Cholinergic urticaria (kana kupisa urticaria) inzvimbo umo mikoko (urticaria) inoitika mukukwira kwekukura kwehutano hwemuviri kubva pakurovedza muviri, kupisa, fivha, kudya zvokudya zvinonaka, kushamba kutsva kana kushambidza, kana kushungurudzika. Iyo inowanzojairika ye urticaria yemumuviri (mikoko inokonzerwa nekutsvaga kune chimwe chinhu chiri mumuviri.)
Zviratidzo uye Kuonekwa kweCholinergic Urticaria
Cholinergic urticaria inoratidzira se-multiple-to three-millimeter (funga: zviduku zvikuru) mikoko tsvuku pamusoro uye kumusoro, kunyange zvazvo inogona kuitika kupi kubva pamutsipa kusvikira pasi.
Iyi mikoko inowanzotarisana nenzvimbo yakawanda yekubwinya.
Mikoko ye cholinergic urticaria inowanzova mumaminitsi maviri kusvika makumi maviri mushure mekunge kutonhora kwemuviri kuchikwira, kunyange zvazvo vachigona kutora kusvika paawa yekuuya. Zvinokonzera kubvongodza , kutunga, kupisa, nekudziya kweganda. Iyo mikoko inoguma kwemaminitsi nemaawa pamwe chete nevhareji yemaminitsi makumi matatu. Kunyorera kunogona kuva kwakanyanya.
Zvinowanzokonzera
Zvinotendwa kuti histamine yakabudiswa mumhinduro yekusimudzirwa nehutachiona hwepasympathetic chirwere ndicho chinokonzera mikoko ye cholinergic urticaria. Panewo maonero asinganzwisisiki anoongorora kubatana kweacetylcholine nemasero emasero , zvichiita kuti histamine isunungurwe kubva mumasero emasero.
Ndiani Ari Pangozi Nemamiriro Aya?
Cholinergic urticaria inotanga kutanga pakati pekuchechera nekukura kwekukura. Izvo zvinowanzozivikanwa kune vanhu vane marwadzo uye mamwe maitiro e urticaria .
Mamwe Mafomu eMuviri Urticaria
Muviri urticaria (mikoko inokonzerwa nechimwe chinhu chiri mumamiriro ezvinhu) inotakura kusvika 30 muzana yemhosva dze urticaria.
Mukuwedzera kune cholinergic urticaria, vanhu vanogona kuva ne urticaria mumuviri wekutonhora ( cold urticaria ), kukumanikidza ( kukwikwidza urticaria ), kusveta ( dermatographism ), chiedza chezuva ( solar urticaria ), kana mvura ( aquagenic urticaria ).
Kuwana Kuongororwa
Cholinergic urticaria inoratidzwa neyakaitika uye inobereka mikoko nekududzira mamwe mamiriro.
Nenguva dzakawanda murwere anokumbirwa kuita basa nekukwira munzvimbo kana kutasva bhasikoro uye nguva inotora mikoko inokura inoonekwa. Hakuna kuongororwa ropa kana kuongororwa kuongorora cholinergic urticaria.
Ndezvipi Zvingave Zvimwe?
Kune dzimwe mamiriro ezvinhu angaguma nekukurumidza kana kunyange mikoko inopindurwa nekupisa. Izvi zvinogona kusanganisira:
- Hot tub folliculitis : Utachiona hwehutachiona hunogona kuitika maawa nemazuva mushure mokugara mune moto unopisa, moto tub folliculitis inowanzokonzerwa nebhakitiriya Pseudomonas aeruginosa . Iko kunowanzosviba, kunetseka, uye kunotyisa. Zvironda zvinogona kufanana nemakumbo, asi mikoko inosvika mamita masendimita yakaenzana inogonawo kuitika, zvichiita kuti zvive zvakaoma kusiyanisa kubva mucholinergic urticaria. Kazhinji inogadzirisa pachayo, asi maitiro akaoma angada mishonga inorwisa mabhakitiriya.
