Yu kin skrach yu bɔdi bak ɔltɛm wit ayv? Na dɛn ayv ya nɔ de mɛn? (Chronic Hives) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva notis se sɔntɛnde yu kin gɛt bɔmp dɛn we rɛd ɛn it smɔl na yu bɔdi wantɛm wantɛm? Sɔntɛnde dɛn kin it bɔku, sɔntɛnde dɛn kin at smɔl. Sɔntɛnde, dɛn kin go insay wan ɔ tu dez, bɔt fɔ sɔm pipul dɛn, dɛn bɔmp ya kin las fɔ sɔm wik ɔ mɔnt. Na di kain kondishon we wi go tok abaut tide.

So wetin na dɛn ayv ya we nɔ de mɛn ɔ ayv we nɔ de mɛn?

Fɔ tɔk am simpul wan, di ayv we nɔ de mɛn kin it, rɛd, rayz bɔmp ɔ welt na yu skin we kin apia tu tɛm insay di wik. Dɛn welt ya we dɛn kin kɔl bak `wɛl`, dɛn kin tek dɛn as `chronic' ɔ `persistent' we dɛn kin las fɔ pas siks wik .

Yu go dɔn yɛri dis kɔndishɔn we dɛn kɔl `Chronic Idiopathic Urticaria.` Lɛ wi ɔndastand dat smɔl, nɔto so?

• Krεse: Na sayn ɔr kכndyushכn we de kɔntinyu pan ɔl we dεn de trit am. Dat min se, sɔntin we nɔ kin bɛtɛ fɔ insɛf afta sɔm tɛm.
• Idiopathic: Na wan sayn ɔr kɔndishɔn we kin apin wantɛm wantɛm, we nɔ gɛt ɛni rizin we kin mek i apin. I nɔ izi fɔ no di rayt rizin.
• Ɔtikaria: Dis na di mɛrɛsin nem fɔ ayv. Dɛn kin kɔl am lɛk ‘er-ti-care-ree-ya’.

Wetin na Ɔtikaria ɛn Angioedema? Wetin na di rilayshɔn bitwin dɛn tu?

Hiv, we dɛn kin kɔl bak ɔtikaria, ɛn angioedema kin apin togɛda. Hiv na rɛd bɔmp ɔ spat we de apia na yu skin. Angioedema kin apin sɔmtɛm na di dip layers na yu skin. Dis swel kin afɛkt yu fes, yu lip, yu trot, yu an, yu fut, ɛn yu bɔdi. Fɔ ɛgzampul, sɔntɛnde, di ayv kin kam wit di lip dɛn we swel. If yu trot swel, i kin mek bak i nɔ izi fɔ blo, so i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na di difrɛns bitwin nɔmal hayv ɛn krɛse hayv?

Krכnik hayv dεm difrεn frכm di mכr kכmכn ``akyu hayv''.

• Akyu Hiv: Dɛn kin bigin fɔ dɔn insay 24 awa (bɔt nyu wan dɛn kin kam). Bɔt bɔku tɛm, dɛn kin dɔnawe wit dɛn kpatakpata insay siks wiks. Bɔrku tɛm, dis kin kam bikɔs ɔf sɔmtin lɛk wan vayral infɛkshɔn we dɛn jɔs gɛt ɔ wan alɛji fɔ it.
• Krɔnik Hayv: Dɛn wan ya na hayv we kin apin fɔ pas siks wik, at le tu tɛm insay di wik. Sɔm ayv we nɔ de mɛn kin las fɔ mɔnt ɔ ivin fɔ lɔng tɛm. Di tin we sɔri na dat, bɔku tɛm, dɛn nɔ kin no wetin mek i apin. Dat min se nɔto bikɔs yu it sɔntin we nɔ rayt.

Aw kɔmɔn dis sik we dɛn kɔl Kronik Hiv?

