Ua ʻai anei ʻoe i kahi mea e like me ka berena, keke, a i ʻole nā biscuits a laila ma hope o kekahi mau hola, ua hoʻomaka ʻoe e loaʻa i kēia mau puʻupuʻu ʻili a wai ma kou kino? I kekahi manawa, hiki i ka ʻili ke koʻikoʻi loa a hiki ʻole iā ʻoe ke hiamoe i ka pō. ʻOiai he nui ka poʻe e manaʻo nei he maʻi allergy maʻamau kēia, he mea paha ia e pono e noʻonoʻo hohonu iki. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano ʻili i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻopilikia i nā poʻe he nui. ʻO ia ʻo Dermatitis Herpetiformis.
I ka ʻōlelo maʻalahi, he aha ka Dermatitis Herpetiformis?
He maʻi ʻili mau ka Dermatitis Herpetiformis. ʻO ke kumu nui o kēia, ʻo ia ka ʻike o kou kino i kahi protein i kapa ʻia ʻo gluten. ʻO ka Gluten kahi mea i loaʻa i nā palaoa e like me ka palaoa, ka rai, a me ka bale. No laila, he nui nā meaʻai a mākou e ʻai ai i kēlā me kēia lā, e like me ka berena, ka pasta, nā keke, a me nā biscuits, aia ka gluten.
Ke ʻai ʻoe i kahi meaʻai i loaʻa ka gluten, pane ka ʻōnaehana pale o kou kino iā ia. ʻO kēia pane ka hopena i nā pehu a me nā kiko ʻulaʻula ma kou ʻili e maneʻo nui ana.
I ka manawa pinepine, loaʻa i ka poʻe me Dermatitis Herpetiformis kahi maʻi i kapa ʻia ʻo Celiac disease. Akā, he mea kupanaha, ʻaʻole paha lākou e loaʻa nā hōʻailona o ka maʻi celiac, e like me ka ʻeha o ka ʻōpū, ka maʻi diarrhea, a i ʻole ka pohō kaumaha. ʻO ia ke kumu i kapa ʻia ai kēia maʻi i kekahi manawa ʻo "ka hōʻike ʻili o ka maʻi celiac." Eia naʻe, he mea kakaikahi loa, hiki ke loaʻa iā Dermatitis Herpetiformis me ka loaʻa ʻole o ka maʻi celiac.
Aia kekahi pili o kēia me ka maʻi herpes?
I ka lohe ʻana i kēia inoa, manaʻo paha ka poʻe he maʻi kēia i hoʻokumu ʻia e ka maʻi herpes. ʻAʻole, ʻaʻole loa. ʻAʻohe pili o kēia maʻi me ka maʻi herpes.
ʻO ka huaʻōlelo "dermatitis" mai nā huaʻōlelo "derm" ʻo ia hoʻi "ʻili" a me "itis" ʻo ia hoʻi "ka mumū." ʻO ia hoʻi "ka mumū o ka ʻili." ʻO ka huaʻōlelo "herpetiformis" mai ka ʻoiaʻiʻo ua like nā pehu e hana ʻia ma kēia ʻano me ko ka herpes. Ma waho aʻe o kēlā, ʻaʻohe pilina ʻē aʻe ma waena o nā mea ʻelua. No laila, mai hopohopo i ka inoa.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
Hiki i ka Dermatitis Herpetiformis ke hoʻopilikia i kekahi o kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana. E nānā inā hāʻule ʻoe i kekahi o kēia mau hui.
- ʻO nā kānaka ma waena o 30 a me 40 mau makahiki .
- ʻO ka poʻe me ka maʻi Celiac (Ma kahi o 10% - 25% o ka poʻe me Dermatitis Herpetiformis he maʻi Celiac nō hoʻi.)
- Inā he maʻi Dermatitis Herpetiformis a i ʻole Celiac ka maʻi o kekahi o ka ʻohana (ʻoi aku hoʻi nā ʻohana pili loa e like me ka makuahine, ka makuakāne, nā kaikaina).
- Nā maʻi autoimmune ʻē aʻe i ka mōʻaukala ʻohanaInā he mau maʻi autoimmune kou. Eia kekahi laʻana, ka maʻi thyroid, vitiligo, ka maʻi diabetes type 1, a me ka anemia.
- He ʻoi aku ka kiʻekiʻe o ke ʻano o nā kāne ma mua o nā wahine.
- ʻO ia ka mea maʻamau i nā poʻe o ka hanauna ʻEulopa ʻĀkau.
ʻO ka mea nui loa, ʻaʻole kēia he maʻi lele. ʻAʻole ia e laha mai ke kanaka a i ke kanaka ma o ka hoʻopā ʻana a i ʻole kekahi ʻano ʻē aʻe. Hoʻokumu wale ʻia ia e ke ʻano o ka pane ʻana o kou kino i ka gluten.
He aha nā hōʻailona nui o kēia maʻi?
Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, akā aia kekahi mau hōʻailona maʻamau. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia.
| Wahi i hoʻopilikia ʻia | Nā hōʻailona i ʻike ʻia |
|---|---|
| ʻIli | ʻO kēia ka hōʻailona nui a maopopo loa. ʻIke ʻia nā pehu liʻiliʻi a i ʻole nā puʻupuʻu ma nā ʻāpana ʻulaʻula a i ʻole nā ʻāpana ʻili i hoʻololi ʻia , e hoʻoulu ai i ka maneʻo nui a me ka mumū . He koʻikoʻi loa ka maneʻo a hiki i kekahi poʻe ke ʻānai a hōʻeha iā lākou iho me ka ʻike ʻole. |
| ʻŌnaehana hoʻoheheʻe (Gastrointestinal) | Hiki i nā poʻe me ka maʻi celiac ke ʻike i nā hōʻailona e like me ka pehu ʻana, ka ʻeha o ka ʻōpū, ka maʻi kahe, a i ʻole ka paʻa ʻana o ka ʻōpū. Eia nō naʻe, ʻaʻole paha i loaʻa i ka nui o nā poʻe kekahi o kēia mau hōʻailona a ʻike wale i nā hōʻailona ʻili. |
| Waha a me nā niho (Nā pilikia waha) | He kūlana laha ʻole kēia. Hiki ke hōʻino ʻia ka enamel o nā niho. E ʻike paha ʻoe i nā lua liʻiliʻi, ka loli ʻana o ke kala, a i ʻole nā laina ʻākea ma nā niho. I kekahi manawa, hiki ke ulu pū nā ʻeha canker. |
Ma hea kahi e ʻike pinepine ʻia ai kēia mau pehu?
ʻOiai hiki ke ʻike ʻia kēia mau pehu ma nā wahi a pau o ke kino, ʻike pinepine ʻia lākou ma nā ʻaoʻao ʻelua o ke kino. ʻO ia hoʻi, inā ʻike ʻia lākou ma ke kuli ʻākau, e ʻike ʻia paha lākou ma ke kuli hema.
- Nā kuli
- Nā kuʻekuʻe lima
- nā puʻupuʻu
- Poʻo a me ka laina lauoho
- Kua luna
No ke aha lā kēia e hana nei? He aha ke kumu?
He maʻalahi loa ke kumu. He hopena autoimmune kēia.
E noʻonoʻo, ʻai ʻoe i kahi meaʻai i loaʻa ka gluten. Ke hoʻoheheʻe ʻia, kuhi hewa ka ʻōnaehana pale o kou kino i kēia gluten he "ʻenemi." A laila hana ia i kahi ʻano antibody kūikawā i kapa ʻia ʻo IgA e hakakā me kēia "ʻenemi."
ʻO ka maʻamau, pono e loaʻa kēia mau antibodies i loko o ke koko. Akā i kēia hihia, hele kēia mau antibodies IgA a waiho ʻia i loko o nā kīʻaha koko liʻiliʻi o kou ʻili. Ke waiho ʻia lākou e like me kēia, hana ʻia kekahi hopena pale ma kēlā mau wahi, ʻo ia ke kumu o ka maneʻo nui a me ka pehu.
Aia kekahi mana hoʻoilina. ʻO ka poʻe e lawe ana i nā genes HLA-DQ2 a me HLA-DQ8 e ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka Dermatitis Herpetiformis a me ka maʻi Celiac.
Pehea e ʻike pololei ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka. ʻOi aku ka maikaʻi o ka ʻike ʻana i kahi kauka ʻili, he kauka loea i nā maʻi ʻili. E nānā ke kauka i kou ʻili a laila e hana paha i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
1. Biopsy ʻIli: ʻO kēia ke ala maikaʻi loa e hōʻoia ai i ka maʻi. Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻili olakino mai kahi kokoke i ka pehu a nānā ʻia ma lalo o kahi microscope. A laila hiki ke hoʻohana ʻia kēia e hoʻoholo ai inā loaʻa nā antibodies IgA a mākou i kamaʻilio ai ma mua.
2. Hoʻāʻo Koko: Hoʻāʻo ʻia kou koko no nā antibodies (anti-endomysial a me anti-tissue transglutaminase) e pili ana i ka maʻi celiac. Inā loaʻa kēia mau antibodies a maikaʻi ka biopsy ʻili, nui ka manawa kūpono e loaʻa pū iā ʻoe ka maʻi celiac.
Hoʻohana ʻia kēia mau hoʻāʻo e hōʻoia inā he Dermatitis Herpetiformis a i ʻole kekahi maʻi ʻili e like me ka eczema a i ʻole ka scabies.
He aha nā lāʻau lapaʻau no kēia?
ʻElua ala nui e mālama ai i kēia. ʻO ke ala kūpono loa, ʻo ia ka hoʻohana pū ʻana iā lāua ʻelua.
