Yu kin gɛt blista dɛn na yu skin wantɛm wantɛm we kin it? Dis kin bi Bullous Pemphigoid!

Yu dɔn gɛt wan rash na yu skin wantɛm wantɛm we nɔ bin de bifo, ɛn yu dɔn it, sɔntɛnde yu dɔn gɛt blista dɛn we ful-ɔp wit wata? Yu kin want fɔ no bak bɔt wan sik we dɛn kɔl bullous pemphigoid. Na wan sik we nɔ kin apin na di skin, bɔt i fayn fɔ mek yu no bɔt am. Lɛ wi tɔk bɔt am simpul wan we yu go ɔndastand.

Wetin na Bullous Pemphigoid? Us kayn kɔndishɔn i de?

Fɔ tɔk am simpul wan, Bullous Pemphigoid na wan sik we nɔ kin apin so ɔltɛm na di skin we kin mek yu gɛt rɛd, it welt na di skin, we fiba ɛkzema. Sɔntɛnde, dɛn wɛlt ya kin tɔn to blista dɛn we ful-ɔp wit wata. Tink bɔt am lɛk we mɔskito bit, wit big big blista dɛn we de it bɔku.

Dɛn blista ya kin kɔmɔt na jɔs smɔl say na di bɔdi, ɔ dɛn kin skata ɔlsay na di bɔdi. Dɛn kin si dɛn mɔ na say dɛn we di skin kin fold. fכ egzampl, כnda di armpit dεm (axilla), na di groin, כ na di bכdi. Sɔm pipul dɛn kin gɛt dɛn blista ya bak na say dɛn lɛk insay dɛn mɔt, tɔŋ, trot, it, ɔ ivin di yay.

Naw yu go de wɔnda se, "Wetin mek dis de apin?" Bullous pemphigoid na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Dis min se wi bɔdi in imyun sistɛm we dɛn se go protɛkt wi, kin mistek atak di tisu we de ɔnda wi yon skin. I tan lɛk se wi yon ami de atak wi yon kɔntri.

Udat go mɔs gɛt dis? Aw i kɔmɔn?

Bullous pemphigoid na wan sik wae kin pasmak pan pipul dɛm wae dɔn pas 60. Bɔt i kin apin bak pan yɔŋ pipul dɛm. Pan ɔl we i rili kɔmɔn na Wɛstinian kɔntri dɛn, i nɔ kɔmɔn so na Eshia kɔntri dɛn, dat na, na wi pat na di wɔl.

Dis kin apin to man ɛn uman, ilɛksɛf na man ɔ uman.

Yu tink se kɔnekshɔn de wit nyurolɔjik sik dɛn?

Yɛs, dɛn dɔn si se pipul dɛm wae gɛt sɔm kayn nyurolɔjik disɔda kin gɛt smɔl mɔr fɔ gɛt bullous pemphigoid. Dɛn tin ya na:

• Dimɛnshɔnal sik
• Dis sik we dɛn kɔl Parkinson
• Strok
• Epilepsy we pɔsin kin gɛt
• Di sik we dɛn kɔl multiple sclerosis

dis nכ min se כlman we gεt dεn kכndyushכn ya go gεt bullous pemphigoid. Bɔt, dɔktɔ dɛn se sɔntɛm kɔnekshɔn de.

I so kɔmɔn dat di jenɛral pipul dɛn gɛt ripɔt we de apin bitwin 2.4 ɛn 23 pan ɛvri milyɔn. Bɔt pan pipul dɛn we ol 80 ia ɔ pas dat, di wan dɛn we kin gɛt dis sik kin de bitwin 190 ɛn 312 pan ɛvri milyɔn . Dis min se di chans fɔ gɛt am kin bɔku as yu de ol.

Yu tink se bullɔs pemfigoid denja? Yu tink se i kin mek pɔsin in layf de pan denja?

Dis kin tan lɛk se yu de mek yu fred smɔl. Bɔt na di tru tin ya: yuBullous pemphigoid kin mek yu layf de pan denja if yu nɔ gɛt bɛtɛ wɛlbɔdi ɔ if yu nɔ trit am fayn, mɔ if yu blista dɛn brok ɛn gɛt di sik. Na dat mek wi kin se fɔ go to dɔktɔ wantɛm wantɛm if yu notis ɛnitin we nɔ kɔmɔn.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

di men simptom dεm fכ bullous pemphigoid na we i de sho plεnti it, lεk εkzema rεd lεsin dεm (welts) כ blista dεm we fulכp wit wata (bullae) . Dɛn kin si dɛn tin ya mɔ pan:

• Na di an dɛn
• Na di leg dɛn
• Na di bɛlɛ eria
• Na di groin eria
• Insay di mɔt

Dɛn blista ya kin fɔm na di fold dɛm na di skin, along di skin in kris dɛm. Bɔrku tɛm, dɛn nɔr kin fil pen , bɔt if dɛn brok, dɛn kin fil pen ɛn sɔri, ɛn dɛn kin ivin bi ɔlsa.

Di wata we de insay di blista kin klia ɔ i kin gɛt blɔd smɔl. Di skin we de rawnd di blista kin bi nɔmal ɔ i kin chenj in kɔlɔ (rɛd, pepul, brawn, ɔ wan kɔlɔ we dak smɔl pas yu skin tɔyn).

Di gud nyus na dat dis rash ɛn blista nɔ kin rili mek yu gɛt skata.

Wetin mek bullous pemphigoid de divεlכp? Wetin na di tin dɛn we kin mek i apin?

As wi bin dɔn tɔk, bullous pemphigoid na sik we kin kam bikɔs di imyun sistɛm nɔ de wok fayn. Bɔt, dɔktɔ ɛn risecharch dɛn stil nɔ dɔn fɛn wan patikyula rizin we mek wi imyun sistɛm de riak dis we.

Sɔm mɛrɛsin kin mek dis sik ɔr mek i wɔs. Fɔ ɛgzampul, di mɛrɛsin fɔ dayabitis we dɛn kɔl alogliptin. Ultraviolet (UV) layt ɛn ayonayz raytin frɔm di san layt kin mek dis sik bak ɔ mek i wɔs.

Sɔm it ɛn drink dɛn kin mek dis go ɔp?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Infakt, dɔktɔ dɛn stil nɔ gɛt klia sayɛns pruf fɔ pruv se kɔnekshɔn de bitwin it ɛn bullous pemphigoid. Sɔm pipul dɛn kin se dɛn sik dɔn bɛtɛ we dɛn kɔt sɔm it dɛn we dɛn de it. Bɔt, no strɔng pruf nɔ de yet fɔ pruv dis.

If yu gɛt bullous pemphigoid, tɔk to yu dɔktɔ bɔt if fɔ pul sɔm it ɛn drink dɛn kin ɛp. I kin tɛl yu fɔ kip wan jɔnal fɔ it . Dɔn yu kin si if sɔm it dɛn kin mek yu sik dɛn wɔs. If yu notis se dɛn kin du dat, yu kin pul dɛn it dɛn de smɔl smɔl ɛn si if dat go ɛp yu.

Dis na sik we pɔsin kin pas?

Nɔ, bullous pemphigoid nɔ kin pas. I nɔ go ebul fɔ spre to ɔda pɔsin tru di skin-to-skin kɔntakt. So nɔ wɔri bɔt am.

Aw dɔktɔ kin no dis kɔrɛkt wan?

We yu go to dɔktɔ, i go fɔs chɛk di say dɛn we yu skin dɔn afɛkt. Dɔn dɛn go aks yu sɔm kwɛstyɔn dɛn. Fɔ ɛgzampul:

• "Ustɛm dɛn simptom ya bigin?"
• "Yu gɛt pus ɔ blɔd na yu blista?"
• "Yu bin gɛt fiva?"
• "Yu don stat eni nyu mɛrɛsin?"

Afta di dɔktɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya, i kin kam fɔ no wan men tin bay di ansa dɛn we yu gi.

Us tɛst dɛn de du fɔ dis?

Fɔ mek yu no se yu gɛt di sik, yu dɔktɔ kin tɛl yu fɔ du dɛn tɛst ya:

• Blɔd tɛst: Dɛn kin yuz smɔl nidul fɔ tek blɔd frɔm wan vein na yu an ɛn sɛn am na lɛbɔtri fɔ mek dɛn tɛst am.
• Skin biopsy: Dis na fɔ tek smɔl pat pan yu skin ɛn sɛn am na lab fɔ mek dɛn tɛst am. Bɔku tɛm dis na di wangren we fɔ kɔnfirm di rayt tin we mek di sik kam.