Na lɛk 5% pan di pipul dɛm na di wɔl kin gɛt krɛse hayv. Dat min se fayv pasɛnt na bɔku tin, nɔto so? Dis sik kin kam pan ɛnibɔdi we ol ɛni ej, ilɛksɛf na man ɔ uman. Bɔt , i kin bɔku smɔl pan uman dɛn we ol bitwin 30 ɛn 50. Di rayt tin we kin mek i apin nɔ klia, bɔt i kin gɛt fɔ du wit tin dɛn lɛk we di ɔmon dɛn kin chenj.

Wetin na di tin dɛn we kin mek pɔsin gɛt ayv we nɔ de mɛn?

Infakt, bɔku pipul dɛn we gɛt ayv we nɔ de mɛn nɔ gɛt ɛni klia rizin. Na dat wi bin de kɔl ‘idiopathic’. Na smɔl tɛm nɔmɔ, dɛn kin gɛt alɛji to sɔm mɛrɛsin ɔ it dɛn. If na so, bɔrku tɛm na sɔmtin wae yu de it ɔr de drink ɔltɛm. Fɔ ɛgzampul, sɔm pipul dɛn kin gɛt alɛji fɔ tin dɛn we dɛn kin yuz fɔ mek tin nɔ pwɛl ɔ dɛn kin yuz atifishal kɔlɔ dɛn.

Nɔto dat nɔmɔ, sɔm pipul dɛn kin gɛt ayv we dɛn bɔdi tɛmpracha chenj wantɛm wantɛm, lɛk we dɛn rili wam, we dɛn rili kol, ɔ we dɛn de du ɛksɛsayz. Sɔmtɛm, dis sik kin kam bak bikɔs ɔf di prɛshɔn we de pan di skin we kin kam we pɔsin wɛr tayt klos. Fɔ ɛgzampul, sɔm pipul dɛn kin gɛt ayv we dɛn tek kol shawa (`cold urticaria`), ɔda wan dɛn kin gɛt ayv we dɛn de swet ɛn wam (`cholinergic urticaria`). Sɔm pipul kin gɛt hayv bak we dɛn de go na di san (`solar urticaria`).

Yu tink se sik dɛn we pɔsin kin gɛt we i de fɛt insɛf kin mek pɔsin gɛt ayv we nɔ de dɔn?

Yɛs, dat pɔsibul. Na lɛk wan pan ɔl fayv pipul dɛm wae gɛt krɛse hayv, ɔr lɛk 20%, dɛn dɔn si se dɛn gɛt ɔda ‘ɔtoimyun sik’. Dat min se na sik we di imyun sistɛm de atak di bɔdi in yon sɛl dɛn. insay dεn kayn kes dεm ya, di bכdi kin mek ‘antibodi dεm’ agens in yon skin sεl dεm, we kin mek dεn lεsin dεm ya.

Fɔ gi sɔm ɛgzampul dɛn:

• Siliak sik (wan alɛji to di prɔtin gluten) .
• Dɛrmatomyositis (na sik we de afɛkt di skin ɛn di mɔsul dɛm) .
• Dayabitis (especially tayp 1 dayabitis) .
• `Lupus`
• Polymyositis (na sik we kin afɛkt di mɔsul dɛn) .
• Rimatɔyd at atraytis (dat min se yu jɔyn dɛn de pen) .
• Tayroyd sik (especially Hashimoto in tayroyd sik) .
• Vitiligo (wayt pat na di skin) .

Us ɔda sik dɛn kin mek pɔsin gɛt ayv we nɔ de dɔn?

Krεse hayv kin kam bak bikɔs ɔf ɔda mεdikal kכndyushכn dεm. Pan ɔl we dɛn tin ya nɔ kin bɔku, dɔktɔ go tink bɔt dɛn tin ya bak.

• `Asma`
• Infεkshכn, fכ egzampl, baktriyal infεkshכn lεk H. pylori (we kin mek yu bכdi כlsa bak) εn infεkshכn dεm we de te lεk saynsaytis.
• `Liva sik`
• di kayn kansa dεm we dεn kכl `Lymphomas`, dat na `Hodgkin lymphoma` εn `non-Hodgkin's lymphoma`
• Vasculitis (we de mek di blɔd vesel dɛn wam) .

Wetin na di sayn dɛm fɔ Kronik Hiv?

