwele kunqunywa ngawodwana.

Indlela yokwelapha izimpandla.

I-alicecia ye-Cicatricial iletha ukuphazamiseka okuningi, kwehlisa ukuzethemba futhi iyakwazi ukuhlukanisa ngokuphelele umuntu nomhlaba wangaphandle. Ukugwema lesi simo, kufanelekile ukuxhumana nomuntu onguchwepheshe ozocacisa imbangela yokuqala yokulahlekelwa izinwele ngokushesha futhi anikeze nokwelashwa okusebenzayo. Uma kutholakala isifo se-pathological, kufanele uthintane nodokotela ngokushesha.

Ukuxilongwa

Ukunquma uhlobo oluthile lwe-alopecia futhi uveze izigaba zokwelashwa, kwenziwa ukuhlola okukhethekileimiphumela yakhe ihlolwe ngudokotela wakho:

Ukuhlolwa okubonakalayo kwendawo ethintekile.
Ukuhlolwa kwegazi kwama-hormone, i-syphilis, nemingcele ye-biochemical. Isibalo segazi esiphelele.
I-Rheoencephalography (REG) - ukuthola ijubane lokuhamba kwegazi emithanjeni yendawo ye-cranial.
I-microscopy yezinwele - ukutadisha izinguquko ezilinganisweni zesakhiwo sezinwele.

Ngezansi ungabona isithombe sokuthi i-alopecia ye-cicatricial ibukeka kanjani:

Izizathu zokuthuthuka

Izindlela zokwakheka komzimba ziwumphumela wesifo esivuzayo noma esidlulisiwe futhi sibalulekile ngokwemvelo. Izimbangela zokubonakala kwazo ebusweni besikhumba, ngenxa yokulahlekelwa izinwele, zingaba yimbangela yomzimba, kanye nezifo zesifo esithathelwanayo nezingatheleleki:

Ukulimala ngokomzimba kanye nokushisa.
Isiphazamiso sokukhubazeka kanye nokulimazeka kwezinwele.
Izifo ezingamahlalakhona.
Izinhlobo ezingefani zokutheleleka.

Izimpawu nezigaba

I-Cicatricial alopecia kukhula ngokuhamba kwesikhathi futhi kungaziphatha ngendlela ehlukile:

Kwezinye izimo, cishe abantu baqala ukukuqaphela ukulunywa, ukushiswa nokuzizwa kungathandeki endaweni ethintekile.
Kwezinye izimo, izibazi zingakhula ngokungabonakali, ngaphandle kwezimpawu ezikhulunywayo.

Kungakhathaleki ukuthi ukukhula kwesifo kuyabonakala, isithombe somtholampilo sibukeka sinjalo: inqubo yokuvuvukala iyaqala, okuholela ekufeni kwezicubu zezinwele nokwenziwa kwezinsimbi ezithinta izicubu endaweni yazo. Ingahambisana nemizwa engathandeki esikhumbeni, amabhulashi anetshezi, oluthi emuva kwalokho luthathwe izibazi ezibushelelezi. Ama-Fliclic afa ngokuphelele futhi akasakwazi ukusebenza.

Izidakamizwa nezinqubo

Okokuqala, izindlela nezinqubo zibekiwe ezinegalelo ekususweni kwethonya le-pathological kanye nezimbangela eziyinhloko ze-alopecia ye-cicatricial ukuze kuvikeleke ukusabalala kwayo.

Esikhathini sokuqala (lapho i-foci yayingenaso isikhathi sokuphulukisa), ukwelashwa okujwayelekile kungamisa ukulahleka kwezinwele. I-Alopecia, ebonakaliswa ngenxa yokuvuvukala kwama-follicle wezinwele, ngokwesibonelo, nge-sycosiform folliculitis noma i-lichen planus, iphathwa ngemithi elwa namagciwane nama-immunostimulants. Ama-corticosteroids angabekwa - ngendlela yama-topical okhilimu kanye nemijovo endaweni ethintekile yesikhumba.

Izidakamizwa ze-Psychotropic ne-nootropic (sibazon, azafen, nootropil).
Amavithamini (A, E, ama-multivitamini, kufaka phakathi lawo aqukethe izinto ezilandelwayo), i-phytin, i-biotin.
Izidakamizwa ze-immunocorrective (decaris, methyluracil, T-activin).

