Yu kin gɛt rɛd spat bak na yu bɔdi we yu de swet ɔ we yu de wam? Dis na bɔt (Cholinergic Urticaria)!

Sɔntɛnde yu kin gɛt smɔl smɔl, rɛd, it dɛn na yu bɔdi we yu de du ɛksɛsayz, ɔ we yu de go na do na di san, ɔ sɔntɛm afta yu dɔn it spaysi it ɛn swet? Na nɔmal tin fɔ fil fɔ fred smɔl we dat apin. Fɔ sɔm pipul dɛn, dis kin ivin apin bɔku tɛm. So tide, lɛ wi tɔk bɔt wetin dɛn kɔl dis pan mɛrɛsin, wetin mek i kin apin, ɛn wetin dɛn kin du bɔt am.

Wetin na dis (Cholinergic Urticaria)? Lɛ wi ɔndastand am rili simpul wan!

Fɔ tɔk am simpul wan, Cholinergic Urticaria na wan kayn welt we gɛt rɛd, rayz, it (hives) we de apia na yu skin we yu bɔdi tɛmpracha go ɔp ɛn yu bigin fɔ swet. Dis na rili wan rispɔns frɔm yu bɔdi in imyun sistɛm. I tan lɛk se yu bɔdi de gɛt alɛji fɔ wam. Sɔm pipul dɛn kin kɔl am bak "heat bumps" ɔ "heat hives," we min se ɔt rash ɔ swet rash.

Dis sik kin apin to ɛnibɔdi, bɔt bɔrku tɛm dɛn sik ya kin fɔs apia pan yɔŋ pipul dɛm wae ol bitwin 10 ɛn 30 ia.

di wod "cholinergic" de tכk bכt wan kεmikכl mεsenja na wi nεv sεstem we dεn kכl asetylcholine (Ach). dis de kכmכt frכm wi parasimpatik nεv sεstem. "Urticaria" na di mεdikal nem fכ dεn kayn skin rash dεm ya .

Dis sik (Cholinergic Urticaria) kin apun pan bɔrku pipul dɛm?

Yɛs, i nɔ kin apin so ɔltɛm lɛk aw yu go tink. Jɔs tink bɔt, lɛk wan pan ɛvri fayv pipul dɛn go gɛt ayv sɔm tɛm na dɛn layf. Cholinergic Urticaria na wan sik wae de mek yu gɛt hayv wae de kam bikɔs ɔf wan tin wae de apin na yu bɔdi (lɛk wae yu de pan ɔt, kol, ɔr strɛs). Na lɛk 7% pan di pipul dɛm wae gɛt hayv wae kin te pas siks wik, ɔr kin gɛt dis sik. So if dis de apin to yu, no se nɔto yu wangren de.

Wetin mek wi kin gɛt Cholinergic Urticaria?

Masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis apin. Bɔt wan men hypothesis de. Dat min se na di wok we wi cholinergic nervous system de du. Na dis na aw dɛn tink se i go apin:

1. We yu bɔdi tɛmpracha go ɔp, yu kin bigin fɔ swet. Dis na nɔmal tin ɛn i kin ɛp yu bɔdi fɔ kol.

2. fכ ansa dis, yu nεv sεstem de rilis wan kεmikכl we dεn kכl ``acetylcholine'' frכm di nεv εnd dεm nia di sεf fכ yu skin.

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Fɔ tɔk am simpul wan, i tan lɛk se yu skin de sɛnsitiv smɔl to wan kemikal we de kɔmɔt we yu de swet.

Wetin na di risk factor dɛm fɔ mek yu gɛt Cholinergic Urticaria?

Risk factor na sɔmtin wae de mek yu gɛt mɔr chans fɔ gɛt wan sik. If yu gɛt krɛse hayv, yu go gɛt Cholinergic Urticaria. Bak:

• If yu gɛt ``Alɛji raynayt (hay fiva)`` (alɛji we fiba hay fiva) .
• If yu gɛt `(Asma)` .
• If yu gɛt ɛkzema .
• If pɔsin na yu famili gɛt histri fɔ Cholinergic Urticaria ɔ krɛse hayv .
• Hyperhidrosis na wan sik wae yu kin swet pas aw yu kin swet .

Nɔr to ɔlman wae gɛt dɛn tin ya go gɛt dis, bɔt de risk kin bɔrku smɔl.

Wetin na di men tin dɛn we kin mek dɛn gɛt dɛn spat ya?

