Ngaba ukubamba amanzi kukwenza urhawuzelelwe? Makhe sithethe ngale meko ingaqhelekanga (Aquagenic Pruritus)!

Ngaba wakha weva ukuba abanye abantu bayarhawuzelela xa bemanzi? Asikuko ukurhawuzelela okuncinci nje kuphela, kukurhawuzelela okunzulu okuvakala ngathi ligquba leembovane ezirhubuluza umzimba wonke, ngamanye amaxesha zivutha. Namhlanje siza kuthetha ngemeko engaqhelekanga kancinci, kodwa enokubacaphukisa kakhulu abo banengxaki yesi sifo. Oku kubizwa ngokuba yi-`(Aquagenic Pruritus)` kwisayensi yezonyango.

Yintoni le Aquagenic Pruritus?

Ngamafutshane, i-"Aquagenic Pruritus" kukurhawuzelela okukhulu okwenzeka xa ulusu lwakho ludibana namanzi. Eyona nto iphawulekayo kukuba akukho zimpawu zangaphandle ezibonakalayo zokonakala kolusu, ukuba bomvu, okanye ukurhawuzelela. Oko kukuthi, ulusu lubonakala luqhelekile kumphezulu.

Khawuthelekelele, xa uhlamba, ungena eshaweni, okanye utsibela edamini lokudada, uqala ukurhawuzelela kakhulu emzimbeni wakho wonke kwimizuzu embalwa. Akupheleli nje ekurhawuzeleni, kodwa kwabanye abantu, oku kurhawuzelelwa kuhamba nentlungu evuthayo, ukurhawuzelela, okanye ukuhlaba. Le meko icaphukisayo inokuhlala iyure okanye ngaphezulu.

Eyona nto ibalulekileyo kukuba ubushushu bamanzi (abandayo okanye ashushu) abunamsebenzi. Kwakhona, akunamsebenzi nokuba ngamanzi empompini, amanzi omthombo, amanzi olwandle, okanye amanzi emvula. Le meko inokwenzeka nangaluphi na uhlobo lwamanzi. Uninzi lwexesha, abantu abanale meko bahlangabezana noku ngelixa behlamba. Ngoko khawucinge ukuba ingakanani ingcinezelo enokubangela xa nokuhlamba kuba yingxaki enkulu yonke imihla. Abanye abantu bade balingeke ukuba bayeke ukuhlamba ngenxa yoku, nto leyo enokubangela iingxaki ezingaphezulu.

Kwenzeka njani oku? Yintoni isizathu?

Inyaniso kukuba, oogqirha abakafumani ngqo ukuba le meko ibizwa ngokuba yi-"Aquagenic Pruritus" yenzeka njani. Oko kukuthi, unobangela useyimfihlakalo. Nangona kunjalo, abaphandi bakholelwa ukuba kukho izizathu ezininzi ezinokubakho.

• Mhlawumbi kungenxa yokungaqheleki okuthile ekusebenzeni kweeseli zethu zolusu.
• Okanye, kusenokubakho utshintsho oluthile kwinkqubo yethu yemithambo-luvo okanye kwinkqubo yethu yokuzikhusela komzimba.

Nangona le meko ngamanye amaxesha ibonakala kubantu abaninzi kusapho olunye, akukho gene ithile efunyenweyo ukuqinisekisa ukuba idluliselwa kubazali ukuya ebantwaneni. Ke ngoko, kunzima ukuqiniseka ukuba idluliselwa kwilifa.

Kuphi apho oku kuchaphazela kakhulu emzimbeni?

Olu rhashalala lunokwenzeka naphi na emzimbeni, kodwa lubonakala kakhulu kwezi mpawu zilandelayo:

• Imilenze yona ichaphazeleka kakhulu.
• Oku kurhawuzelelwa kunokusasazeka kwiingalo, esifubeni, nasemqolo.

Nangona kunjalo, ayidli ngokuchaphazela iintende zezandla, iintende zeenyawo, kunye ne-mucous membranes ngaphakathi kwemilomo yethu, impumlo, kunye neendlebe. Oku kukunika isiqabu esikhulu, kuba kuthetha ukuba abantu abanale meko banokusela amanzi ngaphandle kobunzima.

Ixhaphake kangakanani le meko?

Enyanisweni, akukho zibalo zichanekileyo zokuba le meko ixhaphake kangakanani kuluntu. Ngenxa yoko, kunzima ukutsho ngokuchanekileyo ukuba le yimeko engaqhelekanga okanye ukuba ixhaphake kakhulu kunokuba sicinga.

Ziziphi ezinye izinto ezinokubangela oku?

Le meko, ebizwa ngokuba yi-"Aquagenic Pruritus", inokwenzeka ngaphandle kwesizathu esicacileyo ('Idiopathic'), okanye ingabonakala njengophawu lwenye imeko yezonyango.

