Kodi mumakandanso thupi lanu nthawi zonse ndi ma ming'oma? Kodi awa ndi ma ming'oma omwe sachira? (Ma Chronic Hives) Tiyeni tikambirane za izi!

Kodi munayamba mwaonapo kuti nthawi zina mwadzidzidzi mumakhala ndi ziphuphu zofiira, zoyabwa pang'ono pathupi lanu? Nthawi zina zimayabwa kwambiri, nthawi zina zimapweteka pang'ono. Nthawi zina zimatha pakatha tsiku limodzi kapena awiri, koma kwa anthu ena, ziphuphuzi zimatha kwa milungu kapena miyezi. Umenewo ndi mtundu wa vuto lomwe tikambirane lero.

Ndiye kodi ming'oma yosachiritsika kapena ming'oma yosatha iyi ndi chiyani?

Mwachidule, ma rhinitis osatha amakhala ndi kuyabwa, kufiira, ziphuphu zokwezeka kapena ma grit pakhungu lanu omwe amaonekera kawiri pa sabata. Ma rhinitis amenewa, omwe amatchedwanso kuti 'wheals', amaonedwa kuti ndi 'osatha' kapena 'osatha' akapitirira milungu isanu ndi umodzi .

Mwina munamvapo za vutoli lotchedwa ``Chronic Idiopathic Urticaria.'' Tiyeni timvetse pang'ono zimenezo, sichoncho?

• Matenda Osatha: Chizindikiro kapena vuto lomwe limapitirira ngakhale mutalandira chithandizo. Ndiko kuti, chinthu chomwe sichimachira chokha pakapita nthawi.
• Idiopathic: Chizindikiro kapena vuto lomwe limachitika mwadzidzidzi, popanda chifukwa chomveka. Choyambitsa chenicheni n'chovuta kudziwa.
• Urticaria: Ili ndi dzina lachipatala la ming'oma. Limatchulidwa kuti 'er-ti-care-ree-ya'.

Kodi Urticaria ndi Angioedema ndi chiyani? Kodi pali ubale wotani pakati pa ziwirizi?

Ziphuphu, zomwe zimadziwikanso kuti urticaria, ndi angioedema zimatha kuchitika limodzi. Ziphuphu ndi mabala ofiira kapena mawanga omwe amawoneka pakhungu lanu. Nthawi zina angioedema imatha kuchitika mkati mwa khungu lanu. Kutupa kumeneku kungakhudze nkhope yanu, milomo, pakhosi, m'manja, mapazi, ndi ziwalo zoberekera. Mwachitsanzo, nthawi zina ziphuphu zimatha kutsagana ndi milomo yotupa. Ngati pakhosi panu patupa, zimathanso kupangitsa kuti kupuma kukhale kovuta, choncho ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi kusiyana pakati pa ming'oma yachibadwa ndi ming'oma yosatha ndi kotani?

Ziphuphu zosatha nthawi zambiri zimasiyana ndi "ziphuphu zowopsa" zomwe zimafala kwambiri.

• Ziphuphu Zoopsa: Izi nthawi zambiri zimayamba kutha mkati mwa maola 24 (koma ziphuphu zatsopano zimatha kuoneka). Komabe, nthawi zambiri zimatha kwathunthu mkati mwa masabata asanu ndi limodzi. Izi nthawi zambiri zimachitika chifukwa cha matenda monga kachilombo ka HIV kapena vuto la chakudya.
• Ziphuphu Zosatha: Izi ndi ziphuphu zomwe zimachitika kwa milungu yoposa isanu ndi umodzi, osachepera kawiri pa sabata. Ziphuphu zina zosatha zimatha kukhala miyezi kapena zaka. Chomvetsa chisoni n'chakuti, nthawi zambiri, palibe chifukwa chodziwika. Izi zikutanthauza kuti si chifukwa chakuti mwadya chinthu cholakwika.

Kodi matendawa amatchedwa Chronic Hives ndi ofala bwanji?

