He aha te Bullous Pemphigoid? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te bullous pemphigoid he mate kiri autoimmune e puta ai ngā pupuhi nui, kī kīwai wai ki tō kiri. Ka whakaeke he te pūnaha ārai mate o tō tinana i ngā pūtau hauora o tō kiri, ka hangaia enei pupuhi mamae e puta ana i ngā wāhi penei i ō ringa, ō waewae, me tō puku.

Ko te tikanga, ko ētahi pakeke kē te pāngia e tēnei mate, ko te nuinga atu i te 60 tau te pakeke. Ahakoa ka ātaahua te ahua, ka taea te whakaora i te bullous pemphigoid me te tiaki hauora tika, ā, ka taea e te nuinga o te iwi te whakahaere pai i ō rātou tohu me te huarahi tika.

He aha ngā tohu o te bullous pemphigoid?

Ko te tohu matua ko ngā pupuhi nui, ka pūmau ki tō kiri. Ko te nuinga o enei pupuhi he 1-3 henimita te whānui, ā, kī kīwai wai mā, ahakoa ka taea e ētahi wā te wātea i te toto.

I mua i te puta mai o ngā pupuhi, ka pāngia pea koe e ētahi tohu whakatūpato ka āwhina i a koe ki te mohio wawe ki te mate:

• Te ngau nui e kaha ana, ā, ka raru ai te moe
• Ngā wahi kiri whero, mumura e mahana ana ki te pa
• Ngā pupuhi rite ki te ngārara e puta ana, ā, ka ngaro
• Te kiri e pūmau ana, kāore rānei i ētahi wāhi

He āhuatanga motuhake ō ngā pupuhi anō e wehewehe ana i a rātou i ētahi atu mate kiri. He nui, he porowhita, ā, he pakitara mātotoru kei a rātou e kore ai e ngāwari te pakaru i te whakataurite ki ētahi atu momo pupuhi.

Ko te nuinga, ka kite koe i ēnei pupuhi i ō ringa, ō waewae, ō uma, ō tua, me tō puku. Ka puta mai rātou i ngā wāhi e piko ana, kāore rānei e pā ana tō kiri, penei i ngā taha o ngā hononga, kāore rānei i te wāhi e wiri ana ngā kakahu ki tō tinana.

I ētahi wā, ka pā te bullous pemphigoid ki tō waha, ka puta ai ngā pupuhi mamae i roto i ō paparinga, ō niho, kāore rānei i tō korokoro. Ka puta tēnei i te 10-30% o te hunga e pangia ana e te mate, ā, ka taea te whakawehi i te kai, kāore rānei te horomi.

Ka iti te tūponotanga o ētahi atu tohu pēnei i te ngenge whānui, te kirika ngawari, te pupū rānei o ngā pūngāwerewere. Ko ēnei tohu te nuinga o te wā ka puta ina whānui ake te āhuatanga, te whakaara rānei.

He aha te take o te bullous pemphigoid?

Ka puta te bullous pemphigoid ina pāheke te pūnaha ārai mate o tō tinana, ka whakaeke i ngā pūtau hauora o tō kiri. Ā, ko ngā pūtau e karangatia ana ko te BP180 me te BP230, e āwhina ana i te pupuri tahi i ngā paparanga rerekē o tō kiri.

Whakaarohia ēnei pūtau hei piripiri e pupuri ana i ngā paparanga o tō kiri. Ina whakaeketia e tō pūnaha ārai mate, ka wehewehe ngā paparanga, ka whakakiia te wāhi i waenganui i a rātou e te wai, ka hangaia ai aua whewhe nui āhua.

