Zimayambitsa, Zizindikiro, ndi Chithandizo cha Chidutswa cha Chikopa Chakhungu
Chikopa chomwe chimatchedwa ming'oma chimatchulidwa m'mawu achipatala monga urticaria. Mng'oma, kapena wheal, ndi chizindikiro cha urticaria. Komabe, anthu ambiri sakhala ndi mng'oma pamene ali ndi urticaria, choncho dzina limatchera.
Mwachidule
Urticaria ndi chizoloŵezi chomwe chimakhudza munthu aliyense wa mtundu uliwonse pa msinkhu uliwonse mu nyengo iliyonse ya chaka. Zimapezeka pafupifupi 20 peresenti ya anthu panthawi imodzi.
Ming'oma ikhoza kuchitika pa khungu lirilonse, koma nthawi zambiri amasunga manja a manja ndi mapazi a mapazi. Ming†™ oma imatchulidwa kuti ndi yovuta kapena yachilingo malingana ndi kutalika kwake.
Mng†™ oma, kapena wheal, ndi wozungulira, wofiira, wotupa wa siponji umene umasintha ndi kusintha kwa mphindi zochepa. Kaŵirikaŵiri amayandikana ndi dera lofiira lotchedwa flare. Ming'oma imatha kukula pakati pa mamitamita angapo m'litali kuti ikhale yotsiriza.
Ming'oma ndizovuta chifukwa kutupa kumachitika mu epidermis, yomwe ili ndi mapeto ambiri. Kuthamanga kwa kuyabwa kumasiyanasiyana kuchokera kwa munthu kupita kwa munthu ndi zochitika ku zochitika.
Zimayambitsa
Nchiyani chimayambitsa ming'oma? Ming'oma imachitika chifukwa cha mndandanda wa zochitika zomwe zimayambitsa kutulutsa mankhwala otchedwa histamine pakhungu. Mbiri yakale ili m'maselo oyera a magazi omwe amatchedwa maselo a mast, omwe amakhala ochuluka kwambiri pakhungu lozungulira ma capillaries. Ngati moyenerera imayambitsa, maselo awa amamasulirako mankhwala, omwe ndi amphamvu kwambiri ndi histamine.
Histamine imayambitsa maselo kupanga mitsempha ya mitsempha, ndipo amachititsa kuti madziwo alowe mu mitsempha ya magazi ndi minofu yozungulira, epidermis. Maselo ofiira ofiira ndi aakulu kwambiri moti sangathenso kuchoka mu "mabowo" awa. Histamine ya jekeseni pakhungu imayambitsa kubwezeretsa katatu, kutuluka kwa madzi kutulutsa mng'oma, ndi kutentha kapena kufiira mumng'oma.
Njuchi zimadziletsa pamene thupi limatenga madziwa. Mphepete mwa mng'oma umatchedwa polycyclic, kapena wopangidwa ndi magulu ambiri, ndipo kusintha ngati madzi kumathamanga ndiyeno kumalowa.
Ngati matenda otchedwa angioedemia amapezeka, ma capillaries amatsuka ndi kuthira madzi m'kati mwa khungu, kulowa m'matumbo ndi m'matumbo . Angioedema amachititsa kuti kutupa kwa milomo, larynx (kutulutsa mpweya kapena kupuma pang'ono), kapena kupyolera m'mimba ndi matumbo (kubweretsa ululu m'mimba). Nthawi zambiri angioedema imapezeka ndi ming'oma ya ming'oma. Angioedema, komabe, sizimawoneka chifukwa chakuti imakhala kutupa muzitsulo zakuya, kumene kulibe mapeto ochepa.
Zovuta motsutsana ndi CHIKUTO
Miyeso Yabwino
Ming'oma yambiri imatha kwa milungu yosachepera sikisi. Kutchulidwa kwa masabata asanu ndi limodzi pamene wagawanitsa akutsutsana. Ofufuza ambiri amakhulupirira kuti ming†™ oma yambiri imakhala ngati yowonongeka poyambitsa chakudya kapena mankhwala. Komabe, mu 70 peresenti ya milandu, chifukwa chake sichipezeka. Ming'oma yambiri imathetsa ndekha. Kufufuza kwakukulu kwa ma laboratory sikofunika ndipo sikumapereka zambiri.
Ming'oma yambiri imachiritsidwa ndi antihistamines , yomwe imateteza kutulutsidwa kwa histamine ku maselo akuluakulu.
Ndikofunika kutengera antihistamines nthawi zonse chifukwa kamodzi kokha mbiri yakale ikamasulidwa, mankhwalawa alibe zotsatira. Ma anti-antigistamines onse ndi oyenera.
Ng'ombe Zambiri
Ming'oma yomwe imachitika kawiri pa sabata ndipo yakhalapo kwa milungu yoposa sikisi imakhala yosasintha. Mosiyana ndi ming'oma yambiri, ming†™ oma yambiri imatha kuthetsa mwamsanga. Pa kafukufuku wina, 75 peresenti ya anthu omwe ali ndi ming'oma yosatha amakhala ndi zizindikiro zoposa chaka, 50 peresenti ali ndi zizindikiro zoposa zaka zisanu, ndipo 20 peresenti ali ndi zizindikiro kwa zaka zambiri. Pa 50 peresenti ya milandu, wolakwirayo sakudziwika.
