Kudziwa chomwe chimayambitsa urticaria , kapena ming†™ oma, kaya ndi yovuta kapena yachilendo, ndizofunika kuthandizira kuthetsa zizindikiro, kuchepetsa kubwezeretsanso, kutsogolera zosankha zothandizira, komanso chofunika kwambiri, kuteteza mavuto otheka.
Munthu mmodzi mwa asanu adzalandira urticaria kamodzi pa moyo wawo wonse. Matendawa amadziwika ndi zotupa zofiira zomwe zimawoneka kulikonse pakhungu.
Mankhwalawa amadziwika kuti wheals, amatha mphindi zochepa koma amatha masiku angapo.
Nthawi zambiri, urticaria ndi yokhazikika komanso yosavomerezeka. Pamene zolaula zatha kuposa masabata asanu ndi limodzi, izi zimadziwika kuti urticaria. Ngakhale ming'oma iyi imakhudza gawo limodzi lokha la anthu, akhoza kukhala ndi zotsatira zolakwika pa umoyo wa moyo.
Mbiri Za Zamankhwala
Nthaŵi zambiri, chifukwa cha urticaria ndi chowonekera. Ngati mukugwedezeka ndi njuchi ndikutuluka mumng'oma, muli ndi yankho lanu. Mofananamo, maulendo ambiri amapezeka kuchokera m'mbiri yanu ndi zizindikiro za matenda.
Kafukufuku mu World Allergy Organization Journal anakamba nkhani zachipatala 82 ndipo analimbikitsa mndandanda wa urticaria kwa adokotala omwe akuphatikizapo zotsatirazi:
- Nthawi, nthawi, ndi msinkhu wa mng'oma
- Kusokonezeka maganizo, nkhawa, kapena nkhawa
- Mbiri ya banja la mng'oma
- Matenda a zilonda zam'mimba ( H. pylori )
- Zakudya, makamaka ngati mwayesa china chatsopano
- Mankhwala ndi zowonjezereka, zonsezo ndi mankhwala owonjezera
- Kutha msambo (mtundu wamakono wa urticaria wosapitirira-masiku 7 mpaka 10 musanafike nthawi yanu)
- Kutentha thupi, kutentha thupi, kutentha, dzuwa)
- Matenda atsopano (ozizira, GI bug)
- Kuwonetsa ntchito (mankhwala)
Mungafune kubweretsa chipika ndi chidziwitso ku maofesi anu.
Kufufuza Kwambiri
Pokhapokha mutakhala ndi ming'oma panthawi ya ofesi yanu, kuyesa kwanu nthawi zambiri sikungakuthandizeni kupeza matenda. Izi ndizopanda ngati muli ndi dermatographism .
Dermatographism ndi chizindikiro chogwirizanitsa ndi urticaria (ming'oma yomwe imayambitsidwa ndi thupi) ndi dermatitis ya atopic . Ngati muli ndi dermatographism, magudumu amawoneka ngati khungu lanu limagubudulidwa kapena kudumpha kudera linalake. Dokotala wanu adzakopera yankho limeneli pozembetsa khungu lanu ndi chinthu choyera, cholimba. Magudumu adzawoneka mkati mwa maminiti asanu ndi limodzi kapena asanu ndi awiri ndikuyamba kutaya mphindi 15 mpaka 30 kenako.
Mapulogalamu ndi Mayesero
Mayesero a Lababu sikuti nthawi zonse amafunika kuti azindikire urticaria. Zili zothandiza kwambiri ngati muli ndi zizindikiro kapena zizindikiro zina.
Kufuna Chakudya Chakudya
Kuwopsa kwa zakudya sikungowonjezera chiopsezo cha mng'oma. Angathe kuyambitsa angioedema kapena vuto lalikulu, anaphylaxis . Ndikofunika kupewa kupezeka zakudya zomwe zingayambitse moyo wanu.
