Kuongorora chikonzero chinokonzera urticaria , kana mikoko, ingave yakaoma kana isingaperi, zvinokosha kubatsira kubatsira zviratidzo, kuderedza kudzokorora, kutungamirira zvisarudzo zvekurapa, uye zvinonyanya kukosha, kudzivirira zvinetso zvingaitika.
Mumwe muvashanu vanhu vachaona urticaria kamwechete munguva yehupenyu hwavo. Mamiriro acho akaonekwa nemaronda matsvuku anokwanisa kuonekwa chero kupi paganda.
Izvi zvinogamuchirwa, zvakare zvinonzi mavhiri, zvinogona kugara kwemaminitsi nemaawa asi zvinogona kudzoka kwemavhiki mashoma.
Kazhinji yenguva, urticaria inogadzikana uye ine simba. Apo kupisa-ups kunogara kwemavhiki masere, iyi inozivikanwa sekusingaperi urticaria. Kunyange zvazvo rudzi urwu rwemumunguchi hunoita huwandu hwemapfumbamwe evanhu, vanogona kuva nemigumisiro yakaipa pamusoro pehupenyu hwehupenyu.
History Medical
Muzviitiko zvakawanda, mhaka ye urticaria iri pachena. Kana iwe wakagumburwa nenyuchi uye ukabuda mumumkoko, une mhinduro yako. Nenzira imwecheteyo, dzakawanda zviitiko zvinorapwa zvichibva munhoroondo yako uye zviratidzo zvechipatara.
Chidzidzo mu World Allergy Organization Journal chakakurukura 82 nenyaya dzezvokurapa uye yakakurudzira urticaria checklist kune chiremba wako zvinosanganisira zvinotevera:
- Mazuva, nguva, nekureba kwemingano
- Kuora mwoyo, kuzvidya mwoyo, kana kushungurudzika
- Nhoroondo yemhuri yemukoko
- Dyspepsia kana peptic ulcer ( H pylori utachiona)
- Zvokudya, kunyanya kana wakaedza chimwe chinhu chitsva
- Mishonga uye zvinowedzera, zvose zvinyorwa uye kupfuura-the-counter
- Kuenda kumwedzi (imwe nzira isingawaniki yemazuva ano urticaria inopisa-kusvika mazuva manomwe kusvika kune gumi usati wapera)
- Kukonzera muviri (kutonhora, kurovedza muviri, kupisa, zuva)
- Zvichiitika zvirwere (inowanzo inotonhora, GI bug)
- Kushanda kushanda (makemikari)
Iwe unogona kuda kuunza gwaro rine ruzivo urwu kuhofisi yako.
Kuongorora Panyama
Kunze kwekuti iwe uine mikoko munguva yekushanya kwehofisi yako, kuongororwa kwako mumuviri kazhinji hakuzoiti kubatsira kuongorora. Ndiyo mamiriro kunze kwekuti iwe une dermatographism .
Dermatographism chiratidzo chechechi chinobatanidza nehutic urticaria (mikoko inokonzerwa nekuisa mumuviri) uye atopic dermatitis . Kana iwe une dermatographism, gumbo rinoumba apo ganda rako rinoputika kana rakarohwa mune imwe nzvimbo. Chiremba wako achakuvadza kupindura uku nekukanda ganda rako nechinhu chakachena, chakasimba. Irogi richaonekwa mukati memaminitsi matanhatu kusvika kumanomwe uye kutanga kupera kwemaminitsi gumi nemaminetsi gare gare.
Labs uye Miedzo
Maitiro ebazi haasi nguva dzose kuongororwa urticaria. Zvinobatsira zvikuru kana iwe uine zvimwe zviratidzo kana zvinokonzera.
Kutsvaga Zvokudya Zvirwere
Zvokudya zvekudya hazvingowedzera ngozi yako kumingano. Zvinogona kukonzera angioedema kana mumamiriro ezvinhu akaipisisa, anaphylaxis . Zvakakosha kudzivisa kutarisana nezvikafu zvinogona kukonzera kutyisidzira kwehupenyu.
