Wake wadla into efana nesinkwa, ikhekhe, noma amabhisikidi bese kuthi ngemva kwamahora ambalwa, uqale ukuba nalezi ziqhubu ezilumayo nezimanzi emzimbeni wakho? Ngezinye izikhathi, ukulunywa kungaba nzima kakhulu kangangokuthi awukwazi ukulala ebusuku. Nakuba abantu abaningi becabanga ukuthi lokhu kumane kuyisifo esivamile sokungezwani komzimba, kungaba yinto okudingeka icatshangelwe ngokujulile. Namuhla, sizokhuluma ngalesi simo sesikhumba abantu abaningi abangasazi, kodwa esingathinta abantu abaningi. Leso yi-Dermatitis Herpetiformis.
Kalula nje, iyini i-Dermatitis Herpetiformis?
I-Dermatitis Herpetiformis yisifo sesikhumba esingamahlalakhona. Imbangela eyinhloko yalokhu ukuzwela komzimba wakho kuphrotheni ebizwa ngokuthi i-gluten. I-Gluten iyinto etholakala kokusanhlamvu okufana nokolweni, i-rye, nebhali. Ngakho-ke, ukudla okuningi esikudla nsuku zonke, njengesinkwa, i-pasta, amakhekhe, namabhisikidi, kuqukethe i-gluten.
Uma udla ukudla okuqukethe i-gluten, amasosha omzimba wakho ayasabela kukho. Lokhu kuphumela emaqabungeni nasezindaweni ezibomvu esikhumbeni sakho eziluma kakhulu.
Ngokuvamile, abantu abane-Dermatitis Herpetiformis nabo banesifo esibizwa ngokuthi isifo se-Celiac. Kodwa ngokumangazayo, kungenzeka bangabi nazo izimpawu zesifo se-celiac, njengobuhlungu besisu, isifo sohudo, noma ukwehla kwesisindo. Yingakho lesi simo ngezinye izikhathi sibizwa ngokuthi "ukubonakaliswa kwesikhumba sesifo se-celiac." Kodwa-ke, akuvamile kakhulu, ukuthi umuntu abe ne-Dermatitis Herpetiformis ngaphandle kokuba nesifo se-celiac.
Ingabe lokhu kuhlobene negciwane le-herpes?
Lapho bezwa leli gama, abantu abaningi bangase bacabange ukuthi lesi yisifo esibangelwa yigciwane le-herpes. Cha, akunjalo nhlobo. Lesi sifo asihlobene nhlobo negciwane le-herpes.
Igama elithi "dermatitis" livela kumagama athi "derm" elisho "isikhumba" kanye nelithi "itis" elisho "ukuvuvukala." Lisho "ukuvuvukala kwesikhumba." Igama elithi "herpetiformis" livela eqinisweni lokuthi amabhamuza akheka kulesi simo afana ngokubukeka nalawo e-herpes. Ngaphandle kwalokho, akukho okunye ukuxhumana phakathi kwalokhu okubili. Ngakho-ke ungakhathazeki ngegama.
Ubani othinteka kakhulu yilesi simo?
I-dermatitis Herpetiformis ingathinta noma ubani wanoma yimuphi ubudala. Kodwa-ke, abanye abantu basengozini enkulu yokuba nayo. Bheka ukuthi uwela yini kwelinye lala maqembu.
- Abantu abaneminyaka ephakathi kuka-30 no-40 .
- Abantu abanesifo se-Celiac (Cishe u-10% - 25% wabantu abane-Dermatitis Herpetiformis nabo banesifo se-Celiac.)
- Uma kukhona emndenini (ikakhulukazi izihlobo eziseduze njengomama, ubaba, abafowabo nodadewabo) one-Dermatitis Herpetiformis noma i-Celiac Disease.
- Ezinye izifo zokuzivikela komzimba emlandweni womndeniUma unezimo zokuzivikela komzimba. Isibonelo, isifo se-thyroid, i-vitiligo, isifo sikashukela sohlobo 1, kanye ne-anemia.
- Amadoda anomkhuba ophakeme kancane kunabesifazane.
- Kuvame kakhulu kubantu abadabuka eNyakatho Yurophu.
