Tiyeni tikambirane za mayeso a khungu a ziwengo kuti tidziwe ngati muli ndi ziwengo!

Kodi mumamvanso kuyabwa, kufiira, komanso kuvutika kupuma mukadya zakudya zinazake, kukhudza zinthu monga mungu, kapena kugwiritsa ntchito mitundu ina ya sopo? Ngati ndi choncho, mwina muli ndi vuto la ziwengo ndi china chake. Chifukwa chake, mayeso ofunikira kuti mudziwe chomwe muli ndi ziwengo amatchedwa mayeso a khungu a ziwengo . Tiyeni tikambirane izi mwatsatanetsatane lero, chabwino?

Kodi Kuyesa Khungu la Allergy ndi Chiyani?

Mwachidule, iyi ndi mayeso omwe madokotala amachita kuti adziwe chomwe chili chovulaza thupi lanu, kutanthauza kuti, chomwe muli ndi vuto la ziwengo. Thupi lathu lili ndi chitetezo chamthupi . Dongosololi limatiteteza ku matenda. Koma nthawi zina, zinthu zomwe sizili zovulaza kwa ife, mwachitsanzo, zakudya zina, fumbi, mungu, ndi zina zotero, zikalowa m'thupi lathu, chitetezo chamthupichi chimazindikira kuti ndi mdani ndipo chimayankha. Ndicho chimene timachitcha kuti ziwengo .

Kotero, mu mayeso a khungu awa, amaika zinthu zochepa kwambiri zomwe akuganiza kuti mungakhale ndi ziwengo, timazitcha kuti "ziwengo," pakhungu lanu. Kenako, pakapita kanthawi, dokotala amafufuza kuti awone mtundu wa zomwe zimachitika m'malo amenewo. Kutengera ndi zomwe zimachitika, amasankha zomwe muli ndi ziwengo.

Kodi pali mitundu yosiyanasiyana ya mayeso a khungu a ziwengo?

Inde, pali mitundu itatu ikuluikulu ya mayeso a khungu a ziwengo.

• Mayeso Oyesa Kubaya Khungu (nthawi zina amatchedwa Mayeso Okwawa)
• Mayeso a Intradermal
• Mayeso a Patch

Tidzakambirana za chilichonse mwa izi mtsogolo.

Kodi mayeso a khungu a allergy amachitidwa liti?

Ngati mumakhala ndi zizindikiro za ziwengo pafupipafupi (monga kuyabwa pakhungu, maso ofiira, mphuno yotuluka madzi) kapena ngati muli ndi mphumu , dokotala angakulangizeni kuti muyesedwe. Izi zili choncho chifukwa nthawi zina ziwengo zimenezi zimatha kukulitsa zizindikiro za mphumu ndikuyambitsa matenda a mphumu.

Mfundo ina yofunika ndi yakuti ngati mudakumanapo ndi vuto lalikulu la ziwengo, monga anaphylactic reaction , mayesowa ndi ofunikira kwambiri kuti mupeze chomwe chikuyambitsa. Anaphylaxis ndi vuto lalikulu lomwe limachitika mwadzidzidzi, limapangitsa kuti zikhale zovuta kupuma, komanso likhoza kupha munthu. Chifukwa chake, muyenera kupita kuchipatala nthawi yomweyo.

Kodi mayeso a khungu awa ndi olondola bwanji?

Kunena zoona, palibe mayeso a khungu omwe ali ndi ziwengo ndi olondola 100%. Komabe, dokotala wodziwa bwino ntchito za ziwengo, wotchedwa ``allergist``, angachite izi.Ngati wina achita mayeso awa, zotsatira zake zimakhala zodalirika. Adzawunikanso mbiri yanu yachipatala ndipo, ngati pakufunika, adzakupatsa mayeso ena kuti apeze yankho lolondola kwambiri.

Kodi muyenera kuyembekezera chiyani musanayesedwe khungu ndi ziwengo? (Kodi mungakonzekere bwanji?)

