Ngaba ngequbuliso uva amadyungudyungu eluswini lwakho arhawuzelelayo? Oku kusenokuba yiBullous Pemphigoid!

Ngaba ngequbuliso ukhe waba nerhashalala eluswini lwakho eyayingekho ngaphambili, kwaye irhawuzelela, ngamanye amaxesha izele ngamanzi? Usenokufuna ukwazi ngemeko ebizwa ngokuba yi-bullous pemphigoid. Yimeko yesikhumba engaqhelekanga, kodwa kufanelekile ukuyiqaphela. Makhe sithethe ngayo ngendlela elula onokuyiqonda.

Yintoni iBullous Pemphigoid? Injani imeko?

Ngamafutshane, iBullous Pemphigoid sisifo esingaqhelekanga solusu esibangela ukudumba okubomvu nokurhawuzelelayo phezu kolusu, okufana ne-eczema. Ngamanye amaxesha, ezi welts zinokukhula zibe ngamadyungudyungu azele lulwelo. Cinga ngayo njengokulunywa yingcongconi, kunye namadyungudyungu amakhulu arhawuzelela kakhulu.

La maqhuqhuva anokuvela kwindawo encinci yomzimba, okanye anokusasazeka emzimbeni wonke. Ahlala ebonakala kwiindawo apho ulusu lugoba khona. Umzekelo, phantsi kwamakhwapha (i-axilla), emqolo, okanye esiswini. Abanye abantu banokukhula la maqhuqhuva kwiindawo ezifana nangaphakathi komlomo, ulwimi, umphimbo, umphimbo, okanye kwanamehlo.

Ngoku usenokuba uzibuza, "Kutheni oku kusenzeka?" I-bullous pemphigoid sisifo esihlasela amasosha omzimba . Oku kuthetha ukuba inkqubo yomzimba wethu yokuzikhusela, ekufanele ukuba isikhusele, ihlasela ngempazamo izicwili ezingaphantsi kolusu lwethu. Kufana nomkhosi wethu ohlasela ilizwe lethu.

Ngubani onokuthi aphuhlise oku? Kuqheleke kangakanani?

I-bullous pemphigoid yimeko exhaphakileyo kubantu abangaphezu kweminyaka engama-60 ubudala. Nangona kunjalo, inokubakho nakubantu abancinci. Nangona ixhaphakile kumazwe aseNtshona, ayixhaphakanga kangako kumazwe aseAsia, oko kukuthi, kummandla wethu wehlabathi.

Oku kunokwenzeka kumadoda nakubafazi, nokuba bangobani na ngokwesini.

Ngaba kukho unxibelelwano phakathi kwezifo ze-neurological?

Ewe, abantu abaneengxaki ezithile zemithambo-luvo bafunyenwe benethuba elincinci lokufumana i-bullous pemphigoid. Ezi ziquka:

• Isifo sengqondo esixhalabisayo
• Isifo sikaParkinson
• Istroke
• Isifo sokuwa
• Isifo sokugubhuka

Oku akuthethi ukuba wonke umntu onesi sifo uza kuba ne-bullous pemphigoid. Nangona kunjalo, oogqirha bathi kusenokwenzeka ukuba kukho unxibelelwano.

Kuqheleke kakhulu kangangokuba uluntu ngokubanzi luneziganeko eziphakathi kwe-2.4 kunye ne-23 kwisigidi. Nangona kunjalo, phakathi kwabantu abaneminyaka engama-80 nangaphezulu, iziganeko ziphakathi kwe-190 kunye ne-312 kwisigidi . Oku kuthetha ukuba amathuba okuba nayo ikhule njengoko ukhula.

Ingaba i-bullous pemphigoid iyingozi? Ngaba ingasongela ubomi?

Oku kusenokuvakala kusoyikisa kancinci kuwe. Kodwa nantsi inyani: yakhoI-bullous pemphigoid inokuba yingozi ebomini ukuba usempilweni okanye ukuba awuyinyangi kakuhle, ingakumbi ukuba amaqhuqhuva akho ayaphuka aze osuleleke. Yiyo loo nto sisithi makubone ugqirha ngoko nangoko ukuba ubona into engaqhelekanga.

Zithini iimpawu? Uzibona njani?

Iimpawu eziphambili ze-bullous pemphigoid kukuvela kwezilonda ezininzi ezibomvu ezifana ne-eczema (ii-welts) okanye ama-blister azele lulwelo (ii-bullae) . Ezi zibonakala kakhulu kwi:

• Ezandleni
• Emilenzeni
• Kwindawo yesisu
• Kwindawo yempumlo
• Ngaphakathi emlonyeni

Ezi blister zihlala zikhula kwimiqolo yesikhumba, ecaleni kwemiqolo yesikhumba. Uninzi lwexesha, azibuhlungu , kodwa ukuba ziyaphuka, zinokuba buhlungu kwaye zibe buhlungu, kwaye zinokuba zizilonda.

Ulwelo olungaphakathi kwi-blister lusenokuba lucacile okanye lube negazi kancinci. Ulusu olujikeleze i-blister lunokuba luqhelekileyo okanye lutshintshe umbala (obomvu, omfusa, omdaka, okanye umbala omnyama kancinci kunebala lolusu lwakho).

Iindaba ezimnandi zezokuba olu rhawuzelelo kunye namaqhubu akunakwenzeka ukuba lubangele amanxeba.

Kutheni i-bullous pemphigoid ikhula? Zithini izizathu?

Njengoko besitshilo ngaphambili, i-bullous pemphigoid sisifo esibangelwa kukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela. Nangona kunjalo, oogqirha nabaphandi abakafumani sizathu sicacileyo sokuba kutheni inkqubo yethu yomzimba yokuzikhusela isabela ngolu hlobo.

Amanye amayeza anokubangela okanye ayenze mandundu le meko. Umzekelo, iyeza lesifo seswekile i-alogliptin. Ukukhanya kwe-ultraviolet (UV) kunye nemitha ye-ionizing evela elangeni nako kunokubangela okanye kuyenze mandundu le meko.

Ngaba ukutya neziselo ezithile zingakwandisa oku?

Lo ngumbuzo abantu abaninzi abawubuzayo. Enyanisweni, oogqirha abanabo ubungqina obucacileyo besayensi bokungqina ukuba kukho unxibelelwano phakathi kokutya kunye ne-bullous pemphigoid. Abanye abantu bathi iimpawu zabo ziye zaphucuka xa beyekisa ukutya okuthile ekutyeni kwabo. Nangona kunjalo, akukho bungqina buqinileyo bokungqina oku okwangoku.

Ukuba une-bullous pemphigoid, thetha nogqirha wakho malunga nokuba ukuyeka ukutya okuthile kunye neziselo kunokunceda na. Angakuxelela ukuba ugcine ijenali yokutya . Emva koko ungabona ukuba ukutya okuthile kuyenza ibe mandundu na imeko yakho. Ukuba uqaphela ukuba kunjalo, ungayeka kancinci kancinci ezo zinto zokutya uze ubone ukuba oko kuyanceda na.

Ingaba esi sisifo esosulelayo?

Hayi, i-bullous pemphigoid ayosuleli. Ayinakudluliselwa komnye umntu ngokudibana kwesikhumba nolusu. Ngoko ke ungakhathazeki ngayo.

Ugqirha uxilonga njani oku ngokuchanekileyo?

Xa usiya kugqirha, uza kuqala ahlole iindawo ezichaphazelekileyo kulusu lwakho. Emva koko uza kukubuza imibuzo ethile. Umzekelo:

• "Ziqale nini ezi mpawu?"
• "Ingaba une-pus okanye igazi kwiiblister zakho?"
• "Ngaba ubunomkhuhlane?"
• "Ngaba sele uqalile amayeza amatsha?"

Emva kokubuza imibuzo efana nale, ugqirha ufikelela kwisigqibo esisisiseko ngokusekelwe kwiimpendulo ozinikayo.

Zeziphi iimvavanyo ezenziwayo koku?

Ukuqinisekisa ukuxilongwa, ugqirha wakho unokucebisa ukuba wenze ezi mvavanyo zilandelayo:

• Uvavanyo lwegazi: Inaliti encinci isetyenziselwa ukuthatha isampuli yegazi kumthambo osengalweni yakho ize iyithumele kwilebhu ukuze ivavanywe.
• I-biopsy yolusu: Oku kuquka ukuthatha iqhekeza elincinci lolusu lwakho ulithumele kwilebhu ukuze livavanywe. Le yindlela ekuphela kwayo yokuqinisekisa unobangela ochanekileyo wale meko.

Zeziphi iindlela zonyango ezilungileyo?

Kwiimeko ezibuthathaka ze-bullous pemphigoid, unyango olungcono kukusebenzisa iikhrimu ze-corticosteroid okanye amafutha ngqo kwiindawo ezichaphazelekayo.

Nangona kunjalo, kwiimeko eziphakathi ukuya kwezinzima , ugqirha wakho unokukunika iipilisi ze-corticosteroid zomlomo, ezifana ne-prednisone , ukongeza kwi-corticosteroid cream. Banokukunika nezinye izinto ezinceda ekunciphiseni ukusetyenziswa kwee-steroids. Umzekelo, amayeza anjenge-dapsone, i-mycophenolate mofetil, i-azathioprine, i-methotrexate, okanye i-chlorambucil.

Ukuba awukwazi ukuthatha ii-corticosteroids okanye amanye amayeza okunciphisa amajoni omzimba, ugqirha wakho unokukunika iipilisi ezibizwa ngokuba yi-tetracycline okanye i-doxycycline .

Ngamanye amaxesha, ukuba olu nyango alulawuleki esi sifo (amatyala arhabaxa), ugqirha unokucebisa nonyango olufana neRituximab okanye i-IVIG infusion (ulwelo olufakwa emthanjeni) .

Eyona nto ibalulekileyo kukuba, musa ukusebenzisa amayeza ngaphandle kokubonisana nogqirha. Nguye oza kugqiba ngolona nyango lufanelekileyo kwimeko yakho.

Ngaba kukho naziphi na iindlela zonyango ezinokwenziwa ekhaya?

Akukho mayeza akhethekileyo asetyenziswa ekhaya okuthintela i-bullous pemphigoid. Nangona kunjalo, kukho izinto onokuzenza ukunceda ukunciphisa iimpawu zakho kunye nokubonelela ngesiqabu.

Kwizibhamuza eluswini:

• Nxiba iimpahla ezithambileyo nezikhululekileyo ezenziwe ngemicu yendalo (umz. umqhaphu).
• Musa ukuhlala elangeni ixesha elide. Ukuba uyaphuma, nxiba isithambisi selanga.
• Gcina amanxeba okanye izilonda zakho zicocekile ngokuzihlamba ngesepha namanzi alwa neentsholongwane. Emva kokwenza oku, faka ikhrimu yokubulala iintsholongwane emanxebeni uze uwagqume ngebhandishi enganamatheliyo. Oku kunokunceda ekuthinteleni usulelo.
• Ukuba une-bullous pemphigoid emilenzeni yakho, kuphephe ukuma okanye ukuhamba ixesha elide.
• Faka i-moisturizer, i-cream, i-coconut oil, okanye i-shea butter ukuze ulusu lwakho luhlale lumanzi.

Ukuba unezilonda emlonyeni:

Ukuba unezilonda ze-bullous pemphigoid emlonyeni wakho, la macebiso anokukunceda uthintele iingxaki zesondlo kwaye unciphise ezinye zeempawu zakho:

• Yitya ukutya okungenancasa, okufana neesuphu, ukutya okucoliweyo, iipudingi, kunye ne-applesauce.
• Xa usitya ukutya okushushu, linda kude kuphole ngaphambi kokuba ukutye.
• Kuphephe ukutya ukutya okuqinileyo nokubukhali (umz. iitships, iicereal, iimvuthuluka zesonka, imifuno eluhlaza kunye neziqhamo).
• Kuphephe ukutya ukutya okune-asidi eninzi (umz., itshili, isalsa, iilayimu, iitumato).
• Kuphephe ukusela utywala.

Ndiza kuziva bhetele nini xa ndiqala unyango?

Ufanele uqale ukuziva ungcono kwiintsuku ezimbalwa emva kokuqala unyango. Nangona kunjalo, oku kunokwahluka kumntu nomntu.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Ngelishwa, oogqirha nabaphandi abakayazi indlela yokuthintela ukukhula kwe-bullous pemphigoid.

Kuza kwenzeka ntoni ukuba ndifumana esi sifo? Kuza kwenzeka ntoni kwixesha elizayo?

