Koj puas tau muaj ib zaug twg muaj cov pob liab thiab khaus ntawm koj lub cev uas koj yuav tsum khawb ntau zaus? Tom qab ib pliag, lawv ploj mus rau ib qho chaw thiab rov tshwm sim rau lwm qhov. Txawm hais tias qhov no yog ib txwm muaj rau cov neeg feem coob, qee zaum nws tuaj yeem ua rau mob hnyav me ntsis. Hnub no peb tab tom tham txog qhov pob no, lossis raws li cov kws kho mob hu ua, Urticaria.
Urticaria thiab Angioedema yog dab tsi?
Hais yooj yim xwb, Urticaria yog ib hom pob liab (qee zaum xim tawv nqaij) uas nce siab lossis cov pob uas tshwm sim tam sim ntawd rau ntawm daim tawv nqaij. Feem ntau peb hu cov no ua "mob pob khaus." Cov pob no khaus heev, thiab qee zaum lawv tuaj yeem zoo li mob kub hnyiab lossis mob khaus.
Xav txog seb, cov pob no tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev. Lawv tuaj yeem tshwm sim ntawm lub ntsej muag, daim di ncauj, tus nplaig, caj pas, thiab txawm tias pob ntseg. Qhov tshwj xeeb txog qhov no yog tias cov pob no tsis nyob mus ib txhis hauv ib qho chaw. Lawv tuaj yeem ploj mus tag nrho ntawm ib qho chaw hauv ob peb teev thiab rov tshwm sim rau lwm qhov chaw ntawm lub cev. Rau qee tus neeg, lawv tsuas yog tshwm sim ib zaug hauv lawv lub neej thiab tsis rov qab los. Tab sis rau qee tus, lawv tshwm sim ntau zaus.
Cov qhov txhab no tuaj yeem loj li ntawm qhov loj li lub roj hmab rho tawm mus rau qhov loj li lub tais noj mov, thiab tuaj yeem sib sau ua ke los ua cov plaques loj.
Tam sim no cia peb saib seb Angioedema yog dab tsi. Qhov no txawv me ntsis ntawm cov pob khaus. Ntawm no, qhov o tsis tshwm sim rau ntawm daim tawv nqaij, tab sis tob hauv qab daim tawv nqaij . Nws feem ntau pom nyob ib puag ncig lub qhov muag thiab daim di ncauj . Qee zaum qhov o tob no kuj tuaj yeem tshwm sim hauv tes, taw, thiab qhov chaw mos. Qhov o no feem ntau ploj mus hauv 24 teev, tab sis qee zaum nws tuaj yeem kav ntev dua.
Txawm hais tias tsis tshua muaj mob los xij, angioedema ntawm caj pas, tus nplaig, lossis lub ntsws tuaj yeem ua rau txoj hlab pa tsis ua haujlwm thiab ua pa nyuaj. Qhov no yog ib qho mob hnyav thiab ceev heev.
Vim li cas qhov no thiaj tshwm sim rau peb? Yog vim li cas?
Kev ua xua , tshuaj lom neeg hauv qee yam khoom noj, kab tom, tshav ntuj, thiab qee yam tshuaj ua rau peb lub cev tso tawm cov tshuaj hu ua histamine . Cov histamine no ua rau cov ntshav plasma tawm ntawm cov hlab ntsha me me hauv daim tawv nqaij. Qhov ntawd yog qhov peb pom tias yog Urticaria (mob pob khaus) lossis Angioedema (o).
Tab sis qhov tseeb, feem ntau, txawm tias cov kws kho mob tsis tuaj yeem nrhiav tau qhov ua rau qhov no.Peb hu nws ua Idiopathic Urticaria.
| Hom tseem ceeb | Kev piav qhia thiab cov laj thawj tseem ceeb |
|---|---|
| Mob Urticaria Ceev (Tshuaj mob Urticaria tam sim ntawd) | Qhov no kav tsawg dua 6 lub lis piam. Cov ua rau feem ntau yog cov khoom noj (txiv laum huab xeeb, txiv laum huab xeeb, ntses, txiv lws suav, qe, mis nyuj), tshuaj (NSAIDs xws li aspirin, ibuprofen), kev ua xua rau latex, thiab ntau yam kev kis kab mob. |
| Mob Urticaria Ntev (ib qho mob uas kav ntev) | Qhov no kav ntev tshaj 6 lub lis piam. Kev nrhiav qhov ua rau mob hnyav dua li Acute Urticaria. Qee zaum nws tuaj yeem tshwm sim los ntawm teeb meem nrog lub cev tiv thaiv kab mob, kev kis kab mob ntev, lossis teeb meem hormonal. |
| Kev Mob Urticaria (vim yog kev ua rau lub cev tsis ua haujlwm) | Nws yog tshwm sim los ntawm kev txhawb nqa ncaj qha rau daim tawv nqaij. Piv txwv li: txias heev, kub, tshav ntuj, poob siab, kev nyuaj siab (xws li siv txoj siv sia nruj), tawm hws, thiab kev tawm dag zog. |
| Dermatographism (kos duab rau ntawm daim tawv nqaij) | Qhov no yog ib hom txawv txawv heev. Thaum siv zog khawb daim tawv nqaij, zoo li siv rau tes, nws ua ib qho caws pliav raws qhov chaw khawb. Lub ntsiab lus ntawm lub npe no yog "sau ntawv rau ntawm daim tawv nqaij." |
| Kab mob Angioedema uas los ntawm noob caj noob ces | Qhov no yog ib qho mob o ntawm daim tawv nqaij. Qhov no yog ib qho mob tsis tshua muaj uas tuaj yeem kis tau los ntawm tsev neeg los ntawm ib tiam dhau ib tiam. |
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav nug koj ntau yam lus nug. Nws yuav sim kom paub txog qhov ua rau mob los ntawm kev nug koj ntau yam, xws li koj puas tau noj dab tsi txawv txawv ua ntej cov tsos mob tshwm sim, koj puas tau noj tshuaj dab tsi, koj tau noj ntev npaum li cas lawm, thiab thaum twg lawv mob hnyav dua.
