Zomwe Zikupezeka M'madera Onse ndi Zomwe Zachilengedwe Zimayambitsa Khungu la Chitchy
Pruritus imatanthawuza kumverera kosasangalatsa kumene kumayambitsa kufunika, komwe kumatchedwa kuyabwa ndi anthu ambiri. Kuwomba kungakhale kozungulira kumalo ena a thupi kapena kungatheke pena paliponse. Ngati pali mphutsi yomwe ikuyenda ndi pruritus, chifukwa chake nthawi zambiri zimakhala zosavuta komanso zochiritsidwa. Komabe, vuto lovuta kwambiri la pruritus ndilo omwe alibe chigwirizano chogwirizana.
Zowona za Kuphika
Kuwotcha kumachitika pamene mitsempha ya khungu imatumiza uthenga ku ubongo kudzera m'mitsempha. Kuyamwa (pruritis) ndi kupweteka kumagwirizana kwambiri, chifukwa mitsempha yomweyo imapereka zizindikiro zonse ku ubongo.
Kawirikawiri, pruritus ikhoza kugwirizana ndi vuto la khungu kapena matenda ena a thupi (systemic disease). Pamene kuyaka kumapezeka kumadera ena a khungu, kawirikawiri zimayambitsa chikhalidwe cha khungu. Kudyetsa kwachibadwa, komabe, kumagwirizana ndi dongosolo (thupi lonse) limayambitsa pafupifupi theka la nthawi.
Mtsinje wa Zokongola
Kuwonjezera pa zomwe zimayambitsa nthenda yoyamba, kung'amba kungayambitse kuyabwa kwambiri. Izi zimatchulidwa kuti ndizomwe zimakhala zovuta kwambiri ndipo zimakhala zofunikira pochiza zipsinjo ziribe kanthu.
Zowonongeka Kwapafupi Kumeneko Kumayambiriro
Pamene kuyamwa kumachitika pa gawo limodzi lokha la thupi, kawirikawiri limayambitsidwa ndi vuto pakhungu.
Malo enieni a thupi omwe amawotcha angapereke chitsimikizo pa chifukwa cha chilakolako. Tiyeni tiyang'ane pa malo awa:
Ziwalo zosiyanasiyana za thupi: Matenda a khungu omwe angayambitse kuyamwa m'madera ambiri a thupi ndi atopic dermatitis (eczema), kukhudzana ndi dermatitis (kutupa kwa khungu koyenderana ndi zinthu zowopsya), psoriasis , ndi mphere matenda ,
Mphuno: Zomwe zimayambitsa kuyabwa kwa khungu kumaphatikizapo psoriasis, nsabwe pamutu , ndi seborrheic dermatitis (dandruff).
Mafupa: Zomwe zimayambitsa kuyabwa kwa khungu ndizozimene zimayambitsa pamwambazi ndi zomwe zimayambitsa matendawa .
Mphuno: Chifukwa chofala kwambiri cha kuyabwa kwa minofu ndi matenda a rhinitis (hayfever).
Mvetserani: Kuwongolera kwa khutu la khutu kumagwirizanitsidwa ndi zomwe zimayambitsa pamwamba ndi otitis kunja (khutu la kusambira).
Chifuwa, Mimba, kapena Kubwerera: Zomwe zimayambitsa kuyabwa kwa khungu pa gawo lalikulu la thupi zimaphatikizapo zinthu zomwe zili pamwambapa komanso folliculitis , yomwe ndi kutukusira kwa tsitsi la tsitsi, kawirikawiri chifukwa cha matendawa.
Zida: Kuwongolera kwa mikono, makamaka malo omwe ali pamphepete mwa chigoba, kawirikawiri ndi chifukwa cha psoriasis kapena atopic dermatitis. Zina zimayambitsa matenda a xerosis (khungu louma) ndi brachioradialis pruritis, yomwe imadula pamtunda, mikono ndi mapewa okhudzana ndi kuwala kwa dzuwa ndi mitsempha ya msana.
Mitsempha: Kuyabwa kwa miyendo kumayambitsidwa ndi matenda ambiri omwe amachititsa kuti manja azigunda, ndipo dermatitis ya atopic imayambitsa chifukwa cha maondo. Mapiritsi a Pruritic a mawondo (ndi mphutsi) amayamba chifukwa cha psoriasis ndi dermatitis herpetiformis (kuthamanga komwe kumapitilira ndi kutengeka kwa gluten).
Manja ndi Mapazi: Kuyabwa kwa manja ndi mapazi kungakhale chifukwa chothana ndi dermatitis, dermatitis ya atopic, pompholyx (dyshidrotic eczema), tinea (maphutsi) , ndi mphere.
Mbewu kapena Mphuno: Zomwe zimayambitsa kuyabwa kwa kubuula ndi kumaphatikizirapo ndi tinea (jock itch), kukhudzana ndi dermatitis, mphere, ndi matenda a yisiti.
