Loaʻa iā ʻoe nā kiko ʻulaʻula ma kou kino ke hou ʻoe a wela paha? E pili ana kēia i (Cholinergic Urticaria)!

Loaʻa iā ʻoe i kekahi manawa nā kiko liʻiliʻi, ʻulaʻula, a me ka maneʻo ma kou kino i kou wā e hoʻoikaika kino ai, a i ʻole i kou wā e hele ai i waho i ka lā, a i ʻole ma hope o ka ʻai ʻana i ka mea ʻala a me ka hou ʻana? He mea maʻamau ke manaʻo iki i ka makaʻu i ka wā e hana ʻia ai kēlā. No kekahi poʻe, hiki ke hana pinepine ʻia kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka mea i kapa ʻia ai kēia ma ke ʻano lapaʻau, no ke aha e hana ʻia ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.

He aha kēia (Cholinergic Urticaria)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo Cholinergic Urticaria kahi ʻano ʻulaʻula, piʻi, ʻāʻī (hives) e kū mai ana ma luna o kou ʻili ke piʻi ka mahana o kou kino a hoʻomaka ʻoe e hou. He pane maoli kēia mai ka ʻōnaehana pale o kou kino. Me he mea lā e loaʻa ana i kou kino kahi hopena maʻi i ka wela. Kapa pū kekahi poʻe iā ia he "heat bumps" a i ʻole "heat hives," ʻo ia hoʻi ka ʻulaʻula wela a i ʻole ka ʻulaʻula hou.

Hiki ke loaʻa kēia ʻano i kekahi kanaka, akā ʻo ka hapa nui o kēia mau hōʻailona e ʻike mua ʻia i nā poʻe ʻōpio ma waena o nā makahiki 10 a me 30.

ʻO ka huaʻōlelo "cholinergic" e pili ana i kahi ʻelele kemika i loko o kā mākou ʻōnaehana nerve i kapa ʻia ʻo acetylcholine (Ach). Hoʻokuʻu ʻia kēia e kā mākou ʻōnaehana nerve parasympathetic. ʻO "Urticaria" ka inoa lapaʻau no kēia ʻano ʻili ʻili .

Loaʻa anei kēia maʻi (Cholinergic Urticaria) i nā kānaka he nui?

ʻAe, ʻaʻole ia he mea kakaikahi e like me kou manaʻo. E noʻonoʻo wale, ma kahi o hoʻokahi o ʻelima mau kānaka e loaʻa i nā hives i kekahi manawa o ko lākou ola. ʻO Cholinergic Urticaria kahi kūlana e hoʻoulu ai i nā hives i hoʻoulu ʻia e kahi kumu kino (e like me ka ʻike ʻana i ka wela, ke anu, a i ʻole ke kaumaha). Ma kahi o 7% o ka poʻe me nā hives e mau ana ma mua o ʻeono pule, a i ʻole nā ​​hives mau loa, loaʻa kēia kūlana. No laila, inā e hana nei kēia iā ʻoe, e ʻike ʻaʻole ʻoe hoʻokahi.

No ke aha mākou e loaʻa ai i ka Cholinergic Urticaria?

ʻAʻole maopopo i nā loea ke kumu o kēia. Akā, aia kekahi kuhiakau nui. ʻO ia hoʻi, ua hana ʻia e ka hana o kā mākou ʻōnaehana nerve cholinergic. Eia ke ʻano o ka manaʻo e hana ʻia ai:

1. Ke piʻi aʻe ka mahana o kou kino, hoʻomaka ʻoe e hou. He mea maʻamau kēia a kōkua i kou kino e hoʻomaʻalili.

2. I ka pane ʻana i kēia, hoʻokuʻu kāu ʻōnaehana nerve i kahi kemika i kapa ʻia ʻo "acetylcholine" mai nā hopena nerve kokoke i ka ʻili o kou ʻili.

3. Ke hoʻopili kēia `(acetylcholine)` i kou ʻili, hoʻoulu ia i ka ʻili, e hana ana i kahi hopena maʻi ʻaleka, ʻo ia ke kumu o kēlā mau wahi ʻānai (hives) a i kekahi manawa pehu.

I ka ʻōlelo maʻalahi, ua like ia me kou ʻili he ʻano maʻalahi iki i kahi kemika i hoʻokuʻu ʻia ke hou ʻoe.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka Cholinergic Urticaria?