Musanayambe kuyezetsa khungu kuti muli ndi vuto la ziwengo, muyenera kuonana ndi dokotala. Iye adzakufunsani za zizindikiro zanu ndipo angakuyezeni thupi. Angakufunseninso mafunso okhudza zakudya zomwe mumadya, mankhwala omwe mumamwa, zinthu zosamalira khungu zomwe mumagwiritsa ntchito, ndi ziweto zomwe mumakhala nazo. Adzakupatsaninso malangizo a zomwe mungachite musanayezedwe. Zina mwa zinthuzi ndi izi:

• Pa tsiku loyesa, musagwiritse ntchito zodzoladzola zilizonse (monga mafuta odzola kapena mafuta odzola) pamalo omwe mukuyesedwa.
• Mankhwala ena, makamaka ma antihistamines (mapiritsi a ziwengo), angafunike kuyimitsidwa masiku angapo mayeso asanachitike. Dokotala wanu adzakuuzani zomwe mungachite pankhaniyi.
• Ngati pali tsitsi pakhungu pomwe mayeso adzachitikira, mudzapemphedwa kuti mulichotse (kulimeta) usiku usanachitike mayeso kapena m'mawa wa mayesowo.
• Valani zovala zomwe zimapangitsa kuti dokotala akuwonetseni mosavuta. Mwachitsanzo, shati yokhala ndi mabatani kutsogolo kapena bulawusi yopanda manja ndi yabwino kwambiri.
• Ngati tsitsi lanu ndi lalitali kuposa mapewa anu, amanena kuti mutha kulimanga kapena kulibisa pansi pa chipewa.

Kodi ndingathe kusamba ndisanayesedwe kapena nditamaliza?

Inde, mutha kusamba musanayesedwe khungu ndi ziwengo. Koma kumbukirani, musagwiritse ntchito zodzoladzola zilizonse pamalo omwe mayesowo adzachitikire.

Komabe, ngati mukuchita mayeso a patch , simungathe kusamba, kusambira, kapena kuchita chilichonse chomwe chimayambitsa thukuta kwa masiku angapo pambuyo pake. Dokotala wanu adzakupatsani malangizo enieni okhudza izi.

Kodi mitundu itatu iyi ya mayeso a khungu a ziwengo ndi iti? Kodi amachitidwa bwanji?

Monga tanenera kale, pali mitundu itatu ya mayeso a khungu omwe ali ndi ziwengo. Asanayambe mayeso aliwonse, dokotala amayamba wayeretsa khungu lomwe lidzayesedwe ndi ayodini kapena mowa. Izi zimachepetsa chiopsezo cha matenda. Mayesowa nthawi zambiri amachitikira kutsogolo kwa mkono wanu (pamphumi) kapena kumtunda kwa msana wanu. Nthawi zina, makamaka kwa ana aang'ono, dokotalayo amathanso kugwiritsa ntchito kirimu wopaka mano (`(Numbing Cream)`).

Tsopano tiyeni tiwone mitundu iyi ya mayeso ndi momwe imachitikira.

1. Kuyesa Kubaya Pakhungu (Kuyesa Kubaya Pakhungu)

Iyi ndi njira yodziwika bwino yoyezera matenda a khungu. Imakhala ndi kuyika khungu lanu ku chinthu chochepa chomwe mukuganiza kuti muli ndi vuto la matendawa. Imagwiritsidwa ntchito kuzindikira zinthu zomwe zili mumlengalenga (monga mungu, fumbi, nkhungu, dander ya nyama), zakudya, ndi zina zotero. Imagwiritsidwanso ntchito ngati njira yoyesera yodziwira matenda omwe amayambitsidwa ndi tizilombo (monga njuchi, mavu), ndi mankhwala monga penicillin, kenako imagwiritsidwa ntchito ku "Intradermal Test" ngati pakufunika kutero.

