Tonse taziwona. Pambuyo popititsa madzi otentha, otentha pamwezi yozizizira, khungu lanu limatuluka pang'ono pambuyo poyanika ndi kuvala. Kwa ambiri a ife, matendawa ndi ofatsa, amatha mphindi zowerengeka, ndipo amakhala okhudzana ndi khungu louma chifukwa cha kuzizira, mpweya wouma komanso yaitali, otentha. Koma kwa anthu ena, kuyabwa atatha kusamba kungakhale kovuta, koopsa komanso kolemetsa. Pali zikhalidwe zosiyanasiyana zomwe zingayambitse kuyamwa pambuyo pa kutentha kwa madzi otentha - ambiri a iwo ali abwino, pamene ena akhoza kukhala owopsa.
Pali zinthu zina zomwe zingayambitse kuyabwa koma sizigwirizana ndi kutentha.
Xerosis
Matenda owopsa a khungu anthu a misinkhu yonse koma makamaka mwa anthu okalamba. Zouma, zowopsya, khungu lopweteka limaimira matenda angapo a khungu omwe amatchulidwa kuti eczema . Xerosis, yomwe imadziwikanso kuti ntchentche yozizira, imapezeka kawirikawiri m'nyengo yozizira, yozizira, chifukwa cha kuthira madzi ndi kuuma mobwerezabwereza popanda kugwiritsa ntchito chinyezi. Zizindikiro zimaphatikizapo khungu lakuda, losalala, lofiira, lofiira, lopweteketsa manja ndi mapazi.
Polycythemia Vera
Polycythemia vera (PV) ndi matenda a mafupa omwe pamakhala maselo ofiira owonjezera kwambiri. Anthu omwe ali ndi PV amakhala ndi "oopsa" chifukwa cha matendawa, omwe amachititsa zizindikiro zosiyanasiyana monga mitu, chizungulire, kusintha kwa maso, kupweteka pamfuwa, kutuluka m'magazi, magazi, chiwindi chofutukuka ndi ntchentche, ndi ubweya "wolimba" kufiira kwa nkhope). Matendawa akhoza kuthetsedwa pofufuza kuwerengeka kwa magazi.
Lymphoma ya Hodgkin
Hodgkin's lymphoma ndi khansa yamakono. Anthu omwe ali ndi khansara iyi awonjezera ziwalo za mitsempha pamutu, pamphuno, m'mimba, kapena mkati mwa chifuwa. Kuphatikiza pa maseŵera amphamvu, Hodgkin's lymphoma angayambitse zizindikiro zonse za thupi kuphatikizapo kutaya thupi, malungo, kutuluka usiku ndi kuyabwa. Hodgkin's lymphoma ingayang'anidwe mwa kupanga ma-x-ray pofuna kufufuza ma lymph node, kapena kuchita zovuta pa lymph node yowonjezereka.
Cholinergic Urticaria
Cholinergic urticaria ndi mtundu wa mng'oma womwe umayamba chifukwa cha kuwonjezeka kwa kutentha kwa thupi. Ming†™ oma imayambitsidwa ndi kuwonjezeka kulikonse kwa kutentha kwa thupi, monga madzi otentha, masewera olimbitsa thupi, zakudya zokometsera zokometsera, kapena kukhala ndi zophimba zambiri pogona usiku. Maganizo amphamvu angayambitsenso ming†™ oma mumtundu wa urticaria.
Ming†™ oma mu urticaria ya cholinergic imakhala yaikulu kukula, osachepera kukula kwa udzudzu wa udzudzu. Izi zingagwirane palimodzi, kapena kuziphatikizana, kulowa muming'oma akuluakulu m'kupita kwanthawi. Nthaŵi zina, urticaria yotchedwa cholinergic ingagwirizane ndi zizindikiro zoopsa kwambiri, kuphatikizapo zizindikiro za mphumu ndi kutsika kwa magazi.
Urticaria ya cholinergic, mofanana ndi mitundu yambiri ya urticaria, nthawi zambiri imatha kuchiritsidwa mosavuta ndi antihistamines .
Aquagenic Urticaria
Aquagenic urticaria ndi ming'oma yosawerengeka kwambiri yomwe imayambitsidwa ndi madzi omwe akukhudzana ndi khungu. Anthu okhudzidwa adzalandira ming†™ oma mumadzi ochepa pakhungu, mosasamala kanthu za kutentha kwa madzi. Chifukwa chake izi sizikudziwikiratu, ngakhale akatswiri ena amaganiza kuti madzi amalola kuti puloteni inayake pakhungu iwonongeke m'madzi, ndipo puloteni yosungunukayo imatha kufika pachigawo chozama cha khungu kumene chiwonongeko chidzachitika. Kudziwa kwa urticaria yam'madzi kumaphatikizapo kuyika kwa dontho la madzi otentha kutentha pakhungu komanso kuyang'ana kupanga mng'oma mkati mwa mphindi zingapo.
Aquagenic urticaria, monga mitundu yambiri ya urticaria, nthawi zambiri imatha kuchiritsidwa mosavuta ndi mankhwala antihistamines.
Idiopathic Aquagenic Pruritus
Idiopathic aquagenic pruritus (IAP) ndi chinthu chosowa kwambiri chimene chimayambitsa kuyabwa popanda kuthamanga pakhungu la munthu litakhudzana ndi madzi. IAP ikhoza kuyambitsa koma kuyambitsa kayendedwe ka mitsempha ya munthu, ndi kumasulidwa kwa mankhwala osiyanasiyana ndi mitsempha yomwe ili mkati mwa khungu pambuyo pa kukhudzana ndi madzi. Kugwiritsiridwa ntchito kwa antihistamines kumawoneka kukhala kothandiza kwa anthu ena, pamene kuphunzira kochepa kwa odwala 6 omwe ali ndi IAP anapeza mankhwala ndi beta-blocker kuti akhale othandiza kwambiri pochiza zizindikiro.
Munthu aliyense yemwe akusowa mosadziwika, makamaka atatha kusamba, amayenera kumuwona dokotala wawo kuti awone bwinobwino, chifukwa chakuti zifukwa zina zomwe zimayambitsa matendawa zingakhale zoopsa komanso ngakhale zowopsya.
> Zotsatira:
> Dice, JP. > Physical Urticaria >. Immunol Clinic Clinic N Am. 2004; 24: 225-246.
> Nosbaum A, et al. > Kuchiza ndi Propranolol wa Odwala 6 Ndi Idiopathic Aquagenic Pruritus >. J Zachilombo Zamtundu wa Immunol. 2011; 128: 1113.