Ngaba uhlala ukrwela umzimba wakho ngee-hives? Ngaba ezi zi-hives aziphili? (Ii-Hives ezingapheliyo) Masithethe ngale nto!

Ngaba wakha waqaphela ukuba ngamanye amaxesha ngequbuliso ufumana amaqhuma abomvu, arhawuzelelayo emzimbeni wakho? Ngamanye amaxesha ayarhawuzelela kakhulu, ngamanye amaxesha ayabuhlungu kancinci. Ngamanye amaxesha ayaphela emva kosuku okanye ezimbini, kodwa kwabanye abantu, la maqhuma anokuhlala iiveki okanye iinyanga. Leyo yimeko esiza kuthetha ngayo namhlanje.

Ngoko ke zithini ezi zifo ezinganyangekiyo okanye ezi zifo ezingapheliyo?

Ngamafutshane, amaqhuma angapheliyo arhawuzelela, abomvu, aphakanyisiweyo okanye amaqhuma eluswini lwakho abonakala ubuncinci kabini ngeveki. La maqhuma, akwabizwa ngokuba yi-'wheals', athathwa njenge-'chronic' okanye 'ehlala ixesha elide' xa ehlala ngaphezulu kweeveki ezintandathu .

Usenokuba ukhe weva le meko ibizwa ngokuba yi-'Chronic Idiopathic Urticaria.' Masiqonde oko kancinci, akunjalo?

• Okungapheliyo: Luphawu okanye imeko ehlala ihleli nangona unyango lukhona. Oko kukuthi, into engaphindi iphile ngokwayo emva kwexesha elithile.
• Idiopathic: Luphawu okanye imeko eyenzeka ngequbuliso, ngaphandle kwesizathu esicacileyo. Kunzima ukufumana unobangela ochanekileyo.
• I-Urticaria: Eli ligama lezonyango le-hives. Libizwa ngokuthi 'er-ti-care-ree-ya'.

Zithini i-Urticaria kunye ne-Angioedema? Luluphi ulwalamano phakathi kwezi zimbini?

IiHives, ezaziwa ngokuba yi-urticaria, kunye ne-angioedema zinokwenzeka kunye. IiHives ziziqhuma ezibomvu okanye amabala avela kulusu lwakho. I-Angioedema ngamanye amaxesha inokwenzeka kwiindawo ezinzulu zolusu lwakho. Oku kudumba kunokuchaphazela ubuso bakho, imilebe, umphimbo, izandla, iinyawo, kunye namalungu esini. Umzekelo, ngamanye amaxesha iihives zinokuhamba nemilebe evuvukileyo. Ukuba umphimbo wakho uyadumba, kunokwenza kube nzima ukuphefumla, ngoko ke kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Yintoni umahluko phakathi kwe-hives eqhelekileyo kunye ne-hives engapheliyo?

Iihives ezingapheliyo zahlukile kwi-"acute hives" eqhelekileyo.

• IiHives Ezibukhali: Ezi zihlala ziqala ukunyamalala kwiiyure ezingama-24 (kodwa ezintsha zinokuvela). Nangona kunjalo, zihlala ziphela ngokupheleleyo kwiiveki ezintandathu. Ezi zihlala zibangelwa yinto efana nosulelo lwamva nje lwentsholongwane okanye i-allergy yokutya.
• IiHives Ezingapheliyo: Ezi ziihives ezenzeka ngaphezu kweeveki ezintandathu, ubuncinane kabini ngeveki. Ezinye iihives ezingapheliyo zinokuhlala iinyanga okanye iminyaka. Into ebuhlungu kukuba, uninzi lwexesha, akukho sizathu saziwayo. Oko kuthetha ukuba asikokuba utye into engalunganga.

Ixhaphake kangakanani le meko ibizwa ngokuba yiChronic Hives?