Mtsuko wa ming'oma wambiri umatchedwa urticaria. Izi zikutanthauza kuti zochitika zapadera zimayambitsa ming'oma mwa anthu ena. Ming'oma ya thupi imapangitsa kuti ming'oma yaing'ono 16 peresenti ikhale yambiri. Mitundu ya ming'oma ya thupi imaphatikizapo:
- Dermographism : Ming'oma imatulutsidwa mwadzidzidzi mwa kukwapula kapena kusakaniza khungu. Ming'oma yamtundu uwu ndi yofala kwambiri.
- Kupweteka kwa urticaria : Njuchi zimatulutsidwa maola angapo mutagwiritsa ntchito khungu kwa khungu. Imeneyi ndi mtundu wamng'oma wambiri ndipo zimakhala zovuta kudziwa chifukwa ming†™ oma imakhala maola ambiri mutatha kuyanjana ndi khungu.
- Uchilinergic urticaria : Njuchi zimatulutsidwa nthawi yayitali kapena atangotha masewera olimbitsa thupi. Iyi ndi ming'oma yamtundu wamba.
- Kuchotsa ana : Kuchulukitsa ana : Kukhala ndi vutoli, kupuma pang'ono, ndi chizungulire atatha kuchita. Anthu ena omwe ali ndi vutoli akhoza kudutsa kapena kudabwa. Matendawa ndi ofunika kwambiri ndipo anali oyamba kufotokozedwa mu 1980.
- Cold urticaria: Mbalame zimatulutsidwa pakangochitika kutentha kwadzidzidzi kapena pamene munthu amapezeka madzi ozizira kapena ayezi. Izi ndizimene zimayambitsa ming'oma.
- Urticaria ya dzuwa: Hives zimachitika maminiti atatha kutulukira dzuŵa ndipo amatha mwa ora limodzi. Izi ndizimene zimayambitsa ming†™ oma.
- Kutentha urticaria : Mbalame zimachitika patangopita mphindi zochepa kuchokera pamene khungu limatuluka kumalimbikitsa kutentha. Ming'oma yamtundu uwu ndi yochuluka kwambiri.
- Vibratory angioedema : Angioedema imapangidwa pambuyo poonekera kwa khungu kuti lidzigwedezeke. Imeneyi ndi ming'oma yamtundu wamba.
- Aquagenic urticaria : Ming'oma imatulutsidwa mwamsanga khungu likapezeka pamadzi. Mtundu uwu wa mng'oma ndi wochepa kwambiri.
Kudziwa
Kuzindikira ming†™ oma yambiri kumakhudzidwa kwambiri kuposa kuganizira ming'oma yambiri. Mbiri yodziwika bwino imatengedwa kuti iwonetsetse maonekedwe enieni ndi kutalika kwa ming'oma. Cholembera cha zakudya chiyenera kusungidwa ndi mankhwala onse olembedwa. Dzifunseni nokha: Kodi zizindikiro zimapitirizabe pamene sizipita kuntchito kapena pamene takhala tchuthi kumalo osiyana?
Ming'oma yambiri imayambitsidwa ndi matenda omwe sanakwaniritsidwe, makamaka matenda a sinus. Ming'oma yambiri imayambanso ndi matenda a chithokomiro -hypothyroidism ndi hyperthyroidism. Matenda ndi yisiti Candida albicans amathandizidwanso ndi ming'oma yamtheradi.
Zonsezi ziyenera kuthetsedwa. Kuyesa khungu kumakhala kopindulitsa kwambiri chifukwa anthu omwe ali ndi ming†™ oma amayamba kuchita zabwino kwa anthu ambiri omwe amayesedwa.
Kuchiza
Chithandizo cha ming'oma yeniyeni ndi yeniyeni kwa mtundu umene umapezeka. Nthawi zambiri m'ming'oma yam'ng'oma, vutoli silingadziwe. Kwa anthuwa, antihistamines ndizofunikira kwambiri.
Mofanana ndi ming'oma yovuta, antihistamines ayenera kutengedwa nthawi zonse kuti asamatulutse mbiri ya histamine. Antihistamines akale, monga Benadryl, amachititsa kuti munthu asagone poyambitsa mankhwala. Pambuyo pafupi masabata awiri, kugona kawirikawiri kumawongolera kapena kuthetsa.
Komabe, zotsatira zothandizira antihistamines sizitha kuchepetsedwa ndi kugwiritsa ntchito nthawi zonse. Mwa kuyankhula kwina, munthu samakhala ndi chilekerero cha antihistamines kapena amafuna mazira apamwamba kuti asiye kumasulidwa kwa histamine. Antihistamines atsopano, monga Zyrtec , Claritin , ndi Allegra , sizimayambitsa kugona kwambiri komanso zimathandizira kuthana ndi ming'oma.
Nthawi zina mankhwala, monga cimetidine kapena ranitidine, omwe amagwiritsidwa ntchito kuchepetsa kutsekemera kwa m'mimba amapezeka ndi antihistamines. Mankhwalawa amakhalanso antihistamines, koma amatseka mbiri yosiyana ya histamine receptor.
Mankhwala otchedwa doxepin ndi tricyclic odetsa nkhawa, kapena TCA. Amathandizanso kwambiri kutulutsidwa kwa histamine ndipo ingagwiritsidwe ntchito pamodzi ndi mankhwala ena. Mbali yake yaikulu ndi kuwononganso.
Mankhwala otchedwa oral oral steroids, monga prednisone ndi kusinkhasinkha, amapezeka ngati ming†™ oma omwe samayankha ma antihistamines. Epinephrine amagwiritsidwa ntchito pa milandu yambiri ya ming'oma. Epinephrine ndiwopseza kwambiri mbiri ya histamine ndipo imayamba mofulumira, koma imangotsala kanthawi kochepa m'thupi.