Chiremba wako anogona kuraira chimwe chezviedzo zvinotevera kana vachifungidzira kudya kwemazuva ose:
- Enzyme-yakabatana immunosorbent assays (ELISA) : Kuwedzera kwezvirwere zveAgE chiratidzo chekushaya mishonga. Mune chirongwa che ELISA test, an antigen kubva pane chimwe chikafu inowanikwa kudivi reropa. Kana iwe uri weergergic kune icho chikafu, iwe uchange uine IgE ma antibodies muropa rako kupikisa ma antigen. Vachasangana pamwechete muzamu reropa, uye iwe uchawana muedzo wakanaka. Chiyero chiri nyore kuita mu laboratori uye haina mari shoma. Ichowo chisarudzo chakanakisisa kune mumwe munhu asingakwanisi kubvumira ganda rinonyanyisa.
- Radioallergosorbent test (RAST) : ELISA miedzo yakashandura RAST. IRAST inowedzerawo zvirwere zveIgE nekuwedzera imwe yeropa kune imwe yeropa. Mhedzisiro huru ndeyokuti inoshandisa radiolabeled IgE antibody kushandura mhinduro yekupedzisira.
- Ganda rinotarisa miedzo: Chidiki chiduku che antigen chinotsvaga mucheche nerinete uye iwe unoongororwa kune imwe nzvimbo yekuita. Kana muedzo uri wakanaka, iwe uchakudziridza duku pombi yakatsvuka panzvimbo iyo, kazhinji mukati memaminitsi makumi maviri nemakumi matatu. Iyi miedzo inowanikwa muhofisi yechiremba wenyu munyaya iyo iwe une shungu dzakasimba dzinoda kurapwa. Kuti uwane migumisiro yakajeka, zvakakosha kuti urege kutora chero antihistamine vhiki mushure mekuedzwa kwako.
Iyi miedzo inogona kushandiswa kuvhara mishonga kune zvimwe zvinokonzera, kwete zvokudya chete.
Kutsvaga Zvirwere Zvokudzivirira
Inenge 40 kusvika ku45 muzana yezvirwere zvisingaperi zve urticaria dzinobatanidzwa nezvirwere zvinotapukira semhepo zvakadai sechiliac , lupus, Sjogren syndrome, rheumatoid arthritis , uye chirwere cheshuga cheshuga. Inonyanya kushamwaridzana nemararamiro ehutachiona ega autommune seGerves 'chirwere uye Hashimoto's thyroiditis , iyo inowedzera zvinenge gumi muzana yezviitiko izvi.
Kana chiremba wako achishushikana nemamiriro ezvinhu ega, anogona kuongorora nezvimwe zvinotevera kuongororwa ropa:
- Antinuclear antibody (ANA)
- C-reactive protein
- Sedimentation rate
- Thyroid inosimudzira hormone (TSH)
Kusagadzikana kunowanikwa pane izvi kuongororwa kunogona kutungamirira kune dzimwe mimwe miedzo yakasiyana-siyana inobva pamamiriro ezvinhu akafungidzirwa: anti-transglutaminase antibodies kune chirwere chechiliac; anti-dsDNA, anti-Smith, uye kubatanidza lupus ; anti-cyclic citrullinated peptide (anti-CCP) uye rheumatoid chinokonzera rheumatoid arthritis; uye anti-SSA / Ro kana anti-SSB / La yeSjogren syndrome .
Kazhinji hazvikwanisi kutarisa utachiona hwega huga. Muzana masere ezana emakwenzi, urstaria isingagumi inokonzerwa nehutachiona hwehutachiona asi hutachiona hunoshanda. Nokuda kwechikonzero ichi, chiremba wako anogonawo kutarisa kuvapo kwezvirwere zvehutachiona, kunyanya thyroglobulin antibody (anti-Tg) uye utachiona peroxidase antibody (anti-TPO).
