Kodi kudya gluten kumayambitsa matuza a pakhungu owopsa komanso oyabwa? Tiyeni tiphunzire za Dermatitis Herpetiformis!

Kodi mudadyapo kanthu monga buledi, keke, kapena mabisiketi kenako maola angapo pambuyo pake, munayamba kuyabwa, ndi madzi m'thupi lanu? Nthawi zina, kuyabwa kumatha kukhala kwakukulu kwambiri kotero kuti simungathe kugona usiku. Ngakhale anthu ambiri amaganiza kuti izi ndi vuto lofala la ziwengo, mwina ndi chinthu chomwe chiyenera kuganiziridwa mozama. Lero, tikambirana za vuto la khungu lomwe anthu ambiri sadziwa, koma lingakhudze anthu ambiri. Ndi Dermatitis Herpetiformis.

Mwachidule, kodi Dermatitis Herpetiformis ndi chiyani?

Matenda a khungu otchedwa Herpetiformis ndi matenda a pakhungu osatha. Chifukwa chachikulu cha izi ndi chakuti thupi lanu limakhala ndi vuto la mapuloteni otchedwa gluten. Gluten ndi chinthu chomwe chimapezeka mu tirigu monga tirigu, rye, ndi barele. Chifukwa chake, zakudya zambiri zomwe timadya tsiku lililonse, monga buledi, pasitala, makeke, ndi mabisiketi, zimakhala ndi gluten.

Mukadya chakudya chomwe chili ndi gluten, chitetezo cha mthupi lanu chimayankha. Izi zimapangitsa kuti pakhungu panu pakhale matuza ndi mawanga ofiira omwe amayabwa kwambiri.

Kawirikawiri, anthu omwe ali ndi Dermatitis Herpetiformis amakhala ndi vuto lotchedwa Celiac disease. Koma chodabwitsa n'chakuti mwina sangakhale ndi zizindikiro za matenda a celiac, monga kupweteka m'mimba, kutsegula m'mimba, kapena kuchepa thupi. Ndicho chifukwa chake vutoli nthawi zina limatchedwa "kuwonetseredwa kwa khungu kwa matenda a celiac." Komabe, nthawi zambiri, n'zotheka kukhala ndi Dermatitis Herpetiformis popanda matenda a celiac.

Kodi izi zikugwirizana ndi kachilombo ka herpes?

Anthu ambiri akamamva dzinali, angaganize kuti ndi matenda omwe amayamba chifukwa cha kachilombo ka herpes. Ayi, ayi konse. Matendawa sakugwirizana ndi kachilombo ka herpes.

Mawu oti "dermatitis" amachokera ku mawu oti "derm" omwe amatanthauza "khungu" ndi "itis" omwe amatanthauza "kutupa." Amatanthauza "kutupa kwa khungu." Mawu oti "herpetiformis" amachokera ku mfundo yakuti matuza omwe amapangika pa vutoli amafanana ndi a herpes. Kupatula apo, palibe kulumikizana kwina pakati pa awiriwa. Choncho musachite mantha ndi dzinalo.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a khungu otchedwa Herpetiformis amatha kukhudza aliyense wa msinkhu uliwonse. Komabe, anthu ena ali pachiwopsezo chachikulu chotenga matendawa. Onani ngati muli m'gulu limodzi mwa magulu awa.

• Anthu azaka zapakati pa 30 ndi 40 .
• Anthu omwe ali ndi matenda a Celiac (Pafupifupi 10% - 25% ya anthu omwe ali ndi Dermatitis Herpetiformis alinso ndi matenda a Celiac.)
• Ngati wina aliyense m'banjamo (makamaka achibale apamtima monga mayi, abambo, abale ndi alongo) ali ndi Dermatitis Herpetiformis kapena Celiac Disease.
• Matenda ena a autoimmune m'mbiri ya banjaNgati muli ndi matenda a autoimmune. Mwachitsanzo, matenda a chithokomiro, vitiligo, matenda a shuga amtundu woyamba, komanso kuchepa kwa magazi m'thupi.
• Amuna ali ndi chizolowezi chochuluka pang'ono kuposa akazi.
• Ndi yofala kwambiri mwa anthu ochokera ku Northern Europe.

Kodi zizindikiro zazikulu za matendawa ndi ziti?

Zizindikirozi zimatha kusiyana malinga ndi munthu, koma pali zizindikiro zina zodziwika bwino. Tiyeni tiwone tebulo ili m'munsimu kuti timvetse bwino izi.

Kodi matuza awa amapezeka kuti nthawi zambiri?

Ngakhale kuti matuza awa amatha kuwoneka kulikonse pa thupi, nthawi zambiri amawoneka mofanana mbali zonse ziwiri za thupi. Izi zikutanthauza kuti, ngati akuwonekera pa bondo lamanja, mwina angawonekerenso pa bondo lamanzere.

• Mawondo
• Zigongono
• Matako
• Khungu la m'mutu ndi tsitsi
• Kumbuyo kwapamwamba

Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?

Chifukwa chake n'chosavuta. Ichi ndi chifukwa cha autoimmune reaction.

