Kafukufuku amasonyeza kuti pafupifupi 12 peresenti ya anthu omwe ali ndi ming'oma yamakono amakhala ndi matenda aakulu a chithokomiro omwe amachititsa kuti matenda a Hashimoto ndi hypothyroidism azipezeka mosavuta .
Kudziwa zokhudzana ndi mgwirizano pakati pazirombo ziwiri ndizofunikira, popeza kuchiritsa wina kungapindule (kapena kumvetsetsa) wina.
Chidule cha Chronic Urticaria
Urticaria ndilo mankhwala a ming'oma, yomwe ndi chizolowezi chodziwika bwino cha khungu chomwe chimayambitsa zozungulira, mapiko okuda pinki (otchedwa wheals) omwe ali osowa (nthawi zina akuwomba kapena kuwotcha).
Ming'oma nthawi zambiri imakula pakhungu lanu, kumatha maola angapo, kenako imatha. Ming'oma yatsopano imawoneka ngati zakale zikutha.
Urticaria imatha kupezeka ngati munthu akukula ming'oma pafupifupi tsiku lililonse kwa masabata asanu ndi limodzi kapena kuposerapo.
Pali zifukwa zambiri zomwe zimayambitsa urticaria ndi ming'oma. Nthaŵi zina, urticaria yosatha imatha kupezeka ndi zakudya zinazake monga zakudya zamtundu, mtedza, nsomba, tirigu, mazira, kapena mkaka. Nthaŵi zina, zizindikiro zowonongeka, monga mungu, zingakhale zovuta.
Komabe, ambiri mwa iwo alibe chifukwa chomveka ndipo amatchulidwa kuti idiopathic urticaria ndi "idiopathic" kutanthawuza kuti trigger sichidziwika. Pazochitikazi, amakhulupirira kuti chiwerengero chochulukiracho chimachokera pachiyambi.
Matenda a Urticaria Osakayika
Ngakhale kuti pali chiyanjano kapena mgwirizano pakati pa matenda a chithokomiro aakulu ndi matenda osungunula a chithokomiro, sizikudziwika bwino chifukwa chake izi zilipo.
N'kutheka kuti anthu omwe ali ndi matenda a chithokomiro osakanikirana ndi matenda a chithokomiro omwe amatha kukhala ndi chiwopsezo amakhala otetezeka kwambiri. Izi zimatsimikiziridwa ndi mfundo yakuti, pambali pa matenda a chithokomiro, palinso matenda ena omwe amadziwika ndi urticaria.
Izi zikuphatikizapo:
- Matenda a nyamakazi
- Thirani shuga 1
- Sjögren's syndrome
- Matenda a Celiac
- Lupus
- Raynaud's syndrome
- Vitiligo
- Matenda owopsa
Ndizoyeneranso kunena kuti, kuphatikizapo matenda a chithokomiro, tizilombo toyambitsa matenda (antithyroid peroxidase antibodies ndi antithyroglobulin antibodies) ndizofala kwambiri kwa anthu omwe ali ndi urticaria osatha ndi anthu ambiri.
Kuchiza Matenda a Chithokomiro Kuthetsa Urticaria Yambiri
Kafukufuku amasonyeza kuti anthu ena okhala ndi urticaria osatha omwe ali ndi hypothyroid akhoza kuchotseratu urticaria yawo ndi chithandizo choyenera cha chithokomiro .
Mu phunziro limodzi laling'ono kwambiri, odwala awiri mwa khumi omwe ali ndi matenda a chithokomiro a Hashimoto anakumana ndi urticaria atachiritsidwa ndi levothyroxine (mkati mwa masabata asanu ndi limodzi kapena asanu ndi atatu).
Inde, kupatula kupenda chithokomiro chanu (ndi kuchiza vuto lililonse losokoneza), pali mankhwala ena ambiri omwe angathandize ming'oma yanu.
Kuwonjezera pa kuzindikira ndi kupewa zovuta, mankhwala ochiritsira ndi awa:
- Antihistamines monga Zyrtec (Cetirizine) Xyzal (Levocetirizine), Clarinex (Desloratadine) Claritin (loratadine) ndi Allegra (fexofenadine)
Amatsenga a leukotriene monga Singulair (montelukast)
Histamine (H2) monga blockamet (cimetidine), Pepcid (famotidine), Axid (nizatidine), Zantac (ranitidine)
Mankhwala a corticosteroid, monga prednisone
Dapsone-yemwenso amadziwika kuti diamino diphenyl sulfone (DDS), ndi mankhwala omwe angathandize odwala ena
Xolair (Omalizumab) -chilombo cha monoclonal chaumunthu chomwe chakhala ndi zotsatira zabwino ndi odwala aakulu a urticaria omwe sanamvere mankhwala ena
Mawu Ochokera
Uthenga wochokera kunyumba ndi wakuti ngati muli ndi urticaria osapitirira koma simunayesedwe ndi ntchito yanu ya chithokomiro, onetsetsani kuti mukubweretsa izi ndi dokotala wanu.
Sikuti kungogwiritsira ntchito chithandizo cha chithokomiro chanu kungakuthandizeni kuti mukhale ndi urticaria, koma mudzathetsanso thanzi lanu la chithokomiro (bonus bonus).
> Zotsatira:
> American Academy of Dermatology. (2018). Mikoko.
> Aamir IS, Tauheed S, Majid F, et al. Mafupipafupi a matenda a chithokomiro mu urticaria osatha. J Coll Ogwira Ntchito Pak Pak. 2010 Mar; 20 (3): 158-61.
> Confino-Cohen R, Chodick G, Shalev V, et al. Urticaria yamakono ndi kuyendetsa yekha: mayanjano omwe amapezeka pachiwerengero chachikulu cha anthu. J Zachilombo Zamtundu wa Immunol . 2012 May; 129 (5): 1307-13.
> Kim DH, Sung NH, Lee AY. Zotsatira za mankhwala a levothyroxine pa zizindikiro zachipatala mu odwala hypothyroid omwe ali ndi matenda aakulu a urticaria ndi chithokomiro chokha. Ann Dermatol . 2016 Apr; 28 (2): 199-204.
> Wan KS, Wu CS. "Ntchito yofunika kwambiri yotsutsana ndi chithokomiro m'thupi lachilendo la idiopathic urticaria." Kusintha kwa 2013; 38 (2): 85-8.