Yu dɔn ɛva it sɔntin lɛk bred, kek, ɔ biskit ɛn afta sɔm awa, yu bigin fɔ gɛt dɛn bɔmp dɛn ya we de it ɛn we gɛt wata na yu bɔdi? Sɔmtɛm, de it kin so bad dat yu nɔr kin ebul fɔ slip na nɛt. Pan ɔl we bɔku pipul dɛn kin tink se dis na jɔs wan kɔmɔn alɛji, i kin bi sɔntin we dɛn nid fɔ tink bɔt smɔl. Tide, wi go tɔk bɔt dis skin kɔndishɔn wae bɔrku pipul nɔr no bɔt, bɔt kin afɛkt bɔrku pipul dɛm. Dat na Dɛmatitis Ɛpɛtifɔmis.
Fɔ tɔk am simpul wan, wetin na Dɛmatitis Ɛpɛtifɔmis?
Dɛmatitis Hɛpɛtifɔmis na wan sik we nɔ de mɛn na di skin. Di men tin we kin mek dis apin na di we aw yu bɔdi kin fil fayn to wan prɔtin we dɛn kɔl gluten. Gluten na tin we de insay grens lɛk wit, rays, ɛn bali. So, bɔku pan di it dɛn we wi kin it ɛvride, lɛk bred, pasta, kek, ɛn biskit, gɛt gluten.
We yu it it we gɛt gluten, yu bɔdi in imyun sistɛm kin riak to am. Dis rispɔns kin mek yu gɛt blista ɛn rɛd spat na yu skin we kin it pasmak.
Bɔrku tɛm, pipul dɛm wae gɛt Dɛmatitis Hɛpɛtifɔmis kin gɛt wan sik bak wae dɛn kɔl Celiac disease. Bɔt i sɔprayz fɔ no se dɛn nɔ kin gɛt di sayn dɛn we de sho se dɛn gɛt sik we dɛn kɔl celiac disease, lɛk we dɛn de fil pen na dɛn bɛlɛ, we dɛn kin gɛt dayarɛa, ɔ we dɛn kin lɔs dɛn wet. Na dat mek sɔmtɛm dɛn kin kɔl dis sik "skin manifestation of celiac disease." Bɔt, na smɔl tɛm nɔmɔ, i pɔsibul fɔ gɛt Dɛmatitis Ɛpɛtifɔmis we yu nɔ gɛt silia sik.
Dis gɛt ɛnitin fɔ du wit di hεpi vayrɔs?
We bɔku pipul dɛn yɛri dis nem, dɛn kin tink se dis na sik we di hεpi vayrɔs kin kam wit. Nɔ, nɔto so atɔl. Dis sik nɔ gɛt natin fɔ du wit di hεpi vayrɔs.
di wod "dermatitis" kכmכt frכm di wכd dεm "derm" we min "skin" εn "itis" we min "inflammation." I min "inflammation of di skin." di wɔd "hεpitiformis" kכmכt frכm di fכs we di blista dεm we de fכm na dis kכndyushכn de sכm kayn we aw dεn de fכm hεpi. Apat frɔm dat, no ɔda kɔnekshɔn nɔ de bitwin dɛn tu. So nɔ mek yu fred di nem.
Udat dis tin kin afɛkt mɔ?
Dɛmatitis Hɛpɛtifɔm kin afɛkt ɛnibɔdi we gɛt ɛni ej. Bɔt sɔm pipul dɛn kin gɛt dis sik. Si if yu fɔdɔm insay wan pan dɛn grup ya.
- Pipul dɛn we ol bitwin 30 ɛn 40 ia .
- Pipul dɛm wae gɛt Silia sik (Lɛk 10% - 25% pan pipul dɛm wae gɛt Dɛmatitis Hɛpɛtifɔmis gɛt Silia sik bak.)
- If ɛnibɔdi na di famili (especially in fambul dɛm we de nia am lɛk mama, papa, brɔda ɛn sista dɛm) gɛt Dɛmatitis Ɛpɛtifɔmis ɔ Siliak Disease.
- Ɔda ɔtoimyun sik dɛm na di famili histriIf yu gɛt ɔtoimyun kɔndishɔn. Fɔ ɛgzampul, tayroyd sik, vitiligo, tayp 1 dayabitis, ɛn anemia.
- Man dɛn gɛt di abit we ay smɔl pas uman dɛn.
- I kin bɔku pan pipul dɛn we kɔmɔt na Nɔtan Yurop.
Di tin we impɔtant pas ɔl na dat dis nɔto sik we pɔsin kin pas. I nɔ kin pas frɔm pɔsin to ɔda pɔsin bay we i tɔch am ɔ ɛni ɔda we. Na di we aw yu bɔdi de biev we yu de it gluten.
