Ingabe ukuthinta amanzi kukwenza ulume? Ake sixoxe ngalesi simo esingavamile (i-Aquagenic Pruritus)!

Wake wezwa ukuthi abanye abantu bayaluma kakhulu uma bemanzi? Akukhona nje ukulunywa okuncane, ukulunywa okukhulu okuzwakala sengathi yizintuthwane ezikhasa emzimbeni wakho wonke, ngezinye izikhathi zivutha. Namuhla sizokhuluma ngesimo esingavamile kancane, kodwa esingabacasula kakhulu labo abahlushwa yilesi simo. Lokhu kubizwa ngokuthi `(Aquagenic Pruritus)` kwisayensi yezokwelapha.

Iyini le Aquagenic Pruritus?

Kalula nje, i-"Aquagenic Pruritus" iwukulunywa okukhulu okwenzeka lapho isikhumba sakho sithinta amanzi. Into ephawulekayo kakhulu ukuthi azikho izimpawu zangaphandle ezibonakalayo zokulimala kwesikhumba, ukubomvu, noma ukuqubuka. Okusho ukuthi, isikhumba sibukeka sijwayelekile ebusweni.

Cabanga nje, uma ugeza, ugeza, noma ugxumela echibini lokubhukuda, uqala ukulunywa kakhulu emzimbeni wakho wonke ngemizuzu embalwa. Akukhona nje ukuthi kuyaluma, kodwa kwabanye abantu, lokhu kulunywa kuhambisana nobuhlungu obuvuthayo, obuhlabayo, noma obuhlabayo. Lesi simo esicasulayo singahlala ihora noma ngaphezulu.

Into ebaluleke kakhulu ukuthi izinga lokushisa lamanzi (elibandayo noma elishisayo) alinandaba. Futhi, akunandaba ukuthi amanzi ompompi, amanzi omthombo, amanzi olwandle, noma amanzi emvula. Lesi simo singavela kunoma yiluphi uhlobo lwamanzi. Esikhathini esiningi, abantu abanalesi simo babhekana nalokhu ngenkathi begeza. Ngakho cabanga ukuthi kungadala ukucindezeleka okungakanani lapho ngisho nokugeza kuba yinkinga enkulu nsuku zonke. Abanye abantu baze balingeke ukuba bayeke ukugeza ngenxa yalokhu, okungadala izinkinga ezengeziwe.

Kwenzeka kanjani lokhu? Iyini imbangela?

Uma ngikhuluma iqiniso, odokotela abakakatholi ukuthi lesi simo esibizwa ngokuthi "i-Aquagenic Pruritus" senzeka kanjani. Okusho ukuthi, imbangela iseyimfihlakalo. Kodwa-ke, abacwaningi bakholelwa ukuthi kunezimbangela eziningana ezingaba khona.

• Mhlawumbe kungenxa yokungajwayelekile kokusebenza kwamaseli ethu esikhumba.
• Noma, kungase kube noshintsho oluthile ohlelweni lwethu lwezinzwa noma ohlelweni lwethu lokuzivikela komzimba.

Nakuba lesi simo ngezinye izikhathi sibonakala kubantu abaningana emndenini ofanayo, akukho gene ethile etholakele ukuze kutholakale ukuthi idluliselwa kubazali yini ezinganeni. Ngakho-ke, kunzima ukusho ngokuqinisekile ukuthi iyifa.

Kukuphi lapho lokhu kuthinta khona kakhulu emzimbeni?

Lokhu kuqubuka kungavela noma kuphi emzimbeni, kodwa kuvame ukubonakala ku:

• Imilenze ithinteka kakhulu.
• Lokhu kuluma kungase kusakazekele ezingalweni, esifubeni nasemhlane.

Kodwa-ke, ngokuvamile akuthinti izintende zezandla, amathe ezinyawo, kanye nolwelwesi lwamafinyila olungaphakathi kwemilomo yethu, impumulo, nezindlebe. Lokhu kuyimpumuzo enkulu, njengoba kusho ukuthi abantu abanalesi simo bangaphuza amanzi ngaphandle kobunzima.

Sivame kangakanani lesi simo?

Eqinisweni, azikho izibalo eziqondile zokuthi lesi simo sivame kangakanani emphakathini. Ngakho-ke, kunzima ukusho ngqo ukuthi lesi yisimo esingavamile noma ukuthi sivame kakhulu kunalokho esikucabangayo.

Yiziphi ezinye izinto ezingaba imbangela yalokhu?

Lesi simo, esibizwa ngokuthi "i-Aquagenic Pruritus", singavela ngaphandle kwesizathu esicacile ("Idiopathic"), noma singabonakala njengophawu lwesinye isimo sezokwelapha.

