Ingabe uthola amabhamuza esikhumbeni sakho? Ingabe uthola izilonda emlonyeni? Ingabe kungaba yiPemphigus Vulgaris? Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uthola amabhamuza nezilonda ezibuhlungu emzimbeni wakho, ikakhulukazi emlonyeni wakho? Ingabe ziyaqhuma kalula futhi zenze kube nzima ukudla noma ukuphuza? Khona-ke lokhu kuyinto engaba yinto ebalulekile kuwe. Lesi simo sibizwa ngokuthi i-Pemphigus Vulgaris. Ungakhathazeki, ake sixoxe ngakho kalula.

Iyini iPemphigus Vulgaris?

Kalula nje, i-Pemphigus Vulgaris yisimo esibangelwa ukungasebenzi kahle kwesimiso sakho somzimba sokuzivikela . Lokhu sikubiza ngokuthi yisimo sokuzivikela komzimba. Indima yesimiso sethu somzimba sokuzivikela komzimba ukusivikela kumagciwane angaphandle, amabhaktheriya, kanye namagciwane. Kufana nebutho elivikela izwe. Kodwa-ke, ku-Pemphigus Vulgaris, isimiso sakho somzimba sokuzivikela komzimba sihlasela ngephutha amangqamuzana akho esikhumba anempilo kanye nolwelwesi lwamafinyila. Ulwelwesi lwamafinyila luyizingxenye ezithambile nezimanzi ezimboze ingaphakathi lomlomo wakho, ikhala, umphimbo, indlela yokuphefumula, indlela yokugaya ukudla, indlela yomchamo, kanye nendlela yokuzala.

Lokhu kuhlasela kubangela ukwakheka kwamaqhubu esikhumbeni kanye nasezingxeni zolwelwesi lwamafinyila. Ngokuvamile, abantu abane-Pemphigus Vulgaris baqala ukuba namaqhubu emlonyeni . La maqhubu athambile kakhulu futhi aqhuma kalula. Bese ephenduka izilonda ezibuhlungu.

I-Pemphigus vulgaris uhlobo oluvame kakhulu lwe-pemphigus.

Kuvame kangakanani lokhu? Ubani okukuthola kaningi?

I-Pemphigus Vulgaris yisifo esingavamile kakhulu . Nakuba singathinta noma ubani, sivame ukuthinta abantu abangaphezu kweminyaka engu-40. Singavamile kakhulu ezinsaneni nasezinganeni.

I-Pemphigus Vulgaris ithinta kanjani umzimba wami?

Izimpawu ze-Pemphigus Vulgaris zivame ukuqala emlonyeni wakho . Kuvela amabhamuza abuhlungu lapho, okwenza kube nzima ukudla noma ukuphuza. Cabanga nje unezilonda ezibuhlungu emlonyeni wakho wonke. Awukwazi ngisho nokubheka ukudla okuthandayo ngoba kuyabuhlungu futhi kuyahlaba. Abanye abantu banenkinga yokuphuza amanzi.

Ngemva kokuthinta ulwelwesi lwamafinyila emlonyeni, izimpawu zingasakazekela esikhumbeni kwezinye izingxenye zomzimba wakho. Lawa mafinyila mancane kakhulu, ngakho-ke aqhuma kalula. Lapho amafinyila eqhuma, angase akhiphe uketshezi, futhi ngezinye izikhathi ubomvu buzophuma. Lezi zindawo zibe seziba izilonda ezivulekile.

Ziyini izimpawu zalokhu?

Akuwona wonke umuntu one-Pemphigus Vulgaris onezimpawu ezifanayo, futhi ubukhali bazo bungahluka kuye ngomuntu . Izimpawu ezivamile zifaka:

• Kuvela i-blister egcwele uketshezi. Lokhu kungase kube nendandatho ebomvu ezungezile, kanti phakathi kungaba nombala okhanyayo opinki-omhlophe.
• Ama-blister aqhuma kalula, ekhipha uketshezi olucacile noma mhlawumbe igazi.
• Kungase kwakheke uqweqwe noma amaxolo phezu noma eduze kwe-blister.
• Isikhumba esiku-blister noma esizungezile siyaxebuka.
• Uma i-blister iqhuma, kwakheka amanxeba avulekile.
• Kukhona ubuhlungu obukhulu ngaphakathi naseduze kwama-blister.

