Matenda a Khungu Akugwirizana ndi IBD Ndipo Ali Ophatikizana Kwambiri M'mabambo Oposa Amuna
Matenda a khungu ndi omwe amachititsa kuti matumbo aumphawi (IBD) ayambe kutupa , omwe amafika pofika pa 25 peresenti ya anthu omwe ali ndi zilonda zam'mimba ndi matenda a Crohn. Zina mwa zinthu zimenezi zimatchedwa pyoderma gangrenosum , zilonda za aphthous , ndi erythema nodosum.
Erythema nodosum ndi chikopa cha khungu chomwe nthawi zambiri chimakhudza anthu omwe ali ndi matenda a Crohn, koma amakhalanso ndi omwe ali ndi matenda a zilonda zam'mimba.
Zikuoneka kuti zimachitika pakati pa 10 ndi 15 peresenti ya anthu omwe ali ndi IBD, zomwe zimachititsa kuti zikhale zovuta kumvetsa. Matendawa nthawi zambiri amatha okha kapena amawathandiza pamene IBD ikuyang'aniridwa. Ndikofunika kuti anthu omwe ali ndi IBD adziŵe zizindikiro za chikopa ichi kuti azindikire msanga.
Kodi Erythema Nodosum N'chiyani?
Erythema nodosum ndi zopweteka zofiira (kapena zotupa) zomwe nthawi zambiri zimapanga m'manja kapena miyendo yochepa, koma zimawonekeranso m'malo ena m'thupi. Matendawa ndi ochuluka kwambiri kwa akuluakulu kuposa ana, ndipo amodzi mwa amayi ambiri kuposa amuna.
Mapangidwe a zilonda za erythema nodosum akhoza kutsogozedwa ndi kumverera ngati ngati chimfine, kapena kupweteka kwapadera m'magulu. Zilonda zokha zimayamba kuoneka ngati zofewa, zofiira, zovuta komanso zopweteka sabata yoyamba. Zilonda zikhoza kuoneka ngati bluu kapena zakuda ndi buluu, ndipo zimamveka ngati zili ndi madzi mkati mwa sabata yachiwiri, kenako zimakhala zachikasu musanachiritse.
Zilondazo zimatha pafupifupi masabata awiri, koma zimatha kusintha ndi zilonda zatsopano pamene zithetsa. Kuthamanga kungakhale patangopita pakatha chiwindi choyamba cha zilonda ndikuchira, kapena chikhoza kupitirira kwa masabata angapo mpaka miyezi ndi zilonda zatsopano zikuwonekera.
Zifukwa za Erythema Nodosum
Mu IBD, erythema nodosum ingawonekere nthawi yoyamba panthawi yolaula .
Ikhoza kutsatira njira ya IBD, yomwe imatanthawuza kuti imakhala yabwino pamene chiwonongeko chikuyendetsedwa bwino.
Zina zomwe zimayambitsa matenda a erythema nodosum zimaphatikizapo matenda a bakiteriya, matenda a fungal, matenda a Hodgkin , sarcoidosis , matenda a Behçet, mimba, ndi momwe amachitira mankhwala (monga mankhwala a sulfa).
Momwe Erythema Nodosum Akudziwira
Pamene erythema nodosum imapezeka munthu amene amapezeka kuti ali ndi IBD, sipangakhale mayesero aliwonse, monga momwe chidziwikire chikuchitika ndi IBD ndipo zilondazo zimawonekera. Kwa anthu omwe alibe IBD, dokotala angasankhe kuti ndiyenela kuitanitsa mayesero, monga ma-ray, miyambo ya magazi, ndi biopsy, kuti athetse matenda kapena matenda ena.
Kuchiza kwa Erythema Nodosum
Chifukwa chakuti erythema nodosum imatha kuthetsa ndekha, kaŵirikaŵiri palibe mankhwala apadera operekedwa omwe angathandize zilonda kuti zichiritse. Chithandizo chimangowonjezereka kuti zithetsere ululu womwe umabwera chifukwa cha zilonda kapena ziwalo. Izi zingaphatikizepo kuzizira bwino, kukwera kwa mwendo, ndi kupumula.
Mankhwala osakanikirana ndi antistroidal (NSAIDs) angathandizenso kupatsa kupweteka kwapweteka, koma ayenera kugwiritsidwa ntchito mosamala kwa anthu omwe ali ndi IBD. NSAID zingayambitse anthu ena ndi IBD, choncho mankhwalawa ayenera kugwiritsidwa ntchito poyang'aniridwa ndi gastroenterologist.
Dermatologists kapena madokotala ena omwe amachititsa matenda a khungu sakudziwa kuti NSAIDs ili ndi zotsatira zolakwika pa IBD. Pa chifukwa ichi, anthu omwe ali ndi IBD ayenera kukayikira malamulo atsopano ndikukambirana nawo ndi gastroenterologist musanawatenge.
Corticosteroids, iodide ya potaziyamu, komanso antitroyroid angagwiritsidwe ntchito poopsa kapena matenda aakulu a erythema nodosum. Kulepheretsa ntchito kungathandizidwenso kuthandiza kuchepetsa nthawi yomwe imatenga zilonda ndi zizindikiro zina kuti zithetse.
Zotsatira:
Weinstein M, Turner D, Avitzur Y. "Erythema nodosum monga chisonyezero cha matenda opatsirana." CMAJ . July 19, 2005.
Rober A. Schwartz, Nervi, Stephen J. "Erythema Nodosum: Chizindikiro cha Matenda Oopsa." American Family Physician March 1, 2007.
Su CG, Woweruza TA, Lichtenstein GR. "Zowonetseratu zosavumbulutsidwa za matenda opatsirana." Gastroenterol Clinic North Amayi 2002.