Chirwere Chirwere Chisingazivikanwi Chinozivikanwa SeMvura Allergy
Chii Chinonzi Water Urticaria (Aquagenic Urticaria)?
Mvura urticaria, inozivikanwawo se aquagenic urticaria (AU) kana mvura inokonzera zvirwere, ndiyo chirwere chisingawanzopodhi mune mikoko inokura nokukurumidza paganda semugumisiro wekubatana nemvura (urticaria yemuviri.)
Mvura urticaria inogona kuitika zvisinei nokuti inobva mumvura, hazvina basa kana mvura inopisa kana kuti inotonhora, kana kuti yakave yakarapwa.
Pasi Mvura Inonzi Allergy Occur?
Sezvo mvura urticaria inogona kuitika panguva ipi zvayo iyo mvura inosangana nayo neganda rako, izvi zvinogona kuitika nekugeza, kushambira, kana kubuda panze mumvura inonaya. Vamwe varwere vane urticaria mvura vanoziva vanoita kana vakasangana nemvura inonwa.
Pamusoro pemvura yekunze, mikoko inogona kuitika mukupindura kusuruvara nemisodzi.
Vakadzi vakawanda kupfuura varume vanobatwa nehutano ichi chinotanga kumativi ekutanga kwekuyaruka. Nemhaka yokuti mamiriro acho haashamisi, hapana kunzwisisa zvakajeka kwechikonzero kana kubudirira kwemishonga.
Chii chiri Physical Urticaria?
Mvura inongova imwe chete yezvinhu zvinogona kutungamirira kumumkoko, uye zvinofungidzirwa kuti zvitanhatu kusvika ku17 muzana yemukoko inotsanangura se "urticaria chaiyo." Mukuwedzera kumvura, mikoko yakave ichizivikanwa kuti inowanzoitika mukutonhora, kuomeswa, kudengenyeka, zuva, kushandura muviri, kuchinja kwekushisa, uye kupisa.
Zvinoratidzika kuti kune chikamu chakasiyana chemvura inoshandiswa mumvura inowanikwa mumvura inomunyu.
Zviratidzo zveMvura Urticaria
Mikoko (urticaria) iyo inobatanidza nemvura urticaria inenge iri duku uye inowanzobudirira pamutsipa wako, kumusoro uye muruoko, asi inogona kuonekwa kupi zvako mumuviri wako.
Kufanana nedzimwe maitiro e urticaria, zviratidzo zvemvura urticaria dzinosanganisira:
- Itching
- Kupisa kunzwa
- Nzvimbo dzakakwirira dzeganda (ming'u) - Mikoko inowanzoita shoma, sezvakataurwa, iine mamita 1 kusvika ku3 paupamhi yakakomberedzwa ne 1 kusvika ku 3 centimita yakakura yehutsvuku (the flare)
- Ganda rakaputika
- Dzimwe nguva mikoko inosanganiswa nemuviri wose (systemic) zviratidzo zvakadai sokuputika kana kupererwa kwemhepo
Mushure mokunge tamboona zvinhu zvine mvura, zviratidzo zvinofanira kuonekwa nokukurumidza (mumaminitsi makumi matatu). Mushure mokunge ganda rako risisati rasangana nemvura, zviratidzo zvinofanira kuderera mukati memaminitsi makumi matatu nemakumi matanhatu.
Kuongororwa kweMvura Urticaria
Mvura urticaria inowanzoongororwa nechiremba wemhuri yako kana mudzidzi wemudzidzi uyo achakuendesa kune dermatologist kana kuti anyergist kuti asimbise mamiriro ako. Mushure mokutora nhoroondo yakakwana yezvokurapa, chiremba wako achaita "mvura yekuedza test" apo mvura ichaiswa paganda rako kuti uone kana pane kuitika.
Chiremba wako achaita kuongorora nekuchenjerera uye kuongororwa kweropa kuti atonge kunze kwemamwe mamiriro kana zvirwere. Vamwe vanhu vanogona kukudza mikoko kune zvikonzero zvakasiyana-siyana zvinogona; kuita kuti kuongororwa kuve kwakaoma.
Chinokonzera Cause - Pathophysiology
Hazvinyatso chokwadi kuti iyo inogadzirisa chii iyo inokonzera mvura kunetseka.
Zvinoratidzika kuti chikamu chekupindura chinobatanidza nekubudiswa kwe histamine (sekunyanya kwemishonga yakasuruvara, somuenzaniso) asi pane dzimwe nzira dzekushanda zvakare.
Panogona kuva nehupenyu hwemamiriro ezvinhu, uye pane dzimwe nguva yakawanikwa ichimhanya mumhuri.
Kurapa Kwemvura Urticaria
Hakuchina mushonga wemvura urticaria asi pane zvimwe zvirwere zvinogona kukupa ruzivo. Mimwe yemishonga iyi inosanganisira:
Mishonga - Kunyange zvazvo chizvarwa chokutanga antihistamines chakadai seVistaril (hydroxyzine) neBenadryl (diphenhydramine) inogona kubatsira, inogona kunge yakanyarara. Saka kurapwa kwesarudzo, saka, yechipiri chizvarwa antihistamines chakadai seZyrtec (cetirizine) uye Xyzal (levocetirizine) iyo isingagoni kuvepo.
Izvozvo zvakati, mishonga iyi chete haigoni kushanda zvakakwana kugadzirisa zvose zviratidzo.
Imwe Xolair (omalizumab) yemishonga yakashandiswa nokuda kwechirwere yakawanikwa zvakare inoshanda kune vamwe vanhu.
Zvimwe mishonga - Pane uchapupu hwokuti kushandisa petrolium-ine kirimu sechinhu chinopesana pakati peganda rako nemvura kunogona kubudirira kana zviratidzo zvisingaitwi ne antihistamine therapy. Mimwe mishonga inenge ichitongwa inosanganisira phototherapy, anabolic steroids, kushamba mu sodium bicarbonate solutions, uye beta blockers.
Iwe uye chiremba wako unofanira kuedza zvirongwa zvakasiyana-siyana zvekurapa kuti uwane yakarurama kwauri. Mukuwedzera kune mishonga inoratidzwa pamusoro apa, pane ikozvino kuongororwa kwechipatara (zvidzidzo zvezvechiremba) zvinopfuurira kutsvaga mushonga mutsva uye huri nani.
Kutsigira Kwevanhu vane Aquagenic Urticaria
Kune maboka ekutsigira, mapoka e-Facebook, uye kusununguka kwenyika kuongororwa kwekutsvakurudza kwakatsaurirwa kune zvirwere zvisingaoneki zvehutano. Tsvakurudzo dzakawanda dziri kutsvaga vanhu vane zvirwere zvakasiyana-siyana kubatsira vatsvakurudzi vanouya nemishonga inobatsira.
Sources:
Arikan-Ayyildiz, A., Isik, S., Caglayan-Sozmen, S., Karaman, O., uye N. Uzuner. Cold, Cholinergic uye Aquagenic Urticaria muvana: Mharidzo yeMatambudziko matatu uye kuongorora kweMabhuku. Turkish Journal yePediatrics . 2013. 55 (1): 94-8.
Gallo, R., Goncalo, M., Cinotti, E., Cecchi, F., uye A. Parodi. Localized Salt-Dependent Aquagenic Urticaria: A Subtype of Aquagenic Urticaria? . Clinical and Experimental Dermatology . 2013. 38 (7): 754-7.
Rorie, A., uye S. Gierer. A Case of Aquagenic Urticaria Yakabudirira Kuitwa naOmalizumab. Nyaya yeAllergy uye Clinical Immunology in Practice . 2016. 4 (3): 547-8.
Rothbaum, R., uye J. McGee. Aquagenic Urticaria: Kuongorora uye Kutarisana Nezvinetso. Zvinyorwa zveAphma uye Allergy . 2016. 9: 209-213.