I-Pemphigoid noma i-Herpes Gestationis Impumelelo kuMama Nengane
Kunezinsalela eziningi ezahlukahlukene abesifazane abangase bazizwe ngesikhathi sokukhulelwa. Kulawa, i-pemphigoid managementis noma i-herpes gestationis ayivamile.
Sibutsetelo
I-gestationis ene-pemphigoid nayo yaziwa nangokuthi i-herpes gestationis, nakuba igama lesibili lidukisa ngoba lesi simo asihlotshaniswa ne-herpes virus, nanoma iyiphi enye igciwane. Lesi yisifo esingavamile, esiyingozi, esizimele esizimele esenzeka ngesikhathi sesibili nesithathu sesisu sokukhulelwa kanye nesikhathi sokubeletha.
I-gestationis e-pemgogoid ivela ku-1 kuya kwezingu-7 000 ukuya ku-50,000 ukukhulelwa.
Yisiphi i-Gestationis e-Pemphigoid ebukeka sengathi
I-Gestationis e-Pemphigoid ivame ukuqala phakathi nonyaka wesibili noma wesithathu, nakuba ibike ku-trimester yokuqala kanye nesikhashana ngemva kokulethwa. Ukubukeka okuphakathi kuphakathi kokukhulelwa, kumasonto angu-21 ukukhulelwa.
I-gestationis e-pemgogoid ivela ezigabeni ezilandelayo, ngezibonakaliso ezihlukile:
- Isimo siqala ngemisipha ebomvu kakhulu noma emabhokisini amancane okuzungeze inkinobho yesisu.
- Ezinyangeni ezimbalwa kuya kwamasonto, ukuqhuma kwanda, futhi iminyango kanye nama-bumps bajoyina ukwakha ama-circular shaped shaped circular that cover the surface of the skin. Ukuqhuma kungabandakanya:
- I-torso
- Emuva
- Izintambo
- Izibikezelo
- Izinsika zezandla
- Izisindo ezinyaweni
- Ngokuvamile akubandakanyi ubuso, isikhumba, noma ngaphakathi komlomo
- Ngemuva kwamasonto amabili kuya kwangu-4 alokhu kuqhuma, amafomu amakhulu, ama-blisters amakhulu emaphethelweni okushisa noma esikhumbeni esivamile. Lawa ma-blister aphulukisa ngaphandle kokulahla uma bengenwa igciwane.
- Abanye besifazane bangase bangabi nama-blisters, esikhundleni salokho, bangase babe nezindawo eziphakanyisiwe ezibizwa ngokuthi ama-plaque.
Ukususwa ngokungajwayelekile kokushayeka kungase kwenzeke kamuva ekukhulelweni, kodwa ama-flare angakhululekile avele ngokushesha ngaphambi kokulethwa ngamaphesenti angama-75 kuya kwangu-80 abesifazane.
Ukushona kungase kuphinde kubuye lapho ama-mens eqala noma esebenzisa izisu zokubeletha ngomlomo.
Ngokukhulelwa okulandelayo, i-pemphigoid gestationis ivame ukuqala ekuqaleni kokukhulelwa kunakuqala futhi ingase ibe nzima kakhulu. Amaphesenti ayisishiyagalombili kuphela kwabesifazane abanakho ukuphindaphindiwe kwe-pemphigoid gestationis kokukhulelwa okulandelayo.
Izimbangela
Akuqinisekile ukuthi yini ebangela imbangela ye-pemphigoid gestationis, kodwa kubhekwa njengoluhlobo lwesifo esizimele. Izifo ezizenzekelayo ngokuzenzakalelayo yizimo lapho umzimba udala khona ama-antibodies ahlasela izicubu zawo (ukuziphikisa ngokwazo.) Ama-antibodies anamathisele ezinhlotsheni ezithile zezicubu ezixhumene esikhumbeni futhi abangela impendulo yokuvuvukala. Le mpendulo ibonakala ngokubomvu, ukuhlambalaza, ukuvuvukala, nokubunjwa kwe-blister.
