Kodi mwadzidzidzi mukukumana ndi matuza pakhungu lanu omwe amakuyabwa? Izi zitha kukhala Bullous Pemphigoid!

Kodi mwadzidzidzi mwayamba kutupa pakhungu lanu komwe sikunakhalepo kale, komanso matuza oyaka, nthawi zina odzaza ndi madzi? Mungafunenso kudziwa za matenda otchedwa bullous pemphigoid. Ndi matenda osowa kwambiri pakhungu, koma ndi ofunika kuwadziwa. Tiyeni tikambirane za matendawa m'njira yosavuta yomwe mungamvetse.

Kodi Bullous Pemphigoid ndi chiyani? Kodi ndi vuto lanji?

Mwachidule, Bullous Pemphigoid ndi matenda osowa kwambiri pakhungu omwe amayambitsa kuyabwa kofiira pamwamba pa khungu, mofanana ndi eczema. Nthawi zina, kuyabwa kumeneku kumatha kukhala matuza odzaza ndi madzi. Taganizirani ngati kulumidwa ndi udzudzu, ndi matuza akuluakulu omwe amayabwa kwambiri.

Matuza awa amatha kuwonekera m'dera laling'ono la thupi, kapena amatha kufalikira thupi lonse. Amapezeka nthawi zambiri m'malo omwe khungu limapindika. Mwachitsanzo, pansi pa makhwapa (axilla), m'mimba, kapena pamimba. Anthu ena amathanso kukhala ndi matuza awa m'malo monga mkati mwa pakamwa, lilime, pakhosi, m'mero, kapena ngakhale m'maso.

Tsopano mwina mukudabwa kuti, "N'chifukwa chiyani izi zikuchitika?" Bullous pemphigoid ndi matenda omwe amayambitsa chitetezo chamthupi . Izi zikutanthauza kuti chitetezo chamthupi lathu, chomwe chiyenera kutiteteza, chimaukira molakwika minofu yomwe ili pansi pa khungu lathu. Zili ngati gulu lathu lankhondo likuukira dziko lathu.

Ndani amene ali ndi mwayi waukulu wopeza izi? Kodi n’zofala bwanji?

Matenda a pemphigoid otchedwa bullous pemphigoid ndi matenda omwe amapezeka kwambiri mwa anthu azaka zopitirira 60. Komabe, amathanso kuchitika kwa achinyamata. Ngakhale kuti ndi ofala kwambiri m'maiko akumadzulo, si ofala kwambiri m'maiko aku Asia, ndiko kuti, m'dziko lathu lapansi.

Izi zingachitikire amuna ndi akazi onse, mosasamala kanthu za jenda.

Kodi pali kugwirizana ndi matenda a mitsempha?

Inde, anthu omwe ali ndi matenda ena amitsempha apezeka kuti ali ndi mwayi wochepa wokhala ndi bullous pemphigoid. Izi zikuphatikizapo:

• Matenda amisala
• Matenda a Parkinson
• Stroke
• Khunyu
• Matenda a sclerosis ambiri

Izi sizikutanthauza kuti aliyense amene ali ndi matendawa adzakhala ndi matenda a pemphigoid. Komabe, madokotala amati pakhoza kukhala kugwirizana pakati pa matendawa.

Ndizofala kwambiri kotero kuti anthu ambiri amanena kuti ali ndi pakati pa 2.4 ndi 23 pa miliyoni. Komabe, pakati pa anthu azaka 80 kapena kuposerapo, matendawa ali pakati pa 190 ndi 312 pa miliyoni . Izi zikutanthauza kuti mwayi woti matendawa ayambe kudwala umawonjezeka mukamakula.

Kodi bullous pemphigoid ndi yoopsa? Kodi ikhoza kupha munthu?

Izi zingakuwopsyezeni pang'ono. Koma zoona zake n'zakuti:Matenda a pemphigoid otchedwa bullous pemphigoid akhoza kukhala pachiwopsezo chachikulu ngati muli ndi thanzi lofooka kapena ngati simukuchiza bwino, makamaka ngati matuza anu asweka ndi kutenga kachilomboka. Ichi ndichifukwa chake timati muyenera kuonana ndi dokotala nthawi yomweyo ngati mwaona china chake chachilendo.

Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro zazikulu za bullous pemphigoid ndi kuwoneka kwa zilonda zambiri zofiira zoyabwa, zonga eczema (welts) kapena matuza odzaza ndi madzi (bullae) . Izi zimawonekera kwambiri pa:

• M'manja
• M'miyendo
• M'dera la m'mimba
• M'dera la groin
• Mkati mwa pakamwa

Matuza amenewa nthawi zambiri amapangika m'makwinya a khungu, m'makwinya a khungu. Nthawi zambiri, samakhala opweteka , koma ngati asweka, amatha kupweteka komanso kupweteka, komanso amatha kukhala zilonda.

Madzi omwe ali mkati mwa chithuzacho akhoza kukhala owoneka bwino kapena magazi pang'ono. Khungu lozungulira chithuzacho likhoza kukhala labwinobwino kapena losasintha mtundu (wofiira, wofiirira, wofiirira, kapena mtundu wakuda pang'ono kuposa khungu lanu).

Nkhani yabwino ndi yakuti ziphuphu ndi matuza amenewa sizingayambitse zipsera.

N’chifukwa chiyani bullous pemphigoid imayamba? Kodi zimayambitsa chiyani?

Monga tanenera kale, bullous pemphigoid ndi matenda omwe amayamba chifukwa cha kulephera kwa chitetezo chamthupi. Komabe, madokotala ndi ofufuza sanapezebe chifukwa chenicheni chomwe chitetezo chathu chamthupi chimachitira izi.

Mankhwala ena angayambitse kapena kuipitsa vutoli. Mwachitsanzo, mankhwala a matenda a shuga otchedwa alogliptin. Kuwala kwa ultraviolet (UV) ndi kuwala kwa ayoni komwe kumachokera ku dzuwa kungayambitsenso kapena kuipitsa vutoli.

Kodi zakudya ndi zakumwa zina zingawonjezere izi?

Funso limene anthu ambiri amafunsa ndi ili. Ndipotu, madokotala alibe umboni womveka bwino wa sayansi wotsimikizira kuti pali kugwirizana pakati pa chakudya ndi bullous pemphigoid. Anthu ena amati zizindikiro zawo zachepa akasiya kudya zakudya zina. Komabe, palibe umboni wamphamvu wotsimikizira izi.

Ngati muli ndi vuto la bullous pemphigoid, lankhulani ndi dokotala wanu ngati kusiya zakudya ndi zakumwa zina kungathandize. Iye angakuuzeni kuti mulembe buku lanu la zakudya . Kenako mutha kuwona ngati zakudya zina zimapangitsa kuti zizindikiro zanu zikhale zovuta kwambiri. Ngati muzindikira kuti zili choncho, mutha kuchotsa pang'onopang'ono zakudyazo ndikuwona ngati zingakuthandizeni.

Kodi iyi ndi matenda opatsirana?

Ayi, bullous pemphigoid si yopatsirana. Siingafalikire kwa munthu wina kudzera mu kukhudzana kwa khungu ndi khungu. Choncho musadandaule nazo.

Kodi dokotala amazindikira bwanji izi molondola?

Mukapita kukaonana ndi dokotala, choyamba adzayang'ana malo omwe akhudzidwa ndi khungu lanu. Kenako adzakufunsani mafunso ena. Mwachitsanzo:

• "Kodi zizindikirozi zinayamba liti?"
• "Kodi muli ndi mafinya kapena magazi m'matuza anu?"
• "Kodi munali ndi malungo?"
• "Kodi mwayamba mankhwala atsopano?"

Pambuyo pofunsa mafunso ngati awa, dokotalayo amafika pa mfundo yoyambira kutengera mayankho omwe mumapereka.

Ndi mayeso ati omwe akuchitidwa pa izi?

Kuti atsimikizire matendawa, dokotala wanu angakulangizeni kuti muyese mayeso awa:

• Kuyezetsa magazi: Singano yaying'ono imagwiritsidwa ntchito kutenga chitsanzo cha magazi kuchokera mumtsempha womwe uli m'dzanja lanu ndikutumiza ku labotale kuti akayesedwe.
• Kuyeza khungu: Izi zimaphatikizapo kutenga chidutswa chaching'ono cha khungu lanu ndikuchitumiza ku labu kuti akachiyese. Nthawi zambiri iyi ndiyo njira yokhayo yotsimikizira chomwe chimayambitsa vutoli.