Wetin na di bɛst tritmɛnt dɛn?

If yu nɔ gɛt bɔku bɔku bullous pemphigoid, di bɛst tritmɛnt na fɔ put kɔtikosterɔyd krim ɔ ɔntmɛnt dairekt na di say dɛn we di sik afɛkt.

Bɔt if yu gɛt mɔdaret to siriɔs , yu dɔktɔ kin gi yu kɔtikosterɔyd pils dɛn we yu kin it, lɛk prɛdnison , apat frɔm kɔtikosterɔyd krim. Dɛn kin gi yu ɔda immunomodulatory agents bak we kin ɛp fɔ ridyus di yus fɔ stɛroyd. Fɔ ɛgzampul, drɔgs lɛk dapsone, mycophenolate mofetil, azathioprine, methotrexate, ɔ chlorambucil.

If yu nɔ ebul fɔ tek kɔtikosterɔyd ɔ ɔda mɛrɛsin dɛn we de mek yu nɔ ebul fɔ fɛt di sik, yu dɔktɔ kin gi yu tablɛt dɛn we dɛn kɔl tetracycline ɔ doxycycline .

Sɔntɛnde, if dɛn tritmɛnt ya nɔr de kɔntrol di sik (refractory cases), di dɔktɔ kin tɛl yu bak fɔ gi yu tritmɛnt lɛk Rituximab ɔ IVIG infusion (wan wata we dɛn kin gi insay vein) .

Di tin we impɔtant pas ɔl na, nɔ yuz ɛni mɛrɛsin we yu nɔ go to dɔktɔ. Na in go disayd di tritmɛnt we go fayn fɔ yu sik.

Ɛni mɛrɛsin de we pɔsin kin du na os?

No patikyula ɔm mɛrɛsin nɔ de fɔ bullous pemphigoid. Bɔt sɔm tin dɛn de we yu kin du fɔ ɛp fɔ ridyus yu sik ɛn fɔ mek yu fil sɔm kayn we.

Fɔ blista dɛn na di skin:

• Wear klos we saf, we nɔ de fit we dɛn mek wit natura fayv (e.g. kɔtɔn).
• Nɔ de na di san fɔ lɔng tɛm. If yu go na do, wɛr tin we de protɛkt yu frɔm di san.
• Kip yu wund ɔ wund dɛn klin bay we yu was am wit sop ɛn wata we de mek yu nɔ gɛt baktri. Afta yu dɔn du dis, put antiseptik krim pan di wund dɛn ɛn kɔba dɛn wit bandej we nɔ de adhesive. Dis kin ɛp fɔ mek yu nɔ gɛt di sik.
• If yu gɛt bullous pemphigoid na yu leg, nɔ tinap ɔ waka fɔ lɔng tɛm.
• Put mɔstizayza, krim, kokonat ɔyl, ɔ shia bɔta fɔ mek yu skin kɔntinyu fɔ wet.

If yu gɛt mɔt sos:

If yu gɛt bullous pemphigoid lesions insay yu mɔt, dɛn advays ya kin ɛp yu fɔ mek yu nɔ gɛt prɔblɛm wit yu it ɛn ridyus sɔm pan yu simptom dɛm:

• It tin dɛn we nɔ gɛt wan bɔt, lɛk sup, mash it, pudin, ɛn apul sos.
• We yu de it tin dɛn we wam, wet te dɛn kol bifo yu it.
• Nɔ it tin dɛn we brit, shap (e.g., chips, siriɔs, bred krɔm, raw vɛjitebul ɛn frut).
• Nɔ it it dɛn we gɛt bɔku asid (e.g., chili, salsa, laym, tomato).
• Nɔ drink rɔm.

Aw kwik a go fil fayn wans a bigin fɔ trit mi?

Yu fɔ bigin fil fayn insay sɔm dez afta yu bigin fɔ trit yu. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin.

Yu tink se we de fɔ mek dis nɔ apin?

כnכfכs, dכkta dεm εn risechכr dεm stil nכ no aw fכ mek bullous pemphigoid nכ de divεlכp.

