Ingabe uthola namabala abomvu emzimbeni wakho uma ujuluka noma ushisa? Lokhu kumayelana ne-(Cholinergic Urticaria)!

Ingabe ngezinye izikhathi uthola amabala amancane, abomvu, alumayo emzimbeni wakho uma uzivocavoca, noma uma uphuma elangeni, noma mhlawumbe ngemva kokudla ukudla okubabayo nokujuluka? Kuvamile ukuzizwa wesaba kancane uma lokho kwenzeka. Kwabanye, lokhu kungenzeka kaningi. Ngakho-ke namuhla, ake sixoxe ngokuthi lokhu kubizwa ngokuthini ngokwezokwelapha, ukuthi kungani kwenzeka, nokuthi yini engenziwa ngakho.

Kuyini lokhu (i-Cholinergic Urticaria)? Masikuqonde kalula!

Kalula nje, i-Cholinergic Urticaria uhlobo lwe-red, high, lubuhlungu (ama-hives) avela ebusweni besikhumba sakho lapho izinga lokushisa lomzimba wakho likhuphuka bese uqala ukujuluka. Lokhu empeleni kuyimpendulo evela ohlelweni lokuzivikela lomzimba wakho. Kufana nokuthi umzimba wakho une-allergy reaction ekushiseni. Abanye abantu bakubiza nangokuthi "ama-heat bumps" noma "ama-heat hives," okusho ukuthi ama-heat rash noma ama-sweat rash.

Lesi simo singavela kunoma ubani, kodwa ngokuvamile lezi zimpawu ziqala ukubonakala kubantu abasha abaneminyaka ephakathi kweyi-10 nengama-30.

Igama elithi "cholinergic" libhekisela kumakhemikhali ayisithunywa ohlelweni lwethu lwezinzwa okuthiwa i-acetylcholine (Ach). Lokhu kukhishwa uhlelo lwethu lwezinzwa olune-parasympathetic. Igama elithi "Urticaria" yigama lezokwelapha lalezi zinhlobo zokuqubuka kwesikhumba .

Ingabe lesi simo (i-Cholinergic Urticaria) siyenzeka kubantu abaningi?

Yebo, akuyona into engavamile njengoba ungase ucabange. Cabanga nje, cishe umuntu oyedwa kwabahlanu uzoba ne-hives ngesikhathi esithile empilweni yakhe. I-Cholinergic Urticaria yisimo esibangela i-hives ebangelwa yimbangela engokwenyama (njengokuchayeka ekushiseni, emakhazeni, noma ekucindezelekeni). Cishe abantu abangu-7% abane-hives ehlala isikhathi esingaphezu kwamasonto ayisithupha, noma i-hives engapheli, banalesi simo. Ngakho-ke uma lokhu kwenzeka kuwe, yazi ukuthi awuwedwa.

Kungani sithola i-Cholinergic Urticaria?

Ochwepheshe abakakazi kahle ukuthi yini ebangela lokhu. Kodwa kukhona umbono owodwa oyinhloko. Okusho ukuthi, kubangelwa umsebenzi wesimiso sethu sezinzwa esibangela i-cholinergic. Nansi indlela okucatshangwa ukuthi kwenzeka ngayo:

1. Uma izinga lokushisa lomzimba wakho likhuphuka, uqala ukujuluka. Lokhu kuyinto evamile futhi kusiza umzimba wakho ukupholisa.

2. Ukuphendula lokhu, uhlelo lwakho lwezinzwa lukhipha ikhemikhali ebizwa ngokuthi ``acetylcholine'' evela eziphethweni zezinzwa eduze kobuso besikhumba sakho.

3. Uma le `(acetylcholine)` ithinta isikhumba sakho, ivuselela isikhumba, ibangele ukusabela kokungezwani komzimba, okuholela kulezo zindawo ezilumayo (amaqhubu) futhi mhlawumbe nokuvuvukala.

