Kodi mukuyamba kutupa pakhungu lanu? Kodi mukuyamba kutupa pakamwa? Kodi ndi Pemphigus Vulgaris? Tiyeni tikambirane za izi!

Kodi nthawi zina mumamva matuza ndi zilonda zopweteka m'thupi lanu, makamaka mkamwa mwanu? Kodi zimaphulika mosavuta ndipo zimapangitsa kuti zikhale zovuta kudya kapena kumwa? Ndiye ichi ndi chinthu chomwe chingakhale chofunikira kwa inu. Matendawa timawatcha kuti Pemphigus Vulgaris. Musadandaule, tiyeni tikambirane mwachidule.

Kodi Pemphigus Vulgaris ndi chiyani?

Mwachidule, Pemphigus Vulgaris ndi matenda omwe amayamba chifukwa cha kulephera kwa chitetezo chamthupi . Timatcha izi kuti ndi matenda a autoimmune. Ntchito ya chitetezo chamthupi chathu ndikutiteteza ku majeremusi akunja, mabakiteriya, ndi mavairasi. Zili ngati gulu lankhondo lomwe limateteza dziko. Komabe, mu Pemphigus Vulgaris, chitetezo chamthupi chanu chimaukira molakwika maselo anu athanzi a khungu ndi nembanemba ya mucous. Nembanemba ya mucous ndi zofewa komanso zonyowa zomwe zimalowa mkati mwa pakamwa panu, mphuno, mmero, njira yopumira, njira yogaya chakudya, njira ya mkodzo, ndi njira yoberekera.

Kuukira kumeneku kumayambitsa matuza pakhungu ndi mucous nembanemba. Nthawi zambiri, anthu omwe ali ndi Pemphigus Vulgaris amayamba kukhala ndi matuza mkamwa . Matuza awa ndi ofewa kwambiri ndipo amaphulika mosavuta. Kenako amasanduka zilonda zopweteka.

Pemphigus vulgaris ndi mtundu wofala kwambiri wa pemphigus.

Kodi izi ndi zofala bwanji? Ndani amakumana nazo kawirikawiri?

Pemphigus Vulgaris ndi matenda osowa kwambiri . Ngakhale kuti angakhudze aliyense, nthawi zambiri amakhudza anthu azaka zopitirira 40. Ndi osowa kwambiri kwa makanda ndi ana.

Kodi Pemphigus Vulgaris imakhudza bwanji thupi langa?

Zizindikiro za Pemphigus Vulgaris nthawi zambiri zimayambira mkamwa mwanu . Matuza opweteka amapangika pamenepo, zomwe zimapangitsa kuti zikhale zovuta kudya kapena kumwa. Tangoganizani muli ndi zilonda zopweteka pakamwa panu ponseponse. Simungathe ngakhale kuyang'ana chakudya chomwe mumakonda chifukwa chimapweteka komanso chimapweteka. Anthu ena amavutika kumwa madzi.

Pambuyo pokhudza nembanemba ya mkamwa, zizindikiro zimatha kufalikira pakhungu m'mbali zina za thupi lanu. Matuza awa ndi opyapyala kwambiri, kotero amaphulika mosavuta. Matuza akaphulika, amatha kutulutsa madzi, ndipo nthawi zina mafinya amatuluka. Malo amenewa amakhala zilonda zotseguka.

Kodi zizindikiro za izi ndi ziti?

Si anthu onse omwe ali ndi Pemphigus Vulgaris omwe ali ndi zizindikiro zomwezo, ndipo kuopsa kwake kumatha kusiyana malinga ndi munthu aliyense . Zizindikiro zodziwika bwino ndi izi:

• Chiphuphu chodzaza ndi madzi chimawonekera. Chiphuphuchi chingakhale ndi mphete yofiira mozungulira, ndipo pakati pake pangakhale mtundu wopepuka wa pinki-woyera.
• Matuza amaphulika mosavuta, akutulutsa madzi oyera kapena mwina magazi.
• Chipolopolo kapena mamba angapangidwe pamwamba kapena mozungulira chipolopolocho.
• Khungu lomwe lili pa chithupsa kapena mozungulira likutuluka.
• Chilonda chikaphulika, mabala otseguka amapangika.
• Pali ululu waukulu mkati ndi mozungulira matuza.

