Duhring dermatitis: izimbangela, izimpawu, uphethwe nezici ukwelashwa

Kuyini Duhring dermatitis? Impendulo oyithola izinto kwe-athikili. Uyofunda mayelana nendlela ukwelapha lesi sifo, yiziphi izimpawu kanye izimbangela.

ulwazi oluyisisekelo

Duhring dermatitis - a zokugula okuhlobene dermatoses iqembu futhi labizwa ngokuthi herpetiformis. Leli qembu ihlanganisa a yisifo sesikhumba, okuyinto Nokho, ukuthuthukisa ngenxa yezizathu ezihlukahlukene, kufanele isithombe esifanayo emtholampilo.

Njengezinye dermatoses, Duhring dermatitis libhekene ukubukeka ukuqubuka ethize. Lesi sifo akuyona into engavamile. Ake sikhulume nje iqiniso noma yimuphi umuntu nganoma isiphi yobudala. Igama lesi sifo sitholwe Philadelphia amagama udokotela - Duhring. Kuyaziwa ukuthi wayehileleka esifundweni sakhe ekupheleni kwekhulu le-19.

izimbangela

Kungani kukhona Duhring dermatitis? Imbangela yalesi sifo kweqiniso ingakamiswa aqine. Nokho, ochwepheshe bathi zingaba phambili eyeza nezazi zezinkanyezi ezikhuluma eziningana ukuthi ithethelele okuvela ezingalindelekile esehlaselwa isifo sesikhumba esenyanyekayo.

akhawunti Ososayensi 3 yezici ingqondo:

• ukunciphisa amasosha omzimba womuntu, ukuthi ekugcineni kusho ukumelana ababuthakathaka futhi engazinzile ekungenweni;
• yofuzo;
• izinkinga wokugaya ukudla, noma kunalokho ukuhlukumeza inqubo ukumuncwa kwezakhi esiswini.

Dermatitis herpetiformis Duhring, okuyinto ukwelashwa uzobe kuchazwe ngezansi, siphathelene cutaneous isifo sokuhlasela kwamasosha omzimba. Ngakho-ke, ngokuhamba yokwelapha, odokotela abaningi ekuthuthukiseni izikimu ezihambisana algorithm nokwelashwa iziyaluyalu sokuhlasela kwamasosha omzimba.

Kumele kuqashelwe futhi ukuthi ezinye iziguli ngesikhathi, lokho kuhlolisisa kwembula ukungabekezeleli ukuba gluten, equkethwe ngobuningi e kutshalwe izilimo. Umsuka sokuhlasela kwamasosha omzimba yalesi sifo Kuyaphawuleka ukuthi phakathi epidermis futhi dermis ngokuvamile kakhulu ezitholakala Iga-amasosha omzimba.

Kufanele ukuthi ukuthuthukiswa kwe-dermatosis kungaba avuse ukuvuvukala kule ipheshana emathunjini, isifo yegciwane, kukhuphuke iodine luvelo ascariasis.

Duhring dermatitis: Izimpawu

Njenganoma iyiphi isifo sesikhumba, lesi sifo okukhulunywa kulula kakhulu ukuba aqaphele ngokubonakala yabo. Ngokuvamile kuthinta ubulili namandla abaneminyaka engu 22-38. Njengoba abesifazane ke lokhu dermatosis kuyabathinta akuvamile kakhulu.

Izimpawu esemqoka yalolu zezifo ukwahluka elandelayo:

• Ukuqubuka kwesikhumba, okuyinto athathe isimo Bubbles ngaphakathi ketshezi. Ngokuhamba ekuthuthukiseni lesi sifo yilabo amabhamuza wavele, futhi esikhundleni sabo ngakha iqembu uqweqwe. Lapho ecwaninga Bubbles wavele kusheshe kakhulu. Kulokhu, okuqukethwe kwabo ungathola kwi isikhumba enempilo futhi ngegciwane ke, ezibanga kumiswa izilonda entsha.
• Ukulunywa, ubuhlungu nokusha endaweni ukuqubuka. isimo esinjalo kubangela umuntu ukunwaya inkinga endaweni, okuyinto luhambisana nomthwalo ukwanda okukhulu izilonda ebusweni.
• Lapho dermatitis Duhring ukulunywa kuqala, khona-ke amabhamuza lokuqala kuyagcinwa.
• Izinkinga ipheshana emathunjini isiguli uzwakalise lokucuketfwe fat fecal, kamuva Uthola grey umbala.

Ezinye izimpawu zezifo isikhumba

Ngaphandle kubhekwe isifo wabonakaliswa kuphela Ukuwohloka isimo lesiguli jikelele impilo, uvalo kwakhe okukhulu okungokomzwelo noma okusithiyayo, kanye umehluko nezinga lokushisa komzimba.

izakhi cystic nazo kule nqubo asathuthuka lesi sifo, mancane. Kulokhu bebizwa vesicles. Uma zinkulu (ubukhulu 2 cm), odokotela ukubabiza nokuqhuma bullous.

Ngokusho ochwepheshe, uma uketshezi eziqukethwe amabhamuza babe esinamafu ngokuhamba kwesikhathi, bese ohlanganiswe inqubo sokugembula ukutheleleka.

Kufanele kuphawulwe ukuthi ecwaninga soma zakhekile ngokushesha okukhulu kuholela ekwakhekeni endaweni erosive, okuyinto oluthatha indawo ye-bubble wangaphambili.

ukuhlola

Indlela yokubona lesi sifo mbuzo? Yiziphi yezifiso wekuhlolisisa kusebenta kwahulumende? Duhring dermatitis kunqunywa ngempela kalula. Ngenxa yale njongo, laboratory kanye nezindlela wezinsimbi. Lezi zihlanganisa lokhu okulandelayo:

• Icacisa inombolo eosinophils egazini, kanye uketshezi fibrosis (isifo uma kakhulu anda).
• umsebenzi cwaningo yegilo (cishe 30% kuzo zonke izimo wembula ukwephula ahlukahlukene).
• immunofluorescence Direct lembula ekuqongeleleni fixed immunoglobulin A.
• Isampula iodine. nenqubo ethile yokuthola isifo enjalo wenziwa kanje: phezu ibhodi lemisindo isicelo wamafutha eliqukethe u-50% we -potassium iodide, Okuseleyo usuku. Nge isampula omuhle kule ndawo kukhona ukuqubuka futhi ububomvu.

Duhring dermatitis Ukwelashwa

Ngaphambi kokuqala ekwelapheni iziguli dermatitis Dühring ahlolisisa izifo emathunjini bese komdlavuza. izidakamizwa "dapsone" njengoba abelwe kuwo. Isikali Its mg 100 kabili nsuku zonke izinsuku 5 2 usuku ngezikhathi (3-5 imijikelezo).

Ngemva ukunyamalala izimpawu zesifo i-nomuthi iqondiswa in umthamo yesondlo, ngamanye amazwi, 5 mg Njalo ngemva kosuku olulodwa noma izikhathi 2 ngesonto. izigameko ezingezinhle ezavela kubhekwe amafa ibandakanya ukucanuzela kwenhliziyo, ukuhlanza, ukuntuleka kwegazi emzimbeni, sengqondo, ukulimala kwesibindi, nokungezwani komzimba. Kufanele kuqashelwe ukuthi le izidakamizwa "dapsone lathi" asivumelani nemithetho barbiturates futhi "amidopirina".

Ngaphandle kwezidakamizwa okukhulunywa esetshenziselwa ukwelapha dermatosis futhi amathuluzi anjenge lipoic acid, i-sodium dimerakoptopropansulfonat, antihistamine, etebenetsid, methionine, amavithamini (Rutoside, ascorbic acid, vitamin B).

Ukondla isiguli nalesi sifo

Ikhona yini enye indlela ukwelapha dermatitis Dühring? Ukudla isibopho sokuba leso sifo. Abantu abagulayo ikhombisa Ukudla kwasinda oats, ukolweni, unyaluthi nebhali, nezinye okusanhlamvu. Ngaphezu kwalokho, iziguli ezinemishini Duhring dermatitis ayenqatshelwe ukudla imikhiqizo equkethe iodine (isib izinhlanzi zasolwandle).

Izibikezelo nenkambo sifo

Phakathi ukugula cyclical futhi yesikhathi eside. Ngokuvamile, kuhambisana remissions esinqunyiwe kanye ibingaba eyesikhashana ngempela. Nakuba ezinye iziguli bachubeke nekucaphela kusathé ephelele futhi abazimele.

Ekwelapheni dermatitis Dühring, isiguli zingavela ukuqubuka entsha. Nokho, isimo esinjalo ekhombisa ushintsho (kufaka phakathi ukukhulisa) umthamo nsuku zonke zomuthi.

Iningi leziguli izifo zesikhumba, ukunamathela ngokuqinile ekudleni kanjalo kusenta sibe ncono. Nokho, lokhu akusho ekuqedeni isidingo sokuhlolwa kwabantu imithi, "dapsone".