So wunya nsensanee kɔkɔɔ nso wɔ wo nipadua so bere a wo ho fifiri anaasɛ wo ho yɛ hyew no? Eyi fa (Cholinergic Urticaria) ho!

So ɛtɔ mmere bi a, wunya nsensanee nketenkete a ɛyɛ kɔkɔɔ na ɛyɛ wo nipadua so bere a woreteɛteɛ w’apɔw mu, anaa bere a worekɔ owia mu, anaasɛ ebia bere a woadi nnuan a ɛyɛ nnuhwam na wo ho fifiri awie no? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a ɛba saa no. Wɔ ebinom fam no, eyi betumi asi mpɛn pii mpo. Enti ɛnnɛ, momma yɛnka nea wɔfrɛ eyi wɔ aduruyɛ mu, nea enti a ɛba, ne nea wobetumi ayɛ wɔ ho.

Dɛn ne eyi (Cholinergic Urticaria)? Momma yɛnte ase wɔ ɔkwan a ɛnyɛ den koraa so!

Sɛ yɛbɛka no tiawa a, Cholinergic Urticaria yɛ welt (hives) kɔkɔɔ a ɛkɔ soro, ɛyɛ yaw a epue wɔ wo honam ani bere a wo nipadua mu hyew kɔ soro na wufi ase fifiri no. Eyi yɛ mmuae a efi wo nipadua mu nipadua no mu tumi a ɛko tia nyarewa no hɔ ankasa. Ɛte sɛ nea wo nipadua no reyɛ akisikuru wɔ ɔhyew ho. Nnipa binom nso frɛ no "ɔhyew a ɛyɛ mmerɛw" anaa "ɔhyew a ɛyɛ hyew," a ɛkyerɛ ɔhyew mu akisikuru anaa fifiri a ɛyɛ mmerɛw.

Saa tebea yi betumi aba obiara so, nanso mpɛn pii no, saa sɛnkyerɛnne ahorow yi di kan da adi wɔ mmerante ne mmabaa a wɔadi fi mfe 10 kosi 30 mu.

Asɛmfua "cholinergic" kyerɛ nnuru sobɔfo bi a ɔwɔ yɛn ntini mu a wɔfrɛ no acetylcholine (Ach). Yɛn parasympathetic nervous system na ɛma eyi gyae. "Urticaria" ne aduruyɛ mu din a wɔde frɛ honam ani akisikuru ahorow yi .

So saa tebea yi (Cholinergic Urticaria) ba nnipa pii so?

Yiw, ɛnyɛ nea ɛntaa nsi sɛnea ebia wususuw no. Susuw ho hwɛ, bɛyɛ nnipa baanum biara mu biako benya akisikuru wɔ wɔn asetra mu bere bi. Cholinergic Urticaria yɛ tebea a ɛde akisikuru a nipadua mu ade bi na ɛkanyan (te sɛ ɔhyew, awɔw, anaa adwennwen). Nnipa a wɔwɔ akisikuru a ɛtra hɔ kyɛ boro adapɛn asia, anaasɛ akisikuru a enni sabea no mu bɛyɛ 7% na wɔwɔ saa tebea yi. Enti sɛ eyi reto wo a, hu sɛ ɛnyɛ wo nkutoo.

Dɛn nti na yenya Cholinergic Urticaria?

Abenfo da so ara nnim nea ɛde eyi ba ankasa. Nanso nsusuwii hunu titiriw biako wɔ hɔ. Ɛne sɛ, yɛn cholinergic ntini nhyehyɛe no dwumadi na ɛde ba. Sɛnea wosusuw sɛ ɛbɛba ni:

1. Sɛ wo nipadua mu hyew kɔ soro a, wufi ase fifiri. Eyi yɛ ade a ɛfata na ɛboa ma wo nipadua no dwo.

2. Wɔ eyi ho mmuaema mu no, wo ntini nhyehyɛe no ma nnuru bi a wɔfrɛ no ``acetylcholine'' fi ntini awiei a ɛbɛn wo honam ani.

3. Sɛ saa `(acetylcholine)` yi di wo honam ani a, ɛkanyan honam ani, na ɛma wo ho yɛ wo hyew, na ɛno na ɛma saa mmeae a ɛyɛ yaw (hives) no na ɛtɔ mmere bi a ɛho wosow.

Sɛ yɛbɛka no tiawa a, ɛte sɛ nea wo honam ani yɛ mmerɛw kakra wɔ nnuru bi a ɛba bere a wo ho fifiri no ho.

Dɛn ne asiane ahorow a ɛma obi nya Cholinergic Urticaria?

