Localized uye Generalized Causes of Itchy Skin
Pruritus inoreva kushushikana kusingafadzi kunokonzera kudiwa kwekucheka, kunowanzonzi kuchema nevanhu vakawanda. Itching inogona kuwanikwa kune imwe nzvimbo yomuviri kana inogona kunge yakaperera kana yakawanda. Kana paine rusumo runofambidzana ne pruritus, mhaka yacho inowanzomiswa nyore uye inorapwa. Zvisinei, matambudziko akaoma kwazvo e pruritus ndeaya asina kubatana.
The Basics of Itching
Itching inowanikwa apo mishonga inoputika mucheka inotumira shoko kune uropi nemishonga. Itching (pruritis) uye marwadzo anowirirana zvakanyanya kufanana, mukuti mitsipa imwe chete inotumira zviratidzo zviviri kuuropi.
Nenzira yakawanda, pruritus inogona kuwirirana nechinetso cheganda kana chimwe chirwere chepachiviri chemuviri (chirwere che systemic). Kana kuchenesa kune nzvimbo yakasiyana yeganda, kazhinji kunokonzerwa nechiganda chemukati. Kuedza kwechizvarwa chekare, zvisinei, kwakabatana ne systemic (muviri wose) inokonzera inenge hafu yenguva.
The Scratch-Itch Cycle
Mukuwedzera kune zvipi zvinokonzera tsvina panzvimbo yekutanga, kucheka kunogona kutungamirira kuwedzere kuwedzera. Izvi zvinotumidzwa se-scratch-kutch cycle uye inova yakakosha mukurapa chechi pasinei nokuti chikonzero nei.
Localized Pruritus Zvinokonzera Nharaunda
Apo kuchenesa kunoitika pane imwe chikamu chemuviri, kazhinji kunokonzerwa nechinetso muganda.
Nzvimbo chaiyo yemuviri inoshandiswa inogona kupa ruzivo pamusoro pemhosva yechitsva. Ngatitarisei pane izvi nzvimbo:
Zvikamu zvakasiyana-siyana zvemuviri: Ganda mamiriro ezvinhu anogona kukonzera kupisa mumatunhu akawanda emunharaunda kunosanganisira atopic dermatitis (eczema), shandisa dermatitis (ganda rinoputika rinosangana nekubatana nezvinhu zvinogumbura), psoriasis , uye scabies zvirwere ,
Mucheka: Zvimwe zvinokonzera kuchenesa kwepachiputi zvinosanganisira psoriasis, musoro wemucheka , uye seborrheic dermatitis (dandruff).
Mafungiro: Maitiro anowanzokonzera maoyidi kutema anosanganisira zvinokonzerwa pamusoro apa uye zvinokonzerwa nejunjuntivtivitis .
Nzefu: Chikonzero chinonyanya kukosha chekuchenesa kwemvura ndeyeseergic rhinitis (hayfever).
Nzeve: Kubvisa nzeve dzekunzwa kwakabatanidzwa nezvikonzero zvinopfuura kumusoro uye otitis externa (nzeve yekushambira).
Chifuva, Mhumbu, kana Kudzoka: Zvinowanzokonzera kugunzva ganda pachikamu chikuru chemuviri kunogona kusanganisira mamiriro ezvinhu kumusoro uyewo folliculitis , iyo inoputika yevhudzi hwemvere, kazhinji zvichibva kune hutachiona hwemukati.
Nhumbi: Kubata kwemaoko, kunyanya nzvimbo yakakonzerwa nekona, kazhinji kunokonzerwa ne psoriasis kana atopic dermatitis. Zvimwe zvinokonzera kusanganisira xerosis (ganda rakaoma) uye brachioradialis pruritis, iyo iri kuputika pamakumbo ekumusoro, mitsipa nemapfudzi ane chokuita nezuva nekudzivirira kwezuva uye kushungurudzika kwehutano hwepamusoro.
Misoro: Kuvepa kwemakumbo kunokonzerwa nehutano hwakawanda hunokonzera kubatwa kwemaoko, uye atopic dermatitis ndiyo chikonzero chinowanzovhiringidza chekutsvaira shure kwemabvi. Pruritic rashes yemabvi (uye makumbo) zvinowanzokonzerwa ne psoriasis uye dermatitis herpetiformis (rash inowanzoenda pamwe nekunzwika kwe gluten).
Maoko Netsoka: Kubata kwemaoko nemakumbo kungave nekuda kwekubatanidza dermatitis, atopic dermatitis, pompholyx (dyshidrotic eczema), tinea (mhondi) , uye shries.
Kumera kana Chirwere: Zvinowanzokonzera kubvambura kwekugomera uye zviputi zvinosanganisira tinea (jock itch), tsvagai dermatitis, shisa, uye mbiriso yevirusi.
Anus: Pruritus ani ndiro izwi rinoshandiswa kurondedzera kuchema mumatunhu akare. Pinworms ndiyo inokonzera chikonzero ichi, kunyanya muvana vaduku. Kune zvimwe zvakawanda zvinokonzera, kusanganisira hemorrhoids, uyewo zvirongwa zvehutano zvehutano zvichataurwa zvakare.
