Ingabe nawe uhlala uklwebha umzimba wakho ngama-hives? Ingabe lawa ma-hives angaphili? (Ama-Hives Angapheli) Ake sixoxe ngalokhu!

Wake waphawula ukuthi ngezinye izikhathi uvele uthole amaqhubu abomvu, aluma kancane emzimbeni wakho? Ngezinye izikhathi ayaluma kakhulu, ngezinye izikhathi ayabuhlungu kancane. Ngezinye izikhathi ayaphela ngosuku olulodwa noma ezimbili, kodwa kwabanye abantu, la maqhubu angahlala amasonto noma izinyanga. Yilolo hlobo lwesimo esizokhuluma ngaso namuhla.

Ngakho-ke ziyini lezi zihlathi ezingelapheki noma izihlathi ezingapheli?

Kalula nje, ama-hives angapheli aluma, abomvu, amaqhubu aphakanyisiwe noma amaqhubu esikhumbeni sakho avela okungenani kabili ngesonto. Lawa ma-welt, abizwa nangokuthi 'ama-wheals', abhekwa 'njengama-chronic' noma 'ahlala njalo' uma ehlala isikhathi esingaphezu kwamasonto ayisithupha .

Kungenzeka ukuthi uke wezwa lesi simo esibizwa ngokuthi 'i-Chronic Idiopathic Urticaria.' Ake siqonde lokho kancane, akunjalo?

• Okungalapheki: Uphawu noma isimo esiqhubekayo naphezu kokwelashwa. Okusho ukuthi, into engapheli ngokwayo ngemva kwesikhathi esithile.
• Idiopathic: Uphawu noma isimo esenzeka ngokuzumayo, ngaphandle kwesizathu esibonakalayo. Imbangela eqondile kunzima ukuyithola.
• I-Urticaria: Leli igama lezokwelapha lama-hives. Libizwa ngokuthi 'er-ti-care-ree-ya'.

Kuyini i-Urticaria kanye ne-Angioedema? Buyini ubudlelwano phakathi kwalokhu okubili?

Ama-hives, aziwa nangokuthi i-urticaria, kanye ne-angioedema kungavela ndawonye. Ama-hives angamaqhubu abomvu noma amabala avela esikhumbeni sakho. I-Angioedema ngezinye izikhathi ingavela ezingqimbeni ezijulile zesikhumba sakho. Lokhu kuvuvukala kungathinta ubuso bakho, izindebe, umphimbo, izandla, izinyawo, kanye nezitho zangasese. Isibonelo, ngezinye izikhathi ama-hives angahambisana nezindebe ezivuvukele. Uma umphimbo wakho uvuvukele, kungenza kube nzima nokuphefumula, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Uyini umehluko phakathi kwe-hives evamile kanye ne-hives engapheli?

Ama-hives angapheli ahlukile "kuma-hives acute" avamile.

• Ama-Hives Acute: Lawa avame ukuqala ukunyamalala zingakapheli amahora angama-24 (kodwa amasha angavela). Kodwa-ke, avame ukunyamalala ngokuphelele zingakapheli amasonto ayisithupha. Lawa avame ukubangelwa yinto efana nokutheleleka kwegciwane kwamuva noma ukungezwani nokudla.
• Ama-Hives Angapheli: Lawa ama-hives ahlala isikhathi esingaphezu kwamasonto ayisithupha, okungenani kabili ngesonto. Amanye ama-hives angapheli angahlala izinyanga noma ngisho neminyaka. Into edabukisayo ukuthi, isikhathi esiningi, asikho isizathu esaziwayo. Lokho kusho ukuthi akusikho ngoba udle into engafanele.

Sivame kangakanani lesi simo esibizwa ngokuthi ama-Chronic Hives?

Cishe u-5% wabantu emhlabeni bangaba ne-hives engapheli. Lokho kusho ukuthi u-5% ungowenani elikhulu, akunjalo? Lesi simo singakhula kunoma ubani wanoma yimuphi ubudala, kungakhathaliseki ubulili. Kodwa-ke , sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Imbangela eqondile ayicaci, kodwa ingase ihlobane nezici ezifana nokushintsha kwama-hormone.

Yiziphi izimbangela ze-hives ezingamahlalakhona?