- Zvimwe zvinokonzera urticaria (zvisingaiti muviri): Sezvambotaurwa, urticaria yemuviri yakadai secholinergic urticaria inokwana chikamu chetatu che urticaria. Zvimwe zvinokonzera zvingave zvakaoma kusiyanisa pakutanga uye zvinosanganisira mamiriro ega ega, maronda , zvirwere zvepasimini, nezvimwewo.
Kurapa Cholinergic Urticaria
Imwe nzira yekurapa cholinergic urticaria ndeyokudzivirira kuti irege kuitika munzvimbo yekutanga kuburikidza nekudzivirira kushanda nesimba.
Izvozvo zvakati, vanhu vazhinji havagoni kana kuti havadi urticaria kuti vasapedza basa ravo rekuita nenzira iyi. Kunyange zvazvo kurapa kwemashoko akadai sehydrocortisone haisi kubudirira uye inogona kunge inogona kukuvadza nemhaka yemigumisiro yavo, kune dzimwe nzira dzokurapa. Izvi zvinosanganisira:
- Mishonga: Sezvo cholinergic urticaria inoitika mukupindura kusunungurwa kwe histamine nemuviri, H1 antihistamine yakadai seBenadryl (diphenhydramine) uye Chlor-Trimeton (chlorpheniramine) inogona kubatsira. Zvisinei, izvi zvinogona kukonzera kukotsira kukuru. Zvisarudzo-zvishoma-sedation ndezvipi Claritin (loratadine) uye Zyrtec (cetirizine). Imwe antihistamine Atarax kana Vistaril ( hydroxyzine ) inoita seinobudirira zvikuru asi inogona kukonzera kugona. Doxepin (a tricyclic antidepressant) inogonawo kubatsira kana dzimwe mishonga dzisingashande. Iyi mishonga haina kushandiswa pakuita kwayo mukuora mwoyo, asi panzvimbo yezviito zvayo pane histamine receptors mumuviri. Pakupedzisira, terbutaline yakabatsira vamwe vanhu.
- Nzira dzepanyama: Kudurura nemvura inopisa kunogona kukonzera kusunungurwa kwe histamine mumuviri wose, kuparadza zvinyorwa zve histamine uye zvichikonzera maawa makumi maviri nemaviri ekufungidzira.
Cholinergic urticaria inowanzove yakanyorova uye isingakwanisi, asi kubata kwevanaphylactic kwakaitika. Kana uine urticaria yakawanda, muromo kana kuti intravenous steroid inogona kudiwa zvakare.
Kutsungirira Dambudziko
Cholinergic urticaria inogona kuva chiitiko chinoodza mwoyo icho kazhinji chinogadzirisa mabasa. Izvo zvinoshanda zvakanaka kune mumwe munhu zvingave zvisingaiti kune mumwe, uye kudzivirira uye kubata chirwere chacho kunogona kuwandisa zvakakwana zvekuedza nekukanganisa. Izvozvo zvakati, nekutsungirira nekutsungirira, vanhu vakawanda vanogona kudzora zviratidzo zvavo kuitira kuti vagone kunakidzwa nekutsva (kana kunyanya tepid) howa uye maitiro.
> Sources:
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill Dzidzo, 2015. Print.
> Koch, K., Weller, K., Werner, A., Maurer, M, uye S. Altrichter. Antihistamine Kugadziriswa Kunoderedza Dambudziko Chiito muvarwere Vanotambudza-Kuchenesa Cholinergic Urticaria. Nyaya yeAllergy uye Clinical Immunology . 2016. 138 (5): 1483-1485.
> Trevisonno, J., Balram, B., Netchiporouk, E., naMn. Ben-Shoshan. Physical Urticaria: Ongorora pamusoro peKutsanangurira, Kurwisa, uye Kutungamira neChirangariro Chinokosha Mukuwedzera Kuwedzera Meta-Kuongorora. Postgraduate Medicine . 2015. 117 (6): 565-70.