Kodi muli ndi mawanga akuda pansi pa maso anu? Mwina ndi "zowala za allergy" zomwe zimakuvutitsani!

Kodi munayamba mwaonapo kuti maso anu amaoneka ngati mabwalo awiri amdima pansi pa maso anu? Anthu ena amaganiza kuti izi zimachitika chifukwa chosagona tulo kapena kutopa. Komabe, sizili choncho nthawi zonse. Nthawi zina chifukwa cha izi chingakhale matenda otchedwa "Allergy Shiners" omwe tikambirane lero. Musadandaule, uwu si matenda oopsa, koma ndikofunikira kwambiri kudziwa izi.

Kodi ma allergy shiners ndi chiyani?

Mwachidule, zinthu zowala zomwe zimayambitsa ziwengo ndi pamene khungu lomwe lili pansi pa maso anu limawoneka lakuda, nthawi zina lakuda, lofiirira, labuluu-imvi, kapena lofiirira. Limawoneka ngati bala ngati wina wakumenyani m'diso. Koma si bala. Vutoli limayamba chifukwa cha mphuno yotsekeka yomwe imayambitsidwa ndi vuto la ziwengo lotchedwa "hay fever," kapena lodziwika ndi madokotala kuti allergic rhinitis.

Izi zimadziwikanso kuti `(periorbital hyperpigmentation)` ndi `(allergy facies)`. Komabe, m'kulankhula kwa tsiku ndi tsiku, anthu ambiri amadziwa izi pokhapokha tikanena kuti `allergy shiners.''

N’chifukwa chiyani pali mawanga akuda pansi pa maso? Kodi chifukwa chake n’chiyani?

Chabwino, tsopano tiyeni tiwone momwe izi zimachitikira. Mukakhala ndi vuto la ziwengo ndi chinthu china chake, chitetezo cha mthupi lanu chimayamba kulimbana nacho. Monga gawo la izi, nembanemba ya mucous, yomwe ndi chinyezi mkati mwa mphuno yanu, imatha kutupa (mucosal edema).

Tangoganizirani, pamene pali kutupa pang'ono mkati mwa mphuno, magazi omwe amadutsa mkati mwake amatsekeka pang'ono, sichoncho? Mofananamo, kuyenda kwa magazi m'mitsempha yofewa yamagazi yozungulira mabowo odzaza mpweya (paranasal sinuses) ozungulira mphuno kumachepanso chifukwa cha kutupa kumeneku. Mitsempha yamagazi iyi ili pafupi kwambiri ndi khungu lomwe lili pansi pa maso athu. Chifukwa chake, pamene mitsempha iyi yatupa ndikudzazidwa ndi magazi, khungu lomwe lili pamalopo limawoneka lakuda komanso mwina lotupa pang'ono. Ndicho chimene ma allergy shiners amatchedwa. Kodi mukumvetsa?

Kodi ma allergy shiner ndi ofala bwanji?

Vutoli ndi lofala kwambiri kuposa momwe mungaganizire. Limapezeka makamaka kwa anthu omwe ali ndi "hay fever" (allergy rhinitis). Komabe, si aliyense amene ali ndi hay fever amene amadwala allergic shingles. Ndikofunikira kukumbukira zimenezo.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu ndi malo ozungulira akuda, osinthika mtundu (wakuda, bulauni, imvi yakuda, imvi yabuluu, kapena wofiirira) pansi pa maso.

Kuphatikiza apo, mungakhale ndi zizindikiro zina zokhudzana ndi ziwengo, monga:

• Kuyabwa m'maso, m'mphuno, kapena pakhosi.
• Kufiira kapena kuoneka ngati madzi m'maso.
• Mphuno yotuluka madzi .
• Kutsekeka kwa mphuno.
• Kuthimula pafupipafupi.

Chimodzi mwa zizindikirozi chimawoneka pamodzi ndi zinthu zowala zomwe zimayambitsa ziwengo.

Zifukwa zazikulu zomwe zimayambitsa ziwengo

Monga tanenera kale, chifukwa chachikulu cha izi ndi hay fever (allergy rhinitis). Chifukwa chake, zinthu zazikulu zomwe zimayambitsa hay fever ndizo zimayambitsa izi. Tiyeni tiwone zomwe zili?