Amakhambi esintu

Ukunciphisa inqubo ye-baldness, ungasebenzisa umuthi wendabuko. Uma usebenzisa izindlela ezifanele zohlobo oluthile lwesifo, ukwelashwa kungasebenza. Kwezinye izimo, udokotela uqobo ululeka ezinye izindlela, ngokwesibonelo, ngokungezwani nokwelashwa.

I-Garlic iyikhambi eliphumelelayo le-alopecia - ngenxa yokuqukethwe okuphezulu kwe-vitamin C namafutha abalulekile kuyo. Ukusetshenziswa kwezindlela zokupheka ezenzelwe ugarlic kunika umphumela wokungasebenzi magciwane futhi kubuyise izimpande zezinwele.

Kukhona ezinye izindlela zesenzo esithile:

Ama-Decoctions we-sea buckthorn, izimpande ze-burdock - ukondla isikhumba ngezinto ezidingekayo.
Ukufakwa kotshwala kwe-calendula - kuthathwe ngomlomo amahlandla ama-2 ngosuku.
Ama-Decoctions we-linden ne-chamomile - isixazululo sisetshenziselwa ukuhlanza izinwele.

Ukufakwa kwezinwele

Ezigabeni zakamuva zempandla, iziguli ziyakhuthazeka ukufakelwa izinwele.

Indlela ye-follicular transplantation iqukethe ukususa ama-folliclic we-donor futhi uwafake endaweni ye-baldness. Izinwele ezivela ezingxenyeni ezihlukene zomzimba zisetshenziselwa ukuhlinzwa..

Indlela yokufakelwa kwesikhumba kusuka ku-occipital iye endaweni yangaphambili neye-parietal lobes ikuvumela ukuba ubuyisele ukukhula kwezinwele ezifanayo, ikakhulukazi nge-alopecia egxile kuyo.

Ukulahleka kwezinwele kuyinto eyejwayelekile kubantu, kungakhathalekile ngobudala nangokobulili.Izici nemiphumela yalesi sifo zihlukahlukene njengezimbangela ezingakhona. Ukwelashwa kwe-acopaticial alopecia inqubo ende futhi ebucayi. Izindlela kanye nezifundo zokuvimbela zihlanganiswa ngakwelinye isiguli ngasinye. Ngakho-ke kubaluleke kakhulu ukulandela izincomo zochwepheshe futhi uziphathe ngokufanele.

Inqubo yokwenziwa kwe-Scar

Umthelela wesici esingesihle kwezicubu.
Ukubonakala kwesiza sokuvuvukala lapho kukhululwa khona amaseli aphulukisa izicubu kanye ne-collagen, ayibuyisele esikhunjeni.
Ngemuva kokwakheka kwesikhwehlela, ukufa kwezimpawu zezinwele kuyaqala.

Kwezinye izimo, ngokubonisana nochwepheshe ngesikhathi, inqubo yokwenziwa kwesikhafu ingabuyiselwa emuva. Ekugcineni isikhafu sakhiwe kuphela emva kwezinyanga ezingama-4-6 kusukela ekuqaleni kwenqubo ye-pathological.

Izincomo ezijwayelekile

Uma usola isifo esidala i-alopecia, noma sinezimpawu zokuqina, kubalulekile ukuthi isiguli sibonane nochwepheshe ngesikhathi. Ukuhlonza izifo ezigabeni zokuqala kuzosiza ukugwema imiphumela emibi. Mayelana ne-alopecia ye-cicatricial, kubalulekile ukwazi:

I-Cicatricial alopecia ngenkambo evumayo usebenze phakathi nonyaka ngemuva kokuqala kwenqubo.
Ukunakekelwa kwezinwele nesikhumba kushubile futhi kucocekile. Ukusetshenziswa kokuhlanzeka okunobisi kuyanconywa. Imvamisa ikhethiwe ngawodwana, kodwa okungenani kanye ngesonto.
Ukwamukela okuphoqelekile kokunqunyelwe imithi namavithamini.

I-Cicatricial alopecia yisifo esingajabulisi esinokulimazeka okungekuhle ngesimo esakhekile. Ngokushesha lapho ubona udokotela, imiphumela emincane engemihle lesi sifo ezoba nayo.

Izimbangela zokuzala

Umuntu ngamunye ugoqa ngezindlela ezihlukile, kepha ngenxa yokuxhaphaka kwe-alopecia, amaphethini ambalwa ekubukeni kwawo angalandelelwa. Ngokuvamile androgenicizimpandla iqala ukuvela ngokushesha ngemuva kokuthomba futhi ngeminyaka engamashumi amathathu iba ngesimo sayo sokugcina. Isizathu sakhe esiyinhloko singabizwa ngokuthi ifa lomuntu.

