Bullous pemphigoid: ndi chiyani, chifukwa, zizindikiro ndi chithandizo
Zamkati
Bullous pemphigoid ndi matenda omwe amachititsa kuti khungu likhale losalala ndipo silitha mosavuta. Matendawa ndiosavuta kupezeka kwa anthu okalamba, komabe milandu ya bullous pemphigoid yadziwika kale mwa akhanda.
Ndikofunikira kuti mankhwala a pemphigoid ophulika ayambe kuyambika pomwe matuza oyamba azindikirika, chifukwa mwanjira imeneyi ndizotheka kupewa kupanga matuza ambiri ndikupeza mankhwala, omwe nthawi zambiri amawonetsedwa ndi dermatologist kapena dokotala wamba kapena kugwiritsa ntchito mankhwala a corticosteroid.
Zizindikiro zazikulu
Chizindikiro chachikulu chodziwika ndi pemphigoid yamphongo ndi mawonekedwe a matuza ofiira pakhungu omwe amatha kuwonekera m'thupi lonse, kukhala owonekera pafupipafupi, monga kubuula, zigongono ndi mawondo, ndipo atha kukhala amadzimadzi kapena magazi mkati. Komabe, palinso milandu ya bullous pemphigoid yomwe imakhudza dera lam'mimba, mapazi ndi m'kamwa ndi maliseche, komabe izi ndizosowa kwambiri.
Kuphatikiza apo, matuzawa amatha kuwonekera ndikusowa popanda chifukwa, amaphatikizidwa ndi kuyabwa ndipo akaphulika amatha kukhala owawa, komabe samasiya zipsera.
Ndikofunika kuti dermatologist kapena dokotala wamkulu akafunsidwe akangotuluka matuza oyamba, chifukwa izi zimapangitsa kuti kuyezetsa kuyesedwe ndikupanga mayeso ena kuti athe kumaliza matendawa. Nthawi zambiri adotolo amapempha kuti achotse chithuza kuti chiwoneke pamayikirosikopu ndi mayeso a labotale monga ma immunofluorescence ndi biopsy ya khungu, mwachitsanzo.
Zomwe zimayambitsa bullous pemphigoid
Bullous pemphigoid ndimatenda amthupi okha, ndiye kuti thupi lokha limapanga ma antibodies omwe amachita motsutsana ndi khungu lokha, zomwe zimayambitsa mawonekedwe a matuza, komabe momwe matumbo amapangidwira samadziwikirabe.
Kafukufuku wina akuwonetsa kuti imatha kuyambitsidwa ndikuwonetsedwa ndi radiation ya ultraviolet, radiation radiation kapena kugwiritsa ntchito mankhwala ena, monga furosemide, spironolactone ndi metformin, mwachitsanzo. Komabe, maphunziro owonjezera amafunikira kutsimikizira ubalewu.
Kuphatikiza apo, bullous pemphigoid imalumikizidwanso ndi matenda amitsempha monga dementia, matenda a Parkinson, sclerosis angapo ndi khunyu.
Momwe mankhwalawa amachitikira
Chithandizo cha bullous pemphigoid chikuyenera kuchitidwa molingana ndi malangizo a dermatologist kapena dokotala aliyense ndipo cholinga chake ndi kuthana ndi zizindikilo, kupewa matendawa kuti apite patsogolo ndikulimbikitsa moyo wabwino. Chifukwa chake, nthawi zambiri, kugwiritsa ntchito mankhwala osokoneza bongo monga corticosteroids ndi immunosuppressants kumawonetsedwa.
Kutalika kwa matenda kumadalira momwe wodwalayo aliri, ndipo kumatha kutenga milungu, miyezi kapena zaka. Ngakhale kuti si matenda osavuta kuthana nawo, bullous pemphigoid imatha kuchiritsidwa ndipo imatha kupezeka ndi mankhwala omwe awonetsedwa ndi dermatologist.