So gluten a wodi no ma honam ani akisikuru a emu yɛ den na ɛyɛ wo yaw? Momma yensua Dermatitis Herpetiformis ho ade!

So woadi biribi te sɛ paanoo, keeki, anaa bisket na afei nnɔnhwerew kakraa bi akyi no, wufii ase nyaa saa akisikuru a ɛyɛ wo yaw na nsu wom yi wɔ wo nipadua so pɛn? Ɛtɔ da bi a, ɛyaw no tumi yɛ den araa ma wuntumi nna anadwo. Bere a nnipa pii susuw sɛ eyi yɛ akisikuru a ɛtaa ba ara kwa no, ebia ɛyɛ biribi a ɛsɛ sɛ wosusuw ho kɔ akyiri kakra. Ɛnnɛ, yɛrebɛka honam ani yare yi a nnipa pii nnim ho asɛm, nanso ebetumi aka nnipa pii ho asɛm. Ɛno ne Honam ani Yare Herpetiformis.

Sɛ yɛbɛka no tiawa a, dɛn ne Dermatitis Herpetiformis?

Dermatitis Herpetiformis yɛ honam ani yare a enni sabea. Nea ɛde eyi ba titiriw ne sɛnea wo nipadua no te nka wɔ protein bi a wɔfrɛ no gluten ho no. Gluten yɛ ade a ɛwɔ aburow te sɛ awi, rye, ne atoko mu. Enti, nnuan pii a yedi da biara te sɛ paanoo, pasta, keeki, ne bisket no mu pii wɔ gluten.

Sɛ wudi aduan a gluten wom a, wo nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade wɔ ho. Saa mmuae yi ma akisikuru ne nsensanee kɔkɔɔ ba wo honam ani a ɛyɛ wo yaw dodo.

Mpɛn pii no, nnipa a wɔwɔ Dermatitis Herpetiformis nso wɔ tebea bi a wɔfrɛ no Celiac yare. Nanso nea ɛyɛ nwonwa no, ebia wonni celiac yare ho sɛnkyerɛnne te sɛ yafunu mu yaw, akisikuru, anaa wɔn mu duru a ɛso tew. Ɛno nti na ɛtɔ mmere bi a wɔfrɛ saa tebea yi "honam ani a ɛda adi wɔ celiac yare ho." Nanso, ɛntaa mma koraa sɛ wobetumi anya Dermatitis Herpetiformis a onni celiac yare.

So eyi ne herpes mmoawa no wɔ biribi yɛ?

Sɛ nnipa pii te saa din yi a, ebia wobesusuw sɛ eyi yɛ yare a herpes mmoawa no de ba. Dabi, ɛnte saa koraa. Saa yare yi ne herpes mmoawa no nni hwee yɛ.

Asɛmfua "dermatitis" fi nsɛmfua "derm" a ɛkyerɛ "honam ani" ne "itis" a ɛkyerɛ "ɔfe." Ɛkyerɛ "honam ani yare." Asɛmfua "herpetiformis" fi nokwasɛm a ɛyɛ sɛ akisikuru a ɛba wɔ tebea yi mu no te sɛ herpes de no. Sɛ ɛnyɛ ɛno a, abusuabɔ foforo biara nni abien no ntam. Enti mma edin no nnyɛ wo hu.

Hena na tebea yi ka no kɛse?

Dermatitis Herpetiformis betumi aka obiara a wadi mfe biara. Nanso, nnipa binom wɔ asiane kɛse mu sɛ wobenya bi. Hwɛ sɛ wobɛtɔ akuw yi mu biako mu anaa.