1. ʻAi ʻAʻohe Gluten
ʻO kēia ka lāʻau lapaʻau lōʻihi a koʻikoʻi loa.Ma muli o ka pane ʻana o kou kino i ka gluten, inā ʻoe e hoʻōki loa i ka ʻai ʻana i ka gluten, e pau kēia mau hōʻailona i ka ʻike ʻia ma hope o kekahi manawa.
E hoʻomanaʻo, ʻaʻole kēia he ʻai "hoʻēmi i ka gluten". He "hoʻopau piha ʻana i ka gluten." ʻOiai he liʻiliʻi wale nō ke kumu e hoʻi hou mai ai nā hōʻailona.
Nā meaʻai koʻikoʻi e pale aku ai:
- Nā mea a pau i hana ʻia mai ka palaoa huita (berena, buns, keke, biscuits, pasta, noodles)
- Bale
- Rai
- Hiki i kekahi mau mea ʻono, nā meaʻai palaoa, a me nā ʻiʻo i hana ʻia ke loaʻa ka gluten, no laila e heluhelu pono i ka lepili i ke kūʻai ʻana i kekahi mea mai ka hale kūʻai.
Hiki ke lōʻihi ka manawa e hoʻomaʻamaʻa ai i kēia ʻai, akā he mea nui loa ia no ke olakino o kou ʻili a no ka pale ʻana i ka hōʻino ʻia mai ka maʻi celiac inā loaʻa iā ʻoe.
2. Lāʻau lapaʻau
Hiki ke hala kekahi mau mahina, a i ʻole hoʻokahi makahiki paha, e ʻike i nā hopena mai ka ʻai ʻole gluten. Akā he paʻakikī ke hoʻomanawanui i kēlā lōʻihi me kēlā ʻano maneʻo nui. No laila, e kuhikuhi kāu kauka iā ʻoe i kahi lāʻau lapaʻau e kāohi koke i ka maneʻo a me nā pehu.
ʻO Dapsone ka lāʻau lapaʻau i kuhikuhi pinepine ʻia. Hiki i kēia lāʻau lapaʻau ke hōʻemi nui i ka maneʻo a me ka mumū i loko o 24-48 mau hola. Eia naʻe, ʻaʻole ia he lāʻau lapaʻau, hoʻomalu wale ia i nā hōʻailona. Inā ʻaʻole ʻoe e hoʻōki i ka ʻai ʻana i ka gluten, e hoʻi hou mai nā hōʻailona ke hoʻōki ʻoe i ka lawe ʻana i ka lāʻau.
Ke lawe ʻoe i ka dapsone, e nānā mau kāu kauka i kou koko, no ka mea hiki ke hana i kekahi mau hopena ʻaoʻao. No laila, he mea nui e lawe i ka lāʻau lapaʻau a loaʻa nā hoʻokolohua e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
Pehea e ola ai me kēia kūlana?
He maʻi no ke ola holoʻokoʻa ka Dermatitis Herpetiformis. ʻO ia hoʻi, ʻaʻole hiki ke ho'ōla piha ʻia. Akā hiki ke hoʻomalu maikaʻi ʻia .
Inā ʻoe e hahai i kahi papaʻai gluten-free paʻa, hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o nā hōʻailona. I kekahi manawa, hiki iā ʻoe ke komo i ka remission no nā makahiki. Akā he mea nui e hoʻomau i ka papaʻai gluten-free i loko o ia manawa.
Hiki i kēia ʻāʻī ke hoʻopilikia i nā hana o kēlā me kēia lā a me ka hiamoe. Hiki i nā pehu ma ka ʻili ke hoʻolilo iā ia i mea paʻakikī ke alo i ke kaiāulu. Akā e hoʻomanaʻo, ʻaʻole kēia kou hewa. Hiki ke pale ʻia kēia mau mea āpau me ka mālama pono ʻana a me ka ʻai ʻana. Inā ʻoluʻolu ʻole ʻoe, e kamaʻilio me kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- He ʻano ʻili ʻānai loa ka Dermatitis Herpetiformis i hoʻokumu ʻia e ka maʻi allergy i ka gluten. ʻAʻole ia i hoʻokumu ʻia e ka maʻi herpes.
- He pili loa kēia maʻi i ka maʻi celiac, akā ʻaʻole nā kānaka āpau e hōʻike i nā hōʻailona e like me ka ʻeha o ka ʻōpū.
- Pono paha kahi biopsy ʻili e pono ai e ʻike pololei i ka maʻi.
- ʻO ka lāʻau lapaʻau nui a me ka wā lōʻihi, ʻo ia ka hahai ʻana i kahi papaʻai gluten-free no ke ola holoʻokoʻa .
- Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me Dapsone e kāohi koke i ka maneʻo a me ka pehu.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻaʻole ʻoe e mālama iā ʻoe iho a e ʻimi koke i ke kōkua lapaʻau.
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