Ungawavuli amabhamuza - angangenwa yileli gciwane!

Ungaklwebhi noma uqoqe amabhamuza akho, njengoba lokhu kungabangela ukuthi abe yizilonda ezivulekile futhi kuholele kalula ezifweni. Izimpawu zokutheleleka zingafaka:

• Kuphuma uketshezi olumhlophe noma oluphuzi olufana nobovu ebhodleleni.
• I-blister ivuvukele futhi ibuhlungu kakhulu.
• Uqweqwe oluphuzi lwakheka phezu noma nxazonke kwe-blister.
• Isikhumba esizungeze i-blister siyavuvukala futhi sikhule.
• I-blister ayipholi.

Khumbula, uma unezimpawu ezinjengalezi, kufanele ubonane nodokotela ngokushesha.

Zivelaphi izimpawu?

Izimpawu ze-Pemphigus Vulgaris zithinta isikhumba sakho kanye nolwelwesi lwamafinyila. Izindawo ezivame kakhulu lapho izimpawu zibonakala khona yilezi:

• Umlomo nomphimbo
• Impumulo
• Amehlo
• Indawo yobulili `(izitho zobulili)`
• Isifuba
• Ngaphandle
• Izandla nemilenze
• Ugebhezi `(ikhanda)`

Yini ebangela iPemphigus Vulgaris?

Imbangela eqondile yePemphigus Vulgaris ayikatholakali okwamanje .

Njengoba sixoxile ngaphambili, lesi yisimo sokuzivikela komzimba, lapho ama-antibodies esimiso sakho somzimba sokuzivikela - amaprotheni avikela umzimba wakho kumagciwane, amabhaktheriya, nezinye izinto - ehluleka ukubona amaseli akho aphilile futhi awahlasele njengokungathi angabahlaseli bakwamanye amazwe. Lokhu kuhlasela amaseli anempilo yikho okubangela izimpawu zokuqubuka kwesikhumba kanye nolwelwesi lwamafinyila.

Ingabe lesi simo singabangelwa imithi ethile?

Akuvamile kakhulu, umzimba wakho ungasabela kabi emithini ethile futhi ubangele izimpawu ze-pemphigus vulgaris. Eminye yale mithi ihlanganisa:

• Ama-ACE inhibitors: Le yimithi enikezwa umfutho wegazi ophakeme.
• `Ama-chelating agents`: Lena imithi esusa izinto ezithile egazini.
• Ama-antibiotic
• Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID)

Ingabe lokhu kuyathelelana?

Cha, i-Pemphigus Vulgaris ayisona isifo esithelelanayo. Awukwazi ukusidlulisela komunye umuntu. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Ukuthola kanjani lokhu?

Udokotela wakho uzoqala akuhlole bese ebuza ngezimpawu zakho. Uzobuza ngomlando wakho wezempilo nokuthi ngabe kukhona yini emndenini wakho oke waba nezimo ezifanayo. Ngemuva kwalokho, bangenza izivivinyo ezithile ukuqinisekisa isimo.

Yiziphi izivivinyo ezenziwayo?

Ukuqinisekisa ukuxilongwa, udokotela wakho angenza i-biopsy yesikhumba . Lokhu kuhilela ukuthatha ingxenye encane yezicubu esikhumbeni esithintekile, kungaba endaweni lapho kutholakala khona ama-blister, bese uyihlola ngaphansi kwe-microscope. Lokhu kungafaka nokuhlolwa okukhethekile okubizwa ngokuthi ukuhlolwa kwe-immunofluorescence.

Okunye ukuhlolwa ukuhlolwa kwegazi . Lokhu kuhlola ama-antibodies egazini lakho abangela izimpawu zakho.

Yiziphi izindlela zokwelapha?