Ngokwanda kokubandakanyeka kwama-hormone esilisa egazini lomuntu, izinwele ezisekhanda lakhe ziqala ukuba mncane futhi esikhundleni sazo zifakwa yi-fluff, ethi kancane kancane ilahlekelwe umbala wayo bese iba mncane. Lokhu kuzibonakalisa kuqala kuwo womabili amathempeli, bese ushintshela kahle emqheleni. Nakhona, izinwele ziqala ukuba mncane. Ngokukhula kwalezi zindawo, ukuhlangana kwazo kancane kancane endaweni eyodwa kuyaphawulwa.

Ukuphelela okuphelele ukucasulwa ikakhulukazi yizici zangaphandle. Lokhu kungafaka ubuthi ngezakhi ezahlukahlukene zamakhemikhali - i-thallium, i-bismuth, i-arsen (i-arsenic), i-acid fumes (isb. I-boric acid), izifo ezikhunta zesikhumba, izinqubo zemisebe. Uma izidakamizwa ezithi ukwehlisa ukukhula kwamaseli zisetshenziswe njengezinqubo zokwelapha isimila, lokhu kungaholela ekufeni kwama-bulbs kanye nokulahlekelwa izinwele.

Izizathu phazamisaizimpandla ushintsho lwe-hormonal emzimbeni womuntu ngesikhathi sokukhulelwa noma sokuthomba, ukucindezelwa, ukuntuleka kwezinto eziwusizo zomkhondo ezinjengama-iron noma amavithamini e-B, imikhuba emibi nokusetshenziswa kokuvimbela inzalo kungenzeka. Uma isizinda se-hormonal siphazamiseka, okwesikhashana, siyanyamalala ngemuva kokuthi sibuyele kokujwayelekile. Kwezinye izimo, kudinga ukungenelela.

Ukuqina okuyimpandla ngenxa yokuba khona emzimbeni womuntu ohlushwa izinqubo ze-autoimmune. Isifo esinjalo sibheka ama-follicle njengezinto zasemzini. Ngokuvamile kutholakala kwabesilisa nabesifazane abanezinwele ezimnyama. Izizathu eziphambili yilezi ezilandelayo:

I-Heredity (ngaphezu kwengxenye yesine yalabo abathintekile bane-pathology yomndeni).
Ukuxineka nokucindezeleka okukhulu kwengqondo.
Umsebenzi ongalungile wezinye izindlala zomzimba - izindlala ze-adrenal, i-pituitary gland ne-gland yegilo.
Izifo ezingamahlalakhona - caries, rhinosinusitis.
Izinkinga ngokuhlinzekwa kwegazi ngenxa yezinguquko ekubonakaleni kwegazi nokugeleza kwegazi.
Ukutheleleka ngegciwane.

Emadodeni, kungabonakala futhi njengokuntuleka kokukhula amadevu nentshebe.

Ukulahleka kwezinwele kwe-seborrheic

Ngokukhuphuka kokukhululwa kwe-sebum Phezu kwekhanda ngaphansi kwezinwele, kungavela isifo esifana ne-seborrhea noma i-seborrheic dermatitis. Imvamisa ibangela ukuncipha, ukulimala kanye nokulahleka kwezinwele kulezo zindawo ezithinta.

Izimbangela zesehlakalo sazo azikwazi ukunqunywa ngokufanele okwamanje. Ochwepheshe abaningi bayavuma ukuthi lokhu kuyinkimbinkimbi yezimbangela zofuzo, izifo ezihambisana ne-endocrine gland, ushintsho lwamahomoni nethonya lezinto eziyingozi zemvelo. Umenzeli okusolwa ukuthi ubangwa yi-seborrhea luhlobo olukhethekile lwesikhunta - Malassezia furfur, etholakala kubantu abaningi ku-microflora yes scalp (ingakha cishe isigamu sama-microorganisms ayo).

Impandla ivela cishe engxenyeni eyodwa kwezine yesifo se-seborrhea. Ukuthuthukiswa kwaso kuhambisana nokwanda kokukhiqizwa kwe-sebum ngaphansi kwezinwele, ngenxa yokuthi zithola ukugqwala okunamafutha futhi zinamathele ndawonye, ne-eczema esikhumbeni. Ngenxa yalokhu, ama-pores esikhumba ayavaleka, izinwele azitholi ukudla okwanele futhi kancane kancane ziba mncane. Izindawo ezithintekile ikakhulukazi ziba ngasemaphethelweni wokukhula kwezinwele, noma kusuka phambili noma engxenyeni ye-occipital. Zihlala zizungezwe imigqa eminyene yezinwele eziphilile.