Pafupifupi 5% ya anthu padziko lonse lapansi amatha kukhala ndi ming'oma yosatha. Izi zikutanthauza kuti 5% ndi ambiri, sichoncho? Matendawa amatha kufalikira kwa aliyense wazaka zilizonse, mosasamala kanthu za jenda. Komabe , amapezeka kwambiri mwa akazi azaka zapakati pa 30 ndi 50. Chifukwa chenicheni sichikudziwika bwino, koma chingakhale chogwirizana ndi zinthu monga kusintha kwa mahomoni.

Kodi zimayambitsa matenda a ming'oma osatha ndi ziti?

Ndipotu, anthu ambiri omwe ali ndi ming'oma yosatha alibe chifukwa chomveka bwino. Ndicho chimene tinkatcha 'idiopathic'. Kawirikawiri, amayamba chifukwa cha ziwengo za mankhwala ena kapena zakudya zina. Ngati zili choncho, nthawi zambiri amayamba chifukwa cha chakudya chomwe mumadya kapena kumwa nthawi zonse. Mwachitsanzo, anthu ena akhoza kukhala ndi ziwengo ku zosungira kapena mitundu yopangira.

Sikuti anthu ena amatha kudwala malungo pamene kutentha kwa thupi lawo kwasintha mwadzidzidzi, monga kutentha kwambiri, kuzizira kwambiri, kapena kuchita masewera olimbitsa thupi. Nthawi zina, vutoli lingayambitsidwenso ndi kupsinjika kwa khungu komwe kumachitika chifukwa chovala zovala zolimba. Mwachitsanzo, ena amatha kudwala malungo akamasamba ozizira (`cold urticaria`), pomwe ena amatha kudwala malungo akamatuluka thukuta ndi kutentha (`cholinergic urticaria`). Ena amathanso kudwala malungo akamatuluka padzuwa (`solar urticaria`).

Kodi matenda odziteteza ku matenda a autoimmune amayambitsanso ming'oma yosatha?

Inde, n'zotheka. Pafupifupi munthu m'modzi mwa anthu asanu omwe ali ndi ming'oma yosatha, kapena pafupifupi 20%, apezeka kuti ali ndi 'matenda ena a autoimmune'. Ndiko kuti, matenda omwe chitetezo cha mthupi chimaukira maselo a thupi. Pazochitika zotere, thupi limatha kupanga 'ma antibodies' motsutsana ndi maselo ake akhungu, zomwe zimayambitsa zilondazi.

Kuti tipereke zitsanzo zingapo:

• Matenda a Celiac (kusagwirizana ndi mapuloteni a gluten)
• Dermatomyositis (matenda omwe amakhudza khungu ndi minofu)
• Matenda a shuga (makamaka matenda a shuga amtundu woyamba)
• `Lupus`
• Polymyositis (matenda omwe amakhudza minofu)
• Matenda a nyamakazi (kutanthauza kupweteka kwa mafupa)
• Matenda a chithokomiro (makamaka matenda a chithokomiro a Hashimoto)
• Vitiligo (mabala oyera pakhungu)

Ndi matenda ena ati omwe angayambitse ming'oma yosatha?

Mafinya osatha amathanso kuchitika chifukwa cha matenda ena. Ngakhale kuti izi sizofala kwambiri, dokotala adzaganiziranso izi.

• `Phumu`
• Matenda, mwachitsanzo, matenda a bakiteriya monga H. pylori (omwe angayambitsenso zilonda zam'mimba) ndi matenda osatha monga sinusitis.
• `Matenda a chiwindi`
• Mitundu ya khansa yotchedwa `Lymphomas`, yomwe ndi `Hodgkin lymphoma` ndi `non-Hodgkin's lymphoma`
• Vasculitis (kutupa kwa mitsempha yamagazi)

Kodi zizindikiro za Hives Zosatha ndi ziti?

