Dermatitis herpetiformis

Dermatitis herpetiformis (DH) irash inoputika ine mapundu uye mablisters. Rash iri isingaperi (yakareba-nguva).

DH inowanzo kutanga muvanhu vane makore makumi maviri nekure. Vana vanogona dzimwe nguva kukanganiswa. Inoonekwa mune vese varume nevakadzi.

Chikonzero chaicho hachizivikanwi. Kunyangwe iri zita, haina hukama neherpes hutachiona. DH chirwere che autoimmune. Pane hukama hwakasimba pakati peDH uye chirwere ichi. Chirwere cheCeliac chirwere che autoimmune chinokonzera kuzvimba mumatumbu madiki kubva pakudya gluten. Vanhu vane DH vane zvakare kunzwisisika kune gluten, iyo inokonzeresa kukurumidza kweganda. Vanenge makumi maviri neshanu muzana yevanhu vane chirwere chechiliac zvakare vane DH.

Zviratidzo zvinosanganisira:

• Zvikuru zvinotyisa kana mapundu, kazhinji pamagokora, mabvi, musana, uye magaro.
• Rashes ayo anowanzoenzana saizi uye chimiro pamativi ese.
• Iwo mapundu anogona kutaridzika kunge eczema.
• Kukanda mamaki uye kudengenyeka kweganda panzvimbo pemabhuru mune vamwe vanhu.

Vazhinji vanhu vane DH vane kukuvara kumatumbu avo kubva pakudya gluten. Asi chete vamwe vane zviratidzo zvemukati.

Muzviitiko zvakawanda, ganda biopsy uye yakananga immunofluorescence bvunzo yeganda inoitwa. Anopa hutano anogona zvakare kukurudzira biopsy yematumbo. Kuongororwa kweropa kunogona kurairwa kuti usimbise kuongororwa.

Mishonga inorwisa mabhakitiriya inonzi dapsone inoshanda kwazvo.

Kudya kwakasimba-kusina-gluten kunozokurudzirwawo kubatsira kudzora chirwere. Kunamatira kuchikafu ichi kunogona kubvisa kudiwa kwemishonga uye kudzivirira kusangana kunotevera.

Mishonga inodzvanyirira immune system inogona kushandiswa, asi haina basa zvakanyanya.

Chirwere ichi chinogona kunge chakanyatso kudzorwa pamwe nekurapwa. Pasina kurapwa, panogona kuve nenjodzi yakakura yekenza yemudumbu.

Zvinetso zvinogona kusanganisira:

• Autoimmune chirwere chetachiona
• Gadzira mimwe kanzira, kunyanya lymphomas yematumbo
• Side migumisiro yemishonga inoshandiswa kurapa DH

Fonera mupiki wako kana iwe uine kukurumidza kunoenderera kunyangwe kurapwa.

Iko hakuna kuzivikanwa kudzivirira kwechirwere ichi. Vanhu vane chirwere ichi vanogona kudzivirira matambudziko nekudzivirira chikafu chine gluten.

Duhring chirwere; DH

• Dermatitis, herpetiformis - padyo-pechironda
• Dermatitis - herpetiformis pamabvi
• Dermatitis - herpetiformis paruoko nemakumbo
• Dermatitis herpetiformis pachigunwe
• Dermatitis herpetiformis paruoko
• Dermatitis herpetiformis paruoko

Hull CM, Nzvimbo JJ. Dermatitis herpetiformis uye mutsara IgA inotyisa dermatosis. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chits.

Kelly CP. Chirwere cheCeliac. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 107.