I sɔprayz fɔ no se pan lɛk nayn pan tɛn pipul dɛn, di men tin we kin mek dɛn gɛt dɛn cholinergic spot ya na fɔ ɛksesaiz ɔ fɔ tray tranga wan. Apat frɔm dat, bɔku ɔda rizin dɛn de:

• Fɔ wɔri na fɔ fred ɔ fɔ fred we nɔ gɛt sɛns.
• We yu fil vɛks, sɔri, ɔ vɛks.
• We yu kɔmɔt na ples we kol wantɛm wantɛm ɛn go na rum we wam ɔ insay di bad bad san layt we de na do.
• Bikɔs we yu gɛt fiva, yu bɔdi kin wam.
• Hot weta, espeshali pan san san lek na Sri Lanka.
• Tin dɛn lɛk ɔt bat, sawna, ɛn ɔt tub.
• We yu de it tin dɛn we gɛt spays, bikɔs dɛn de mek yu bɔdi wam ɛn swet.
• Strɛs.
• I kin bi bak bikɔs ɔf di bandej dɛn we dɛn kin yuz fɔ kɔba wund fɔ mek di briz ɛn wata nɔ go insay.

Wetin na di sayn dɛm fɔ Cholinergic Urticaria?

Bɔku tɛm, ɔt bɔmp kin bigin fɔ apia insay sɔm minit afta yu dɔn swet. Dɛn kin las fɔ 20 to 30 minit. Bɔt sɔm pipul dɛn kin gɛt dɛn fɔ pas wan awa. Dɛn kin si dɛn mɔ na yu an, fes, ɛn ɔp chɛst.

dis spat dεm kin sho lεk sכm sכm rεd pinpoint dεm pan wan rεdεn sεf (εrythema). Ɔ, dɛn smɔl smɔl spat ya kin jɔyn fɔ mek big big welt dɛn we rayz.

Aw yu bɔdi kin fil we dɛn spat ya kin kɔmɔt?

Pɔsin we gɛt Cholinergic Urticaria kin gɛt dɛn sayn ya we dɛn spat ya apia:

• I de it bɔku bɔku wan.
• Wan tin we kin mek pɔsin bɔn.
• I kin tan lɛk se i de tingling.
• I kin fil wam we yu tɔch am.

Ɛni ɔda sayn dɛn de we kin kam wit dɛn spat ya?

Dis nɔ kin apin smɔl, we min se i nɔ kin apin to ɔlman, bɔt sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk dis wit Cholinergic Urticaria:

• Drooling we yu de drɔl.
• Sinkɔp (we pɔsin kin fɔdɔm).
• Ɛd we de at.
• Di at we de blo.
• I nɔ izi fɔ blo (dyspnea).
• Nɔ digest ɔ dayarɛa.
• We pɔsin de swɛt.

If yu gɛt spat wit dɛn sik ya, i impɔtant fɔ rili go to dɔktɔ fɔ advays.

Aw dɔktɔ kin no dis sik (Cholinergic Urticaria)?

If dɔktɔ tink se yu gɛt ɔt rɔsh, i go mɔs bi se dɛn go sɛn yu to dɔktɔ we de mɛn yu alɛji ɔ dɔktɔ we de mɛn yu skin . Dɛn go chɛk yu skin ɛn tek tɛm lisin to yu sayn dɛn.

Dɛn kin du sɔm tɛst dɛn bak lɛk dɛn wan ya:

• Test fɔ ɛksesaiz: Dɛn kin mek yu swet bay we yu de rɔn pan tredmil, rayd bayk we nɔ de muv, ɔ yuz ɔda tin dɛn.
• sכm sכm kεmikכl we dεn kכl ``(mεtakolin)'' dεn injεkt fכ si aw yu bכdi sεnsitiv to kכlinεrjik kεmikכl dεm.
• Test fɔ wam yu bɔdi: Dɛn kin mek yu bɔdi wam we yu sidɔm na hot tub fɔ sɔm tɛm ɔ we yu sidɔm na rum we gɛt wam wam.

Dɛn tɛst ya na di wangren we fɔ kɔnfɔm if yu rili gɛt Cholinergic Urticaria ɔ ɔda tin.

Wetin dɛn kin du fɔ gɛt rilif frɔm dis sik (Cholinergic Urticaria)?

Gud nyus de! As yu de ol, di kayn we aw di sik kin tranga (Cholinergic Urticaria) ɛn di frɛkuɛns we di ayv kin gɛt kin go dɔŋ. I kin ivin go kpatakpata insay sɔm ia. Te da tɛm de, yu dɔktɔ kin tɛl yu fɔ tek tritmɛnt dɛn lɛk dis fɔ ɛp fɔ kɔntrol yu sik dɛn:

• Antihistamines: Dɛn mɛrɛsin ya na di mɛrɛsin dɛn we dɛn kin yuz fɔ ridyus di it ɛn rash.
• Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ asma.
• Sɔm blɔd prɛshɔn mɛrɛsin dɛn.
• Anticholinergics na drɔgs we de ridyus di swet.

Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu.

Dis (Cholinergic Urticaria) kin mek ɔda prɔblɛm dɛn?

Dis na wan tin we nɔ kin apin so ɔltɛm, bɔt sɔm tɛm dɛn kin gɛt siriɔs alɛji we dɛn kɔl ``anaphylaxis'' we kin mek pɔsin du ɛksɛsayz, wit Cholinergic Urticaria.Anafylaksis na wan sik we de mek pɔsin in layf de pan denja we di say dɛn we di briz de blo kin swel, ɛn dis kin mek i nɔ izi fɔ blo.