Anus: Pruritus ani ndilo mawu ogwiritsidwa ntchito pofotokoza kuyabwa m'madera a anal. Pinworms ndizovuta chifukwa cha matendawa, makamaka kwa ana aang'ono. Pali zina zambiri zomwe zimayambitsa, kuphatikizapo ziphuphu, komanso machitidwe ochiritsira omwe adzakambirane.
Zowonongeka Zowonongeka
Pamene kuyabwa kwapadera kungayambitsidwe ndi zikopa (monga mphere), chikhalidwe cha machitidwe ndi chifukwa cha pafupifupi 50 peresenti ya anthu.
Zina mwa zifukwa ndi zifukwa za kuyabwa kwapadera, makamaka pamene kuthamanga kulibe, zimaphatikizapo:
Matenda a Parasitic: Padziko lonse lapansi, matenda opatsirana ndi majeremusi (monga mitundu yambiri ya mphutsi) ndiwo omwe amachititsa anthu kuvulaza
Mankhwala: Pali mankhwala ambiri omwe angayambitse kuyabwa, mwina okha kapena chifukwa cha zochita zawo pachiwindi. Mankhwala omwe kawirikawiri amachititsa kuyamwa popanda kuthamanga amaphatikizapo opiates (monga morphine kapena codeine) ndi mankhwala omwe amateteza kapena kuchiza malungo. Zina mwa mankhwala omwe akugwiritsidwa ntchito kwa khansa angayambitse kuyamwa kapena popanda kuthamanga. Mankhwala ambiri angakhudze chiwindi ndi kuyambitsa chifukwa cha chiwindi chosagwira ntchito.
Matenda a chiwindi: Mitundu yambiri ya matenda a chiwindi, komanso chiwindi cha chiwindi chokhudzana ndi mankhwala, chingayambe kuyabwa popanda kuthamanga
Kuperewera kwa iron : Khungu limakhudzidwa nthawi ya kuchepa kwa magazi m'thupi, Zingakhale zouma ndikukula ming'oma kapena mphutsi.
Kuyabwa kwapakhungu: Mtundu uwu wa kuyabwa umagwirizana ndi kuwonongeka kapena kumangidwa kwa mitsempha ya mitsempha. Zomwe zimayambitsa kuyabwa nthawi zambiri zimakhala zokhumudwitsa kwambiri pamene sizikuyankhidwa pakunkha ndipo zingakhale zovuta kuchiza
Matenda a chithokomiro: Onse hyperthyroidism ndi hypothyroidism amatha kuyabwa.
Matenda a Impso: Matenda a impso amachititsa kuti ayambe kuyabwa popanda kuthamanga, ndipo 25 mpaka 50 peresenti ya anthu odwala dialysis amatha kuyabwa.
Khansara : Leukemias ndi maymphmia amatha kuyabwa. Nthenda ya Hodgkin imayambitsa kuyabwa pakati pa 10 ndi 25 peresenti ya anthu, ngakhale sadziwa chifukwa chake
Kuwomba kumayenderana ndi ming'oma : Urticaria (ming'oma), makamaka dermatographism , ndi njira zowonongeka za dermatitis ndizozimene zimayambitsa zowonjezereka, ngakhale ngati palibe mphukira yowonekera.
Kuzindikira Zowonjezera Zowonjezera
Ngati mwayamba kuyabwa, dokotala wanu akufuna kutenga mbiri yosamalitsa ndikuyesera. Kuyesedwa kwa pruritus generalized, makamaka pamene palibe kuthamanga, kungaphatikizepo kuwerengera kwathunthu kwa magazi, ntchito ya impso, chiwindi, ntchito ya chithokomiro, msinkhu wachitsulo, maphunziro a zinyama, ndi chifuwa cha X-ray kufunafuna umboni wa lymphoma.
Kodi Itching Ikutengedwa Bwanji?
Chithandizo chabwino cha pruritus ndicho kukonza chifukwa chachikulu cha kuyabwa, kaya ndi khungu kapena matenda a systemic. Mpaka vutoli likonzedwe, chithandizo chingakhale chofunika kuti muchepetse kutentha, ndipo makamaka kuchepetsa kuthamanga kwa mphindi. Mankhwala osakwanira okhudza kuyamwa angaphatikizepo mankhwala opangira ma steroid, mankhwala odzudzula antihistamines , ndi kusamalira khungu bwino ndi kuchepetsa .
Ndikoyenera kuti anthu omwe ali ndi zizindikiro za kuyabwa, makamaka pruritus generalized, awone dokotala wawo woyenera kufufuza ndi chithandizo.
> Zosowa
> Ebata, T. Mankhwala Othandiza Amadzimadzi. Mavuto Amasiku Ano 2016. 50: 155-63.
> Mettang, T. Uremic Itch Management. Mavuto Amasiku Ano 2016. 50: 133-41.
> Rajagopalan, M., Saraswat, A., Godse, K. et al. Kusanthula ndi Kulamulira kwa Pruritus Chronic: Kukambirana kwa Ofufuza. Indian Journal of Dermatology . 2017. 62 (1): 7-17.
> Savk, E. Neurologic Itch Management. Mavuto Amasiku Ano 2016. 50: 116-23.