He maha ngā take ka taea te whakaoho i tēnei whakautu ārai mate, ahakoa ehara i te mea mārama tonu te take pono:

• Ētahi rongoā, inā te nuinga o ngā diuretics, ngā rongoā mate huaketo, me ngā rongoā toto teitei
• Te whara tinana ki te kiri, pēnei i ngā tahuna, ngā pokanga, te rongoā rānei o te radiation
• Ētahi atu āhuatanga ārai mate pēnei i te mate pūngāwerewere rheumatoid, te mate sclerosis maha rānei
• Ngā mate huaketo, inā te nuinga o aua mea e pā ana ki te kiri, te pūnaha manawa rānei
• Te ahotea, te tinana me te ngākau, ka taea te whakaoho i ngā huringa o te pūnaha ārai mate

He tino mahi te pakeke ki te whanaketanga o te bullous pemphigoid. Ka huri taiao te pūnaha ārai mate o tō tinana i te wā e pakeke ana koe, ka nui ake te tūponotanga o te whakaeke i ō ake ngā pūtau. Ka whakamāramahia tēnei i te mea he tino noa te āhuatanga i roto i ngā tāngata neke atu i te 60.

I roto i ngā take onge, ka taea te whanake o te bullous pemphigoid kahore he whakaoho mārama. Ka taea e tō hanganga ira te whakapakari i a koe, engari kaore i te rite ki ētahi atu āhuatanga ārai mate, kāore i te tino rere i roto i ngā whānau.

Ka whanake etahi tangata i tetahi ahua rohe o te āhuatanga e pā ana ki tētahi wāhi anake o te tinana, te nuinga o te wā ka whakaohohia e tetahi whara motuhake, te tukanga hauora rānei i taua wāhi.

Nōhea te haere ki te taote mō te bullous pemphigoid?

Me pēhea rānei te titiro atu ki te taote i te wa poto mena ka puta mai ngā whewhe nui, kī tonu te wai i tō kiri, ā, tērā atu, ki te whai atu rātou i te ngau kino. Ka taea e te whakamātautau wawe me te rongoā te aukati i ngā raruraru, ā, ka awhina i a koe kia pai ake te noho.

Kaua e tatari mena ka kite koe i ngā whewhe maha e puta ana i roto i ngā rā maha, i ngā wiki rānei. Ahakoa ka rite te ahua o ētahi āhuatanga o te kiri, me whai rongoā motuhake te bullous pemphigoid e taea ana e te kaiwhakarato hauora anake te tuhi.

Rapua te tiaki hauora tere mena ka pā atu koe ki tētahi o ēnei tohu whakatūpato:

• Ngā whewhe i roto i tō waha e whakapakeke ana i te kai, i te inu rānei
• Ngā tohu o te mate i te taha o ngā whewhe, pēnei i te whero nui ake, te wera, te mū rānei
• Te kirika me ngā whewhe hou
• Ngā whewhe e hipoki ana i te rohe nui o tō tinana
• Te mamae nui e whakaroa ana i ngā mahi o ia rā

Ahakoa he ngawari te ahua o ō tohu, he mea tika kia tirohia. Ka taea e tō taote te wehewehe i te bullous pemphigoid mai i ētahi atu āhuatanga e puta mai ana i te whewhe, ā, ka tīmata i te rongoā tika i mua i te kino o te āhuatanga.

Mena kei te whakamahia kētia koe mō te bullous pemphigoid, whakapiri atu ki tō taote mena ka kite koe i ngā whewhe hou e hanga ana, ngā whewhe kei reira kua pangia, te kore rānei o tō rongoā o nāianei e whakahaere pai ana i ō tohu.

He aha ngā take morearea mō te bullous pemphigoid?

Ko te tau te take morearea nui rawa atu mō te whanaketanga o te bullous pemphigoid. E 85% te tata o te hunga i whakamātautauhia ki tenei āhuatanga he neke atu i te 65 tau te pakeke, ā, ka nui haere te morearea i muri i te 80 tau.

Ka pā te tukanga koroheketanga taiao o tō tinana ki tō pūnaha ārai mate me te hanganga o te kiri, ka nui ake te ngoikore o ngā pakeke ki ngā āhuatanga kiri autoimmune pēnei i te bullous pemphigoid.