Tsis tas li ntawd xwb, yuav muaj kev kuaj lub cev. Kuj tseem yuav muaj kev kuaj tawv nqaij lossis kuaj ntshav kom paub seb koj puas muaj kev ua xua.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov zoo tshaj plaws thiab thawj kauj ruam yog nrhiav qhov ua rau thiab zam nws . Piv txwv li, yog tias koj paub tseeb tias ib yam khoom noj ua rau koj cov tsos mob, qhov zoo tshaj plaws ua yog zam cov khoom noj ntawd. Tab sis raws li peb tau hais ua ntej, kev nrhiav qhov ua rau tsis yog ib txwm yooj yim.
Feem ntau koj tus kws kho mob yuav muab ib lub tshuaj hu ua antihistamine rau koj. Qhov no ua haujlwm los ntawm kev tswj cov haujlwm ntawm histamine thiab txo qhov khaus thiab o.
Rau ib qho mob ntev, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj antihistamines lossis lwm yam tshuaj, xws li steroids, txhua hnub.
Thaum muaj xwm txheej ceev thiab mob hnyav, xws li angioedema uas ua rau ua pa nyuaj, yuav tsum tau txhaj tshuaj epinephrine (adrenaline) lossis txhaj tshuaj steroid hauv tsev kho mob.
7 yam yooj yim uas koj ua tau hauv tsev kom txo qhov mob
Koj tuaj yeem sim ua cov no kom txog thaum qhov mob thiab o ploj mus:
- Tsis txhob da dej hauv dej kub. Siv dej sov so. Dej kub tuaj yeem ua rau khaus ntxiv.
- Siv ib lub xab npum mos mos uas tsis muaj ntxhiab tsw ntxhiab heev.
- Muab ib daim ntaub ntub dej txias los yog ib lub hnab dej khov (qhwv rau hauv ib daim ntaub) rau ntawm qhov chaw raug mob.
- Sim pw hauv chav txias li txias tau.
- Hnav cov khaub ncaws paj rwb uas xoob thiab sib dua thiab tsis nruj.
- Siv tshuaj pleev uas koj tus kws kho mob pom zoo los yog ib yam dab tsi zoo li "Calamine lotion" los tswj qhov khaus.
- Siv cov tshuaj pleev kom tawv nqaij tsis muaj ntxhiab ntau zaus hauv ib hnub kom tiv thaiv kom tawv nqaij qhuav.
Thaum twg kuv yuav tsum mus ntsib kws kho mob tam sim ntawd?
Qhov no yog qhov tseem ceeb tshaj plaws ntawm tsab xov xwm no. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no ntxiv rau qhov mob nqaij lossis o, nws yog qhov xwm txheej ceev . Mus rau tsev kho mob ze tshaj plaws yam tsis muaj kev ncua.Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU).
- Yog koj xav tias kiv taub hau
- Yog koj ua suab nrov thaum ua pa (Wheezing)
- Yog tias koj ua pa nyuaj
- Yog koj hnov tias koj lub hauv siab nruj
- Yog tias koj tus nplaig, daim di ncauj, lossis lub ntsej muag tam sim ntawd o tuaj
Cov tsos mob no qhia tau tias muaj kev pheej hmoo ntawm kev ua pa tsis taus. Yog li ntawd, tsis txhob nyob hauv tsev thaum lub sijhawm zoo li no, mus rau tsev kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob pob khaus (urticaria) yog ib yam mob uas tshwm sim ntau, tab sis qee zaum nws tuaj yeem ua rau mob hnyav.
- Angioedema yog qhov o tuaj tob uas tshwm sim hauv qab daim tawv nqaij. Ceev faj tshwj xeeb rau qhov o no uas tshwm sim nyob ib ncig ntawm daim di ncauj thiab qhov muag.
- Yog koj nrhiav tau qhov ua rau, ces zam nws. Tsis txhob txhawj yog koj nrhiav tsis tau, feem ntau qhov ntawd yog qhov teeb meem.
- Siv cov tshuaj antihistamines uas koj tus kws kho mob sau kom txo qhov khaus thiab o.
- Qhov tseem ceeb tshaj plaws: Yog tias koj muaj cov tsos mob xws li ua pa nyuaj, hauv siab nruj, o ntawm tus nplaig lossis lub ntsej muag, nws yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus