He aha ia a pehea e mālama ai i ka herpetiform dermatitis

Anter

• Nā hōʻailona nui
• He aha ke kumu herpetiform dermatitis
• Pehea e hana ai i ka lāʻau
• Pehea e hōʻoia ai i ke kuhi

ʻO Herpetiform dermatitis, i ʻike ʻia ʻo ka maʻi ʻo Duhring a i ʻole celiac herpetiform dermatitis, kahi maʻi autoimmune nāna e hoʻokumu i nā puʻupuʻu aniani liʻiliʻi, e like me nā leona i hoʻokumu ʻia e ka herpes.

ʻOiai hiki ke ʻike ʻia kēia maʻi i loko o kēlā me kēia, ʻoi aku ka maʻamau o ka poʻe i ʻeha i ka maʻi celiac, no ka mea, he pilina ia e pili ana i ka ʻike gluten.

ʻAʻohe o Herpetiform dermatitis e hoʻōla ai, akā ʻo ka mālama ʻana me ka papaʻai gluten-ʻole a me ka hana antibiotic, i nā hihia ʻoi loa, kōkua ia e hōʻoluʻolu i nā ʻōuli, e ʻae ana i kahi maikaʻi o ke ola.

Nā hōʻailona nui

ʻO nā ʻōuli hiʻohiʻona o ka herpetiform dermatitis:

• Nā papa helehelena ʻulaʻula;
• Nā hua huʻihuʻi e aniani ka nui;
• Pīpī e pīpī maʻalahi ke wili;
• ʻO ke ahi wela i nā wahi i hoʻopili ʻia.

Hoʻohui ʻia, pinepine pinepine ka helehelena o nā palapū a puni nā palapū, e ala aʻe mai ka ʻili ʻana i ka ʻili me ka ikaika nui.

ʻO nā wahi i hoʻopilikia loa ʻia ʻo ka ʻili, ka puʻupuʻu, nā kuʻekuʻe, nā kuli a me ke kua, a ʻike pinepine ʻia symmetrically, ʻo ia hoʻi, ʻike ʻia ma nā kuʻekuʻe ʻelua a i ʻole nā ​​kuli ʻelua, no ka laʻana.

He aha ke kumu herpetiform dermatitis

ʻO ke kumu kūpono o dermatitis herpetiformis ka hoʻomanawanui ʻole i ka gluten, ʻoiai ka mea o kēia mea hoʻoulu i ka ʻōnaehana pale, e hoʻoulu ana i ka immunoglobulin A, kahi mea e hoʻouka i ke kino i nā hunaola o ka ʻōpū a me ka ʻili.

ʻOiai ke kumu ʻia e gluten, nui nā hihia o ka poʻe me ka herpetiform dermatitis ʻaʻole i loaʻa nā ʻōpū o ka hoʻomanawanui gluten a no laila, ʻaʻole i wehewehe pono ʻia ke kumu.

Pehea e hana ai i ka lāʻau

ʻO ke ʻano o ka mālama ʻana e hakakā ai i ka herpetiform dermatitis ka ʻai ʻana i ka papaʻai gluten-ʻole, a no laila e hoʻopau ʻia ka palaoa, a me ka palaoa, a me nā oats mai ka papaʻai. E nānā i ke alakaʻi hou aʻe e pili ana i ka wehe ʻana i ka gluten mai kāu papaʻai.

Eia nō naʻe, ʻoiai he manawa kūpono ka papaʻai, hiki paha i ka dermatologist ke paipai i ka hoʻohana ʻana o kahi antibiotic i loko o nā papa, i kapa ʻia ʻo Dapsone, kahi e hoʻomaha ai i nā ʻōuli ma 1 a 2 mau lā. Ma muli o ka hopena i nā hopena ʻē aʻe, e like me ka diarrhea, nausea a me anemia, Dapsone, pono e hoʻēmi ʻia ka lāʻau o Dapsone ma kahi o ka manawa a loaʻa ka lāʻau liʻiliʻi e hiki ai ke hōʻoluʻolu i nā ʻōuli.

I ke kumu o ka maʻi āpau iā Dapsone, hiki i ke dermatologist ke kuhikuhi i ka hoʻohana ʻana o nā hamo me nā corticosteroids a i ʻole ka hoʻohana ʻana i nā lāʻau ʻino ʻē aʻe, e like me Sulfapyridine a i ʻole Rituximab, e laʻa me.

Pehea e hōʻoia ai i ke kuhi

Hana pinepine ʻia ka diagnostical me kahi biopsy o ka ʻili i hoʻopili ʻia, kahi e lawe ai ke kauka i kahi ʻāpana ʻili e nānā ʻia i loko o ke keʻena hoʻokolohua e nānā inā aia ke alo o immunoglobulin A ma ka pūnaewele.