Pali zovuta zambiri za m'mimba zomwe zingathe kuchitika ndi matenda opatsirana (IBD) kuphatikizapo nyamakazi , matenda a chiwindi, matenda osokoneza bongo, kuchepa kwa magazi , ndi matenda a khungu. Matenda a khungu ndi vuto lodziwika bwino, ndipo limakhudza anthu 25 peresenti ya anthu omwe amakhala ndi IBD. Mtundu umodzi wa matenda a khungu omwe angachitike kwa odwala omwe ali ndi IBD ndi pyoderma gangrenosum.
N'zotheka kuti munthu wina yemwe ali ndi pyoderma gangrenosum ayambe kusokonezedwa mosavuta ngati akatswiri azachipatala akuyang'ana zilonda pakhungu sizimagwirizanitsa ndi IBD. Izi zikutanthauza kuti mankhwala oyambawo sagwira ntchito. Ndicho chifukwa chake ndizovuta kwambiri kuti anthu omwe ali ndi IBD ayambe kutuluka mu gastroenterologist ndi mavuto atsopano, ngakhale poyamba akuwoneka osagwirizana ndi matenda a m'mimba. Katswiri wa IBD kapena dermatologist amene ali ndi odwala omwe ali ndi IBD angafunike kufunsidwa kuti apange chithandizo choyenera ndikuchiritsidwa.
Mwachidule
Pyoderma gangrenosum ndi matenda a khungu omwe amakhudza pafupifupi 5 peresenti ya anthu omwe ali ndi zilonda zam'mimba komanso omwe ali ndi 1 peresenti ya anthu omwe ali ndi Crohn's disease. Matenda ena omwe amagwirizanitsidwa ndi pyoderma gangrenosum ndi odwala nyamakazi, myeloid blood dyscrasias, ndi hepatitis. Pyoderma gangrenosum ikhoza kuyamba kuoneka ngati blister, bump wofiira, kapena pustule ndipo ikhoza kukhala chinthu chowoneka ngati chingachiritse yokha.
Komabe, zilonda sizimachiritsa ndipo pamapeto pake zimapanga chilonda. Zilonda zikhoza kuwoneka zokha kapena gulu ndipo zimapezeka pamapeto, koma zimapezeka mobwerezabwereza pamilingo kuposa momwe zimagwirira ntchito.
Momwe Ikuyambira
Pyoderma gangrenosum ingayambe mofulumira kumalo a chilonda chochepa cham'mbuyo khungu, monga scrape, pinprick, kapena kudula.
Khungu lozungulira limatha, ndipo chilonda chimatuluka mwamsanga. Zilonda za Pyoderma gangrenosum zili ndi mzere wodabwitsa kwambiri, wosasunthika. Amakhalanso ovuta komanso ocheperapo. Madokotala samadziwa chomwe chimayambitsa pyoderma gangrenosum koma amawona kuti icho chingakhale chikhalidwe chokha, monga chikukhudzana ndi mavuto ena omwe amachititsa kuti munthu azivutika.
Mmene Pyoderma Gangrenosum Imakhudzira IBD
Pafupifupi 50 peresenti ya milandu ya pyoderma gangrenosum imachitika mwa anthu omwe ali ndi mtundu umodzi wa IBD. Nthawi zina, zochitika za zilondazi zikufanana ndi zomwe zimachitika mu IBD ndipo zimayankha pamene IBD ikuyendetsedwa bwinobwino. Mavuto ena, sakhala okhudzana ndi matenda, ndipo pyoderma gangrenosum ikhoza kuyamba kapena kuipiraipira pamene IBD ikukhalitsa.
Chithandizo
Pofuna kutsimikizira kuti matendawa ndi pyoderma gangrenosum kupyolera mu kuyezetsa magazi, dermatologist ikhoza kufunsidwa. Zilonda zimatha kusambidwa ndi kuzunzidwa kuti ziyese matenda, ndipo biopsies ikhoza kutengedwa ndi kuyesedwa kuti iwononge zifukwa zina. Chifukwa pyoderma gangrenosum siimayambitsa bactamini, mankhwala opha tizilombo sangakhale othandiza ngati mankhwala.
Zilonda zazing'ono za pyoderma gangrenosum zingapangidwe ndi:
- Kuponderezana
- Steroid mapiritsi kapena jakisoni
- Mankhwala oletsa anti-inflammatory antibiotics
- Zovala za siliva sulfadiazine kirimu kapena hydrocolloids
Zilonda zazikulu zomwe zitha kulandira chithandizo zingapangitse chithandizo champhamvu kwambiri ndi:
- Steroids
- Cyclosporine
- Cyclophosphamide
- Methotrexate
- Tacrolimus mafuta
Pansi
Ngati muli ndi zilonda zokayikitsa kapena zomwe simungachiritse, onani dokotala wanu wamkulu kapena dokotala wodwala mwamsanga mwamsanga kuti muthe kutumiza kwa dermatologist. Katswiri wa zam'mimba, makamaka yemwe ali ndi ena odwala IBD, akhoza kudziwa bwino ndi kuchiza matendawa.
Zotsatira:
CCFA. "Mawonetseredwe osadziwika bwino a matenda opatsirana." CCFA 1 May 2012.
Papageorgiou KI, Mathew RG, Kaniorou-Larai MG, Yiakoumetis A. "Pyoderma gangrenosum mu ulcerative colitis: kulingalira za matenda oyambirira." BMJ December 3 2005.
Merck Manual. "Pyoderma Gangrenosum." Merck & Co., Inc Feb 2012.