He maha ngā āhuatanga hauora ka nui ake ai tō morearea ki te whanaketanga o te bullous pemphigoid:

• Ngā mate neurological, ina koa te mate wareware, te mate a Parkinson, me te pēhanga o te roro
• Ētahi atu āhuatanga autoimmune pēnei i te psoriasis, te mate pūkahukahu ranei
• Te mate huka, ka pā pea ki te mahi a tō pūnaha matekōkiri
• Te hītori o mua o te mate pūngāwerewere kiri, te kino ranei o te whakakino o te rā
• Te mate whatukuhu, te mate ate ranei e roa ana

Ka taea e ētahi rongoā te whakaoho i te bullous pemphigoid, ina koa ki te whakamahi koe i aua rongoā mō te wā roa. Kei roto i ēnei ngā diuretics (ngā pūnaha wai), ngā kaihoroi ACE mō te toto teitei, ētahi rongoā matekōkiri, me ngā rongoā anti-inflammatory.

Ka taea hoki e ngā take tinana te whakapiki ake i tō tūponotanga. Ko te rongoā radiation o mua, ngā tahuna nui, te pokanga nui rānei ka taea te whakaoho i te āhuatanga i muri i ngā marama, i ngā tau rānei. Ko te whakakino o te mārama UV me te whakaheke kiri e roa ana ka mahi pea hoki.

Kāore i rite ki te nuinga o ngā āhuatanga autoimmune, kāore te bullous pemphigoid e kaha te whakauru ira. Ko te whai mema whānau me te āhuatanga kāore e whakapiki nui i tō tūponotanga, ahakoa ko ētahi atu ka whai whakaaro ira ki ngā mate autoimmune katoa.

He mea whakamīharo, ko ngā tāngata me ētahi āhuatanga neurological, ina koa ngā mea e pā ana ki te mahara me te mohio, he nui ake te tūponotanga o te whanaketanga o te bullous pemphigoid. Kei te ako tonu ngā kairangahau he aha te hononga o tēnei.

He aha ngā raruraru pea o te bullous pemphigoid?

Ka taea e te nuinga o ngā tāngata me te bullous pemphigoid te whakahaere pai i tō rātou āhuatanga me te rongoā tika, engari ka taea te whanake i ētahi raruraru ki te kore e whakahaerehia pai te āhuatanga. Ko te mārama ki ēnei wāhi ka āwhina i a koe ki te mohio ki te wa hei rapu atu awhina hauora.

Ko ngā raruraru tino noa e pā ana ki ngā pupuhi anō, me te āhua o te pānga ki tō oranga o ia rā:

• Ngā mate pukupuku tuarua ina pakaru ngā pupuhi ka whakapūāwai te kiri matao
• Te tohu, ina koa ki te pangia ngā pupuhi, ki te whakaohoohotia anō hoki
• Ngā huringa tae kiri i te wā kua ora ngā pupuhi
• Te uaua ki te neke marie ina puta ngā pupuhi ki runga i ngā hononga
• Te whakararu moe nā te ngau nui me te kore ngāwari o te kiri

Ka puta mai ngā raruraru kai ina pā te bullous pemphigoid ki tō waha me tō korokoro. Ka āhei ngā pupuhi mamae ki te whakamamae i te kai me te inu, ā, ka āhei te arahi ki te ngaro o te taumaha, te maroke, te kore kai pai rānei, ina koa ki ngā kaumātua.

Ko ngā rongoā e whakamahia ana hei whakaora i te bullous pemphigoid ka puta mai ētahi wā ngā pānga o te taha, ina koa ki te whakamahinga roa. Ko ngā corticosteroids, e hiahiatia ana te nuinga mō te whakaora, ka pā ki tō māngai wheua, ngā taumata huka toto, me te pūnaha mate i te wā roa.

I ētahi wā onge, ka āhei te bullous pemphigoid whānui ki te arahi ki ngā raruraru nui ake. Kei roto i ēnei te ngaro nui o te wai mai i ngā pupuhi pakaru whānui, ngā koretake o te waipiro, me te nui haere o te tūponotanga o ngā mate kino nā te ngoikore o te mahi ārai kiri.