Tangoganizirani, mukudya chakudya chokhala ndi gluten. Chikagayidwa, chitetezo cha mthupi lanu chimaona gluten iyi ngati "mdani." Kenako imapanga mtundu wapadera wa antibody wotchedwa IgA kuti amenyane ndi "mdani" uyu.

Kawirikawiri, ma antibodies amenewa ayenera kukhala m'magazi. Koma pankhaniyi, ma antibodies a IgA amenewa amapita ndikusungidwa m'mitsempha yaying'ono yamagazi ya khungu lanu. Akasungidwa motere, chitetezo china cha mthupi chimachitika m'malo amenewo, zomwe zimayambitsa kuyabwa kwakukulu ndi matuza.

Palinso mphamvu ya majini. Makamaka, anthu omwe ali ndi majini a HLA-DQ2 ndi HLA-DQ8 ali pachiwopsezo chachikulu chotenga matenda a Dermatitis Herpetiformis ndi Celiac Disease.

Kodi dokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikuonana ndi dokotala nthawi yomweyo. Ndi bwino kuonana ndi dokotala wa khungu, dokotala wodziwa bwino matenda a khungu. Dokotalayo adzayang'ana khungu lanu kenako angakuyezeni mayeso angapo kuti atsimikizire matendawa.

1. Kufufuza Khungu: Iyi ndiyo njira yabwino kwambiri yotsimikizira matendawa. Kachidutswa kakang'ono kwambiri ka khungu labwino kamatengedwa pafupi ndi chithupsa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu. Izi zingagwiritsidwe ntchito kudziwa ngati ma antibodies a IgA omwe tidakambirana kale alipo.

2. Kuyezetsa Magazi: Magazi anu amayesedwa kuti aone ngati pali ma antibodies (anti-endomysial ndi anti-tissue transglutaminase) omwe amagwirizana ndi matenda a celiac. Ngati ma antibodies amenewa alipo ndipo biopsy ya khungu ili ndi positive, pali mwayi waukulu kuti muli ndi matenda a celiac.

Mayesowa amagwiritsidwa ntchito kutsimikizira ngati ndi Dermatitis Herpetiformis kapena vuto lina la pakhungu monga eczema kapena mphere.

Kodi mankhwala ochizira izi ndi otani?

Pali njira ziwiri zazikulu zochizira izi. Njira yothandiza kwambiri ndikugwiritsa ntchito zonse ziwiri pamodzi.

1. Zakudya Zopanda Gluten

Uwu ndi chithandizo cha nthawi yayitali komanso chofunikira kwambiri.Popeza thupi lanu limakhudzidwa ndi gluten, ngati musiya kudya gluten kwathunthu, zizindikirozi sizidzawonekera pakapita nthawi.

Zakudya zofunika kuzipewa:

• Chilichonse chopangidwa ndi ufa wa tirigu (buledi, ma buns, makeke, mabisiketi, pasitala, Zakudyazi)
• Balere
• Rye
• Ma sosi ena, chimanga, ndi nyama zina zokonzedwa zingakhalenso ndi gluten, choncho werengani mosamala chizindikirocho mukamagula chilichonse kusitolo.

Zakudya zimenezi zingatenge nthawi kuti zizolowere, koma ndizofunikira kwambiri pa thanzi la khungu lanu komanso kupewa kuwonongeka ndi matenda a celiac ngati muli nawo.

2. Mankhwala

Zingatenge miyezi ingapo, mwina chaka chimodzi, kuti muwone zotsatira kuchokera muzakudya zopanda gluten. Koma zimakhala zovuta kupirira nthawi yayitali ndi kuyabwa kwakukulu kumeneko. Chifukwa chake, dokotala wanu adzakupatsani mankhwala oletsa kuyabwa ndi matuza mwachangu.

Mankhwala omwe amaperekedwa kwambiri ndi Dapsone . Mankhwalawa amatha kuchepetsa kuyabwa ndi kutupa mkati mwa maola 24-48. Komabe, si mankhwala, amangowongolera zizindikiro. Ngati simusiya kudya gluten, zizindikirozo zidzabwerera mukasiya kumwa mankhwalawo.

Mukatenga dapsone, dokotala wanu amafufuza magazi anu nthawi zonse, chifukwa angayambitse zotsatirapo zina. Chifukwa chake, ndikofunikira kumwa mankhwalawo ndikuyesedwa monga momwe dokotala wanu wanenera.

Kodi ndingakhale bwanji ndi vutoli?

Matenda a khungu otchedwa Herpetiformis ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse. Izi zikutanthauza kuti sangachiritsidwe kwathunthu. Koma amatha kulamuliridwa bwino .

Ngati mutsatira zakudya zopanda gluteni, mutha kukhala moyo wabwinobwino popanda zizindikiro zilizonse. Nthawi zina, mutha kukhala bwino kwa zaka zambiri. Koma ndikofunikira kupitiriza kudya zakudya zopanda gluteni panthawiyo.

Kuyabwa kumeneku kungasokoneze zochita za tsiku ndi tsiku komanso tulo. Matuza pakhungu angapangitse kuti zikhale zovuta kukumana ndi anthu. Koma kumbukirani, izi si vuto lanu. Zonsezi zitha kupewedwa ndi chithandizo choyenera komanso zakudya zoyenera. Ngati simukumva bwino, lankhulani ndi dokotala wanu za izi.