Ingabe Unayo Izimpawu Zale Rash Ukukhulelwa Rare?
I-Impetigo Herpetiformis yisimo esingavamile esibikwe ngabesifazane abangaphansi kuka-100 abakhulelwe. Lesi sifo sifana nesimo se-psoriasis esibizwa nge-pustular psoriasis, nakuba abesifazane abane-impetigo herpetiformis ngokuvamile bengenalo umlando womuntu siqu noma womndeni we-psoriasis. Odokotela bayavumelani ngokuthi ngabe isifo esihlukile esibangelwa ukukhulelwa noma uhlobo lwe-pustular psoriasis elibangelwa ukukhulelwa.
Naphezu kwegama elithi "herpetiformis," ukushayeka akubangelwa i-herpes virus. Ibizwa ngokuthi "herpetiformis" ngokusekelwe ekubukeni kwamapustules, okungabukeka njengalabo abangelwa amagciwane we-herpes (njenge-inkukhupox.)
I-Impetigo herpetiformis ayihambisani nesimo esibizwa ngegama elibizwa ngokuthi i-dermatitis herpetiformis, ukuqhuma okuye kwakhiwa "ukuqhuma kwama-celiac."
Okubukeka Kanjani
Ukuqhuma kuqala njengamaqhubu okugcwele, noma ama-pustules, emaphethelweni endaweni ebomvu yesikhumba emathangeni angaphakathi nangaphakathi. Ama-pustules ajoyina futhi asakazeka esiqwini nasemiphakathini, ngokuvamile evimba ubuso, izandla, nezinyawo. Kodwa-ke, ukuqhuma kungasakazeka emagunyeni omlomo omlomo kanye nemibhede yezipikili. Ngisho noma i-pus ikhona, lezi zilonda azikatheleleki ngamagciwane. Nakuba bangenwa igciwane lonke lesi sifo.
Lapho i-Rash iqala ukukhulelwa
I-Impetigo herpetiformis iqala ngo-trimester wokugcina wokukhulelwa.
Ukuvuthwa ngokuvamile kuxazulula ngemuva kokubeletha kodwa kungabuye kukhulelwe ngokulandelayo.
Ubani Osesengozini
Abesifazane abanenkinga yokukhubazeka okuthiwa i-hypoparathyroidism ingase ikwazi ukuthola lesi simo ngesikhathi sokukhulelwa njenge-calcium namazinga we-albin ekuwa kwegazi. Okwamanje futhi ucatshangwa ukuthi abesifazane abanokushintshashintsha kwezakhi zofuzo bangase babe engozini enkulu yokuthuthukisa ukuqhuma.
Ayaziwa ukuthi kungani ukuqhuma kwenzeka ngesikhathi sokukhulelwa kepha ngezinye izikhathi. Kodwa-ke, kunezinguquko eziningi zesikhumba ngokuvamile ezenzeka ngesikhathi sokukhulelwa.
Izimpawu
I-Impetigo herpetiformis ivame ukuhambisana nezimpawu eziphawulekayo ezifana nomkhuhlane, izikhukhula, isicashu, ukuhlanza, uhudo, nokukhathala. Abanye besifazane banamazinga aphansi e-calcium ne-phosphate egazini.
Ukuxilongwa
I-Impetigo herpetiformis ivame ukutholakala nezibonakaliso zayo nokushayeka kwayo. I-biopsy yesikhumba ivame ukwenza ukulawula ezinye izimo ezihlobene nokukhulelwa. Ezinye izifundo ziye zaxhuma isimo ekushintsheni izakhi zofuzo, ngakho-ke kungenzeka ukuthi abanye odokotela bangahle bahlele ukuhlolwa kofuzo.
Yini Okungeke Yenzeke?
Kunezinhlobo eziningi zemisipha engabonakala ekukhulelweni. Ukuqhuma okuvamile okubizwa ngokuthi ama-pruritic urticarial papules kanye nama-plaques ekukhulelweni (owaziwa nangokuthi i- PUPPP , i-PUPPS, noma i-PEP) kwenzeka kumuntu oyedwa kwabangu-160 abakhulelwe. Njengoba kufana ne-impetigo herpetiformis, lokhu kuqhuma ngokuvamile kubonakala ku-trimester yesithathu yokukhulelwa, kodwa ngokuphambene, kuvame ukuba mnandi kakhulu.
Ukwelapha
Impetigo herpetiformis iphathwa nge-oral steroid prednisone. Umthamo wokuqala uvame ukuphakama kakhulu bese kuthi kancane kancane izimpawu zilawulwa phansi.
Ngezinye izikhathi i-steroids ayibekezelelanga kahle. Uma kunjalo, khona-ke iminye imithi ingasetshenziswa. Ama-antibiotics asetshenziselwa kuphela uma ukuhlaselwa kugciwane lesandulela ngculaza. Amazinga we-calcium, i-phosphate ne-albin ayaphawulwa kulo lonke lesi sifo.
Iyiphi Impumelelo Isimo Esingaba Nomntwana?
Ngokusho kocwaningo, i-impetigo herpetiformis ihlotshaniswa nobungozi bokungabikho kokubeletha nokungaqiniseki kahle. Ukuqashelwa kokuqala kubalulekile ukunciphisa kokubili ukuhlukunyezwa kokubeletha nokubeletha. Abesifazane abanalesi simo kufanele bahlolwe ngokucophelela yiqembu labadokotela ukuba bahlanganise abadermatologists, izidakamizwa, kanye nodokotela wezingane.
Ngakho uma usola ukuthi unayo impetigo herpetiformis, shayela udokotela wakho ngokushesha.
> Imithombo:
> Patsatsi, A., Theodoridis, T., Vavilis, D. et al. Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Okuningi okuvela kumbhali Cyclosporine in the Management of Impetigo Herpetiformis: A Case Report and Review of the Literature. Imibiko yendaba kuDermatology . 2013. 5 (1): 99-104.
> Sugiura, K., Oiso, N., Linuma, S. et al. IL36RN Izinguquko ezitholakala ngaphansi kwe-Impetigo Herpetiformis. Journal of Dermatology Investigational . 2014. 134 (9): 2472-4.
> Ulubay, M., Keskin, U., Fidan, U. et al. I-Case Report ye-Rare Dermatosis ekukhulelweni: Impetigo Herpetiformis. Journal of Research Obstetric and Gynaecologic . 2015. 41 (2): 3-1-3.