Koj puas tau noj ib yam dab tsi zoo li mov ci, ncuav mog qab zib, lossis ncuav qab zib thiab tom qab ob peb teev tom qab, koj pib khaus thiab ua pob dej ntawm koj lub cev? Qee zaum, qhov khaus tuaj yeem hnyav heev uas koj tsis tuaj yeem pw tsaug zog hmo ntuj. Txawm hais tias ntau tus neeg xav tias qhov no tsuas yog kev ua xua xwb, nws yuav yog ib yam dab tsi uas yuav tsum tau xav txog tob dua me ntsis. Hnub no, peb yuav tham txog qhov mob ntawm daim tawv nqaij no uas ntau tus neeg tsis paub txog, tab sis tuaj yeem cuam tshuam rau ntau tus neeg. Ntawd yog Dermatitis Herpetiformis.
Hauv lwm lo lus, Dermatitis Herpetiformis yog dab tsi?
Kab mob Dermatitis Herpetiformis yog ib yam mob ntawm daim tawv nqaij uas mob ntev. Qhov ua rau qhov no yog koj lub cev tsis haum rau cov protein hu ua gluten. Gluten yog ib yam khoom uas pom muaj nyob rau hauv cov nplej xws li nplej, rye, thiab barley. Yog li, ntau yam khoom noj uas peb noj txhua hnub, xws li mov ci, pasta, ncuav mog qab zib, thiab biscuits, muaj gluten.
Thaum koj noj cov khoom noj uas muaj gluten, koj lub cev tiv thaiv kab mob yuav ua rau muaj cov pob khaus thiab cov pob liab ntawm koj daim tawv nqaij uas khaus heev.
Feem ntau, cov neeg uas muaj Dermatitis Herpetiformis kuj muaj ib yam mob hu ua Celiac disease. Tab sis qhov xav tsis thoob, lawv yuav tsis muaj cov tsos mob ntawm tus kab mob celiac, xws li mob plab, raws plab, lossis poob phaus. Yog vim li cas qhov mob no qee zaum hu ua "kev tshwm sim ntawm daim tawv nqaij ntawm tus kab mob celiac." Txawm li cas los xij, tsis tshua muaj, nws muaj peev xwm muaj Dermatitis Herpetiformis yam tsis muaj tus kab mob celiac.
Qhov no puas muaj feem cuam tshuam nrog tus kab mob herpes?
Thaum hnov lub npe no, ntau tus neeg yuav xav tias qhov no yog ib yam kab mob uas tshwm sim los ntawm tus kab mob herpes. Tsis yog, tsis yog li. Tus kab mob no tsis muaj feem cuam tshuam dab tsi nrog tus kab mob herpes.
Lo lus "dermatitis" yog los ntawm cov lus "derm" txhais tau tias "tawv nqaij" thiab "itis" txhais tau tias "mob o." Nws txhais tau tias "mob ntawm daim tawv nqaij." Lo lus "herpetiformis" yog los ntawm qhov tseeb tias cov hlwv uas tsim nyob rau hauv tus mob no zoo ib yam li cov ntawm herpes. Dua li ntawm qhov ntawd, tsis muaj lwm yam kev sib txuas ntawm ob qho no. Yog li ntawd, tsis txhob ntshai los ntawm lub npe.
Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?
Dermatitis Herpetiformis tuaj yeem cuam tshuam rau txhua tus neeg txawm tias muaj hnub nyoog li cas los xij. Txawm li cas los xij, qee tus neeg muaj feem yuav mob hnyav dua. Saib seb koj puas yog ib pawg ntawm cov no.
- Cov neeg hnub nyoog ntawm 30 thiab 40 xyoo .
- Cov neeg uas muaj kab mob Celiac (Kwv yees li 10% - 25% ntawm cov neeg uas muaj Dermatitis Herpetiformis kuj muaj kab mob Celiac.)
- Yog tias muaj leej twg hauv tsev neeg (tshwj xeeb yog cov txheeb ze ze xws li niam, txiv, cov kwv tij neej tsa) muaj mob Dermatitis Herpetiformis lossis Celiac Disease.
- Lwm yam kab mob autoimmune hauv keeb kwm tsev neegYog koj muaj cov mob autoimmune. Piv txwv li, mob thyroid, vitiligo, ntshav qab zib hom 1, thiab ntshav tsis txaus.
- Cov txiv neej muaj tus cwj pwm siab dua li cov poj niam me ntsis.
- Nws yog feem ntau pom muaj nyob rau hauv cov neeg ntawm Northern European keeb kwm.
Qhov tseem ceeb tshaj plaws yog qhov no tsis yog ib yam kab mob sib kis tau. Nws tsis kis tau ntawm ib tus neeg mus rau ib tus neeg los ntawm kev kov lossis lwm txoj kev. Nws yog tshwm sim los ntawm txoj kev uas koj lub cev teb rau gluten.