Kodi mankhwala abwino kwambiri ndi ati?

Ngati pali vuto lochepa la bullous pemphigoid, njira yabwino kwambiri yothandizira ndi kugwiritsa ntchito mafuta odzola kapena mafuta a corticosteroid mwachindunji m'malo okhudzidwawo.

Komabe, pazochitika zocheperako mpaka zovuta kwambiri , dokotala wanu angakupatseni mapiritsi a corticosteroid omwa, monga prednisone , kuwonjezera pa kirimu ya corticosteroid. Angakupatseninso mankhwala ena oletsa chitetezo chamthupi omwe angathandize kuchepetsa kugwiritsa ntchito ma steroids. Mwachitsanzo, mankhwala monga dapsone, mycophenolate mofetil, azathioprine, methotrexate, kapena chlorambucil.

Ngati simungathe kumwa mankhwala oletsa kutupa kapena mankhwala ena oletsa chitetezo cha m'thupi, dokotala wanu angakulembereni mapiritsi otchedwa tetracycline kapena doxycycline .

Nthawi zina, ngati mankhwala amenewa sakuletsa matendawa (nkhani zosonyeza kuti munthu sakulandira mankhwala), dokotala angalimbikitsenso mankhwala monga Rituximab kapena IVIG infusion (madzi operekedwa mumtsempha) .

Chofunika kwambiri ndichakuti, musagwiritse ntchito mankhwala aliwonse popanda kufunsa dokotala. Iye ndiye amene adzakupatseni chithandizo choyenera cha vuto lanu.

Kodi pali njira zina zomwe zingagwiritsidwe ntchito kunyumba?

Palibe njira yeniyeni yochizira matenda a bullous pemphigoid kunyumba. Komabe, pali zinthu zina zomwe mungachite kuti muchepetse zizindikiro zanu ndikukupatsani mpumulo.

Kwa matuza pakhungu:

• Valani zovala zofewa komanso zomasuka zopangidwa ndi ulusi wachilengedwe (monga thonje).
• Musakhale padzuwa kwa nthawi yayitali. Ngati mutuluka, valani mafuta oteteza ku dzuwa.
• Sungani mabala kapena zilonda zanu kukhala zoyera pozitsuka ndi sopo ndi madzi opha tizilombo toyambitsa matenda. Mukachita izi, pakani kirimu wopha tizilombo toyambitsa matenda pa mabalawo ndikuphimba ndi bandeji yosamatirira. Izi zingathandize kupewa matenda.
• Ngati muli ndi bullous pemphigoid pa miyendo yanu, pewani kuyimirira kapena kuyenda kwa nthawi yayitali.
• Pakani mafuta odzola, kirimu, mafuta a kokonati, kapena batala wa shea kuti khungu lanu likhale lonyowa.

Ngati muli ndi zilonda pakamwa:

Ngati muli ndi zilonda za pemphigoid mkamwa mwanu, malangizo awa angakuthandizeni kupewa mavuto azakudya ndikuchepetsa zizindikiro zina:

• Idyani zakudya zopanda shuga monga supu, zakudya zosenda, ma pudding, ndi applesauce.
• Mukadya zakudya zotentha, dikirani mpaka zitazizira musanadye.
• Pewani kudya zakudya zophwanyika komanso zakuthwa (monga tchipisi, chimanga, zinyenyeswazi za buledi, ndiwo zamasamba zosaphika ndi zipatso).
• Pewani kudya zakudya zokhala ndi asidi wambiri (monga chili, salsa, mandimu, tomato).
• Pewani kumwa mowa.

Kodi ndidzakhala bwino nthawi yayitali bwanji ndikayamba kulandira chithandizo?

Muyenera kuyamba kumva bwino patatha masiku ochepa kuchokera pamene mwayamba kulandira chithandizo. Komabe, izi zimatha kusiyana malinga ndi munthu aliyense.

Kodi pali njira yopewera izi kuti zisachitike?

Mwatsoka, madokotala ndi ofufuza sakudziwabe njira yopewera kukula kwa bullous pemphigoid.

Kodi chimachitika ndi chiyani ndikadwala matendawa? Nanga chidzachitike ndi chiyani mtsogolomu?