Khawucinge nje, kukho izifo ezithile, njengesiphumo esingesihle apho la manzi anokubangela ukurhawuzelelwa. Umzekelo:

• I-Polycythemia Vera: Le yimeko enzima kakhulu. Ngamafutshane, ibangela ukuba umzimba uvelise iiseli ezibomvu zegazi ezingaphezulu kwezo uzifunayo . Kufunyenwe ukuba malunga nesibini kwisithathu sabantu abane-Polycythemia Vera nabo bane-Aquagenic Pruritus.
• I-Urticaria Engapheliyo: Le yimeko yesikhumba engapheliyo ebangela amaqhuqhuva.
• I-Hypereosinophilic Syndrome: Le yimeko ebangelwa kukwanda okugqithisileyo kohlobo lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophils egazini.
• IiMyelodysplastic Syndromes kunye neminye imihlaza yegazi.

Ngaba amanye amayeza nawo angabangela oku?

Ewe, nangona kunqabile kakhulu, amanye amayeza anokubangela esi sifo (i-Aquagenic Pruritus). Amanye ala mayeza aquka:

• Amayeza anjenge-`Bupropion` kunye ne-`Clomipramine`, asetyenziselwa ukudakumba.
• Amayeza afana ne-`Hydroxychloroquine` kunye ne-`Chloroquine`, asetyenziselwa ukuthintela nokunyanga i-malaria.

Ukuba usebenzisa olu hlobo lwamayeza kwaye usandul’ ukuqala ukuba nolu hlobo lwerhashalala yamanzi, kubaluleke kakhulu ukuxelela ugqirha wakho ngalo.

Ziziphi iimpawu eziphambili zoku?

Njengoko besitshilo ngaphambili, uphawu oluphambili kukurhawuzelela okukhulu okwenzeka emva kokuba amanzi edibene nolusu. Akunjalo nje kuphela, kodwa nabanye abantu banamava alandelayo:

• Imvakalelo yokutsha
• Imvakalelo yokuNgcangcazela
• Imvakalelo yokuhlaba

Ukongeza kwezi ngxaki zomzimba, abantu abaninzi banengxaki yoxinzelelo olukhulu lwengqondo ('Uxinzelelo Lweemvakalelo') . Khawuthelekelele, ukoyika ukuhlamba yonke imihla, ukoyika ukudada, ukoyika ukumanziswa yimvula. Xa ungakwazi ukuphila ubomi bakho ngendlela eqhelekileyo ngenxa yezinto ezinje, kuyinto eqhelekileyo ukuba nexhala nosizi oluninzi.

Ugqirha uyibona njani le nto?

Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubonane nogqirha. Ugqirha uza kuyixilonga le meko (Aquagenic Pruritus) ngokusekwe kwiimpawu ozichazayo kunye nexesha ezenzeka ngalo.

Ugqirha uza kukubuza le mibuzo:

• Ngaba kukho umntu kusapho lwakho onale meko (`Imbali yoSapho`).
• Uza kuhlolwa umzimba ngokupheleleyo.

Ngamanye amaxesha, izinto ezifana novavanyo lwegazi zinokwenziwa ukuze kubonwe ukuba kukho enye into ebangela oku kurhawuzelelwa.

Ngaba ikho indlela epheleleyo yokunyanga oku?

Le yingxaki abantu abaninzi abanayo. Ukuba ndithetha inyani, akukho nyango lupheleleyo lwe-`(Aquagenic Pruritus)` okwangoku. Kodwa, ungakhathazeki! Kukho unyango olunokunceda ukulawula le meko.

• Ukuba ufumana le meko ngenxa yamayeza athile, iimpawu zingaphela xa uyeka ukuwasebenzisa loo mayeza.
• Kwakhona, ukuba iqela lakho lezonyango linokufumana imeko yezonyango ebangela ukurhawuzelelwa, ukunyanga loo meko kunokunceda ukunciphisa okanye ukuphelisa ukurhawuzelelwa ngokupheleleyo.

Ngoko ke, yintoni unyango lwale nto?

Ukunyanga oku kunokuba nzima kancinci. Kuba, unyango olufanayo alusebenzi kuwo wonke umntu. Kusenokufuneka uzame unyango olwahlukeneyo ude ufumane olukulungeleyo. Oogqirha basebenzisa amayeza ahlukeneyo, unyango, kwaneendlela zemvelo zokunciphisa ukurhawuzelelwa kunye nentlungu.

Unyango lwezonyango

• Ii-Antihistamines: La ngamayeza aqhelekileyo anikwa abantu abane-allergies. Kwabanye abantu, la mayeza anokunceda ekunciphiseni ukurhawuzelela.
• Ii-analgesics: Amayeza anikwa ukunciphisa iintlungu.
• Ukukhuthazwa kweNerve yoMbane eGuquliweyo (i-TENS): Olu lunyango olusebenzisa isixhobo esikhethekileyo ukunciphisa iintlungu.
• Unyango lwe-Ultraviolet (Phototherapy): Le yindlela yonyango esebenzisa imisebe efana nelanga elawulwayo ukujolisa ulusu ukunyanga iimeko ezithile zolusu.

