Pemphigoid kana Herpes Gestationis Migumisiro paamai nechecheche
Kune mhando dzakasiyana dzakasiyana-siyana vakadzi vanogona kuwana panguva yekuzvitakura. Pakati idzi, pemphigoid managementis kana herpes gestationis hazvina kujairika.
Overview
Pemphigoid gestationis inozivikanwawo seye herpes gestationis, kunyange zvazvo zita rekupedzisira rinotsausa sezvo chirwere ichi hachibatanidzi nehapepe, kana chero humwe hutachiona. Ichi chisingawanzoiti, chinotyisa, chirwere chemoto chinowanzoitika panguva yechipiri uye chechitatu mitatu yekudzivirira nekukomberedza nguva yekuberekwa.
Pemphigoid gestationis inowanikwa muna 1 kusvika 7 000 kusvika kune 50 000 pamuviri.
Icho chinonzi Pepphigoid Gestationis Chinotarisa
Pemphigoid Gestationis kazhinji inotanga panguva yechipiri kana chechitatu chetatu, kunyange yakave yakataurwa mumutambo wekutanga uye nguva pfupi mushure mekusununguka. Mavhareji aripo pakati pemakore ekuberekwa, pamasvondo makumi maviri nemaviri ekuberekwa.
Pemphigoid gestationis inowanikwa mumatanho anotevera, ane zviratidzo zvakasiyana:
- Mamiriro acho anotanga neinotyisa, mikoko mutsvuku kana mazamu maduku akapoteredza bhomba.
- Mumazuva mashomanana kusvika masvondo, kuputika kunopararira, uye mikoko nemapumburu zvinobatana kuti zviumbe zvidzitiro zvakasikwa zvakasvibiswa zvinosvika munzvimbo yakawanda yeganda. Kurwisana kunogona kusanganisira:
- Iyo torsi
- Kudzoka
- Buttocks
- Forearms
- Mapapiro emaoko
- Nzvimbo dzetsoka
- Kazhinji hazvibatanidzi chiso, chikafu, kana mukati memuromo
- Pashure pemavhiki maviri kusvika mana echisimba ichi, chikuru, chema blisters marefu pamakona emhanje kana mumuvara wakaita sewo. Izvi zvinoporesa kuporesa pasina kupera kana vasina kutapukirwa.
- Vamwe vakadzi vangave vasina blisters, pane kudaro, vangave vane zvikwata zvakakura zvakadanwa zvinonzi plaques.
Kuregererwa kwemazuva ose kunogona kuitika mushure mokuzvitakura, asi kunetseka kwemoto kunowanikwa pakarepo vasati vauya muna 75 kusvika ku80 muzana yevakadzi.
Izvo zvinogona kushanduka zvakare kana mafungiro achidzoka kana nekushandiswa kwemuromo wekudzivirira pamuviri.
Nekuita mitezo inotevera, pemphigoid gestationis inowanzotangira mberi mukuzvitakura kupfuura zvaiitwa kare uye ingave yakaoma. Vakadzi vasere chete muzana yevakadzi havakwanisi kudzokorora pemphigoid gestationis mushure mekuita pamuviri.
Zvinokonzera
Hazvinyatsozivi kuti chii chinokonzera pemphigoid gestationis, asi inofungidzirwa sechirwere chechirwere chemoto. Zvirwere zvinotapira muviri ndezviitiko umo muviri unoumba zvirwere zvinorwisa zviratidzo zvayo (kuzvizvidzivirira pachako.) Ma antibodies anonamatira kune dzimwe mhando dzehutano hwehutano muganda uye dzinokonzera kupopota kugadzirisa. Iyi mhinduro inoratidzirwa nehutsvuku, kubvarura, kuvhuvhuta, uye blister maitiro.
Kuziva
Pemphigoid gestationis inowanzoongororwa nokutora zvigadzirwa zveganda zvezvikamu zvakasiyana-siyana zvekuputika uye ganda rinowanzoonekwa. Chiyero chakakosha kuti uone ma antibodies anonzi direct immunofluorescence inoshandiswa pane biopsies kuti iongororwe.