Bullous pemphigoid nthawi zambiri imadzichiritsa yokha mkati mwa zaka zisanu. Imayankha bwino ikalandira chithandizo. Komabe, nthawi zina matendawa amatha kukulirakulira ndipo nthawi zina amatha kuchira. Munthawi ya kuchira, mutha kusiya chithandizo (ndi upangiri wa dokotala).

Ngati matuza anu aphulika ndi kutenga kachilombo, muli pachiwopsezo chotenga matenda oopsa otchedwa sepsis . Chifukwa chake, ndikofunikira kwambiri kusamalira matuza anu.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati muli ndi matuza osamveka bwino , pitani kwa dokotala mwamsanga. Monga tanenera kale, ndi bwino kupeza chithandizo mwamsanga.

Mafunso ofunikira oti mufunse dokotala wanu

Mukapita kwa dokotala, zingakhale zothandiza kufunsa mafunso awa:

• "Munganene bwanji kuti ndili ndi bullous pemphigoid?"
• "Ngati ndilibe bullous pemphigoid, ndi matenda ena ati a pakhungu omwe ndingakhale nawo?"
• "Ndingatani kuti ndithane ndi zizindikiro zanga?"
• "Ndi mankhwala ati omwe mukundipangira?"
• "Kodi mankhwala amenewo ali ndi zotsatirapo zake?"
• "Ndiyenera kuchita chiyani china kuti ndichepetse zizindikiro zanga?"
• "Ndidzakhala ndi vuto la pemphigoid loopsa mpaka liti?"
• "Kodi ndiyenera kuwonana ndi dokotala wa khungu kapena katswiri wina?"

Kodi pali kusiyana kotani pakati pa Bullous Pemphigoid ndi Pemphigus Vulgaris?

Zonsezi ndi matenda omwe amayambitsa matuza pakhungu chifukwa cha kulephera kwa chitetezo chamthupi. Pemphigus vulgaris ili ndi zizindikiro zofanana ndi bullous pemphigoid. Komabe, pemphigus vulgaris nthawi zambiri imayamba m'matumbo amkati mwa pakamwa. Anthu ochepa kwambiri amatuluka matuza pakhungu. Komanso, matuza a pemphigus vulgaris ndi ofooka kwambiri kuposa matuza a bullous pemphigoid.

Matuza a pemphigus vulgaris akaonekera, nthawi zambiri amakhala kukokoloka, osati matuza omwe sasweka monga momwe zimakhalira ndi bullous pemphigoid. Ngati muli ndi pemphigus vulgaris, zigawo zapamwamba za khungu lanu zimasiyana mosavuta ndi zigawo zapansi ndi kukanikiza pang'ono kapena kukanda (izi zimatchedwa chizindikiro cha Nikolsky) .

Ngakhale kuti pafupifupi aliyense amene ali ndi vuto la bullous pemphigoid amakhala ndi zotsatirapo pakhungu, pafupifupi gawo limodzi mwa magawo atatu (33%) mwa iwo amakhala ndi matuza mkamwa .

Pomaliza, uthenga wopita nawo kunyumba

Chabwino, takambirana zambiri za bullous pemphigoid. Nazi zina mwa zinthu zofunika kwambiri kukumbukira:

• Bullous pemphigoid ndi matenda osowa kwambiri, omwe amakhudza chitetezo chamthupi chomwe chimayambitsa matuza kapena zilonda pakhungu.
• Izi sizopatsirana.
• Kawirikawiri zimachitika mwa okalamba, koma zimathanso kuchitika mwa achinyamata.
• Ngati khungu lanu likutupa kapena kuyabwa popanda chifukwa, pitani kwa dokotala nthawi yomweyo.
• Ndi chithandizo choyenera, izi zitha kulamulidwa bwino, ndipo pakapita nthawi, pali kuthekera kochira kwathunthu.
• Matuza amatha kukhala oopsa ngati atatenga kachilomboka, choncho ndikofunikira kwambiri kuwasunga aukhondo.

Ngati muli ndi zizindikiro izi, musachite mantha. Mukatsatira malangizo a dokotala, mutha kuchira mwachangu.

` Bullous Pemphigoid, Matenda a pakhungu, Matuza a m'madzi, Matuza oyabwa, Matenda a autoimmune, Matenda a pakhungu, Matenda a autoimmune, Matuza a pakhungu