Momwe mungachitire izi:

Dokotala adzayamba walemba zizindikiro zazing'ono pa mkono kapena kumbuyo kwanu ndi cholembera kuti adziwe 'allergen' yomwe idzapakedwe pamalo aliwonse. Kenako, pogwiritsa ntchito singano yopyapyala kwambiri ('Lancet'), pamwamba pa khungu padzabaika pang'ono kwambiri pamalo omwe alembedwa. Akangobaya, pang'ono chabe ya chinthu chomwe chingayambitse ziwengo imabayidwa pakhungu. Izi sizipweteka kwambiri, koma zimamveka ngati kuluma pang'ono, ngati kulumidwa ndi nyerere.

Madokotala ena amaika madontho a chinthu chomwe chingayambitse ziwengo pakhungu kenako amachikanda pang'onopang'ono ndi ``(Lancet).'' Kenako chinthucho chimalowa pakhungu kudzera mu kukanda.

Pamodzi ndi izi, dokotala adzapaka mabala ena awiri pakhungu lanu, "Positive Control" ndi "Negative Control" . Izi zimagwiritsidwa ntchito pothandiza kufananiza zotsatira zake. "Positive Control" ili ndi "Histamine solution" . Izi zimayambitsa kutupa pang'ono, kufiira, ndi kuyabwa (a "Wheal") pakhungu likangogwiritsidwa ntchito. "Negative Control" ili ndi "Saline solution" . Izi nthawi zambiri sizimayambitsa chilichonse ("Wheal").

Mukachita izi, mudikira pafupifupi mphindi 15. Pambuyo pake, dokotala adzayesa mawanga otupa ndi ofiira pakhungu ndi chotsukira.

Kuyesa koboola pakhungu kumeneku nthawi zambiri kumatenga nthawi yosakwana ola limodzi kuti kuchitike.

2. Kuyesa kwa Intradermal

Mu mayeso awa, dokotala amagwiritsa ntchito singano yaying'ono kwambiri kuti alowetse pang'ono chinthu chomwe mungakhale nacho chomwe chimayambitsa ziwengo pamwamba pa khungu lanu, epidermis . Mayesowa amachitika ngati zotsatira za mayeso am'mbuyomu obayidwa pakhungu sizikudziwika bwino kapena sizikudziwika bwino, kuti aone ngati pali ziwengo pazinthu zomwe zili mumlengalenga, mankhwala, kapena kulumidwa ndi tizilombo (monga njuchi, nyerere, mavu).

Momwe mungachitire izi:

Choyamba, dokotala adzalemba chizindikiro pa dzanja lanu ndi cholembera kuti aone ngati pali zinthu zomwe zimayambitsa ziwengo. Pambuyo pake, mayesowa akhoza kuchitika m'magawo awiri.

Pa gawo loyamba, pang'ono chabe ya allergen imabayidwa pansi pa khungu pamalo olembedwa. Pambuyo podikira kwa mphindi 15, khungu limayang'aniridwa ngati pali kutupa kulikonse (`(wheal)`) kapena kusintha kwa mtundu.

• Ngati mwapezeka kuti muli ndi vuto la allergen m'thupi, simuyenera kuchitanso mayeso ena amkati mwa khungu.
• Ngati mwapezeka kuti mulibe vuto la allergen, zikutanthauza kuti simuli ndi vuto la allergen ndipo palibe chifukwa chowonjezera mayeso.
• Ngati mayeso a mankhwala apezeka kuti alibe, mutha kupita kukayezetsanso mkati mwa khungu.
• Ngati mayeso a mankhwala ophera tizilombo ali ndi kachilombo, padzafunika maulendo ena atatu oyesera mkati mwa khungu. Kuchuluka kwa mankhwala kumawonjezeka pang'onopang'ono mu gawo lililonse.

Mu gawo lachiwiri (ngati kuli kofunikira), yankho lamphamvu pang'ono la ``allergens'' lomwe kale linkapereka zotsatira ``negative'' limabayidwa. Kenako, amadikira mphindi zina 10 kenako nkuyezanso zomwe zimachitika.

`(Kuyesa Kwamkati mwa Khungu)` kumeneku sikupweteka kwambiri. Anthu ambiri amati sikupweteka kwambiri poyerekeza ndi mayeso obayidwa pakhungu. Kutengera ndi kuchuluka kwa `(Kuyesa Kwamkati mwa Khungu)` komwe muyenera kuchita, mayesowa angatenge pafupifupi ola limodzi ndi theka kuti amalizidwe.

