Kune zvakawanda zvinowedzera mumatumbo zvinogona kuitika nekuputika kwechirwere chirwere (IBD) kusanganisira arthritis , chirwere cheropa, zvinetso zvekudya, anemia , uye zvinetso zveganda. Kushungurudzwa kweganda idambudziko rakawandisa, uye rinogona kukanganisa kusvika 25 muzana yevanhu vanogara neBD. Imwe rudzi rwechirwere cheganda chinogona kuitika kune varwere vane IBD ndiyo pyoderma gangrenosum.
Zvinogona kuti mumwe munhu ane pyoderma gangrenosum kuti atange kunyatsozivikanwa kana vashandi vezvehutano vachitarisa zvipembenene paganda hazvizvibatanisi neBDD. Izvi zvinogona kureva kuti mushonga unoshandiswa pakutanga haubatsiri. Ndokusaka zvakanyanya kukanganisa kuti vanhu vane IBD vanovhiringidza mu gastroenterologist nematambudziko matsva, kunyange kana pakutanga vachiita seasina kufanana nehutachiona hwezvirwere. An IBD nyanzvi kana dermatologist ane ruzivo nevarwere vane IBD vangada kubvunzurudzwa kuti vagone kunyatsoongorora uye kuwana mushonga watanga.
Overview
Pyoderma gangrenosum chirwere cheganda chinokanganisa ne5 muzana yevanhu vane chironda chekuonda uye chirwere che1% chevanhu vane Crohn's disease. Zvimwe zvirwere zvinosangana ne pyoderma gangrenosum zvinosanganisira rheumatoid arthritis, myeloid blood dyscrasias, uye hepatitis. Pyoderma gangrenosum inogona kutanga kuonekwa sedhizha, tsvuku tsvuku, kana pustule uye ingave chinhu chinotaridzika sokunge chinogona kuporesa pachayo pachako.
Zvisinei, chironda hachina kupora uye pakupedzisira chinoumba chironda. Zvironda zvinogona kuonekwa sega kana muboka uye zvinowanikwa pamigumo, asi zvinowanzoonekwa pamakumbo kupfuura zvavanoita pamaoko.
Iyo Inotanga Sei
Pyoderma gangrenosum inogona kutanga nokukurumidza pane imwe nzvimbo yepakuvadzwa kwechidiki kune ganda, rakadai se-scrape, pinprick, kana kucheka.
Ganda rakapoteredza rinoputsika, uye chironda chinokurumidza kuumba. Pyoderma gangrenosum ulcers dzine mavara akasiyana-siyana, asinganzwisisiki. Vanowanzovawo zvinorwadza uye zvinononoka kuporesa. Vanachiremba havana chokwadi nei chinokonzera pyoderma gangrenosum asi vanofungidzira kuti inogona kunge iri mamiriro ezvinhu ega, sezvo ichienderana nezvimwe zvinokonzera kuzvimirira.
Iyo Pyoderma Gangrenosum inosangana neBDD
Vanenge makumi mashanu kubva muzana yematambudziko e pyoderma gangrenosum vanoitika kuvanhu vane rumwe rudzi rweBD. Pane dzimwe nguva, kuitika kwezvipembenene izvi kunoenderana nekushanda kwakasimba kweBD uye kunogona kupindura apo iyo inonzi IBD inobatwa zvakanaka. Mamwe mazamu, zvisinei, haasi kuonekwa kuti anowirirana zvakananga nechirwere chechirwere, uye pyoderma gangrenosum inotanga kana kutowedzera kuipa apo IBD inoderera.
Kurapa
Kuti kusimbise kuongororwa kwepododerma gangrenosum kuburikidza nekuongororwa kwekuongorora, dermatologist inogona kubvunzurudzwa. Zvironda zvinogona kusvibiswa uye zvinogadzirwa kuti zviongorore zvirwere, uye biopsies inogona kutorwa uye kuongororwa kuitira kutonga zvimwe zvikonzero. Nokuti pyoderma gangrenosum haisi inokonzerwa nebhakitiriya, mishonga inorwisa mabhakitiriya inogona kunge isina kubudirira semushonga.
Miner pyoderma gangrenosum ulcers inogona kubatwa ne:
- Kunyanya kusungirirwa
- Steroid creams kana injection
- Mishonga inorwisa-inopesana nemishonga inorwisa mabhakitiriya
- Kupfeka sirivha sulfadiazine cream kana hydrocolloids
Zvironda zvakakura zvinopesana zvinogona kuwedzera kurapwa kwakasimba ne:
- Steroids
- Cyclosporine
- Cyclophosphamide
- Methotrexate
- Tacrolimus mafuta
Pasi Pasi
Kana iwe uine chironda chinoshungurudza kana chimwe chisingagoni kuporesa, ona chiremba wako wekutanga kana chiremba wegastroenterologist nokukurumidza sezvinobvira kuti zvinogona kutumirwa kune dermatologist. A dermatology nyanzvi, zvichida munhu ane ruzivo nevamwe vashandi veBIB, anogona kunyatsoongorora uye kubata chirwere ichi.
Sources:
CCFA. "Zviratidzo zvisinganzwisisiki zvehutachiona hwezvirwere." CCFA 1 Mbudzi 2012.
Papageorgiou KI, Mathew RG, Kaniorou-Larai MG, Yiakoumetis A. "Pyoderma gangrenosum muhutachi inouraya: mafungiro ekufungidzirwa kwokutanga." BMJ December 3 2005.
The Merck Manual. "Pyoderma Gangrenosum." Merck & Co., Inc. Feb Feb.