I-bullous pemphigoid idla ngokuba ngcono ngokwayo kwiminyaka emihlanu. Isabela kakuhle kunyango. Nangona kunjalo, ngamanye amaxesha isifo sinokuphakama kwaye ngamanye amaxesha sinokuphela. Ngexesha lokuphela kwesifo, unokukwazi ukuyeka unyango (ngoncedo logqirha wakho).

Ukuba amaqhuqhuva akho ayaqhuma aze osuleleke, usengozini yokufumana imeko esongela ubomi ebizwa ngokuba yi-sepsis . Ngoko ke, kubaluleke kakhulu ukunyamekela amaqhuqhuva akho.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba uneziqhushumbisi ezingachazwanga , bonana nogqirha ngokukhawuleza. Njengoko bekutshiwo ngaphambili, kungcono ukufumana uxilongo nonyango ngokukhawuleza.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Xa usiya kugqirha, kunokuba luncedo ukubuza le mibuzo:

• "Ungatsho njani ukuba ndine-bullous pemphigoid?"
• "Ukuba andinayo i-bullous pemphigoid, zeziphi ezinye izifo zolusu endinokuba nazo?"
• "Ndingazilawula njani iimpawu zam?"
• "Ngawaphi amayeza ondicebisa wona?"
• "Ingaba loo mayeza aneziphumo ebezingalindelekanga?"
• "Yintoni enye endifanele ndiyenze ukuphucula iimpawu zam?"
• "Ndiza kuba nale meko ye-pemphigoid enamandla ixesha elingakanani?"
• "Ngaba kufuneka ndidibane nogqirha wesikhumba okanye omnye umntu ochwephesha?"

Yintoni umahluko phakathi kweBullous Pemphigoid kunye nePemphigus Vulgaris?

Zombini zizifo ezibangela amaqhuqhuva eluswini ngenxa yokungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela. I-Pemphigus vulgaris ineempawu ezifanayo neze-bullous pemphigoid. Nangona kunjalo, i-pemphigus vulgaris idla ngokuqala kwi-mucous membranes ngaphakathi emlonyeni. Bambalwa kakhulu abantu abafumana amaqhuqhuva eluswini. Kwakhona, amaqhuqhuva e-pemphigus vulgaris abuthathaka ngakumbi kune-bullous pemphigoid.

Xa kuvela amaqhuqhuva e-pemphigus vulgaris, adla ngokuba kukukhuhlana, kungekhona amaqhuqhuva angaqhekekiyo njengakwi-bullous pemphigoid. Ukuba une-pemphigus vulgaris, amaqhuqhuva aphezulu esikhumba sakho aya kwahluka ngokulula kumaqhuqhuva asezantsi ngoxinzelelo oluncinci okanye ngokuhlikihla (oku kubizwa ngokuba luphawu lweNikolsky) .

Nangona phantse wonke umntu one-bullous pemphigoid eneziphumo zesikhumba, malunga nesithathu (33%) kuphela kubo abafumana amadyungudyungu emlonyeni .

Okokugqibela, umyalezo oya ekhaya

Kulungile, ngoko ke sithethe kakhulu nge-bullous pemphigoid. Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• I-Bullous pemphigoid sisifo esingaqhelekanga, esichaphazela amajoni omzimba esibangela amadyungudyungu okanye izilonda eluswini.
• Oku akusuleli.
• Idla ngokuvela kubantu abadala, kodwa inokwenzeka nakubantu abancinci.
• Ukuba ulusu lwakho lunamaqhubu okanye lurhawuzelela ngaphandle kwesizathu, bona ugqirha ngokukhawuleza.
• Ngonyango olufanelekileyo, oku kunokulawulwa kakuhle, kwaye ngokuhamba kwexesha, kukho ithuba lokuchacha ngokupheleleyo.
• Amaqhuqhuva anokuba yingozi xa esulelekile, ngoko ke kubaluleke kakhulu ukuwagcina ecocekile.

Ukuba unale mpawu, ungoyiki. Ngokulandela iingcebiso zonyango, ungaphila ngokukhawuleza.

I- Bullous Pemphigoid, Izifo zolusu, Amadyungudyungu amanzi, Amadyungudyungu arhawuzelelayo, Izifo zokuzikhusela komzimba, Izifo zolusu, Isifo sokuzikhusela komzimba, Amadyungudyungu olusu