Ukwelashwa kwe-baldness

Okokuqala, udinga ukuthola isizathu. I-Alopecia ebangelwa yizici zangaphandle noma izifo zesikhumba iphathwa ngendlela ehluke ngokuphelele kunokuba ibangelwa izimbangela zofuzo noma ama-hormone.

I-alicecia ye-Cicatricial ingalashwa kuphela ngokufakelwa kwezinwele. Ngaphambi kokuqaliswa kwayo, kuyadingeka ukususa izindawo ezithintekile zesikhumba ngokulingene bese ulindela ukuphulukiswa ngokuphelele kwamanxeba. Ukufakwa kwe-bulb kwenziwa kwezinye izindawo zesikhumba ezimbozwe izinwele ezinempilo, njengesifuba, emuva, noma amabhuzu. Izinwele ezivela emilenzeni yokufakelwa okunjalo azifanele.

Izindlela zokwelapha izinhlobo ezingezona ezibazi

I-alopecia enga-cicatricial inezindlela eziningana zokwelapha.

Izidakamizwa ze-Finasteride neMinoxidil ezikhuthaza ukukhula kwezinwele. Kuyadingeka ukuzisebenzisa unamathela ngokuqinile enkambweni futhi ngaphandle kokuyiphazamisa, ngoba lokhu kusongela ukubuyela esimeni esibanzi.
I-Physiotherapy, uma kungekho ukulimala kwesikhumba - ukugcwala kwesikhumba, iDarsonval, ukuvezwa kukagesi ne-laser, ukusetshenziswa kwemikhiqizo yesikhumba evusayo nelolisayo (isibonelo se-tincture enjalo pepper.
Izidakamizwa ezihlinzeka nge-microcirculation yegazi ethuthukisiwe futhi zisheshise izinqubo ze-metabolic ezindaweni ezithintekile. Lokhu kufaka iHeparin, Aminophylline, Trenal nabanye.
Ukulonda impilo enempilo nokususa izinto ezilimazayo njengokucindezela, ukungondleki okungafanele futhi okungahambi kahle, ukungagcinwa kwerejimeni yansuku zonke nomjikelezo wokulala nokuvuka.
Uma kutholwa inqubo ye-autoimmune yomzimba, okuhloswe ngayo ukutholakala kwezinwele, kufanele kusetshenziswe glucocorticosteroids - endaweni yesilonda noma ezimweni ezinganakekeli kangako nezimbi emafomeni.
Inkambo yamavithamini ayinkimbinkimbi, kufaka phakathi ukulandelana kwezinto ekwakhiweni kwawo.

Ungazama ukwelapha ulwelwe ngamakhambi esintu. Ama-decoction ahlukahlukene, okokugcoba kanye nama-tincture wezitshalo ezinjengokwelapha kanye ne-burdock, ngokufakwa kwezisombululo zoju notshwala, zilusizo lapha. Ungasebenzisa usawoti wolwandle ochotshoziwe njengethanga lokucwilisa kuqala. Kufanele igcotshwe esikhumbeni ngaphambi kokugeza, yenze uhlobo lokukhonkotha nokuhlanzwa kwesikhumba esifile, kuvuse ukukhula kwezikhwanyana ezintsha nokugeleza kwegazi esikhunjeni.

Ukuchazwa kafushane kwenkinga

Iyini i-acopecia alopecia? I-alicecia ye-Cicatricial luhlobo lwekhanda lelo umehluko othile kusuka ekuphepheni kwezinye izinhlobo. Umehluko omkhulu inkambo engathandeki kakhulu kanye ne-prognosis yalesi sifo.

Lesi sifo kuthinta izinhlamvu zezinwelekancane kancane ziyabhujiswa.

Ezindaweni ezilimele zesikhumba, kuvela izimpawu - izibazi eziqukethe izicubu ezithintekayo.

Lezi zimpawu zimboza izinhlamvu zezinwele, ziphumele i-follicle ayikwazi ukufeza umsebenzi wayoizinwele ziyeka ukukhula.

Lolu hlobo lwempandla aluvamile..

Kuyaphawuleka cishe ezi-3% zeziguli eziya kudokotela zinenkinga yokulahlekelwa izinwele.