ʻO kahi mea pilikia kahi mea e hoʻonui ai i ka manawa kūpono o ka loaʻa ʻana o kahi maʻi. Inā loaʻa iā ʻoe nā hives mau loa, ʻoi aku ka nui o kou loaʻa ʻana o Cholinergic Urticaria. Eia kekahi:

• Inā loaʻa iā ʻoe ka "Allergic rhinitis (hay fever)" (he maʻi allergy like me ka hay fever) .
• Inā loaʻa iā ʻoe ka `(Asthma)` .
• Inā loaʻa iā ʻoe ka eczema .
• Inā he moʻolelo ko kekahi o kou ʻohana o ka Cholinergic Urticaria a i ʻole nā ​​hives mau .
• ʻO ka Hyperhidrosis kahi kūlana kahi āu e hou ai ma mua o ka maʻamau .

ʻAʻole ia he mea e loaʻa i nā kānaka a pau i loaʻa i kēia mau mea kēia, akā, ʻoi aku ka kiʻekiʻe o ka pilikia.

He aha nā mea hoʻonāukiuki nui o kēia mau kiko?

ʻO ka mea kupanaha, ma kahi o ʻeiwa o ka ʻumi o nā kānaka, ʻo ke kumu nui o kēia mau kiko cholinergic ka hoʻoikaika kino a i ʻole ka hoʻoikaika kino. Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe:

• He makaʻu a hopohopo paha ka hopohopo kūpono ʻole.
• Ke huhū ʻoe, ke kaumaha, a i ʻole ka ʻeha.
• Ke hele koke ʻoe mai kahi anu a i kahi lumi mehana a i ʻole i loko o ka lā ʻino ma waho.
• No ka mea, ke loaʻa iā ʻoe ke kuni, wela kou kino.
• Ke aniau wela, ʻoi aku hoʻi i nā lā lā e like me Sri Lanka.
• Nā mea e like me ka ʻauʻau wela, nā sauna, a me nā ʻauʻau wela.
• Ke ʻai ʻoe i nā meaʻai ʻala, no ka mea, hoʻomehana lākou i kou kino a hoʻoulu i ka hou.
• Kaumaha.
• Hiki paha ke kumu o ia mea i nā kāʻei paʻa i ka ea a me ka wai i hoʻohana ʻia e uhi i kahi ʻeha e pale ai i ke komo ʻana o ka ea a me ka wai.

He aha nā hōʻailona o ka Cholinergic Urticaria?

Hoʻomaka pinepine nā puʻupuʻu wela e ʻike ʻia i loko o kekahi mau minuke o kou hou ʻana. Hiki iā lākou ke mau no 20 a 30 mau minuke. Akā loaʻa i kekahi poʻe no ka ʻoi aku ma mua o hoʻokahi hola. ʻIke pinepine ʻia lākou ma kou mau lima, ka maka, a me ka umauma luna.

Hiki ke ʻike ʻia kēia mau kiko me he mau kiko ʻulaʻula liʻiliʻi ma luna o kahi ʻili ʻulaʻula (erythema). A i ʻole, hiki ke hui pū kēia mau kiko liʻiliʻi e hana i nā ʻōpala nui i hāpai ʻia.

Pehea ka manaʻo o kou kino ke ʻike ʻia kēia mau kiko?

Hiki i kekahi kanaka me Cholinergic Urticaria ke ʻike i nā hōʻailona ma lalo nei ke ʻike ʻia kēia mau kiko:

• Ka maneʻo nui.
• He manaʻo wela.
• Me he mea lā e ʻūlū ana.
• Mehana ke pā aku.

Aia kekahi mau hōʻailona ʻē aʻe e hele pū me kēia mau kiko?

He mea kākaʻikahi kēia, ʻo ia hoʻi, ʻaʻole ia e hiki i nā kānaka a pau, akā hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me kēia me Cholinergic Urticaria:

• Ke kahe nei ka wai.
• ʻO ka syncope (nāwaliwali).
• Nā ʻeha poʻo.
• Nā palpitations o ka puʻuwai.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• ʻAʻai ʻole a i ʻole ka maʻi pākī.
• Hanu ʻū.

Inā loaʻa iā ʻoe nā wahi me kēia mau hōʻailona, ​​​​​​he mea nui e ʻike pono i ke kauka no ka ʻōlelo aʻo.

Pehea e ʻike ai ke kauka i kēia maʻi (Cholinergic Urticaria)?