Ukwelashwa kwe-pemphigus vulgaris kugxile ekulawuleni izimpawu nokuvimbela izinkinga ezifana nokutheleleka . Izindlela zokwelapha zingahluka kumuntu nomuntu. Zingafaka:

• Uma kukhona ukutheleleka, kunike umuthi.
• Uma kunemithi ebonakala ibangela izimpawu, yeka ukuyithatha.
• Ukusebenzisa imithi, okhilimu, kanye namafutha okugcoba ukuze kuphulukiswe amanxeba futhi kuncishiswe ubuhlungu.
• Phatha amanxeba nama-blister ngokucophelela, njengoba nje ubungaphatha ukusha noma inxeba.
• Uma ungakwazi ukudla ngenxa yezilonda emlonyeni, ukudla ukudla okuthambile, okungaqinile, noma ngezinye izikhathi ukudla okunomsoco nge-IV, kungasiza ekuvimbeleni ukungondleki kahle.
• Ukusebenzisa umuthi wokubulala izinzwa ukunciphisa ubuhlungu bama-blister emlonyeni.

Yimiphi imithi yePemphigus Vulgaris?

Udokotela wakho angase akunike imithi efana nalena ukuze anciphise izimpawu, avimbele ukuqubuka kwesikhumba, noma elaphe izifo:

• Ama-corticosteroids, asetshenziswa esikhumbeni noma aphuzwa ngomlomo, asiza ekunciphiseni ukuvuvukala.
• Izithiyo zokucindezela amasosha omzimba . Izibonelo zifaka phakathi i-azathioprine, i-cyclosporine, i-mycophenolate, i-cyclophosphamide, i-methotrexate, noma i-rituximab. Lokhu kusebenza ngokunciphisa umsebenzi wamasosha omzimba nokuwuvimba ekuhlaseleni amaseli anempilo.
• Ama-antibiotic noma ama-antifungal. Lawa anikezwa uma kukhona ukutheleleka.

Ingabe ikhona imiphumela emibi yokwelashwa?

Akuzona zonke izindlela zokwelapha ezifanayo, ngakho-ke imiphumela emibi ingase ivele kuye ngohlobo lomuthi udokotela wakho awunikezayo. Ngaphambi kokuqala umuthi omusha, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo njengamanje, izithasiselo ozithathayo, kanye nanoma yikuphi ukungezwani komzimba onakho. Udokotela wakho uzoqapha isimo sakho kanye nenqubekela phambili yokwelashwa kwakho. Angase futhi enze ukuhlolwa kwegazi noma komchamo njalo ukuze ahlole imiphumela emibi.

Yini ongayidla futhi uyiphuze kulesi simo?

Ukudla nokuphuza kungaba yinselele uma une-Pemphigus Vulgaris, ikakhulukazi uma unezilonda emlonyeni wakho . Ngakho-ke, khetha ukudla okuthambile, okumanzi, nokungaqinile . Lokhu akubuhlungu kakhulu ezilondeni. Gwema ukudla okune-asidi, okubabayo, nokuqinile (isib. ulamula, i-orenji, i-chili, ama-potato chips).

Uma ungakwazi ukudla noma ukuphuza, bonana nodokotela ngokushesha.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Isikhathi sokuphulukiswa siyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile, kungathatha amasonto ambalwa ngemuva kokuqala ukwelashwa ukuze amabhamuza amasha ayeke ukwakheka . Ngemva kwalokho, kungathatha izinyanga ezimbalwa ukuba isikhumba sakho siphole.

I-Pemphigus vulgaris yisifo esingamahlalakhona , okusho ukuthi izimpawu zingase zibuye ngisho nangemva kokwelashwa.

Ingabe iPemphigus Vulgaris ingavinjelwa?

Ngenxa yokuthi imbangela eqondile ayaziwa, ayikho indlela yokuvimbela i-Pemphigus Vulgaris. Kodwa-ke, ukwelashwa kunganciphisa izimpawu.

Kwenzekani uma nginePemphigus Vulgaris?

Ngokwelashwa, ungakwazi ukulawula i-pemphigus vulgaris. Lesi simo asivamile ukuthinta impilo yakho. Kodwa-ke, uma izimpawu zinkulu, zingakukhubaza okwesikhashana. Lokhu kusho ukuthi kungaba nzima ukwenza imisebenzi yakho yansuku zonke noma ukuya emsebenzini. Abanye abantu bangase bangakwazi ukulala kahle noma banciphise isisindo uma bengakwazi ukudla kahle ngenxa yezilonda emlonyeni.

Izibazi azivamile lapho amabhamuza ephola. Kodwa-ke, uma inxeba liqhuma futhi kunzima ukuliphola, lingashiya izibazi noma amabala ashintsha umbala esikhumbeni.

