I-Dermatitis herpetiformis , i-aka "ukuqhuma kwe-gluten," iyisimo esikhumba esikhukhumayo esikhonyane nesifo se-celiac . Kungenzeka kube ukuqhuma okwedlula zonke, futhi kuvame ukutholakala nge-biopsy yesikhumba.
Uma i-dermatologist yakho isolisa ukushisa kwakho okumnandi kungaba i-dermatitis herpetiformis, ngokuqinisekile cishe kuzotusa i-biopsy yesikhumba ukuqinisekisa ukuthi ixilongwa.
Nakhu okumele ulindelwe kwinqubo ye-biopsy yesikhumba nokuthi yini imiphumela engabonisa.
Ukukhukhumeza Isikhumba Kubheka Amapositiki Ngaphansi Kesikhumba
I-dermatologist yakho izokutshela ukuthi ukuhlukunyezwa okuningi kubheka ngokufanayo. Yikuphi okubeka eceleni "ukuqhuma kwe-gluten" ukufaka i-antibody ethile ephepheni elithile ngaphansi kwesikhumba sakho nge-rash.
I-antibody i-immunoglobulin A, futhi ikhiqizwa umzimba wakho, ikakhulukazi emathunjini akho. Uma une-dermatitis herpetiformis, i-rash izoqukatha le-antibody kuphethini ehlukile ye-granular. Lezi zinhlawulo, emaphethini abo, ziwuphawu lokukhwabanisa kwe-gluten,
Awukwazi ukubona i-immunoglobulin A nge-eye iso. Ukuze ubone lezi zimali, i-dermatologist yakho kufanele isuse isampula yesikhumba, uyichithe ngombala futhi uyibuke ngaphansi kwe-microscope. Uma i-immunoglobulin I-deposit ikhona futhi iphethini elungile, khona-ke lowo muntu uzotholakala ene-dermatitis herpetiformis.
Yini Engayilindela KuNqubo Ye-Biopsy Skin
Ama-dermatologists ngokuvamile asebenzisa lokho okubizwa ngokuthi "i-punch biopsy" ukususa isikhumba bese kuvivinya i-dermatitis herpetiformis.
Ngemuva kokufaka injection ye-anesthetic yangakini, i-dermatologist yakho izosebenzisa i-punch encane, i-cookie-cutter-like ukususa isampula yesikhumba esingaba ngamamitha angu-4 (ngaphansi kwezingu-1/4 kwe-intshi) ububanzi.
Ukufakwa komzimba kungavalwa ngokulinganisa okukodwa futhi ngokujwayelekile kuphulukisa nge-scarring encane kakhulu.
Kubalulekile ukuba ube ne-biopsy yakho yesikhumba se-dermatitis herpetiformis eyenziwe ngumuntu oye wathola isimo sesikhumba ngaphambilini futhi uyazi ukuthi angenza kanjani i-biopsy. Isampula lesikhumba kufanele sithathwe esikhumbeni ngqo eduze kwesilonda esicatshangelwayo se-dermatitis herpetiformis, ngokuphambene ngqo ne-lesion kusukela ukuvuvukala kwesilonda kungabhubhisa izimali ze-IgA.
Ukwelashwa Ingabe Ukudla Okungenayo I-Gluten
Uma i-biopsy yakho iphuma kahle futhi uthola ukuthi une-dermatitis herpetiformis, i-dermatologist yakho ingabeka i- dapsone yempumuzo yesikhathi esifushane kusuka ekubambeni.
Noma kunjalo, kuzodingeka ulandele ukudla okungekho gluten ukulawula i-dermatitis herpetiformis yakho yesikhathi eside.
Umthombo:
I-Dermatitis Herpetiformis. I-American Osteopathic College of Dermatology.