Izvozvo hazvisi izvo chete zvinokonzera
Urticaria, kana mikoko, iyo inowanzoshambadza inoratidzirwa nekuumbwa kwekusimudza, tsvuku, kunetseka kunononoka paganda. Chikonzero uye kuoma kwemukoko kunogona kusiyanisa kubva kune mumwe munhu kusvika kune imwe. Kunyange zvazvo urticaria inowanzobatanidzwa nehuwandu hwezvokudya, mishonga, uye zvimwe zvinoshungurudza, zvinogonawo kunge zvisingaiti zvinokonzerwa nezvinokonzera zvakadai sedambudziko, utachiona, chirwere che autoimmune, uye kunyange chepfu yekudya.
Mamwe maitiro idiopathic, zvinoreva kuti chikonzero hachizivikanwi.
Urticaria inogona kutora munhu chero pasinei nezera, chikadzi, uye rudzi. Inofungidzirwa kuti pakati pe15 muzana uye 23 kubva muzana yevanhu vakuru vachawana kamwechete ruti urticaria munguva yavo yeupenyu.
Allergic Causes
Allergy ndiyo inokonzera urticaria . Inokonzerwa apo masimba ezvirwere zvemusununguko anopindura nenzira isingaoneki kune chimwe chinhu chisingabatsiri uye inofashura muviri une kemikari inoputika inonzi histamine .
Kunyange zvazvo kusunungurwa kwe histamine kunogona kukonzera chirwere cherhinitis uye zvimwe zvirwere zvekupumha kana zvepamuviri, kune dzimwe nguva apo zvichange zvakaita kuti capillaries ifukidze zvakanyanya uye ibudise chirwere chemukati mukati memasukisi akakomberedzwa. Kana izvi zvikaitika, kuputika kwemukati kwemvura kunotungamirira kumhanje yakatsanangurwa zvakanaka tinoziva semukoko.
Pane zvirwere zviviri zvinowanzobatanidzwa ne urticaria:
- Zvokudya zvekudya , kazhinji shellfish, makungu, mazai, gorosi, maoriki matsva, chokoti, uye soy
- Zvirwere zvinodhaka , kusanganisira izvo zvinokonzerwa nemamwe mishonga inorwisa mabhakitiriya (seyi cefaclor), anticonvulsants, antifungals (kufanana newa clotrimazole), aspirin, codeine, dextroamphetamine (inoshandiswa kurapa ADHD), ibuprofen, morphine, sulfonamides, zvirwere, uye zvinokonzerwa nemishonga
Zvishoma nezvishoma, mikoko inogona kukonzerwa neyakadai seyakadai semapenene, pet dander, zvipembenene zvidumbu, latex, kana nickel.
Zvizhinji zve mikoko iyi inokonzerwa nemarudzi ose anozvigadzirisa ichazvimirira pachavo apo chirwere chinotyisa (allergen) chinobviswa.
Chinhu chiduku, chinokonzerwa nezvezvokudya mumumkoko ndeyekuti scombroid zvokudya zvinouraya umo histamines inobudiswa sehove inotanga kuparadza. Nzvimbo yakakwirira ye histamine munyama inonyangadza inokonzera kudya "pseudoallergy" ine zviratidzo zvakadai sehara, zviputi, dutu, uye mikoko yakawanda.
Zvinhu Zvinokonzera
Muviri urticaria ichinyorwa chemukoko mutsva umo ganda rinoputika rinokonzerwa nemhepo yakasvibirira kana yepanyama sezvinongoita kupisa, kupisa, kunetseka, kudengenyeka, kupesana, uye chiedza chezuva.
Kunyange zvazvo chikonzero che urticaria chaiyo chisingazivikanwi, inofungidzirwa kuva mhinduro yemhuka umo muviri unotumira mapuroteni anodzivirirwa, anonzi autoantibodies , kurwisa mamwe maitiro akafanana.
Kunyange zvazvo izvi zvingaita mhinduro yekuvhiringidza yakafanana inowanikwa nemigodhi yemagetsi, kuonekwa kwemukoko kunowanzosiyana. Mune zvimwe zviitiko, zvinongokura munzvimbo dzeganda zvakasununguka kune zvakatipoteredza. Mune vamwe, kuputika kwakapararira kunogona kutungamirira kukurumidza kudonha kubuda kweropa uye zviratidzo zvakadai semusoro, kuputika, kuoneswa kwemaonero, uye kupera.
Nokuti urticaria yemunhu inofanirwa kuva yakabatana ne autoimmunity (pane kungotungamirirwa nekunze kwekunze), mamiriro acho anowanzosingaperi uye anogona kubva kune imwe kusvika kune mamwe makore.
Pakati pevamwe vanozivikanwa (uye vasingazivikanwe) marudzi e urticaria mumuviri:
- Aquagenic urticaria inoratidzika isiri yemazinga inokonzerwa nekubatana nemvura.
- Cold urticaria isimboti chisingawanzwisisiki chinokonzerwa nekudzivirirwa kunotonhora.
- Cholinergic urticaria , inozivikanwawo sekumhanya kwemazuva, inokonzerwa nokuputika zvakanyanya uye kupisa kwemukati kweganda.
- Dermographism urticaria inokonzerwa nekukanganiswa kana kuputika kweganda.