Kutsvaga Chirwere
Ongororo dzakawanda dzakaratidza kuti urticaria inogona kubatanidzwa nehutachiona hwebhakitiriya, mavairasi, uye marasita. Zvirwere zvinogona kukonzera chirwere chakanyanya kana chisingaperi. Zvimwe zvirwere zvehutachiwana muvana, asi kwete vanhu vakuru, vane ngozi yakawedzerwa yehukoko yakaoma. Izvi zvinosanganisira adenovirus, enterovirus, rotavirus , uye RSV .
| Mabhakitiriya | Parasites | Virusi |
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Ndinofara, zvirwere zvakawanda zvehutachiona uye mikoko yavo inofungidzirwa. Zvirwere zvisingaperi, zvisinei, zvinogona kutungamirira kuusingaperi urticaria uye unoda kurapwa. Dhiyabhorosi miedzo inogona kudiwa kuti iongororwe.
Lab kuongorora kunowanzotanga neropa rakazara. Kuyera ropa rakachena kunogona kuva chiratidzo chekutapukirwa uye kuwedzerwa kwemaoinophils, kunyanya, kunogona kuratidza kuti chirwere chepachirwere chinokonzera mhosva. Muchiitiko ichi, chikwata chechigaro chinofanira kuunganidzwa kuti chiongorore ova uye zvipembenene.
Serology inotarisa zvirwere mumuviri zvichirwisa mamwe majekiseni, zvichiratidza kuti iwe wakatapukirwa, kana kuti wakazoonekwa, izvo zvipenyu. Iko kune serogogic ropa kuongororwa kunowanikwa kune vakawanda mabhakitiriya nemavirusi akanyorwa pamusoro apa. Anti-streptolysin (ASO) cheki yezvirwere zvinopesana neStreptococcus.
H. pylori inogona kuongororwa ne serology asi pane dzimwe nzira mbiri dzekutarisa iyo iyo inogona kuva yakajeka.
- Simba antigen test: H. pylori anogara mudumbu. Antigens kubva kumabhakitiriya anodonhedzwa muchigaro uye anokwanisa kuonekwa mune imwe soro samuenzaniso achishandisa immunoassay.
- Urea kufema kuedza: H. pylori anoputsa urea kusvika mu carbon dioxide uye ammonia. Mushure mekunge uchinge urea tablet kana mvura iyo inotarisa yakawanda yemhepo inokonzera carbon, iwe unobvunzwa kufema mumudziyo. Muedzo unoona H. pylori inobva pakuvapo kwebhoni isotope mumhepo yako.
Kutsvaga Chikonzero Chechikonzero
Nhengo urticaria inokwana 20 kusvika ku30 muzana yezvose zvisingagoneki urticaria. Muchiitiko ichi, kutarisa kune imwe nzvimbo inokonzera mhuka inogona kukonzera mikoko inogadzira.
Kuita kuti uongororwe, chiremba wako angada kufanana nekukurudzirwa kwemuviri munzvimbo yakarongeka. Anogonawo kuedza kutarisa kuti yakawanda sei iyo inogona kukurudzira iwe usati watanga zviratidzo. Izvi zvinomubvumira kupa mazano anobatsira pamusoro pekuderedza uye kugadzirisa zviratidzo.
Aya ndiwo mafaira anowanzoita kuti chiremba wako aongorore nekuda kwehupenyu hwako:
- Cold: Cold urticaria inzvimbo iyo inotonhorera, inwa mvura, kana zvinhu zvinokonzera mikoko. Chiremba wako anogona kuita chirongwa checube cube, apo cube cube mubhokisi repurasitiki inoshandiswa kune chitubu chinopfuura maminitsi mashanu. Izvo zvinowanzoitika mumaminitsi gumi ekubviswa.
- Kudzidzira: Vamwe vanhu vanovaka mikoko nemishonga . Izvi zvingave zvichibva pamashandiro acho pachako kana kubva pakuwedzera kwekushisa kwemuviri kwemuviri kunowanikwa nekurovedza muviri. Chiremba wako angave iwe unoshanda mairi pabhasikoro kana pachitsiko chekunyora kuti uite zviratidzo.