Izimbangela zesifo

Izizathu zokukhula kwe-acopaticial alopecia zihlukahlukene futhi ziningi. Le nkinga ihlala njalo kungakhombisa ukugula okungathi sína, izinkinga emsebenzini wezitho zangaphakathi nezinhlelo.

Ezinye zezinto ekwakhiweni kwe-acopaticial alopecia zifaka:

Izimbangela Zokuzala. Ngenxa yesandulela sofuzo, izifo zesikhumba ziqhamuka ezinsukwini zokuqala zokuphila kwengane.
Ama-pathologies wesimo esithathelwanayonjenge-syphilis, isifo sofuba.
Izifo ze-Oncological (ama-benign kanye nama-tumic abuhlungu), ukusetshenziswa kwe-chemotherapy nezinye izindlela zokwelashwa kwabo. I-Alopecia kuleli cala ayihlali ikhula, konke kuncike ekujuleni kobude nobude besikhathi sokuchayeka kwamakhemikhali emzimbeni.
Ukulimala ngomshini isikhumba (ukusha, ukulimala, i-frostbite).
I-Autoimmune pathologies.
Izifo zesikhumba (isib., I-lichen).

Izimpawu ze-alopecia ye-cicatricial

Ukubonakaliswa komtholampilo kwalesi sifo, noma ngabe kuyimbangela yokwenzeka kwako, kumi ngale ndlela:

Ukuvela esikhumbeni sezindawo ezichazwe emphemeni, ekuqaleni ezingamasayizi amancane.
Ngokuhamba kwesikhathi, lezi zindawo ziyanda ngosayizi futhi zibonakala kakhulu.
Isiguli sikhononda ngokungaphatheki kahle endaweni yomonakalo. Ihlangabezana nokulunywa, ukuvutha, kanye nemizwa ebuhlungu ivela ngokuhamba kwesikhathi.
Ukuvela kokuvuvukala, ubomvu, izilonda nezilonda kwenzeka ezindaweni ezithintekile zesikhumba, isikhumba siba somile, sikhonkotha. Kodwa-ke, kunezimo lapho ukubonakaliswa okunjalo kungabhekwa, isikhumba sihlala sibushelelezi ngaphandle kwezimpawu zomonakalo.
Ngemuva kwesikhathi esithile, ukusabela kokuvuvukala kuyancipha, ukungabikho ngokuphelele kwezinwele kumakwe ezindaweni ezithintekile.

Bona ukuthi i-alopecia ye -icicat ibukeka kanjani esithombeni:

I-pathogenesis yesifo

I-Cicatricial alopecia iba kancane kancane, ezimeni zokuqala zesifo izimpawu zayo zingase zibe zincane, zibonakale kalula.

Esigabeni sokuqala, kulimala izingqimba eziphakeme zesikhumba ngenxa yemiphumela emibi yezinto ezilimazayo kuyaphawulwa.
Amaseli avezwe kulo mphumela aqala ukufihla izinto ezisebenza ngokuphila.
Ukugxila kokuvuvukala kuvela esikhunjeni, ukulunywa, isikhumba esomile.
Ezindaweni ezilimele zesikhumba, into ihlanganiswa ngendlela esebenzayo - i-collagen, ngokuqongelela lapho kwakhiwa isikhumba esibomvu. Izimpawu zesifo ziba zingaphenduki.
Isilonda siba ngundabamlonyeni, kancane kancane siqina, siqine (lesi sigaba singaba nesikhathi esihlukile: izinyanga eziyi-1-3.)
Isinyathelo sokugcina ukubhujiswa kwezikhwanyana zezinwele, atrophy, awukwazi ukufeza umsebenzi wokukhiqiza izinwele. Esikrinini, izibazi ziguqulwa zibe izibazi ezinzima ezingabonwa ngokuthinta kuphela, kodwa nangokubukeka.

Ukwelashwa kwe-acopaticial alopecia

Ukusebenza kokwelashwa kuncike kakhulu esigabeni sesifo. Ezigabeni zokuqala ukuthuthukiswa kwempandla, kungenzeka ukumisa le nqubo ngokuqeda imbangela eyinhloko yokuthuthuka kwayo.

Kulokhu ukuhlinzwa kuphela okuzosiza. Sikhuluma ngokufakelwa kwezinwele usebenzisa isikhumba sabanikelayo. Ungathola okuningi ngezindlela zesimanje zokufakelwa, kufaka phakathi inqubo engeyona yokuhlinzwa nentengo yale nqubo kwiwebhusayithi yethu.