Dokotala wanu akhoza kulamula chimodzi mwa mayesero otsatirawa ngati akuganiza kuti zakudya zowonjezera:
- Mankhwala a immunosorbent (ELISA) : Kuwonjezeka kwa ma antibodies a IgE ndi chizindikiro cha chifuwa. Muyeso ya ELISA, antigen ya chakudya chapadera imaphatikizidwa ku chitsanzo cha magazi. Ngati muli ndi zakudya zowonongeka, mumakhala ndi majeremusi a IgE m'magazi anu motsutsana ndi ma antigen. Iwo adzalumikizana pamodzi muzitsanzo za magazi, ndipo mudzapeza zotsatira zabwino zoyesa. Mayesowa amapezeka mosavuta mu labotale ndipo ndi otchipa. Imeneyi ndi njira yabwino kwambiri kwa munthu yemwe sangathe kulekerera chiyeso choyipitsa khungu.
- Mayeso a radioallergosorbent (RAST) : ELISA mayesero amaloŵa m'malo mwa RAST. The RAST imayambitsanso maselo a IgE mwa kuwonjezera zowonjezereka kwa magazi. Kusiyanitsa kwakukulu ndikuti amagwiritsira ntchito odwala a IgE owonetsedwa ndi ma radio kuti atanthauzire zotsatira zomaliza.
- Kuyezetsa khungu: Kachilombo kakang'ono ka antigen kathyoledwa khungu ndi singano ndipo mumayang'aniridwa kuti muyankhe. Ngati mayesero ali abwino, mudzakhala ndi mpopu wofiira m'deralo, kawirikawiri mkati mwa mphindi 20 mpaka 30. Mayesowa amachitikira ku ofesi ya dokotala mukakhala ndi vuto lalikulu lomwe limafuna chithandizo. Kuti mupeze zolondola molondola, nkofunika kuti musatenge antihistamines iliyonse sabata musanayese.
Mayeserowa angagwiritsidwenso ntchito kusindikiza chifuwa kwa zovuta zina, osati chakudya.
Kufufuza Matenda Omwe Amasintha
Pafupifupi 40 mpaka 45 peresenti ya milandu ya urticaria imayambitsidwa ndi matenda omwe amadzimadzimadzimodzi monga matenda a celiac , lupus, Sjogren, nyamakazi ya nyamakazi , ndi mtundu wa shuga 1. Zimakhudzana kwambiri ndi matenda a chithokomiro monga Matenda a Amanda ndi Hashimoto's thyroiditis , omwe amachititsa pafupifupi 10 peresenti ya milanduyo.
Ngati dokotala akudandaula kuti ali ndi vutoli, akhoza kuwonetsa zotsatirazi:
- Antinuclear antibody (ANA)
- Puloteni wothandizira
- Zomwe zimayendera
- Chithokomiro choyambitsa hormone (TSH)
Zotsatira zosayembekezereka pa mayeserowa zingayambitse mayesero ena enieni omwe akugwiritsidwa ntchito: zizindikiro za transglutaminase za matendawa; anti-dsDNA, anti-Smith, ndi kuthandizira lupus ; Peptide (anti-CCP) ndi chifuwa chachikulu chifukwa cha nyamakazi; ndi anti-SSA / Ro kapena anti-SSB / La kwa Sjogren matenda .
Nthawi zambiri sikokwanira kuyang'ana chithokomiro chokha. Pa 8 peresenti ya matenda, urticaria yopanda matenda imayamba chifukwa cha matenda a chithokomiro koma matenda a chithokomiro ndi achilendo. Pachifukwa ichi, dokotala wanu angayang'anenso kuti alipo mankhwala a chithokomiro, makamaka antigrobulin antibody (anti-Tg) ndi chithokomiro cha peroxidase antibody (anti-TPO).
Kuyang'ana Chithandizo
Kafukufuku wambiri wasonyeza kuti urticaria ikhoza kugwirizanitsidwa ndi matenda kuchokera ku mabakiteriya, mavairasi, ndi majeremusi. Matendawa amachititsa kuti urticaria ikhale yovuta kapena yambiri. Matenda ena amtundu wa ana, koma osati achikulire, ali ndi chiopsezo chowonjezeka cha mng'oma. Mavairasi awa ndi adenovirus, enterovirus, rotavirus , ndi RSV .
| Mabakiteriya | Vuto | Mavairasi |
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Mwamwayi, matenda ambiri a tizilombo ndipo ming'oma yawo ndi yokhazikika. Matenda opatsirana, komabe, amachititsa kuti urticaria ikhale yopanda matenda ndipo amafunika chithandizo. Mayeso a labwino angakhale ofunikira kuti apeze matenda.
