I-dermatitis herpetiformis

I-Dermatitis herpetiformis (i-DH) ukuqubuka okunesibindi okukhulu okuqukethe ama-bump and blisters. Ukuqhuma akupheli (isikhathi eside).

I-DH ivame ukuqala kubantu abaneminyaka engama-20 nangaphezulu. Izingane ngezinye izikhathi zingathinteka. Kubonakala kwabesilisa nabesifazane.

Imbangela ngqo ayikaziwa. Ngaphandle kwegama, alihlobene negciwane le-herpes. I-DH yinkinga yokuzimela komzimba. Kukhona ukuxhumana okuqinile phakathi kwesifo se-DH nesifo se-celiac. Isifo seCeliac yisifo sokuzilimaza esibangela ukuvuvukala emathunjini amancane ekudleni i-gluten. Abantu abane-DH nabo banokuzwela kwe-gluten, okubangela ukuqubuka kwesikhumba. Cishe ama-25% abantu abanesifo se-celiac nabo bane-DH.

Izimpawu zifaka:

• Amaqhuqhuva alumayo kakhulu noma amabhamuza, imvamisa ezindololwaneni, emadolweni, emuva nasezinqeni.
• Ama-Rashes ajwayele ukuba ngosayizi nokuma okufanayo ezinhlangothini zombili.
• Ukuqhuma kungabonakala njenge-eczema.
• Ama-scratch marks kanye nokuguguleka kwesikhumba esikhundleni samabhamuza kwabanye abantu.

Iningi labantu abane-DH linomonakalo emathunjini abo ngokudla i-gluten. Kepha kuphela abanye abanezimpawu zamathumbu.

Ezimweni eziningi, kwenziwa isikhumba se-biopsy kanye ne-immunofluorescence ngqo yesikhumba. Umhlinzeki wezokunakekelwa kwempilo angancoma nokuthi kwenziwe i-biopsy yamathumbu. Ukuhlolwa kwegazi kungayalelwa ukuqinisekisa ukutholakala kwesifo.

I-antibiotic ebizwa nge-dapsone iyasebenza kakhulu.

Ukudla okuqinile okungenayo i-gluten nakho kuzonconywa ukusiza ukulawula lesi sifo. Ukunamathela kulokhu kudla kungasusa isidingo semithi futhi kuvimbele izinkinga ezizayo.

Izidakamizwa eziqinisa amasosha omzimba zingasetshenziswa, kepha azisebenzi kangako.

Lesi sifo singalawulwa kahle ngokwelashwa. Ngaphandle kokwelashwa, kungaba khona ingozi enkulu yomdlavuza wamathumbu.

Izinkinga zingafaka:

• Gwema ngokuzenzakalela isifo se-thyroid
• Thuthukisa izinhlobo ezithile zomdlavuza, ikakhulukazi ama-lymphomas emathunjini
• Imiphumela emibi yezidakamizwa ezisetshenziselwa ukwelapha i-DH

Shayela umhlinzeki wakho uma unokuqubuka okuqhubekayo ngaphandle kokwelashwa.

Akukho ukuvimbela okwaziwayo kwalesi sifo. Abantu abanalesi simo bangakwazi ukuvimbela izinkinga ngokugwema ukudla okuqukethe i-gluten.

Isifo se-duhring; I-DH

• Isikhumba, i-herpetiformis - ukuvala izilonda
• I-Dermatitis - i-herpetiformis edolweni
• Isikhumba - i-herpetiformis engalweni nasemilenzeni
• I-dermatitis herpetiformis kusithupha
• I-dermatitis herpetiformis esandleni
• I-dermatitis herpetiformis engalweni

I-Hull CM, iZone JJ. I-Dermatitis herpetiformis kanye ne-IgA dermalosis enobuthi. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 31.

UKelly CP. Isifo seCeliac. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 107.