• Nnipa a wɔadi fi mfe 30 kosi 40 .
• Nnipa a wɔwɔ Celiac yareɛ (Nnipa a wɔwɔ Dermatitis Herpetiformis no mu bɛyɛ 10% - 25% nso wɔ Celiac yareɛ.)
• Sɛ obiara wɔ abusua no mu (titiriw abusuafo a wɔbɛn no te sɛ ɛna, agya, anuanom) wɔ Dermatitis Herpetiformis anaa Celiac Yare a.
• Nyarewa afoforo a nipadua no tumi ko tia nyarewa wɔ abusua abakɔsɛm muSɛ wowɔ autoimmune tebea horow a. Sɛ nhwɛso no, thyroid yare, vitiligo, asikreyare a ɛto so 1, ne mogya a ɛtɔ kɔ nipadua mu.
• Mmarima wɔ su a ɛkorɔn kakra sen mmea.
• Ɛtaa ba nnipa a wofi Europa Atifi fam mu.

Dɛn ne yare yi ho sɛnkyerɛnne atitiriw?

Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko wɔ onipa biara ho, nanso sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba. Momma yɛnhwɛ pon a ɛwɔ ase ha no na yɛnte eyi ase yiye.

Ɛhe na saa akisikuru yi taa pue?

Ɛwom sɛ saa akisikuru yi tumi pue wɔ nipadua no mu baabiara de, nanso wɔtaa hu no sɛnea ɛte wɔ nipadua no afã abien no nyinaa. Ɛne sɛ, sɛ wopue wɔ kotodwe nifa so a, ɛda adi sɛ wobepue wɔ kotodwe benkum so nso.

• Nkotodwe
• Nsateaa a wɔde yɛ nsateaa
• Nsuo a ɛwɔ akyi
• Ti nhwi ne Nwi Nhama
• Akyi atifi

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Nea enti a ɛte saa no yɛ mmerɛw yiye. Eyi yɛ adeyɛ a nipadua no tumi ko tia nyarewa.

Fa no sɛ, wudi aduan bi a gluten wom. Sɛ wɔyam a, wo nipadua mu nipadua no mu tumi a ɛko tia nyarewa no di mfomso bu saa gluten yi sɛ “ɔtamfo.” Afei ɛyɛ antibody soronko bi a wɔfrɛ no IgA a ɛbɛko atia saa "ɔtamfo" yi.

Mpɛn pii no, ɛsɛ sɛ saa nnuru a ɛko tia nyarewa yi wɔ mogya no mu. Nanso wɔ eyi mu no, saa IgA antibodies yi kɔ na ɛkɔhyɛ wo honam ani mogya ntini nketenkete no mu. Sɛ wɔde wɔn ho hyɛ mu saa a, nipadua no mu tumi a ɛko tia nyarewa no yɛ ade foforo wɔ saa mmeae no, na ɛno na ɛde saa ɛyaw ne akisikuru a emu yɛ den no ba.

Awosu mu nkɛntɛnso nso wɔ hɔ. Titiriw no, nnipa a wɔwɔ awosu mu nkwaadɔm HLA-DQ2 ne HLA-DQ8 no wɔ asiane kɛse mu sɛ wobenya Dermatitis Herpetiformis ne Celiac Yare.

Ɔkwan bɛn so na oduruyɛfo hu eyi pɛpɛɛpɛ?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara. Ɛyɛ papa sɛ wobɛkɔ honam ani yare ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ honam ani nyarewa ho. Oduruyɛfo no bɛhwɛ wo honam ani na afei ebia wayɛ nhwehwɛmu kakraa bi de akyerɛ sɛ woahu sɛ wowɔ wo honam ani.

1. Skin Biopsy: Eyi ne ɔkwan a eye sen biara a wɔfa so si yare no so dua. Wɔfa honam ani a ɛte apɔw ketewaa bi fi baabi a ɛbɛn akisikuru no na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Afei wobetumi de eyi adi dwuma de ahu sɛ ebia IgA antibodies a yɛadi kan aka ho asɛm no wɔ hɔ anaa.

2. Mogya mu Nhwehwɛmu: Wɔhwehwɛ wo mogya mu hwɛ sɛ ebia nnuru a ɛko tia nyarewa (anti-endomysial ne anti-tissue transglutaminase) a ɛne celiac yare wɔ abusuabɔ anaa. Sɛ saa nnuru a ɛko tia nyarewa yi wɔ hɔ na honam ani nipadua mu nhwehwɛmu no yɛ papa a, ɛda adi kɛse sɛ wo nso wowɔ celiac yare.