Malunga ne-5% yabemi behlabathi banokuba ne-hives engapheliyo. Oko kuthetha ukuba i-5% ininzi, akunjalo? Le meko inokuvela nakubani na wanoma yimuphi ubudala, nokuba ungowasiphi na isini. Nangona kunjalo , ixhaphake kancinci kubasetyhini abaphakathi kweminyaka engama-30 ukuya kwengama-50. Isizathu esichanekileyo asicaci, kodwa sinokunxulunyaniswa nezinto ezifana notshintsho lweehomoni.

Zithini izizathu zokubakho kwamaqhuqhuva angapheliyo?

Enyanisweni, abantu abaninzi abane-hives ezingapheliyo abanaso isizathu esicacileyo. Yiloo nto siyibiza ngokuba yi-'idiopathic'. Azifane zibangelwe yi-allergies kumayeza athile okanye ukutya. Ukuba zibangelwa, zihlala zibangelwa yinto oyityayo okanye oyiselayo rhoqo. Umzekelo, abanye abantu banokuba ne-allergy kwi-preservatives okanye imibala yokwenziwa.

Akuphelelanga apho, abanye abantu banokufumana iihives xa ubushushu bomzimba wabo butshintsha ngequbuliso, njengaxa beshushu kakhulu, bebanda kakhulu, okanye xa bezilolonga. Ngamanye amaxesha, le meko inokubangelwa luxinzelelo eluswini olubangelwa kukunxiba impahla eqinileyo. Umzekelo, abanye abantu bafumana iihives xa behlamba ngokubandayo (`cold urticaria`), ngelixa abanye bafumana iihives xa bebila baze bashushu (`cholinergic urticaria`). Abanye abantu banokufumana iihives xa bephuma elangeni (`solar urticaria`).

Ngaba izifo ezihlasela umzimba ngokwawo zibangela iihives ezingapheliyo?

Ewe, oko kunokwenzeka. Malunga nomntu omnye kwabahlanu abane-hives ezingapheliyo, okanye malunga ne-20%, kufunyaniswe ukuba unesinye 'isifo esizikhuselayo'. Oko kukuthi, isifo apho inkqubo yomzimba yokuzikhusela ihlasela iiseli zomzimba. Kwiimeko ezinjalo, umzimba unokuvelisa 'ii-antibodies' ezichasene neeseli zawo zolusu, nto leyo ebangela ezi zilonda.

Ukunika imizekelo embalwa:

• Isifo seCeliac (i-allergy kwi-protein gluten)
• I-Dermatyositis (isifo esichaphazela ulusu kunye nemisipha)
• Isifo seswekile (ingakumbi isifo seswekile sohlobo 1)
• `Lupus`
• I-Polymyositis (isifo esichaphazela izihlunu)
• I-rheumatoid arthritis (oko kuthetha intlungu yamalungu)
• Isifo se-thyroid (ingakumbi i-Hashimoto's thyroiditis)
• I-Vitiligo (amabala amhlophe eluswini)

Ziziphi ezinye izifo ezinokubangela amaqhuqhuva angapheliyo?

Iihives ezingapheliyo zinokubangelwa zezinye iimeko zonyango. Nangona ezi zingaqhelekanga, ugqirha uya kuziqwalasela nazo.

• `Isifuba`
• Iintsholongwane, umzekelo, izifo ezibangelwa ziintsholongwane ezifana ne-H. pylori (enokubangela izilonda zesisu) kunye nezifo ezingapheliyo ezifana ne-sinusitis.
• `Isifo sesibindi`
• Iintlobo zomhlaza ezibizwa ngokuba yi-'Lymphomas', oko kukuthi 'i-Hodgkin lymphoma' kunye ne-'non-Hodgkin's lymphoma'
• I-Vasculitis (ukudumba kwemithambo yegazi)

Zithini iimpawu ze-Chronic Hives?

Ezi zilonda zinokuvela naphi na emzimbeni, kwaye indlela ezibonakala ngayo inokwahluka kumntu nomntu. Ezi zilonda zinokuvela ngeendlela ezahlukeneyo kunye nobukhulu obahlukeneyo. Ezinye zinokuba ncinci njengentloko yepinki, ngelixa ezinye zinokuba nkulu njengebhola ethambileyo!