Kāore e tika te whakakore i ngā pānga hinengaro me ngā ngākau. Ko te ahua o ngā pupuhi, te kore ngāwari roa, me te tohu pea ka pā ki tō whakaaro nui me tō kounga ora, ka āhei te arahi ki te pouri, ki te wehe atu rānei i te iwi.

Ko te tino onge, ka āhei te bullous pemphigoid ki te mate kino, ina koa ki ngā kaumātua, ki ngā tāngata ngoikore rānei. Ka puta tēnei i te nuinga o te wā ina whānui te āhuatanga, ina pangia kino, ina puta mai rānei ngā raruraru mai i ngā rongoā whakaora.

Me pēhea te whakamātautau i te bullous pemphigoid?

Ko te whakamātautau i te bullous pemphigoid e hiahia ana ki te whakakotahitanga o te tirohanga kanohi, te hītori hauora, me ngā whakamātautau motuhake. Ka tīmata tō tākuta mā te tirotiro marie i ō pupuhi me te uiui mō te wā i puta tuatahi mai ai rātou me te āhua o te huringa i te wā roa.

Ko te ahua me te wāhi o ō pūngāwerewere e whakarato ana i ngā tohu nui, engari he maha atu ngā āhuatanga o te kiri e rite ana te ahua, na reira he mea tika te whakamātautau atu mō te whakatau whakamutunga.

Ka tino mahi tō tākuta i ēnei whakamātautau whakamātautau hei whakau i te pemphigoid bullous:

1. Biopsy kiri: Ka tangohia he tauira iti o te kiri e pā ana, ka tirohia i raro i te microscope
2. Immunofluorescence tika: Ka titiro tēnei whakamātautau motuhake ki ngā antibody i whakatārewatia ki tō kiri
3. Ngā whakamātautau toto: Ka tirotirohia ēnei mō ngā antibody motuhake (anti-BP180 me anti-BP230) i roto i tō toto
4. Immunofluorescence kore tika: Ka whakauhia tēnei i te tūmanako o ngā antibody e rere ana

Ko te biopsy kiri te whakamātautau nui rawa. Ka tangohia e tō tākuta he kōwae iti o te kiri e whakauru ana i te pūngāwerewere me te kiri noa e karapoti ana. Ka taea e tēnei te kite i te paparanga tika i puta ai te wehewehe, me te whakakore i ētahi atu āhuatanga pūngāwerewere.

Ka taea e ngā whakamātautau toto te kite i ngā antibody motuhake e pā ana ki te pemphigoid bullous i te 70-90% o te hunga e pangia ana e te āhuatanga. Ko ngā taumata antibody teitei ka hono pinepine ki te mate kino ake, ā, ka taea te aroturuki i ēnei taumata hei aroturuki i te whakautu i te rongoā.

I etahi wā, akene ka hiahia tō tākuta ki te whakakore i ētahi atu āhuatanga ka puta mai ngā pūngāwerewere rite, pēnei i te pemphigus vulgaris, epidermolysis bullosa acquisita, te mate IgA rārangi. Ko ia o ēnei āhuatanga e hiahia ana ki ngā huarahi rongoā rerekē.

Ko te tukanga whakamātautau ka roa pea i te torutoru rā ki te wiki, kei te whakawhirinaki ki te tere o te wātea o ngā hua taiwhanga. I tēnei wā, akene ka tīmata tō tākuta i te rongoā tuatahi hei āwhina i te whakahaere i ō tohu i te wā e tatari ana mō te whakau.

He aha te rongoā mō te pemphigoid bullous?

Ko te whakaora i te pemphigoid bullous e āta whakaaro ana ki te whakakore i tō pūnaha ārai mate kaha rawa kia mutu te puta mai o ngā pupuhi hou, ā, kia āwhina ai i ngā pupuhi o nāianei kia ora. Ko te nuinga o te iwi e whakautu pai ana ki te rongoā, ahakoa pea ka roa ngā wiki kia kitea he pai te whakapai.