• Mungu: Mungu womwe umapezeka m'maluwa ndi m'mitengo.
• Kutsekeka kwa ziweto: Tsitsi laling'ono lomwe limatuluka pakhungu la nyama monga agalu ndi amphaka.
• Nthata za fumbi: Tizilombo tosaoneka tomwe timakhala m'fumbi.
• Nkhungu: Mtundu wa nkhungu yomwe imamera m'malo onyowa.

Anthu ena akhoza kukhala ndi vuto la chimodzi mwa izi, pomwe ena akhoza kukhala ndi vuto la zingapo. Ziwengo za nyengo zimachitika nthawi ya mungu wambiri, nthawi zambiri m'nyengo ya masika, chilimwe, komanso kumayambiriro kwa nthawi yophukira. Komabe, zinthu zomwe zimayambitsa ziwengo chaka chonse, monga dander ya nyama ndi fumbi, zimatha kuyambitsa ziwengo nthawi iliyonse pachaka.

Chinanso n'chakuti nthawi zambiri timapaka m'maso mwathu chifukwa maso athu akuyabwa kapena ali ndi madzi. Kupaka m'maso mwathu motere kungawononge kwambiri khungu lomwe lili pansi pa maso athu ndikupangitsa kuti ziwengo zikhale zowala kwambiri. Choncho yesetsani kuchepetsa kukanda m'maso momwe mungathere.

Kodi iyi ndi matenda opatsirana?

Ayi ndithu. Matenda a allergic shiners si opatsirana. Simungawafalitse kwa wina chifukwa choti muli nawo. Choncho musadandaule nawo.

Ndani amene ali ndi mwayi waukulu wokhala ndi zinthu zowala ngati allergy?

Aliyense amene ali ndi chimfine cha hay fever akhoza kudwala matenda a ziwengo. Komabe, ana aang'ono, makamaka omwe ali ndi ziwengo, amakhala ndi vuto la ziwengo kuposa akuluakulu. Madokotala ena amaganiza kuti izi zitha kukhala chifukwa ana aang'ono sapuma mphuno zawo pafupipafupi monga akuluakulu (mwina popukuta kapena kupukuta mphuno zawo). Komabe, palibe kafukufuku wokwanira wotsimikizira kuti ichi ndiye chifukwa chenicheni.

Kodi izi zingayambitse mavuto otani?

Kunena zoona, zinthu zowala zomwe zimayambitsa ziwengo sizimawononga thanzi lanu. Izi zikutanthauza kuti sizimayambitsa ululu uliwonse. Komabe, mikwingwirima yakuda iyi yomwe ili pansi pa maso ingakupangitseni kumva kusasangalala komanso manyazi pang'ono. Kwa ena, zimatha kuyambitsa kupsinjika maganizo ndi nkhawa. Ngati mukumva choncho, ndi bwino kulankhula ndi dokotala.

Kodi dokotala amazindikira bwanji izi?

Ngati mikwingwirima yakuda iyi yomwe ili pansi pa maso anu yakhalapo kwa milungu yoposa ingapo, kapena ngati imawonekera nthawi zina pachaka, ndi bwino kupita kwa dokotala. Dokotalayo adzakufunsani za mbiri yanu yachipatala, adzakufunsani za zizindikiro zanu, kenako adzakuyesani thupi.

Ngati dokotala wanu akukayikira kuti mwina ndi matenda a ziwengo, angakutumizireni kwa katswiri wa ziwengo. Dokotala ameneyo akhoza kuchita mayeso kuti adziwe chomwe chimayambitsa ziwengo.

Ndi mayeso amtundu wanji omwe adzachitike?

Dokotala wanu angachite mayeso angapo a ziwengo kuti adziwe ngati muli ndi ziwengo. Mayeso ofala kwambiri ndi mayeso obaya pakhungu ndi magazi.

