Ake sixoxe ngokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba ukuze sithole ukuthi unawo yini ama-allergies!

Ingabe uzwa ukulunywa, ukubomvu, kanye nobunzima bokuphefumula uma udla ukudla okuthile, uthinta izinto ezifana nempova, noma usebenzisa izinhlobo ezithile zensipho? Uma kunjalo, ungase ube nokungezwani nokuthile. Ngakho-ke, ukuhlolwa okubalulekile ukuthola ukuthi yini ngempela okubangela ukungezwani komzimba kubizwa ngokuthi ukuhlolwa kwesikhumba okubangela ukungezwani komzimba . Ake sixoxe ngalokhu ngokuningiliziwe namuhla, kulungile?

Kuyini Ukuhlolwa Kwesikhumba Okubangelwa Ukungezwani Nomzimba?

Kalula nje, lokhu ukuhlolwa okwenziwa odokotela ukuthola ukuthi yini ngempela eyingozi emzimbeni wakho, okungukuthi, yini oyi-allergy kuyo. Umzimba wethu unesimiso sokuzivikela komzimba . Lolu hlelo lusivikela ezifweni. Kodwa ngezinye izikhathi, lapho izinto ezingeyona ingozi kithi, isibonelo, ukudla okuthile, uthuli, impova, njll., zingena emzimbeni wethu, lesi simiso sokuzivikela komzimba siyazibona njengesitha futhi siphendule. Yilokho esikubiza ngokuthi i -allergy.

Ngakho-ke, kulolu vivinyo lwesikhumba, bafaka inani elincane kakhulu lezinto abacabanga ukuthi ungase ube nomzimba ongezwani nazo, sizibiza ngokuthi "izinto ezibangela ukungezwani komzimba," esikhumbeni sakho. Ngemuva kwesikhashana, udokotela uhlola ukuze abone ukuthi hlobo luni lokusabela oluvela kulezo zindawo. Ngokusekelwe kulolo kusabela, banquma ukuthi yini onayo.

Ingabe kunezinhlobo ezahlukene zokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba?

Yebo, kunezinhlobo ezintathu eziyinhloko zokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba. Lezi yizi:

• Ukuhlolwa Kokugwazwa Kwesikhumba (ngezinye izikhathi okubizwa ngokuthi Ukuhlolwa Kokuklwebha)
• Ukuhlolwa Kwangaphakathi Kwesikhumba
• Ukuhlolwa kwe-Patch

Sizoxoxa ngakho konke lokhu ngokuningiliziwe kamuva.

Ukuhlolwa kwesikhumba kwe-allergy kwenziwa nini?

Uma unezimpawu zokungezwani komzimba njalo (cabanga ngesikhumba esilumayo, amehlo abomvu, impumulo egobhozayo) noma uma une -asthma , udokotela angase akuncome lokhu kuhlolwa. Lokhu kungenxa yokuthi ngezinye izikhathi lokhu kungezwani komzimba kungenza izimpawu ze-asthma zibe zimbi kakhulu futhi kubangele ukuhlaselwa yi-asthma.

Elinye iphuzu elibalulekile ukuthi uma uke waba nokusabela okukhulu kokungezwani komzimba, njengokusabela kwe-anaphylactic , lokhu kuhlolwa kubaluleke kakhulu ukuthola imbangela. I-Anaphylaxis yisimo esibi esenzeka ngokuzumayo, esenza kube nzima ukuphefumula, futhi singasongela impilo. Ngakho-ke, udinga ukufuna usizo lwezokwelapha ngokushesha.

Kunembile kangakanani lokhu kuhlolwa kwesikhumba okubangelwa ukungezwani komzimba?

Uma ngikhuluma iqiniso, akukho ukuhlolwa kwesikhumba okubangelwa ukungezwani komzimba okunembile ngokuphelele. Kodwa-ke, udokotela onolwazi ochwepheshe be-allergies, obizwa ngokuthi "uchwepheshe we-allergies", angakwenza lokhu.Uma othile enza lezi zivivinyo, imiphumela ithembeke kakhulu. Bazobuyekeza umlando wakho wezokwelapha futhi, uma kudingeka, benze ezinye izivivinyo ukuze bafinyelele esiphethweni esinembile kakhulu.