Asiane a ɛde ba ne biribi a ɛma hokwan a ɛwɔ hɔ sɛ obi benya tebea bi no yɛ kɛse. Sɛ wowɔ akisikuru a enni sabea a, ɛda adi sɛ wubenya Cholinergic Urticaria. Nso:

• Sɛ wowɔ ``Allergic rhinitis (hay fever)`` (allergy a ɛte sɛ hay fever) .
• Sɛ wowɔ `(Asthma)` a .
• Sɛ wowɔ eczema a .
• Sɛ obi wɔ w'abusua mu a ɔwɔ Cholinergic Urticaria anaasɛ akisikuru a enni sabea ho abakɔsɛm a .
• Hyperhidrosis yɛ tebea a ɛma wo ho fifiri sen sɛnea ɛte daa .

Ɛnyɛ sɛ obiara a ɔwɔ saa nneɛma yi benya eyi, nanso asiane no dɔɔso kakra.

Dɛn ne nneɛma atitiriw a ɛkanyan saa nsensanee yi?

Nea ɛyɛ nwonwa no, wɔ nnipa du biara mu bɛyɛ akron mu no, nea ɛde saa cholinergic nsensanee yi ba titiriw ne apɔw-mu-teɛteɛ anaa apɔw-mu-teɛteɛ. Sɛ ɛno da nkyɛn a, nneɛma afoforo pii wɔ hɔ a enti ɛte saa:

• Dadwen yɛ ehu anaa ehu a ntease nnim.
• Bere a wote nka sɛ wo bo fuw, wo werɛ ahow, anaa wo bo afuw.
• Bere a wufi baabi a awɔw wom kɔ dan a ɛhɔ yɛ hyew mu mpofirim anaasɛ wokɔ owia hann a ano yɛ den a ɛwɔ abɔnten no mu no.
• Efisɛ sɛ wunya atiridii a, wo nipadua mu yɛ hyew.
• Wim tebea a ɛyɛ hyew, titiriw wɔ nna a owia bɔ kɛse te sɛ Sri Lanka.
• Nneɛma te sɛ aguaree a ɛyɛ hyew, sauna, ne nsu a ɛyɛ hyew.
• Sɛ wudi nnuan a ɛyɛ nnuhwam a, efisɛ ɛma wo nipadua yɛ hyew na ɛyɛ fifiri.
• Ɔbrɛ.
• Ebetumi afi aduru a wɔde kyekyere kuru a mframa ne nsu ntumi nkɔ mu a wɔde kata kuru bi so na amma mframa ne nsu ankɔ mu nso.

Dɛn ne Cholinergic Urticaria ho sɛnkyerɛnne ahorow?

Mpɛn pii no, ɔhyew a ɛyɛ hyew fi ase da adi wɔ simma kakraa bi akyi bere a wo ho fifiri afi wo so no. Wotumi di simma 20 kosi 30. Nanso nnipa binom wɔ bi bɛboro dɔnhwerew biako. Wɔtaa hu wɔn wɔ wo nsa, w’anim, ne wo moma so atifi.

Saa nsensanee yi betumi ada adi sɛ pinpoints kɔkɔɔ nketenkete wɔ baabi a ayɛ kɔkɔɔ (erythema). Anaasɛ, ebia saa nsensanee nketenkete yi bɛka abom ayɛ nsukorade akɛse a ɛkorɔn.

Sɛ nsensanee yi pue a, wo nipadua te nka dɛn?

Obi a ɔwɔ Cholinergic Urticaria betumi anya sɛnkyerɛnne ahorow a edidi so yi bere a saa nsensanee yi pue no:

• Itching pii.
• Ɔhyew a ɛyɛ hyew.
• Ɛte sɛ nea ɛyɛ mmerɛw.
• Sɛ woka no a, ɔte nka sɛ ɛyɛ hyew.

So sɛnkyerɛnne afoforo bi wɔ hɔ a ebetumi aka saa nsensanee yi ho?

Eyi ho yɛ na kakra, a ɛkyerɛ sɛ ɛnto obiara, nanso nnipa binom betumi anya sɛnkyerɛnne te sɛ eyinom aka Cholinergic Urticaria ho:

• Nsu a ɛtɔ gu fam.
• Syncope (a ɔtotɔ piti).
• Ti a ɛyɛ yaw.
• Koma a ɛbɔ denneennen.
• Ɔhome a ɛyɛ den (dyspnea).
• Nnuan a wɔmfa nni dwuma yiye anaasɛ ɔyare a ɛma obi dwensɔtwaa.
• Ahomegye a ɛyɛ hu.