• Kuyesa kubaya pakhungu:Pankhaniyi, dokotala kapena namwino adzabaya madontho ang'onoang'ono pakhungu lanu, nthawi zambiri padzanja kapena kumbuyo kwanu, ndi singano yopyapyala kapena ndodo yapulasitiki. Kenako, adzayika zinthu zosiyanasiyana zomwe zimayambitsa ziwengo m'malo omwe mwabaya. Ngati muli ndi vuto la ziwengo ku chimodzi mwa zinthu zomwe zimayambitsa ziwengo, mkati mwa mphindi 15, malowo adzasanduka ofiira, kupanga matuza pang'ono, ndipo angasinthe mtundu. Dokotalayo adzayesa kuchuluka kwa zomwe zimachitika. Kenako, kirimu wa steroid udzagwiritsidwa ntchito pamalopo kuti achepetse kuyabwa ndi zomwe zimachitika pakhungu. Mayesowa nthawi zambiri amagwiritsidwa ntchito kuzindikira zinthu zomwe zimayambitsa ziwengo chifukwa zimapereka zotsatira mwachangu ndipo sizovuta kwambiri.

• Kuyezetsa magazi: Mu mayesowa, dokotala wanu amatenga chitsanzo cha magazi pang'ono kuchokera mumtsempha womwe uli m'dzanja lanu (ndi singano yopyapyala ngati ndolo yanthawi zonse). Chitsanzocho chimatumizidwa ku labu. Kenako labu imayesa magazi anu kuti ione ngati pali zinthu zomwe zimayambitsa ziwengo ndipo imayang'ana ma antibodies a ziwengo. Ngati muli ndi ma antibodies ambiri ku chinthu china chomwe chimayambitsa ziwengo, mutha kukhala ndi ziwengo ku chinthucho. Komabe, nthawi zina mayeso a magazi samakhala olondola ngati mayeso a khungu.

Kodi mungachiritse bwanji ziwengo? / Kodi mankhwala ake ndi otani?

Njira yothandiza kwambiri yopewera zinthu zomwe zimayambitsa ziwengo ndi kupewa zinthu zomwe zimayambitsa ziwengo momwe mungathere. Komabe, nthawi zina zimakhala zosavuta kuzipewa. Nthawi zina, ngakhale mutachita zimenezo, simungathe kuletsa kwathunthu zinthu zomwe zimayambitsa ziwengo.

Koma musadandaule, pali mankhwala ogulitsidwa kunja kwa chipatala (OTC) komanso mankhwala olembedwa ndi dokotala omwe alipo pa izi.

Chofunika: Ndikofunikira kufunsa upangiri kwa dokotala musanagwiritse ntchito mankhwala aliwonse, makamaka popereka kwa ana.

Nazi zina mwa mankhwala otere:

Mankhwala oletsa kugwidwa ndi histamine

Awa ndi mankhwala omwe amaperekedwa nthawi zambiri kwa ziwengo. Amawongolera zomwe zimayambitsa ziwengo. Zitsanzo:

• Fexofenadine (monga Allegra®)
• Loratadine (monga Claritin®)
• Cetirizine (monga All Day Allergy-D® kapena Zyrtec®) - Ichi ndi chinthu chomwe anthu ambiri ku Sri Lanka amachidziwa bwino.
• Levocetirizine (monga Xyzal®)

Ma spray a mphuno

Izi zimathandiza kwambiri pa kutsekeka kwa mphuno ndi zizindikiro za ziwengo.

• Ma steroid spray a m'mphuno: monga fluticasone (monga Flonase®), mometasone (monga Nasonex®), budesonide (monga Rhinocort®).
• Mankhwala opopera a m'mphuno otchedwa antihistamine: monga azelastine (monga Dymista®), olopatadine (monga Patanase®).
• Mankhwala opopera m'mphuno a Cromolyn (monga Nasalcrom®) .

Madontho a m'maso

Izi ndi zabwino pa zizindikiro monga kuyabwa ndi maso ofiira.

• Madontho a m'maso a antihistamine: monga olopatadine (monga Pataday®), azelastine (monga Optivar®).
• Mankhwala a maso a Ketorolac (monga Acular®).
• Mankhwala a maso a Naphazoline (monga AK-Con®).

Mankhwala oletsa kutsekeka kwa mphuno `(Ma decongestants)`

Izi zimachepetsa kutupa m'mphuno ndipo zimapangitsa kuti kupuma kukhale kosavuta. Komabe, si bwino kuzigwiritsa ntchito nthawi zonse. Zigwiritseni ntchito monga momwe dokotala wanu wanenera.