Zilondazi zimatha kuwoneka kulikonse pathupi, ndipo mawonekedwe ake amatha kusiyana malinga ndi munthu. Zilondazi zimatha kubwera m'mitundu yosiyanasiyana komanso kukula kwake. Zina zimatha kukhala zazing'ono ngati mutu wa pini, pomwe zina zimatha kukhala zazikulu ngati mpira wofewa!

Zizindikiro zazikulu za ming'oma yosatha ndi izi:

• Zilonda kapena mabala ofiira, okwera, komanso mwina opweteka kapena otupa pakhungu lanu.
• Kuyeretsa: Izi zikutanthauza kuti pakati pa chithupsacho pamakhala choyera mukachikanikiza. Izi zingagwiritsidwe ntchito kusiyanitsa ndi kulumidwa ndi udzudzu wamba.
• Kukanda kwambiri pakhungu (komwe kumatchedwanso `pruritus`). Kuyabwa kumeneku ndiko kumayambitsa mavuto kwa anthu ambiri, makamaka usiku.
• Kutupa, ndiko komwe tidakambirana kale, komwe kumatchedwa 'angioedema.' Izi zitha kuchitika mozungulira maso, milomo, ndi miyendo.

Ndi dokotala wamtundu wanji amene ndiyenera kupita naye kukaonana ndi ming'oma yosatha?

Pali madokotala angapo omwe angathe kuzindikira ndi kuchiza matenda a ming'oma yosatha iyi:

• Odwala Matenda a Allergy: Chifukwa nthawi zina izi zitha kukhala zokhudzana ndi matenda a allergy.
• Madokotala a khungu: Chifukwa chakuti ali ndi chidziwitso chapadera chokhudza matenda a khungu.
• Dokotala wa banja lanu (madokotala osamalira odwala): Iye akhoza kukuyezani ndi dokotala wodziwa bwino matenda anu ndikukutumizirani kwa katswiri ngati pakufunika kutero.

Kodi matenda a Chronic Urticaria amenewa amawapeza bwanji molondola?

Dokotala wanu akhoza kuzindikira vutoli mwa kufufuza khungu lanu ndikufunsa za zizindikiro zanu, ngati pali wina aliyense m'banja mwanu amene ali ndi matenda ofanana, mankhwala omwe mumamwa, ndi zakudya zomwe mumadya.

Kuti mudziwe chomwe chimayambitsa ming'oma yanu yosatha (kapena kuti mupewe zina zomwe zimayambitsa), mungafunike kuyesedwa kangapo. Mungafunike kuchita chimodzi kapena zingapo mwa izi:

• Kuyesa kwa ziwengo: Kuti muwone ngati muli ndi vuto la `allergen`, kutanthauza kuti, chinthu chomwe chimayambitsa ziwengo. Izi zitha kukhala `kuyeza kobaya pakhungu` kapena kuyeza magazi.
• Kuyezetsa magazi: Yang'anani kuchuluka kwa ma antibodies m'thupi (makamaka kuchuluka kwa IgE), zizindikiro za kutupa, kuchuluka kwa mahomoni a chithokomiro, ndi ma antibodies okhudzana ndi matenda odziteteza ku matenda.
• Kuyesa mkodzo: Kuyang'ana ngati pali matenda a bakiteriya.
• Kufufuza kwa khungu:Kuyezetsa khungu kumachitika kuti atsimikizire kuti matendawa ndi otani komanso kuti apeze zifukwa zina zachilendo, monga vasculitis. Izi nthawi zambiri zimachitika ngati zilondazo ndi zazikulu kwambiri kapena sizikuyankha chithandizo.

Kodi mankhwala a ming'oma yosatha ndi ati?

Mwamwayi, pali mankhwala a ming'oma yosatha iyi. Cholinga chake ndikuchepetsa zizindikiro ndikukuthandizani kukhala ndi moyo wabwinobwino.

