Ingabe nawe unezindilinga ezimnyama ngaphansi kwamehlo akho? Mhlawumbe yizo "zikhanyisayo" ezikhathazayo!

Wake waphawula ukuthi amehlo akho abukeka njengezindilinga ezimbili ezimnyama ngaphansi kwamehlo akho? Abanye abantu bacabanga ukuthi lokhu kungenxa yokungalali kahle noma ukukhathala. Kodwa-ke, lokhu akuvamile ukuba njalo. Ngezinye izikhathi imbangela yalokhu kungaba yisimo esibizwa ngokuthi "ama-Allergy Shiners" esizokhuluma ngaso namuhla. Ungakhathazeki, lesi akusona isifo esibi kakhulu, kodwa kubaluleke kakhulu ukuqaphela lokhu.

Ziyini izinto ezibangela ukungezwani komzimba?

Kalula nje, izinto ezikhanyisa i-allergy yilapho isikhumba esingaphansi kwamehlo akho sibonakala simnyama, ngezinye izikhathi sinsundu, simpunga, siluhlaza okwesibhakabhaka, noma sinsomi. Kubukeka sengathi kukhona okukushayile esweni. Kodwa akusikho ukuklwebheka. Lesi simo sibangelwa kakhulu yikhala elivalekile elibangelwa yisimo sokungezwani komzimba esibizwa ngokuthi "i-hay fever," noma esaziwa ngokwezokwelapha ngokuthi i-allergy rhinitis.

Lokhu kwaziwa nangokuthi `(periorbital hyperpigmentation)` kanye `(allergic facies)`. Kodwa-ke, enkulumweni yansuku zonke, abantu abaningi bayazi kuphela uma sithi `allergic shiners.''

Kungani kukhona imibuthano emnyama ngaphansi kwamehlo? Iyini imbangela?

Kulungile, manje ake sibone ukuthi lokhu kwenzeka kanjani. Uma une-allergy entweni ethile, amasosha omzimba wakho aqala ukulwa nayo. Njengengxenye yalokhu kusabela, ulwelwesi lwamafinyila, ulwelwesi olumanzi lwangaphakathi kwekhala lakho, lungavuvukala (i-mucosal edema).

Cabanga nje, uma kukhona ukuvuvukala okuncane ngaphakathi kwekhala, ukugeleza kwegazi kulo kuyavaleka kancane, akunjalo? Ngokufanayo, ukugeleza kwegazi emithanjeni yegazi ethambile ezungeze imigodi egcwele umoya (ama-paranasal sinuses) azungeze ikhala nakho kuyehla ngenxa yalokhu kuvuvukala. Le mithambo yegazi iseduze kakhulu nesikhumba esingaphansi kwamehlo ethu. Ngakho-ke, lapho le mithambo yegazi ivuvukele futhi igcwele igazi, isikhumba kuleyo ndawo sibukeka simnyama futhi mhlawumbe sikhukhumele kancane. Yilokho okubizwa ngokuthi ama-shiner okungezwani komzimba. Uyaqonda?

Zivame kangakanani izithambisi ze-allergy?

Empeleni lesi yisimo esivame kakhulu kunalokho ongakucabanga. Sivame kakhulu kubantu abane-"hay fever" (i-allergic rhinitis). Kodwa-ke, akubona bonke abane-hay fever abathola i-allergic shingles. Kubalulekile ukukhumbula lokho futhi.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko indawo eyindilinga emnyama, enombala oshintshile (omnyama, onsundu, onsundu, ompunga, ompunga-oluhlaza okwesibhakabhaka, noma onsomi) ngaphansi kwamehlo.

Ngaphezu kwalokho, ungase ube nezinye izimpawu ezihlobene nokungezwani komzimba, njenge:

• Ukuluma emehlweni, ekhaleni, noma emphinjeni.
• Ukubomvu noma ukumanzisa amehlo.
• Impumulo egobhozayo.
• Ukuminyana kwamakhala.
• Ukuthimula njalo.

Esinye noma ngaphezulu salezi zici sibonakala kanye nama-allergy shiners.

Izimbangela eziyinhloko ze-allergy shingles

Njengoba kushiwo ngaphambili, imbangela eyinhloko yalokhu umkhuhlane we-hay (i-allergy rhinitis). Ngakho-ke, izinto ezibangela umkhuhlane we-hay yizona ezibangela lokhu. Ake sibone ukuthi ziyini?

• Impova: Impova etholakala ezimbalini nasezihlahleni.
• I-pet dander: Izingcezu ezincane zezinwele eziwela esikhumbeni sezilwane ezifana nezinja namakati.
• Izibungu zothuli: Izinambuzane ezingabonakali ezihlala othulini.
• Isikhunta: Uhlobo lwesikhunta olukhula ezindaweni ezimanzi.

Abanye abantu bangase babe ne-allergy kokunye kwalokhu, kanti abanye bangase babe ne-allergy kwezinye. Ukungezwani komzimba ngezikhathi ezithile kwenzeka ngesikhathi se-pollen ephezulu, ngokuvamile entwasahlobo, ehlobo, nasekuqaleni kwekwindla. Kodwa-ke, izinto ezibangela ukungezwani komzimba unyaka wonke, njenge-dander yezilwane kanye nezibungu zothuli, zingabangela ukushiswa kwe-allergy nganoma yisiphi isikhathi sonyaka.

Enye into ukuthi sivame ukuhlikihla amehlo ethu ngoba amehlo ethu ayaluma noma anamanzi. Ukuhlikihla amehlo ethu kanjalo kungalimaza kakhulu isikhumba esingaphansi kwamehlo ethu futhi kwenze kube kubi kakhulu ukuzwela kwamehlo. Ngakho-ke zama ukunciphisa ukuhlikihla amehlo ngangokunokwenzeka.

Ingabe lesi yisifo esithathelwanayo?

Lutho neze. Ama-allergic shiner awathelelani. Awukwazi ukuwadlulisela komunye umuntu ngoba nje unawo. Ngakho ungakhathazeki ngawo.

Ubani onamathuba amaningi okuba ne-allergy shiners?

Noma ubani onomkhuhlane we-hay angathola ama-shingles angezwani nomzimba. Kodwa-ke, izingane ezincane, ikakhulukazi lezo ezine-allergies, zinamathuba amaningi okuthola ama-shingles angezwani nomzimba kunabantu abadala. Abanye odokotela bacabanga ukuthi lokhu kungenzeka ngoba izingane ezincane aziphefumuli impumulo yazo njalo njengabantu abadala (mhlawumbe ngokusula noma ngokukha ikhala). Kodwa-ke, awekho ucwaningo olwanele lokuqinisekisa ukuthi lena yimbangela eqondile.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma ngikhuluma iqiniso, ama-allergy shiner awabangeli umonakalo omkhulu empilweni yakho yomzimba. Okusho ukuthi, awabangeli ubuhlungu. Kodwa-ke, le mibuthano emnyama ngaphansi kwamehlo ingakwenza uzizwe ungakhululekile futhi unamahloni. Kwabanye, ingabangela ngisho nokucindezeleka kwengqondo nokukhathazeka. Uma uzizwa ngaleyo ndlela, ngokuqinisekile kuwumqondo omuhle ukukhuluma nodokotela.

Udokotela ukubona kanjani lokhu?

Uma lezi zindilinga ezimnyama ngaphansi kwamehlo akho sezikhona isikhathi esingaphezu kwamasonto ambalwa, noma uma zivela ngezikhathi ezithile zonyaka, kungcono ukubona udokotela. Udokotela uzobuza ngomlando wakho wezokwelapha odlule, abuze ngezimpawu zakho, bese enza ukuhlolwa ngokomzimba.

Uma udokotela wakho esola ukuthi lokhu kungaba yi-allergy shingles, angakuthumela kudokotela we-allergy. Lowo dokotela angenza izivivinyo ukuze athole ukuthi yini ngempela ekwenza uzizwe ungezwani nayo.

Hlobo luni lokuhlolwa oluzokwenziwa?

Udokotela wakho angenza izivivinyo eziningana zokungezwani komzimba ukuze anqume ukuthi une-allergy shingles. Izivivinyo ezivame kakhulu ukuhlolwa kokubhoboza isikhumba kanye nokuhlolwa kwegazi.