Yini okufanele uyilindele ngaphambi kokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba? (Ungazilungiselela kanjani?)

Ngaphambi kokuba uhlolwe isikhumba ukuze ubone ukuthi une-allergy, kuzodingeka ubone udokotela. Uzokubuza ngezimpawu zakho futhi angase ahlole umzimba. Bangase bakubuze nemibuzo mayelana nokudla okudlayo, imithi oyiphuzayo, imikhiqizo yokunakekela isikhumba oyisebenzisayo, kanye nezilwane ezifuywayo ohlala nazo. Bazokunikeza neseluleko salokho okufanele ukwenze ngaphambi kokuhlolwa. Ezinye zalezi zinto zifaka:

• Ngosuku lokuhlolwa, ungafaki noma yiziphi izimonyo (njengama-lotion noma ama-cream) endaweni yesikhumba esihlolwayo.
• Eminye imithi, ikakhulukazi ama-antihistamine (amaphilisi okungezwani komzimba), kungadingeka ukuthi iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Udokotela wakho uzokutshela ngqo ukuthi wenzeni ngalokhu.
• Uma kukhona uboya endaweni yesikhumba lapho kuzokwenziwa khona ukuhlolwa, uzocelwa ukuthi ubususe (ubugunde) ngobusuku bangaphambi kokuhlolwa noma ekuseni kokuhlolwa.
• Gqoka ngendlela eyenza kube lula ngodokotela ukukuhlola. Isibonelo, ihembe elinezinkinobho ngaphambili noma ibhulawuzi elingenamikhono kungcono kakhulu.
• Uma izinwele zakho zinde kunemahlombe akho, bathi ungazifaka noma uzifihle ngaphansi kwesigqoko.

Ngingageza ngaphambi noma ngemva kokuhlolwa?

Yebo, ungageza ngaphambi kokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba. Kodwa khumbula, ungafaki noma yiziphi izimonyo ezindaweni lapho ukuhlolwa kuzokwenziwa khona.

Kodwa-ke, uma wenza ukuhlolwa kwe-patch , awukwazi ukugeza, ukubhukuda, noma ukwenza noma yini ebangela ukujuluka izinsuku ezimbalwa ngemva kwalokho. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.

Yiziphi lezi zinhlobo ezintathu zokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba? Kwenziwa kanjani?

Njengoba sishilo ngaphambili, kunezinhlobo ezintathu zokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba. Ngaphambi kokuhlolwa ngakunye, udokotela uzoqala ahlanze indawo yesikhumba ezohlolwa nge-iodine noma utshwala. Lokhu kuzonciphisa ingozi yokutheleleka. Lokhu kuhlolwa kuvame ukwenziwa ngaphambili kwengalo yakho (ebunzini) noma engxenyeni engenhla yomhlane wakho. Ngezinye izikhathi, ikakhulukazi ezinganeni ezincane, udokotela angase asebenzise ukhilimu wokubulala izinhlungu (`(Numbing Cream)`).

Manje ake sibone ukuthi ziyini lezi zinhlobo zokuhlolwa nokuthi zenziwa kanjani.

1. Ukuhlolwa Kokuhlatshwa Kwesikhumba (Ukuhlolwa Kokuhlatshwa Kwesikhumba)

Lolu uhlobo oluvame kakhulu lokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba. Luhilela ukuveza isikhumba sakho entweni encane kakhulu ocabanga ukuthi ungaba nomzimba ongezwani nayo. Lusetshenziselwa ukuthola ukungezwani komzimba nezinto ezisemoyeni (njengempova, uthuli, isikhunta, i-dander yezilwane), ukudla, njll. Lusetshenziswa futhi njengokuhlolwa kokuqala ukuthola ukungezwani komzimba nokulunywa yizinambuzane (njengezinyosi, izinyosi), kanye nemithi efana ne-penicillin, bese isetshenziswa ukuze kuqhutshekwe nokuhlolwa kwe-"Intradermal Test" uma kudingeka.