• Mankhwala a ziwengo: Mankhwala monga antihistamines, omwe angatengedwe tsiku lililonse, ogulitsidwa kunja kwa chipatala (OTC) kapena olembedwa ndi dokotala, angathandize kuchepetsa kuyabwa ndikuchepetsa kapena kupewa ziwengo. Nthawi zina, dokotala wanu angakupatseni mlingo wokwera kuposa masiku onse.
• Jakisoni wa ziwengo: Omalizumab (Xolair®) ndi jakisoni wa mwezi uliwonse womwe umaletsa kupanga kwa puloteni yotchedwa Immunoglobulin E (IgE) m'thupi. Anthu omwe ali ndi ziwengo zazikulu amatha kupanga IgE yambiri, zomwe zingayambitse mavuto monga ziphuphu zosatha komanso mphumu. Ngakhale kuti iyi ndi njira yokwera mtengo, ndi yothandiza kwambiri kwa anthu omwe sanayankhe mankhwala ena.
• Ma Steroid: Ma Corticosteroids, monga Prednisone (Deltasone®, Rayos®), amatha kuletsa mwachangu zizindikiro zomwe sizinayankhe mankhwala ena, makamaka kuphulika kwakukulu. Komabe, izi siziyenera kugwiritsidwa ntchito nthawi zonse ndipo ziyenera kugwiritsidwa ntchito kwa kanthawi kochepa, monga momwe dokotala wanenera. Kugwiritsa ntchito nthawi yayitali kungayambitse zotsatirapo zoyipa.
• Hydroxychloroquine: Kafukufuku wina adapeza kuti anthu asanu ndi atatu mwa khumi omwe ali ndi ming'oma yosatha yomwe imayamba chifukwa cha matenda odziteteza okha adachepetsa zizindikiro atamwa mankhwala a malungo a hydroxychloroquine (Plaquenil®) kwa miyezi itatu kapena kuposerapo.
• Cyclosporine: Iyi ndi mankhwala oletsa chitetezo chamthupi. Ndi othandiza kwambiri pochiza ming'oma yoopsa kwambiri. Komabe, ingayambitse mavuto aakulu ikamwedwa kwa nthawi yayitali, choncho iyenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala.

Chofunika kwambiri ndikulankhula ndi dokotala ngati chithandizochi chili choyenera kwa inu komanso nthawi yomwe muyenera kumwa. Musamangomwa mankhwala okha.

Kodi mungachite chiyani kunyumba kuti mupeze mpumulo ku zizindikiro izi?

Inde, mutha kuyesa zinthu izi kunyumba kuti muchepetse kuyabwa ndi kutupa:

• Pakani kirimu woletsa kuyabwa wochokera ku pharmacy. Mutha kugwiritsa ntchito zinthu monga calamine lotion.
• Ikani ma compress ozizira oviikidwa m'madzi ozizira pa ziphuphu kangapo patsiku (koma kumbukirani, musachite izi ngati ziphuphu zikukulirakulira chifukwa cha chimfine - kutanthauza ngati muli ndi `cold urticaria`).
• Sambani ndi madzi ozizira kapena kusamba ndi madzi otentha. Kusamba ndi madzi otentha kungapangitse kuyabwa kwambiri.
• Thirani mafuta odzola pakhungu louma ndi mafuta odzola omwe samayambitsa ziwengo. Sankhani mafuta odzola osavuta komanso osanunkhira.
• Valani zovala zomasuka zopangidwa ndi thonje lofewa zomwe sizingakwiyitse khungu lanu. Kuvala zovala zolimba kungapangitse vutoli kukhala loipa kwambiri. Pewani kuvala zovala zopangidwa ndi nsalu zokwawa monga ubweya.
• Pewani kukanda kwambiri momwe mungathere. Ngakhale kukanda kungapereke mpumulo kwakanthawi, kungathe kuwononga khungu ndikupangitsa kuwonongeka kwina.

Kodi ming'oma imeneyi imatha kukhalapo kwa zaka zambiri?