Into ebaluleke kakhulu ukuthi lesi akusona isifo esithelelanayo. Asisabalali kusuka komunye umuntu kuya komunye ngokuthinta noma nganoma iyiphi enye indlela. Sibangelwa ngokuphelele indlela umzimba wakho osabela ngayo ku-gluten.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Lezi zimpawu zingase zihluke kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile. Ake sibheke ithebula elingezansi ukuze sikuqonde kahle lokhu.
| Indawo ethintekile | Izimpawu ezibonwayo |
|---|---|
| Isikhumba | Lolu uphawu oluyinhloko nolusobala kakhulu. Amaqhubu amancane noma amaqhubu avela ngamaqoqo ezinhlayiyeni ezibomvu noma ezinombala oshintshile esikhumbeni , okubangela ukulunywa nokuvuvukala okukhulu . Ukulunywa kukhulu kangangokuthi abanye abantu baziklwebha futhi bazilimaze bengazi. |
| Uhlelo lokugaya ukudla (Isisu) | Abantu abanesifo se-celiac bangase babe nezimpawu ezifana nokuqunjelwa, ubuhlungu besisu, uhudo, noma ukuqunjelwa. Kodwa-ke, abantu abaningi bangase bangabi nazo lezi zimpawu futhi bamane babe nezimpawu zesikhumba. |
| Umlomo namazinyo (Izinkinga zomlomo) | Lesi yisimo esingavamile. I-enamel yamazinyo ingonakala. Ungase ubone izimbobo ezincane, ukushintsha kombala, noma imigqa evundlile emazinyweni. Ngezinye izikhathi, izilonda ze-canker nazo zingavela. |
Zivela kuphi lezi ziqhubu?
Nakuba la maqhubu angavela noma kuphi emzimbeni, avame ukubonakala ngokulinganayo kuzo zombili izinhlangothi zomzimba. Okusho ukuthi, uma ebonakala edolweni lesokudla, cishe azovela nasedolweni lesokudla.
- Amadolo
- Izindololwane
- Izinqe
- Isikhumba sekhanda kanye nomugqa wezinwele
- Umhlane ongaphezulu
Kungani lokhu kwenzeka? Iyini imbangela?
Isizathu silula kakhulu. Lokhu ukusabela kokuzivikela komzimba.
Cabanga nje, udla ukudla okuqukethe i-gluten. Uma kugaywa, amasosha omzimba wakho abheka le gluten njenge "isitha." Bese ikhiqiza uhlobo olukhethekile lwe-antibody olubizwa ngokuthi i-IgA ukulwa nalesi "sitha."
Ngokuvamile, la ma-antibodies kufanele abe khona egazini. Kodwa kulokhu, la ma-antibodies e-IgA ayahamba agcine emithanjeni yegazi emincane yesikhumba sakho. Uma ehlala kanje, kuvela okunye ukusabela kwamasosha omzimba kulezo zindawo, okuyikho okubangela ukulunywa okukhulu kanye nokuqhuma kwamaqhubu.
Kukhona nethonya lezakhi zofuzo. Ikakhulukazi, abantu abanezakhi zofuzo i-HLA-DQ2 kanye ne-HLA-DQ8 basengozini enkulu yokuthola i-Dermatitis Herpetiformis kanye ne-Celiac Disease.
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha. Kungcono ukubona udokotela wesikhumba, udokotela ogxile ezifweni zesikhumba. Udokotela uzohlola isikhumba sakho bese eqhuba izivivinyo ezimbalwa ukuqinisekisa ukuthi unesifo.
1. I-Skin Biopsy: Lena yindlela engcono kakhulu yokuqinisekisa lesi sifo. Ingcezu encane kakhulu yesikhumba esinempilo ithathwa eduze kwe-blister bese ihlolwa ngaphansi kwe-microscope. Lokhu kungasetshenziswa ukuthola ukuthi ama-antibodies e-IgA esikhulume ngawo ngaphambili akhona yini.
2. Ukuhlolwa Kwegazi: Igazi lakho lihlolwa ama-antibodies (anti-endomysial kanye ne-anti-tissue transglutaminase) ahlotshaniswa nesifo se-celiac. Uma la ma-antibodies ekhona futhi i-biopsy yesikhumba iqinisekisa ukuthi unayo, kunethuba elikhulu lokuthi nawe unesifo se-celiac.
Lezi zivivinyo zisetshenziselwa ukuqinisekisa ukuthi ngabe yi-Dermatitis Herpetiformis noma esinye isimo sesikhumba njenge-eczema noma i-scabies.
