Kodi mwadzidzidzi munayamba mwakhala ndi ma welt ofiira komanso oyabwa m'thupi lanu omwe mumayenera kuwakanda kwambiri? Patapita kanthawi, amasowa pamalo amodzi ndikubwereranso pamalo ena. Ngakhale izi ndi zachilendo kwa anthu ambiri, nthawi zina zimakhala zovuta pang'ono. Lero tikulankhula za welt iyi, kapena monga momwe madokotala amatchulira, Urticaria.
Kodi urticaria ndi angioedema ndi chiyani?
Mwachidule, Urticaria ndi mtundu wa mawanga ofiira kapena mawanga omwe amaonekera mwadzidzidzi pamwamba pa khungu. Nthawi zambiri timatcha izi "ming'oma." Mawangawa amayabwa kwambiri, ndipo nthawi zina amamva ngati ululu woyaka kapena wopweteka.
Tangoganizani, madonthowa amatha kuwonekera kulikonse pathupi. Angawonekere pankhope, pamilomo, pa lilime, pakhosi, komanso ngakhale m'makutu. Chinthu chapadera pa izi ndichakuti madonthowa sapezeka pamalo amodzi kwamuyaya. Angathe kuzimiririka kwathunthu pamalo amodzi mkati mwa maola ochepa ndikuonekeranso pamalo ena pathupi. Kwa anthu ena, angawonekere kamodzi kokha m'moyo wawo ndipo sadzabweranso. Koma kwa ena, amapezeka mobwerezabwereza.
Zilonda zimenezi zimatha kukula kuyambira kukula kwa chofufutira pensulo mpaka kukula kwa mbale ya chakudya chamadzulo, ndipo zimatha kugwirizana kuti zikhale ma plaque akuluakulu.
Tsopano tiyeni tiwone chomwe Angioedema ndi. Izi ndi zosiyana pang'ono ndi ming'oma. Apa, kutupa sikuchitika pamwamba pa khungu, koma pansi pa khungu . Kumawonekera kwambiri mozungulira maso ndi milomo . Nthawi zina kutupa kwakukulu kumeneku kungachitikenso m'manja, mapazi, ndi ziwalo zoberekera. Kutupa kumeneku nthawi zambiri kumachepa mkati mwa maola 24, koma nthawi zina kumatha nthawi yayitali.
Ngakhale kuti sizichitika kawirikawiri, angioedema ya pakhosi, lilime, kapena mapapo ingayambitse kutsekeka kwa mpweya komanso kuvutika kupuma. Imeneyi ndi vuto lalikulu komanso lofunika kwambiri.
N’chifukwa chiyani izi zikuchitika kwa ife? Kodi zifukwa zake ndi ziti?
Matenda a ziwengo , mankhwala omwe amapezeka muzakudya zina, kulumidwa ndi tizilombo, kuwala kwa dzuwa, ndi mankhwala ena zimapangitsa maselo a thupi lathu kutulutsa mankhwala otchedwa histamine . Histamine iyi imapangitsa kuti magazi a m'magazi atuluke m'mitsempha yaying'ono yamagazi pakhungu. Ndicho chimene timachitcha Urticaria (hives) kapena Angioedema (kutupa).
Koma kunena zoona, nthawi zambiri, ngakhale madokotala sangapeze chifukwa chenicheni cha izi.Timachitcha kuti Idiopathic Urticaria.
| Mtundu waukulu | Kufotokozera ndi zifukwa zazikulu |
|---|---|
| Urticaria yoopsa (yomwe imayamba mwadzidzidzi) | Izi zimatenga milungu yosakwana 6. Zomwe zimayambitsa kwambiri ndi zakudya (cashews, mtedza, nsomba, tomato, mazira, mkaka), mankhwala (NSAIDs monga aspirin, ibuprofen), ziwengo za latex, ndi matenda osiyanasiyana. |
| Urticaria yosatha (vuto lomwe limatenga nthawi yayitali) | Izi zimatha kwa milungu yoposa 6. Kupeza chomwe chikuyambitsa matendawa n'kovuta kwambiri kuposa Acute Urticaria. Nthawi zina matendawa amatha chifukwa cha vuto la chitetezo chamthupi, matenda omwe akhalapo kwa nthawi yayitali, kapena mavuto a mahomoni. |
| Urticaria ya thupi (chifukwa cha zinthu zakuthupi) | Zimayambitsidwa ndi kusonkhezera khungu mwachindunji. Zitsanzo: kuzizira kwambiri, kutentha, kuwala kwa dzuwa, kugwedezeka, kupanikizika (monga lamba wolimba), thukuta, ndi kuchita masewera olimbitsa thupi. |
| Kujambula pakhungu (dermatographism) | Mtundu uwu ndi wachilendo kwambiri. Khungu likakanda mwamphamvu, ngati kuti ndi msomali, limapanga chilonda pamalo okanda. Tanthauzo la dzinali ndi "kulemba pakhungu." |
| Angioedema ya Cholowa | Uku ndi kutupa kowawa komanso kotupa m'thupi. Uku ndi vuto losowa lomwe lingathe kufalikira m'mabanja kuchokera ku mibadwomibadwo. |
Kodi dokotala amapeza bwanji izi?