Musamatulutse matuza - akhoza kutenga kachilomboka!

Musakanda kapena kukanda matuza anu, chifukwa izi zingayambitse zilonda zotseguka ndikuyambitsa matenda mosavuta. Zizindikiro za matenda zingaphatikizepo:

• Kutuluka kwa mafinya oyera kapena achikasu ngati mafinya kukutuluka mu chithuzacho.
• Chithupsacho chatupa ndipo chimapweteka kwambiri.
• Chipolopolo chachikasu chimapangika pamwamba kapena mozungulira chipolopolocho.
• Khungu lozungulira chithupsa limatupa ndikukula.
• Chithupsacho sichikuchira.

Kumbukirani, ngati muli ndi zizindikiro ngati izi, muyenera kuonana ndi dokotala nthawi yomweyo.

Kodi zizindikirozi zimawonekera kuti?

Zizindikiro za Pemphigus Vulgaris zimakhudza khungu lanu ndi nembanemba ya mucous. Malo omwe zizindikiro zimaonekera kwambiri ndi awa:

• Pakamwa ndi pakhosi
• Mphuno
• Maso
• Malo oberekera `(magawo oberekera)`
• Chifuwa
• Kunja
• Manja ndi miyendo
• Chigaza `(khungu la mutu)`

Kodi n’chiyani chimayambitsa matenda a Pemphigus Vulgaris?

Chifukwa chenicheni cha Pemphigus Vulgaris sichinadziwikebe .

Monga tafotokozera kale, iyi ndi vuto la chitetezo chamthupi, pomwe ma antibodies a chitetezo chamthupi chanu - mapuloteni omwe amateteza thupi lanu ku majeremusi, mabakiteriya, ndi zinthu zina - amazindikira molakwika maselo anu athanzi ndikuwukira ngati kuti ndi olowa m'malo akunja. Kuukira kumeneku kwa maselo athanzi ndi komwe kumayambitsa zizindikiro za kutupa pakhungu ndi mucous nembanemba.

Kodi vutoli lingayambitsidwe ndi mankhwala enaake?

Nthawi zambiri, thupi lanu silingayankhe mankhwala enaake ndipo limayambitsa zizindikiro za pemphigus vulgaris. Ena mwa mankhwalawa ndi awa:

• Mankhwala oletsa kuthamanga kwa magazi (ACE inhibitors): Awa ndi mankhwala operekedwa kwa kuthamanga kwa magazi.
• `Zothandizira kuchiza matenda`: Izi ndi mankhwala omwe amachotsa zinthu zina m'magazi.
• Mankhwala opha tizilombo
• Mankhwala oletsa kutupa (NSAIDs)

Kodi izi ndi zopatsirana?

Ayi, Pemphigus Vulgaris si matenda opatsirana. Simungathe kuwafalitsa kwa wina aliyense. Choncho palibe chodetsa nkhawa.

Kodi mumazindikira bwanji izi?

Dokotala wanu adzayamba wakuyang'anani ndikufunsani za zizindikiro zanu. Adzakufunsani za mbiri yanu ya thanzi komanso ngati pali wina aliyense m'banja mwanu amene wakhala ndi matenda ofanana ndi anu. Kenako, angachite mayeso ena kuti atsimikizire vutoli.

Ndi mayeso ati omwe akuchitidwa?

Kuti atsimikizire matendawa, dokotala wanu angachite biopsy ya khungu . Izi zikuphatikizapo kutenga chidutswa chaching'ono cha minofu kuchokera pakhungu lomwe lakhudzidwa, kaya kuchokera pamalo omwe pali matuza, ndikuchiyang'ana pansi pa maikulosikopu. Izi zingaphatikizeponso mayeso apadera otchedwa immunofluorescence test.

Kuyezetsa kwina ndi kuyezetsa magazi . Izi zimafufuza ma antibodies m'magazi mwanu omwe akuyambitsa zizindikiro zanu.

Kodi mankhwala ake ndi otani?

