Zvinokonzera, Zviratidzo, uye Kurapa kweIchchy Skin Condition
Chirwere cheganda chinowanzonzi mikoko chinoshandiswa mumashoko ekurapa se urticaria. Mukoko, kana wheal, chiratidzo chemu urticaria. Zvisinei, vanhu vakawanda havaiti imwe mikoko kana vane urticaria, saka zita racho rinopisa.
Overview
Urticaria chinhu chinowanzogadzirisa chinogona kukanganisa chero munhu chero upi zvake wezera chero ripi zvaro mumwaka chero ipi zvayo wegore. Izvo zvinoitika kusvika ku20 muzana yevanhu pane imwe nguva kana imwe.
Mikoko inogona kuitika pane chero ganda, asi inowanzosiya zvigaro zvemaoko uye zviso zvetsoka. Mikoko inoratidzika seyakanyanya kana yakareba zvichienderana nehurefu hwechiitiko.
Muchizi, kana wheal, ichitenderera, tsvuku, chironda chinopupurika chinoshanduka uye chinoshanduka kwemaminitsi kusvika maawa. Inowanzokomberedzwa nenharaunda yekubwinya kunonzi flare. Hives inogona kuenzana nekukura kubva pamamilimita mashoma pakureba kuti ifukidze zvachose.
Mikoko inopisa nokuti kuputika kunowanikwa mune epidermis, iyo ine maitiro akawanda ekuguma. Kuwedzera kwekuchenesa kunosiyana kubva kumunhu kusvika kune munhu uye episode kusvika episode.
Zvinokonzera
Chii chinokonzera mikoko? Mikoko inowanika mukupindura kweketani yakaoma yezviitiko zvinotungamirira kusunungurwa kwemakemikari anonzi histamine muchiganda. Histamine iri mune mamwe masero machena eropa anonzi mast cells, ayo akawanda kwazvo paganda rakapoteredza capillaries. Kana zvakakonzerwa nenzira yakanaka, idzi masi masero anosunungura granules yemakemikari, iyo yakasimba zvikuru iyo histamine.
Histamine inokonzera masero anoumba mishonga yeropa kubvumirana, achibvumira kushanduka kwechirwere kuchibuda muropa remudziyo uye mumapfupa akapoteredza, epidermis. Masero matsvuku eropa akawandisa zvokuti haasvike pane "masango" aya. Injecting histamine mucheche inokonzera katatu kupindura kwekubwinya, kunokwidza kwemvura kunounza mkoko, uye kupisa kana kubwinya kunotenderedza musango.
Mikoko inogadzirisa apo muviri unobata izvi. Muganhu wemukoko inorondedzerwa se polycyclic, kana yakaumbwa nemakwikwi mazhinji, uye inochinja semvura inodonha ichibuda uye inobva yawana.
Kana chirwere chinonzi angioedema chikaitika, capillaries inonatsa uye inonya mvura inopinda mukati meganda, kupinda mudumbu uye michina yakaiswa pasi . Angioedema inowanzokonzera kuvhara kwemiromo, maruva (kubudisa kunetseka kana kufema kufema), kana kubatana kwepamu uye maronda (zvichikonzera marwadzo emimba). Kazhinji angioedema inowanikwa nechiitiko chemukoko. Angioedema, zvisinei, haisi kuvhara sezvo inosanganisira kuzvimba mukati mezvivako zvakadzika, uko kune vashoma vanoguma magumo.
Akakwikwidza neChirangaridzo
Acute Hives
Mikoko inopera inopera kwemavhiki mashoma matanhatu. Kunyorwa kwemavhiki masere sezvo muparidzi ari kushandura. Vazhinji vanotsvakurudza vanodavira kuti mikoko yakaoma inoitika senzira inopesana nayo yekudya zvokudya kana zvinodhaka. Zvisinei, muna 70 muzana yematambudziko, chikonzero hachiwaniki. Mikoko yakawanda inowanzogadzirisa ivo pachavo. Kunyanya kuongororwa kwema laboratory hazvidiwi uye hazvibvumi ruzivo rwakanyanya.
Mikoko yakawanda inobatwa ne antihistamines , inoshanda nekudzivirira kusunungurwa kwe histamine kubva mumasero mashoma.
Zvakakosha kutora antihistamine nguva dzose nokuti kana histamine isunungurwa, kurapwa hakuchina. Zvose pamusoro-the-counter uye mishonga inorwisa antihistamine ndiyo zvingasarudzwa.
Chronic Hives
Mikoko inowanikwa kaviri pavhiki uye yave iripo kwevhiki dzinopfuura matanhatu yakasarudzwa. Kusiyana nematombo akaoma, mikoko inogara isingagadziriswi nokukurumidza. Mune rumwe ruzivo, 75 muzana yevanhu vane mikoko inogara kwenguva refu vane zviratidzo zverefu kupfuura gore, 50 muzana vane zviratidzo zvemarefu kupfuura makore mashanu, uye 20 muzana vane zviratidzo zvemakumi emakore. Muchikamu makumi mashanu kubva pamatambudziko, uyo anokanganisa haazivikanwa.