Ukongeza koku, kukho nezinye iindlela zonyango eziye zanceda abanye abaguli:

• Ii-Beta-blockers: Ezi luhlobo lwamayeza anikwa uxinzelelo lwegazi oluphezulu.
• I-Cholestyramine: Eli liyeza elithintela umzimba ekufunxeni ii-bile acids.
• I-Naltrexone: Iyeza elisetyenziselwa ukunyanga iimeko ezinxulumene nokusetyenziswa kotywala kunye ne-opioid.
• IiSelective Serotonin Reuptake Inhibitors (SSRIs): Ezi ziindidi zamayeza asetyenziselwa ukunyanga uxinzelelo.

Unyango onokulwenza ekhaya

Amanye amayeza endalo anokunceda ukulawula ezi mpawu:

• I-Baking Soda (`I-Baking Soda` / `I-Sodium Bicarbonate`): Abanye bathi ukuba wongeza i-baking soda encinci emanzini akho okuhlamba uze uyixube, iya kutshintsha i-pH yamanzi kwaye inciphise ukurhawuzelela.
• Iintlobo zeekhrimu eziqulethe i-capsaicin:Ukusebenzisa iikhrimu ezine-capsaicin, into ebangela ubukrakra be-chili pepper, kunokunceda ekunciphiseni ukurhawuzelelwa kunye nentlungu eyenzeka emva kokudibana namanzi. Nangona kunjalo, kungcono ukubonana nogqirha ngaphambi kokuba uzisebenzise.
• Izongezo zeBeta-alanine: Nangona kungacaci kakuhle ukuba ezi zongezo zesondlo zinceda njani, abanye abantu baxele ukuba bafumana isiqabu ekusebenziseni ezo zongezo.
• Ioyile yosana: Ukufaka i-oyile enamafutha eluswini ngaphambi kokuhlamba kunokubonelela ngomaleko okhuselayo kwaye kuncede ukuthintela amanzi ukuba angachukumisi ulusu ngokuthe ngqo kwinqanaba elithile.

Kubalulekile: Ngaphambi kokuba uqale naluphi na olu nyango, ingakumbi amayeza okanye uzame unyango olutsha, kubalulekile ukuthetha nogqirha wakho kwaye ucele icebiso lakhe. Musa ukwenza izinto zibe zimbi ngakumbi ngokwenza izinto ongafuniyo ukuzenza.

Ngaba oku kungathintelwa ukuba kwenzeke?

Ekubeni oogqirha bengasazi isizathu esichanekileyo sale meko, kunzima ukutsho ukuba ikho na indlela ethile yokuthintela ukuba ingenzeki.

Ngoko ke uphila njani nale meko? Injani imbono yakho?

Ingqikelelo yakho ixhomekeke kwindlela osabela ngayo kunyango. Ugqirha wakho uza kukunceda ufumane unyango olusebenzayo kuwe.

• Ukuba une-Aquagenic Pruritus enxulumene nenye imeko yezonyango, indlela ocinga ngayo inokuxhomekeka nakwesinye isifo.
• Ukuba ayinyangwa, le meko inokunciphisa umgangatho wobomi bakho. Izinto ezinje ngokuhlamba nokuqubha zinokuba ngamava abuhlungu.

Ukufumana unyango kunokuba nzima. Nangona kunjalo, sikucebisa kakhulu ukuba usebenzisane nogqirha wakho ukuze ulawule ezi mpawu kakuhle. Emva koko uya kukwazi ukuhlamba, ukudada, nokwenza imisebenzi yakho yemihla ngemihla ngaphandle kobunzima. Nokuba iimpawu zakho zilawulekile, qhubeka ulandela imiyalelo kagqirha wakho kwaye uye kwiikliniki ngexesha.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Aquagenic Pruritus yimeko ecaphukisayo nebeka ubomi esichengeni. Amanzi abalulekile kuthi sonke. Ngoko ke kunzima ukuchaza ukungonwabi xa loo manzi afanayo esiba yingxaki.

Kodwa, khumbula, awuwedwa. Kukho nabanye abantu abadlula kule meko. Into ebalulekileyo kukuba, kukho unyango kunye neendlela zokufumana isiqabu.

• Ukuba unale mpawu, musa ukuba neentloni okanye ukoyika, bonana nogqirha.
• Thetha ngokukhululekileyo nogqirha wakho. Uza kukunceda ufumane unyango olukulungeleyo.
• Khumbula, oku kuyalawuleka. Ngoko ke hlala uqinile kwaye ulandele icebiso likagqirha wakho.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba ucela ingcebiso kugqirha.

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