3. Mayeso a Patch

Mu mayeso awa, dokotala amapaka ma plaster okhala ndi zinthu zomwe mungakhale ndi vuto la ziwengo pakhungu lanu. Izi zimazindikira makamaka zinthu zomwe zimayambitsa contact dermatitis . Izi zikutanthauza ziwengo zomwe zimachitika zinthu zina zikakhudza khungu lanu.

Momwe mungachitire izi:

Dokotala adzakufunsani kaye za sopo, mafuta odzola, zodzoladzola, ndi zodzikongoletsera zomwe mumagwiritsa ntchito. Kenako, adzapanga mapeyala okhala ndi zinthu zomwe mukuganiza kuti mungakhale ndi ziwengo ndipo adzaziika kumbuyo kwanu. Mapeyala awa ayenera kukhalapo kwa masiku awiri kapena anayi. Kenako, dokotalayo adzachotsa mapeyalawo ndikuyang'ana ngati pali ziwengo. Kutengera izi, adzalemba mndandanda wa zinthu zomwe muli ndi ziwengo ndipo adzakulangizani zinthu zomwe zili zotetezeka kuti mugwiritse ntchito.

Tangoganizirani, nthawi iliyonse Samantha akagwiritsa ntchito mtundu watsopano wa sopo, amatuluka matuza ang'onoang'ono thupi lonse ndipo amayamba kukanda. Dokotala atangomuyesa patch, adapeza kuti Samantha anali ndi vuto la fungo loipa lomwe linali mu sopoyo.

Kodi chimachitika ndi chiyani mukayesa khungu ndi ziwengo?

Kutengera ndi kuopsa kwa vuto lanu la ziwengo, mawilo amatha kutha mkati mwa mphindi zochepa kapena kutha kwa masiku angapo. Muthanso kukumana ndi zizindikiro zina za ziwengo, monga maso otuluka madzi, mphuno yotsekeka, ndi kuyetsemula. Dokotala wanu adzakuuzani nthawi yomwe mungayambirenso kumwa mankhwala anu a ziwengo.

Kodi pali zoopsa zilizonse ndi mayesowa?

Nthawi zambiri, mayesowa si oopsa kwambiri. Komabe, nthawi zambiri , vuto lalikulu la anaphylactic limatha kuchitika chifukwa cha allergen panthawi yoyezetsa. Zikatero, dokotala amatha kuzindikira ndikuchiza mwachangu ndi jakisoni wa epinephrine . Chifukwa chake, palibe chodetsa nkhawa, muli kumbali yotetezeka.

Kodi zotsatira za mayeso zidzapezeka liti?

Nthawi zambiri, mutha kupeza zotsatira za mayeso obayidwa pakhungu kapena mayeso amkati mwa khungu mutangomaliza mayesowo, mukadali ku ofesi ya dokotala. Zimatenga pafupifupi masiku anayi kuti mupeze zotsatira za mayeso opangidwa ndi chigamba.

Kodi zotsatira za mayeso a khungu la ziwengo zimati chiyani?

Mukhoza kupeza mitundu iwiri ya zotsatira kuchokera ku mayeso a khungu a ziwengo:

• Zabwino: Zotsatira zabwino zimatanthauza kuti muli ndi vuto la mankhwala enaake. Ngati mafuta ambiri akumwa, mumakhala omasuka kwambiri ndi mankhwalawo.
• Choipa: Zotsatira zoyipa zimatanthauza kuti simuli ndi vuto la mankhwalawo.