Eqinisweni, abantu abaningi abane-hives engapheli abanaso isizathu esicacile. Yilokho esikubize ngokuthi 'idiopathic'. Akuvamile, kubangelwa ukungezwani komzimba nemithi ethile noma ukudla. Uma kunjalo, kuvame ukubangelwa yinto oyidlayo noma oyiphuzayo njalo. Isibonelo, abanye abantu bangase babe ne-allergy kuma-preservatives noma imibala yokwenziwa.

Akukhona lokho kuphela, abanye abantu bangathola ama-hives lapho izinga lokushisa lomzimba wabo lishintsha ngokuzumayo, njengalapho beshisa kakhulu, bebanda kakhulu, noma lapho bezivocavoca. Ngezinye izikhathi, lesi simo singabangelwa futhi ukucindezeleka esikhumbeni okubangelwa ukugqoka izingubo ezibabambayo. Isibonelo, abanye abantu bathola ama-hives lapho begeza ngamanzi abandayo (`cold urticaria`), kanti abanye bathola ama-hives lapho bejuluka futhi beshisa (`cholinergic urticaria`). Abanye abantu bangathola nama-hives lapho bephuma elangeni (`solar urticaria`).

Ingabe izifo ezihlasela amasosha omzimba nazo zibangela ama-hives angapheli?

Yebo, lokho kungenzeka. Cishe umuntu oyedwa kwabahlanu abanezinduna ezingamahlalakhona, noma cishe u-20%, utholakale enesinye 'isifo sokuzivikela komzimba'. Okusho ukuthi, isifo lapho amasosha omzimba ehlasela khona amangqamuzana omzimba. Ezimweni ezinjalo, umzimba ungakhiqiza 'ama-antibodies' ngokumelene namangqamuzana awo esikhumba, okubangela lezi zilonda.

Ukunikeza izibonelo ezimbalwa:

• Isifo se-Celiac (ukungezwani komzimba ne-protein gluten)
• I-Dermatyositis (isifo esithinta isikhumba nemisipha)
• Isifo sikashukela (ikakhulukazi isifo sikashukela sohlobo 1)
• `I-Lupus`
• I-Polymyositis (isifo esithinta imisipha)
• I-rheumatoid arthritis (lokho kusho ubuhlungu bamalunga)
• Isifo se-thyroid (ikakhulukazi i-Hashimoto's thyroiditis)
• I-Vitiligo (amabala amhlophe esikhumbeni)

Yiziphi ezinye izifo ezingabangela ama-hives angapheli?

Ama-hives angapheli angabangelwa nezinye izimo zezokwelapha. Nakuba lezi zingavamile kakhulu, udokotela uzozicabangela nazo.

• `Isifuba`
• Ukutheleleka, isibonelo, ukutheleleka ngamagciwane njenge-H. pylori (okungabangela nezilonda zesisu) kanye nokutheleleka okungapheli njenge-sinusitis.
• `Isifo sesibindi`
• Izinhlobo zomdlavuza ezibizwa ngokuthi 'ama-Lymphomas', okungukuthi 'i-Hodgkin lymphoma' kanye 'ne-non-Hodgkin's lymphoma'
• I-Vasculitis (ukuvuvukala kwemithambo yegazi)

Ziyini izimpawu ze-Chronic Hives?

Lezi zilonda zingavela noma kuphi emzimbeni, futhi indlela ezibukeka ngayo ingahluka kumuntu nomuntu. Lezi zilonda zingaba ngezimo nobukhulu obuhlukahlukene. Ezinye zingaba zincane njengekhanda lephini, kanti ezinye zingaba zinkulu njengebhola elithambile!

Izimpawu eziyinhloko ze-hives ezingamahlalakhona yilezi:

• Izilonda noma amaqhubu esikhumbeni sakho abomvu, aphakanyisiwe, futhi mhlawumbe abuhlungu noma avuvukele.
• Ukucwenga: Lokhu kusho ukuthi isikhungo se-blister siba mhlophe uma sicindezelwa. Lokhu kungasetshenziswa ukuhlukanisa ukulunywa umiyane okuvamile.
• Ukuklwebheka kakhulu kwesikhumba (okubizwa nangokuthi 'ukukhwehlela'). Lokhu kukhwehlela yikho okwenza kube nzima kubantu abaningi ukubekezelela, ikakhulukazi ebusuku.
• Ukuvuvukala, yilokho esikhulume ngakho ngaphambili, okubizwa ngokuthi 'i-angioedema.' Lokhu kungenzeka eduze kwamehlo, izindebe, kanye nemilenze.

Hlobo luni lukadokotela okufanele ngilubone uma nginesifo sofuba esingamahlalakhona?