If dis apin to yu ɔ pɔsin we yu sabi, kɔl 1990 Suwaseriya Ambulance Service wantɛm wantɛm ɔ go na ɔspitul kwik kwik wan. If yu no se yu de pan denja fɔ gɛt siriɔs alɛji, i fayn bak fɔ kɛr `(epinephrine injector (EpiPen®))` wit yu. Tɔk to yu dɔktɔ bɔt dis ɛn aks fɔ advays.

Aw lɔŋ dis sik (Cholinergic Urticaria) kin las?

Cholinergic Urticaria kin bεtεh as tεm, sכmtεm dεn kin ivin bכku. Na lɛk 15% pan di pipul dɛm wae gɛt dis sik kin gɛt kɔmplit wɛl bɔdi frɔm dɛn sayn dɛm. So nɔ wɔri.

Yu tink se dɛn kin ebul fɔ protɛkt Cholinergic Urticaria ɔltogɛda?

Fɔ tɔk tru, yu nɔ go ebul fɔ stɔp fɔ swet ɔ fɔ wam ɔltin. na nכchכral prכsεs we de εp wi bכdi fכ kol dכn εn rεgul dεn tεmprachכ. Dɔn bak, i nɔ fayn fɔ stɔp fɔ du ɛksɛsayz, dat na fɔ du ɛksɛsayz, bikɔs na dat de mek wi gɛt wɛlbɔdi.

Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt ɔt rash:

• Ridyus di it dɛn we gɛt spays as yu ebul.
• If yu de du ɛksɛsayz, pik di tɛm dɛn we di tɛmpracha na do go smɔl, lɛk ali mɔnin ɔ ivintɛm.
• Fɛn gud we fɔ mek yu nɔ strɛs ɛn wɔri. Sɔntɛm fɔ tink gud wan ɔ fɔ du yoga go ɛp.
• We yu de was, yuz wata we wam, nɔto ɔt wata.
• Wear klos we nɔ gɛt bɛtɛ swet, we nɔ gɛt bɛtɛ swet. Fabrik dɛn lɛk kɔtɔn na di bɛst.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ if yu notis ɛni wan pan dɛn tin ya:

• If di blista ɔ spat na yu bɔdi tan lɛk se dɛn gɛt di sik (e.g., if dɛn ful-ɔp wit pus ɛn i de pen we yu tɔch am).
• If di spat dɛn de wit swɛlin.
• If yu gɛt rash na yu skin fɔ no rizin.
• If yu skrach tumɔs tranga wan fɔ bia.
• If i nɔ izi fɔ yu fɔ blo ɔ yu fil se yu de swɛla.
• If yu gɛt sayn dɛm fɔ `(Anaphylaxis)` (if dis apin, kɔl 1990 wantɛm wantɛm).

Wetin a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin kin bi di rizin we mek a gɛt dis (Cholinergic Urticaria)?
• Aw a go ridyus di risk fɔ gɛt ɔt rash?
• Us tritmɛnt we bɛtɛ fɔ mi?

Wetin na di difrɛns bitwin ‘Hɛt Rash’ ɛn Cholinergic Urticaria?

Ɔt rash, we dɛn kin kɔl bak prickly heat ɔ miliaria, na ɔda tin we kin mek pɔsin in skin wam. Na tru tru wan kayn sik we pɔsin kin gɛt we i wam. I kin apin we di bɔdi nɔ ebul fɔ kol insɛf fayn fayn wan tru di swet bikɔs ɔf di ɔt ɛn humidity we pasmak. Wae yu gɛt ɔt rɔsh kin bi sayn bak fɔ se yu gɛt mɔr siriɔs ɔt sik, lɛk wae yu taya wit ɔt ɔ yu gɛt ɔt.

Cholinergic Urticaria na wan sik wae de mek yu nɔr fil fayn. Bɔt pas nɔmɔ i kam tranga, lɛk anafylaksis, bɔku tɛm i nɔ kin bi sayn fɔ wan sik we gɛt mɔ siriɔs ɔt, lɛk ɔt rɔsh.

Fɔ dɔn, wetin yu nid fɔ mɛmba! (Mɛsej we dɛn kin tek go na os)

Cholinergic Urticaria nɔr nid fɔ stɔp yu fɔ du yu ɛvride aktiviti dɛm, fɔ du ɛksɛsayz, ɔr fɔ ɛnjɔy hot wɛda. Yu dɔktɔ kin ɛp yu fɔ no wetin de mek yu gɛt di sik. If yu gɛt Cholinergic Urticaria, mɛrɛsin dɛn de we kin ɛp. Bɔku tɛm, di ayv dɛn kin go fɔ dɛnsɛf insay lɛs wan awa. As yu de ol, dɛn ayv ya kin bi tin we dɔn pas.

So, kɔntinyu fɔ gɛt trɛnk, gɛt di dɔktɔ advays we yu nid, ɛn yu go ebul fɔ liv fayn wit dis sik!

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