Kodi mwadzidzidzi mumayamba kutupa ngati ziphuphu m'thupi lanu n'kuyabwa? Tiyeni tiphunzire bwino lomwe kuti ziphuphu ndi chiyani!

Kodi munayamba mwaonapo kuti mwadzidzidzi ziwalo zina za thupi lanu zimakhala zofiira, kutupa pang'ono, ndipo nthawi zina zimakhala ndi ziphuphu zazikulu, zoyabwa? Nthawi zina izi zimawonekera ndikutha pakapita nthawi yochepa, ngakhale maola ochepa. M'chinenero chathu timatcha izi ndi mayina monga 'hives' kapena 'urticaria'. Kotero lero tikambirana za ming'oma iyi, kapena yomwe imadziwika kuti Urticaria, kapena mu Chingerezi , ming'oma .

Kodi "Hives" izi ndi chiyani? Mwachidule...

Ziphuphu ndi ziphuphu zofiira (timazitcha kuti eczema) kapena mawanga omwe amawonekera pamwamba pa khungu lanu. Izi kwenikweni ndi mtundu wa kutupa komwe kumachitika pamwamba pa khungu lanu. Izi zimachitika thupi lanu likakumana ndi vuto la ziwengo chifukwa cha chinthu china. Tsopano mwina mukudabwa kuti ziwengo ndi chiyani. Thupi lathu lili ndi chitetezo chamthupi . Izi ndi zomwe zimatiteteza ku matenda. Chifukwa chake, mapuloteni ena (omwe timawatcha kuti allergen) omwe ndi owopsa kwa anthu ena koma osati kwa anthu ambiri akalowa m'thupi, chitetezo chamthupi chimagwira ntchito motsutsana nawo. Pamenepo ndi pomwe mitundu iyi ya ziphuphu imawonekera.

Mafinya amenewa amayabwa kwambiri akaonekera. Nthawi zina amamva ngati ululu woyaka kapena wopweteka. Amatha kukhala ang'onoang'ono ngati nsonga ya chala chanu, kapena amatha kufalikira ngati mbale yayikulu. Madokotala amatcha izi kuti ming'oma ``Urticaria``` .

Nthawi zina ziphuphu zimenezi zimatha kugwirizana ndikupanga mabala akuluakulu otchedwa plaques . Nthawi zambiri, ziphuphu zimatha mkati mwa maola 24, koma nthawi zina zimatha kuwoneka kwa masiku angapo kapena kuposerapo.

Kodi pali mitundu ikuluikulu ya ming'oma?

Inde, pali mitundu ikuluikulu ingapo ya maswiti a nyongolotsi. Tiyeni tiwone zomwe zili.

Urticaria yoopsa

Mitundu ya mphutsi iyi ndi yomwe anthu ambiri amadwala. Mitundu ya mphutsi imeneyi imakhala yosakwana milungu isanu ndi umodzi . Imabwera mwadzidzidzi ndipo imatha pakatha masiku ochepa.

Urticaria Yosatha

Imeneyi ndi vuto lovuta pang'ono. Ngati nyongolotsi izi zimawonekera kawiri pa sabata kwa milungu yoposa isanu ndi umodzi , zimagwera m'gulu ili. Anthu ena amavutika ndi nyongolotsi kwa miyezi kapena zaka.

Zilonda za nthawi yayitali izi nthawi zina sizimakhala ndi chifukwa chomveka bwino . M'mikhalidwe yotereyi, imatchedwa chronic spontaneous urticaria . Kale, imatchedwanso chronic idiopathic urticaria . "Idiopathic" amatanthauza kuti chomwe chimayambitsa sichikudziwika.