Ngati muli ndi vuto la ziwengo... (Zotsatira Zabwino)

Ngati dokotala wanu atsimikiza kuti muli ndi vuto la ziwengo, nonse awiri mudzagwira ntchito limodzi kuti mupange dongosolo la chithandizo lomwe lili loyenera kwa inu. Dongosololi likhoza kuphatikizapo:

• Kupewa zinthu zomwe zimayambitsa ziwengo: Chinthu chabwino kwambiri chomwe mungachite ndi kupewa zinthu zimenezo momwe mungathere.
• Kumwa mankhwala a ziwengo: Kugwiritsa ntchito mankhwala omwe dokotala wakupatsani.
• Kulandira jakisoni wa ziwengo: Iyi ndi njira yochizira matenda a nthawi yayitali.
• Kunyamula epinephrine auto-injector (EpiPen®): Izi ndizofunikira kwambiri kwa anthu omwe ali ndi ziwengo zoopsa.
• Ndibwino kuvala chibangili cha chenjezo chachipatala chokhala ndi chidziwitso chokhudza ziwengo zanu, kapena kunyamula khadi.
• Kukhala ndi chidziwitso chokhudza ziwengo za chakudya zomwe muli nazo mu makonda adzidzidzi pafoni yanu kapena mu pulogalamu.

Kodi zotsatira zabwino/zoipa za bodza nthawi zina zingachitike?

Inde, tanena kale kuti mayeso a khungu a ziwengo nthawi zonse samakhala olondola 100%.

Zotsatira za "zabodza-zabodza" zimatanthauza kuti ngakhale mutachitapo kanthu pa mayeso, simudzakhala ndi vuto lililonse ndi chinthucho m'moyo watsiku ndi tsiku.

Zotsatira za ``bodza-zoipa`` zimatanthauza kuti simuchitapo kanthu pa chinthu chomwe chayesedwa, koma mumachitapo kanthu pa chinthucho tsiku ndi tsiku.

Ngati dokotala wanu akukayikira zotsatira za mayeso, angakulangizeni kuti muyesedwenso.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati muli ndi zizindikiro zoopsa za ziwengo zomwe zikusokoneza moyo wanu watsiku ndi tsiku, ndikofunikira kuonana ndi dokotala. Angathe kuchita mayeso a khungu a ziwengo, kudziwa ziwengo zomwe muli nazo, ndikukuthandizani kupanga dongosolo la chithandizo lomwe likugwirizana ndi inu.

Ngati mukupitirizabe kukhala ndi zizindikiro mutalandira mayeso a khungu a ziwengo ndikupeza kuti muli ndi ziwengo, dziwitsani dokotala wanu kuti athe kuchita mayeso ena.

Kodi pali inshuwalansi yokhudza mayesowa?

Ndi bwino kulankhula ndi dokotala wanu za izi. Ndalama zolipirira chithandizo zimatha kusiyana malinga ndi inshuwalansi yanu, ndalama zomwe dokotala wanu amalipiritsa pa mayesowa, komanso komwe mumalandira chithandizo. Dokotala wanu angakutumizireni kwa woyang'anira zachuma wa odwala, yemwe angakupatseni lingaliro la mtengo wa chithandizo chanu.

Pomaliza, chinthu chofunikira kwambiri (Uthenga Wopita Nawo Kunyumba)

Tsopano mukumvetsa tanthauzo la ziwengo ndi mayeso a pakhungu omwe amagwiritsidwa ntchito pozindikira. Ziwengo zimachitika pamene chitetezo chathu cha mthupi chimachita zinthu mopitirira muyeso ndi 'ziwengo' zinazake. Nthawi zina izi zimatha kukhala zazing'ono ngati kuyetsemula kapena kuyabwa, kapena zimatha kukhala zoopsa kwambiri moti zimatha kupha munthu.

Choncho, mayeso a khungu a ziwengo ndi mayeso ofunikira kwambiri omwe amakuthandizani kudziwa chomwe chimayambitsa ziwengo. Dokotala wanu adzakulangizani mayeso oyenera kutengera zizindikiro zanu komanso zomwe mukuganiza kuti mungakhale ndi ziwengo. Iye adzakuthandizaninso kupanga njira yabwino kwambiri yothandizira. Chifukwa chake, ngati muli ndi zizindikiro za ziwengo, musaope kupita kwa dokotala ndikukambirana za izi.

Ndikukhulupirira kuti izi zikuthandizani!

` Ziwengo, mayeso a khungu, mayeso a khungu, katemera, allergen, kuzindikira matenda