Dɛn lɛsin ya kin apia ɛnisay na di bɔdi, ɛn di we aw dɛn kin luk kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dɛn lɛsin ya kin kam insay difrɛn shep ɛn saiz. Sɔm kin smɔl lɛk pin ed, ɛn ɔda wan dɛn kin big lɛk sɔftbɔl!

Di men sayn dɛm we de sho se pɔsin gɛt ayv we nɔ de mɛn na:

• Rɛd, rayz, ɛn sɔntɛm yu kin fil pen ɔ inflamed lesions ɔ bumps na yu skin.
• Blanching: Dis min se di sεntrכm pan di blista de tכn wayt we dεn prεs am. Dɛn kin yuz dis fɔ no difrɛns frɔm wan kɔmɔn mɔskito we kin it am.
• di skin we de skrach pasmak (dεn kin kכl am bak `pruritus`). Dis it we de it na in de mek i nɔ izi fɔ bɔku pipul dɛn fɔ bia wit am, mɔ na nɛt.
• Swel, na dat wi bin dɔn tɔk bɔt bifo tɛm, we dɛn kɔl ‘angioedema.’ Dis kin apin arawnd di yay, di lip, ɛn di an ɛn fut.

Us kayn dɔktɔ a fɔ si fɔ krɛse hayv?

Bɔrku dɔktɔ dɛm de wae kin no ɛn trit dis krεse hayv sik:

• Alɛji: Bikɔs sɔntɛnde dis kin gɛt fɔ du wit alɛji.
• Dermatologists: Na bikɔs dɛn gɛt spɛshal no bɔt sik dɛn we de ambɔg di skin.
• Yu famili dɔktɔ (praymari kia dɔktɔ dɛn): I kin du wan bɛsik ɛgzam ɛn rifer yu to spɛshal pɔsin if nid de.

Aw dɛn kin no dis sik we dɛn kɔl Chronic Urticaria?

Yu dɔktɔ kin no dis sik bay we i de chɛk yu skin ɛn aks bɔt yu sik, if ɛnibɔdi na yu famili gɛt di sem kayn sik, di mɛrɛsin dɛn we yu de tek, ɛn aw yu de it.

Fɔ no gud gud wan wetin de mek yu gɛt yu ayv we nɔ de mɛn (ɔ fɔ pul sɔm tin dɛn we de mek yu gɛt ayv), yu kin nid fɔ mek dɛn du sɔm tɛst dɛn. Yu go nid fɔ du wan ɔ mɔ pan dɛn tin ya:

• Alɛji tɛst: Fɔ si if yu gɛt riakshɔn to wan `alɛji`, dat na sɔntin we de mek yu gɛt alɛji. Dis kin bi `skin prick test` ɔ blɔd tɛst.
• Blɔd tɛst: Chɛk di bɔdi in antibodi lɛvɛl (especially IgE lɛvɛl), mak dɛm fɔ inflamɛns, tayroyd ɔmon lɛvɛl, ɛn antibodi dɛm we gɛt fɔ du wit ɔtoimyun sik dɛm.
• Yurin tɛst: Chɛk fɔ si if yu gɛt baktriyal infɛkshɔn.
• Skin bayɔpsi: .Dɛn kin tek skin bayɔpsi fɔ kɔnfirm di diagnosis ɛn fɔ pul ɔda tin dɛn we nɔ kin apin so ɔltɛm, lɛk vasculitis. Dɛn kin du dis if di lɛsin dɛn big pasmak ɔ dɛn nɔ de ansa di tritmɛnt.

Wetin na di tritmɛnt fɔ krɛse hayv?

Laki, tritmɛnt dɛn de fɔ dɛn kayn ayv ya we nɔ de mɛn. De gol na fɔ kɔntrol de sik ɛn alaw yu fɔ liv nɔrmal layf.