Iimpawu eziphambili ze-hives ezingapheliyo zezi:

• Izilonda okanye amaqhuma abomvu, aphakanyisiweyo, mhlawumbi abuhlungu okanye avuvukileyo eluswini lwakho.
• Ukugquma: Oku kuthetha ukuba embindini we-blister ujika ube mhlophe xa ucinezelwe. Oku kungasetyenziselwa ukwahlula kulunywa yingcongconi eqhelekileyo.
• Ukukrwela ulusu kakhulu (okubizwa ngokuba yi-'pruritus'). Oku kukrwela yikona okwenza kube nzima kubantu abaninzi ukukunyamezela, ingakumbi ebusuku.
• Ukudumba, yiloo nto besithetha ngayo ngaphambili, ebizwa ngokuba yi-'angioedema.' Oku kungenzeka kufutshane namehlo, imilebe, kunye namalungu omzimba.

Ngugqirha onjani endifanele ndimbone xa ndine-hives ezingapheliyo?

Kukho oogqirha abaninzi abanokuchonga nokunyanga le meko ye-hives engapheliyo:

• Iingcali ze-Allergy: Kuba ngamanye amaxesha oku kunokunxulunyaniswa ne-allergy.
• Iingcali zesikhumba: Kuba zinolwazi olukhethekileyo ngezifo zesikhumba.
• Ugqirha wakho wosapho (oogqirha bonyango oluphambili): Unokwenza uhlolo olusisiseko aze akuthumele kwingcali ukuba kuyimfuneko.

Ingaba le meko ye-Chronic Urticaria ifunyaniswa njani ngokuchanekileyo?

Ugqirha wakho angasixilonga esi sifo ngokujonga ulusu lwakho aze akubuze ngeempawu zakho, nokuba kukho nabani na kusapho lwakho onezigulo ezifanayo, amayeza owaselayo, kunye nendlela otya ngayo.

Ukuze ufumane kanye kanye ukuba yintoni ebangela amaqhuqhuva akho angapheliyo (okanye ukuze ungazifumani ezinye izizathu), kunokufuneka wenze uvavanyo oluninzi. Kunokufuneka wenze olunye okanye ngaphezulu kwezi zilandelayo:

• Uvavanyo lwe-Allergy: Ukuze ubone ukuba unayo na impendulo kwi-'allergen', oko kukuthi, into ebangela i-allergy. Oku kungaba luvavanyo lwesikhumba okanye uvavanyo lwegazi.
• Uvavanyo lwegazi: Jonga amanqanaba omzimba e-antibody (ingakumbi amanqanaba e-IgE), iimpawu zokudumba, amanqanaba e-thyroid hormone, kunye nee-antibodies ezinxulumene nezifo ezizikhuselayo emzimbeni.
• Uvavanyo lomchamo: Jonga ukuba kukho usulelo olubangelwa ziintsholongwane.
• I-biopsy yolusu:Kuthathwa i-biopsy yolusu ukuqinisekisa ukuxilongwa kunye nokuthintela ezinye izizathu ezingaqhelekanga, ezifana ne-vasculitis. Oku kudla ngokwenziwa ukuba izilonda zikhulu ngokungaqhelekanga okanye aziphenduli kunyango.

Ziziphi iindlela zonyango lwe-hives ezingapheliyo?

Ngethamsanqa, kukho unyango lwala maqhuqhuva angapheliyo. Injongo kukulawula iimpawu nokukuvumela ukuba uphile ubomi obuqhelekileyo.

