Kuwombera mliri ndi zovuta zowonongeka zimadwala matenda a chilengedwe
Dermatitis yapamwamba nthawi zambiri imakhala chizindikiro choyamba cha matenda osokoneza bongo, omwe amakhudza ana aang'ono, makamaka asanakwanitse zaka zisanu. Dermatitis yambiri imayambitsidwa ndi matenda ndi zakudya zowonongeka (monga mungu, nkhungu, pet dander ndi fumbi) mu 85 peresenti ya anthu okhudzidwa. Mu ana ambiri omwe ali ndi dermatitis ya atopic, matendawa amayamba kukula pa msinkhu wa sukulu, ndipo ena mwa anawo adzakhala ndi mphumu mwaunyamata.
Kukula kwa matendawa kumatchedwa "ulendo wa atopic" . Pakhala palipambano podziwa kuyendetsa mwapikisano pogwiritsa ntchito mankhwala ndi immunotherapy .
Pali mankhwala osiyanasiyana omwe angapezeke pa matenda osiyanasiyana okhudzidwa, kuphatikizapo kupewa kupezeka kwa mankhwala osokoneza bongo , mankhwala, komanso kugwiritsira ntchito mankhwala a immunotherapy. Immunotherapy, kuphatikizapo zowononga zowonongeka ndi madontho a zovuta , ndizo zowononga zokhazokha zomwe zimasintha vuto lalikulu la chifuwa, ndipo ndizo zokhazo zochiritsidwa. Kwa zaka zambiri, matenda a immunotherapy akhala akugwiritsidwa ntchito pochiza matenda oopsa a rhinitis, odwala conjunctivitis, ndi astergma yosavomerezeka. Posachedwapa, kafukufuku wosiyanasiyana amasonyeza kuti kuteteza thupi laumunthu kumathandizanso pochiza atopic dermatitis.
Kuthamanga Kwambiri kwa Dermatitis
Kafukufuku wosiyanasiyana wakhala akuchitidwa zaka zaposachedwapa kuti athe kufufuza kuti zowonongeka zitha kukhala zothandiza kuchiza dermatitis ya atopic.
Zambiri mwazifukufuku zinawulula kuti zizindikiro zowonongeka zimathandiza kuchepetsa zizindikiro za dermatitis (monga momwe zinalili ndi SCORAD - chida chothandiza popereka chiwerengero cha chiwerengero cha khungu, kuyambira 1 mpaka 100) komanso kuchepetsa steroids zoyenera kuchepetsa zizindikiro. Kuwombera koopsa kunathandiza kwambiri pochiza anthu okhala ndi vuto la atopic dermatitis, omwe ali ndi zikhalidwe za SCORAD zoposa 40, komanso anthu omwe ali ndi chifuwa cha mite ngati chiwopsezo cha dermatitis yawo.
Matenda Otha Kudwalitsa kwa Dermatitis Atopic
Matenda otsekemera, kapena kutengera thupi, amatanthauza kutenga zomwe munthu ali nazo ndi kuziyika pansi pa lilime. Zotsatira zake zimakhala zofanana ndi zizindikiro zowononga zowononga - kuchepa kwa zizindikiro zowononga, kuchepetsa kuchuluka kwa mankhwala opatsirana oyenera, komanso kuthekera kwa zizindikiro zowononga. Matenda a zowononga, pamene agwiritsidwa ntchito ku Ulaya kwa zaka makumi angapo, akuyesa kufufuzira ku United States panopo, ndipo amaperekedwa kuchokera kwa ochepa chabe. Mofananamo ndi zizindikiro zowononga zowonongeka, madontho amatsenga agwiritsidwa ntchito pochiza matenda a rhinitis, odwala conjunctivitis, ndi asterma yosautsa - koma kawirikawiri sagwiritsidwa ntchito pa dermatitis ya atopic.
Kafukufuku wochepa afufuza kupindula kwa madontho a mitsempha opaleshoni ya atopic dermatitis, onse mwa anthu omwe ali ndi fumbi mite zovuta. Kafukufuku amene anafalitsidwa mu 2007 anapeza kuti madontho a mitsempha omwe anali ndi fumbi la mite anali othandizira kuti azisamalidwa mwachidule atopic dermatitis (okhala ndi SCORAD pakati pa 8 ndi 40). Mgululi, chiwerengero cha kuchepa kwa dermatitis ndi kuchepa kwa kuchuluka kwa mankhwala omwe amafunika kuti adziwe matenda a dermatitis. Matenda a mitsempha sanagwiritsidwe ntchito pochiza kwambiri atopic dermatitis (SCORAD yaikulu kuposa 40) yomwe imayambitsidwa ndi fumbi mite allergies.
Chitetezo cha Immunotherapy kwa Dermatitis Yambiri
Kuwombera kwachilombo kawirikawiri ndi mankhwala otetezeka komanso othandiza kwa nyengo zosiyanasiyana; chifukwa cha kuthekera kwa anaphylaxis , komabe, anthu omwe amalandira chithandizo cha immunotherapy ayenera kuyang'anitsitsa mu ofesi ya dokotala kwa mphindi 30. Koma madontho a mitsempha, amaperekedwa kunyumba, chifukwa chochepa kwambiri chifukwa cha njira imeneyi yothandizira anthu kuti azidwala kwambiri anaphylaxis.
Kwa zaka zambiri, akatswiri ofufuza zamankhwala ankadandaula kuti mwina zowopsa zowononga zimatha kupanga atopic dermatitis kwambiri. Izi zili choncho chifukwa chakuti matenda oopsa a atopic amagawanika ndi matenda omwe amachititsa kuti munthu asamadziwe matendawa (monga lupus ndi rhumumimthritis).
Ngakhale kuti kafukufuku ambiri amasonyeza kuti kuteteza thupi la munthu kumakhala kosavuta komanso kotheka kwa dermatitis ya atopic, mpaka 20 peresenti ya anthu amakhala ndi zizindikiro zoopsa za dermatitis za atopic ndi zowonongeka kapena madontho.
Pezani zonse zomwe munayamba mwafuna kudziwa za dermatitis ya atopic .
Zotsatira:
Cox L, Nelson H, Lockey R. Allergen Immunotherapy: Chizoloŵezi Chakumapeto kwachitatu. J Zachilombo Zamtundu wa Immunol. 2010;
Pajno GB, Caminiti L, Vita B, ndi al. Mankhwala Omwe Amasamalidwa M'zinthu Zina mwa Ana Omwe Amakhala ndi Miti Amene Ali ndi Dermatitis Yopweteka: Phunziro Loyendetsedwa ndi Dongosolo Losalamulirika, Lachiwiri, Lachimake. J Zachilombo Zamtundu wa Immunol. 2007; 120: 164-70.
Bussmann C, Bockenhoff A, Henke H, et al. Kodi Allergen-Specific Immunotherapy Amaimira Njira Yothandizira Odwala Odwala Atopic Dermatitis? J Zachilombo Zamtundu wa Immunol. 2006; 118: 1292-8.