Kalula nje, kufana nokuthi isikhumba sakho sizwa kancane ikhemikhali ekhishwa uma ujuluka.

Yiziphi izici eziyingozi zokuthuthukisa i-Cholinergic Urticaria?

Isici esiyingozi yinto ekhulisa amathuba okuba nesimo. Uma unezihlathi ezingamahlalakhona, kungenzeka kakhulu ukuthi ube ne-Cholinergic Urticaria. Futhi:

• Uma une- "Allergic rhinitis (umkhuhlane we-hay)" (ukungezwani komzimba okufana nomkhuhlane we-hay) .
• Uma une -`(Asthma)` .
• Uma une -eczema .
• Uma othile emndenini wakho enomlando we-Cholinergic Urticaria noma ama-hives angapheli .
• I-Hyperhidrosis yisimo lapho ujuluka khona kakhulu kunokujwayelekile .

Akukhona ukuthi wonke umuntu onalezi zinto uzokuthola lokhu, kodwa ingozi iphakeme kancane.

Yiziphi izinto ezibangela lezi zindawo?

Ngokumangalisayo, kubantu abangaba yisishiyagalolunye kwabayishumi, imbangela eyinhloko yalezi zindawo ezibangela i-cholinergic ukuvivinya umzimba noma ukuzikhandla ngokomzimba. Ngaphandle kwalokho, kunezinye izizathu eziningana:

• Ukukhathazeka ukwesaba noma ukwethuka okungenangqondo.
• Uma uzizwa uthukuthele, udabukile, noma uphatheke kabi.
• Uma ngokuzumayo usuka endaweni ebandayo uye ekamelweni elifudumele noma ungene elangeni elishisayo ngaphandle.
• Ngoba uma unomkhuhlane, umzimba wakho uyashisa.
• Isimo sezulu esishisayo, ikakhulukazi ngezinsuku ezinelanga njengaseSri Lanka.
• Izinto ezifana namabhati ashisayo, ama-sauna, kanye nama-hot tub.
• Uma udla ukudla okunongwe kakhulu, ngoba kwenza umzimba wakho ushise futhi ujuluke.
• Ukucindezeleka.
• Kungase futhi kubangelwe amabhandeshi angangenisi moya namanzi asetshenziswa ukumboza inxeba ukuvimbela umoya namanzi ukuthi angangeni.

Ziyini izimpawu ze-Cholinergic Urticaria?

Amaqhubu okushisa avame ukuqala ukubonakala phakathi nemizuzu embalwa ujuluka. Angahlala imizuzu engama-20 kuya kwengama-30. Kodwa abanye abantu bawathola isikhathi esingaphezu kwehora. Avame ukubonakala ezandleni zakho, ebusweni, kanye nasesifubeni esingaphezulu.

Lawa mabala angabonakala njengamachashazi amancane abomvu endaweni ebomvu (i-erythema). Noma, lawa machashazi amancane angahlangana abe ama-welt amakhulu, aphakanyisiwe.

Umzimba wakho uzizwa kanjani uma kuvela la mabala?

Umuntu one-Cholinergic Urticaria angase abe nezimpawu ezilandelayo uma kuvela la mabala:

• Ukuluma kakhulu.
• Umuzwa ovuthayo.
• Kuzwakala sengathi kuyathuthumela.
• Kuzwakala kufudumele uma kuthintwa.

Zikhona yini ezinye izimpawu ezingase zihambisane nalezi zindawo?

Lokhu akuvamile, okusho ukuthi akwenzeki kuwo wonke umuntu, kodwa abanye abantu bangase babe nezimpawu ezifana nalezi kanye ne-Cholinergic Urticaria:

• Ukuvuza amathe.
• Ukuquleka (i-syncope).
• Ubuhlungu bekhanda.
• Ukushaya kwenhliziyo.
• Ubunzima bokuphefumula (ukuphelelwa umoya).
• Ukungagayeki kahle kokudla noma isifo sohudo.
• Ukuphefumula.