Wetin na di men sayn dɛm fɔ dis sik?
Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt sɔm kayn sik de wae kin kam pan pɔrsin. Lɛ wi luk di tebul we de dɔŋ fɔ ɔndastand dis klia wan.
| Di eria we dɛn afɛkt | Simptom dɛm wae dɛn kin si |
|---|---|
| Kanda | Dis na di men ɛn di sayn we de sho klia wan. Smɔl blista ɔ bɔmp dɛn kin apia insay grup dɛn na di say dɛn we di skin gɛt rɛd ɔ we nɔ gɛt kɔlɔ , we kin mek i it bad bad wan ɛn inflamɛns . Di it kin so bad dat sɔm pipul dɛn nɔ kin no se dɛn kin skrach ɛn wund dɛnsɛf. |
| Dijestiv sistɛm (Gastrointestinal) . | Pipul wae gɛt kɔliak sik kin gɛt sɔm kayn sik lɛk wae dɛn kin blo, dɛn bɛlɛ kin at, dɛn kin gɛt dayarɛa, ɔr dɛn kin gɛt kɔnstipɛshɔn. Bɔt bɔrku pipul nɔr kin gɛt ɛni wan pan dɛn kayn sik ya ɛn na dɛn skin nɔmɔ kin gɛt. |
| Mɔt ɛn tit (Oral issues) . | Dis na tin we nɔ kin apin so ɔltɛm. Di ɛnamel fɔ di tit dɛn kin pwɛl. Yu kin si smɔl ol dɛn, di kɔlɔ we de chenj, ɔ layn dɛn we de ɔrizɔntal na di tit. Sɔntɛnde, kansa sɔr kin kam bak. |
Usay dɛn blista ya kin apia bɔku tɛm?
Pan ɔl we dɛn blista ya kin apia ɛnisay na di bɔdi, bɔku tɛm dɛn kin si dɛn simɛtrik wan na di tu say dɛn na di bɔdi. Dat min se if dɛn apia na di rayt ni, i go mɔs bi se dɛn go apia na di lɛft ni bak.
- Ni dɛn
- Ɛlbɔ dɛn
- Bɔt dɛn
- Skalp ɛn Iɛlayn
- Ɔpa bak
Wetin mek dis de apin? Wetin na di rizin?
Di rizin rili simpul. Dis na ɔtoimyun riakshɔn.
Imajin se, yu de it it we gɛt gluten. we dεn digεst am, yu bכdi in imyun sistεm de mistek dis gluten as "εnεmi." afta dat i de mek wan spεshal kayn antibodi we dεn kכl IgA fכ fכt dis "εnεmi."
Nɔmal wan, dɛn antibodi ya fɔ de na di blɔd. bכt insay dis kes, dεn IgA antibodi dεm ya de go εn dכn dכn na di sכm sכm bכdi vεsul dεm na yu skin. We dɛn kin put dɛn lɛk dis, ɔda imyun riakshɔn kin apin na dɛn say dɛn de, na dat kin mek dɛn it ɛn blista da bad bad wan de.
Wan tin de bak we de mek pɔsin gɛt sɔntin fɔ du wit in jɛnɛtiks. Na patikyula pipul dεm we de kכri di jin dεm HLA-DQ2 εn HLA-DQ8 kin gεt hכy risk fכ gεt Dεrmatitis Herpetiformis εn Celiac Disease.
Aw dɔktɔ kin no dis kɔrɛkt wan?
If yu gɛt dɛn sik ya, di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm. I bɛtɛ fɔ go to dɔktɔ we de mɛn yu skin, dɔktɔ we spɛshal pan sik dɛn we de ambɔg yu skin. Di dɔktɔ go chɛk yu skin ɛn afta dat i kin du sɔm tɛst fɔ no if yu gɛt di sik.
1. Skin Biopsy: Dis na di bɛst we fɔ kɔnfɔm di sik. Dɛn kin tek wan rili smɔl pat pan di skin we gɛt wɛlbɔdi frɔm nia di blista ɛn chɛk am ɔnda maykroskɔp. afta dat dεn kin yuz dis fכ no if di IgA antibodi dεm we wi bin tכk bכt fכs de.
2. Blɔd Tɛst: Dɛn kin tɛst yu blɔd fɔ si if i gɛt antibodi (anti-endomysial ɛn anti-tissue transglutaminase) we gɛt fɔ du wit di sik we dɛn kɔl celiac. If dɛn antibodi ya de ɛn di skin bayɔpsi na pɔsitiv, chans de fɔ mek yu gɛt celiac sik bak.
Dɛn kin yuz dɛn tɛst ya fɔ no if na Dɛmatitis Ɛpɛtifɔmis ɔ ɔda sik na di skin lɛk ɛkzema ɔ skabi.