Wɔde nhwehwɛmu ahorow yi di dwuma de kyerɛ sɛ ebia ɛyɛ Dermatitis Herpetiformis anaa honam ani yare foforo te sɛ akisikuru anaa akisikuru.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so sa eyi. Ɔkwan a etu mpɔn sen biara ne sɛ wode abien no nyinaa bedi dwuma abom.

1. Aduane a Gluten Nni Mu

Eyi ne ayaresa a ɛtra hɔ kyɛ na ɛho hia sen biara.Esiane sɛ wo nipadua yɛ n’ade wɔ gluten ho nti, sɛ wugyae gluten a wudi koraa a, saa sɛnkyerɛnne ahorow yi begyae ada adi wɔ bere bi akyi.

Nnuan atitiriw a ɛsɛ sɛ wokwati:

• Biribiara a wɔde awi esiam (abodoo, buns, keeki, bisket, pasta, noodles) ayɛ .
• Nsensan
• Rye
• Ebia gluten nso wɔ sauce, aburow, ne nam a wɔayɛ no bi mu, enti kenkan nea wɔakyerɛw so no yiye bere a woretɔ biribiara afi sotɔɔ mu no.

Ebia saa aduan yi begye bere kakra ansa na woayɛ wo su, nanso ɛho hia yiye ma wo honam ani akwahosan na sɛ wowɔ bi a, asiw ɔsɛe a efi celiac yare mu ba no ano.

2. Nnuru a wɔde ma

Ebetumi agye asram pii, ebia afe biako, ansa na woahu nea efi aduan a gluten nnim mu ba. Nanso ɛyɛ den sɛ wobɛgyina saa ɛyaw a emu yɛ den no ano akyɛ saa. Enti, wo duruyɛfo bɛkyerɛw wo aduru bi a ɛbɛma woatumi asiw akisikuru ne akisikuru no so ntɛm.

Aduru a wɔtaa kyerɛw ma obi ne Dapsone . Saa aduru yi betumi atew ɛyaw ne ɔfe so kɛse wɔ nnɔnhwerew 24-48 mu. Nanso, ɛnyɛ aduru, ɛhyɛ yare no ho sɛnkyerɛnne nkutoo so. Sɛ woannyae gluten a wudi a, yare no ho sɛnkyerɛnne bɛsan aba bere a woagyae aduru no nom no.

Sɛ wonom dapsone a, wo duruyɛfo bɛhwɛ wo mogya daa, efisɛ ebetumi de ɔhaw ahorow bi aba. Enti, ɛho hia sɛ wonom aduru no na woyɛ nhwehwɛmu no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ.

Ɔkwan bɛn so na wobɛtra ase ne tebea yi?

Dermatitis Herpetiformis yɛ ɔyare a ɛba obi nkwa nna nyinaa mu. Eyi kyerɛ sɛ wontumi nsa no koraa. Nanso wobetumi adi so yiye .

Sɛ wudi aduan a gluten nnim katee akyi a, wubetumi atra ase sɛnea ɛsɛ a wunhu sɛnkyerɛnne biara. Ɛtɔ da bi a, wubetumi akɔ bɔne fafiri mu mfe pii. Nanso ɛho hia sɛ wotoa aduan a gluten nnim no so wɔ saa bere no mu.

Saa akisikuru yi betumi asiw da biara da dwumadi ne nna kwan. Akisikuru a ɛwɔ honam ani no betumi ama ayɛ den sɛ obehyia ɔmanfo. Nanso kae sɛ eyi nyɛ wo mfomso. Wobetumi akwati eyi nyinaa denam ayaresa ne aduan a ɛfata so. Sɛ wo ho nyɛ wo dɛ a, wo ne wo duruyɛfo nka ho asɛm.