Nthawi zina mwadzidzidzi mumatha kukhala ndi ziphuphu zazing'ono zoyabwa thupi lonse, sichoncho? Nthawi zina izi zimatha kukhala ziphuphu zazikulu zodzaza ndi madzi. Ngakhale anthu ambiri amaganiza kuti izi ndi ziwengo wamba kapena china chake chonga kuluma kwa tizilombo, ichi ndi chinthu chodetsa nkhawa pang'ono, chifukwa chingakhale vuto la pakhungu lotchedwa Bullous Pemphigoid . Dzinalo lingamveke lachilendo pang'ono, koma musachite mantha. Lero, tikambirana izi m'njira yosavuta komanso yomveka bwino.
Kodi Bullous Pemphigoid ndi chiyani kwenikweni?
Mwachidule, Bullous Pemphigoid ndi matenda osowa kwambiri pakhungu omwe amadziwika ndi kuyabwa kwambiri komanso kupanga matuza olimba komanso odzaza ndi madzi .
Matuza awa akhoza kukhala ang'onoang'ono, pamalo amodzi okha pathupi, kapena amatha kufalikira thupi lonse. Amapezeka nthawi zambiri m'malo omwe khungu limapindika. Mwachitsanzo:
- Pansi pa kwapa (axilla)
- M'dera la groin
- Mimba
- M'mapindo a manja ndi miyendo
Tangoganizirani, m'khwapa mwanu mwadzidzidzi mumakhala wofiira ndipo mukuyabwa kwambiri kwa masiku angapo. Patatha masiku awiri kapena atatu, matuza odzaza ndi madzi amayamba kupangika m'derali. Umu ndi momwe zimakhalira nthawi zambiri. Kwa anthu ena, matuza amenewa amathanso kupangika pa nembanemba ya mucous, monga mkati mwa mkamwa, pa lilime, pakhosi, kapena m'maso.
Kodi ichi ndi matenda a chitetezo chamthupi? (Matenda a Autoimmune)
Inde, ndi zoona. Bullous Pemphigoid ndi matenda omwe amayambitsa chitetezo chamthupi . Tsopano mwina mukudabwa kuti ndi chiyani.
Chitetezo cha mthupi lathu chili ngati gulu lankhondo lomwe limateteza dziko. Ntchito ya dongosololi ndikuteteza thupi lathu ku matenda polimbana ndi majeremusi akunja (mabakiteriya, mavairasi). Komabe, pa matenda odziteteza okha, gululi molakwika limayamba kuukira maselo athu athanzi.
Mu Bullous Pemphigoid, chitetezo cha mthupi chimaukira minofu yofewa yomwe imalumikiza gawo lapamwamba la khungu lathu (khungu) ndi gawo lomwe lili pansi pake (dermis). Kuukira kumeneku kumapangitsa kuti madzi azisonkhana pakati pa zigawo ziwirizi, zomwe zimapangitsa kuti matuza akuluakulu komanso olimba apangidwe.
Ndani amene ali ndi mwayi waukulu wopeza matendawa?
Ngakhale kuti matendawa amatha kufalikira pa msinkhu uliwonse, amapezeka kwambiri mwa anthu azaka zopitirira 60. Komabe, nthawi zina amatha kupezeka mwa achinyamata. Amakhudza amuna ndi akazi mofanana.
Kuphatikiza apo, kafukufuku wapeza kuti anthu omwe ali ndi matenda enaake amitsempha ali pachiwopsezo chachikulu chotenga Bullous Pemphigoid.
- Matenda amisala
- Matenda a Parkinson
- Stroke
- Khunyu
- Matenda a sclerosis ambiri
Kodi izi zingakhale zoopsa?
Kawirikawiri, ngati atachiritsidwa bwino, matendawa amatha kuthetsedwa bwino. Komabe, nthawi zina, ngati matuza awa aphulika ndi kutenga matenda, vutoli likhoza kukhala lalikulu. Matenda amtundu uwu akhoza kukhala oopsa, makamaka kwa munthu wokalamba kapena wodwala matenda ena (monga matenda a shuga kapena matenda a mtima). Chifukwa chake, ndi bwino kupita kwa dokotala zizindikiro zikayamba kuwonekera ndikuyamba kulandira chithandizo.
Kodi zizindikiro zazikulu za matendawa ndi ziti?
