Hives muCold
Vanhu vane urticaria yemumuviri vane hutano hwemumuviri wavo, sekudzvinyirira , kupisa, kutonhora, zuva, mvura, kana kurovedza muviri. Kusvika kusvika 30 kubva muzana yevanhu vane urticaria asingagumi vane chikonzero chemuviri we urticaria.
Chii Chinonzi Cold Urticaria?
Cold urticaria inoratidzira urticaria yemuviri inoratidzirwa nekugadzirwa kwemuming'uchi uye kukura nekutonhora kunotonhora.
Zvimwe zvakasiyana-siyana zvinotonhora zvinogona kukonzera zviratidzo kune vanhu vane chirwere ichi, kusanganisira kupisa kwemamiriro okunze, kudya kwechando, uye zvinwiwa, pamwe nekushambira mumvura inotonhora.
Kunyange zvazvo vanhu vazhinji vane urinariya inotonhora vane zviratidzo zvishoma zvishoma zvekuchenesa uye mikoko nemhepo inotonhora, vamwe vanhu vakawana upenyu hunotyisa anaphylaxis nemabasa emvura anosanganisira mvura inotonhora. Cold urticaria inogonawo kukonzerwa nehuwandu hwezvinetso zvezvehutano, zvinosanganisira zvirwere zvakasiyana-siyana, zvirwere zvemoto, zvirwere zvekenza, nemigumisiro yemamwe mishonga. Kunewo maitiro ehutano urticaria anoshanda mumhuri.
Kuziva
Kuongorora kwehutano urticaria kunogadzirwa ne-ice-cube test. Uyu muedzo unosanganisira kuiswa kwechando-cube (kana zvimwe zvinhu zvinotonhora zvakadai sefriji yefriji pack) pachigaro chepamberi. Chinhu chinotonhora chinosara paruoko kusvika kumaminitsi gumi, uye kuedza kwakanaka kunoratidza kuoneka kwemukoko kana kupfugama panzvimbo iyo mukati maminitsi mashanu mushure mekubviswa kwechinhu chinotonhora.
Nguva yakawanda yekutaridzirwa kune inotonhorera iyo inotora inogona kufanotaura kuoma kwechirwere; kuedza kwakanaka nemazuva mashoma ekutsvaga kunobatanidza nezviratidzo zvakanyanya.
Mimwe yemhando yehutano urticaria inogona kunge isisina hutachiona hwecube-cube. Izvi zvinosanganisira:
Kuderedza urticaria kunotonhora , uye zviratidzo zvichiitika maawa 12 kusvika ku 48 mushure mekunyanya kutonhora.
Iko-ice cube test ingaratidza chiitiko chakanaka maawa mazhinji mushure mekuiswa kwevanhu ava.
Cold-dependent dermatographism , apo zviratidzo zvinowanzoitika nekubvongodza kana kupikisa paganda rinotonhora. Nzvimbo yeuyu-cube muedzo inogona kuratidza mikoko kana yakabikwa nechinhu chisina kunaka, sepeni.
Hora-induced cholinergic urticaria , ine zviratidzo, kazhinji zvinowanzoitwa nokurovedza muviri munzvimbo dzinotonhora. Kana zviratidzo zvikaitikawo nekurovedza muviri mumamiriro okunze, zvinowanzoita kuti munhu ane cholinergic urticaria .
Nzvimbo inoyevedza inotonhorera urticaria inoita zviratidzo zveming'u uye ichikurira kubva munzvimbo inotarisana nekunaya. Chiyero che-ice-cube paruoko chinogona kuita kuti mikoko ipe masendimita mashoma kubva panzvimbo ye ice-cube application, somuenzaniso.
Kana mumwe munhu aonekwa kuti ane hombe yerinaria, zvinogona kudiwa kutarisa zvikonzero zvinokonzera chirwere chacho. Izvi zvinogona kusanganisira kuongororwa kweropa kuti uongorore zvirwere zvinotapira, zvirwere (kanonzi leukemia), zvirwere (zvakadai sa mononucleosis, viral hepatitis, uye syphilis), pamwe nekuongorora mishonga inotorwa. Mishonga yakadai sepenicillin (uye yakafanana nemishonga inorwisa mabhakitiriya), mapiritsi ekudzivirira kubata pamuviri , uye mamwe mishonga inorwisa fungal (yakadai segreeofulvin) yakanzi yakonzera kukonzera urticaria.
Mishonga
Kudzivirira nzvimbo dzechando, kunyanya kushambira mumvura inotonhorera, inzira inokosha yekudzivirira zviratidzo kune vanhu vane urticaria inotonhora. Vaya vane urticaria inotonhora havafaniri kushambira voga, vachipiwa simba rekushaya anaphylaxis nemvura inotonhora, uye saka ingozi yekudziya. Izvo zvinogonawo kudiwa kudzivisa kudya kunotonhora, zvakadai sekiki cream uye kunwa zvinotonhora. Vanhu vane zviratidzo zvakakomba vanofanira kutakura epinephrine injectable uye kupfeka Medic-Alert bracelet. Zviratidzo zvinogona kuderedzwa nekushandiswa kwea antihistamine dzakasiyana-siyana, kunyanya vakuru, sedating antihistamine yakadai sedyproheptadine.
> Sources:
> Wanderer AA. The Spectrum yeCold Urticaria. Immunology Allergy Clinics North America.1995; 15 (4): 701-23.
> Kaplan AP. Urticaria neAngioedema muAllergy: Maitiro uye Maitiro. 5th Edition, rakagadziridzwa naMiddleton E, et al. Mosby Publishing, St Louis, MO. 1998: 1104-22.