Duhring dermatitis: zimayambitsa, zizindikiro, matenda ndi mbali chithandizo

Duhring dermatitis ndi chiyani? Yankho inu mufika ku zipangizo za nkhaniyi. Mudzaphunziranso za mmene tiyenera kuchitira matenda, kodi zizindikiro ndi zoyambitsazo.

mfundo zofunika

Duhring Dermatitis - ndi kudwala zokhudzana ndi dermatoses gulu ndi wachinsinsi monga herpetiformis. gulu Izi zikutibweretsa pamodzi ndi khate, yomwe kukhala chifukwa zifukwa zosiyanasiyana, chimodzimodzi matenda chithunzi.

Ngati dermatoses zina, Duhring dermatitis amakhala ndi maonekedwe a zotupa yeniyeni. matenda si zachilendo. Kunena zoona munthu aliyense pa msinkhu uliwonse. Dzina la nthendayo akamagwira Philadelphia maina dokotala - Duhring. Amadziwika kuti anali nawo mu phunziroli ake m'zaka 19 mochedwa.

zimayambitsa

Chifukwa pali Duhring dermatitis? Chenicheni chimene chinayambitsa matenda silinakwaniritsidwe anakhazikitsa. Komabe, akatswiri kuika patsogolo ziphunzitso zingapo kuti zifukwa pakutchulidwa matenda sizimadziwika khungu.

Asayansi mlandu 3 zinthu n'lakuti:

• kuchepetsa anthu chitetezo chokwanira, zoti zikutanthauza ofooka ndi wosakhazikika kukaniza matenda;
• kutengera za kumtundu;
• mavuto dongosolo m'mimba, kapena m'malo kuphwanya dongosolo la mayamwidwe zakudya m'matumbo.

Dermatitis herpetiformis Duhring, amene mankhwala adzakhala pansipa, ananena kuti matenda cutaneous autoimmune. Choncho, mu njira ya mankhwala, madokotala ambiri osauka ziwembu kuti afanane ndi aligorivimu ya chithandizo cha matenda autoimmune.

Tikumbukenso kuti odwala ena pa kumupima zimasonyeza tsankho kwa gilateni zopezeka kuchuluka mu mbewu. An chiyambi autoimmune za matenda n'chakuti pakati pa khungu ndi dermis kawirikawiri kwambiri anapeza IgA-chitetezo.

Tiyeneranso kuti chitukuko cha dermatosis akhoza imfayo kutupa mu kapepala m'mimba, matenda tizilombo, kuchuluka ayodini tilinazo ndi ascariasis.

Duhring Dermatitis: Zizindikiro

Mofanana ndi matenda aliwonse pakhungu, matenda funso N'zosavuta kuzindikira ndi maonekedwe awo. Kawirikawiri zimakhudza kugonana mphamvu zaka 22-38. Koma akazi, ndiye dermatosis izi zimakhudza iwo si nthawi.

Zizindikiro zazikulu za matenda ndi yofanana zotsatirazi:

• Ziwengo, amene kutenga maonekedwe a thovu mu madzi. M'kupita kudwala matenda ndi zotupa anayamba, ndipo malo awo anapanga kutumphuka. Pamene kuongola thovu zinatseguka nsanga kwambiri. Pankhaniyi, amanena mukhoza kufika pa khungu wathanzi ndi kuwononga izo, zimene zimachititsa mapangidwe zotupa latsopano.
• Kuyabwa, kupweteka ndi kutentha pa malo a zotupa pa. makhalidwe amenewa amachititsa munthu kukanda vuto dera lomwe kumatanthauza kuwonjezeka ndithu mu zotupa pamwamba.
• Pamene dermatitis Duhring woyamba kuyabwa, ndiyeno matuza yoyamba anati.
• Mavuto ndi kapepala matumbo a wodwalayo anasonyeza fecal mafuta okhutira, amene kenako amapeza mtundu imvi.

