Okulya gluten kireeta ebizimba eby’amaanyi ku lususu ebisiiwa? Ka tuyige ku bulwadde bwa Dermatitis Herpetiformis!

Wali olyeko ekintu ng’omugaati, keeki oba bisikiiti ate oluvannyuma lw’essaawa ntono, n’otandika okufuna ebizimba bino ebisiiwa, ebirimu amazzi ku mubiri gwo? Oluusi, okusiiwa kuyinza okuba okw’amaanyi ennyo ne kiba nti ekiro tosobola kwebaka. Wadde ng’abantu bangi balowooza nti eno alergy eya bulijjo yokka, kiyinza okuba ekintu ekyetaaga okulowoozebwako katono. Leero, tugenda kwogera ku mbeera eno ey’olususu abantu bangi gye batamanyi, naye ng’esobola okukwata abantu bangi. Oyo ye bulwadde bwa Dermatitis Herpetiformis.

Mu ngeri ennyangu, obulwadde bwa Dermatitis Herpetiformis kye ki?

Obulwadde bw’olususu Herpetiformis bulwadde bwa lususu obutawona. Ekisinga okuvaako kino kwe kuwulira omubiri gwo ku puloteyina eyitibwa gluten. Gluten kintu ekisangibwa mu mpeke ng’eŋŋaano, rye, ne mwanyi. N’olwekyo, emmere nnyingi ze tulya buli lunaku, gamba ng’omugaati, pasta, keeki, ne bisikiiti, zirimu ekirungo kya ‘gluten’.

Bw’olya emmere erimu ‘gluten’, abaserikale b’omubiri gwo bakikola. Okuddamu kuno kuvaamu ebizimba n’amabala amamyufu ku lususu lwo agasiiwa ekisusse.

Ebiseera ebisinga, abantu abalina obulwadde bwa Dermatitis Herpetiformis nabo baba n’embeera eyitibwa obulwadde bwa Celiac. Naye ekyewuunyisa, bayinza obutaba na bubonero bwa bulwadde bwa celiac, gamba ng’okulumwa olubuto, ekiddukano oba okugejja. Eno y'ensonga lwaki embeera eno oluusi eyitibwa "okwolesebwa kw'olususu kw'obulwadde bwa celiac." Wabula, si bulijjo nnyo, kisoboka okuba n’obulwadde bwa Dermatitis Herpetiformis nga tolina bulwadde bwa celiac.

Kino kirina kakwate konna ku kawuka ka herpes?

Abantu bangi bwe bawulira erinnya lino bayinza okulowooza nti buno bulwadde obuva ku kawuka ka herpes. Nedda, si bwe kiri n’akatono. Obulwadde buno tebulina kakwate na kawuka ka herpes.

Ekigambo "dermatitis" kiva mu bigambo "derm" ekitegeeza "olususu" ne "itis" ekitegeeza "okuzimba." Kitegeeza "okuzimba olususu." Ekigambo "herpetiformis" kiva ku kuba nti ebizimba ebikolebwa mu mbeera eno bifaanagana mu ndabika n'ebya herpes. Ng’oggyeeko ekyo, tewali kakwate kalala wakati w’ebintu bino byombi. Kale totya linnya.

Ani asinga okukosebwa embeera eno?

Obulwadde bw’olususu Herpetiformis busobola okukwata omuntu yenna ow’emyaka gyonna. Kyokka abantu abamu bali mu bulabe bwa maanyi okubufuna. Laba oba ogwa mu kimu ku bibinja bino.

• Abantu abali wakati w'emyaka 30 ne 40 .
• Abantu abalina obulwadde bwa Celiac (Abantu nga 10% - 25% abalina Dermatitis Herpetiformis nabo balina obulwadde bwa Celiac.)
• Singa omuntu yenna mu maka (naddala ab’enganda ez’oku lusegere nga maama, taata, baganda be) alina obulwadde bwa Dermatitis Herpetiformis oba Celiac Disease.
• Endwadde endala ezikwata ku busimu obuziyiza endwadde mu byafaayo by’amakaBw’oba ​​olina embeera z’abaserikale b’omubiri (autoimmune conditions). Okugeza obulwadde bwa thyroid, vitiligo, sukaali ow’ekika kya 1, n’okukendeera kw’omusaayi.
• Abasajja balina omuze ogw’oku ntikko katono okusinga abakyala.
• Businga kubeera mu bantu abava mu Bulaaya ow’omu Bukiikakkono.

Bubonero ki obukulu obulaga obulwadde buno?

Obubonero buno buyinza okwawukana okusinziira ku muntu, naye waliwo obubonero obumu obutera okulabika. Katutunuulire ekipande wansi okutegeera kino obulungi.

Ebizimba bino bisinga kulabika wa?

Wadde ng’ebizimba bino bisobola okulabika wonna ku mubiri, bisinga kulabibwa mu ngeri ya kigero ku njuyi zombi ez’omubiri. Kwe kugamba, singa zirabika ku kugulu okwa ddyo, ziyinza okulabika ne ku kugulu okwa kkono.

• Amaviivi
• Ebikoona
• Ensigo
• Olususu lw’oku mutwe n’enviiri
• Omugongo ogwa waggulu

Lwaki kino kigenda mu maaso? Ensonga eri etya?

Ensonga nnyangu nnyo. Kino kiva ku nkola y’abaserikale b’omubiri (autoimmune reaction).