Uma uhlangabezana namabala analezi zimpawu, kubalulekile ukubonana nodokotela ukuze uthole iseluleko.

Udokotela usithola kanjani lesi simo (i-Cholinergic Urticaria)?

Uma udokotela ecabanga ukuthi unamaqhubu okushisa, cishe uzokudlulisela kudokotela wezifo zokungezwani komzimba noma kudokotela wesikhumba . Bazohlola isikhumba sakho futhi balalele ngokucophelela izimpawu zakho.

Bangase benze nokuhlolwa okufana nalokhu:

• Ukuhlolwa kokuzivocavoca: Kukwenza ujuluke ngokugijima ku-treadmill, ukugibela ibhayisikili elingashukumi, noma ukusebenzisa eminye imishini.
• Inani elincane lekhemikhali elibizwa ngokuthi ``(methacholine)'' liyafakwa ukuze kubonakale ukuthi umzimba wakho uzwela kangakanani kumakhemikhali abangela i-cholinergic.
• Ukuhlolwa kokuzifudumeza: Izinga lokushisa lomzimba wakho liyakhuphuka ngokuhlala ebhavini elishisayo isikhashana noma ngokuhlala ekamelweni elifudumele.

Lezi zivivinyo ziyindlela kuphela yokuqinisekisa ukuthi une-Cholinergic Urticaria noma okunye.

Yini engenziwa ukuze kutholakale impumuzo kulesi simo (i-Cholinergic Urticaria)?

Kunezindaba ezinhle! Njengoba ukhula, ubukhali besimo (i-Cholinergic Urticaria) kanye nokuvama kwama-hives kungase kunciphe. Kungase kuphele ngokuphelele phakathi neminyaka embalwa. Kuze kube yileso sikhathi, udokotela wakho angase asikisele ukwelashwa okufana nalokhu ukusiza ukulawula izimpawu zakho:

• Ama-Antihistamine: Lena imithi esetshenziswa kakhulu ukunciphisa ukulunywa kanye nokuqubuka.
• Eminye imithi enikezwayo ye-asthma.
• Eminye imithi yokucindezela kwegazi.
• Ama-anticholinergics yimithi enciphisa ukujuluka.

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okukulungele.

Ingabe lokhu (i-Cholinergic Urticaria) kungabangela ezinye izinkinga?

Lokhu akuvamile kakhulu, kodwa ngezinye izikhathi ukusabela okukhulu kokungezwani komzimba okubizwa ngokuthi "i-anaphylaxis" kungenzeka ngokuzivocavoca umzimba (i-Cholinergic Urticaria).I-Anaphylaxis yisimo esisongela ukuphila lapho imigudu yomoya ivuvukala khona, okwenza kube nzima ukuphefumula.

Uma lokhu kwenzeka kuwe noma kothile omaziyo, shayela i-1990 Suwaseriya Ambulance Service ngokushesha noma uye esibhedlela ngokushesha okukhulu. Uma wazi ukuthi usengozini yokuba nokusabela okubi kakhulu kwe-allergy, kuwukuhlakanipha futhi ukuphatha i-`(epinephrine injector (EpiPen®))` nawe. Khuluma nodokotela wakho ngalokhu bese ucela iseluleko.

Lesi simo (i-Cholinergic Urticaria) sihlala isikhathi esingakanani?

I-Cholinergic Urticaria ivame ukuthuthuka ngokuhamba kwesikhathi, ngezinye izikhathi ngisho ngokuphelele. Cishe abantu abayi-15% abanalesi simo bathola ukululama okuphelele ezimpawini zabo. Ngakho-ke ungakhathazeki.

Ingabe i-Cholinergic Urticaria ingavinjelwa ngokuphelele?