Noma kunjalo, nalapha futhi izibikezelo zixubekile: njengoba isikhumba sesiguli simbozwe izibazi, ukwakheka kogqinsi lapho ukusakazeka kwegazi kuphazamiseka khona, ukuxhaswa kwabanikelayo kungenzeka kungangeni.

I-Cicatricial alopecia - Enye yezinhlobo ezibucayi kakhulu zempandla. Ngesifo sezinhlobonhlobo, ukubhujiswa kwama-follicle wezinwele, ukulahleka kwezinwele okuphelele ezindaweni ezithintekile kuyabonakala.

Izindlela zendabuko azinamandla lapha. Izithako nokhilimu, umuthi ngeke unikeze umphumela olindelekile. Ukwelashwa okuphumelelayo, ukungenelela kokuhlinzwa kuyadingeka, futhi, futhi, ukuqeda imbangela yesifo.

Incazelo nesithombe somtholampilo sesi sifo

I-Cicatricial alopecia yisifo se-polyetiological. Lapho kwenzeka ukulahleka kwezinwele okungaphenduki ngenxa yokufa kwama-follicles ngesikhathi senqubo yokuvuvukala noma enye inqubo ye-pathological.

Ukuphela kwalesi sifo kuyimpandla futhi kunqabile. Ngemuva kwezimpandla ngenxa yalokhu kugula, akunakwenzeka ukubuyisela ngokuphelele izinwele ezindala - izinhlamvu zezinwele zichithwe ngokuphelele noma azikwazi ukwenza umsebenzi wazo ngokuphelele.

Kungakhathaleki ukuthi yini imbangela yalesi sifo, isithombe somtholampilo sihlala sikhona. Okokuqala, izimpandla ziqala ezindaweni ezincane, indawo ye-lesion inyuka kancane kancane. Ngaso leso sikhathi, isiguli siqala ukuphazanyiswa yizimpawu ezinjengokushiswa, izinhlungu, ukulunywa.

Ukushiswa kwezindawo zesikhumba kwenziwa ngezigaba:

Izicubu ezilimele.
Amaseli aqala ukukhipha into esetshenziswayo.
Inqubo yokuvuvukala iqala futhi amaseli akhiqiza i-collagen ahehwa endaweni elimele.
I-Collagen synthesis iyaqala, okuholela ekwakhekeni kwesilonda "esincane".
Ngemuva kwezinyanga ezingama-1-3, isikhumba siyavuthwa, sibe yisidlakela bese siphumela ngaphandle kwesikhumba.
Esigabeni sokugcina, esithatha ingxenye yesithathu yonyaka iye ezinyangeni eziyi-12, isikhafu siguqulwa kokugcina - imikhumbi evela esicathulweni iyanyamalala, kanti imicu ye-collagen, eyayigxiliwe ngaphambili kwizinyanda, ivele emugqeni owodwa.

Kepha kwesinye isikhathi lesi sifo sihambisana nokukhula kwezinqubo zokuvuvukala - ukubukeka kwezilonda, ukukhotha, amabhulukwe ngotshani nabanye, okugcina kuphole futhi kuphenduke isikhumba esibushelelezi. Uma, phakathi nokwakheka kwesilonda, kuvela ukungasebenzi kahle, khona-ke isikhafu kungenzeka sivele, siqambe, noma sibe uhlobo lwesilonda se-keloid.

Izimbangela kanye nezindlela zesifo

I-Cicatricial alopecia iba kancane kancane, ngezigaba eziningana, futhi izici ezilandelayo zingaba imbangela yokugula:

isimila esibuhlungu noma esingaphuzi,
ukuphazamiseka okuzuzwe njengefa kanye nokukhubazeka kwentuthuko (ichthyosis, pigment incinuence nabanye),
ukulimala (ukusha, amanxeba, ukulimala kanye nabanye),
Izifo ezivelayo zezikhonkwane,
ukuvezwa kwemisebe
izigaba ezeqisayo zezifo ezithile, kufaka phakathi i-lupus erythematosus, i-basal cell carcinoma, i-lichen planus, nezinye,
izifo ezithathelwanayo ezithile (uchoko, uthando, isifo sofuba, i-leishmaniasis, nokunye).

Isimo sesikhumba sincike kwisizathu sokubonakala kwalesi sifo - zombili izibazi kanye ne-cicatricial atrophy yesikhumba kungahlala kuso.