Cabanga nje, kunezifo ezithile, njengomphumela ongemuhle la manzi angabangela ukulunywa. Isibonelo:

• I-Polycythemia Vera: Lesi yisimo esibi kakhulu. Kalula nje, sibangela ukuthi umzimba ukhiqize amangqamuzana egazi abomvu amaningi kunalokho okudingayo . Kutholakale ukuthi cishe izingxenye ezimbili kwezintathu zabantu abane-Polycythemia Vera nabo bane-Aquagenic Pruritus.
• I-Urticaria Engapheli: Lesi yisimo sesikhumba esiqhubekayo esibangela ama-hives.
• I-Hypereosinophilic Syndrome: Lesi yisimo esibangelwa ukwanda ngokweqile kohlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophils egazini.
• Izifo ze-Myelodysplastic kanye neminye imidlavuza yegazi.

Ingabe eminye imithi nayo ingadala lokhu?

Yebo, nakuba kungavamile kakhulu, eminye imithi ingabangela lesi simo (i-Aquagenic Pruritus). Eminye yale mithi ihlanganisa:

• Imithi efana ne-'Bupropion' kanye ne-'Clomipramine', esetshenziselwa ukucindezeleka.
• Imithi efana ne-'Hydroxychloroquine' kanye ne-'Chloroquine', esetshenziselwa ukuvimbela nokwelapha umalaleveva.

Uma uthatha lolu hlobo lomuthi futhi usanda kuqala ukuba nalolu hlobo lokuqubuka kwamanzi, kubaluleke kakhulu ukutshela udokotela wakho ngakho.

Yiziphi izimpawu eziyinhloko zalokhu?

Njengoba sesixoxile ngaphambili, uphawu oluyinhloko ukulunywa okukhulu okwenzeka ngemva kokuba amanzi ethinte isikhumba. Akukhona lokho kuphela, kodwa nabanye abantu babhekana nakho:

• Umuzwa wokushisa
• Ukuzwa Kokudlikiza
• Umuzwa wokuhlaba

Ngaphezu kwalokhu kungakhululeki ngokomzimba, abantu abaningi bahlushwa nokucindezeleka okukhulu kwengqondo ('Ukucindezeleka Kwemizwa') . Cabanga nje, wesaba ukugeza nsuku zonke, wesaba ukuyobhukuda, wesaba ukumanziswa yimvula. Uma ungakwazi ukuphila impilo yakho ngendlela evamile ngenxa yezinto ezinjengalezi, kuvamile ukuzizwa ukhathazekile kakhulu futhi udabukile.

Udokotela ukubona kanjani lokhu?

Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Udokotela uzohlonza lesi simo (i-Aquagenic Pruritus) ngokusekelwe ezimpawini ozichazayo nokuthi zivela nini.

Udokotela uzokubuza le mibuzo:

• Ingabe ukhona emndenini wakho onalesi simo (`Umlando Womndeni`).
• Uzohlolwa umzimba ngokuphelele.

Ngezinye izikhathi, izinto ezifana nokuhlolwa kwegazi zingenziwa ukuze kubonakale ukuthi kukhona yini esinye isizathu salokhu kuluma.

Ingabe ikhona ikhambi eliphelele lalokhu?

Lena inkinga abantu abaningi abanayo. Uma ngikhuluma iqiniso, alikho ikhambi eliphelele le-`(Aquagenic Pruritus)` okwamanje. Kodwa, ungakhathazeki! Kunezindlela zokwelapha ezingasiza ekulawuleni lesi simo.

• Uma ubhekene nalesi simo ngenxa yomuthi othile, izimpawu zingase ziphele uma uyeka ukuthatha lowo muthi.
• Futhi, uma ithimba lakho lezokwelapha lingathola isimo sezokwelapha esiyisisekelo esibangela ukulunywa, ukwelapha leso simo kungasiza ekunciphiseni noma ngisho nasekuqedeni ukulunywa ngokuphelele.

Ngakho-ke ikuphi ukwelashwa kwalokhu?

Ukwelapha lokhu kungaba yinselele kancane. Ngoba, ukwelashwa okufanayo akusebenzi kuwo wonke umuntu. Kungase kudingeke uzame ukwelashwa okuhlukile uze uthole okusebenza kahle kuwe. Odokotela basebenzisa imithi ehlukahlukene, ukwelashwa, ngisho nemithi yemvelo ukunciphisa ukulunywa nobuhlungu.

Ukwelashwa kwezokwelapha

• Ama-Antihistamine: Lawa avame ukunqunywa imithi yokwelapha ukungezwani komzimba. Kwabanye abantu, lokhu kungasiza ekunciphiseni ukulunywa.
• Ama-analgesics: Imithi enikezwa ukunciphisa ubuhlungu.
• Ukukhuthazwa Kwezinzwa Zikagesi Ezidluliselwa Ngogesi (TENS): Lokhu kuyindlela yokwelapha esebenzisa idivayisi ekhethekile ukunciphisa ubuhlungu.
• Ukwelashwa Nge-Ultraviolet (Phototherapy): Lena indlela yokwelapha esebenzisa imisebe efana nelanga elawulwayo ukuze iqondise isikhumba ukwelapha izimo ezithile zesikhumba.