Cov tsos mob tseem ceeb ntawm tus kab mob no yog dab tsi?
Cov tsos mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg, tab sis muaj qee cov tsos mob uas pom ntau. Cia peb saib daim ntawv hauv qab no kom nkag siab qhov no kom meej.
| Thaj chaw cuam tshuam | Cov tsos mob uas pom tau |
|---|---|
| Tawv nqaij | Qhov no yog qhov tsos mob tseem ceeb thiab pom tseeb tshaj plaws. Cov pob me me lossis cov pob tshwm sim ua pawg ntawm cov tawv nqaij liab lossis cov xim tsis zoo , ua rau khaus thiab o heev . Qhov khaus khaus heev uas qee tus neeg tsis paub tias khawb thiab raug mob. |
| Lub cev zom zaub mov (Gastrointestinal) | Cov neeg uas muaj kab mob celiac yuav muaj cov tsos mob xws li o, mob plab, raws plab, lossis cem quav. Txawm li cas los xij, ntau tus neeg yuav tsis muaj cov tsos mob no thiab tsuas yog muaj cov tsos mob ntawm daim tawv nqaij xwb. |
| Qhov Ncauj thiab cov hniav (Teeb meem hauv qhov ncauj) | Qhov no yog ib qho mob tsis tshua muaj. Cov enamel ntawm cov hniav tuaj yeem puas tsuaj. Koj yuav pom cov qhov me me, cov xim tsis zoo, lossis cov kab kab rov tav ntawm cov hniav. Qee zaum, cov qhov txhab canker kuj tseem tuaj yeem tshwm sim. |
Cov pob khaus no feem ntau tshwm sim qhov twg?
Txawm hais tias cov pob khaus no tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev, feem ntau lawv pom sib npaug ntawm ob sab ntawm lub cev. Yog tias lawv tshwm sim rau ntawm lub hauv caug sab xis, lawv yuav tshwm sim rau ntawm lub hauv caug sab laug thiab.
- Pob txha
- Lub luj tshib
- Pob tw
- Tawv taub hau thiab kab plaub hau
- Sab nraub qaum sab saud
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Qhov laj thawj yooj yim heev. Qhov no yog ib qho kev tiv thaiv kab mob autoimmune.
Xav txog seb, koj noj ib yam khoom noj uas muaj gluten. Thaum nws raug zom, koj lub cev lub cev tiv thaiv kab mob yuam kev tias gluten no yog "yeeb ncuab." Tom qab ntawd nws tsim ib hom tshuaj tiv thaiv tshwj xeeb hu ua IgA los tawm tsam "yeeb ncuab" no.
Feem ntau, cov tshuaj tiv thaiv no yuav tsum muaj nyob hauv cov ntshav. Tab sis hauv qhov no, cov tshuaj tiv thaiv IgA no mus thiab tso rau hauv cov hlab ntsha me me ntawm koj daim tawv nqaij. Thaum lawv tso rau hauv qhov no, lwm qhov kev tiv thaiv kab mob tshwm sim hauv cov cheeb tsam ntawd, uas yog qhov ua rau khaus thiab ua pob khaus heev.
Kuj tseem muaj kev cuam tshuam los ntawm noob caj noob ces. Tshwj xeeb, cov neeg uas muaj cov noob HLA-DQ2 thiab HLA-DQ8 muaj feem yuav mob Dermatitis Herpetiformis thiab Celiac Disease ntau dua.
Tus kws kho mob kuaj qhov no li cas?
Yog koj muaj cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob tam sim ntawd. Nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tawv nqaij, tus kws kho mob uas tshwj xeeb hauv cov kab mob ntawm daim tawv nqaij. Tus kws kho mob yuav kuaj koj daim tawv nqaij thiab tom qab ntawd yuav ua ob peb qhov kev kuaj mob kom paub meej tias koj muaj mob dab tsi.
1. Kev Kuaj Tawv Nqaij: Qhov no yog txoj hauv kev zoo tshaj plaws los paub tseeb tias muaj tus kab mob. Yuav muab ib daim tawv nqaij me me uas noj qab nyob zoo los ntawm ze ntawm lub hlwv thiab kuaj hauv lub tshuab kuaj mob me me. Qhov no ces siv tau los txiav txim seb cov tshuaj IgA uas peb tau tham txog ua ntej puas muaj.
2. Kev Kuaj Ntshav: Koj cov ntshav raug kuaj seb puas muaj cov tshuaj tua kab mob (anti-endomysial thiab anti-tissue transglutaminase) uas cuam tshuam nrog kab mob celiac. Yog tias muaj cov tshuaj tua kab mob no thiab daim tawv nqaij biopsy pom tias muaj, ces muaj feem ntau uas koj kuj muaj kab mob celiac thiab.
Cov kev kuaj no yog siv los paub tseeb tias nws yog Dermatitis Herpetiformis lossis lwm yam kab mob ntawm daim tawv nqaij xws li eczema lossis scabies.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ob txoj kev kho qhov no. Txoj kev zoo tshaj plaws yog siv ob qho tib si ua ke.