Kusiyanisa Kuongorora - Ndezvipi Zvingave Zvichida?
Kune huwandu hwemamiriro ezvinhu anogona kukonzera rashes nekudzivira panguva yekuzvitakura. Mukuwedzera kune miedzo yakataurwa pamusoro apa, kukwikwidza kunogona kusiyaniswa nenzvimbo yaro uye maitiro uye kusasipo kwezviwanikwa zvakaratidzwa nezvimwe zveimwe mamiriro ezvinhu.
Migumisiro Pamwana
Nemhaka yokuti masimba anokwira muparcenta , mishonga inokonzera pemphigoid gestationis inogona kukanganisa mwana zvakare. Kushandurwa kunoonekwa kwave kwakataurwa muzvikamu mashanu zvevana vakaberekwa vakaberekwa naamai nemamiriro aya.
Uku kukanganiswa kwechitsva kunongogara kwenguva pfupi (anenge mwedzi mitatu kusvika mana) uye inogadzirisa pachayo pasina kurapwa. Mabhalani anokonzerwa nehutachiona anogona kusiya zvinopisa, saka zvakakosha kuchengetedza nzvimbo yacho yakachena mumucheche uye kumudana mwana wevana nehuipi chero hupi zvayo, zvakadai sekubwinya kana kunyura.
Kune uchapupu hwekuti vakadzi vane pemphigoid gestationis vane ngozi yakawanda yekuberekwa vasati vasvika.
Tsvakurudzo dzemazuva ano dzinoratidza kuti hapana kuwedzera kungozi yekuparara pamuviri kana kuberekwa .
Treatment Options
Madzimai mashomanana ane maitiro akaoma kwazvo emu pemgogoid gestationis anogona kurapwa nesteroid creams uye antihistamines. Zvisinei, vazhinji vevakadzi vanoda muromo steroid kuti varwise zviratidzo zvavo. Nhamba yakakwirira inowanzoshandiswa kuwana zviratidzo zvinotungamirirwa uye zvino inoshandiswa sezvinokurumidza kukurumidza.
Pasi Pepamusoro Pemphigoid Gestationis
Kunyange zvazvo pemphigoid gestationis inogona kunge isinganzwisisiki nemudzimai ane pamuviri uye inogona kudzokazve nemubereki akatevera, chokwadi chokuti hachibatanidzi nekusununguka kwepamuviri kana kuberekwa kunogona kunge kune imwe nyaradzo kune avo vanorwisana nekukuvadzwa kwakanyanya nekukurumidza. Sezvo vakadzi vachiwanzova nehanya nechechecheche, zvinokurudzirawo kuti duku shomanana chete yevana vanoona kukurumidza, uye mamiriro acho haasati apindira nehutano hwechecheche (kunze kwekusununguka nguva isati yasvika kana izvi zvakabatana. ) Tisati tisina chokwadi nezvebasa re pemphigoid gestationis mukuita kuti nguva isati yasunungurwa, uye kuchenjera kuti vakadzi vararame nemamiriro ezvinhu ekutaura nevanodzidzira chiremba pamusoro pezvavanogona kuita kuti vaderedze njodzi, uye zviratidzo nezviratidzo zvekutanga kwebasa izvo zvinofanira kuvaita kuti vashevedze pakarepo.
Sources:
Savervall, C., Sand, F., uye S. Thomsen. Dermatological Diseases Associated with Pregnancy: Pemphigoid Gestationis, Polymorphic Kuparara kweKuberekwa, Intrahepatic Cholestasis Yokuzvitakura, uye Kuparara Kwekuita Kuberekwa. Dermatology Research and Practice . 2015. 1025: 979635.
Seidel, R., Lavi, N., uye L. Chipps. Pemphigoid Gestationis: Nyaya Yenyaya uye Kudzokorora Kwekutungamira. Zvinyorwa zveMishonga muDermatology . 2015. 14 (8): 904-7.