Wetin na di tritmɛnt dɛm fɔ dis?
Tu men we dɛn de fɔ trit dis. Di we we go wok fayn pas ɔl na fɔ yuz dɛn ɔl tu togɛda.
1. Di it we nɔ gɛt gluten
Dis na di tritmɛnt we de te ɛn we impɔtant pas ɔl.Bikɔs yu bɔdi de riak to gluten, if yu stɔp fɔ it gluten kpatakpata, dɛn sayn ya go stɔp fɔ apia afta sɔm tɛm.
Mɛmba se dis nɔto "gluten-reducing" it. Na "kɔmplit ɛliminɛshɔn fɔ gluten." Ivin smɔl tin kin mek di sik kam bak.
Di men it dɛn we yu fɔ avɔyd:
- Ɔltin we dɛn mek wit wit flawa (bred, bɔn, kek, biskit, pasta, nuts)
- Bali
- Ray
- Sɔm sos, siriɔs, ɛn mit we dɛn dɔn prosɛs kin gɛt gluten bak, so rid di lɛbl gud gud wan we yu de bay ɛnitin na di stɔ.
Dis it kin tek sɔm tɛm fɔ yus to, bɔt i rili impɔtant fɔ yu skin wɛlbɔdi ɛn fɔ mek yu nɔ gɛt damej frɔm silia sik if yu gɛt am.
2. Mɛrɛsin we dɛn kin gi
I kin tek sɔm mɔnt, sɔntɛm wan ia, fɔ si di tin dɛn we kin kɔmɔt frɔm it we nɔ gɛt gluten. Bɔt i at fɔ bia da lɔng tɛm de wit da bad bad it de. So, yu dɔktɔ go gi yu wan mɛrɛsin fɔ kɔntrol di it ɛn blista kwik kwik wan.
Di mɛrɛsin we dɛn kin gi mɔ na Dapsone . Dis mεdikeshכn kin ridyus di it εn inflameshn bכku bכku wan insay 24-48 awa. Bɔt, i nɔto mɛrɛsin, i jɔs de kɔntrol di sayn dɛm. If yu nɔ stɔp fɔ it gluten, di sik go kam bak wans yu dɔn stɔp fɔ tek di mɛrɛsin.
We yu tek dapsone, yu dɔktɔ go de chɛk yu blɔd ɔltɛm, bikɔs i kin mek yu gɛt sɔm bad bad tin dɛn. So, i impɔtant fɔ tek di mɛrɛsin ɛn du di tɛst dɛn jɔs lɛk aw yu dɔktɔ tɛl yu.
Aw fɔ liv wit dis sityueshɔn?
Dɛmatitis Hɛpɛtifɔmis na wan sik we pɔsin kin gɛt we i de liv in layf. Dis min se i nɔ go ebul fɔ wɛl ɔl. Bɔt dɛn kin ebul fɔ kɔntrol am fayn fayn wan .
If yu fala strikt it we nɔ gɛt gluten, yu kin liv nɔmal layf we nɔ gɛt ɛni sayn. Sɔntɛnde, yu kin go insay rɛmishɔn fɔ lɔng lɔng tɛm. Bɔt i impɔtant fɔ kɔntinyu fɔ it tin dɛn we nɔ gɛt gluten insay da tɛm de.
Dis it kin ambɔg di tin dɛn we pɔsin kin du ɛvride ɛn slip. Di blista dɛm na di skin kin mek i nɔ izi fɔ fes di sosayti. Bɔt mɛmba se dis nɔto yu fɔlt. Yu kin avɔyd ɔl dis if yu gɛt di rayt tritmɛnt ɛn it. If yu nɔ fil fayn, tɔk to yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Dɛmatitis Hɛpɛtifɔmis na wan sik we de mek yu it bad bad wan we yu gɛt alɛji to gluten. Nɔto di hεpi vayrɔs de mek i kam.
- Dis sik gɛt fɔ du wit di sik we dɛn kɔl celiac disease, bɔt nɔto ɔlman kin sho sɔm kayn sik lɛk we dɛn bɛlɛ kin at.
- I kin nid fɔ tek bayɔpsi na di skin fɔ no di sik kɔrɛkt wan.
- Di men ɛn lɔng tɛm tritmɛnt na fɔ fala di it we nɔ gɛt gluten fɔ ɔl yu layf .
- Di dɔktɔ kin gi yu mɛrɛsin lɛk Dapsone fɔ kɔntrol di it ɛn blista kwik kwik wan.
- If yu gɛt dɛn sik ya, nɔ fɔ trit yusɛf ɛn go to dɔktɔ wantɛm wantɛm.
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