Tiyeni timvetse bwino zizindikiro za matendawa kuchokera pa tebulo ili m'munsimu.
| Chizindikiro | Kufotokozera |
|---|---|
| Kuyabwa kwakukulu ndi ziphuphu | Matendawa nthawi zambiri amayamba ndi kuyabwa kosapiririka. Nthawi zina amatha kufiira ndi kutupa ngati mutadya nkhanu. |
| Matuza odzazidwa ndi madzi (Bullae) | Ichi ndiye chizindikiro chachikulu. Matuza awa nthawi zambiri amakhala akuluakulu, olimba, ndipo saphulika mosavuta. Madzi omwe ali mkati mwake akhoza kukhala oyera kapena otuluka magazi pang'ono. |
| Pambuyo poti matuza aphulika | Matuza akaphulika, amatha kupanga bala laling'ono (lopweteka kapena lopweteka). Mabala awa akhoza kukhala opweteka pang'ono. |
| Khungu lozungulira matuza | Khungu lozungulira chithupsa likhoza kukhala labwinobwino, kapena likhoza kukhala lofiira komanso losasintha mtundu. |
| Zilonda | Chabwino kwambiri n'chakuti matuza amenewa nthawi zambiri sasiya zipsera zazikulu akachira. |
Kodi n’chiyani chimayambitsa matenda a Bullous Pemphigoid?
Monga tafotokozera kale, iyi ndi vuto la chitetezo chamthupi. Koma madokotala sanapezebe chifukwa chenicheni chomwe chitetezo chathu chamthupi chimayamba kuukira khungu lathu mwanjira imeneyi.
Komabe, akuganiza kuti zinthu zina zitha kukhala 'choyambitsa' matendawa.
- Mankhwala ena: Mankhwala ena, makamaka omwe amagwiritsidwa ntchito pa matenda a shuga, monga alogliptin.
- Kuwala kwa Ultraviolet (UV): Kukhudzidwa kwambiri ndi dzuwa.
- Chithandizo cha radiation (Ionizing radiation): Chithandizo cha radiation chomwe chimaperekedwa pa matenda monga khansa.
Kodi chakudya ndi zakumwa zimakhudza izi?
Ili ndi vuto lomwe anthu ambiri ali nalo. Ndipotu, palibe umboni wa sayansi wosonyeza kuti pali kugwirizana kwachindunji pakati pa zakudya ndi Bullous Pemphigoid. Komabe, odwala ena amanena kuti zizindikiro zawo zimatha akasiya kudya zakudya zina (monga mkaka, gluten).
Ngati inunso mukumva chimodzimodzi, ndi bwino kulankhula ndi dokotala wanu za izi. Iye angakupempheni kuti mulembe buku lanu la zakudya ndikuwona ngati zakudya zina zimayambitsa zizindikiro zanu.
Chofunika kwambiri ndichakuti Bullous Pemphigoid si matenda opatsirana. Simafalikira kuchokera kwa munthu wina kupita kwa wina kudzera mu kukhudzana. Chifukwa chake, palibe chifukwa chodzipatula kapena kuopa wodwalayo.
Kodi dokotala amazindikira bwanji izi?
Mukapita kwa dokotala yemwe ali ndi zizindikiro izi, choyamba adzayang'ana khungu lanu mosamala. Kenako adzakufunsani mafunso angapo.
- Kodi zizindikiro zimenezi zinayamba liti?
- Kodi pali mafinya kapena magazi m'matuza?
- Kodi munali ndi malungo?
- Kodi pali mankhwala atsopano omwe mwayamba kumwa?
Pambuyo pake, tikulimbikitsidwa kuchita mayeso angapo kuti titsimikizire matendawa.
| Mayeso | Mukutani? |
|---|---|
| Kuyezetsa magazi | Chitsanzo cha magazi anu chimatengedwa ndikuyesedwa kuti chione ngati pali ma antibodies enaake pakhungu. |
| Kufufuza za khungu | Iyi ndi njira yodziwikiratu kwambiri. Khungu limachepa pang'ono kuchokera pamalo pomwe pali chithuza, khungu laling'ono kwambiri limatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu. Matendawa amatha kutsimikiziridwa poyang'ana momwe zigawo za khungu zimagawikirana komanso momwe maselo a chitetezo chamthupi amasungidwira. |
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimasiyana malinga ndi kuopsa kwa matendawa. Dokotala wanu ndiye adzasankha chithandizo chomwe chili choyenera kwa inu.
Kwa iwo omwe ali ndi matenda ofatsa
Ngati matendawa si aakulu kwambiri ndipo pali matuza ang'onoang'ono thupi lonse, mafuta a steroid kapena mafuta odzola nthawi zambiri amapakidwa pa matuza .
Kwa iwo omwe ali ndi matenda apakati kapena oopsa
Ngati matendawa afalikira m'thupi lonse ndipo pali matuza ambiri, mungafunike kupatsidwa mankhwala omwa kuwonjezera pa mafuta odzola.
- Mankhwala a Corticosteroids Omwe Amamwa: Mapiritsi a steroid monga Prednisone. Awa amalamulira ntchito ya chitetezo cha mthupi ndipo amaletsa msanga mapangidwe a matuza.
