Kodi mumapezanso madontho ofiira pathupi lanu mukamatuluka thukuta kapena kutentha? Izi ndi zokhudza (Cholinergic Urticaria)!

Kodi nthawi zina mumakhala ndi mawanga ang'onoang'ono, ofiira, komanso oyabwa pathupi lanu mukamachita masewera olimbitsa thupi, kapena mukatuluka padzuwa, kapena mwina mutadya chakudya chokometsera ndi thukuta? Ndizachibadwa kumva mantha pang'ono zikachitika. Kwa ena, izi zitha kuchitika kawirikawiri. Lero, tiyeni tikambirane za zomwe izi zimatchedwa zachipatala, chifukwa chake zimachitika, ndi zomwe zingachite pa izi.

Kodi ichi ndi chiyani (Cholinergic Urticaria)? Tiyeni timvetse mosavuta!

Mwachidule, Cholinergic Urticaria ndi mtundu wa ziphuphu zofiira, zokwezeka, komanso zoyabwa zomwe zimawonekera pamwamba pa khungu lanu kutentha kwa thupi lanu kukakwera ndipo mumayamba kutuluka thukuta. Izi kwenikweni ndi zomwe zimachitika chifukwa cha chitetezo cha mthupi lanu. Zili ngati thupi lanu likukumana ndi vuto la kutentha. Anthu ena amatchanso "matumphuka a kutentha" kapena "matumphuka a kutentha," zomwe zikutanthauza ziphuphu zotentha kapena ziphuphu zotuluka thukuta.

Matendawa angachitike kwa aliyense, koma nthawi zambiri zizindikirozi zimayamba kuwonekera kwa achinyamata azaka zapakati pa 10 ndi 30.

Mawu akuti "cholinergic" amatanthauza mankhwala omwe amatumizidwa mu dongosolo lathu la mitsempha otchedwa acetylcholine (Ach). Izi zimatulutsidwa ndi dongosolo lathu la mitsempha la parasympathetic. "Urticaria" ndi dzina lachipatala la mitundu iyi ya ziphuphu pakhungu .

Kodi vutoli (Cholinergic Urticaria) limapezeka mwa anthu ambiri?

Inde, si zachilendo monga momwe mungaganizire. Tangoganizirani, pafupifupi munthu m'modzi mwa asanu adzayamba kudwala ming'oma nthawi ina m'miyoyo yawo. Cholinergic Urticaria ndi matenda omwe amayambitsa ming'oma yomwe imayamba chifukwa cha zinthu zakuthupi (monga kutentha, kuzizira, kapena kupsinjika maganizo). Pafupifupi 7% ya anthu omwe ali ndi ming'oma yomwe imakhalapo kwa nthawi yoposa milungu isanu ndi umodzi, kapena ming'oma yosatha, ali ndi vutoli. Chifukwa chake ngati izi zikukuchitikirani, dziwani kuti simuli nokha.

Nchifukwa chiyani timapeza Cholinergic Urticaria?

Akatswiri sakudziwabe chomwe chimayambitsa izi. Koma pali lingaliro limodzi lalikulu. Ndiko kuti, izi zimachitika chifukwa cha ntchito ya dongosolo lathu la mitsempha ya cholinergic. Umu ndi momwe zimaganiziridwa kuti zimachitika:

1. Kutentha kwa thupi lanu kukakwera, mumayamba kutuluka thukuta. Izi ndi zachilendo ndipo zimathandiza thupi lanu kuzizira.

2. Poyankha izi, dongosolo lanu la mitsempha limatulutsa mankhwala otchedwa ``acetylcholine'' kuchokera kumapeto kwa mitsempha pafupi ndi pamwamba pa khungu lanu.

3. Pamene `(acetylcholine)` iyi ikakhudza khungu lanu, imayambitsa khungu, zomwe zimayambitsa ziwengo, zomwe zimayambitsa kuyabwa (ziphuphu) ndipo nthawi zina kutupa.

Mwachidule, zimakhala ngati khungu lanu limakhudzidwa pang'ono ndi mankhwala omwe amatuluka mukamwa thukuta.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Cholinergic Urticaria?

Chinthu choopsa ndi chinthu chomwe chimawonjezera mwayi wokhala ndi vuto. Ngati muli ndi ming'oma yosatha, muli ndi mwayi waukulu wopeza Cholinergic Urticaria. Komanso:

• Ngati muli ndi vuto la "Allergy rhinitis (hay fever)" (lomwe ndi vuto lofanana ndi hay fever) .
• Ngati muli ndi `(Asthma)` .
• Ngati muli ndi eczema .
• Ngati wina m'banja mwanu ali ndi mbiri ya Cholinergic Urticaria kapena matenda osatha a hives .
• Hyperhidrosis ndi vuto lomwe limapangitsa kuti munthu atuluke thukuta kwambiri kuposa masiku onse .

Sikuti aliyense amene ali ndi zinthuzi adzapeza izi, koma chiopsezo chake ndi chachikulu pang'ono.

Kodi ndi zinthu ziti zomwe zimayambitsa mawanga awa?