Ka tīmata pea tō tākuta ki ngā corticosteroids o waho, ki ngā corticosteroids waha rānei, koinei ngā rongoā tuatahi tino whai hua mō te whakahaere i te whakautu ārai mate e pā ana ki te pemphigoid bullous.

Ko ētahi huarahi rongoā noa ko:

• Ngā corticosteroids o waho: Ngā kirikiri rānei, ngā hinu rānei kaha te kaha e tāpiri ana tika ki ngā wāhi e pā ana
• Ngā corticosteroids waha: Ko te Prednisone e inu ana mō te mate whānui atu
• Ngā rongoā whakakore mate ārai: Ngā rongoā pēnei i te methotrexate, i te azathioprine rānei hei whakaiti i te mahi o te pūnaha ārai mate
• Ngā rongoā mate huaketo tetracycline: He āhuatanga anti-inflammatory kei a rātou e taea ai te āwhina i ētahi iwi
• Rituximab: He rongoā motuhake mō ngā take kino kaore e whakautu ki ētahi atu rongoā

Mō te pemphigoid bullous rohe e pā ana ki ngā wāhi iti anake, ka tātai pea tō tākuta i ngā steroids o waho kaha hei rongoā matua. Ka tino whai hua ēnei, ā, he iti ake ngā pānga kino atu i ngā rongoā waha.

Mēnā he maha ngā pupuhi kei a koe, ko ngā corticosteroids waha te tikanga e hiahiatia ana i te tīmatanga. Ka tīmata pea tō tākuta ki te nui atu o te rongoā kia whakahaerehia te āhuatanga, katahi ka whakaiti haere te rongoā ki te iti rawa e pupuri ana i ō tohu.

He tokomaha te iwi e hiahia ana ki te rongoā whakakotahi, ina koa mō te whakahaere roa. Ka tāpiri pea tō tākuta i tetahi rongoā whakakore mate ārai hei āwhina i te whakaiti i te nui o ngā steroids e hiahia ana koe, kia iti ai ngā pānga kino pea mai i te whakamahinga steroid roa.

He rerekē te whakautu i te rongoā i waenga i ngā tangata, engari ko te nuinga o te iwi ka mutu te hanganga o ngā whewhe hou i roto i ngā wiki 2-4 i te tīmatanga o te rongoā. Ka roa pea ngā marama kia ora katoa ngā whewhe o mua, ā, ko ētahi o te iwi e hiahia ana ki te rongoā whakahaere tonu hei aukati i ngā whakaeke.

I roto i ngā take onge kaore e whai hua ngā rongoā noa, ka whakaaro pea tō tākuta ki ngā rongoā hou penei i te immunoglobulin intravenous (IVIG) te rānei te plasmapheresis, e whakauru ana i te tārai i ngā antibodies i tō toto.

Me pēhea te whakahaere i te bullous pemphigoid i te kāinga?

He tino mahi nui te tiaki kāinga i te whakahaere i te bullous pemphigoid me tō rongoā hauora. Ka taea e te tiaki o te whara me ngā whakarerekētanga o te oranga te āwhina i te aukati i ngā raruraru me te whakamarie atu i a koe i te wā e rongoā ana.

He mea nui te tiaki tika i ō whewhe hei aukati i te mate me te whakatairanga i te ora. Kia ma me te maroke te wāhi, ā, kia kaua e mahi i ngā mahi ka taea te pakaru o ngā whewhe i mua i te wā.

Ko ēnei ngā rautaki tiaki kāinga nui:

• Horomia ngā whewhe kaore i pakaru ki te hopi ngawari me te wai i ia rā
• Whakamahia ngā rongoā waho i whakaritea kia rite ki te aratohu
• Hipoki ngā whewhe pakaru ki ngā papatahi kore-piri hei aukati i te mate
• Kakahu kakahu huruhuru, ngawari hei whakaiti i te riri ki tō kiri
• Whakamahia ngā hua tiaki kiri ngawari, kaore he kakara
• Horomia ngā kaukau mahana ki te oatmeal colloidal hei whakamarie i te ngau

Ko te whakahaere i te ngau tetahi o ngā āhuatanga uaua o te noho tahi me te bullous pemphigoid. Ka taea e ngā kāpeka makariri te hoatu i te whakamarie wā poto, ā, ko te pupuri i ō maihao poto te āwhina i te aukati i te kino mai i te karaka.

Ka taea hoki e tō kai te takaro i te mahi tautoko i tō ora. Ko te kai i ngā kai whai pūmua te āwhina i tō kiri kia ora, i te wā e pupuri ana i te wai pai te tautoko i te hauora o te kiri katoa. Ki te whai koe i ngā whewhe waha, he ngawari, he makariri ngā kai e tino whakamarie ana.

Kia mataara ki ngā tohu o te mate pāwera i te taha o ō whewhe, pēnei i te whero nui ake, te wera, te pupū, te pū. Whakapa atu ki tō tākuta tonu mena ka kite koe i ēnei tohu, nā te mea ka whakaheke te mate pāwera i te whakaora me te whakaeke i ngā raruraru.

Ko te whakakori ngawari, kia rite ki te tūmanako, ka āwhina i te pupuri i tō hauora whānui me tō ngākau i te wā o te rongoā. Heoi, kia kaua e mahi i ngā mahi e pāngia ana e te wera nui, te riri rānei ki ngā wāhi kiri e pāngia ana.

Pupurihia he rangitaki tohu hei aroturuki i tō ahunga whakamua me te tautuhi i ngā tauira i roto i ō whakaeke. Ka nui te uara o ēnei kōrero mō tō rōpū hauora i te whakarite i tō mahere rongoā.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ko te whakarite mō tō whakatau ka āwhina i te whakarite kia whiwhi koe i te tautuhi tino tika me te mahere rongoā whai hua. Kawe mai he rārangi katoa o ō rongoā o nāianei, tae atu ki ngā taapiri-ā-tauhokohoko, nā te mea ka taea e ētahi te whakaoho, te whakaiti rānei i te bullous pemphigoid.

Tuhia ō tohu kia ata i mua i tō haerenga. Kia mārama te wā i puta mai ai ngā whewhe, me pēhea te huringa, me te aha e pai ake ai, e kino ake rānei. Ka āwhina ngā whakaahua, ina koa ki te whakaheke ō whewhe mai i te wā i whakarite ai koe i te whakatau.

Whakamahia ēnei kōrero mō tō tākuta:

• Rārangi rongoā katoa, tae atu ki ngā huringa hou, ngā rongoā hou rānei
• Te raupapa o te tīmatanga o ngā tohu me te ahunga whakamua
• Ngā mate, ngā whara, ngā mahi hauora hou rānei
• Te hītori whānau o ngā āhuatanga autoimmune
• Rārangi o ngā pātai mō tō āhuatanga me ngā kōwhiringa rongoā

Tūhia ngā pātai motuhake e hiahia ana koe ki te ui, pēnei i te aha e tatari ana koe mai i te rongoā, ngā pānga taha o ngā rongoā, me te pēhea te tiaki i ō whewhe i te kāinga. Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe.

Mēnā e taea ana, tēnā kawe mai tētahi mema o te whānau, tētahi hoa rānei ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio nui, ā, ka tautoko hoki, tērā pea mēnā kei te pāngia koe e te whakatau.

Whakapaia kia kōrero pono ai mō tō kounga ora. Whakamārama atu ki tō tākuta te āhua o te āhuatanga o tō moe, ngā mahi o ia rā, me te oranga hinengaro. Ka āwhina ēnei mōhiohio i a rātou ki te mōhio ki te pānga katoa o tō āhuatanga.

Pātai atu mō te tiaki whai muri me ngā tohu e tika ai te karanga i mua i tō whakatau e wātea ana. Ko te mōhio ki te wā hei rapu i te tiaki tere ka taea te aukati i ngā raruraru, ā, ka hoatu hoki te rangimarie ki a koe.