Chithandizo cha pemphigus vulgaris chimayang'ana kwambiri pakuchepetsa zizindikiro ndikupewa mavuto monga matenda . Njira zochiritsira zimatha kusiyana malinga ndi munthu aliyense. Zingaphatikizepo:

• Ngati pali matenda, mupatseni mankhwala.
• Ngati pali mankhwala omwe akuwoneka kuti akuyambitsa zizindikiro, siyani kuwamwa.
• Kugwiritsa ntchito mankhwala, mafuta odzola, ndi mafuta odzola kuti achiritse mabala ndikuchepetsa ululu.
• Chiritsani mabala ndi matuza mosamala, monga momwe mungachitire ndi kupsa kapena bala.
• Ngati simungathe kudya chifukwa cha zilonda pakamwa, kudya zakudya zopanda thanzi, zosapsa, kapena nthawi zina zakudya zopatsa mphamvu m'thupi, kungathandize kupewa kusowa zakudya m'thupi.
• Kugwiritsa ntchito mankhwala oletsa ululu kuti muchepetse ululu wa matuza mkamwa.

Kodi mankhwala a Pemphigus Vulgaris ndi ati?

Dokotala wanu angapereke mankhwala ngati awa kuti achepetse zizindikiro, kupewa kuphulika kwa matenda, kapena kuchiza matenda:

• Mankhwala a Corticosteroids, omwe amapakidwa pakhungu kapena kumwedwa ndi pakamwa, amathandiza kuchepetsa kutupa.
• Mankhwala oletsa chitetezo chamthupi . Zitsanzo zake ndi azathioprine, cyclosporine, mycophenolate, cyclophosphamide, methotrexate, kapena rituximab. Mankhwalawa amagwira ntchito pochepetsa ntchito ya chitetezo chamthupi ndikuchiletsa kuukira maselo athanzi.
• Mankhwala opha tizilombo toyambitsa matenda kapena opha tizilombo toyambitsa matenda. Mankhwalawa amaperekedwa ngati pali matenda.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Si mankhwala onse omwe ali ofanana, kotero zotsatira zake zingachitike kutengera mtundu wa mankhwala omwe dokotala wanu wakupatsani. Musanayambe mankhwala atsopano, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa panopa, zowonjezera zomwe mukumwa, ndi ziwengo zilizonse zomwe muli nazo. Dokotala wanu adzayang'anira thanzi lanu komanso momwe chithandizo chanu chikuyendera. Akhozanso kuchita mayeso a magazi kapena mkodzo nthawi zonse kuti aone ngati pali zotsatirapo zake.

Kodi mungadye ndi kumwa chiyani mukakhala ndi vutoli?

Kudya ndi kumwa kungakhale kovuta ngati muli ndi Pemphigus Vulgaris, makamaka ngati muli ndi matuza ndi zilonda mkamwa mwanu . Chifukwa chake, sankhani zakudya zofewa, zamadzimadzi, komanso zosapsa . Izi sizipweteka kwambiri pa zilonda. Pewani zakudya zokhala ndi asidi, zokometsera, komanso zophwanyika (monga mandimu, lalanje, tsabola, mbatata).

Ngati simungathe kudya kapena kumwa, pitani kwa dokotala nthawi yomweyo.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Nthawi yochira imasiyana malinga ndi munthu. Nthawi zambiri, zimatenga milungu ingapo mutayamba kulandira chithandizo kuti matuza atsopano asiye kupangika . Pambuyo pake, zimatenga miyezi ingapo kuti khungu lanu lichiritse.

Pemphigus vulgaris ndi matenda osatha , zomwe zikutanthauza kuti zizindikiro zimatha kubwereranso ngakhale mutalandira chithandizo.

Kodi Pemphigus Vulgaris ingapewedwe?

Popeza chifukwa chenicheni sichikudziwika, palibe njira yopewera Pemphigus Vulgaris. Komabe, chithandizo chingachepetse zizindikiro.

Nanga bwanji ngati ndili ndi Pemphigus Vulgaris?

Ndi chithandizo, mutha kuwongolera pemphigus vulgaris. Matendawa nthawi zambiri samakhudza moyo wanu. Komabe, ngati zizindikirozo ndi zazikulu, zimatha kukulepheretsani kwakanthawi. Izi zikutanthauza kuti zingakhale zovuta kuchita ntchito zanu za tsiku ndi tsiku kapena kupita kuntchito. Anthu ena sangagone bwino kapena kuchepetsa thupi ngati sangathe kudya bwino chifukwa cha zilonda pakamwa.