• Ukuhlolwa kokubhoboza isikhumba:Kulokhu, udokotela noma umhlengikazi uzohlaba amabala amancane esikhumbeni sakho, ngokuvamile engalweni noma emhlane wakho, ngenaliti encane noma induku yepulasitiki. Bese, bazofaka inani elincane lezinto ezivamile ezibangela ukungezwani komzimba ezindaweni ezihlaselwe. Uma une-allergy kwenye yezinto ezibangela ukungezwani komzimba, kungakapheli imizuzu eyi-15, indawo izophenduka ibe bomvu, iqhume kancane, futhi ingashintsha umbala. Udokotela uzolinganisa ubukhulu bokusabela. Ngemuva kwalokho, kuzofakwa ukhilimu we-steroid endaweni ukunciphisa ukulunywa kanye nokusabela kwesikhumba. Lokhu kuhlolwa kuvame ukusetshenziselwa ukuthola izinto ezibangela ukungezwani komzimba ngoba kunikeza imiphumela esheshayo futhi akunzima kakhulu.

• Ukuhlolwa kwegazi: Kulokhu kuhlolwa, udokotela wakho uthatha isampula encane yegazi emthanjeni ongalweni yakho (enenaliti encane njenge-earring post evamile). Isampula ithunyelwa elabhorethri. Ilabhorethri ibe isihlola igazi lakho ukuze ithole izinto ezibangela ukungezwani komzimba ezivamile bese ibheka ama-antibodies okubangela ukungezwani komzimba. Uma unezinga eliphezulu lama-antibodies ku-allergen ethile, ungase ube ne-allergy kuleyo allergen. Kodwa-ke, ngezinye izikhathi ukuhlolwa kwegazi akunembile njengokuhlolwa kwesikhumba.

Ungayilapha kanjani i-allergy shingles? / Yiziphi izindlela zokwelapha lokhu?

Indlela ephumelela kakhulu yokugwema izinto ezibangela ukungezwani komzimba ukuzigcina kude nezinto ezibangela ukungezwani komzimba onakho ngangokunokwenzeka. Kodwa-ke, akulula ngaso sonke isikhathi ukuzigcina kude nazo. Ngezinye izikhathi, noma ngabe wenza kanjalo, ungase ungakwazi ukuvimba ngokuphelele ukusabela kokungezwani komzimba.

Kodwa ungakhathazeki, kukhona imithi ethengiswa ngaphandle kwemithi kadokotela (OTC) kanye nemithi kadokotela etholakala kulokhu.

Okubalulekile: Kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokusebenzisa noma yimuphi umuthi, ikakhulukazi uma uwunika izingane.

Nazi ezinye zemithi enjalo:

Ama-antihistamine

Lena imithi evame kakhulu ukunqunywa yokungezwani komzimba. Ilawula ukusabela kokungezwani komzimba. Izibonelo:

• I-Fexofenadine (isib. i-Allegra®)
• I-Loratadine (isib. i-Claritin®)
• I-Cetirizine (isib. I-Allergy-D® Yosuku Lonke noma i-Zyrtec®) - Lokhu kuyinto abantu abaningi eSri Lanka abajwayelene nayo.
• I-Levocetirizine (isib. i-Xyzal®)

Izifutho zekhala

Lokhu kuyasiza kakhulu ekuminyanisweni kwamakhala kanye nezimpawu zokungezwani komzimba.

• Izifutho zekhala ze-steroid: njenge-fluticasone (isib. i-Flonase®), i-mometasone (isib. i-Nasonex®), i-budesonide (isib. i-Rhinocort®).
• Izifutho ze-antihistamine ekhaleni: njenge-azelastine (isib. i-Dymista®), i-olopatadine (isib. i-Patanase®).
• Isifutho sekhala sikaCromolyn (isib. iNasalcrom®) .

Amaconsi eso

Lokhu kuhle ezimpawini ezinjengokulunywa namehlo abomvu.

• Amaconsi amehlo e-Antihistamine: njenge-olopatadine (isib. i-Pataday®), i-azelastine (isib. i-Optivar®).
• Isixazululo samehlo seKetorolac (isb. i-Acular®).
• Isixazululo samehlo se-Naphazoline (isib. i-AK-Con®).