He aha te mea nui e pā ana ki te pemphigoid bullous?

He āhuatanga kiri autoimmune e taea te whakahaere te pemphigoid bullous, e pā ana te nuinga ki ngā tāngata pakeke. Ahakoa ka ātaahua te ahua o ngā pupuhi nui, ka pai te whakautu o te nuinga o te iwi ki te rongoā, ā, ka taea te whakahaere pai o ō rātou tohu me te tiaki hauora tika.

He mea nui te whakamātautau me te rongoā wawe mō ngā hua pai. Ki te kite koe i ngā pupuhi nui, mau tonu i tō kiri, ā, tērā pea he ngau nui, kaua e whakaroa ki te kite i tētahi kaiwhakarato hauora.

Me whakahaere tonu te āhuatanga, engari me te huarahi rongoā tika, ka taea e te nuinga o te iwi te pupuri i te kounga ora pai. Ka mahi tahi tō rōpū hauora ki a koe ki te kimi i te mahere rongoā tino whai hua i te wā e whakaiti ana i ngā pānga.

Kia mahara ehara te pemphigoid bullous i te mea mate, ā, me te tiaki tika, ka taea te aukati i ngā raruraru. Noho hono atu ki ō kaiwhakarato hauora, whai i tō mahere rongoā tonu, ā, kaua e whakaroa ki te whakapā atu mēnā kei a koe ngā awangawanga mō tō āhuatanga.

Ngā pūtaiao e ui ana e pā ana ki te pemphigoid bullous

He mate te pemphigoid bullous?

Kāo, ehara te pemphigoid bullous i te mea pāhoko. He āhuatanga autoimmune tēnei, ā, ko tō ake pūnaha mate pūkohu e whakaeke ana i tō kiri, ehara i te mate ka horapa ki ētahi atu. Kāo e taea e koe te hopu i tēnei mai i tētahi atu, ā, kāo e taea e koe te hoatu ki ngā mema o tō whānau, ki ngā hoa rānei mā te pā atu.

E pēhea te roa o te pemphigoid bullous?

Ko te tikanga ka roa te pemphigoid bullous i te 1-5 tau me te rongoā, ahakoa ka rerekē nui tēnei i waenga i ngā tangata. Ka tutuki te whakaora i roto i ngā marama mō ētahi, ā, ko ētahi atu ka hiahia ki te rongoā haere tonu mō ngā tau maha. Ko te 30-50% o ngā tāngata ka whiwhi whakaora katoa i roto i ngā tau 2-3 i te tīmatanga o te rongoā.

E taea te whakaora katoa te pemphigoid bullous?

Ahakoa kāo he rongoā pumau mō te pemphigoid bullous, he tokomaha ngā tāngata ka whiwhi whakaora roa, ā, kāo he whewhe whakaoho, kāo hoki e hiahia ana ki te rongoā. Kāo e pāngia ētahi atu i muri i te wā rongoā tuatahi, ā, ko ētahi atu pea ka hiahia ki te rongoā pupuri kia kore ai e puta mai anō.

He aha ngā kai me whakakahore ahau me te pemphigoid bullous?

Kāo he kai motuhake e hiahia ana koe ki te whakakahore me te pemphigoid bullous, no te mea kāo te kai e whakaoho ana i ngā whakaoho. Heoi, ki te whai whewhe ngutu koe, pea ka kite koe he kore ātaahua ngā kai kawa, waikawa, kāore rānei he kakano. Aro atu ki te kai kai tōtika e whai hua ana i te pūmua hei tautoko i te whakaora o te kiri.

E taea e te ahotea te whakaiti i te pemphigoid bullous?

Ka taea e te ahotea te whakaoho i ngā whakaoho o te pemphigoid bullous, kāore rānei e whakaiti i ngā tohu kei reira, no te mea ka pā te ahotea ki tō pūnaha mate pūkohu. Ahakoa kāo te ahotea anake e pāngia ai te āhuatanga, ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te moe pai, me te tautoko ngākau ka whai hua mō tō mahere rongoā katoa.