1. Kev Noj Haus Tsis Muaj Gluten
Qhov no yog kev kho mob mus sij hawm ntev thiab tseem ceeb tshaj plaws.Vim tias koj lub cev teb rau gluten, yog tias koj tsum tsis noj gluten kiag li, cov tsos mob no yuav tsis tshwm sim tom qab ib pliag.
Nco ntsoov, qhov no tsis yog kev noj zaub mov "txo cov gluten". Nws yog "kev tshem tawm tag nrho cov gluten." Txawm tias me me xwb los kuj tuaj yeem ua rau cov tsos mob rov tshwm sim dua.
Cov khoom noj tseem ceeb uas yuav tsum tsis txhob noj:
- Txhua yam ua los ntawm hmoov nplej (mov ci, buns, ncuav mog qab zib, biscuits, pasta, noodles)
- Qos yaj ywm
- Rye
- Qee cov kua ntses, cov khoom noj qhuav, thiab cov nqaij ua tiav kuj tseem muaj gluten, yog li nyeem daim ntawv lo kom zoo thaum yuav khoom ntawm lub khw.
Cov zaub mov no yuav siv sijhawm me ntsis kom tau siv, tab sis nws tseem ceeb heev rau koj daim tawv nqaij noj qab haus huv thiab tiv thaiv kev puas tsuaj los ntawm tus kab mob celiac yog tias koj muaj nws.
2. Tshuaj
Nws yuav siv sijhawm ntau lub hlis, tej zaum ib xyoos, kom pom cov txiaj ntsig los ntawm kev noj zaub mov tsis muaj gluten. Tab sis nws nyuaj rau nyiaj ntev nrog qhov khaus khaus heev. Yog li, koj tus kws kho mob yuav sau tshuaj rau koj kom tswj tau qhov khaus thiab cov pob khaus sai sai.
Cov tshuaj uas feem ntau siv yog Dapsone . Cov tshuaj no tuaj yeem txo qhov khaus thiab o hauv 24-48 teev. Txawm li cas los xij, nws tsis yog kev kho mob, nws tsuas yog tswj cov tsos mob xwb. Yog tias koj tsis tsum noj gluten, cov tsos mob yuav rov qab los thaum koj tsum tsis noj tshuaj.
Thaum koj noj tshuaj dapsone, koj tus kws kho mob yuav kuaj koj cov ntshav tas li, vim nws tuaj yeem ua rau muaj qee qhov kev mob tshwm sim. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum noj tshuaj thiab kuaj raws li koj tus kws kho mob qhia rau koj.
Yuav ua li cas thiaj nyob tau nrog qhov xwm txheej no?
Kab mob Dermatitis Herpetiformis yog ib yam mob uas yuav kho tau mus ib txhis. Qhov no txhais tau tias nws tsis tuaj yeem kho tau tag nrho. Tab sis nws tuaj yeem tswj tau zoo .
Yog koj ua raws li kev noj zaub mov tsis muaj gluten, koj tuaj yeem ua neej nyob li qub yam tsis muaj tsos mob. Qee zaum, koj tuaj yeem ploj mus tau ntau xyoo. Tab sis nws yog ib qho tseem ceeb uas yuav tsum txuas ntxiv noj zaub mov tsis muaj gluten thaum lub sijhawm ntawd.
Qhov khaus no tuaj yeem cuam tshuam rau kev ua ub ua no txhua hnub thiab kev pw tsaug zog. Cov pob khaus ntawm daim tawv nqaij tuaj yeem ua rau nws nyuaj rau ntsib lub zej zog. Tab sis nco ntsoov, qhov no tsis yog koj qhov txhaum. Tag nrho cov no tuaj yeem zam tau nrog kev kho mob thiab kev noj zaub mov kom zoo. Yog tias koj tsis xis nyob, tham nrog koj tus kws kho mob txog nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Dermatitis Herpetiformis yog ib qho mob tawv nqaij khaus heev uas tshwm sim los ntawm kev ua xua rau gluten. Nws tsis yog tshwm sim los ntawm tus kab mob herpes.
- Tus mob no muaj feem cuam tshuam nrog tus kab mob celiac, tab sis tsis yog txhua tus neeg muaj cov tsos mob zoo li mob plab.
- Tej zaum yuav tsum tau kuaj daim tawv nqaij kom paub tseeb tias muaj tus kab mob.
- Qhov kev kho mob tseem ceeb thiab mus sij hawm ntev yog ua raws li kev noj zaub mov tsis muaj gluten mus tas ib sim neej .
- Tus kws kho mob yuav sau ntawv kom noj tshuaj xws li Dapsone kom tswj tau qhov khaus thiab o ntawm daim tawv nqaij sai sai.
- Yog koj muaj cov tsos mob no, tsis txhob kho koj tus kheej thiab nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus