Ngaba ukutya igluten kubangela amadyungudyungu aqatha narhawuzelelayo eluswini? Masifunde ngeDermatitis Herpetiformis!

Ngaba wakha watya into efana nesonka, ikeyiki, okanye iibhisikithi, uze emva kweeyure ezimbalwa uqale ukuba nala maqhuqhuva arhawuzelelayo namanzi emzimbeni wakho? Ngamanye amaxesha, ukurhawuzelela kunokuba nzima kangangokuba awukwazi ukulala ebusuku. Ngelixa abantu abaninzi becinga ukuba oku kubangelwa kukungezwani komzimba, kusenokuba yinto ekufuneka icingelwe nzulu. Namhlanje, siza kuthetha ngale meko yesikhumba abantu abaninzi abangayaziyo, kodwa enokuchaphazela abantu abaninzi. Yiyo leyo iDermatitis Herpetiformis.

Ngamafutshane, yintoni i-Dermatitis Herpetiformis?

I-Dermatitis I-Herpetiformis yingxaki yesikhumba engapheliyo. Eyona nto ibangela oku kukuba umzimba wakho uvakalelwa yiproteni ebizwa ngokuba yigluten. I-gluten yinto efumaneka kwiinkozo ezifana nengqolowa, i-rye, kunye nerhasi. Ngoko ke, uninzi lokutya esikutyayo yonke imihla, okufana nesonka, ipasta, iikeyiki kunye neebhisikithi, kuqulethe igluten.

Xa usitya ukutya okunegluten, amajoni omzimba wakho ayasabela kuko. Oku kubangela ukuba kubekho amadyungudyungu kunye namabala abomvu eluswini lwakho arhawuzelela kakhulu.

Amaxesha amaninzi, abantu abane-Dermatitis Herpetiformis nabo banesifo esibizwa ngokuba sisifo seCeliac. Kodwa okumangalisayo kukuba, basenokungabi nazo iimpawu zesifo se-celiac, ezinje ngeentlungu zesisu, urhudo, okanye ukwehla kobunzima. Yiyo loo nto le meko ngamanye amaxesha ibizwa ngokuba "lusu olubonakalisa isifo se-celiac." Nangona kunjalo, kunqabile kakhulu, ukuba ne-Dermatitis Herpetiformis ngaphandle kokuba nesifo se-celiac.

Ngaba oku kunento yokwenza ne-herpes virus?

Xa besiva eli gama, abantu abaninzi banokucinga ukuba esi sisifo esibangelwa yintsholongwane ye-herpes. Hayi, akunjalo konke konke. Esi sifo asinanto yakwenza nentsholongwane ye-herpes.

Igama elithi "dermatitis" livela kumagama athi "derm" elithetha "ulusu" kunye nelithi "itis" elithetha "ukudumba." Lithetha "ukudumba kolusu." Igama elithi "herpetiformis" livela kwinto yokuba amaqhuqhuva aqala kule meko afana nele-herpes. Ngaphandle koko, akukho nxibelelwano lumbi phakathi kwezi zimbini. Ngoko ke ungoyikiswa ligama.

Ngubani ochaphazeleka kakhulu yile meko?

I-Dermatitis Herpetiformis inokuchaphazela nabani na wanoma yiphi na iminyaka. Nangona kunjalo, abanye abantu basengozini enkulu yokuba nayo. Jonga ukuba uwela kwelinye lala maqela.

• Abantu abaphakathi kweminyaka engama-30 ukuya kwengama-40 ubudala .
• Abantu abanesifo seCeliac (Phantse i-10% - 25% yabantu abaneDermatitis Herpetiformis nabo banesifo seCeliac.)
• Ukuba kukho nabani na kusapho (ingakumbi izalamane ezisondeleyo ezifana nomama, utata, abantakwabo noodadewabo) oneDermatitis Herpetiformis okanye iCeliac Disease.
• Ezinye izifo ezibangelwa kukuzikhusela komzimba kwimbali yosaphoUkuba uneengxaki zokuzikhusela komzimba. Umzekelo, isifo se-thyroid, i-vitiligo, isifo seswekile sohlobo 1, kunye ne-anemia.
• Amadoda atyekele kakhulu kunabafazi.
• Ixhaphake kakhulu kubantu abazalwa eMntla Yurophu.

Ziziphi iimpawu eziphambili zesi sifo?

Ezi mpawu zinokwahluka kumntu nomntu, kodwa kukho ezinye iimpawu eziqhelekileyo. Makhe sijonge le theyibhile ingezantsi ukuze sikuqonde kakuhle oku.

Zivela phi ezi blister rhoqo?

Nangona la maqhuqhuva anokuvela naphi na emzimbeni, ahlala ebonakala ngokulinganayo kumacala omabini omzimba. Oko kukuthi, ukuba avela edolweni lasekunene, kusenokwenzeka ukuba avele nasedolweni lasekhohlo.

• Amadolo
• Iingqiniba
• Amaqakala
• Intloko kunye nomgca weenwele
• Umqolo ongasentla

Kutheni oku kusenzeka? Yintoni unobangela?

Isizathu silula kakhulu. Le yimpendulo ye-autoimmune.

Khawucinge nje, xa utya ukutya okunegluten. Xa kugaywa, inkqubo yomzimba wakho yokuzikhusela ijonga le gluten njenge "ntshaba." Emva koko ivelisa uhlobo oluthile lwe-antibody ebizwa ngokuba yi -IgA ukulwa nolu "tshaba."