Kuwonetsa labu nthawi zambiri kumayamba ndi kuwerengera kwathunthu kwa magazi. Kuyeretsa kwa magazi oyera kungakhale chizindikiro cha matenda komanso kuwonjezeka kwa matenda a eosinophils, makamaka, kungasonyeze kuti kachirombo ka parasitic ndikwalakwa. Pachifukwa ichi, zitsanzo zachitetezo ziyenera kusonkhanitsidwa kuti ziwonetsere ova ndi tizilombo toyambitsa matenda.
Serologia imayesa zitsulo zamagulu mu thupi motsutsana ndi tizilombo toyambitsa matenda, zomwe zimasonyeza kuti mwapezeka ndi kachilomboka, kapena kuti mwadzidzidzi. Pali maselo a serologic omwe amapezeka kwa mabakiteriya ambiri ndi mavairasi omwe atchulidwa pamwambapa. Anti-streptolysin (ASO) amayesa ma antibodies motsutsana ndi Streptococcus.
H. pylori akhoza kuyesedwa ndi serology koma pali njira zina ziwiri zomwe mungawonekere zomwe zingakhale zolondola.
- Sungani mayeso a antigen: H. pylori amakhala m'mimba. Antigens ochokera ku mabakiteriya amatulutsidwa mu mpando ndipo amatha kupezeka pogwiritsa ntchito mankhwala osokoneza bongo.
- Kupuma kwa Urea: H. pylori amathyola urea mpaka carbon dioxide ndi ammonia. Mutatha kuyika piritsi kapena madzi omwe amachititsa kuti pakhale mpweya woipa wa carbon, mumapemphedwa kupumira mu chidebe. Chiyesocho chimasokoneza H. pylori potsata kupezeka kwa mpweya isotope mu mpweya wanu.
Kuyang'ana Zomwe Zimayambitsa Thupi
Nkhani za urticaria za 20 mpaka 30 peresenti ya urticaria yonse yosatha. Pachifukwa ichi, kuyang'ana ku malo ena a chilengedwe kungayambitse ming†™ oma.
Dokotala wanu angayesetse kuti adziwe ngati ali ndi vutoli. Angayesetsenso kuti adziwe momwe mungagwiritsire ntchito mankhwalawa musanakhale ndi zizindikiro. Izi zimamuthandiza kupereka malangizo othandiza momwe angachepetsere ndi kusamalira zizindikiro.
Izi ndizimene zimafala kwambiri kuti dokotala wanu ayesedwe chifukwa cha mbiri yanu:
- Ozizira: Cold urticaria ndi mkhalidwe umene mpweya wozizira, zamadzimadzi, kapena zinthu zimayambitsa ming'oma. Dokotala wanu amatha kuyesa zitsulo za ayisikilimu, pomwe pulojekiti ya pulasitiki imagwiritsidwa ntchito pamsana pa mphindi zisanu. Zomwe zimachitika nthawi zambiri zimachitika mkati mwa mphindi 10 kuchotsa.
- Kuchita masewera olimbitsa thupi: Anthu ena amapanga ming'oma ndi masewera olimbitsa thupi Izi zikhoza kukhala kuchokera ku zochitika zokha kapena kuchokera kuwonjezeka kutentha kwa thupi komwe kumachitika ndi zochita masewera olimbitsa thupi. Dokotala wanu akhoza kukhala ndi masewera olimbitsa thupi pa bicycle pomwepo kapena pamtunda wopangira zojambula.
- Kutentha: Kutentha kwina nthawi zina kumachititsa magudumu kupanga. Kuyesa kupsa mtima kumachitidwa mwa kuika galasi yamagalasi yodzaza ndi madzi 44 ° C kapena chitsulo chachitsulo pa 50 ° C mpaka 55 ° C pa mkono kwa mphindi zisanu. Njuchi zimakula mkati mwa mphindi zingapo.