Indlela yokukwenza:

Udokotela uzoqala enze amamaki amancane engalweni noma emhlane wakho ngepeni ukuze abone ukuthi i-'allergen' izofakwa endaweni ngayinye. Ngemuva kwalokho, esebenzisa inaliti encane kakhulu (i-"Lancet"), ubuso besikhumba buhlatshwa kancane kakhulu ezindaweni ezimakiwe. Lapho nje ukuhlatshwa kwenziwa, inani elincane lento engabangela ukungezwani komzimba lifakwa esikhumbeni. Lokhu akubuhlungu kakhulu, kodwa kuzwakala njengokuhlaba okuncane, njengokulunywa yintuthwane.

Abanye odokotela bafaka amaconsi alo muthi angabangela ukungezwani komzimba ebusweni besikhumba bese bewuklwebha kancane kancane nge-"(Lancet).'" Bese umuthi ungena esikhumbeni ngokuklwebheka.

Kanye nalokhu, udokotela uzofaka ezinye iziqeshana ezimbili zesikhumba sakho, i- "Positive Control" kanye ne- "Negative Control" . Lezi zisetshenziselwa ukusiza ukuqhathanisa imiphumela. I-"Positive Control" iqukethe isixazululo se-"Histamine" . Lokhu kubangela ukuvuvukala okuncane, ukubomvu, kanye nokulunywa (i-"Wheal") esikhumbeni ngokushesha nje lapho isetshenziswa. I-"Negative Control" iqukethe isixazululo se-"Saline" . Lokhu ngokuvamile akubangeli noma yikuphi ukusabela ("Wheal").

Ngemva kokwenza lokhu, ulinda cishe imizuzu eyi-15. Ngemva kwalokho, udokotela uzolinganisa ukuvuvukala namabala abomvu esikhumbeni nge-caliper.

Lokhu kuhlolwa kokubhoboza isikhumba ngokuvamile kuthatha isikhathi esingaphansi kwehora ukwenza.

2. Ukuhlolwa Kwangaphakathi Kwesikhumba

Kulesi sivivinyo, udokotela usebenzisa inalithi encane kakhulu ukufaka inani elincane lento ongase ube nayo yokungezwani komzimba engqimbeni ephezulu yesikhumba sakho, i-epidermis . Lokhu kuhlolwa kwenziwa uma imiphumela yokuhlolwa kokubhoboza isikhumba kwangaphambilini ingacacile noma ingalungile, ukuhlola ukungezwani komzimba nezinto ezisemoyeni, imithi, noma ukuhlatshwa yizinambuzane (njengezinyosi, izintuthwane, ama-wasps).

Indlela yokukwenza:

Okokuqala, udokotela uzomaka isandla sakho ngepeni ukuze athole izinto ezibangela ukungezwani komzimba. Ngemva kwalokho, lokhu kuhlolwa kungenziwa ngezigaba ezimbili.

Esigabeni sokuqala, inani elincane le-allergen lifakwa ngaphansi kwesikhumba ezindaweni eziphawuliwe. Ngemva kokulinda cishe imizuzu eyi-15, isikhumba siqashwe ukuthi asivuvukalanga noma sishintshe umbala.

• Uma kutholakala ukuthi une-allergen yemvelo, ngeke kudingeke wenze olunye uhlolo lwangaphakathi kwesikhumba.
• Uma uhlolwe watholakala ungenayo i-allergen yemvelo, kusho ukuthi awunayo i-allergy kuyo futhi akudingeki ukuhlolwa okwengeziwe.
• Uma ukuhlolwa kwesidakamizwa kubuya kungenayo imiphumela emihle, ungase ukwazi ukuya kokuhlolwa kwesibili kwangaphakathi kwesikhumba.
• Uma ukuhlolwa kwesibulala-zinambuzane kungenayo imiphumela emihle, kuzodingeka eminye imijikelezo emithathu yokuhlolwa kwangaphakathi kwesikhumba. Ukuhlushwa kwalesi sidakamizwa kukhula kancane kancane emjikelezweni ngamunye.

Esigabeni sesibili (uma kudingeka), ikhambi eliqinile kancane le-"allergens" elalinikeze imiphumela "engemihle" ngaphambili liyajovwa. Bese, balinda eminye imizuzu eyi-10 bese belinganisa ukusabela futhi.