Urticaria Yathupi

Uwu ndi mtundu wapadera. Anthu ena amadwala malungo akamakumana ndi kuzizira, kutentha, kapena kuwala kwa dzuwa, ndipo ena amadwala malungo akamamva kugwedezeka kapena kupanikizika pakhungu lawo, kuchita masewera olimbitsa thupi, kapena thukuta. Izi zimatchedwa malungo enieni kapena urticaria yotupa . Nthawi zambiri zimawonekera mkati mwa ola limodzi atakumana ndi chinthu chofunikira. Mtundu uwu nthawi zina ungakhalenso wa nthawi yayitali. Tangoganizirani, pali anthu ena omwe, ngakhale atakhudza pang'ono ndi manja awo, malowo amatupa ndikukhala ofiira. Izi zitha kukhala za mtundu uwu.

Kodi kusiyana pakati pa ziphuphu ndi ziphuphu wamba ndi kotani?

Ichi ndi chinthu chomwe anthu ambiri amasokoneza. Ziphuphu ndi vuto lililonse losazolowereka lomwe limapezeka pakhungu. Izi zikutanthauza kuti, lingakhale chilichonse kuyambira mawanga, kutupa, kuyabwa, kufiira, ndi zina zotero. Ziphuphu ndi mtundu wa ziphuphu . Koma si ziphuphu zonse zomwe zimakhala ziphuphu. Monga momwe si zipatso zonse zomwe zimakhala mango, koma mango ndi mtundu wa zipatso.

Ndani amene ali ndi mwayi waukulu wopeza ming'oma?

Ndipotu, aliyense akhoza kudwala ming'oma. Ngati muli ndi ziwengo pazinthu zambiri, mwina mungakhale ndi ming'oma pafupipafupi. Kwa ena, ndiko kuti, omwe alibe ziwengo zoopsa chonchi, akhoza kudwala kamodzi kapena kangapo m'moyo wawo.

Makamaka pakati pa ana, pakhala kulumikizana pakati pa ziphuphu zazikulu ndi matenda monga mphumu, chifuwa chachikulu, ndi atopic dermatitis . Ziphuphu zimathanso kuchitika panthawi yamavuto akulu .

Kodi ming'oma ndi yofala bwanji?

Mungadabwe kumva izi. Akuti pafupifupi 20% ya anthu amakhala ndi ming'oma kamodzi pa moyo wawo. Izi ndi pafupifupi munthu m'modzi pa anthu asanu aliwonse. Komabe, ming'oma ya nthawi yayitali (Chronic hives) imakhudza pakati pa 1% ndi 3% yokha ya anthu.

Kodi zizindikiro za ming'oma yoopsa ndi ziti?

Njoka ya m'mimba imaoneka yosiyana kwa aliyense. Imatha kuwoneka kulikonse pathupi lanu. Zizindikiro zazikulu za njokazi ya m'mimba ya nthawi yochepa ndi izi:

• Mabala kapena mawanga otuwa pakhungu. Izi zitha kuoneka zofiira mwa munthu wokhala ndi khungu lopepuka.
• Mukakanikiza pakati pa maswiti a nyongolotsi, amasanduka otuwa (Blanching) . Izi zikutanthauza kuti, mukakanikiza, mtundu wofiira m'derali umachepa ndipo umakhala wopepuka.
• Kuyabwa ndiye chizindikiro chachikulu komanso chovutitsa kwambiri.
• Nthawi zina, kutupa pansi pa khungu kungayambitse kutupa. Izi zimatchedwa angioedema . Izi zingayambitsenso kutupa kowawa kwa milomo, kuzungulira maso, ndi mkati mwa pakhosi. Izi zitha kukhala chizindikiro cha chinthu china choopsa pang'ono.

Kodi zizindikiro za ming'oma yosatha ndi ziti?

Kawirikawiri, mphutsi ya chipere kwa nthawi yayitali imawoneka chimodzimodzi ndi mphutsi ya chipere kwa nthawi yochepa. Izi zikutanthauza kuyabwa, kutupa, komanso ziphuphu zokwezeka zomwe zimakhala zotumbululuka pakati zikakanikizidwa. Komabe, mphutsi ya chipere kwa nthawi yayitali ingayambitse zotsatirazi:

• Kukula ndi mawonekedwe a ziphuphu zomwe zimawonekera zimatha kusintha nthawi zonse . Chomwe chili chaching'ono pamalo amodzi lero chikhoza kukula pamalo ena mawa.
• Izi zimawonekera, zimazimiririka, ndipo zimawonekeranso masiku angapo aliwonse . Zitha kukhala miyezi ingapo, nthawi zina zaka.
• Izi zitha kuchitika ndi kutentha, kuchita masewera olimbitsa thupi, kapena kupsinjika maganizo .