Zilonda sizimaoneka kawirikawiri pamene matuza amachira. Komabe, ngati bala laphulika ndipo n’lovuta kuchira, lingasiye zipsera kapena mabala osintha mtundu pakhungu.

Ngati sizikuchiritsidwa, zizindikiro zimatha kufalikira m'thupi lonse ndipo zimayambitsa mavuto omwe angawononge moyo (monga kusowa zakudya m'thupi, kusowa madzi m'thupi, sepsis - matenda oopsa). Vuto lalikulu kwambiri la pemphigus vulgaris lomwe silinalandire chithandizo ndi matenda oopsa komanso osachiritsidwa.

Palibe mankhwala a Pemphigus Vulgaris. Kafukufuku akupitirirabe pankhani ya chomwe chimayambitsa matendawa komanso njira zatsopano zochiritsira matendawa.

Kodi vutoli lidzatha liti?

Pemphigus Vulgaris ndi matenda omwe amayamba kwa nthawi yayitali (osatha) , kotero mutha kukhala ndi zizindikiro pa moyo wanu wonse. Zizindikiro nthawi zambiri zimayamba pakati pa zaka 40 ndi 60. Zizindikiro zimatha kubwera ndikutha (kutupa). Chithandizo chingathandize kuchepetsa zizindikiro zanu.

Kodi ndiyenera kudzisamalira bwanji?

Mukhoza kudzisamalira nokha kunyumba ndi kuthana ndi zizindikiro za Pemphigus Vulgaris mwa kuchita izi:

• Idyani zakudya zopanda phokoso, zofewa, komanso zamadzimadzi ngati muli ndi zilonda pakamwa.
• Samalirani matuza ndi mabala anu, monga momwe mungachitire ndi kudula kapena kupsa.
• Valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta oteteza khungu lanu ku dzuwa kuti muteteze khungu lanu ku kuwala koopsa kwa UV.
• Gwiritsani ntchito sopo ndi mafuta odzola osanunkhira omwe ndi ofewa pakhungu lanu.

Kodi ndiyenera kupita kwa dokotala liti?

Muyenera kuonana ndi dokotala ngati muli ndi zizindikiro izi:

• Ngati mabala sakuchira.
• Ngati pali matuza pa malo akuluakulu a thupi.
• Ngati matuza opweteka akutuluka madzi achikasu kapena oyera, kapena ngati chikasu chatuluka mozungulira iwo (izi zitha kukhala zizindikiro za matenda).
• Ngati pali kutupa mkati kapena mozungulira matuza.
• Ngati n'kovuta kudya ndi kumwa.
• Ngati muli ndi zizindikiro monga malungo, kuzizira, ndi kupweteka kwa minofu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi pali zotsatirapo zilizonse za mankhwalawa?
• Kodi ndingapewe bwanji matenda?
• Kodi ndingasamalire bwanji mabala anga kunyumba?

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

Pemphigus Vulgaris ndi Bullous Pemphigoid zonse ndi matenda a autoimmune omwe amakhudza khungu lanu. Zonsezi nthawi zambiri zimakhudza anthu azaka zopitilira 65. Komabe, kusiyana kwakukulu pakati pa matendawa kuli mu zilonda zomwe zimachitika komanso zomwe zimayambitsa .

Pemphigus vulgaris imayambitsa matuza ang'onoang'ono, odzaza ndi madzi kuti apange pakhungu lanu ndi mucous nembanemba, monga pakamwa panu.

Bullous pemphigoid imayambitsa mawanga ofiira, otupa, komanso otupa pakhungu otchedwa hive-like welts . Mawanga amenewa nthawi zambiri amaphimbidwa ndi matuza olimba komanso osasweka.

Tenga uthenga kunyumba

Pemphigus Vulgaris ndi matenda a pakhungu omwe amakhalapo kwa nthawi yayitali ndipo amatha kukhala moyo wonse. Zizindikiro zake zimakhala zosasangalatsa ndipo zingayambitse zilonda pakhungu ndi pakamwa. Chofunika kwambiri ndikudya bwino ndikupewa kusowa zakudya zokwanira mukakhala ndi vutoli . Lankhulani ndi dokotala wanu za njira zabwino kwambiri zochizira zizindikiro zanu. Musachite mantha, chofunika kwambiri ndikudziwa ndikupeza chithandizo choyenera.

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