Lokhu `(Ukuhlolwa Kwangaphakathi Kwesikhumba)` akubuhlungu kakhulu. Abantu abaningi bathi akubuhlungu kangako kunokuhlolwa kokubhoboza isikhumba. Kuye ngenani `(Ukuhlolwa Kwangaphakathi Kwesikhumba)` okufanele ukwenze, lokhu kuhlolwa kungathatha cishe ihora nesigamu ukuqedwa.

3. Ukuhlolwa kwe-Patch

Kulesi sivivinyo, udokotela usebenzisa ama- patches afana ne-plaster aqukethe izinto ongase ube nazo esikhumbeni sakho. Lokhu kuthola kakhulu izinto ezibangela i-contact dermatitis . Okusho ukuthi, ukungezwani komzimba okwenzeka lapho izinto ezithile zithinta isikhumba sakho.

Indlela yokukwenza:

Udokotela uzoqala akubuze ngensipho, ama-lotion, izimonyo, kanye nobucwebe obusebenzisayo. Ngemuva kwalokho, bazokwenza ama-patches aqukethe izinto ocabanga ukuthi ungaba ne-allergy kuzo bese bewanamathisela emhlane wakho. La ma-patches kufanele ashiywe cishe izinsuku ezimbili kuya kwezine. Ngemuva kwalokho, udokotela uzosusa ama-patches bese ehlola ukuthi kukhona yini ukusabela kwe-allergy. Ngokusekelwe kulokhu, bazokwenza uhlu lwezinto ozizwa une-allergy kuzo futhi batuse imikhiqizo ephephile ukuthi uyisebenzise.

Cabanga nje, noma nini lapho uSamantha esebenzisa uhlobo olusha lwensipho, uthola amabhamuza amancane emzimbeni wakhe wonke bese eqala ukuklwebha. Kwakungemva kokuba udokotela enze ukuhlolwa kwe-patch lapho athola khona ukuthi uSamantha wayenomzimba ongezwani nephunga elisensiphini.

Kwenzekani ngemva kokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba?

Kuye ngobukhulu bokungezwani komzimba kwakho, ama-wheal anganyamalala ngemizuzu embalwa noma angase ahlale izinsuku eziningana. Ungase futhi ubhekane nezinye izimpawu zokungezwani komzimba, njengamehlo anamanzi, ikhala elivalekile, nokuthimula. Udokotela wakho uzokutshela ukuthi ungaqala nini ukuthatha umuthi wakho wokungezwani komzimba futhi.

Ingabe zikhona izingozi ngalolu vivinyo?

Esikhathini esiningi, lezi zivivinyo aziyona ingozi enkulu. Kodwa-ke, akuvamile kakhulu , ukusabela okukhulu kwe-anaphylactic ku-allergen kungenzeka ngesikhathi sokuhlolwa. Esimweni esinjalo, udokotela angakubona futhi akwelaphe ngokushesha ngomjovo we-epinephrine . Ngakho-ke, akukho okufanele ukhathazeke ngakho, uphephile.

Imiphumela yokuhlolwa izotholakala nini?

Ezimweni eziningi, ungathola imiphumela yokuhlolwa kwesikhumba noma ukuhlolwa kwangaphakathi kwesikhumba ngokushesha nje ngemva kokuhlolwa, usesehhovisi likadokotela. Kuthatha cishe izinsuku ezine ukuthola imiphumela yokuhlolwa kwe-patch.

Ithini imiphumela yokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba?

Ungathola izinhlobo ezimbili zemiphumela ekuhlolweni kwesikhumba okubangelwa ukungezwani komzimba:

• Okuhle: Umphumela omuhle usho ukuthi une-allergy entweni ethile. Uma i-wheal inkulu, kulapho uzwela khona kakhulu kuleyo nto.
• Okubi: Umphumela ongemuhle usho ukuthi awunayo i-allergy kulowo muthi.