• Amayeza e-allergy: Amayeza anjenge-antihistamines, anokuthi athathwe yonke imihla, ngaphandle kwe-odolo (OTC) okanye amiselwe ngugqirha, anokunceda ukunciphisa ukurhawuzelela nokunciphisa okanye ukuthintela ii-allergy reactions. Ngamanye amaxesha, ugqirha wakho unokukunika idosi ephezulu kunesiqhelo.
• Iinaliti ze-Allergy: I-Omalizumab (Xolair®) yinaliti yenyanga ethintela ukuveliswa kweproteni emzimbeni ebizwa ngokuba yi-Immunoglobulin E (IgE). Abantu abane-allergies ezinzima banokuvelisa i-IgE eninzi kakhulu, nto leyo enokubangela iingxaki ezifana ne-hives engapheliyo kunye ne-asthma. Nangona olu nyango lubiza kakhulu, lusebenza kakhulu kubantu abangakhange baphendule kwamanye amayeza.
• IiSteroids: IiCorticosteroids, ezifana nePrednisone (Deltasone®, Rayos®), zinokulawula ngokukhawuleza iimpawu ezingaphendulanga kwamanye amayeza, ingakumbi ukudumba okukhulu. Nangona kunjalo, ezi akufanele zisetyenziswe rhoqo kwaye kufuneka zisetyenziswe ixesha elifutshane kuphela, njengoko kumiselwe ngugqirha. Ukusetyenziswa ixesha elide kunokubangela iziphumo ebezingalindelekanga.
• I-Hydroxychloroquine: Olunye uphando lufumanise ukuba abantu abasibhozo kwabalishumi abane-hives ezingapheliyo ezibangelwa sisifo sokuzikhusela komzimba baye bancipha iimpawu emva kokuthatha iyeza lemalariya i-hydroxychloroquine (Plaquenil®) kangangeenyanga ezintathu nangaphezulu.
• I-Cyclosporine: Le yimithi yokunciphisa amasosha omzimba. Isebenza kakuhle ekunyangeni amaqhuqhuva angapheliyo. Nangona kunjalo, inokubangela iziphumo ebezingalindelekanga xa ithathwa ixesha elide, ngoko ke kufuneka isetyenziswe phantsi kweliso elibukhali likagqirha.

Eyona nto ibalulekileyo kukuthetha nogqirha malunga nokuba olu nyango lukulungele na kwaye kufuneka uluthathe ixesha elingakanani. Musa ukuthatha amayeza wedwa.

Yintoni onokuyenza ekhaya ukuze ufumane isiqabu kwezi mpawu?

Ewe, ungazama ezi zinto ekhaya ukunciphisa ukurhawuzelela nokudumba:

• Faka i-OTC anti-itch cream evela kwikhemesti. Ungasebenzisa izinto ezifana ne-calamine lotion.
• Beka ii-compress ezipholileyo ezifakwe emanzini abandayo kwi-rash izihlandlo ezininzi ngemini (kodwa khumbula, musa ukwenza oku ukuba i-rash iba mandundu ngenxa yengqele – oko kukuthi, ukuba une-`cold urticaria`).
• Hlamba okanye uhlambe ngamanzi abandayo. Ukuhlamba ngamanzi ashushu kunokukwenza ukurhawuzelela kube kubi ngakumbi.
• Nciphisa ulusu olomileyo ngeeloshini kunye neekhrimu ezingasebenzisi i-allergies. Khetha i-moisturizer elula, engenavumba.
• Nxiba iimpahla ezikhululekileyo ezenziwe ngekotoni ethambileyo ezingayi kukucaphukisa ulusu lwakho. Ukunxiba iimpahla eziqinileyo kunokwenza imeko ibe mandundu. Kuphephe ukunxiba iimpahla ezenziwe ngelaphu elirhabaxa njengoboya.
• Kuphephe ukukrwela kangangoko unako. Nangona ukukrwela kunokunceda okwethutyana, kunokonakalisa ulusu kwaye kubangele umonakalo ongakumbi.

Ngaba ezi hives ezingapheliyo zihlala iminyaka?

Malunga nesiqingatha, okanye ama-50%, abantu abane-hives ezingapheliyo baya kuphelelwa ziintsana zabo kungekapheli nonyaka (ngokufuthi ngaphandle konyango). Abanye abangama-20% baya kuphelelwa ziintsana zabo kungekapheli nonyaka. Kodwa kwabanye abantu, kunokuhlala ixesha elide nangakumbi. Unyango lwe-hives zexesha elide lunokunceda ekunciphiseni iimpawu. Ngoko ke ungakhathazeki, kukho unyango.