• Oxymetazoline spray ya m'mphuno
• Phenylephrine (monga Sudafed PE® kapena Sudogest PE®)
• Pseudoephedrine (monga Contac® kapena Sudafed®)

Kuthirira mphuno

Iyi si njira yochiritsira, koma ndi njira yothandiza kwambiri. Ikuphatikizapo kutsuka mphuno mwanu ndi madzi amchere (madzi amchere) omwe mungagule ku pharmacy. Izi zimachotsa zinthu zomwe zimayambitsa ziwengo ndi mamina mkati mwa mphuno mwanu. Mutha kugwiritsa ntchito chinthu chonga "Neti pot" pa izi.

Kuzizira kapena kuzizira

Kuti muchepetse kutupa pansi pa maso, ikani ma cubes angapo a ayezi, nsalu yoviikidwa m'madzi ozizira, kapena thaulo lopepuka pamwamba pa maso anu kwa mphindi pafupifupi 10 kangapo patsiku.

Chithandizo cha Immunotherapy

Ngati mankhwala ena sathandiza, dokotala wanu angakulangizeni chithandizochi. Izi zimatchedwanso majekeseni a allergy . Nthawi zina zimaperekedwa ngati piritsi pansi pa lilime (sublingual immunotherapy). Izi zimaphatikizapo kuyambitsa pang'onopang'ono zinthu zochepa zomwe zimayambitsa allergy m'thupi lanu. Pakatha miyezi ingapo, thupi lanu limayamba kuzolowera zinthu zomwe zimayambitsa allergy ndipo siliyamba kuchitapo kanthu. Izi zingayambitse kutha kwa zizindikiro za allergy, monga allergy shingles.

Kodi ma allergy shiners amatha nthawi yayitali bwanji?

N'zovuta kunena motsimikiza, zimasiyana malinga ndi munthu. Ngati muchiza ziwengo zanu moyenera ndikuziletsa, zinthu zowala zomwe zimayambitsa ziwengo nthawi zambiri zimatha mkati mwa milungu ingapo. Pamene mitsempha ikuchira, mtundu wakuda womwe uli pansi pa maso ungasinthe pang'onopang'ono kukhala mtundu wopepuka (monga wobiriwira, wachikasu, kapena bulauni).

Ngati simunalandire chithandizo, ziwengo zanu zitha kutha zokha mkati mwa milungu ingapo kuchokera pamene mudakumana ndi ziwengo zomaliza, mpaka mutakumananso nazo.

Nanga chimachitika ndi chiyani ngati ndili ndi ma allergy shiners?

Monga tanenera kale, matenda a ziwengo amatha kukhala osasangalatsa pang'ono, koma si vuto lalikulu la thanzi. Amatha kubwera ndi kutha moyo wanu wonse. Anthu ambiri amatha kuthana ndi vutoli mwa kupewa zinthu zomwe ali nazo ziwengo momwe angathere komanso kugwiritsa ntchito mankhwala operekedwa ndi dokotala.

Kodi ma allergy shiners angapewedwe?

Inde, mungathe. Njira yabwino kwambiri ndiKupewa zinthu zomwe mukudziwa kuti muli ndi vuto la ziwengo, komanso kumwa mankhwala a ziwengo tsiku lililonse monga momwe dokotala wanu walangizira, kungathandizenso kupewa ziwengo.

Nazi zina zomwe mungachite:

• Chotsani zotsukira m'nyumba mwanu nthawi zonse: Chotsani zinthu zomwe zimayambitsa ziwengo monga fumbi ndi dander ya nyama.
• Tsekani mawindo nthawi yomwe mungu uli wambiri ndipo gwiritsani ntchito ``Air Conditioner - AC'' ngati n'kotheka.
• Gwiritsani ntchito fyuluta ya `HEPA (High-Efficiency Particulate Air)`: Izi zimathandiza kuchotsa zinthu zomwe zimayambitsa ziwengo mumlengalenga m'nyumba mwanu.
• Gwiritsani ntchito chotenthetsera: Izi zingathandize kuchepetsa kusasangalala ngati minofu ya m'mphuno mwanu yauma.
• Ngati muli ndi vuto la ziweto, chepetsani kuzikhudza, kuzikumbatira, ndi kuzigwiragwira momwe mungathere.
• Valani magalasi a dzuwa ndi chipewa mukatuluka panja: Izi zimathandiza kuteteza maso anu ku mungu.