Ukuxilongwa
I-gestationis e-pemphigoid ivame ukutholwa ngokuthatha izikhumba zesikhumba ezindaweni ezihlukahlukene zesikhumba sokugqamuka nokujwayelekile. Isivivinyo esikhethekile sokuthola ama-antibodies okuthiwa i-immunofluorescence eqondile yenziwa kuma-biopsies ukwenza ukuxilongwa.
Ukuhlonza Okuhlukile - Yini Okungeke Yenzeke?
Kunemibandela eminingi engabangela ukuqhuma nokushaywa ngesikhatsi sokukhulelwa. Ngaphandle kwezivivinyo ezibalwe ngenhla, ukuqhuma kungase kwahlukaniswe indawo yayo nokubukeka kanye nokungabikho kokuthola okubonwe ngezinye zalezi zimiso.
Umphumela kumntwana
Ngenxa yokuthi ama-antibodies awela i- placenta , ama-antibodies abangela i-pemphigoid gestationis angathinta ingane kanye. Ukuhlaselwa okuphawulekayo kuye kwabikwa ngamaphesenti amahlanu ezelwe amamazana abanjwe nalesi simo.
Ukushona okuzalwa okusha kuphela isikhathi esifushane (cishe izinyanga ezintathu kuya kwezine) futhi kuzinquma ngokwakho ngaphandle kokwelashwa. Amabhalane angathintekile angashiya izibazi, ngakho-ke kubalulekile ukugcina indawo ihlanzekile usana bese umbiza ngodokotela wezingane nganoma yikuphi ukuwohloka, njengokubomvu noma ukugeleza.
Kukhona ubufakazi bokuthi abesifazane abane-pemphigoid gestationis banengozi eyengeziwe yokulethwa ngaphambi kwesikhathi.
Ucwaningo lwamanje lubonisa ukuthi ayikho ingozi eyandayo yokukhulelwa kwesisu noma ukubeletha .
Izinketho zokwelapha
Abesifazane abambalwa abanezimpawu ezincane kakhulu ze-pemphigoid gestationis bangaphathwa ngama-steroid creams nama-antihistamine. Kodwa-ke, iningi labesifazane badinga i-steroid yomlomo ukulawula izimpawu zabo. Umthamo ophezulu uvame ukusetshenziselwa ukuthola izimpawu ezilawulwayo bese uphethwe njengoba ukuqhuma kuthuthuka.
Ngezansi ku-Gestationis e-Pemphigoid
Ngenkathi i-pemphigoid gestationis ingakhathazeki kowesifazane okhulelwe futhi ingahle ibuyele ngokukhulelwa okulandelayo, ukuthi ayihlotshaniswa nokukhulelwa komzimba noma ukubeletha kungase kube yinduduzo ethile kulabo abhekana nokugwinya nokugqwabanisa okukhulu. Njengoba abesifazane bevame ukukhathazeka ngokuphathelene nengane, kuyaphazamiseka nokuthi kuphela amaphesenti amancane ezinsana ezithola ukushayeka, futhi isimo asiphazamisi impilo yengane esanda kuzalwa (ngaphandle kokulethwa ngaphambi kwesikhathi uma lokhu kuhlobene. ) Sisaqiniseke ngendima ye-pemphigoid gestationis ekubambeni ekuhambisweni kwangaphambi kwesikhathi, futhi kuwukuhlakanipha kwabesifazane abakwazi ukubhekana nesimo sokukhuluma nesibhedlela sabo nganoma yini abangayenza ukuze banciphise ingozi, kanye nezimpawu zemisebenzi yokuqala kufanele kubangele ukuba bashayele ngokushesha.
Imithombo:
Savervall, C., Sand, F., no S. Thomsen. Izifo Zesifo Esihlobene Nezokhulelwa: I-Gestationis e-Pemphigoid, i-Polymorphic Eruption of Pregnancy, i-Intrahepatic Cholestasis yokukhulelwa, ne-Atopic Eruption of Pregnancy. Ucwaningo lwezokwelapha kanye nokuzikhandla . 2015. 1025: 979635.
Seidel, R., Lavi, N., noL. Chipps. I-Gestationis e-Pemphigoid: Umbiko wezehlakalo nokubukezwa kokuphathwa. Journal of Izidakamizwa in Dermatology . 2015. 14 (8): 904-7.