Ukunquma ukwelashwa, kuyadingeka ukubona uhlobo lwale alopecia. Okuvame kakhulu kufaka phakathi:

Isifo iLassuer Little
decalcifying folliculitis,
exnicating panniculitis,
i-follicular lichen planus,
i-eosinophilic pustular folliculitis,
i-follicular degeneration syndrome
I-pseudo-pelad kaBrock.

Sikweluleka ukuthi ufunde:

Izimpawu Nokuxilongwa

Isibonakaliso esibonakalayo sokuthuthuka kwalesi sifo ukuqala kwamabele kusayithi elincane lesikhumba. I-Pathology ingahlakulela zombili kancane kancane (kulokhu, ukubonakaliswa kwemitholampilo akubonakali ngokushesha), futhi ngokushesha (ukubonakaliswa kokubonisa kwengqondo kuyaqhubeka, futhi inkambo yesifo uqobo ihambisana nokuncipha, ubuhlungu, ukulunywa, nezimpawu ezifanayo).

Indawo ethintekile ihlelwe ngokuzungeza umngcele yi-dermis enesakhiwo esinzima, futhi ngaphesheya kwesikhumba kanye nezinwele ezishiywayo zihlala zinjalo. Izithonjana ezisebenzayo ezilulama ngokuhamba kwesikhathi zingahlala emaphethelweni endawo yempandla.

Le nqubo ikuvumela ukuthi ukhombe:

uhlobo lwesifo
izinga lokubhujiswa kwama-bulbs,
ngasiphi isigaba esishubile.

Ngaphezu kwalokho, kuyadingeka ukuhlukanisa i-cicatricial atrophy kusuka ekugxiliseni - kwenziwa ngokufunda ngemingcele yokulahleka kwezinwele kanye nezimpawu ezitholakalayo ze-atrophy yesikhumba.

1 Izimbangela ze-Cicatricial Alopecia

Ukucekelwa phansi kwezikhwanyana zezinwele kungenzeka ngenxa yezizathu ezilandelayo:

Ukulimala komoya kanye namakhemikhali esikhumbeni: ukulimala, ukushiswa, i-frostbite, ukuvezwa kwe-asidi nama-alkali. Lapho isakhi somzimba esiqondile sisebenza kungqimba ejulile yesikhumba, izihlakala ziyalimala, izinwele ziwe ngaphandle, ukukhula kwazo okulandelayo kuyekile,
Ukuvezwa kwe-X-ray - ama-X-ray adala umonakalo kumaseli we-stem endaweni yezikhwanyana zezinwele,
I-Flat hair lichen
I-Autoimmune pathologies: i-discoid lupus erythematosus, sarcoidosis.

Noma ngabe yini imbangela ye-cicatricial alopecia, kuholela ekwakhekeni kwesilonda endaweni ye-follicle yezinwele, okusho ukuthi kuvimbela ukubuyiselwa kwayo futhi akunikezi ithuba lokukhula kwezinwele ezintsha.

Ithuba lokuphindeka kwezinwele ku-alopecia ye-cicatricial nezinguquko ze-cicatricial endaweni ye-follicular zone lincane kakhulu.

2 Kwenziwa kanjani isikhafu endaweni yezinhlamvu zezinwele

Inqubo ye-pathological kulesi sifo iqhubeka ngezigaba. Lezi zigaba ezilandelayo zihlukaniswa ekwakhekeni kwesikhafu endaweni yama-follicles:

1) isigaba sokungenelela - sihambisana nenqubo yokuvuvukala esebenzayo eduze kwe-follicle nangaphakathi kuyo. Izinto eziningi ezisebenza ngokusebenza kwemvelo, okulamandla okuvuvukala, kukhiqizwa emangqamuzaneni, ukungena kwe-fibroblast kwenzeka.

2) isigaba sokukhiqizwa kwe-collagen - ama-fibroblasts endaweni yokukhula kwezinwele aqala ukukhiqiza ngenkuthalo i-collagen, esikhundleni samaseli ejwayelekile ngemicu ye-collagen

3) isigaba se-fibrosis - amaseli amaningi aphilayo, asebenzayo we-follicle aqala ukushintshwa yizicubu ze-fibrous, ukuguqulwa kwe-follicle kukhula, ukufa kwayo. Kulesi sigaba, izicubu ezibomvu zibomvu, zingakhuphuka kancane ngaphezu kwesikhumba

4) isigaba se-keloid - esikhundleni se-bulb yezinwele, kukalwa, kukhiqizwa izicubu zesilonda. Upende ngombala, ungaba uhlobo lwesilonda, umgodi ongashisi noma uphume kancane

Uma isikhafu sesivele sakhiwe, akunakwenzeka ukubuyisela ukukhula kwezinwele kule ndawo. Esigabeni sokungenelela noma ukukhiqizwa kokuqala kwe-collagen, ithuba elinjalo lisekhona.

Kepha njengoba ithuba lokwembulela i-pathology emazingeni okuqala lincane kakhulu, igama elithi "cicatricial alopecia" livame ukubonakala ngokulahleka kwezinwele okungaphendukiyo.

3 Izimpawu

Isimo somtholampilo se-alopecia ye-cicatricial kungaqala ngendawo encane ye-baldness, futhi njengoba lesi sifo sikhula, izindawo ezinkudlwana ezengeziwe zesikhumba zingabandakanyeka kwinqubo ye-pathological.

Nge-alicecia ye-cicatricial, ngokungafani nezinye izindlela eziningi, lezi zimpawu ezilandelayo zibhekwa kanye nokulahleka kwezinwele: ukulunywa, ukushiswa isikhumba, ubomvu, ukuqhakaza.

Ngama-ejenti owonakalisa amakhemikhali, owomzimba kanye nowokushisa, indawo yokulimala kwe-hairline ihambelana nendawo ethinteke ekugxilisweni kwe-pathological kanye nobudlelwano bempandla nalo mphumela bulandelwa ngokucacile.

Ukwelashwa kwe-alopecia ye-cicatricial

Inhloso yokwelashwa kwalesi sifo ukuvimbela ukulimala kwezindawo ezintsha ze-hairline, ukumisa ukwakheka kwezibazi ezintsha futhi kuqede imbangela ye-acicecia ye-cicatricial (uma i-etiological factor ingesinye isifo).

Nge-alopecia ye-cicatricial, kubaluleke kakhulu ukusungula isifo ngesikhathi bese unquma ukwelashwa. Ukukhula kwezinwele esizeni lesikhafu akubuyiselwe futhi umsebenzi kadokotela wukugcina izindawo ezinempilo zendawo yokukhula ngangokunokwenzeka.

Kuyasebenza lapha:

imithambo ye-corticosteroid
ama-immunomodulators ama-topical
ukulungiswa kwamavithamini
ama-retinoids

Kufakwa i-glucocorticosteroids, uvithamini B12, kusikali esithintekile kuyenziwa. Lezi zinqubo zingenziwa ngaphandle kwesisekelo.

Ukusebenza kwesenzo sokwelapha kungukulwa nokuvuvukala, umphumela we-metabolic, ukwenza ngcono ukuvuselelwa kwezicubu.

Ekwelapheni i-alopecia ye-cicatricial, izindlela zokucwaninga kwezomzimba zisetshenziswa ngenkuthalo:

Ukwelashwa kwe-laser
electrophoresis
izithombe
Ukwelashwa kwe-oxygen ozone

I-Ozone isebenzisa izinqubo ze-redox emzimbeni, ivuselela amasosha omzimba, ine-anti-inflammatory, immunomodulating effect. Ukuphathwa kwe-Intravenous kwesisombululo se-ozonized ngokomzimba kwiziguli, i-autohemotherapy ene-ozone iyenziwa.

Ukuze uvale iziphazamiso zokugcoba - izindawo zesikhumba esibucayi sesikhumba ngaphandle kwezinwele, kusetshenziswa izindlela zokuhlinza - ukususwa kwezicubu ezibucayi nokuxhunyelelwa kwesikhumba ngezinwele zezinwele.

Kepha ukufakelwa kwenziwa ngaphansi kwezimo ezithile: phambi komnikeli ofanelekile, kanye nalapho kungekho zimpawu zokuvuvukala endaweni okufakelwa kuyo.

Ukuxhunyelelwa akuhlali kuhlangana ngokuphumelelayo endaweni entsha, lokhu kungenxa yokugeleza kwegazi okulimazayo endaweni efakwe kwenye indawo kanye nengozi yokuthola ukwenqatshwa komzimba.

Kunezindlela ezingezinhlungu futhi ezingezona ezihlaselayo zokufihla iziphambeko zezimonyo ku-alopecia ye-cicatricial - okugqokwa ama-wigs, izindwangu zezinwele, ukugqokwa okhethekile okwenziwe ngezinwele zemvelo noma zokwenziwa.