Ngaphezu kwalokhu, kuneminye imithi eye yaletha impumuzo kwabanye iziguli:

• Ama-Beta-blocker: Lawa uhlobo lomuthi onikezwa umfutho wegazi ophakeme.
• I-Cholestyramine: Lona umuthi ovimbela umzimba ekumunceni ama-bile acid.
• I-Naltrexone: Umuthi osetshenziselwa ukwelapha izimo ezihlobene nokusetshenziswa kotshwala kanye ne-opioid.
• Ama-Selective Serotonin Reuptake Inhibitors (SSRIs): Lawa uhlobo lwemithi esetshenziselwa ukwelapha ukucindezeleka.

Izindlela zokwelapha ongayenza ekhaya

Ezinye izindlela zokwelapha zemvelo zingasiza futhi ekulawuleni lezi zimpawu:

• I-Baking Soda (`I-Baking Soda` / `I-Sodium Bicarbonate`): Abanye bathi uma ufaka i-baking soda encane emanzini akho okugeza bese uyixuba, izoshintsha i-pH yamanzi futhi inciphise ukulunywa.
• Izinhlobo zokhilimu eziqukethe i-capsaicin:Ukusebenzisa okhilimu abaqukethe i-capsaicin, into ebangela ukuba upelepele obabayo, kungasiza ekunciphiseni ukulunywa nobuhlungu obuvela ngemva kokuthintana namanzi. Kodwa-ke, kungcono ukubonana nodokotela ngaphambi kokusebenzisa lokhu.
• Izithako ze-Beta-alanine: Nakuba kungacaci kahle ukuthi lezi zithako zokudla zisiza kanjani, abanye abantu babike ukuthi bathole impumuzo ngokuzisebenzisa.
• Amafutha Ezingane: Ukufaka ungqimba olunamafutha njenge-oyela yezingane esikhumbeni ngaphambi kokugeza kunganikeza ungqimba oluvikelayo futhi kusize ekuvimbeleni amanzi ukuthinta isikhumba ngqo ngezinga elithile.

Okubalulekile: Ngaphambi kokuqala noma yikuphi kwalokhu kwelashwa, ikakhulukazi imithi noma ukuzama ukwelashwa okusha, kubalulekile ukukhuluma nodokotela wakho bese ucela iseluleko sakhe. Ungenzi izinto zibe zimbi kakhulu ngokwenza izinto ongafuni ukuzenza.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Njengoba odokotela bengakazi imbangela eqondile yalesi simo, kunzima ukusho ukuthi ikhona yini indlela ethile yokuvimbela ukuthi singenzeki.

Ngakho-ke uphila kanjani nalesi simo? Uyini umbono?

Ukubikezela kwakho kuncike endleleni osabela ngayo ekwelashweni. Udokotela wakho uzokusiza ukuthola ukwelashwa okusebenzayo kakhulu kuwe.

• Uma une-Aquagenic Pruritus ehlotshaniswa nesinye isimo sezokwelapha, umbono wakho ungase uncike kuleso simo esinye.
• Uma ingelashwa, lesi simo singanciphisa izinga lempilo yakho. Izinto ezifana nokugeza nokubhukuda zingaba yizinto ezibuhlungu.

Ukuthola ukwelashwa kungaba yinselele. Kodwa-ke, sikweluleka kakhulu ukuthi usebenzisane nodokotela wakho ukuze uphathe lezi zimpawu kahle. Khona-ke uzokwazi ukugeza, ukubhukuda, nokwenza imisebenzi yakho yansuku zonke ngaphandle kobunzima. Ngisho nangemva kokuba izimpawu zakho sezilawulwe kahle, qhubeka nokulandela imiyalelo kadokotela wakho bese uya emitholampilo ngesikhathi.

Okokugcina, izinto okufanele uzikhumbule

I-Aquagenic Pruritus iyisimo esicasulayo nesisongela ukuphila. Amanzi abalulekile kithi sonke. Ngakho-ke kunzima ukuchaza ukungakhululeki lapho lawo manzi afanayo eba yinkinga.

Kodwa, khumbula, awuwedwa. Kukhona nabanye abantu abadlula kulokhu. Into ebalulekile ukuthi, kunezindlela zokwelapha nezindlela zokuthola impumuzo.

• Uma unalezi zimpawu, ungabi namahloni noma wesabe, bona udokotela.
• Khuluma nodokotela wakho ngokukhululekile. Uzokusiza ukuthola ukwelashwa okukulungele.
• Khumbula, lokhu kungalawuleka. Ngakho-ke hlala uqinile futhi ulandele iseluleko sikadokotela wakho.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ufuna iseluleko sezokwelapha.

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