Sɛ wunya nsensanee a saa sɛnkyerɛnne ahorow yi wɔ so a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu ampa.

Ɔkwan bɛn so na oduruyɛfo hu saa tebea yi (Cholinergic Urticaria)?

Sɛ oduruyɛfo bi susuw sɛ ɔhyew a ɛyɛ wo yaw a, ɛda adi sɛ wɔde wo bɛkɔ oduruyɛfo a ɔhwɛ akisikuru anaa honam ani yare ho ɔyaresafo nkyɛn . Wɔbɛhwehwɛ wo honam ani na wɔatie wo sɛnkyerɛnne ahorow no yiye.

Ebia wɔbɛyɛ sɔhwɛ ahorow bi te sɛ eyinom nso:

• Apɔw-mu-teɛteɛ mu sɔhwɛ ahorow: Wɔnam mmirikatu a wode tu mmirika wɔ afiri a wɔde tu mmirika so, sakre a egyina hɔ a wobɛtra, anaa nnwinnade afoforo a wode bedi dwuma so ma wo ho fifiri.
• Wɔde nnuru ketewaa bi a wɔfrɛ no ``(methacholine)'' gu mu de hwɛ sɛnea wo nipadua no te nka wɔ nnuru a ɛma cholinergic ho.
• Sɔhwɛ ahorow a wɔyɛ de ma wo ho yɛ hyew: Wɔma wo nipadua mu hyew kɔ soro denam nsu a ɛyɛ hyew a wobɛtra mu kakra anaasɛ wobɛtra dan a ɛhɔ yɛ hyew mu so.

Saa nhwehwɛmu ahorow yi nkutoo ne ɔkwan a wobɛfa so akyerɛ sɛ ebia wowɔ Cholinergic Urticaria anaa biribi foforo ankasa.

Dɛn na wobetumi ayɛ na ama wɔanya ahotɔ afi tebea yi mu (Cholinergic Urticaria)?

Asɛmpa bi wɔ hɔ! Bere a worenyin no, tebea no mu den (Cholinergic Urticaria) ne mpɛn dodow a akisikuru taa ba no so bɛtew. Ebia ebefi hɔ koraa mpo wɔ mfe kakraa bi mu. Enkosi saa bere no, ebia wo duruyɛfo bɛkyerɛ ayaresa ahorow te sɛ eyinom na aboa ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma:

• Nnuru a ekum akisikuru: Eyinom ne nnuru a wɔtaa de di dwuma de tew ɛyaw ne akisikuru so.
• Nnuru bi a wɔde ma wɔ ayamtu ho.
• Mogya mmoroso nnuru bi.
• Nnuru a ɛko tia cholinergic yɛ nnuru a ɛtew fifiri so.

Wo duruyɛfo na obesi ayaresa a eye ma wo ho gyinae.

So eyi (Cholinergic Urticaria) betumi de nsɛnnennen afoforo aba?

Eyi ho yɛ na yiye, nanso ɛtɔ mmere bi a , akisikuru a emu yɛ den a wɔfrɛ no ``anaphylaxis'' betumi aba bere a wɔteɛteɛ apɔw mu (Cholinergic Urticaria).Anaphylaxis yɛ tebea a ɛde nkwa to asiane mu a mframa kwan no hohoro, na ɛma ɛyɛ den sɛ wɔbɛhome.

Sɛ eyi to wo anaa obi a wunim no a, frɛ 1990 Suwaseriya Ambulance Service ntɛm ara anaa kɔ ayaresabea ntɛm ara sɛnea wubetumi. Sɛ wunim sɛ wowɔ asiane mu sɛ wo ho bɛtɔ wo kɛse a, nyansa wom nso sɛ wode epinephrine injector (EpiPen®) bɛkɔ. Wo ne wo duruyɛfo nka eyi ho asɛm na hwehwɛ afotu.

Saa tebea yi (Cholinergic Urticaria) di bere tenten ahe?

Cholinergic Urticaria taa tu mpɔn bere a bere kɔ so no, ɛtɔ mmere bi mpo a ɛyɛ yiye koraa. Nnipa a wɔwɔ saa tebea yi mu bɛyɛ 15% nya ahoɔden fi wɔn sɛnkyerɛnne ahorow no mu koraa. Enti mma ɛnhaw wo.

So wobetumi asiw Cholinergic Urticaria ano koraa?

Sɛ yɛbɛka nokware a, wuntumi nnyae fifiri anaa ɔhyew a wobɛtɔ no koraa. Ɛyɛ abɔde mu adeyɛ a ɛboa yɛn nipadua ma ɛyɛ nwini na ɛma ne hyew yɛ yiye. Afei nso, ɛnyɛ adwene pa sɛ yebegyae apɔw-mu-teɛteɛ, kyerɛ sɛ, apɔw-mu-teɛteɛ, efisɛ ɛno na ɛma yɛkɔ so nya apɔwmuden.