Pafupifupi theka, kapena 50%, ya anthu omwe ali ndi ming'oma yosatha, ming'oma yawo imatha mkati mwa chaka chimodzi (nthawi zambiri popanda chithandizo). Ena 20% adzatha mkati mwa zaka zisanu. Koma kwa anthu ena, imatha kupitirira nthawi. Chithandizo cha ming'oma ya nthawi yayitali chingathandize kuchepetsa zizindikiro. Choncho musadandaule, pali mankhwala.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi vuto lililonse mwa izi, pitani kwa dokotala:

• Ngati kuvulala kapena kutupa kumatenga nthawi yoposa sabata imodzi.
• Ngati chilondacho chikuwoneka ngati chadwala (monga chofiira, chotupa, chodzaza mafinya, kapena chili ndi malungo).
• Ngati ululuwo umabwereranso miyezi ingapo iliyonse.
• Ngati mukanda khungu lanu mosapiririka, likhoza kusokoneza kugona kwanu komanso zochita zanu za tsiku ndi tsiku.
• Ngati mukuvutika kupuma, mukumva ngati pakhosi panu pakupanikizidwa, kapena mukumva chizungulire, ndi vuto ladzidzidzi. Pitani kuchipatala nthawi yomweyo.

Kodi ndifunse dokotala chiyani?

Ndi bwino kufunsa mafunso awa mukapita kwa dokotala wanu:

• Kodi n’chiyani chimayambitsa ming’oma yosatha iyi? Kapena, kodi mukuganiza kuti n’chiyani chingayambitse ming’oma imeneyi?
• Kodi ming'oma yosatha iyi idzachira liti?
• Kodi ndiyenera kuyesedwa kuti ndione ngati pali vuto la ziwengo?
• Kodi chithandizo chabwino kwambiri cha ming'oma imeneyi ndi chiyani?
• Kodi mankhwala abwino kwambiri ochepetsera kuyabwa ndi ati?
• Kodi pali zotsatirapo zilizonse pa mankhwalawa?
• Ndi mavuto ati omwe ndiyenera kuda nkhawa nawo?
• Kodi ndikufunika kusintha zakudya ndi moyo wanga?

Kodi matenda a mphuno obwera chifukwa cha kupsinjika maganizo kapena nkhawa?

Ndipotu, kupsinjika maganizo ndi nkhawa zimatha kuipitsa matenda a khungu. Izi zikutanthauza kuti, kupsinjika maganizo kumatha kuipitsa khungu komanso kuyabwa kwambiri. Chifukwa chake, nthawi zina mankhwala oletsa nkhawa angathandize. Muthanso kupindula ndi zinthu monga kusinkhasinkha, kusamala, yoga, komanso kugona mokwanira kuti mukhazikitse mtima wanu. Kumbukirani, maganizo osangalala ndi ofunikira kwambiri kuti thupi lanu likhale ndi thanzi labwino.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi? (Uthenga Wopita Nawo Kunyumba)

Matenda a hives osatha (Chronic Urticaria) amatha kuyabwa kwambiri komanso kusasangalatsa. Nthawi zina mungakhumudwe ndi mawonekedwe anu. Ngakhale madokotala nthawi zambiri sadziwa chomwe chimayambitsa matenda a hives osatha, mankhwala monga antihistamines, steroids, komanso nthawi zina ngakhale mankhwala oletsa chitetezo chamthupi angathandize. Palinso zinthu zomwe mungachite kunyumba kuti muchepetse kuyabwa ndi kutupa.

Chofunika kwambiri ndichakuti kwa anthu ambiri, ming'oma yosatha imatha yokha pakapita nthawi (mwina ngakhale patatha chaka chimodzi kapena kuposerapo). Choncho khalani olimba mtima ndipo tsatirani malangizo a dokotala wanu. Simuli nokha, ndipo pali madokotala omwe angakuthandizeni kuthetsa vutoli. Pali mankhwala omwe angakuthandizeni kukhala ndi moyo wabwino.

Ziphuphu , ziphuphu zosatha, urticaria, matenda a pakhungu, kuyabwa, ziwengo, angioedema