Wetin kin apin if a gɛt dis sik? Wetin go apin tumara bambay?

Bullous pemphigoid kin bεtε fכ insεf insay lεk fayv ia. I kin ansa fayn to tritmɛnt. Bɔt sɔmtɛm, di sik kin kam pan am ɛn sɔmtɛm i kin go to remission. Na di tɛm dɛm we yu de rɛmishɔn, yu kin ebul fɔ stɔp di tritmɛnt (wit yu dɔktɔ in advays).

If yu blista dɛn bɔs ɛn gɛt di sik, yu de pan denja fɔ gɛt wan sik we go mek yu layf de pan denja we dɛn kɔl sɛpsis . So, i rili impɔtant fɔ tek kia ɔf yu blista dɛn.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu gɛt blista we yu nɔ ɛksplen , go to dɔktɔ kwik kwik wan. As wi bin dɔn tɔk, i bɛtɛ fɔ gɛt diagnosis ɛn tritmɛnt kwik kwik wan.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• "Aw yu go se a gɛt bullous pemphigoid?"
• "If a nɔ gɛt bullous pemphigoid, us ɔda skin sik a go gɛt?"
• "Aw a go ebul fɔ manej mi simptom dɛm?"
• "Us mɛrɛsin yu de rɛkɔmɛnd fɔ mi?"
• "Dɛn mɛrɛsin dɛn de gɛt sayd ɛfɛkt?"
• "Wetin ɔda tin a fɔ du fɔ mek mi sik dɛn bɛtɛ?"
• "Aw lɔŋ a go gɛt dis bullous pemphigoid kɔndishɔn?"
• "A fɔ go to dɔktɔ we de mɛn di bɔdi ɔ ɔda spɛshal pɔsin?"

Wetin na di difrɛns bitwin Bullous Pemphigoid ɛn Pemphigus Vulgaris?

Dɛn tu sik ya na sik dɛm we de mek blista na di skin bikɔs di imyun sistɛm nɔ de wok fayn. Pɛmfigus vulgaris gɛt di sem kayn simptom dɛm lɛk bullɔs pemfigoid. כltu, pεmfigus vulgaris kin stat na di mכkus mεmbran dεm we de insay di mכt. Na smɔl pipul dɛn nɔmɔ kin gɛt blista na dɛn skin. כlso, di blista dεm na di pεmphigus vulgaris kin frayl pas di wan dεm na di bullous pemphigoid.

we di pemphigus vulgaris blista dεm de apia, bכku tεm na erosion, nכto blista dεm we nכ de brok lεk na bullous pemphigoid. If yu gɛt pemphigus vulgaris, di layt dɛn we de ɔp na yu skin go izi fɔ separet frɔm di layt dɛn we de dɔŋ wit smɔl prɛshɔn ɔ rɔb (dɛn kɔl dis Nikolsky sayn) .

Pan ɔl we ɔlmost ɔlman we gɛt bullous pemphigoid kin gɛt prɔblɛm wit dɛn skin, na lɛk wan pat pan tri pat (33%) nɔmɔ kin gɛt blista na dɛn mɔt .

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Okay, so wi don tok plenti boht bullous pemphigoid. Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• Bullous pemphigoid na wan sik wae nɔr kin bɔrku, wae kin mek pɔrsin gɛt blista ɔr sɔr na di skin.
• Dis nɔ kin pas pɔsin.
• Bɔrku tɛm e kin apun pan ol pipul dɛm, bɔt e kin apun to yɔŋ pipul dɛm bak.
• If yu skin de blist ɔ it fɔ natin, go to dɔktɔ wantɛm wantɛm.
• If dɛn trit dis fayn, dɛn kin kɔntrol dis fayn fayn wan, ɛn as tɛm de go, i pɔsibul fɔ mek i wɛl ɔltogɛda.
• Blista kin denja if i gɛt di sik, so i rili impɔtant fɔ kip am klin.

If yu gɛt dɛn sik ya, nɔ panik. If yu fala di advays we dɔktɔ gi yu, yu go wɛl kwik kwik wan.

` Bullous Pemphigoid, Skin sik, Wata blista, Itchy blister, Autoimyun sik, Skin sik, Autoimyun sik, Skin blista