Zizindikiro zina za matendawa khungu

Kunja ankaona matenda akuwonetseredwa yekha kuwonongeka kwa boma ambiri wodwala thanzi, manjenje wake maganizo kapena chopinga, komanso kusiyana thupi kutentha.

zinthu enaake nawo mu ndondomeko ya kudwala matenda, ang'ono. Pankhaniyi iwo amatchedwa vesicles. Ngati lalikulu (m'mimba mwake 2 cm), madokotala kuwatcha bullous kuphulika.

Malinga ndi akatswiri, ngati madzimadzi ali matuza kukhala mitambo pa nthawi, nadzaphatikizana ndi ndondomeko pathological matenda.

Iwo ayenera kukumbukira kuti kuongola crusts kale mwachangu kwambiri kumabweretsa mapangidwe a m'dera erosive, amene ali malo kuwira kale.

diagnostics

Kodi kudziwa matenda funso? ndi ndondomeko matenda chiyani? Duhring dermatitis anatsimikiza mosavuta. Chifukwa chaichi, zasayansi ndi njira malangizo. Zikuphatikizapo zotsatirazi:

• Kuona chiwerengero cha eosinophils mu magazi, komanso enaake madzimadzi (ngati kwambiri wawaonjezera matenda).
• chithokomiro kuphunzira ntchito (pafupifupi 30% milandu chimaphunzitsa kuyan'anila osiyanasiyana).
• Direct immunofluorescence limasonyeza kudzikundikira atathana immunoglobulin A.
• Chitsanzo ndi ayodini. Chotero ndondomeko matenda imagwiridwa motere: pa mkono ntchito mafuta munali 50% ya iodide potassium amene anasiya tsiku. Ndi chitsanzo chabwino mu malo awa pali totupa ndi redness.

Duhring Dermatitis Chithandizo

Asanayambe mankhwala a odwala matenda dermatitis Dühring mosamala matenda m'mimba ndi malignancies. mankhwala "dapsone" monga iwo akutumikira. mlingo wake ndi 100 mg kawiri pa tsiku kwa masiku 5 ndi 2 tsiku intervals (3-5 m'zinthu).

Pambuyo kutha kwa zizindikiro za matenda a medicament chikuyendetsedwera mu yokonza mlingo, i.e., 5 mg tsiku lililonse kapena nthawi 2 sabata. zochitika Kulanga ankaona chuma monga nseru, kusanza, kuchepa magazi, psychosis, kuwonongeka chiwindi, ndi thupi lawo siligwirizana. Iwo ayenera kukumbukira kuti mankhwala "dapsone" atakwatirana ndi barbiturates ndi "amidopirina".

Kuwonjezera mankhwala anatchula ntchito pochiza dermatosis ndi zipangizo monga asidi lipoic, ndi sodium dimerakoptopropansulfonat, mankhwala, etebenetsid, methionine, mavitamini (Rutoside, ascorbic asidi, vitamini B).

Kudyetsa mtima ndi matenda

Kodi wina kuchitira dermatitis Dühring? Zakudya ndi lamulo kwa matenda amenewa. anthu odwala zikusonyeza zakudya kupatulapo Mapila, tirigu, mapira, balere, ndipo dzinthu ena. Komanso, odwala ndi Duhring dermatitis choletsedwa kudya mankhwala okhala ndi ayodini (mwachitsanzo, m'madzi nsomba).

Kulosera tsogolo la matenda ndi zochita matenda

Pa matenda cyclical ndi yaitali. Nthawi zambiri limodzi ndi kuchotsedwa tsankho ndiponso sakhalitsa. Ngakhale kuti anthu ena odwala kusunga wathunthu ndi ufulu wodzilamulira chikhululukiro.

Mankhwalawa dermatitis Dühring, wodwalayo angaoneke totupa latsopano. Komabe, makhalidwe amenewa si zikusonyeza kusintha (kuphatikizapo kuwonjezeka) mlingo tsiku la mankhwala.

Ambiri odwala matenda matenda a pakhungu, mosamalitsa ndondomeko chakudya kumathandiza bwino chidwi. Komabe, zimenezi sizichepetsa kufunika kwa mankhwala, "dapsone".