Ichi Chirwere Chirwere Chinosanganiswa neBD uye Chinowanikwa Kazhinji Muvakadzi Kupfuura Varume
Kushungurudzwa kweganda ndizvo zvinowanzowedzera zvirwere zvemukati zvechirwere chinokonzera zvirwere (IBD) , zvichiitika kusvika kusvika 25 muzana yevanhu vane chironda chekuonda uye chirwere cheCrohn. Zvimwe zvezvivara zveganda zvinonzi pyoderma gangrenosum , aphthous ulcers , uye erythema nodosum.
Erythema nodosum inzvimbo yeganda iyo inowanzokonzera vanhu vane Crohn's disease, asi inogonawo kukura kune avo vane ulcerative colitis.
Inofungidzirwa kuti inowanikwa pakati pe10 kusvika ku15 muzana yevanhu vane IBD, zvichiita kuti zvive nyore kusangana. Izvi zvinowanzotarisa pachazvo kana kuti zvinovandudza apo iyo inonzi IBD inowanikwa pasi pesimba. Zvakakosha kuti vanhu vane IBD vazive zviratidzo zvechiganda ichi kuitira kuti vazive kare.
Chii Chinonzi Erythema Nodosum?
Erythema nodosum inorwadza mutsvuku (kana zvipembenene) izvo zvinowanzokura pamaoko kana pamakumbo adzo, asi zvinogona kuonekwa mune dzimwe nzvimbo pamuviri. Izvi zvinowanikwa kune vanhu vakuru kupfuura vana, uye zvinowanzoonekwa kune vakadzi kupfuura varume.
Kuumbwa kwe erythema nodosum zvipembenene zvingave zvakatangira nemanzwiro akafanana nehutachiona, kana kuti kurwadziwa kwakawanda muzvibatanidzwa. Zvipembenene pachavo zvinogona kutanga kuonekwa sezvinyoro, zvitsvuku zvitsvuku, zvichiva zvakaoma uye zvinorwadza muvhiki yekutanga. Zvironda zvinogona kuoneka bluish kana madema uye bhuruu, uye kunzwa sokunge kuti zvine mudziyo mukati mevhiki yechipiri, uye zvishoma nezvishoma zvinoshanduka zhizha usati wapora.
Zvironda zvinopera kwemavhiki maviri, asi zvinogona kuchinjwa nemashure matsva pavanosarudza. Kupoteredza kunogona kunge kwakapera shure kwekutanga kwezvigunwe zvezvipembenene zvichibva zvobva zvaporeswa, kana zvinogona kupfuurira kwemavhiki mashoma kusvika mwedzi yakawanda nemaronda matsva achioneka.
Zvinokonzera Erythema Nodosum
Mune IBD, erythema nodosum inogona kuonekwa kwekutanga kokutanga panguva yekutsvaga.
Inogona kutevera dzidzo yeBD, iyo inoreva kuti inovandudza apo kutadza-up kunodzora zviri nani.
Zvimwe zvinokonzera erythema nodosum zvinosanganisira zvirwere zvebhakitiriya, zvirwere zvefungal, chirwere cheHodgkin , sarcoidosis , chirwere chaBehçet, pamuviri, uye kuchinja kwemishonga (sulfa zvinodhaka).
Maitiro Erythema Nodosum Anozivikanwa
Apo erythema nodosum inowanikwa mumunhu ane chirwere chinonzi IBD, pangave pasina kuongororwa kwakaitwa, sezvo chiitiko ichi chinozivikanwa kuti chinoitika neBD uye zvipembenene zvinoonekwa. Muvanhu vasina IBD, chiremba angasarudza kuti zvakakosha kuronga miedzo, yakadai se-ray-ray, tsika dzeropa, uye biopsy, kutonga kunze kwehutachiona kana chimwe chirwere kana chirwere.
Kurapa kweErythema Nodosum
Nemhaka yekuti erythema nodosum inotanga kugadzirisa pachayo, kazhinji haigone kurapwa kwakapiwa kunobatsira mishonga yekurapa. Mishonga inowanzodiwa chete kuti ibatsire kudzora marwadzo anokonzerwa nemaronda kana muzvibatanidzwa. Izvi zvinogona kusanganisira kubwinya kunononoka, kukwirira kwemakumbo, nekuzorora.
Nonsteroidal antiinflammatory drugs (NSAIDs) inogonawo kubatsira pakupa ruzivo rwekununurwa, asi inofanira kushandiswa nekuchenjerera kune vanhu vane IBD. NSAID dzinogona kukonzera kune vamwe vanhu vane IBD, saka mishonga iyi inofanira kungoshandiswa pasi pekutarisana zvakananga kwegastroenterologist.
Dermatologists kana vamwe vanachiremba vanobata zvirwere zveganda vangave vasingazivi kuti NSAID dzine izvi zvakaipa pane IBD. Nokuda kwechikonzero ichi, vanhu vane IBD vanofanira kupokana nemitemo mitsva uye kukurukura navo ne gastroenterologist vasati vatora.
Corticosteroids, iodide ye potassium, uye antithyroid zvinogonawo kushandiswa mumatambudziko akaoma kana asingagumi eerythema nodosum. Kukanganisa basa kunogona kukurudzirwa kubatsira kubatsira kudarika nguva inotora kuti zvipembenene uye zvimwe zviratidzo zvigadzirise.
Sources:
Weinstein M, Turner D, Avitzur Y. "Erythema nodosum semuenzaniso wezvirwere zvinoputika." CMAJ . July 19, 2005.
Rober A. Schwartz, Nervi, Stephen J. "Erythema Nodosum: Chiratidzo Chezvirwere Zvirwere." American Family Physician March 1, 2007.
Su CG, Mutongi TA, Lichtenstein GR. "Zviratidzo zvisinganzwisisiki zvehutachiona hwechirwere chirwere." Gastroenterol Clin North North March 2002.