Kukhona odokotela abaningana abangaxilonga futhi belaphe lesi simo se-hives esingamahlalakhona:

• Odokotela Bokungezwani Nomzimba: Ngoba ngezinye izikhathi lokhu kungahlotshaniswa nokungezwani komzimba.
• Odokotela besikhumba: Ngoba banolwazi olukhethekile ngezifo zesikhumba.
• Udokotela womndeni wakho (odokotela bokunakekelwa okuyinhloko): Angenza ukuhlolwa okuyisisekelo futhi akuthumele kuchwepheshe uma kudingeka.

Lesi simo se-Chronic Urticaria sihlolwa kanjani ngokunembile?

Udokotela wakho angasithola lesi simo ngokuhlola isikhumba sakho nokubuza ngezimpawu zakho, ukuthi ukhona yini emndenini wakho onezimo ezifanayo, imithi oyiphuzayo, kanye nemikhuba yakho yokudla.

Ukuze uthole ukuthi yini ngempela ebangela ama-hives akho angapheli (noma ukuze ukhiphe ezinye izimbangela), kungadingeka ukuthi kwenziwe izivivinyo eziningana. Kungadingeka wenze okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ukuhlolwa kokungezwani komzimba: Ukubona ukuthi usabela yini ku-'allergen', okungukuthi, into ebangela ukungezwani komzimba. Lokhu kungaba ukuhlolwa 'kokubhoboza isikhumba' noma ukuhlolwa kwegazi.
• Ukuhlolwa kwegazi: Hlola amazinga omzimba we-antibody (ikakhulukazi amazinga e-IgE), izimpawu zokuvuvukala, amazinga e-thyroid hormone, kanye nama-antibodies ahlobene nezifo ezizimele.
• Ukuhlolwa komchamo: Hlola ukutheleleka ngamagciwane.
• I-biopsy yesikhumba:Kuthathwa i-biopsy yesikhumba ukuqinisekisa ukuxilongwa nokususa ezinye izimbangela ezingavamile, njenge-vasculitis. Lokhu kuvame ukwenziwa uma izilonda zinkulu ngendlela engavamile noma zingaphenduli ekwelashweni.

Yiziphi izindlela zokwelapha ama-hives angapheli?

Ngenhlanhla, kunezindlela zokwelapha lezi ziqhubu ezingamahlalakhona. Umgomo ukulawula izimpawu nokukuvumela ukuthi uphile impilo ejwayelekile.

• Imithi yokungezwani komzimba: Imithi efana nama-antihistamine, angasetshenziswa nsuku zonke, ngaphandle kwemithi kadokotela (OTC) noma enqunywe udokotela, ingasiza ekunciphiseni ukulunywa futhi inciphise noma ivimbele ukusabela kokungezwani komzimba. Ngezinye izikhathi, udokotela wakho angase akunikeze umthamo ophezulu kunojwayelekile.
• Imijovo yokungezwani komzimba: I-Omalizumab (Xolair®) iwumjovo wanyanga zonke ovimba ukukhiqizwa komzimba kweprotheni ebizwa ngokuthi i-Immunoglobulin E (IgE). Abantu abane-allergies enzima bangase bakhiqize i-IgE eningi kakhulu, okungaholela ezinkingeni ezifana ne-hives engapheli kanye ne-asthma. Nakuba lokhu kuyindlela yokwelapha ebiza kakhulu, isebenza kakhulu kubantu abangazange baphendule kweminye imithi.
• Ama-Steroids: Ama-Corticosteroids, njenge-Prednisone (Deltasone®, Rayos®), angalawula ngokushesha izimpawu ezingaphendulanga kweminye imithi, ikakhulukazi ukuvuvukala okukhulu. Kodwa-ke, lokhu akufanele kusetshenziswe njalo futhi kufanele kusetshenziswe isikhathi esifushane kuphela, njengoba kunqunywe udokotela. Ukusetshenziswa kwesikhathi eside kungabangela imiphumela emibi.
• I-Hydroxychloroquine: Ucwaningo olulodwa luthole ukuthi abantu abayisishiyagalombili kwabayishumi abanezihlathi ezingamahlalakhona ezibangelwa yisifo sokuzivikela komzimba babe nokwehla kwezimpawu ngemuva kokuthatha umuthi kamalaleveva i-hydroxychloroquine (Plaquenil®) izinyanga ezintathu noma ngaphezulu.
• I-Cyclosporine: Lokhu kuyisidakamizwa sokuvimbela amasosha omzimba. Kusebenza kahle kakhulu ekwelapheni ama-hives angapheli aqinile. Kodwa-ke, kungabangela imiphumela emibi kakhulu uma kuthathwa isikhathi eside, ngakho-ke kufanele kusetshenziswe ngaphansi kokuqashwa okuseduze kukadokotela.