- Kuchena: Mamiriro ekunze anokwanisa dzimwe nguva anoita kuti magumbo aumbe. Kuchenesa kutsvaga kuitwa kunoitwa nekuisa girasi yegorosi yakazadzwa ne 44 ° C mvura kana simbi yesimbi yakasvibira pa50 ° C kusvika 55 ° C mushure memuoko kwemaminitsi mashanu. Mikoko inokura mumaminitsi mashoma.
- Kushushikana: Kune chimiro chekuchembera dermatographism apo kuputika kweganda kunopera maawa mana kusvika matanhatu mushure mekumanikidzwa kushandiswa , kunyange zvazvo kunogona kuitika kupi kubva pamaminitsi makumi matatu kusvika kumaawa gumi nemaviri gare gare. Izvo zvinogona kuitika chero kupi pamuviri apo zvipfeko zvakasimba, pamabviko ane kugara kwenguva refu, kana kuti netsoka mushure mekufamba kwenguva refu. Chiremba angashandisa 10-pound kuyerwa muruoko rwako kwemaminitsi makumi maviri. Iwe uchabvunzwa kuti uongorore kugadzirwa kweganda kwemaawa 24 anotevera.
- Chiedza: Solar urticaria haigoni uye inotanga pahuni isina kufuka mukati memaminitsi ekutsvaira zuva. Kutsvaga kunoshandiswa kuburikidza nekuisa pachena zviduku zvitsanangudzo zveganda kuvhenekeri ye ultraviolet (UV) ane mavara-e-UV neA-B.
Kuedza kunonyanya kukwana kana iwe usisiri antihistamine therapy panguva iyoyo.
Ganda rinoputika
Ganda rinonyanya kudikanwa rinowanzodikanwa asi rinogona kubatsira kana pane kukanganiswa kwevasticitis. Ichi hachisi chaicho chimiro che urticaria asi chinogona kuzvienzanisa pakuonekwa. Kusiyana ndechekuti maronda eganda anowanzotsanangurwa sekupisa kunze kwechinangwa.
Izvi zvinenge zvakanyanya kukura kupfuura mikoko yakawanda nokuti inogona kukanganisa miitiro yakawanda yomuviri, kusanganisira chirwere chepamuviri, itsvo, mapapu, uye mitsipa.
Kusiyanisa Kuziva
Mikoko inokonzera zvikonzero zvakasiyana-siyana, zvichibva pamakemikari kusvika kune chirwere chega. Kutonhora kwakatsva kana kupisa, kurovedza muviri, chiedza chezuva, uye kunyange zvipfeko zvakasimba zvinogona kukonzera kupisa-up. Zvirwere zvisingaperi, saH. pylori kana hepatitis C, zvakare akabatanidzwa ne urticaria. Nekuongororwa, zvakakosha kusiyanisa pakati pemazinga emukoko uye urticarial vasculitis, iyo inogona kutarisa yakafanana asi inogona kuva nezvinetso zvakakomba.
> Sources:
> Cherrez-Ojeda I, Robles-Velasco K, Bedoya- P, et al. Tsvakurudzo yeAll Chronic Chronic Urticaria Medical Medical: An Easy Tool. World Allergy Organ J. 2017 Oct 3; 10 (1): 34. doi: 10.1186 / s40413-017-0165-0.
> Kasumagic-Halilovic E, Beslic N, Ovcina-Kurtovic1 N. Thyroid Autoimmunity muVachipatara vane Chronic Urticaria. Med Arch. 2017 Feb; 71 (1): 29-31. doi: 10.5455 / medarh.2017.71.29-31.
> Saini S. Chronic Urticaria: Clinical Manifestations, Diagnosis, Pathogenesis, uye Natural History. Mune: Feldweg AM (ed), UptoDate [Internet] , Waltham, MA. Yakaperedzwa June 29, 2017.
> Schoepke N, Doumoulakis G, Maurer M. Diagnosis ye Urticaria. Indian J Dermatol . 2013 May-Jun; 58 (3): 211-218. doi: 10.4103 / 0019-5154.110831.
> Wedi B, Raap U, Wieczorek D, Kapp A. Urticaria uye Infections. Chirwere cheAllergy Chirwere Chirwere Immunol. 2009; 5 (1): 10. nei: 10.1186 / 1710-1492-5-10.