- Mankhwala oletsa ma steroid: Pofuna kuchepetsa zotsatirapo zoyipa za kugwiritsa ntchito ma steroid kwa nthawi yayitali, mankhwala ena monga dapsone, mycophenolate mofetil, ndi azathioprine angaperekedwenso.
Mankhwala ena
Kwa anthu ena, ngati mankhwala a steroid sali oyenera, dokotala angakupatseninso mapiritsi opha tizilombo toyambitsa matenda monga tetracycline kapena doxycycline.
Kodi mungatani kuti muchepetse zizindikiro kunyumba?
Mukamamwa mankhwala, pali zinthu zingapo zomwe mungachite kunyumba kuti muchepetse kuyabwa ndi kusasangalala kumeneku.
| Malangizo | Chifukwa chiyani ndikofunikira? (Chifukwa chiyani ndikofunikira?) |
|---|---|
| Valani zovala zomasuka zopangidwa ndi ulusi wachilengedwe monga thonje. | Zovala zolimba komanso zopapatiza zimatha kukanda pakhungu, zomwe zimapangitsa kuyabwa ndi matuza kukhala owopsa kwambiri. |
| Pewani kuwala kwa dzuwa kwambiri. Gwiritsani ntchito mafuta oteteza ku dzuwa. | Kuwala kwa dzuwa nthawi zina kumatha kukulitsa zizindikiro. |
| Sungani mabala oyera. | Tsukani matuza ndi sopo ndi madzi ophera tizilombo toyambitsa matenda, pakani mafuta ophera tizilombo omwe dokotala wanu wakupatsani, ndipo phimbani ndi bandeji yosamatirira. Izi zingathandize kupewa matenda. |
| Sungani khungu lanu lonyowa. | Kugwiritsa ntchito mafuta odzola bwino, monga mafuta a kokonati kapena batala wa shea, kungathandize kuchepetsa khungu louma ndi kuyabwa. |
Ngati muli ndi matuza mkamwa mwanu, ganiziraninso izi
Zingakhale zovuta kwambiri kudya kapena kumwa ngati muli ndi matuza mkamwa. Malangizo awa adzakuthandizani panthawiyo.
- Idyani zakudya zofewa monga supu, mbatata yosenda, pudding, ndi yogurt.
- Idyani chakudya chotentha chikazizira bwino.
- Pewani zakudya zolimba komanso zakuthwa monga tchipisi, makeke, zinyenyeswazi za buledi, ndi ndiwo zamasamba ndi zipatso zosaphika.
- Pewani zakudya zokhala ndi asidi komanso zokometsera monga mandimu, tomato, chili, ndi salsa.
- Pewani mowa kotheratu.
Kodi matendawa atenga nthawi yayitali bwanji? Nanga kenako chidzachitike n’chiyani?
Bullous Pemphigoid ndi matenda odziletsa okha omwe nthawi zambiri amakhala kwa zaka zingapo (nthawi zambiri pafupifupi zaka 5). Amayankha bwino kwambiri akalandira chithandizo.
Komabe, matendawa amatha kukulirakulira panthawiyi. Nthawi zina, zizindikiro zimatha kwathunthu (kuchira). Panthawi ngati zimenezi, dokotala wanu angasankhe kuchepetsa mlingo wa mankhwala anu kapena kusiya kwa kanthawi. Ngati zizindikirozo zikulirakuliranso (kukulirakulira), muyenera kuyambanso kulandira chithandizo.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mutuluka matuza m'thupi mwanu popanda chifukwa chomveka, ndipo akubwera ndi kuyabwa, pitani kwa dokotala nthawi yomweyo. Musadzichiritse nokha kapena kunyalanyaza vutoli. Mukazindikira msanga ndikuyamba kulandira chithandizo, chiopsezo cha zovuta chimachepetsa.
Uthenga Wopita Nawo Kunyumba
- Bullous pemphigoid ndi matenda a pakhungu omwe amayamba chifukwa cha kusintha kwa magwiridwe antchito a chitetezo chamthupi. Si matenda opatsirana.
- Zizindikiro zazikulu ndi kuyabwa kwambiri ndi matuza akuluakulu, olimba, odzaza ndi madzi pakhungu.
- Ngakhale kuti izi zimachitika kwambiri mwa okalamba, zimatha kuchitika kwa aliyense wa msinkhu uliwonse.
- Ngati mukukumana ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo osaganizira chomwe chimayambitsa.
- Chithandizo chingathandize kulamulira matendawa bwino kwambiri. Komabe, ndikofunikira kusamala kwambiri za ukhondo, chifukwa matuza amatha kukhala oopsa ngati majeremusi alowa m'mabala.
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