Ndifanele ndimbone nini ugqirha ngokuqinisekileyo?

Ukuba unayo nayiphi na kwezi zinto, qiniseka ukuba ubona ugqirha:

• Ukuba ukudumba okanye ukudumba kuhlala ixesha elingaphezulu kweveki.
• Ukuba inxeba libonakala linesifo (umz. libomvu, lidumbile, lizele bubomvu, okanye linomkhuhlane).
• Ukuba intlungu iphinda ivele rhoqo emva kweenyanga ezimbalwa.
• Ukuba ukrwela ulusu lwakho ngendlela enganyamezelekiyo, lunokuphazamisana nokulala kwakho nemisebenzi yakho yemihla ngemihla.
• Ukuba unengxaki yokuphefumla, uzive ngathi umqala wakho uxinekile, okanye uziva unesizungu, yingxamiseko leyo. Yiya esibhedlele ngokukhawuleza.

Ndingayibuza ntoni ugqirha?

Kungcono ukubuza le mibuzo xa ubona ugqirha wakho:

• Yintoni ebangela la maqhuqhuva angapheliyo? Okanye, ucinga ukuba yintoni enokubangela la maqhuqhuva?
• Ziza kuphola nini ezi hives ezingapheliyo?
• Ngaba kufuneka ndifumane uvavanyo lwe-allergy?
• Yeyiphi eyona ndlela ilungileyo yonyango lwam lwezi hives ezingapheliyo?
• Yeyiphi indlela engcono yokunciphisa ukurhawuzelela?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga kweli yeza?
• Zeziphi iingxaki ekufuneka ndizixhalabise ngazo?
• Ngaba kufuneka ndenze utshintsho kwindlela enditya ngayo nendlela endiphila ngayo?

Ngaba iihives ezingapheliyo zinokubangelwa luxinzelelo okanye ixhala?

Enyanisweni, uxinzelelo kunye nexhala zingenza imeko yolusu ibe mandundu. Oko kukuthi, uxinzelelo lunokwenza ulusu lube mandundu kwaye ukurhawuzelela kube mandundu. Ke ngoko, ngamanye amaxesha amayeza okulwa noxinzelelo anokunceda. Ungazuza nakwizinto ezifana nokucamngca, ukuqaphela, i-yoga, kunye nokulala ngokwaneleyo ukuze uphumle ingqondo yakho. Khumbula, ingqondo eyonwabileyo ibaluleke kakhulu kumzimba ophilileyo.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto? (Umyalezo Wokubuyela Ekhaya)

I-hives engapheliyo (i-Chronic Urticaria) inokuba kukurhawuzelela kwaye kungakhululeki. Ngamanye amaxesha unokuziva ukhathazekile ngenkangeleko yakho. Nangona oogqirha bengakwazi ukucacisa unobangela ochanekileyo we-hives engapheliyo, amayeza anjenge-antihistamines, ii-steroids, kwaye ngamanye amaxesha kwane-immunosuppressants anokunceda. Kukwakho nezinto onokuzenza ekhaya ukunceda ukunciphisa ukurhawuzelela nokudumba.

Into ebalulekileyo kukuba kubantu abaninzi, amaqhuqhuva angapheliyo ayaphela ngokwawo ngokuhamba kwexesha (mhlawumbi nasemva konyaka nangaphezulu). Ngoko ke hlala uqinile kwaye ulandele icebiso likagqirha wakho. Awuwedwa, kwaye kukho oogqirha abanokukunceda udlule kwesi simo. Kukho unyango olunokuphucula umgangatho wobomi bakho.

Urhawuzelelo , amaqhuqhuva angapheliyo, i-urticaria, izifo zesikhumba, ukurhawuzelela, ii-allergies, i-angioedema