Wopanda pemphigoid

Bullous pemphigoid ndimatenda akhungu omwe amadziwika ndi matuza.
Bullous pemphigoid ndimatenda amthupi omwe amapezeka pomwe chitetezo chamthupi chimagunda ndikuwononga minofu yathanzi mwangozi. Makamaka, chitetezo cha mthupi chimagunda mapuloteni omwe amalumikiza khungu (epidermis) kumtunda kwa khungu.
Matendawa nthawi zambiri amapezeka mwa okalamba ndipo amapezeka achinyamata. Zizindikiro zimabwera ndikutha. Vutoli limatha zaka zisanu.
Anthu ambiri omwe ali ndi vutoli amakhala ndi khungu loyabwa lomwe lingakhale lalikulu. Nthawi zambiri, pamakhala zotupa, zotchedwa bullae.
- Matuza nthawi zambiri amakhala pamikono, miyendo, kapena pakati pa thupi. Nthawi zambiri, matuza amatha kupanga pakamwa.
- Matuza amatha kutseguka ndikupanga zilonda zotseguka.
Wothandizira zaumoyo awunika khungu ndikufunsa za zizindikilo.
Mayeso omwe angachitike kuti athetse vutoli ndi awa:
- Kuyesa magazi
- Khungu la khungu la chithuza kapena dera loyandikira
Mankhwala oletsa kutupa omwe amatchedwa corticosteroids atha kuperekedwa. Amatha kutengedwa pakamwa kapena kupakidwa pakhungu. Mankhwala amphamvu kwambiri atha kugwiritsidwa ntchito kuthandizira kupewetsa chitetezo cha mthupi ngati ma steroids sagwira ntchito, kapena kulola kuti mankhwala ochepetsa a steroid agwiritsidwe ntchito.
Maantibayotiki am'banja la tetracycline atha kukhala othandiza. Niacin (vitamini B ovuta) nthawi zina amaperekedwa limodzi ndi tetracycline.
Wopereka wanu atha kupereka malingaliro odzisamalira. Izi zingaphatikizepo:
- Kupaka mafuta odana ndi zotupa pakhungu
- Gwiritsani ntchito sopo wofatsa ndikupaka mafuta pakhungu mukatha kusamba
- Kuteteza khungu lomwe lakhudzidwa ndi kuwonongeka kwa dzuwa komanso kuvulala
Bullous pemphigoid nthawi zambiri amalabadira chithandizo. Mankhwalawa amatha kuyimitsidwa pakatha zaka zingapo. Matendawa amabwerera pambuyo poti mankhwala ayimitsidwa.
Matenda apakhungu ndiye vuto lofala kwambiri.
Zovuta zamankhwala zimathanso kupezeka, makamaka potenga corticosteroids.
Lumikizanani ndi omwe amakupatsani ngati muli ndi:
- Matuza osadziwika pakhungu lanu
- Kutupa kosalala komwe kukupitilira ngakhale chithandizo chanyumba
Bullous pemphigoid - kutseka kwa matuza
Khalani TP. Matenda opatsirana komanso oopsa. Mu: Habif TP, mkonzi. Clinical Dermatology: Buku Lopangira Kuzindikira ndi Chithandizo. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 16.
PeñaS, WP VP. Wopanda pemphigoid. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 33.