Chodabwitsa n'chakuti, mwa anthu pafupifupi asanu ndi anayi mwa khumi, chifukwa chachikulu cha malo otupa a cholinergic awa ndi kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi. Kupatula apo, palinso zifukwa zina zingapo:

• Nkhawa ndi mantha kapena mantha osamveka bwino.
• Mukakwiya, mwachisoni, kapena mwakhumudwa.
• Mukachoka mwadzidzidzi pamalo ozizira kupita ku chipinda chofunda kapena kulowa mu dzuwa lotentha panja.
• Chifukwa ukakhala ndi malungo, thupi lako limatentha.
• Nyengo yotentha, makamaka masiku a dzuwa monga ku Sri Lanka.
• Zinthu monga malo osambira otentha, ma sauna, ndi malo osambira otentha.
• Mukadya zakudya zokometsera, chifukwa zimapangitsa thupi lanu kutentha komanso thukuta.
• Kupsinjika maganizo.
• Zingakhalenso chifukwa cha mabandeji osalowa mpweya ndi madzi omwe amagwiritsidwa ntchito kuphimba bala kuti mpweya ndi madzi zisalowe.

Kodi zizindikiro za Cholinergic Urticaria ndi ziti?

Matumbo a kutentha nthawi zambiri amayamba kuwonekera mkati mwa mphindi zochepa kuchokera pamene mukutuluka thukuta. Amatha kukhala kwa mphindi 20 mpaka 30. Koma anthu ena amakhala nawo kwa nthawi yoposa ola limodzi. Kawirikawiri amapezeka m'manja, pankhope, ndi pachifuwa.

Madontho awa angawoneke ngati tinthu tating'onoting'ono tofiira pamwamba pa khungu lofiira (erythema). Kapena, madontho ang'onoang'ono awa angagwirizane ndikupanga ma welts akuluakulu komanso okwera.

Kodi thupi lanu limamva bwanji madontho awa akaonekera?

Munthu amene ali ndi Cholinergic Urticaria angakumane ndi zizindikiro zotsatirazi pamene madontho awa akuwonekera:

• Kuyabwa kwambiri.
• Kumva kutentha.
• Zikumveka ngati kunjenjemera.
• Zimamveka zotentha mukakhudza.

Kodi pali zizindikiro zina zomwe zingatsagane ndi mawanga awa?

Izi zimachitika kawirikawiri, zomwe zikutanthauza kuti sizichitika kwa aliyense, koma anthu ena amatha kuwona zizindikiro monga izi pamodzi ndi Cholinergic Urticaria:

• Kutulutsa madzi.
• Kukomoka (syncope).
• Mutu.
• Kugunda kwa mtima.
• Kuvuta kupuma (kupuma movutikira).
• Kusadya bwino kapena kutsegula m'mimba.
• Kupuma movutikira.

Ngati mukukumana ndi mawanga omwe ali ndi zizindikiro izi, ndikofunikira kukaonana ndi dokotala kuti akupatseni upangiri.

Kodi dokotala amazindikira bwanji vutoli (Cholinergic Urticaria)?

Ngati dokotala akuganiza kuti muli ndi ziphuphu pa kutentha, mwina adzakutumizani kwa dokotala wa ziwengo kapena dermatologist . Adzafufuza khungu lanu ndikumvetsera mosamala zizindikiro zanu.

Angathenso kuchita mayeso ena monga awa:

• Mayeso olimbitsa thupi: Amakupangitsani thukuta pothamanga pa treadmill, kukwera njinga yosasuntha, kapena kugwiritsa ntchito zida zina.
• Mankhwala ochepa otchedwa ``(methacholine)'' amabayidwa kuti awone momwe thupi lanu limayankhira mankhwala a cholinergic.
• Mayeso otenthetsera thupi: Kutentha kwa thupi lanu kumawonjezeka mwa kukhala mu chidebe chotentha kwa kanthawi kapena mwa kukhala m'chipinda chotentha.

Mayeso awa ndi njira yokhayo yotsimikizira ngati muli ndi Cholinergic Urticaria kapena china chake.

Kodi n’chiyani chingachitike kuti tipeze mpumulo ku vutoli (Cholinergic Urticaria)?

Pali nkhani yabwino! Mukakula, kuopsa kwa vutoli (Cholinergic Urticaria) komanso kuchuluka kwa ma hives kungachepe. Lingathe kutha kwathunthu mkati mwa zaka zingapo. Mpaka nthawi imeneyo, dokotala wanu angakulangizeni mankhwala ngati awa kuti akuthandizeni kuthana ndi zizindikiro zanu:

• Mankhwala oletsa kuyabwa: Awa ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochepetsa kuyabwa ndi ziphuphu.
• Mankhwala ena operekedwa a mphumu.
• Mankhwala ena ochepetsa kuthamanga kwa magazi.
• Mankhwala oletsa kutupa ndi mankhwala omwe amachepetsa thukuta.

Dokotala wanu adzasankha chithandizo chomwe chili chabwino kwa inu.

Kodi izi (Cholinergic Urticaria) zingayambitse mavuto ena?