Imithi yokuminyana kwamakhala `(Ama-Decongestant)`

Lezi zinciphisa ukuvuvukala ekhaleni futhi zenza kube lula ukuphefumula. Kodwa-ke, akukuhle ukuzisebenzisa njalo. Zisebenzise kuphela njengoba kuqondiswe udokotela wakho.

• Isifutho sekhala se-Oxymetazoline
• I-Phenylephrine (isb. i-Sudafed PE® noma i-Sudogest PE®)
• I-Pseudoephedrine (isib. i-Contac® noma i-Sudafed®)

Ukunisela ngekhala

Lokhu akulona ikhambi, kodwa kuyindlela ephumelela kakhulu. Kuhilela ukuhlanza ikhala lakho ngesisombululo sikasawoti (amanzi anosawoti) ongasithenga ekhemisi. Lokhu kususa izinto ezibangela ukungezwani komzimba kanye ne-mucus ngaphakathi kwekhala lakho. Ungasebenzisa into efana ne-"Neti pot" kulokhu.

Ukucindezela kweqhwa noma okubandayo

Ukuze unciphise ukuvuvukala ngaphansi kwamehlo, beka izingcezu ezimbalwa zeqhwa, indwangu efakwe emanzini abandayo, noma ithawula elilula phezu kwamehlo akho cishe imizuzu eyi-10 izikhathi eziningana ngosuku.

Ukwelashwa nge-immunotherapy

Uma eminye imithi ingasizi, udokotela wakho angase akuncome lokhu kwelashwa. Lokhu kubizwa nangokuthi imijovo yokungezwani komzimba . Ngezinye izikhathi kunikezwa njengephilisi ngaphansi kolimi (i-sublingual immunotherapy). Lokhu kuhilela ukufaka kancane kancane inani elincane kakhulu lezinto ezibangela ukungezwani komzimba onazo emzimbeni wakho. Ezinyangeni ezimbalwa, umzimba wakho ujwayela izinto ezibangela ukungezwani komzimba futhi awusabeli kahle. Lokhu kungaholela ekunyamalaleni kwezimpawu zokungezwani komzimba, njenge-shingles yokungezwani komzimba.

Ama-allergy shiner ahlala isikhathi esingakanani?

Kunzima ukusho ngokuqinisekile, kuyahlukahluka kuye ngomuntu nomuntu. Uma uphatha kahle ukungezwani komzimba kwakho futhi uzigcina zilawulwa, izinto ezikhanyisa ukungezwani komzimba zivame ukunyamalala phakathi kwamasonto ambalwa. Njengoba imithambo iphola, umbala omnyama ngaphansi kwamehlo ungase uphenduke kancane kancane ube umbala okhanyayo (njengoluhlaza okotshani, ophuzi, noma onsundu).

Uma ingelashwa, ukungezwani komzimba kwakho kungase kuphele ngokwako phakathi namasonto ambalwa kusukela ekuvezweni kwakho kokugcina yi-allergen, kuze kube yilapho uphinde uvezwa kukho.

Kwenzekani uma ngine-allergy shiners?

Njengoba kushiwo ngaphambili, ama-shingles okungezwani komzimba angaba yinto engakhululekile, kodwa akuyona inkinga enkulu yezempilo. Angafika adlule impilo yakho yonke. Iningi labantu lilawula isimo sabo ngokugwema izinto abangezwani nazo ngangokunokwenzeka nangokusebenzisa imithi etholakala ngaphandle kwemithi kadokotela.

Ingabe ama-shiners e-allergy angavinjelwa?

Yebo, ungakwazi. Indlela engcono kakhuluUkuzigwema izinto owaziyo ukuthi une-allergy kuzo, kanye nokuphuza imithi yokungezwani komzimba nsuku zonke njengoba kuyalelwe udokotela wakho, kungasiza futhi ekuvimbeleni i-shingles yokungezwani komzimba.