- Kupsyinjika: Pali mtundu wa kuchepetsa dermatographism komwe khungu limatuluka maola anayi mpaka asanu mutagwiritsidwa ntchito , ngakhale kuti ikhoza kuchitika kulikonse kuyambira 30 minutes mpaka 12 hours. Zitha kuchitika paliponse pa thupi pamene zovala zimakhala zolimba, pamabowo ndi kukhala nthawi yayitali, kapena kumapazi atapita patsogolo. Dokotala akhoza kugwiritsa ntchito kulemera kwa mapaundi 10 pa mkono wako kwa mphindi 20. Mudzafunsidwa kuti muyang'ane kuchitapo khungu pa maola 24 otsatira.
- Kuwala kwa dzuwa: Diso la dzuwa limakhala losaoneka ndipo limakhala ndi khungu losaphimbidwa mkati mwa mphindi zochepa zowoneka dzuwa. Kuyesedwa kwachitetezo kumachitika poonetsa malo ochepa a khungu kumaso a ultraviolet (UV) omwe ali ndi mafyuluta a UV-A ndi UV-B.
Kuyezetsa ndi koyenera kwambiri ngati mulibe antihistamine therapy pa nthawiyo.
Chikopa cha Khungu
Chikopa cha khungu sichifunikira kwenikweni koma chingakhale chothandiza ngati pali vuto lokhudza mimba. Izi siziri mtundu wa urticaria koma ukhoza kuzitsanzira maonekedwe. Kusiyanitsa ndiko kuti zilonda za khungu nthawi zambiri zimafotokozedwa ngati kuwotcha m'malo mozembera.
Matendawa ndi ovuta kwambiri kuposa ming'oma yamakono chifukwa akhoza kukhudza machitidwe osiyanasiyana, kuphatikizapo matumbo, impso, mapapo, ndi minofu.
Kusiyanitsa kusiyana
Ming'oma imakhala ndi zifukwa zosiyanasiyana, kuyambira ku chifuwa mpaka ku matenda okhaokha. Kutentha kozizira kapena kotentha, maseŵera olimbitsa thupi, kuwala kwa dzuwa, ngakhale zovala zolimba zingayambitse. Matenda achilendo, monga H. pylori kapena hepatitis C, adagwirizananso ndi urticaria. Ndili ndi matendawa, ndikofunika kusiyanitsa pakati pa ming'oma yeniyeni ndi mimba yowonongeka, yomwe ingayang'ane yofanana koma ingakhale ndi mavuto aakulu.
> Zotsatira:
> Cherrez-Ojeda Ine, Robles-Velasco K, Bedoya- P, ndi al. Mndandanda wa Mbiri Yambiri ya Zamakono ya Urticaria: Chida Chosavuta. Dziko lachilombo chamoyo J. 2017 Oct 3; 10 (1): 34. lembani: 10.1186 / s40413-017-0165-0.
> Kasumagic-Halilovic E, Beslic N, Ovcina-Kurtovic1 N. Chithokomiro Chokhazikika kwa Odwala ndi Chronic Urticaria. Med Arch. 2017 Feb; 71 (1): 29-31. do: 10.5455 / medarh.2017.71.29-31.
> Saini S. Chronic Urticaria: Ziwonetsero zachipatala, Kuzindikira, Pathogenesis, ndi History History. Mu: Feldweg AM (ed), UptoDate [Internet] , Waltham, MA. Idasinthidwa pa June 29, 2017.
> Schoepke N, Doumoulakis G, Maurer M. Kuzindikira kwa Urticaria. Indian J Dermatol . 2013 May-Jun; 58 (3): 211-218. do: 10.4103 / 0019-5154.110831.
> Wedi B, Raap U, Wieczorek D, Kapp A. Urticaria ndi Matenda. Kachilombo ka khunyu ka Immumol Immunol. 2009; 5 (1): 10. do: 10.1186 / 1710-1492-5-10.