Kodi n’chiyani chimayambitsa ming’oma?

Zifukwa za ming'oma yoopsa

Nthawi zambiri, ziphuphu za nthawi yochepa zimayambitsidwa ndi vuto la ziwengo ku chinthu chomwe mumadya , kumwa, kapena kukhudza . Khungu lathu lili ndi mtundu wapadera wa maselo oteteza thupi otchedwa mast cells . Maselo amenewa akayamba kugwira ntchito, amatulutsa mankhwala otchedwa histamine. Pakati pa mankhwala amenewo , histamine ndiye chifukwa chachikulu cha ziphuphu. Mwina munamvapo kuti mankhwala omwe mumamwa kuti muchepetse kuyabwa amatchedwa antihistamine. Izi zili choncho chifukwa amachepetsa mphamvu ya histamine.

Kupatula apo, mphutsi zimathanso kuchitika chifukwa cha zifukwa zina monga matenda, kupsinjika maganizo, komanso kupsinjika kwa khungu . Koma nthawi zina madokotala sangadziwe chomwe chinakupangitsani kuti mudwale mphutsi.

Zomwe zimayambitsa ming'oma yosatha

Mosiyana ndi ming'oma ya nthawi yochepa, ming'oma ya nthawi yayitali nthawi zambiri siimayamba chifukwa cha ziwengo . Imatha kuyambitsidwa ndi matenda a bakiteriya kapena mavairasi , kapena chifukwa cha matenda ena, monga lupus . Komabe, nthawi zambiri, madokotala sangapeze chifukwa chenicheni. M'mikhalidwe yotereyi, imatchedwa ming'oma ya idiopathic kapena yodzidzimutsa .

Ngakhale kuti nyongolotsi za nthawi yayitali zimatha kukhalapo kwa nthawi yayitali, nthawi zambiri sizimakhalapo kwamuyaya . Ngakhale kuti zimatha kukhala zosasangalatsa pang'ono, siziwopseza moyo.

Kodi ming'oma imapatsirana?

Izi ndi vuto kwa anthu ambiri. Mosiyana ndi matenda ena a pakhungu, mphutsi sizimafalikira . Komabe, ngati mutadwala mphutsi chifukwa chakuti muli ndi madzi a chomera monga marigold pakhungu lanu, mutha kufalitsa zinthu zomwe zimayambitsa matenda a chomeracho kwa ena mpaka mutatsuka madziwo pakhungu lanu. Zimenezi zingayambitse mphutsi kwa ena. Koma munthu amene ali ndi mphutsi safalitsa mwachindunji kwa wina.

Kodi mungadziwe bwanji ngati muli ndi ming'oma? (Kuzindikira)

Dokotala wanu adzayang'ana khungu lanu ndipo adzachotsa ziphuphu ndi angioedema.(kutupa pansi pa khungu) kungakuthandizeni kudziwa ngati muli ndi ming'oma. Mayeso a ziwengo angakuthandizeni kudziwa zomwe muli ndi ziwengo. Koma izi ndizofunikira kwambiri pa ming'oma yaifupi (ming'oma yoopsa) . Mukadziwa chomwe chimayambitsa, mutha kupewa zinthu zomwe zimayambitsa ziwengo ndikupewa ming'oma yomwe imabwera nayo. Mayeso akuluakulu a ziwengo ndi awa:

• Mayeso a pakhungu: Mu mayeso awa, madokotala amagwiritsa ntchito zinthu zosiyanasiyana zomwe zimayambitsa ziwengo pakhungu lanu. Ngati khungu lanu lifiira kapena kutupa, zikutanthauza kuti muli ndi ziwengo ndi chinthu chimenecho. Izi zimatchedwanso mayeso obaya pakhungu kapena mayeso okanda . Komabe, mayeso a pakhungu awa nthawi zambiri samachitika pa mphutsi ya mphutsi ya nthawi yayitali.
• Kuyezetsa magazi: Kuyezetsa magazi kumayesa kuchuluka kwa ma antibodies enaake m'magazi mwanu. Matupi athu amapanga ma antibodies amenewa kuti amenyane ndi zinthu zomwe zimayambitsa ziwengo. Ngati thupi lanu limapanga ma antibodies ambiri, mutha kuyamba kudwala ziphuphu ndi kutupa.

Kodi tingachiritse bwanji ming'oma? Kodi tingawathetse bwanji?

Nthawi zambiri, mphutsi zimatha popanda chithandizo chilichonse . Komabe, dokotala wanu angakulangizeni mankhwala ndi mankhwala apakhomo kuti muchepetse kusasangalala kwanu ndikuchepetsa mwayi wobwereranso kwa mphutsi. Mankhwalawa ndi awa:

• Mankhwala a ziwengo: Mankhwala oletsa ziwengo amaletsa zotsatira za histamine . Akhoza kumwedwa ngati mapiritsi kapena kupakidwa pakhungu lokhudzidwa ngati kirimu. Mankhwala oletsa ziwengo angathandize kuchepetsa kuyabwa komwe kumachitika chifukwa cha ziwengo ndipo angathandizenso kuchepetsa kapena kuthetsa ziwengo. Mankhwala ena oletsa ziwengo, monga diphenhydramine (Benadryl®) , amagwira ntchito mwachangu (koma amatha kukupangitsani kugona). Kutengera ndi kuopsa kwa ziwengo zanu, dokotala wanu angakulangizeni mankhwala a ziwengo tsiku lililonse monga Loratadine (Claritin®), Fexofenadine (Allegra®), Cetirizine (Zyrtec®), kapena Levocetirizine (Xyzal®) .

• Majakisoni a ziwengo: Kwa anthu omwe ali ndi ziwengo zomwe zimakhala zovuta kuchiza kwa nthawi yayitali, dokotala wanu angakulangizeni kuti mugwiritse ntchito jakisoni pamwezi womwe umaletsa ziwengo. Anthu omwe ali ndi ziwengo zoopsa amapanga mtundu wa antibody wotchedwa IgE (Immunoglobulin E) . Majakisoni amenewa amaletsa chitetezo cha mthupi kupanga IgE.

• Mankhwala apakhomo: Pezani mpumulo ku mphutsi, mungatheMukhoza kusamba kapena kusamba ndi madzi ozizira. Valani zovala zotayirira . Ikani ma compress ozizira ndi nsalu yoviikidwa m'madzi ozizira . Mutha kugwiritsa ntchito kirimu wa hydrocortisone kapena kirimu wa antihistamine, womwe mungagule ku pharmacy, kuti muchepetse kuyabwa ndi kutupa.

• Ma steroid omwa: Ngati mankhwala oletsa antihistamines kapena ma steroid opangidwa m'malo opaka sathandiza, ma corticosteroids monga prednisone angathandize kuchepetsa zizindikiro za mphutsi. Komabe, izi ziyenera kugwiritsidwa ntchito pokhapokha ngati dokotala akuyang'anira.

• Epinephrine: Kudwala kwambiri kwa kanthawi kochepa kungayambitse matenda oopsa otchedwa anaphylaxis . Zizindikiro zake ndi monga ming'oma, kutupa kwa nkhope, pakamwa, kapena pakhosi, kuvutika kupuma, kupuma movutikira, kusanza, komanso kuthamanga kwa magazi. Anaphylaxis ndi yoopsa . Aliyense amene akukumana ndi vutoli ayenera kupatsidwa jakisoni wa epinephrine (EpiPen®) nthawi yomweyo kuti atsegule njira zotupa za mpweya.