Nazi ezinye izinto ongazenza:

• Hlanza indlu yakho ngomshini wokuhlanza njalo: Susa izinto ezibangela ukungezwani komzimba njengothuli kanye ne-dander yezilwane.
• Gcina amafasitela evaliwe ngezikhathi zempova ephezulu bese usebenzisa i-"Air Conditioner - AC" uma kungenzeka.
• Sebenzisa isihlungi se-`HEPA (High-Efficiency Particulate Air)`: Lokhu kusiza ukususa izinto ezibangela ukungezwani komzimba emoyeni ekhaya lakho.
• Sebenzisa i-humidifier: Lokhu kungasiza ekunciphiseni ukungakhululeki uma izicubu ezingaphakathi kwekhala lakho zomile.
• Uma une-allergy ezilwaneni, nciphisa ukuthinta, ukugona, nokuzithinta ngangokunokwenzeka.
• Gqoka izibuko zelanga nesigqoko uma uphuma ngaphandle: Lokhu kusiza ekuvikeleni amehlo akho empova.

Ingabe udinga ukubona udokotela?

Nakuba ama-allergy shiners engabangeli izinkinga ezinkulu zempilo, ezinye izimpawu zokungezwani komzimba (njengokuminyana kwamakhala nokulunywa) ezihambisana nawo zingaba yinkinga encane. Uma ama-allergy shiners ebangela ukucindezeleka, noma uma ephazamisa imisebenzi yakho yansuku zonke, kufanele nakanjani ubone udokotela. Udokotela wakho anganquma imbangela eqondile yama-allergy shiners akho futhi ancome ukwelashwa okungcono kakhulu.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma une-allergy shingles futhi uba nezimpawu zokusabela okukhulu kwe-allergy (i-anaphylaxis), njengobunzima bokuphefumula, ukuvuvukala kobuso, noma ukuquleka, iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha. Lesi yisimo esiphuthumayo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Ungabona kanjani ngempela ukuthi imibuthano emnyama ngaphansi kwamehlo ami ibangelwa ukungezwani komzimba?
• Yiziphi izinto engingezwani nazo?
• Hlobo luni lwemithi oluncomayo?
• Ingabe ngidinga ukuthatha umuthi nsuku zonke, noma kwanele ukuwuthatha nje uma ngine-allergy shingles?
• Ingabe ikhona imiphumela emibi evela emithini oyinikezayo?
• Ingabe ngidinga ukubona udokotela obangela ukungezwani komzimba? Ungangincoma?

Uyini umehluko phakathi kwe-allergy shiners kanye ne-dark circles evamile ngaphansi kwamehlo?

Lona umbuzo abantu abaningi abawubuzayo. Ama-allergic shiner abangelwa ukungezwani komzimba. Lokhu kusho ukuthi ikhala liyavaleka, imithambo yegazi elizungezile iyavuvukala, futhi isikhumba esingaphansi kwamehlo siba mnyama.

Noma kunjalo, kungaba nezizathu eziningi zokuvela kwemibuthano emnyama ngaphansi kwamehlo. Isibonelo:

• Umkhuhlane ovamile.
• Umkhuhlane.
• Ukutheleleka kwe-Sinus.
• I-Eczema.
• Ukuphuka.
• Ukungalali isikhathi eside.
• Ama-polyp ekhala.
• Ama-adenoid avuvukele.
• Ukuphelelwa amanzi emzimbeni.
• Izimbangela zofuzo ezivela ku-gene.

Ngakho-ke, kungcono ukubona udokotela ukuze uthole ukuthi imibuthano emnyama ngaphansi kwamehlo akho ibangelwa yini yizinto ezibangela ukungezwani komzimba noma okunye.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, ama-allergy shiners akusona isimo esibucayi okufanele usikhathazeke. Kodwa angakwenza uzizwe ungakhululekile futhi unamahloni. Ezinye izimpawu zokungezwani komzimba ezihambisana nawo nazo zingaba yinto ecasulayo kancane.

Into ebaluleke kakhulu ukuthola ukuthi yini ekwenza uzwele, ugweme lezo zinto ngangokunokwenzeka, bese ucela ukwelashwa okufanele njengoba kuceliwe udokotela.

Uma wenza lokho, ungathola impumuzo enkulu enkingeni yezindilinga ezimnyama ngaphansi kwamehlo akho. Uma uneminye imibuzo mayelana nalokhu, ungabi namahloni ubuze udokotela. Uzokusiza!

` Izinto ezikhanyisayo zokungezwani komzimba, imibuthano emnyama ngaphansi kwamehlo, ukungezwani komzimba, umkhuhlane we-hay, ukuminyana kwamakhala, izimpawu zesikhumba, ukungezwani komzimba ezinganeni