Yintoni kunye nendlela yokuphatha i-herpetiform dermatitis

Umxholo

• Iimpawu eziphambili
• Yintoni ebangela i-herpetiform dermatitis
• Unyango lwenziwa njani
• Indlela yokuqinisekisa ukuxilongwa

I-Herpetiform dermatitis, ekwabizwa ngokuba sisifo sikaDuhring okanye i-celiac herpetiform dermatitis, sisifo esizenzekelayo esibangela ukwakheka kwamadyungudyungu amancinci esikhumba, afana nezilonda ezibangelwa yi-herpes.

Nangona esi sifo sinokubonakala nakubani na, sixhaphake kakhulu kubantu abanesifo se-celiac, njengoko kubonakala ngathi sinxulumene nobuntununtunu be-gluten.

I-Herpetiform dermatitis ayinyangeki, kodwa unyango ngokutya okungenasifo se-gluten kunye nokusetyenziswa kwe-antibiotiki, kwiimeko ezinzima kakhulu, kunceda ekunciphiseni iimpawu, okuvumela umgangatho wobomi obungcono.

Iimpawu eziphambili

Iimpawu ezibonakalayo ze-herpetiform dermatitis zibandakanya:

• Iipleyiti ezibomvu ezibomvu;
• Amaqamza amancinci arhawuzelela kakhulu;
• Amaqamza avele ngokulula xa ekrwela;
• Imvakalelo yokutsha kwimimandla echaphazelekayo.

Ukongeza, kukwaqhelekile ukubonakala kwamanxeba ajikeleze amablister, avela ekukrwemeni ulusu ngamandla amakhulu.

Ezona ndawo zichaphazelekileyo zihlala zi-scalp, i-butt, iingqiniba, amadolo kunye nomqolo, kwaye zihlala zibonakala zilingana, oko kukuthi, kubonakala kuzo zombini iingqiniba okanye emadolweni omabini, umzekelo.

Yintoni ebangela i-herpetiform dermatitis

Unobangela onokubangela i-dermatitis herpetiformis kukunganyamezelani kwi-gluten, njengoko le nto ivuselela amajoni omzimba, inika ukubunjwa kwe-immunoglobulin A, into ebangela ukuba umzimba uhlasele iiseli zamathumbu nolusu.

Nangona kubonakala ngathi kubangelwa yi-gluten, kukho iimeko ezininzi zabantu abane-herpetiform dermatitis abangenazo iimpawu zesisu sokunyamezela kwe-gluten kwaye, ngoko ke, isizathu asikachazwa ngokupheleleyo.

Unyango lwenziwa njani

Eyona ndlela isetyenziswayo kunyango lokulwa i-herpetiform dermatitis kukutya ukutya okungenagluten, kwaye ke ingqolowa, irhasi kunye nehabile kufuneka zisuswe ekutyeni. Jonga isikhokelo ngakumbi malunga nendlela yokususa igluten kwindawo otya kuyo.

Nangona kunjalo, njengoko ukutya kuthatha ixesha ukuba kusebenze, ugqirha wesikhumba unokucebisa ukuba kusetyenziswe isibulala-zintsholongwane kwiipilisi, ezaziwa njengeDapsone, ekhulula iimpawu kwiintsuku ezi-1 ukuya kwezi-2. Kuba inokubangela iziphumo ebezingalindelekanga ezahlukeneyo, ezinjengorhudo, isicaphucaphu kunye neanemia, iDapsone, ithamo leDapsone kufuneka lehle ngokuhamba kwexesha kude kufumaneke idosi encinci yokuthomalalisa iimpawu.

Kwimeko yokungezwani komzimba neDapsone, ugqirha wesikhumba unokuyalela ukusetyenziswa kweoyile kunye ne-corticosteroids okanye ukusetyenziswa kwezinye i-antibiotics, ezinje ngeSulfapyridine okanye iRituximab, umzekelo.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kuhlala kwenziwa nge-biopsy yolusu oluchaphazelekayo, apho ugqirha asusa iqhekeza elincinci lesikhumba eliza kuvavanywa elebhu ukuvavanya ukuba ingaba ikhona na i-immunoglobulin A kwindawo leyo.