Uma ngikhuluma iqiniso, awukwazi ukuyeka ngokuphelele ukujuluka noma ukushisa. Kuyinqubo yemvelo esiza imizimba yethu ukuthi iphole futhi ilawule izinga lokushisa layo. Futhi, akuwona umqondo omuhle ukuyeka umsebenzi womzimba, okungukuthi, ukuzivocavoca, ngoba yilokho okusigcina siphilile.

Kodwa-ke, kunezinto ezimbalwa ongazenza ukuze unciphise ingozi yokuthola ukuqubuka kokushisa:

• Nciphisa ukudla okunongwe kakhulu ngangokunokwenzeka.
• Uma uzivocavoca, khetha izikhathi lapho izinga lokushisa ngaphandle liphansi, njengasekuseni kakhulu noma kusihlwa.
• Thola izindlela ezinhle zokuphatha ukucindezeleka nokukhathazeka. Mhlawumbe ukuzindla noma i-yoga kuzosiza.
• Uma ugeza, sebenzisa amanzi afudumele, hhayi amanzi ashisayo.
• Gqoka izingubo ezikhululekile, ezilula, ezikhipha umjuluko. Izindwangu ezifana nekotini zingcono kakhulu.

Kufanele ngimbone nini udokotela?

Bona udokotela uma ubona noma iyiphi yalezi zinto:

• Uma amabhamuza noma amabala emzimbeni wakho ebonakala ethelelekile (isib., uma egcwele ubomvu futhi ebuhlungu uma uwathinta).
• Uma amabala ehambisana nokuvuvukala.
• Uma unesikhumba esinobuthi ngaphandle kwesizathu esicacile.
• Uma uklwebha kanzima kakhulu ukuba ungakuthwala.
• Uma unenkinga yokuphefumula noma uzizwa ucindezekile.
• Uma uzwa izimpawu ze-`(Anaphylaxis)` (uma lokhu kwenzeka, shayela u-1990 ngokushesha).

Yini okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Yini engaba yimbangela yokuthi ngibe nalokhu (i-Cholinergic Urticaria)?
• Ngingayinciphisa kanjani ingozi yokuthola ukuqhuma kokushisa?
• Iyiphi indlela yokwelapha engcono kakhulu kimi?

Uyini umehluko phakathi kwe-'Heat Rash' kanye ne-Cholinergic Urticaria?

Ukuqubuka kokushisa, okwaziwa nangokuthi ukushisa okubuhlungu noma i-miliaria, kungenye inkinga yesikhumba ebangelwa ukushisa. Empeleni uhlobo lwesifo sokushisa. Kwenzeka lapho umzimba ungakwazi ukuzipholisa kahle ngokujuluka ngenxa yokushisa okukhulu kanye nomswakama. Ukuqubuka kokushisa kungaba uphawu lwesifo sokushisa esibi kakhulu, njengokukhathala kokushisa noma i-heatstroke.

I-Cholinergic Urticaria yisimo esibangela ukungakhululeki. Kodwa-ke, ngaphandle kokuba kube nzima, njenge-anaphylaxis, ngokuvamile akuyona uphawu lwesifo sokushisa esibi kakhulu, njengokuqubuka kokushisa.

Ekugcineni, lokho okudingeka ukukhumbule! (Umyalezo Wokuya Ekhaya)

I-Cholinergic Urticaria akudingeki ikuvimbele ekwenzeni imisebenzi yakho yansuku zonke, ukuzivocavoca, noma ukujabulela isimo sezulu esishisayo. Udokotela wakho angakusiza ukuthola imbangela yezimpawu zakho. Uma une-Cholinergic Urticaria, kunemithi engasiza. Ama-hives avame ukuphela ngokwawo ngaphansi kwehora. Njengoba ukhula, la ma-hives angaba yinto yesikhathi esidlule.

Ngakho-ke, hlala uqinile, thola iseluleko sezokwelapha esidingekayo, futhi ungaphila kahle nalesi simo!

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