Bullous pemphigoid: yintoni, unobangela, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Oonobangela bepemphigoid
• Unyango lwenziwa njani

I-Bullous pemphigoid sisifo esikhawulezayo se-dermatological apho i-blisters ebomvu ebomvu ibonakala khona eluswini kwaye ayophuli ngokulula. Esi sifo kulula ukwenzeka kubantu abadala, nangona kunjalo iimeko ze-bulous pemphigoid sele zichongiwe kwiintsana.

Kubalulekile ukuba unyango lwe-bullous pemphigoid luqaliswe kwakamsinya kuqatshelwe i-blister, kuba ngale ndlela kunokwenzeka ukunqanda ukwenziwa kwamadyunguza ngakumbi kwaye ufezekise unyango, oluhlala luboniswa ngugqirha wesikhumba okanye ugqirha jikelele okanye ukusetyenziswa amayeza e-corticosteroid.

Iimpawu eziphambili

Olona phawu luphambili olubonisa i-pemphigoid eneenkomo kukuvela kwamadyungudyungu abomvu kulusu olunokubonakala kuwo wonke umzimba, ukuba luvele rhoqo kwiindawo ezisongwayo, ezinje nge-groin, iingqiniba kunye namadolo, kwaye inokuba nolwelo okanye igazi ngaphakathi. Nangona kunjalo, kukwakho neemeko ezichaziweyo zepemphigoid ezinobungozi ezichaphazele indawo yesisu, iinyawo kunye nemimandla yomlomo kunye neyesini, nangona kunjalo ezi meko zinqabile.

Ukongeza, ezi blister zinokubonakala kwaye zinyamalale ngaphandle kwesizathu, zikhatshwe kukurhawuzelela kwaye xa ziphuka zinokuba buhlungu kakhulu, nangona kunjalo azishiyi mabala.

Kubalulekile ukuba ugqirha wesikhumba okanye ugqirha jikelele adibane kwangoko xa kuvela i-blister zokuqala, njengoko oku kwenza ukuba kwenzeke uvavanyo kunye nolunye uvavanyo ukuze lwenziwe ukugqiba isifo. Ngokwesiqhelo ugqirha ucela ukususwa kwesiqwenga seblister ukuze sikwazi ukujongwa phantsi kwemicroscope kunye novavanyo lwelabhoratri ezinje nge-immunofluorescence ngqo kunye nolusu lwe-biopsy, umzekelo.

Oonobangela bepemphigoid

I-Bullous pemphigoid sisifo sokuzimela, oko kukuthi, umzimba ngokwawo uvelisa izilwa-buhlungu ezisebenza ngokuchasene nolusu ngokwazo, zikhokelela ekubonakaleni kwamadyunguza, nangona kunjalo indlela eyenziwe ngayo i-blisters ayikacaci ncam.

Olunye uphononongo lubonisa ukuba inokubangelwa kukuvezwa yimitha ye-ultraviolet, unyango ngemitha okanye emva kokusetyenziswa kwamayeza athile, anje nge-furosemide, spironolactone kunye ne-metformin, umzekelo. Nangona kunjalo, ezinye izifundo ziyafuneka ukuqinisekisa obu budlelwane.

Ukongeza, i-bullous pemphigoid ikwanxulunyaniswa nezifo zemithambo-luvo ezinje ngesifo sengqondo esixhalabisayo, isifo sika-Parkinson, isifo sokuqina kwemithambo kunye nokuxhuzula.

Unyango lwenziwa njani

Unyango lwe-bulous pemphigoid kufuneka lwenziwe ngokukhokelwa ngugqirha wesikhumba okanye ugqirha jikelele kwaye lujolise ekuthomalaliseni iimpawu, kuthintele isifo ekuqhubekeni nasekukhuthazeni umgangatho wobomi. Ke, kwimeko ezininzi, ukusetyenziswa kweziyobisi ezichasayo ezinje nge-corticosteroids kunye ne-immunosuppressants kubonisiwe.

Ubude besifo buxhomekeke kwimeko yesigulana, kwaye kunokuthatha iiveki, iinyanga okanye iminyaka. Nangona ingesosifo sinokusombululeka ngokulula, i-bullous pemphigoid iyanyangeka kwaye inokufezekiswa ngamayeza aboniswe ngugqirha wesikhumba.