Kodi mavuto omwe angakhalepo chifukwa cha ming'oma ndi ati?

Ngati munthu ali ndi vuto lalikulu la ziwengo kwa kanthawi kochepa, njira zake zopumira - kutanthauza, pakhosi ndi mapapo - zimatha kutupa mwanjira yomwe ingawononge moyo. Vutoli limatchedwa anaphylaxis . Izi zingayambitse njira zopumira kutseka kwathunthu, komanso kupha munthu.

Anaphylaxis ndi vuto lachipatala! Ngati wina mwadzidzidzi avutika kupuma, nkhope yake ikutupa, ali ndi ming'oma m'thupi lonse, ndipo akumva chizungulire, izi zitha kukhala anaphylaxis. Zikatero, muyenera kupita kuchipatala nthawi yomweyo.

Matenda a anaphylaxis nthawi zambiri amayamba chifukwa cha ziwengo zazikulu ku zakudya zina, monga mtedza kapena mtedza wina wa mitengo, kapena chifukwa cha kulumidwa ndi njuchi. Ngati muli ndi vuto la anaphylaxis, muyenera kulandira jakisoni wa epinephrine nthawi yomweyo. Mwachitsanzo , EpiPen® kapena AUVI-Q® .

Epinephrine imatsegula njira zopumira, imawonjezera kuthamanga kwa magazi, komanso imachepetsa kutupa ndi kuyabwa. Ngati mwalandira jakisoni wa epinephrine kunja kwa malo ochiritsira, muyenera kupita kuchipatala chadzidzidzi ndikukhala pansi pa upangiri wa dokotala pambuyo pake. Izi zili choncho chifukwa zizindikiro za anaphylaxis zimatha kubwereranso pamene zotsatira za epinephrine zimatha.

Kodi chiyembekezo cha kuchira kwa anthu omwe ali ndi ming'oma ndi chotani?

Kwa anthu ambiri, maswiti a mphutsi samayambitsa mavuto aakulu. Kwa ana, ziwengo za maswiti a mphutsi nthawi zambiri zimatha pakapita nthawi.

Koma kwa anthu ena, zotsatira za ziwengo monga angioedema zingayambitse anaphylaxis.- zomwe zikutanthauza kutupa kwakukulu kwa njira zopumira ndi mapapo - kungachitike. Ngati muli ndi vutoli lomwe lingawononge moyo wanu, muyenera kunyamula epinephrine auto-injector (EpiPen®) ndi inu ndipo mudziwe nthawi yeniyeni komanso momwe mungagwiritsire ntchito.

Kodi ndingapewe bwanji ming'oma?

Kupewa ming'oma yoopsa

Dokotala wanu angagwiritse ntchito zotsatira za mayeso a ziwengo kuti akuthandizeni kudziwa zomwe zimayambitsa ming'oma yanu ya kanthawi kochepa. Mukadziwa zomwe zimayambitsa, mutha kuzipewa. Mungafune kuchita izi:

• Chotsani zakudya zina muzakudya zanu (monga nkhanu, squid, zipatso zina, mkaka - pokhapokha ngati muli ndi vuto la ziwengo)
• Chepetsani kukhudzana ndi zinthu zomwe zimayambitsa ziwengo zomwe zimauluka (monga fumbi, mungu)
• Sinthani kugwiritsa ntchito sopo zotsukira zovala ndi sopo zotsuka thupi zopanda fungo loipa komanso zopanda utoto .
• Pewani kusintha kwadzidzidzi kwa kutentha (kupita kumalo ozizira, kupita kumalo otentha)
• Mukavutika maganizo kapena kutopa , pumulani .
• Valani zovala zopepuka komanso zotayirira . Kuvala zovala zolimba nthawi zina kungapangitse khungu kukhala lolimba komanso lotupa.

Malangizo ena awa angathandizenso ndi mphutsi za nthawi yayitali.