Teebereza, olya emmere erimu gluten. Bwe gugayika, abaserikale b'omubiri gwo bakyamusa gluten ono nti "omulabe." Olwo ne kikola ekika ky'ekirungo eky'enjawulo ekiyitibwa IgA okulwanyisa "omulabe" ono.

Mu budde obwabulijjo, obuziyiza buno bulina okuba mu musaayi. Naye mu mbeera eno, obuziyiza buno obwa IgA bugenda ne buteekebwa mu misuwa emitono egy’olususu lwo. Bwe ziteekebwa bwe ziti, abaserikale b’omubiri abalala babaawo mu bitundu ebyo, nga kino kye kireeta okusiiwa okwo okw’amaanyi n’okuzimba ebizimba.

Waliwo n’enkola y’obuzaale. Okusingira ddala abantu abatambuza obuzaale bwa HLA-DQ2 ne HLA-DQ8 bali mu bulabe bwa maanyi okukwatibwa obulwadde bwa Dermatitis Herpetiformis ne Celiac Disease.

Omusawo azuula atya kino ddala?

Bw’oba ​​olina obubonero buno, ekisinga obulungi kwe kulaba omusawo amangu ago. Kirungi okugenda ew’omusawo w’ensusu, omusawo mukugu mu ndwadde z’olususu. Omusawo ajja kukebera olususu lwo n’oluvannyuma ayinza okukola okukeberebwa okutonotono okukakasa nti ozudde.

1. Skin Biopsy: Eno y’engeri esinga okukakasa obulwadde. Akatundu akatono ennyo ak’olususu olulamu kaggyibwa okumpi n’ekizimba ne keekebejjebwa mu microscope. Kino olwo kiyinza okukozesebwa okuzuula oba obuziyiza bwa IgA bwe twayogeddeko emabegako buliwo.

2. Okukebera omusaayi: Omusaayi gwo gukeberebwa oba tegulina buziyiza (anti-endomysial ne anti-tissue transglutaminase) obukwatagana n’obulwadde bwa celiac. Singa obuziyiza buno bubaawo ate nga n’okukebera olususu kuli bulungi, emikisa mingi nti naawe olina obulwadde bwa celiac.

Okukebera kuno kukozesebwa okukakasa oba Dermatitis Herpetiformis oba obulwadde obulala obw’olususu nga eczema oba scabies.

Bujjanjabi ki obukolebwa ku kino?

Waliwo engeri bbiri enkulu ez’okujjanjaba kino. Enkola esinga okukola obulungi kwe kubikozesa byombi awamu.

1. Endya Etaliimu Gluten

Buno bwe bujjanjabi obw’ekiseera ekiwanvu era obusinga obukulu.Olw’okuba omubiri gwo gukola ku gluten, singa olekera awo okulya gluten ddala, obubonero buno bujja kulekera awo okulabika oluvannyuma lw’akaseera.

Emmere enkulu gy’olina okwewala:

• Buli kintu ekikoleddwa mu buwunga bw’eŋŋaano (omugaati, buns, keeki, bisikiiti, pasta, noodles)
• Ssayiri
• Rye
• Ssoosi ezimu, emmere ey’empeke n’ennyama erongooseddwa nabyo biyinza okubaamu ‘gluten’, n’olwekyo soma bulungi ku lupapula ng’ogula ekintu kyonna mu dduuka.

Endya eno eyinza okutwala ekiseera okugimanyiira, naye kikulu nnyo eri obulamu bw’olususu lwo n’okuziyiza okwonooneka olw’obulwadde bwa celiac bw’oba ​​olina.

2. Eddagala

Kiyinza okutwala emyezi egiwerako, mpozzi n’omwaka, okulaba ebiva mu mmere etaliimu gluten. Naye kizibu okugumira ebbanga eryo n’okusiiwa okwo okw’amaanyi. Kale, omusawo ajja kukuwa eddagala erifuga amangu okusiiyibwa n’ebizimba.

Eddagala erisinga okuwandiikibwa ye Dapsone . Eddagala lino liyinza okukendeeza ennyo ku kusiiwa n’okuzimba mu ssaawa 24-48. Kyokka si ddagala, lifuga bubonero bwokka. Bw’otolekera awo kulya gluten, obubonero bujja kuddamu ng’omaze okulekera awo okumira eddagala.

Bw’omira eddagala lya dapsone, omusawo ajja kukebera omusaayi gwo buli kiseera, kuba guyinza okuvaako ebizibu ebimu. N’olwekyo kyetaagisa okumira eddagala lino n’okukeberebwa ddala nga omusawo bw’akugamba.

Obeera otya n’embeera eno?

Obulwadde bw’olususu Herpetiformis bulwadde bwa bulamu bwonna. Kino kitegeeza nti tekisobola kuwona ddala. Naye kisobola okufugibwa obulungi .

Bw’ogoberera endya enkakali etaliimu gluten, osobola okubeera n’obulamu obwa bulijjo nga tolina bubonero bwonna. Oluusi, osobola okugenda mu remission okumala emyaka. Naye kikulu okugenda mu maaso n’emmere etaliimu gluten mu kiseera ekyo.

Okusiiwa kuno kuyinza okutaataaganya emirimu gya buli lunaku n’otulo. Ebizimba ku lususu bisobola okukaluubiriza okwolekera abantu. Naye jjukira nti guno si musango gwo. Bino byonna osobola okwewalibwa ng’ofunye obujjanjabi n’endya entuufu. Bw’oba ​​tolina mirembe, yogerako n’omusawo wo ku nsonga eno.