Komanso, kafukufuku ena anapeza kuti amphaka kutikukhala phazi dermatitisamakonda kukhala ndi matenda ena a chitetezo chamthupi, kapenazinthu zomwe zimakhudza chitetezo chokwanira. Monga stomatitis, khansa ya m'magazi, AIDS, ndi zina zotero. Zonsezi, amphaka omwe akudwala FPP ali nawochitetezo chokwanira chachilendo.
Zotsatirazi zimatsimikiziridwa ndi zochitika zakale zaFPP yokhala ndi granuloma yachiwiri ya eosinophilic (EGC)ndistomatitis yomwe ilipo kale.
Chitetezo chokwanira ≠ kufunikira kolimbitsa chitetezo chokwanira
Mavuto ambiri amabwera chifukwa cha zovutachitetezo cha mthupi ndi "champhamvu kwambiri"ndipo zimachitika pamene palibe chifukwa cha chitetezo cha mthupi. Ndiye inusindiyenera kuterokumva chitetezo ndiganizani "kulilimbitsa."Ndibwino kuti chitetezo chanu cha mthupi chisachite ulesi komanso kuchita zinthu mopambanitsa,kotero chofunika kwambirichinthu ndiosati kutenga zowonjezera zowonjezera,koma kuidyani ndi kusangalala!
Zizindikiro za FPP
1.Mphasa ikhoza kukhala youma ndi wosweka
2. Mapadi a nyama iyenera kutupandikuphulika
3.Kutuluka magazi,zilonda zitha kuchitika
Kuzindikira kolondola kwa FPP imafuna chitsanzo cha biopsy, chomwe chiri osati kawirikawiri chifukwa sampuli za pad ndizowawa kwambiri ndi chilondacho sichokongola kwambiri. Chitsanzo lili ndi ambiri maselo a plasma, mwina chiwerengero chochepa cha ma lymphocyte ndi granulocytes.
Matenda osiyanasiyana odziwika bwino ndi awa: eosinophilic granuloma, pemphigus decidus, vasculitis,ndiacetaminophen (paracetamol) poizoni.
FPP ikadziwika,mankhwala sizovuta. Vuto ndilotikuyambiranso ndi kosalamulirika-- pambuyo pake, kupsa mtima kwa chitetezo chamthupi, ndani akudziwa?Nthawi zina, ndizovutakumwa mankhwala anthawi yayitali.
Njira yoyamba: doxycycline
Doxycycline palokha ndiantibacterial mankhwala, koma zateronsoimmunomodulatory zotsatirandipo ndizovuta kugwiritsa ntchito kuposa ma immunosuppressants apadera. M'mayesero ang'onoang'ono, doxycycline idagwiritsidwa ntchito1-2 miyeziamphaka ndi FPP ndipo zotsatira zake zinali motere:
Tsoka ilo, mlandu unalichochepa kwambiri, ndipo doxycycline ikhoza kukhala yochedwa kwambirikupita patsogolo.
Njira 2: immunosuppressive mankhwala
Yakwana nthawi ya mnzathu wakale------"Homoni" kuwonekera.Zodziwika bwino mongaprednisolonendimethylprednisoloneakhoza kuganiziridwa (onetsetsani kuti mugwiritse ntchito motsogozedwa ndi dokotala).Cyclosporine ikhoza kukhalaamaganiziridwanthawi zina.
Kuyamba kwa chithandizo kumakhala kofulumira, ndi zotsatira zake zimawonekeramkati mwa sabata, koma zolemba zochepa zimasonyeza kuti kuzungulira kwa mankhwala kungakhale1-2 miyezi (nthawi zambiri 1-2mg/kg/tsiku prednisolone).
Mu zochepa,milandu yoopsa kwambiri, Kuchotsa opaleshoni kumafunika.
M'moyo wamba, mutha kusankha zoseweretsa zoyenera amphaka kuti amphaka asadwale.
Ngati mukufuna, mungatheLumikizanani nafe!
Nthawi yotumiza: Feb-06-2023