Kodi muyenera kupita kwa dokotala?

Ngakhale kuti mankhwala oyeretsera khungu (allergy shiners) samayambitsa mavuto aakulu azaumoyo, zizindikiro zina za matenda (monga kutsekeka kwa mphuno ndi kuyabwa) zomwe zimabwera nazo zingakhale zovutitsa pang'ono. Ngati mankhwala oyeretsera khungu (allergy shiners) akukupangitsani kupsinjika maganizo, kapena ngati akusokoneza zochita zanu za tsiku ndi tsiku, muyenera kuonana ndi dokotala. Dokotala wanu akhoza kudziwa chomwe chimayambitsa matenda anu oyeretsera khungu (allergy shiners) ndikulangiza chithandizo chabwino kwambiri.

Kodi ndi liti pamene muyenera kupita ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi vuto la ziwengo ndipo mukupeza zizindikiro za vuto lalikulu la ziwengo (anaphylaxis), monga kupuma movutikira, kutupa pankhope, kapena kukomoka, pitani kuchipatala chapafupi nthawi yomweyo. Izi ndi zadzidzidzi.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi mungadziwe bwanji ngati mabwalo amdima omwe ali pansi pa maso anga ndi chifukwa cha ziwengo?
• Kodi ndi zinthu ziti zomwe zimandipangitsa kuti ndisamamve bwino?
• Kodi mumalimbikitsa mankhwala amtundu wanji?
• Kodi ndiyenera kumwa mankhwala tsiku lililonse, kapena kungomwa kokha ndikakhala ndi vuto la ziwengo?
• Kodi pali zotsatirapo zilizonse zoyipa zomwe zingabwere chifukwa cha mankhwala omwe mumapatsa?
• Kodi ndikufunika kuonana ndi dokotala wa ziwengo? Kodi mungandipangire chimodzi?

Kodi pali kusiyana kotani pakati pa zinthu zowala zomwe zimakhala ndi ma allergy ndi zinthu zoyera zomwe zimakhala ndi ma dark circles pansi pa maso?

Funso limene anthu ambiri amafunsa ndi ili. Zinthu zowala zomwe zimayambitsa ziwengo zimayambitsidwa ndi ziwengo. Izi zikutanthauza kuti mphuno imadzaza, mitsempha yamagazi yozungulira imatupa, ndipo khungu lomwe lili pansi pa maso limakhala lakuda.

Komabe, pakhoza kukhala zifukwa zina zambiri zomwe zimapangitsa kuti pakhale mawanga akuda pansi pa maso. Mwachitsanzo:

• Chimfine chofala.
• Chimfine.
• Matenda a m'mphuno.
• Chikanga.
• Kutupa.
• Kusowa tulo kwa nthawi yayitali.
• Ma polyps a m'mphuno.
• Adenoids yotupa.
• Kusowa madzi m'thupi.
• Zifukwa za majini zomwe zimachokera ku chibadwa.

Choncho, ndi bwino kupita kwa dokotala kuti mudziwe ngati mikwingwirima yakuda yomwe ili pansi pa maso anu imachitika chifukwa cha zinthu zina zomwe zimayambitsa ziwengo kapena china chake.

Pomaliza, zinthu zoti muzikumbukira

Choncho, ma allergy shiner si vuto lalikulu loti muope. Koma angakupangitseni kumva kusasangalala komanso manyazi. Zizindikiro zina za allergy zomwe zimabwera nazo zingakhalenso zokhumudwitsa pang'ono.

Chofunika kwambiri ndikupeza zomwe zili ndi vuto la ziwengo, pewani zinthu zimenezo momwe mungathere, ndikupempha chithandizo choyenera monga momwe dokotala akulangizira.

Ngati mutachita zimenezo, mutha kupeza mpumulo waukulu ku vuto la mawanga akuda pansi pa maso anu. Ngati muli ndi mafunso ena okhudza izi, musachite manyazi ndipo funsani dokotala. Iye adzakuthandizani!

Zinthu zowala ndi ziwengo, mawanga akuda pansi pa maso, ziwengo, udzu wouma, kutsekeka kwa mphuno, zizindikiro za khungu, ziwengo mwa ana