Dermatitis herpetiformis

Dermatitis herpetiformis (DH) ndikutuluka kovuta kwambiri komwe kumakhala ziphuphu ndi zotupa. Kuthamanga kumakhala kosatha (nthawi yayitali).

DH nthawi zambiri imayamba mwa anthu azaka 20 kapena kupitilira apo. Ana nthawi zina amakhudzidwa. Zimawoneka mwa amuna ndi akazi.

Zomwe zimayambitsa sizikudziwika. Ngakhale dzinalo, silokhudzana ndi kachilombo ka herpes. DH ndimatenda amthupi okha. Pali mgwirizano wamphamvu pakati pa DH ndi matenda a leliac. Matenda a Celiac ndimatenda amomwe amayambitsa kutupa m'matumbo ang'onoang'ono kuchokera pakudya gluten. Anthu omwe ali ndi DH amakhalanso ndi chidwi ndi gluteni, zomwe zimayambitsa khungu. Pafupifupi 25% ya anthu omwe ali ndi matenda a leliac amakhalanso ndi DH.

Zizindikiro zake ndi izi:

• Ziphuphu kapena zotupa kwambiri, nthawi zambiri pamiyendo, mawondo, kumbuyo, ndi matako.
• Ziphuphu zomwe nthawi zambiri zimakhala zofanana komanso mawonekedwe mbali zonse ziwiri.
• Ziphuphu zingawoneke ngati chikanga.
• Zikwangwani ndi zotupa pakhungu m'malo mwa matuza mwa anthu ena.

Anthu ambiri omwe ali ndi DH amawononga matumbo awo chifukwa chodya gluten. Koma ndi ena okha omwe ali ndi zizindikiro zamatumbo.

Nthawi zambiri, kuyezetsa khungu ndikuwunika khungu. Wothandizira zaumoyo atha kulimbikitsanso kuti biopsy yamatumbo. Mayeso amwazi atha kulamulidwa kuti atsimikizire matendawa.

Mankhwala otchedwa dapsone ndi othandiza kwambiri.

Zakudya zosapatsa thanzi zimathandizanso kuti muchepetse matendawa. Kutsatila pachakudyachi kungathetsere kusowa kwa mankhwala ndikupewa zovuta zina.

Mankhwala omwe amapondereza chitetezo cha mthupi atha kugwiritsidwa ntchito, koma sagwira ntchito kwenikweni.

Matendawa amatha kuyang'aniridwa bwino ndi mankhwala. Popanda chithandizo, pakhoza kukhala chiopsezo chachikulu cha khansa ya m'mimba.

Zovuta zingaphatikizepo:

• Sungani matenda amtundu wa chithokomiro
• Pangani khansa ina, makamaka ma lymphomas amatumbo
• Zotsatira zoyipa za mankhwala omwe amathandizidwa ndi DH

Itanani omwe akukuthandizani ngati mukumva kuwawa komwe kukupitilira ngakhale mutalandira chithandizo.

Palibe njira yodziwira matendawa. Anthu omwe ali ndi vutoli amatha kupewa zovuta popewa zakudya zomwe zili ndi gluteni.

Matenda opatsirana; DH

• Dermatitis, herpetiformis - kutseka kwa zotupa
• Dermatitis - herpetiformis pa bondo
• Dermatitis - herpetiformis pa mkono ndi miyendo
• Dermatitis herpetiformis pa chala chachikulu
• Dermatitis herpetiformis padzanja
• Dermatitis herpetiformis kutsogolo

Hull CM, Chigawo JJ. Dermatitis herpetiformis ndi mzere wolimba wa IgA bullous dermatosis. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 31.

Kelly CP. Matenda a Celiac. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 107.