I-bullous pemphigoid: iyini, imbangela, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ze-bullous pemphigoid
• Yelashwa kanjani

I-Bullous pemphigoid iyisifo se-dermatological esizimele lapho kuvela khona amabhamuza amakhulu abomvu esikhunjeni futhi angaphuli kalula. Lesi sifo kulula ukuvela kubantu asebekhulile, kepha amacala e-bullous pemphigoid asevele akhonjwe ezinganeni ezisanda kuzalwa.

Kubalulekile ukuthi ukwelashwa kwe-bullous pemphigoid kuqalwe ngokushesha nje lapho amabhamuza okuqala eqashelwe, ngoba ngale ndlela kungenzeka ukugwema ukwakheka kwamabhamuza amaningi nokuthola ikhambi, okuvame ukukhonjiswa ngudokotela wesikhumba noma udokotela ojwayelekile noma ukusebenzisa yemithi ye-corticosteroid.

Izimpawu eziyinhloko

Uphawu oluyinhloko olukhombisa i-poushi pemphigoid eyi-bullous ukubonakala kwamabhamuza abomvu esikhunjeni angavela emzimbeni wonke, ukuvama kakhulu ukuvela emaphethweni, njengokububula, izindololwane namadolo, futhi kungaqukatha uketshezi noma igazi ngaphakathi. Kodwa-ke, kukhona amacala abikiwe we-bullous pemphigoid athinte indawo yesisu, izinyawo nezindawo zomlomo nezangasese, kepha lezi zimo zivame kakhulu.

Ngaphezu kwalokho, la mabhamuza angavela futhi anyamalale ngaphandle kwesizathu, ahambisane nokulunywa futhi lapho ephuka angaba buhlungu impela, noma kunjalo awazishiyi izibazi.

Kubalulekile ukuthi kuboniswane nodokotela wesikhumba noma udokotela ojwayelekile ngokushesha lapho kuvela amabhamuza okuqala, ngoba lokhu kwenza ukuthi kwenziwe ukuhlolwa futhi kwenziwe ezinye izivivinyo ukuphetha ukuxilongwa. Imvamisa udokotela ucela ukususwa kocezu lweblister ukuze lubonwe ngaphansi kwesibonakhulu kanye nokuhlolwa kwelabhorethri okufana ne-immunofluorescence ngqo kanye ne-biopsy yesikhumba, isibonelo.

Izimbangela ze-bullous pemphigoid

I-Bullous pemphigoid yisifo sokuzivikela komzimba, okungukuthi, umzimba uqobo ukhiqiza amasosha omzimba asebenza ngokulwa nesikhumba uqobo, okuholela ekubonakaleni kwamabhamuza, kepha indlela okwakhiwa ngayo amabhamuza ayikacaci kahle.

Olunye ucwaningo lukhombisa ukuthi kungabangelwa ukuvezwa yimisebe ye-ultraviolet, ukwelashwa ngemisebe noma ngemuva kokusebenzisa imithi ethile, njenge-furosemide, i-spironolactone ne-metformin, ngokwesibonelo. Kodwa-ke, ezinye izifundo ziyadingeka ukuqinisekisa lobu budlelwano.

Ngaphezu kwalokho, i-bullous pemphigoid nayo ihlotshaniswa nezifo zemizwa ezinjengokuwohloka komqondo, isifo sikaParkinson, isifo sokuqina kwemisipha kanye nesifo sokuwa.

Yelashwa kanjani

Ukwelashwa kwe-bullous pemphigoid kufanele kwenziwe ngokuyalelwa ngudokotela wesikhumba noma udokotela ojwayelekile futhi kuhlose ukuqeda izimpawu, kuvimbele lesi sifo ekuqhubekeni nasekukhuthazeni izinga lempilo. Ngakho-ke, ezimweni eziningi, ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala ezinjenge-corticosteroids kanye ne-immunosuppressants kukhonjisiwe.

Isikhathi sesifo sincike esimweni sesiguli, futhi kungathatha amasonto, izinyanga noma iminyaka. Yize kungesona isifo esingaxazululeka kalula, i-bullous pemphigoid iyelapheka futhi ingatholakala ngamakhambi akhonjiswe ngudokotela wesikhumba.