Ngokwesiqhelo, ezi antibodies kufuneka zibekho egazini. Kodwa kule meko, ezi antibodies ze-IgA ziyahamba zize zihlale kwimithambo yegazi emincinci yolusu lwakho. Xa zihleli ngolu hlobo, kuvela olunye ulwahlulo lomzimba kwezo ndawo, nto leyo ebangela ukurhawuzelelwa okukhulu kunye nokudumba.

Kukwakho nefuthe lemfuza. Ngokukodwa, abantu abane-genes ze-HLA-DQ2 kunye ne-HLA-DQ8 basengozini enkulu yokufumana i-Dermatitis Herpetiformis kunye ne-Celiac Disease.

Ugqirha uyifumanisa njani le nto kanye kanye?

Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha ngoko nangoko. Kungcono ukubona ugqirha wesikhumba, ugqirha ogxile kwizifo zolusu. Ugqirha uza kuhlola ulusu lwakho aze emva koko enze iimvavanyo ezimbalwa ukuqinisekisa ukuba unesifo.

1. I-Skin Biopsy: Le yeyona ndlela ilungileyo yokuqinisekisa isifo. Iqhekeza elincinci kakhulu lesikhumba esisempilweni lithathwa kufutshane ne-blister lize lihlolwe nge-microscope. Oku kungasetyenziselwa ukufumanisa ukuba ii-antibodies ze-IgA esithethe ngazo ngaphambili zikhona na.

2. Uvavanyo lweGazi: Igazi lakho livavanywa ii-antibodies (anti-endomysial kunye ne-anti-tissue transglutaminase) ezinxulumene nesifo se-celiac. Ukuba ezi antibodies zikhona kwaye i-biopsy yesikhumba ilungile, kukho ithuba elikhulu lokuba nawe unesifo se-celiac.

Ezi mvavanyo zisetyenziselwa ukuqinisekisa ukuba ingaba yiDermatitis Herpetiformis okanye enye imeko yesikhumba efana ne-eczema okanye i-scabies.

Zithini iindlela zonyango zoku?

Zimbini iindlela eziphambili zokunyanga oku. Eyona ndlela isebenzayo kukuzisebenzisa zombini kunye.

1. Ukutya okungenagluten

Olu lolona nyango luhlala ixesha elide nolubaluleke kakhulu.Ngenxa yokuba umzimba wakho usabela kwi-gluten, ukuba uyeka ukutya i-gluten ngokupheleleyo, ezi mpawu ziya kuyeka ukubonakala emva kwexesha elithile.

Ukutya okubalulekileyo ekufuneka ukuphephe:

• Yonke into eyenziwe ngomgubo wengqolowa (isonka, iibhanisi, iikeyiki, iibhisikithi, ipasta, iinoodles)
• Ibhali
• I-Rye
• Ezinye iisosi, iicereal, kunye nenyama elungisiweyo nazo zinokuba negluten, ngoko ke funda ilebheli ngononophelo xa uthenga nantoni na evenkileni.

Olu hlobo lokutya lunokuthatha ixesha ukuqhela, kodwa lubaluleke kakhulu kwimpilo yolusu lwakho kwaye luthintele umonakalo obangelwa sisifo se-celiac ukuba unaso.

2. Amayeza

Kungathatha iinyanga ezininzi, mhlawumbi unyaka, ukubona iziphumo zokutya okungenagluten. Kodwa kunzima ukunyamezela ixesha elide kangako ngenxa yokurhawuzelelwa okunzulu. Ngoko ke, ugqirha wakho uza kukunika iyeza lokulawula ngokukhawuleza ukurhawuzelelwa kunye namadyungudyungu.

Iyeza elinikwa kakhulu yiDapsone . Eli yeza linokunciphisa kakhulu ukurhawuzelela kunye nokudumba kwiiyure ezingama-24-48. Nangona kunjalo, alilonyango, lilawula kuphela iimpawu. Ukuba awuyeki ukutya igluten, iimpawu ziya kubuya xa uyeka ukusebenzisa iyeza.

Xa usela i-dapsone, ugqirha wakho uya kujonga igazi lakho rhoqo, kuba linokubangela ezinye iziphumo ebezingalindelekanga. Ke ngoko, kubalulekile ukuthatha amayeza kwaye wenze uvavanyo kanye njengoko ugqirha wakho ekuxelele.

Ndingaphila njani nale meko?

I-Dermatitis Herpetiformis yimeko ehlala ubomi bonke. Oku kuthetha ukuba ayinakunyangwa ngokupheleleyo. Kodwa inokulawulwa kakuhle .

Ukuba ulandela ukutya okungqongqo okungenagluten, ungaphila ubomi obuqhelekileyo ngaphandle kweempawu. Ngamanye amaxesha, ungafumana ukuphumla iminyaka emininzi. Kodwa kubalulekile ukuqhubeka nokutya okungenagluten ngelo xesha.

Oku kurhawuzelelwa kunokuphazamisana nemisebenzi yemihla ngemihla kunye nokulala. Amadyungudyungu eluswini anokwenza kube nzima ukujongana noluntu. Kodwa khumbula, oku akulona ityala lakho. Konke oku kunokuthintelwa ngonyango olufanelekileyo kunye nokutya okufanelekileyo. Ukuba awukhululekanga, thetha nogqirha wakho ngako.