A subset ye mikoko inogara isingaperi inozivikanwa seirimu urticaria. Izvi zvinoreva kuti chimwe chinhu chinokonzera muviri chinokonzera mikoko mune vamwe vanhu. Mikoko yepanyama inokonzera kusvika kuzana 16 muzana yemajinga asingagumi. Mhando ye mikoko yenyama inosanganisira:
- Dermographism : Hives inoberekwa kamwe nekusvina kana kupwanya ganda. Mhando iyi yemumukoko wepanyama yakawanda kwazvo.
- Kufuridzira urticaria : Hives inogadzirwa maawa akawanda mushure mekushandisa kushivirira ganda. Ichi chimiro chakajairika chemikoko uye zvakaoma kufungidzira sezvo mikoko inotanga maawa akawanda mushure mekusangana neganda.
- Cholinergic urticaria : Hives inoberekwa panguva kana nguva pfupi mushure mekuita zvekuita. Iyi ndiyo inowanzove yakawanda yemingano.
- Kudzidzira-kukonzerwa nevanaphylaxis : Vanhu vane chirwere ichi vanokura mikoko, kupera kwekufema, uye zvezuru pashure pokunge vashandisa. Vamwe vanhu vane chirwere ichi vanogona kupfuudza kana kuenda kunotyisa. Ichi chiitiko chisingawanzoitiki uye chakatanga kurondedzerwa muna 1980.
- Cold urticaria: Hives inogadzirwa kana paine pakarepo inonaya kutonhora kana kana munhu achinzwa mvura inotonhora kana yechando. Ichi ndicho chinowanzokonzera mikoko.
- Solar Urticaria: Hives inopera maminitsi mushure mekutsvaga zuva uye inopera mukati meawa imwe chete. Ichi ndicho chikonzero chinowanzokonzera mikoko.
- Heat urticaria : Hives inowanikwa mukati memaminitsi mushure mekuonekwa kweganda kune chinokurudzira. Mhando iyi yemazinga yakawanda kwazvo.
- Vibratory angioedema : Angioedema inobudiswa mushure mekuonekwa kweganda kuti kudengenye. Iyi ihwowo rudzi rusingawaniki rwemukoko.
- Aquagenic urticaria : Hives inogadzirwa mushure mekunge ganda rinoratidzwa nemvura. Iyi mikoko yemikoko inowanikwawo zvikuru.
Kuziva
Kunyatsoongorora mikoko inogara iripo kunowanzobatanidzwa pane kuongororeka mikoko yakaoma. Nhoroondo yakajeka inotorwa kuti inzwisise kutarisa chaiyo uye urefu hwemukoko. Chikafu chekudya chinofanira kuchengetwa uye mishonga yose yakanyorwa. Uyewo zvibvunze kuti: Zviratidzo izvi zvinoramba zvichiitika here kana usingaiti kubasa kana uri pazororo pane imwe nzvimbo?
Mimwe mikoko isingagumi inokonzerwa nehutachiona husina kuonekwa, kunyanya sinus zvirwere. Mikoko inopera inobatanidzwawo nehutachiona -hypothyroidism uye hyperthyroidism. Utachiona nemasipi Candida albicans inosanganiswawo nemaruva asingagumi.
Zvose izvi zvinogona kuiswa kunze. Kuongorora kweganda kunoshandiswa zvakasiyana sezvo vanhu vane mikoko vanowanzoita zvakanaka kune vakawanda vanoongororwa.
Mishonga
Kurapa kwemukoko wepanyama kunonyatsoenderana nemhando iyo inowanikwa. Muhuwandu hwemakwenzi asingagumi, chikonzero chacho hachigoni kugadziriswa. Kune vanhu ava, antihistamine ndiyo inonyanya kukosha yekurapwa.
Sezvakaita minguva yakaoma, antihistamine inofanira kutorwa nguva dzose kuti isabvumirwe kusunungurwa kwe histamine. Mazana antihistamine, akadai seBenadryl, anogona kukonzera kurara paanotanga kurapa. Mushure memavhiki maviri, kurara kunowanzovandudza kana kugadzirisa.
Zvisinei, mishonga yekurapa ye antihistamines haina kuderedza nekushandisa nguva dzose. Mune mamwe mazwi, munhu haaiti kushivirira kune antihistamines kana kuti anoda kuderedza doses kuti amise histamine kubudiswa. Iyo itsva antihistamine, yakadai saZyrtec , Claritin , uye Allegra , haigoni kukonzera kurara uye inoshandawo mukurapa mikoko.
Dzimwe nguva mishonga, yakadai se cimetidine kana ranitidine, iyo inowanzoshandiswa kuderedza dumbu asidi yakachengetedzwa inoshandiswa ne antihistamines. Iyi mishonga inosanganisira antihistamine, asi inodzivisa imwe histamine receptor.
Mishonga inonzi doxepin inonzi tricyclic inodzvinyirira, kana TCA. Inowedzerawo simba rinodzivirira histamine kusunungurwa uye inogona kushandiswa pamwe chete nemimwe mishonga. Chikamu chayo chikuru chinokonzerwa nekurara.
Oral steroid, sezvakaitwa prednisone uye medrol, inofungidzirwa pamakwenzi emuming'u asingatendi kune antihistamines. Epinephrine inoshandiswa pamatambudziko akaoma emukoko. Epinephrine ibhuku rakasimba re histamine rinobudiswa uye rinokurumidza kukurumidza, asi rinopedza nguva shomanana mumuviri.