I-Pemphigoid okanye i-Herpes Gestationis Impembelelo kuMama naseNtwaneni
Kukho inani leentlobo ezihlukeneyo zabafazi abakwaziyo xa bekhulelwe. Kule ndawo, i-pemphigoid managementis okanye i-herpes gestationis ayiqhelekanga.
Sibanzi
I-gestationis ene-pemphigoid yaziwa nangokuthi i-herpes gestationis, nangona igama eligqithisileyo lilahlekisa ekubeni le meko ayinxulumene ne-virus ye-herpes, nayiphi na intsholongwane. Esi sisifo esinqabileyo, esihlambulukileyo, esizimeleyo esenzekayo ngexesha lesibini kunye neyesithathu zokukhulelwa kunye nexesha lokuhambisa.
I-gestationis e-Pemphigoid ivela kwi-1 ukuya kwi-7 000 ukuya kwi-50,000 yokukhulelwa.
Yiyiphi i-Gestationis e-Pemphigoid Ebonakalayo
I-Gestationis ene-Pemphigoid iqala ngokuqala ngekota yesithathu okanye yesithathu, nangona ixelwe kwi-trimester yokuqala kunye nexesha elifutshane emva kokuziswa. Ukubonakala kwentsuku kumaphakathi kokukhulelwa, kwiiveki ezingama-21.
I-gestationis ene-pemphigoid ibonakala kulezi zigaba zilandelayo, ngeempawu ezicacileyo:
- Imoya iqala ngemisipha ebomvu, imifuno ebomvu okanye i-bumps encinci malunga neqhosha lesisu.
- Kwiintsuku ezimbalwa ukuya kwiiveki, ukusabalala kwanda, kunye nemingxuma kunye ne-bumps zidibanisa ukuze zenze iinqumfa ezinqamlekileyo zetyhula ezibandakanya indawo ebanzi yesikhumba. Ukukhawuleza kunokubandakanya:
- Isohlwayo
- Buyela
- Amatye
- Ngaphambili
- Iintlobo zezandla
- Izisombululo zeenyawo
- Ngokuqhelekileyo akubandakanyi ubuso, isikhumba, okanye ngaphakathi emlonyeni
- Emva kweeveki ezimbini ukuya kwezine zale ngozi, inkulu, i-blister ifomu kwifom ye-rash okanye kwesikhumba esiqhelekileyo. Ezi blister ziphilisa ngaphandle kokukhawulwa xa zingenayo igciwane.
- Abanye abesifazana abanakho naziphi na izibhanti, endaweni yoko, banokuba neendawo eziphakamileyo eziphakanyisiweyo ezibizwa ngokuthi iiplati.
Ukuhluthwa ngokukhawuleza kwe-rash kungenzeka kamva ekukhulelweni, kodwa iilwimi ezingenakunceda zenzeka ngokukhawuleza ngaphambi kokuba kuhanjiswe kuma-75 ukuya kuma-80 ekhulwini kwabasetyhini.
Ukukhawuleza kungaphinda kubuye xa i-mens iqala kwakhona okanye isebenzise imithi yokukhulelwa komlomo.
Ngokukhulelwa okulandelayo, i-pemphigoid gestationis ivame ukuqala ngaphambi kokukhulelwa kunokuba yenza ngaphambili kwaye inokuba nzima kakhulu. Iipesenti ezisibhozo kuphela zabasetyhini abanakho ukuphindaphindiweyo kwe-pemphigoid gestationis ekukhulelweni okulandelayo.
Izizathu
Akuqinisekanga ukuba yintoni ebangela i-pemphigoid gestationis, kodwa ithathwa njengoluhlobo lwesifo esingenasistim. Izifo ezizenzekelayo ziziimeko apho umzimba wenza ama-antibodies ahlasela izicubu zawo (ngokwazo ngokwazo.) Ama-antibodies afakwe kwiintlobo ezithile zezicubu ezinxibelelwano kwesikhumba kwaye kubangela impendulo yokuvuvukala. Le mpendulo ibonakaliswe ngokubomvu, ukubetha, ukuvuvukala, kunye nokubunjwa kwe-blister.