• Alɛji mɛrɛsin: Mɛrɛsin lɛk antihistamine, we yu kin tek ɛvride, we yu kin tek na kɔwnta (OTC) ɔ we dɔktɔ kin gi yu, kin ɛp fɔ mek yu nɔ it ɛn ridyus ɔ nɔ gɛt alɛji. Sɔntɛnde, yu dɔktɔ kin gi yu di mɛrɛsin we pas aw i kin gi yu.
• Alɛji shot: Omalizumab (Xolair®) na injɛkshɔn we dɛn kin gi ɛvri mɔnt we kin mek di bɔdi nɔ ebul fɔ mek wan prɔtin we dɛn kɔl Immunoglobulin E (IgE). Pipul wae gɛt siriɔs alɛji kin prodyuz tumɔs pan dis IgE, wae kin mek dɛn gɛt prɔblɛm lɛk krɛse hayv ɛn asma. Pan ɔl we dis na tritmɛnt we dia pasmak, i kin rili wok fɔ pipul dɛn we nɔ dɔn tek ɔda mɛrɛsin.
• Stɛroyd: Kɔtikosterɔyd, lɛk Prednisone (Deltasone®, Rayos®), kin kɔntrol di sik dɛn kwik kwik wan we nɔ bin dɔn ansa ɔda mɛrɛsin, mɔ di bad bad flare-up. Bɔt dɛn nɔ fɔ kɔntinyu fɔ yuz dɛn tin ya ɛn dɛn fɔ yuz dɛn fɔ shɔt tɛm nɔmɔ, lɛk aw dɔktɔ tɛl dɛn. If yu yuz am fɔ lɔng tɛm, dat kin mek yu gɛt sayd ɛfɛkt.
• Hydroxychloroquine: Wan stɔdi dɔn sho se et pan tɛn pipul dɛn we gɛt krɛse hayv we dɛn kin gɛt bikɔs ɔf wan ɔtoimyun sik kin ridyus pan di sik dɛn afta dɛn dɔn tek di malaria drɔg hydroxychloroquine (Plaquenil®) fɔ tri mɔnt ɔ mɔ.
• Sayklɔspɔrin: Dis na wan tin we de mek pɔsin nɔ ebul fɔ fɛt di sik. I rili fayn fɔ trit bad bad ayv we nɔ de mɛn. Bɔt i kin gɛt siriɔs sayd ɛfɛkt we dɛn tek am fɔ lɔng tɛm, so dɛn fɔ yuz am ɔnda dɔktɔ we de kia fɔ am gud gud wan.

De tin wae impɔtant pas ɔl na fɔ tɔk to dɔktɔ bɔt if dis tritmɛnt fayn fɔ yu ɛn aw lɔng yu nid fɔ tek am. Nɔ jɔs tek mɛrɛsin fɔ yusɛf.

Wetin yu kin du na os fɔ gɛt fridɔm frɔm dɛn sik ya?

Yɛs, yu kin tray dɛn tin ya na os fɔ mek yu nɔ it ɛn nɔ gɛt inflamɛns:

• Put wan OTC anti-it krim frɔm di famasi. Yu kin yuz tin dɛn lɛk kalamin loshan.
• Put kol kɔmprɛs we dɛn sok insay kol wata pan di rash bɔku tɛm insay di de (bɔt mɛmba se, nɔ du dis if di rash de wɔs bikɔs ɔf di kol – dat na if yu gɛt `kol ɔtikaria`).
• Tek kol shawa ɔ was. If yu shaw ɔt, dat kin mek di it wɔs.
• Moisturize dray skin wit hypoallergenic loshan ɛn krim. Pik wan simpul mɔstizayza we nɔ gɛt sɛnt.
• Wear klos we nɔ tay ɛn we dɛn mek wit sɔft kɔtɔn we nɔ go mek yu skin vɛks. If yu wɛr tayt klos, dat kin mek di sik wɔs. Nɔ wɛr klos we dɛn mek wit rɔf klos lɛk wul.
• Nɔ skrach as yu ebul. Pan ɔl we we pɔsin skrach, i kin mek i fil fayn fɔ sɔm tɛm, i kin rili pwɛl di skin ɛn mek i pwɛl mɔ.

Dɛn ayv ya we nɔ de mɛn kin las fɔ lɔng lɔng tɛm?