Mukapita kukaonana ndi dokotala, adzakufunsani mafunso ambiri. Adzayesa kupeza chifukwa chake mwa kukufunsani zambiri, monga ngati munadya chinthu chachilendo zizindikiro zisanawonekere, ngati munamwa mankhwala aliwonse, nthawi yomwe mwawamwa, komanso nthawi yomwe amakula kwambiri.
Kuphatikiza apo, adzayesedwa thupi. Kuyezetsa khungu kapena magazi kungachitikenso kuti aone ngati muli ndi vuto lililonse la ziwengo.
Kodi mankhwala ochizira izi ndi otani?
Gawo loyamba komanso labwino kwambiri ndikupeza chomwe chikuyambitsa matendawa ndikuchipewa . Mwachitsanzo, ngati muli ndi chitsimikizo kuti chakudya china chake chikuyambitsa zizindikiro zanu, chinthu chabwino kwambiri kuchita ndikupewa chakudyacho. Koma monga tanenera kale, kupeza chomwe chikuyambitsa matendawa sikophweka nthawi zonse.
Dokotala wanu nthawi zambiri amakupatsirani piritsi lotchedwa antihistamine . Izi zimagwira ntchito poletsa ntchito ya histamine ndikuchepetsa kuyabwa ndi kutupa.
Pa vuto losatha, dokotala wanu angakupatseni mankhwala ophatikizika a antihistamines kapena mankhwala ena, monga steroids, tsiku lililonse.
Pakagwa vuto ladzidzidzi komanso lalikulu, monga angioedema yomwe imavuta kupuma, jakisoni wa epinephrine (adrenaline) kapena jakisoni wa steroid angafunike kuperekedwa kuchipatala.
Zinthu 7 zosavuta zomwe mungachite kunyumba kuti muchepetse ululu
Mukhoza kuyesa zinthu izi mpaka mabala ndi kutupa zitatha:
- Musasambe ndi madzi otentha. Gwiritsani ntchito madzi ofunda. Madzi otentha angapangitse kuyabwa kwambiri.
- Gwiritsani ntchito sopo wofewa womwe ulibe fungo lamphamvu.
- Ikani nsalu yoviikidwa m'madzi ozizira kapena paketi ya ayezi (yokulungidwa mu nsalu) pamalo okhudzidwawo.
- Yesani kugona m'chipinda chozizira momwe mungathere.
- Valani zovala zopepuka komanso zopepuka za thonje zomwe sizili zolimba.
- Pakani mafuta odzola omwe dokotala wanu wakupatsani kapena china chake chonga "Calamine lotion" kuti muchepetse kuyabwa.
- Pakani mafuta odzola opanda fungo kangapo patsiku kuti khungu lisaume.
Kodi ndiyenera kupita kwa dokotala nthawi yomweyo liti?
Iyi ndi gawo lofunika kwambiri m'nkhaniyi. Ngati muli ndi zizindikiro zotsatirazi kuwonjezera pa mabala kapena kutupa, ndi vuto ladzidzidzi . Pitani kuchipatala chapafupi mwamsanga.Pitani ku Chipinda Chothandizira Padzidzidzi (ETU).
- Ngati mukumva chizungulire
- Ngati mupanga phokoso la mluzu mukapuma (kupuma movutikira)
- Ngati mukuvutika kupuma
- Ngati mukumva kupsinjika pachifuwa
- Ngati lilime lanu, milomo, kapena nkhope yanu yatupa mwadzidzidzi
Zizindikiro zimenezi zimasonyeza kuti mpweya wotuluka m'mapapo ukhoza kutsekeka. Choncho, musakhale panyumba nthawi ngati iyi, pitani kuchipatala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Urticaria (matenda a urticaria) ndi matenda ofala, koma nthawi zina amatha kukhala oopsa.
- Angioedema ndi kutupa kwakukulu komwe kumachitika pansi pa khungu. Samalani kwambiri ndi kutupa kumeneku komwe kumachitika mozungulira milomo ndi maso.
- Ngati mungathe kupeza chomwe chikuyambitsa, pewani. Musadandaule ngati simungathe kuchipeza, nthawi zambiri zimakhala choncho.
- Gwiritsani ntchito mankhwala oletsa kuyabwa ndi kutupa omwe dokotala wanu wakupatsani.
- Chofunika kwambiri: Ngati muli ndi zizindikiro monga kupuma movutikira, kulimba pachifuwa, kutupa kwa lilime kapena nkhope, ndi vuto ladzidzidzi. Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
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