Kupewa ming'oma yosatha

Sizingatheke kupewa mphutsi ya chipere kwa nthawi yayitali chifukwa dokotala wanu sangathe kudziwa chomwe chimayambitsa matendawa. Zingakhalenso gawo la matenda akuluakulu omwe amakhudza chitetezo cha mthupi lanu.

Kodi ndiyenera kupita liti kwa dokotala pankhani ya ming'oma?

Njoka zam'mimba nthawi zambiri zimatha popanda chithandizo. Komabe, onani dokotala wanu ngati:

• Ngati muli ndi mphutsi kapena kutupa kwa nthawi yoposa sabata imodzi .
• Ngati ziphuphu zikuoneka kuti zili ndi kachilombo (zofiira, zotupa, zodzaza ndi mafinya).
• Ngati muli ndi mphutsi zobwerezabwereza (zomwe zimabwerezedwanso miyezi ingapo iliyonse).
• Ngati muli ndi kuyabwa kwakukulu , zimenezo zimapangitsa kuti zikhale zovuta kwambiri moti simungathe kugona.
• Ngati mukumva zizindikiro za anaphylaxis (monga kulimba kwa chifuwa, kupuma movutikira, kusanza).
• Ngati milomo kapena nkhope yatupa .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi mphutsi za m'mphuno, funsani dokotala mafunso awa:

• N’chifukwa chiyani ndinadwala mphutsi za m’mphuno?
• Kodi maswiti a nyongolotsi adzachira liti ?
• Kodi ndiyenera kupita kukayezetsa matenda a ziwengo ?
• Kodi ndi njira ziti zomwe ndingachite kuti ndipewe kufalikira kwa nyongolotsi mtsogolo?
• Chepetsani kuyabwaKodi chithandizo chabwino kwambiri ndi chiyani ?
• Kodi njira yabwino kwambiri yochotseratu nyongolotsi ndi iti ?
• Kodi ndiyenera kuda nkhawa ndi zizindikiro za mavuto ?

Kodi zimatenga nthawi yayitali bwanji kuti ziphuphu zichiritse?

Njoka ya m'mimba nthawi zambiri imakhala bwino mkati mwa masiku ochepa kapena milungu ingapo . Komabe, nyoka ya m'mimba nthawi yayitali imatha kukhala nthawi yayitali. Njoka ya m'mimba nthawi yayitali imatha kutenga miyezi, kapena nthawi yayitali, kuti ichoke.

Kodi n'zotheka kuona ming'oma pafupipafupi ndi COVID-19?

Monga matenda ena, ziphuphu pakhungu, kuphatikizapo ziphuphu, zimatha kuchitika ndi COVID-19 . Chifukwa chake, ngati muyamba ziphuphu pamodzi ndi zizindikiro za COVID, ndi bwino kuuza dokotala wanu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ziphuphu ndi momwe thupi lanu limayankhira ku chinthu chomwe chimakhudzidwa nacho (chomwe chimayambitsa ziwengo). Ziphuphu zimenezi sizimakhala zovuta, koma nthawi zambiri sizimakhala zoopsa. Mutha kukhala ndi ziphuphu zokha, ziphuphu zokhala ndi ziphuphu, kapena ziphuphu zokha. Nthawi zambiri, izi zimatha pakatha tsiku limodzi kapena awiri. Ngati mumakhala ndi izi nthawi zonse, lankhulani ndi dokotala wanu za kukayezetsa kuti mudziwe chomwe chikuyambitsa. Mukadziwa zomwe muli ndi ziwengo, mutha kupewa zinthuzo ndikuzichiza mukakumana ndi vuto.

Mafinya osatha sachira pakatha milungu ingapo. Angatenge nthawi yayitali. Ngati simukumva bwino ndi chithandizo, musaiwale kuuza dokotala wanu za izi. Ngakhale chifukwa chenicheni cha mafinya osatha sichidziwika, chithandizocho chingathandize. Musadandaule, mutha kulankhula ndi dokotala wanu chilichonse ndikupeza yankho.

urticaria , ziphuphu, mphutsi, ziwengo, matenda a pakhungu, kuyabwa, ziphuphu pakhungu