Nanso, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wubenya ɔhyew a ɛyɛ hyew no so atew:

• Tew nnuan a ɛyɛ nnuhwam so sɛnea wubetumi biara.
• Sɛ woteɛteɛ w’apɔw mu a, paw mmere a abɔnten so hyew sua te sɛ anɔpatutuutu anaa anwummere.
• Hwehwɛ akwan pa a wobɛfa so adi adwennwen ne dadwen ho dwuma. Ebia adwennwen anaa yoga bɛboa.
• Sɛ woreguare a, fa nsu a ɛyɛ hyew di dwuma, na ɛnyɛ nsu a ɛyɛ hyew.
• Hyɛ ntade a ɛnyɛ den, emu yɛ hare, na ɛtwetwe fifiri. Ntama te sɛ kotoku na eye sen biara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu nneɛma yi bi a, kɔ oduruyɛfo nkyɛn:

• Sɛ ɛte sɛ nea akisikuru anaa nsensanee a ɛwɔ wo nipadua so no anya ɔyare mmoawa (e.g., sɛ akisikuru ahyɛ mu ma na sɛ woka a, ɛyɛ yaw a).
• Sɛ nsensanee no ka ho a, ɛho ahonhon a.
• Sɛ wowɔ akisikuru wɔ wo honam ani a ntease biara nnim a.
• Sɛ wobɔ wo ho denneennen dodo sɛ wobɛgyina ano a.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wote nka sɛ wo ho atɔ wo.
• Sɛ wohu `(Anaphylaxis)` ho sɛnkyerɛnne (sɛ eyi ba a, frɛ 1990 ntɛm ara).

Dɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• Dɛn na ebetumi ayɛ nea enti a mewɔ eyi (Cholinergic Urticaria)?
• Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ menya ɔhyew mu akisikuru no so?
• Ayaresa kwan bɛn na eye ma me?

Nsonsonoe bɛn na ɛda ‘Heat Rash’ ne Cholinergic Urticaria ntam?

Ɔhyew mu akisikuru a wɔsan frɛ no ɔhyew a ɛyɛ nsɔe anaa miliaria yɛ honam ani yare foforo a ɔhyew de ba. Ɛyɛ ɔhyew yare bi ankasa. Ɛba bere a nipadua no ntumi nnwo ne ho yiye denam fifiri a ɛba esiane ɔhyew ne nsu a ɛyɛ nwini kɛse nti no so. Ɔhyew a ɛyɛ hyew nso betumi ayɛ ɔhyew yare a emu yɛ den kɛse te sɛ ɔhyew a ɔbrɛ anaa ɔhyew a ɛma obi ho hyehye no ho sɛnkyerɛnne.

Cholinergic Urticaria yɛ tebea a ɛma obi ho nyɛ no dɛ. Nanso, gye sɛ ɛyɛ den, te sɛ anaphylaxis, mpɛn pii no ɛnyɛ ɔhyew yare a emu yɛ den te sɛ ɔhyew a ɛyɛ hyew ho sɛnkyerɛnne.

Nea etwa to no, nea ɛsɛ sɛ wokae! (Nkrasɛm a Wɔde Kɔ Fie)

Ɛho nhia sɛ cholinergic Urticaria siw wo kwan sɛ wobɛyɛ wo da biara da dwumadi ahorow, apɔw-mu-teɛteɛ, anaa wim tebea a ɛyɛ hyew mu anigye. Wo duruyɛfo betumi aboa wo ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba. Sɛ wowɔ Cholinergic Urticaria a, nnuru bi wɔ hɔ a ebetumi aboa. Mpɛn pii no, akutu no ankasa kɔ wɔ nea ennu dɔnhwerew biako mu. Bere a worenyin no, ebia saa akutu yi bɛyɛ nea atwam.

Enti, kɔ so yɛ den, nya aduruyɛ mu afotu a ɛho hia, na wubetumi ne tebea yi atra ase yiye!

` Cholinergic Urticaria, fifiri a ɛyɛ mmerɛw, ɔhyew a ɛyɛ mmerɛw, honam ani akisikuru, acetylcholine, apɔw-mu-teɛteɛ ho akisikuru, Cholinergic Urticaria, fifiri a ɛyɛ mmerɛw, ɔhyew mu akisikuru, honam ani akisikuru, acetylcholine, apɔw-mu-teɛteɛ ho akisikuru