Yiziphi izindlela zokwelapha lokhu?
Kunezindlela ezimbili eziyinhloko zokwelapha lokhu. Indlela ephumelela kakhulu ukusebenzisa zombili ndawonye.
1. Ukudla Okungenagluten
Lokhu ukwelashwa kwesikhathi eside nokubaluleke kakhulu.Ngenxa yokuthi umzimba wakho usabela ku-gluten, uma uyeka ukudla i-gluten ngokuphelele, lezi zimpawu zizoyeka ukuvela ngemva kwesikhathi esithile.
Khumbula, lokhu akuyona indlela yokudla "yokunciphisa i-gluten". "Kuwukuqeda ngokuphelele i-gluten." Ngisho nenani elincane lingabangela izimpawu ukuthi ziphinde zivele.
Ukudla Okubalulekile Okufanele Ukugwenywe:
- Konke okwenziwe ngofulawa kakolweni (isinkwa, amabhanisi, amakhekhe, amabhisikidi, i-pasta, ama-noodle)
- Ibhali
- I-Rye
- Amanye amasoso, okusanhlamvu, kanye nenyama ecutshunguliwe kungase kube ne-gluten, ngakho funda ilebula ngokucophelela lapho uthenga noma yini esitolo.
Lokhu kudla kungathatha isikhathi ukujwayela, kodwa kubaluleke kakhulu empilweni yesikhumba sakho nokuvimbela umonakalo obangelwa yisifo se-celiac uma unaso.
2. Imithi
Kungathatha izinyanga eziningana, mhlawumbe unyaka, ukubona imiphumela yokudla okungenagluten. Kodwa kunzima ukubekezelela isikhathi eside kangako ngenxa yalolo lusu olunzima. Ngakho-ke, udokotela wakho uzokunikeza umuthi wokulawula ngokushesha ukulunywa kanye nama-blister.
Umuthi ovame kakhulu ukunqunywa yi- Dapsone . Lo muthi unganciphisa kakhulu ukulunywa nokuvuvukala zingakapheli amahora angama-24-48. Kodwa-ke, awulona ikhambi, ulawula izimpawu kuphela. Uma ungayeki ukudla i-gluten, izimpawu zizobuya uma uyeka ukuthatha umuthi.
Uma uthatha i-dapsone, udokotela wakho uzohlola igazi lakho njalo, njengoba lingabangela imiphumela emibi. Ngakho-ke, kubalulekile ukuthatha imithi futhi wenze izivivinyo njengoba nje udokotela wakho ekutshelile.
Ungaphila kanjani nalesi simo?
I-Dermatitis Herpetiformis yisimo esihlala impilo yonke. Lokhu kusho ukuthi ayinakwelapheka ngokuphelele. Kodwa ingalawulwa kahle .
Uma ulandela ukudla okungenagluten okuqinile, ungaphila impilo evamile ngaphandle kwezimpawu. Ngezinye izikhathi, ungaya ekuphumuleni iminyaka eminingi. Kodwa kubalulekile ukuqhubeka nokudla okungenagluten phakathi naleso sikhathi.
Lokhu kuluma kungaphazamisa imisebenzi yansuku zonke kanye nokulala. Amabhamuza esikhumbeni angenza kube nzima ukubhekana nomphakathi. Kodwa khumbula, lokhu akulona iphutha lakho. Konke lokhu kungagwenywa ngokwelashwa okufanele kanye nokudla okufanele. Uma ungakhululekile, khuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Dermatitis Herpetiformis yisifo sesikhumba esiluma kakhulu esibangelwa ukungezwani komzimba ne-gluten. Akubangelwa yigciwane le-herpes.
- Lesi simo sihlobene kakhulu nesifo se-celiac, kodwa akubona bonke abantu ababonisa izimpawu ezifana nokuphazamiseka kwesisu.
- Kungadingeka i-biopsy yesikhumba ukuze kutholakale ngokunembile lesi sifo.
- Ukwelashwa okuyinhloko nokwesikhathi eside ukulandela ukudla okungenagluten impilo yonke .
- Udokotela angase anikeze imithi efana ne-Dapsone ukuze alawule ngokushesha ukulunywa nokuqubuka kwamaqhubu.
- Uma unalezi zimpawu, ungazinyangi futhi ufune iseluleko sezokwelapha ngokushesha.
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