Na lɛk af, ɔ 50%, pan pipul dɛm wae gɛt krɛse hayv go gɛt dɛn hayv go insay wan ia (bɔku tɛm dɛn nɔr kin gɛt tritmɛnt). כda 20% go gεt dεn hayv dεm go insay fayv ia. Bɔt fɔ sɔm pipul dɛn, i kin las fɔ lɔng tɛm pas dat. Tritmɛnt fɔ lɔng tɛm hayv kin ɛp fɔ pul di sayn dɛm. So nɔ wɔri, tritmɛnt dɛn de.

Ustɛm a fɔ rili go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn tin ya, go mɔs go to dɔktɔ:

• If di brus ɔ swɛlin las pas wan wik.
• If di wund luk infεkt (i.e. rεd, swεla, ful wit pus, כ i gεt fiva).
• If di pen kin kam bak ɛvri sɔm mɔnt.
• If yu skin de it we yu nɔ ebul fɔ bia, i kin ambɔg yu slip ɛn di tin dɛn we yu de du ɛvride.
• If yu gɛt prɔblɛm fɔ blo, yu fil lɛk se yu trot dɔn kɔnstrikt, ɔ yu fil se yu ed de tɔn, na imejensi. Go na ɔspitul wantɛm wantɛm.

Wetin a fɔ aks di dɔktɔ?

I fayn fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Wetin kin mek dɛn ayv ya we nɔ de mɛn? Ɔ, wetin yu tink se go de mek dɛn gɛt dɛn?
• Ustɛm dɛn ayv ya we nɔ de mɛn go bɛtɛ?
• Yu tink se a fɔ gɛt alɛji tɛst?
• Wetin na di bɛst tritmɛnt fɔ mi fɔ dɛn krɛse hayv ya?
• Wetin na di bɛst tritmɛnt fɔ ridyus it?
• Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?
• Us kɔmplikɛshɔn dɛn a fɔ wɔri bɔt?
• A nid fɔ chenj di we aw a de it ɛn di we aw a de liv mi layf?

Yu tink se na strɛs ɔ wɔri kin mek pɔsin gɛt ayv we nɔ de mɛn?

Infakt, strɛs ɛn wɔri kin mek yu skin wɔs. Dat min se, strɛs kin mek di skin wɔs ɛn i kin mek di skin wɔs. So, sɔmtɛm, mɛrɛsin wae de ɛp pɔrsin fɔ wɔri kin ɛp. Yu kin bɛnifit bak frɔm tin dɛn lɛk fɔ tink gud wan, fɔ tink gud wan, fɔ du yoga, ɛn fɔ slip fayn fɔ mek yu maynd kol. Mɛmba se, gladi at rili impɔtant fɔ gɛt wɛlbɔdi bɔdi.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya? (Mɛsej we dɛn kin tek go na os)

Krεse hayv (Chronic Urticaria) kin rili it εn nɔr kin kɔmfyut. Sɔntɛnde, yu kin ivin fil bad fɔ di we aw yu luk. Pan ɔl we bɔku tɛm dɔktɔ dɛn nɔ kin ebul fɔ no di rayt tin we kin mek pɔsin gɛt ayv we nɔ de mɛn, mɛrɛsin dɛn lɛk antihistamin, stɛroyd, ɛn sɔntɛnde ivin mɛrɛsin dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik kin ɛp. Tin dɛn de bak we yu kin du na os fɔ ɛp fɔ mek yu nɔ it ɛn swel.

De impɔtant tin na dat fɔ bɔrku pipul dɛm, krɛse hayv kin go fɔ dɛnsɛf as tɛm de go (sɔntɛm ivin afta wan ia ɔr mɔr). So kɔntinyu fɔ strɔng ɛn fala yu dɔktɔ in advays. Nɔto yu wan de, ɛn dɔktɔ dɛn de we go ɛp yu fɔ gɛt dis sik. Tritmɛnt dɛn de we kin mek yu gɛt bɛtɛ layf.

` Rash, ayv we nɔ de mɛn, ɔtikaria, sik dɛn na di skin, it, alɛji, angioedema