Akukhathazi, kodwa akukho nto yokukhathazeka
Ngaba ukhulelwe kwaye ufumana ukugqithisa emzimbeni wakho?
Amaphepha e-Pruritic e-urticarial kunye nee-plaque zokukhulelwa (i-PUPPP), eyaziwa nangokuthi i-polymorphic eruption of pregnancy, iyona yokugqithisa ngokuqhelekileyo kwabasetyhini abakhulelweyo. (Qaphela: Umqathango unokubizwa ngokuba yi-PUPPS okanye i-PEP.) Ngokuqhelekileyo kubonakala ekukhulelweni kokuqala komfazi, ngelixa lesithathu lekota (kunye nokuqala kokuqala kweiveki ezingama-35), okanye kubafazi abathwala iziphindaphindi.
Ngombulelo, i-PUPPP ayisoloko ithintela ukukhulelwa okulandelayo.
Kubonakala
Ukugqithwa kwe-PUPPP phantse njalo kuqala kumanqaku alula (striae) esisu. Akubandakanyi inkinobho yesisu, yindlela oogqirha abakwazi ngayo ukwahlula iimpawu ezivela kwezinye iindawo eziqhelekileyo zokukhulelwa.
Ukuqhaqha kubandakanya ubuncinane, obomvu, obomvu, amanqaku kumanqaku atyaliweyo akhula ndawonye ukuze enze amavili amakhulu kwiisisu. Ngamanye amaxesha ukugqithwa kungabandakanya iincinci ezincinci (ezicacileyo, ezizaliswe ngamanzi). Ngethuba leentsuku eziliqela, i-rash ingasasazeka phezu kwamathanga, izibonda, amabele kunye neengalo.
Ukugqithwa yi-pruritic (into engafanelekanga yesikhumba esinika inqwenela yokuyiqhawula), ngoko ke igama layo. Le meko ayiyingozi kumama nokuba ngumntwana, kodwa inokukhathaza kakhulu. Ihlala iphakathi kweeveki ezintandathu kwaye ixazulula ngokwayo enye kwiiveki ezimbini emva kokuziswa. Ukuvuthwa kunzima kakhulu kuya kuhlala kungabi ngaphezu kweveki enye.
Izizathu
Isizathu sePUPPP asiyazi. Akunxulumene ne- preeclampsia , ukuphazamiseka kwemvelo, ukungaqhelekanga kwe-hormonal, okanye ukungaqhelekanga komntwana. Nangona amazinga aphakamileyo e-DNA yesisu yomntwana ingatholakala kwi-biopsies yolusu. Ukususela malunga nama-70 ekhulwini kwabasetyhini abane-PUPPP bazala abafana, kuye kwacatshulwa ukuba i-DNA yesisu yomntwana ingenza njengesikhumba esicasulayo.
Ukukhulelwa komzimba ngokunyuka kwesisindo somama kudibaniswa ne-PUPPP, kubangele abanye abaphandi bacebise ukuba ukukhula kogxobhozo lwesisu kunye nokwelula kwonakalisa izicubu ezixhamlayo, kubangele impendulo yokuvuvukala.
Ukuxilongwa
Azikho iimvavanyo zelabhoratri ezifumanisa i-PUPPP, ngoko ukuxilongwa kwe-PUPPP yiklinikhi, oku kuthetha ukuba isekelwe kuphela ekubonakaleni kwe-rash. I-biopsies yesikhumba ayinakwenziwa ngaphandle kokuba kukho umbuzo malunga nokuxilongwa.
Unyango
Unyango lwePUPPP luphawu. Oku kuthetha ukuba amayeza anikwe ukukhupha ukukhawuleza nokunciphisa ukutshaya, kuquka oku kulandelayo.
- Iiprostri ze-steroid eziphakamileyo zamanzi okanye i-ointment ziyakunikwa ukuba zinciphise ukutshiza kunye nokuthintela ukusasazeka kwe-rash.
- Xa ukugqithisa kuphantsi kolawulo, ukutshintsha kwi-steroid esezantsi-esetyenziswayo kangangoko kucebisekile.
- Ama-antihistamine omlomo anjenge-Atarax, uBenryryl kunye neZyrtec ngokuqhelekileyo ayisebenziseka kangako ukubetha ngaphezu kwe-steroids kodwa ingaba luncedo ebusuku ukuze uncede ngokulala.
- I-Oral steroids ngokuqhelekileyo igwenywa ngexesha lokukhulelwa, kodwa kunokuba kuyimfuneko ukulawula ukubethelwa kweemeko ezinzima kakhulu. Ugqirha wakho unokucinga nokunciphisa abasebenzi (ukuba usondele kumhla wokuhanjiswa kwakho kunye nokukhwabanisa kukugqithiseleyo) kunokuba uqalise kwi-dose ye-steroids yomlomo.
Igama elivela kwi-Verywell
Gcina oku engqondweni: Nangona kuphazamisekile kwaye kungakhathazeki, i-PUPPP iyacaca kwiiveki ezimbalwa emva kokuziswa. Kwakhona akunakulimaza kwithuba elide kuwe okanye umntwana wakho.
> Imithombo:
> I-American College ye-Obstetrics kunye neGynecologists. (Juni 2014). Iimeko Zesikhumba Ngexesha Lokukhulelwa.
> Brzoa, Z., Kasperska-Zajac, A., Oleś, E., Rogala, B. (2007). Amaphepha e-Pruritic urticarial and plaques of pregnancy. J Midwifery Womens Health, uJan-Feb, 52 (1), 44-8.
> Tunzi, M., Grey, GR (2007). Iimeko Zesikhumba Esiqhelekileyo Ngethuba Lokukhulelwa. U-Fam Famician, uJan, 75, 2, 211-18.