- Kufuridzira urticaria kunokonzerwa kana kudzvinyirira zvakanyanya kunowanikwa paganda (zvakadai nokutakura bhokisi rinorema rinorema pafudzi rako).
- Solar urticaria inokonzerwa nekusvibiswa kune ultraviolet (UV) chiedza.
- Vibratory urticaria inokonzerwa nemhando ipi zvayo yekudengenyeka (kusanganisira kuchera gwenzi kana kurohwa)
Kushungurudzika
Mukuwedzera kune zvinokonzera muviri, kushungurudzika kunowanzobatanidzwa nekuvandudzika kana kuwedzera kwemajinga asingagumi. Zvakare, chikonzero chaicho hachizivikanwi, asi chinofungidzirwa kuti kusunungurwa kwemakemikari anokonzera kushungurudza akadai se cortisol angangodaro agogodza-izvo zvinoita kuti chikonzero chinokonzera mkoko chibviswe.
Sezvo zvakadaro, kushungurudzika kungasave "kukonzera" ming'u asi kungoshandura kana kukurisa mhinduro ye autoimmune. Chimwe chimiro chakadai chicholinergic urticaria umo kufema kunokonzerwa nepfungwa kunogona kukonzera kukura kwekushisa kwemazuva.
Dzidzira
Kudzidzira-kukonzerwa urticaria inzira yakasiyana iyo isingapindirani necholinergic urticaria. Inowanzoitika apo mumwe munhu anoshanda mukati memaminitsi makumi matatu ekudya zvokudya zvekudya, zvakadai segorosi kana shellfish. Kuzviisa pachako pachako hakuzoiti mingano.
Sezvo nechisimba-induced urticaria, kusunungurwa kwe cortisol uye mahomoni panguva yekurovedza kunoita kunge kuwedzera imwe yakaderera-kudya zvokudya zvese, zvichiwedzera kuwanda kwe histamine pamwe nekuputika kwekupindura. Mune zvimwe zviitiko, izvi zvinogona kutungamirira kune zvinogona kutyisa upenyu-induced anaphylaxis.
Zvirwere uye Matwere
Kune dzimwe zvirwere uye zvirwere izvo urticaria inowanzoitika.
Izvi zvinonyanya kukosha kuvana vaduku umo 80 muzana yemukoko inokonzerwa nehutachiona hwehutachiona. Kushanda kwemashoko omumunzwiki kunogona kukonzerwa nechimwe chinhu sechingoita sechando. Mikoko inowanzokura mukati mevhiki yehutachiona uye kazhinji inogadzirisa muvhiki kana maviri pasina kurapwa.
Kune dzimwe zvirwere zvinowanzobatanidzwa nemishuva, dzakawanda dzazvo dzinodzivirira uye dzimwe dzayo dzine chokuita nehutachiona kana kushaya mhirizhonga. Dzinosanganisira:
- Chirwere chepfungwa chisingaperi (CKD)
- Dermatitis herpetiformis , chirwere chekuzvimirira cheganda chine chokuita nechirwere chechiliac
- Hashimoto's thyroiditis , chirwere chinogadzirisa muviri chinowanikwa nehutachiona hwehutano hwakadzika
- Helicobacter pylori , hutachiona hwepabhakitiriya hunowanzobva mudumbu
- Hepatitis B , utachiona hwehutachiona hwechiropa
- Hepatitis C , chirwere chisingaperi chine utachiona hwechiropa
- Lupus , a systemic (muviri wose) kurwara kwemunhu oga
- Lymphoma , rudzi rwekenza yeropa
- Chirwere chepachiviri chezvirwere, seGiardia lamblia uye Anisakis simplex
- Polycythemia vera , kenza inokurumidza-kukura yemapfupa emapfupa
- Rheumatoid arthritis , iyo yomuviri wega weArthritis
- Sjogren syndrome , chirwere chemotokari chinokonzera kusvibisa-kubudisa gland
- Tora 1 chirwere cheshuga
- Vasculitis , kuvhuvhuta kwemidyo yeropa ine zvose zvinokonzera autoimmune uye kwete-autoimmune zvinokonzera
Mikoko inokonzerwa nemhando dzezvirwere idzi dzinowanzove dzisingagumi kana kuti dzichiramba dzichienda kwenguva refu sezvo utachiona huri pasi hunosiyiwa husingateereri.
Mikoko yakawanda, panguva iyo, dzimwe nguva inogona kuitika nehutachiona hutachiona hwehutachiona, hwebhakitiriya, kana hwehutachiona hwakadai se coxsackievirus , strep throat , uye kunyange mutsika wetsoka .
> Sources:
> Griffiths, C .; Barker, J .; Bleiker, T. et al. Rook's Bookbook of Dermatology (9th ed). West Sussex, UK: John Wiley & Vanakomana; 2016.
> Lee, S ;; Ha, E ;; Je, H. et al. Kuwedzera uye Njodzi Zviitiko zveUrticaria NeKutarisana neUrticaria Isingaperi muvana. Allergy Pure Immunol Res . 2017; 9 (3): 212-19. DOI: 10.4168 / aair.2017.9.3.212.
> Schaefer, P. Acute uye Chronicle Urticaria: Kuongorora nekurapa. Ndiye Chiremba weNzara. 2017; 95 (11): 717-724.