Izi zimachitika kawirikawiri, koma nthawi zina vuto lalikulu la ziwengo lotchedwa ``anaphylaxis'' limatha kuchitika mukamachita masewera olimbitsa thupi (Cholinergic Urticaria).Anaphylaxis ndi matenda omwe amaika moyo pachiswe chifukwa njira zopumira zimatupa, zomwe zimapangitsa kuti zikhale zovuta kupuma.

Ngati izi zikuchitikirani inu kapena munthu amene mumamudziwa, imbani 1990 Suwaseriya Ambulance Service nthawi yomweyo kapena pitani kuchipatala mwamsanga. Ngati mukudziwa kuti muli pachiwopsezo chokhala ndi vuto lalikulu la ziwengo, ndi bwinonso kunyamula `(epinephrine injector (EpiPen®))` nanu. Lankhulani ndi dokotala wanu za izi ndikupempha upangiri.

Kodi vutoli (Cholinergic Urticaria) limatenga nthawi yayitali bwanji?

Cholinergic Urticaria nthawi zambiri imachepa pakapita nthawi, nthawi zina ngakhale kwathunthu. Pafupifupi 15% ya anthu omwe ali ndi vutoli amachira kwathunthu ku zizindikiro zawo. Choncho musadandaule.

Kodi Cholinergic Urticaria ingapewedwe kotheratu?

Kunena zoona, simungathe kuletsa thukuta kapena kutentha kwathunthu. Ndi njira yachilengedwe yomwe imathandiza matupi athu kuziziritsa ndikuwongolera kutentha kwawo. Komanso, si bwino kusiya kuchita masewera olimbitsa thupi, kutanthauza kuchita masewera olimbitsa thupi, chifukwa ndicho chomwe chimatithandiza kukhala athanzi.

Komabe, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi ziphuphu za kutentha:

• Chepetsani zakudya zokometsera momwe mungathere.
• Ngati mukuchita masewera olimbitsa thupi, sankhani nthawi yomwe kutentha kwakunja kumakhala kotsika, monga m'mawa kwambiri kapena madzulo.
• Pezani njira zabwino zothetsera nkhawa ndi nkhawa. Mwina kusinkhasinkha kapena yoga zingakuthandizeni.
• Mukamasamba, gwiritsani ntchito madzi ofunda, osati otentha.
• Valani zovala zomasuka, zopepuka, komanso zochotsa thukuta. Nsalu monga thonje ndi zabwino kwambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala ngati muwona chilichonse mwa izi:

• Ngati matuza kapena mawanga m'thupi lanu akuoneka kuti ali ndi kachilombo (monga ngati ali ndi mafinya ndipo akuwawa kwambiri akakhudza).
• Ngati mawangawo akuyenda ndi kutupa.
• Ngati muli ndi ziphuphu pakhungu lanu popanda chifukwa chomveka.
• Ngati mukanda kwambiri moti simungathe kupirira.
• Ngati mukuvutika kupuma kapena mukumva kutopa.
• Ngati mukuona zizindikiro za `(Anaphylaxis)` (ngati izi zitachitika, imbani 1990 nthawi yomweyo).

Kodi ndifunse dokotala wanga chiyani?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi ndi chifukwa chiyani ndili ndi vutoli (Cholinergic Urticaria)?
• Kodi ndingachepetse bwanji chiopsezo chotenga ziphuphu pa kutentha?
• Ndi njira iti yothandizira yomwe ndi yabwino kwa ine?

Kodi kusiyana pakati pa 'Heat Rash' ndi Cholinergic Urticaria ndi kotani?

Matuza a kutentha, omwe amadziwikanso kuti kutentha koopsa kapena miliaria, ndi vuto lina la pakhungu lomwe limayamba chifukwa cha kutentha. Ndi mtundu wa matenda a kutentha. Amayamba pamene thupi silingathe kudziziziritsa bwino chifukwa cha thukuta chifukwa cha kutentha kwambiri komanso chinyezi. Matuza a kutentha angakhalenso chizindikiro cha matenda oopsa a kutentha, monga kutopa ndi kutentha kapena kutentha kwambiri.

Cholinergic Urticaria ndi matenda omwe amayambitsa kusasangalala. Komabe, pokhapokha ngati atakhala oopsa, monga anaphylaxis, nthawi zambiri si chizindikiro cha matenda oopsa a kutentha, monga kutentha.

Pomaliza, zomwe muyenera kukumbukira! (Uthenga Wopita Nawo Kunyumba)

Cholinergic Urticaria sikuyenera kukuletsani kuchita zinthu zanu za tsiku ndi tsiku, kuchita masewera olimbitsa thupi, kapena kusangalala ndi nyengo yotentha. Dokotala wanu angakuthandizeni kupeza chomwe chimayambitsa zizindikiro zanu. Ngati muli ndi Cholinergic Urticaria, pali mankhwala omwe angathandize. Nthawi zambiri ming'oma imatha yokha pasanathe ola limodzi. Mukakula, ming'oma iyi ikhoza kukhala yakale.

Choncho, khalani olimba mtima, funsani upangiri wofunikira wachipatala, ndipo mutha kukhala bwino ndi vutoli!

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