Generalized Pruritus Zvinokonzera
Kunyange zvazvo kuchenesa kwemazuva ose kunokonzerwa nemamiriro ezvinhu eganda (zvakadai sefabies), chirongwa chemaitiro chinokonzera anenge 50 muzana yevanhu.
Mimwe yemamiriro uye zvikonzero zvekuchenesa zvakanyanya, kunyanya kana kuputika kusipo, kunosanganisira:
Zvirwere zvepachirwere: Munyika yose, zvirwere nezvipembenene (zvakadai semhando dzakasiyana dzehonye) ndezvikonzero zvinowanzokonzera kubata
Mishonga: Kune mishonga yakawanda inogona kutungamirira kukuvadza, kana iri yoga kana chikonzero chezviito zvavo pachiropa. Mishonga iyo inowanzokonzera kuora pasina kupisa inosanganisira maopiates (akadai morphine kana codeine) nemishonga inoshandiswa kudzivirira kana kubata marariya. Zvimwe zvezvinoshandiswa zvitsva zvinoshandiswa kwekenza zvinogona kukonzera kana kusina kumhanya. Mishonga yakawanda inogona kukanganisa chiropa uye inokonzera kuora semugumisiro wechiropa chisingaiti.
Chirwere chechiropa : Zvizhinji zvezvirwere zvechiropa, pamwe nekushaya simba kwechiropa zvine chokuita nemishonga, zvinogona kuita kuti itching risina ruswa
Kushayiwa kwesimbi : Ganda rinokanganiswa panguva yekushaya simba kwesimbi, Rinogona kunge rakaoma uye kukura mikoko kana kuputika.
Neuropathic itching: Mhando iyi yekucheka inobatanidza kuora kana kusungwa kwehutachiona hwemagetsi. Zvimwe zvinokonzera kubvarura zvinowanzonyanya kuora mwoyo sezvo zvisingabvumi pakutsvaira uye zvinogona kuva zvakaoma kurapa
Chirwere chetachiona: Hwose hyperthyroidism uye hypothyroidism zvinogona kubudisa kuora.
Chirwere chepoyi: Chirwere chepfungwa chinowanzokonzera kubatwa pasina ruswa, uye 25 kusvika ku50 muzana yevanhu vane chirwere che dialysis vanoramba vachichiva.
Kanzira : Leukemias uye lymphomas zvinogona kubvisa. Chirwere cheHodgkin chinokonzera kubvarura mu10 kusvika ku25 muzana yevanhu, kunyange zvisingazivi kuti sei
Itching inobatanidza nemukoko : Chronic urticaria (mikoko), kunyanya dermatographism , uye maitiro ehutano hwekubata dermatitis zvakare zvinokonzera zvinokonzerwa ne-generalized pruritus, kunyange kana pasina kuonekwa kunooneka kuripo.
Kuongororwa Generalized Pruritus
Kana iwe wakagara uchitema, chiremba wako achada kutora nhoroondo yakajeka uye kuita chiitiko chekuongorora. Miedzo ye-generalized pruritus, kunyanya kana kusina kuwanikwa kuripo, kunogona kusanganisira ropa rakazara, kushaya mawere, chiropa chebasa, utachiona hwehutano, hutachire hwesimbi, zvigaro zvidzidzo zvezvipembenene, uye chifu che X-ray chichitsvaka uchapupu hwe lymphoma.
Itching Inotarirwa Sei?
Iyo yakanakisisa kurapwa kwe pruritus ndeyokugadzirisa chinokonzera chinokonzera kukosha, kana iri chiganda cheganda kana chirwere che systemic. Kusvikira dambudziko redu richigadziriswa, kurapwa kunogona kudiwa kuti uchengetedze chidimbu, uye naizvozvo zvishoma kuderedza kushanduka-shanduka. Zvirwere zvisingazivikanwi zvekucheka zvinogona kusanganisira mapepa emasikiriti emaserodi, muromo we antihistamines , uye kutarisira kweganda kwakanaka uye kuchenesa .
Zvinokurudzirwa kuti vanhu vane zviratidzo zvekuchenesa, zvikurukuru generalized pruritus, ona chiremba wavo kuti vakwanise kuongororwa uye kurapwa.
> Sources
> Ebata, T. Drug-Induced Itch Management. Iye zvino Matambudziko muDermatology . 2016. 50: 155-63.
> Mettang, T. Uremic Itch Management. Iye zvino Matambudziko muDermatology . 2016. 50: 133-41.
> Rajagopalan, M., Saraswat, A., Godse, K. et al. Kuongororwa uye Kutungamirirwa kwePuritus Isingaperi: Ongororo Ongororo Yokuongorora. Indian Journal of Dermatology . 2017. 62 (1): 7-17.
> Savk, E. Neurologic Itch Management. Iye zvino Matambudziko muDermatology . 2016. 50: 116-23.