Ukuxilongwa
I-gestationis e-pemphigoid ivame ukufunyanwa ngokuthatha i-biopsies yesikhumba kwiindawo ezahlukileyo zesikhumba kunye nokubonakala kwesikhumba. Uvavanyo oluthile lokufumana amanqamzana ebizwa ngokuba yi-immunofluorescence ngqo eyenziwa kwii-biopsies ukwenzela ukuxilongwa.
Ukuxilongwa okungafaniyo - Yintoni enye into engaba nayo?
Kukho inani leemeko ezinokubangela ukurhoxiswa nokutshiza ngexesha lokukhulelwa. Ukongezelela kwiimvavanyo ezikhankanywe ngasentla, ukugqithwa kungabonakaliswa ngendawo kunye nokubonakala kwazo kunye nokungabikho kweziphumo ezibonwe kwezinye zeemeko.
Umphumo kwiNtsana
Ngenxa yokuba izixhobo zokulwa ziwela i- placenta , iintsholongwane ezenza ukuba i-pemphigoid gestationis inokuchaphazela umntwana. Ukugqithwa okuphawulekayo kuye kwaxelwa kwiipesenti ezintlanu zintsana ezalwa ngamama kunye nale meko.
Ukugqithwa kwexesha elitsha lihlala ixesha elincinane (malunga neenyanga ezintathu ukuya kwezine) kwaye lizinzela ngokwabo ngaphandle kokonyango. Iibhanti ezichaphazelekayo zingashiya izikrakra, ngoko kubalulekile ukugcina indawo ihlambulukile kwintsana kwaye imbizele ngonyango lwabazali naluphi na olubi, njengobomvu okanye umjelo.
Kukho ubungqina bokuba abafazi abane-pemphigoid gestationis banomngcipheko ophezulu wokuziswa kwangaphambi kwesikhathi.
Uphando lwangoku lubonisa ukuba akukho mngcipheko wokukhulelwa kwesisu okanye ukuzala .
Izinyango Zonyango
Amabhinqa ambalwa aneempawu ezincinci kakhulu ze-pemphigoid gestationis angaphathwa ngama-steroid nama-antihistamines. Nangona kunjalo, uninzi lwabasetyhini lufuna i-oral steroids ukulawula iimpawu zabo. I-dose ephezulu iqhelekileyo isetyenziselwa ukufumana iimpawu ezilawulwa phantsi kwaye ixutywe njengoko ukuphuthuma kuphucula.
Ngaphantsi kweGestationis yePemgogoid
Nangona i-pemphigoid gestationis ingenakukhathazeka kowesifazane okhulelweyo kwaye inokubuyela emva kokukhulelwa okulandelayo, into yokuba ingahambelani nokukhulelwa komzimba okanye ukuzalwa komzimba kungabakho induduzo kulabo bajamelana nokubetheka okukhulu nokukhawuleza. Ngenxa yokuba abafazi basoloko bexhalabele kakhulu ngentsana, kuyaqinisekisa kwakhona ukuba kuphela ipesenti encinci yeintsana ezifumana ukukhawuleza, kwaye loo mqathango ayiyikuphazamisa nempilo yengane esandula (ngaphandle kokunikezelwa kwangethuba ukuba le nxu lumene. ) Sisaqinisekanga ngendima ye-pemphigoid gestationis ekuncediseni ukuhanjiswa kwangaphambili, kwaye kubulumko ukuba abasetyhini bajamelane nesimo ukuba bathethe inqununu yabo nayiphi na into abangayenza ukuze banciphise umngcipheko, kunye nemiqondiso kunye neempawu zokuqala komsebenzi kufuneka bavuselele ukubiza ngokukhawuleza.
Imithombo:
Savervall, C., Sand, F., no S. Thomsen. Izifo ze-Dermatological ezihambisana nokukhulelwa: i-Pemphigoid Gestationis, i-Polymorphic Eruption of Pregnancy, i-Intrahepatic Cholestasis yokukhulelwa, kunye ne-Atopic Eruption of Pregnancy. Uphando lweDermatology kunye nokuSebenza . 2015. 1025: 979635.
Seidel, R., Lavi, N., kunye neL. Chipps. I-Gestationis ene-Pemphigoid: Ingxelo yeNgxelo kunye noVavanyo loLawulo. Umbhalo WeeDrugs kwiDermatology . 2015. 14 (8): 904-7.