Inā manaʻo ke kauka he ʻulaʻula kou, e kuhikuhi paha lākou iā ʻoe i kahi kauka allergist a dermatologist paha . E nānā lākou i kou ʻili a hoʻolohe pono i kāu mau hōʻailona.

Hiki iā lākou ke hana i kekahi mau hoʻokolohua e like me kēia:

• Nā hoʻāʻo hoʻoikaika kino: Hoʻomahu lākou iā ʻoe ma ka holo ʻana ma luna o ka treadmill, holo ʻana i kahi paikikala kūpaʻa, a i ʻole ka hoʻohana ʻana i nā lako ʻē aʻe.
• Hoʻokomo ʻia kahi liʻiliʻi o kahi kemika i kapa ʻia ʻo "(methacholine)" e ʻike ai pehea ka maʻalahi o kou kino i nā kemika cholinergic.
• Nā hoʻāʻo hoʻomehana: Hoʻokiʻekiʻe ʻia ka mahana o kou kino ma ka noho ʻana i loko o ka ʻauʻau wela no kekahi manawa a i ʻole ma ka noho ʻana i loko o kahi lumi wela.

ʻO kēia mau hoʻokolohua wale nō ke ala e hōʻoia ai inā he Cholinergic Urticaria kou a i ʻole kekahi mea ʻē aʻe.

He aha nā mea e hiki ke hana ʻia e hoʻomaha ai mai kēia maʻi (Cholinergic Urticaria)?

He nūhou maikaʻi kēia! I kou wā ʻelemakule, e emi ana paha ke koʻikoʻi o ke ʻano (Cholinergic Urticaria) a me ka pinepine o nā hives. Hiki paha ke nalo loa i loko o kekahi mau makahiki. A hiki i kēlā manawa, e kuhikuhi paha kāu kauka i nā lāʻau lapaʻau e like me kēia e kōkua i ka mālama ʻana i kāu mau hōʻailona:

• Nā Antihistamine: ʻO kēia nā lāʻau lapaʻau i hoʻohana pinepine ʻia e hōʻemi i ka maneʻo a me nā ʻulaʻula.
• Kekahi mau lāʻau lapaʻau i hāʻawi ʻia no ka hānō.
• Kekahi mau lāʻau lapaʻau koko.
• ʻO nā lāʻau Anticholinergics he mau lāʻau e hōʻemi ai i ka hou ʻana.

Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Hiki i kēia (Cholinergic Urticaria) ke hana i nā pilikia ʻē aʻe?

He mea laha ʻole loa kēia, akā i kekahi manawa he hopena alerika koʻikoʻi i kapa ʻia ʻo "anaphylaxis" i hana ʻia e ka hoʻoikaika kino, me Cholinergic Urticaria.He ʻano hoʻoweliweli ke anaphylaxis i ke ola kahi e pehu ai nā alaea, e paʻakikī ai ka hanu ʻana.

Inā hana kēia iā ʻoe a i ʻole kekahi āu i ʻike ai, e kelepona koke i ka 1990 Suwaseriya Ambulance Service a i ʻole e hele i ka haukapila i ka hikiwawe loa. Inā ʻike ʻoe ua pilikia ʻoe i ka loaʻa ʻana o kahi maʻi ʻaleka koʻikoʻi, he mea naʻauao nō hoʻi e lawe pū me ʻoe i kahi `(epinephrine injector (EpiPen®))`. E kamaʻilio me kāu kauka e pili ana i kēia a e ʻimi i ka ʻōlelo aʻo.

Pehea ka lōʻihi o kēia maʻi (Cholinergic Urticaria)?

Hoʻomaikaʻi pinepine ʻia ka Cholinergic Urticaria i ka hala ʻana o ka manawa, i kekahi manawa a piha loa. Ma kahi o 15% o ka poʻe me kēia maʻi e ʻike i ka ho'ōla piha ʻana mai ko lākou mau hōʻailona. No laila, mai hopohopo.

Hiki ke pale loa ʻia ka Cholinergic Urticaria?

ʻO kaʻoiaʻiʻo, ʻaʻole hiki iā ʻoe ke hoʻōki loa i ka hou ʻana a i ʻole ka wela ʻana. He hana kūlohelohe ia e kōkua ai i ko mākou kino e hoʻomaʻalili a hoʻoponopono i ko lākou mahana. Eia kekahi, ʻaʻole ia he manaʻo maikaʻi e hoʻōki i ka hana kino, ʻo ia hoʻi, ka hoʻoikaika kino, no ka mea, ʻo ia ka mea e mālama ai iā mākou i ke olakino.

Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka ʻulaʻula wela:

• E hōʻemi i nā meaʻai ʻala i ka hiki.
• Inā ʻoe e hoʻoikaika kino, e koho i nā manawa i haʻahaʻa ai ka mahana ma waho, e like me ke kakahiaka nui a i ʻole ke ahiahi.
• E ʻimi i nā ala maikaʻi e hoʻokele ai i ke kaumaha a me ka hopohopo. Malia paha e kōkua ka noʻonoʻo ʻana a i ʻole ka yoga.
• I ka ʻauʻau ʻana, e hoʻohana i ka wai mehana, ʻaʻole ka wai wela.
• E ʻaʻahu i nā lole palupalu, māmā, a komo i ka hou. ʻOi aku ka maikaʻi o nā lole e like me ka pulupulu.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā ʻike ʻoe i kekahi o kēia mau mea:

• Inā ʻike ʻia nā pehu a i ʻole nā ​​kiko ma kou kino ua maʻi ʻia (e.g., inā ua piha lākou i ka pus a ʻeha ke pā).
• Inā hele pū nā kiko me ka pehu ʻana.
• Inā he ʻulaʻula kou ma kou ʻili me ke kumu ʻike ʻole ʻia.
• Inā ʻoe e kahakaha ikaika loa ʻaʻole hiki ke hoʻomanawanui.
• Inā pilikia ʻoe i ka hanu ʻana a i ʻole ua pau kou hanu ʻana.
• Inā ʻike ʻoe i nā hōʻailona o `(Anaphylaxis)` (inā hana kēia, e kāhea koke i ka 1990).

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha paha ke kumu o kēia iaʻu (Cholinergic Urticaria)?
• Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka loaʻa ʻana o ka ʻulaʻula wela?
• He aha ke ʻano lapaʻau kūpono loa iaʻu?

He aha ka ʻokoʻa ma waena o ka 'Heat Rash' a me ka Cholinergic Urticaria?

ʻO ka ʻūhū wela, i ʻike ʻia hoʻi he wela ʻino a i ʻole miliaria, he maʻi ʻili ʻē aʻe i hoʻokumu ʻia e ka wela. He ʻano maʻi wela maoli nō ia. Hana ʻia ia i ka wā ʻaʻole hiki i ke kino ke hoʻomaʻalili pono iā ia iho ma o ka hou ʻana ma muli o ka wela nui a me ka makū. Hiki i ka ʻūhū wela ke lilo i hōʻailona o kahi maʻi wela koʻikoʻi, e like me ka luhi wela a i ʻole ka hahau wela.

ʻO ka Cholinergic Urticaria kahi kūlana e hoʻoulu ai i ka ʻoluʻolu ʻole. Eia nō naʻe, inā ʻaʻole ia e lilo i mea koʻikoʻi, e like me ka anaphylaxis, ʻaʻole ia he hōʻailona o kahi maʻi wela koʻikoʻi, e like me ka ʻulaʻula wela.

ʻO ka mea hope loa, nā mea āu e pono ai e hoʻomanaʻo! (Leka Lawe-Home)

ʻAʻole pono ʻo Cholinergic Urticaria e kāohi iā ʻoe mai ka hana ʻana i kāu mau hana o kēlā me kēia lā, hoʻoikaika kino, a i ʻole ka hauʻoli ʻana i ke aniau wela. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke kumu o kāu mau hōʻailona. Inā loaʻa iā ʻoe ʻo Cholinergic Urticaria, aia nā lāʻau lapaʻau e hiki ke kōkua. ʻO ka maʻamau, e nalowale nā ​​​​hives iā lākou iho ma lalo o hoʻokahi hola. I kou wā ʻelemakule, hiki i kēia mau hives ke lilo i mea o ka wā i hala.

No laila, e noho ikaika, e kiʻi i ka ʻōlelo aʻoaʻo lapaʻau e pono ai, a hiki iā ʻoe ke ola maikaʻi me kēia maʻi!

ʻO ka Urticaria Cholinergic, ka ʻūhū hou, nā hives wela, ka maʻi ʻili, acetylcholine, ka maʻi hoʻoikaika kino, Cholinergic Urticaria, ka ʻūhū hou, nā hives wela, ka maʻi ʻili, acetylcholine, ka maʻi hoʻoikaika kino