Uma zingelashwa, izimpawu zingasakazeka emzimbeni wonke futhi ziholele ezinkingeni ezisongela ukuphila (isib. ukungondleki kahle, ukuphelelwa amanzi emzimbeni, i-sepsis - ukutheleleka okukhulu). Inkinga enkulu kakhulu ye-pemphigus vulgaris engalashwanga ukutheleleka okukhulu, okungalashwanga.

Akukabikho ikhambi le-Pemphigus Vulgaris. Ucwaningo lusaqhubeka ngembangela kanye nokwelashwa okusha.

Lesi simo sizohlala isikhathi esingakanani?

I-Pemphigus Vulgaris yisifo esihlala isikhathi eside (esingamahlalakhona) , ngakho-ke ungase ube nezimpawu empilweni yakho yonke. Izimpawu zivame ukuqala phakathi kweminyaka engama-40 nengama-60. Izimpawu zingafika ziphinde ziphele (ukuqubuka). Ukwelashwa kungasiza ekunciphiseni izimpawu zakho.

Kufanele ngizinakekele kanjani?

Ungazinakekela ekhaya futhi uphathe izimpawu zePemphigus Vulgaris ngokwenza okulandelayo:

• Yidla ukudla okuthambile, okuthambile, okumanzi uma unezilonda emlonyeni.
• Nakekela amathumba akho namanxeba, njengoba nje ubungenza uma usika noma ushile.
• Gqoka izingubo zokuzivikela futhi usebenzise isivikelo selanga ukuze uvikele isikhumba sakho emisebeni ye-UV eyingozi yelanga.
• Sebenzisa insipho kanye nama-lotion angenaphunga athambile esikhumbeni sakho.

Kufanele ngimbone nini udokotela?

Kufanele ubonane nodokotela uma unezimpawu ezilandelayo:

• Uma amanxeba engapholi.
• Uma kukhona amabhamuza endaweni enkulu yomzimba.
• Uma amabhamuza abuhlungu ekhipha uketshezi oluphuzi noma olumhlophe, noma uma kwakheka uqweqwe oluphuzi oluzungezile (lokhu kungaba yizimpawu zokutheleleka).
• Uma kukhona ukuvuvukala ngaphakathi noma eduze kwama-blister.
• Uma kunzima ukudla nokuphuza.
• Uma unezimpawu ezifana nomkhuhlane, ukubanda, kanye nobuhlungu bemisipha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Hlobo luni lokwelashwa olunconywayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ngingazivimbela kanjani izifo?
• Ngingazinakekela kanjani izilonda zami ekhaya?

Uyini umehluko phakathi kwePemphigus Vulgaris neBullous Pemphigoid?

I-Pemphigus Vulgaris kanye ne-Bullous Pemphigoid zombili ziyizimo zokuzivikela komzimba ezithinta isikhumba sakho. Zombili zivame ukuthinta abantu abangaphezu kweminyaka engu-65. Kodwa-ke, umehluko omkhulu phakathi kwalezi zimo ezimbili usezilondeni ezenzekayo kanye nembangela .

I-Pemphigus vulgaris ibangela ukwakheka kwamaqhubu amancane, agcwele uketshezi esikhumbeni sakho kanye nasezingxeni zamathumbu, njengomlomo wakho.

I-bullous pemphigoid ibangela amabala abomvu alumayo, aphakanyisiwe, esikhumbeni abizwa ngokuthi ama-hive-like welts . Lawa mabala avame ukumbozwa ngama-blister aqinile, angaqhekekanga.

Umyalezo oya nawo ekhaya

I-Pemphigus Vulgaris yisifo sesikhumba esihlala isikhathi eside esingahlala impilo yonke. Izimpawu zingaba zimbi futhi zingabangela izilonda zesikhumba nomlomo. Into ebaluleke kakhulu ukudla kahle nokugwema ukuntuleka kokudla okunempilo uma unalesi simo . Khuluma nodokotela wakho ngezinketho zokwelapha ezingcono kakhulu zezimpawu zakho. Ungesabi, into ebaluleke kakhulu ukuqaphela nokuthola ukwelashwa okufanele.

i- pemphigus vulgaris, isifo sesikhumba, amabhamuza, izilonda zomlomo, ukuzivikela komzimba, ukuzivikela komzimba, isifo sesikhumba