Uma une-allergy... (Umphumela Omuhle)

Uma udokotela wakho eqinisekisa ukuthi unesifo sokungezwani komzimba, nobabili nizosebenzisana ukuthuthukisa uhlelo lokwelashwa olufanele wena. Lolu hlelo lungafaka:

• Ukugwema izinto ezibangela ukungezwani komzimba: Into engcono kakhulu ongayenza ukuziqhelelanisa nalezo zinto ngangokunokwenzeka.
• Ukuthatha imithi yokwelapha ukungezwani komzimba: Ukusebenzisa imithi enqunywe udokotela.
• Ukuthatha imijovo yokungezwani komzimba: Lokhu kuyindlela yokwelapha yesikhathi eside.
• Ukuphatha i-epinephrine auto-injector (EpiPen®): Lokhu kubaluleke kakhulu kubantu abane-allergies enzima.
• Kungumqondo omuhle ukugqoka isongo sezexwayiso zezokwelapha esinolwazi mayelana nokungezwani komzimba kwakho, noma ukuphatha ikhadi nawe.
• Ukuba nolwazi mayelana nokungezwani nokudla kwakho kufakwe kuzilungiselelo eziphuthumayo zezokwelapha zefoni yakho noma kuhlelo lokusebenza.

Ingabe imiphumela emihle/engemihle engamanga ingenzeka ngezinye izikhathi?

Yebo, sesishilo kakade ukuthi ukuhlolwa kwesikhumba okuphathelene nokungezwani komzimba akulona iqiniso eliphelele ngaso sonke isikhathi.

Umphumela othi "unephutha" usho ukuthi noma usabela entweni ethile esivivinyweni, awunawo ukusabela kuleyo nto empilweni yansuku zonke.

Umphumela othi "akukho manga" usho ukuthi awusabeli entweni ethile esivivinyweni, kodwa usabela kuleyo nto ekuphileni kwansuku zonke.

Uma udokotela wakho engabaza ngemiphumela yokuhlolwa, angase ancome ukuhlolwa okwengeziwe.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma unezimpawu ezinkulu zokungezwani komzimba eziphazamisa impilo yakho yansuku zonke, kubalulekile ukubona udokotela. Bangenza izivivinyo zesikhumba zokungezwani komzimba, banqume ukuthi yikuphi ukungezwani komzimba onakho, futhi bakusize wakhe uhlelo lokwelashwa olufanele wena.

Uma uqhubeka nokuba nezimpawu ngemva kokuhlolwa kwesikhumba okubangelwa ukungezwani komzimba nokuthola ukuthi unesifo sokungezwani komzimba, yazisa udokotela wakho ukuze akwazi ukwenza ezinye izivivinyo.

Ingabe kukhona umshwalense walezi zivivinyo?

Kungcono ukukhuluma nodokotela wakho ngalokhu. Ukumbozwa kungahluka kuye ngenqubomgomo yakho yomshuwalense, ukuthi udokotela wakho ukhokhisa malini ngalezi zivivinyo, nokuthi uthola kuphi ukwelashwa. Udokotela wakho angakudlulisela kumxhumanisi wezezimali wesiguli, ongakunikeza umbono oqondile wokuthi ukwelashwa kwakho kuzobiza malini.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Manje usuyaqonda ukuthi kuyini ukungezwani komzimba kanye nokuhlolwa kwesikhumba okusetshenziselwa ukukuthola. Ukungezwani komzimba kwenzeka lapho amasosha omzimba ethu esabela ngokweqile 'ku-allergen' ethile. Lokhu kusabela ngezinye izikhathi kungaba kuncane njengokuthimula noma ukulunywa, noma kungaba kubi ngokwanele ukuba kusongele impilo.

Ngakho-ke, ukuhlolwa kwesikhumba okubangelwa ukungezwani komzimba kuyindlela ebaluleke kakhulu ekusiza ukuthi uthole ukuthi yini ngempela onayo i-allergy. Udokotela wakho uzoncoma ukuhlolwa okufanele kuwe ngokusekelwe ezimpawini zakho kanye nalokho ocabanga ukuthi unakho i-allergy. Uzokusiza futhi ukuthi wakhe uhlelo lokwelapha olungcono kakhulu. Ngakho-ke, uma unezimpawu zokungezwani komzimba, ungesabi ukubona udokotela bese ukhuluma ngakho.

Ngithemba ukuthi lolu lwazi luwusizo!

Ukungezwani komzimba , ukuhlolwa kwesikhumba, ukuhlolwa kwesikhumba, ukugonywa, i-allergen, ukuxilongwa