Into ebaluleke kakhulu ukukhuluma nodokotela mayelana nokuthi lolu hlobo lokwelashwa lukulungele yini nokuthi udinga ukuluthatha isikhathi esingakanani. Ungagcini nje ngokuthatha imithi wedwa.

Yini ongayenza ekhaya ukuze uthole impumuzo kulezi zimpawu?

Yebo, ungazama lezi zinto ekhaya ukuze unciphise ukulunywa nokuvuvukala:

• Faka ukhilimu we-OTC wokulwa nokulunywa ovela ekhemisi. Ungasebenzisa izinto ezifana ne-calamine lotion.
• Faka ama-compress abandayo acwiliswe emanzini abandayo esikhumbeni izikhathi eziningana ngosuku (kodwa khumbula, ungakwenzi lokhu uma ukuqubuka kuba kubi kakhulu ngenxa yomkhuhlane – okungukuthi, uma une-'cold urticaria').
• Geza ngamanzi abandayo noma ugeze. Ukugeza ngamanzi ashisayo kungenza ukulunywa kube kubi nakakhulu.
• Faka umswakama esikhumbeni esomile ngama-lotion nama-creams angenawo umthelela wokungezwani komzimba. Khetha i-moisturizer elula, engenaphunga.
• Gqoka izingubo ezikhululekile ezenziwe ngokotini othambile ezingeke zicasule isikhumba sakho. Ukugqoka izingubo eziqinile kungenza isimo sibe sibi kakhulu. Gwema ukugqoka izingubo ezenziwe ngezindwangu eziqinile njengoboya.
• Gwema ukuklwebha ngangokunokwenzeka. Nakuba ukuklwebha kunganikeza impumuzo yesikhashana, empeleni kungalimaza isikhumba futhi kubangele umonakalo owengeziwe.

Ingabe lezi ziqhumane ezingapheli zingahlala iminyaka eminingi?

Cishe ingxenye, noma ama-50%, abantu abanezimbobo ezingapheli bazophela izimbobo zabo phakathi nonyaka (ngokuvamile ngaphandle kokwelashwa). Abanye abangama-20% bazophela izimbobo zabo phakathi neminyaka emihlanu. Kodwa kwabanye abantu, kungahlala isikhathi eside nakakhulu. Ukwelashwa kwezimbobo ezinde kungasiza ekunciphiseni izimpawu. Ngakho ungakhathazeki, kunezindlela zokwelapha.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zinto, qiniseka ukuthi ubona udokotela:

• Uma ukuvuvukala noma ukuvuvukala kuthatha isikhathi esingaphezu kwesonto.
• Uma inxeba libonakala lithelelekile (okungukuthi libomvu, livuvukile, ligcwele ubomvu, noma linomkhuhlane).
• Uma ubuhlungu buphinde buvele njalo ezinyangeni ezimbalwa.
• Uma uklwebha isikhumba sakho ngokungabekezeleleki, kungaphazamisa ukulala kwakho nemisebenzi yansuku zonke.
• Uma unenkinga yokuphefumula, uzizwa sengathi umphimbo wakho ucijile, noma uzizwa unesizungu, kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha.

Yini okufanele ngiyibuze udokotela?

Kungumqondo omuhle ukubuza le mibuzo uma ubona udokotela wakho:

• Yini ebangela la maqhubu angapheli? Noma, ucabanga ukuthi yini engabangela lokhu?
• Lezi zidleke ezingamahlalakhona zizolulama nini?
• Ingabe kufanele ngithole ukuhlolwa kokungezwani komzimba?
• Yikuphi ukwelashwa okungcono kakhulu kimi kwalezi zinhlayiya ezingamahlalakhona?
• Yikuphi ukwelashwa okungcono kakhulu kokunciphisa ukulunywa?
• Ingabe ikhona imiphumela emibi kulo muthi?
• Yiziphi izinkinga okufanele ngikhathazeke ngazo?
• Ingabe ngidinga ukwenza izinguquko ekudleni kwami ​​​​nasendleleni yami yokuphila?

Ingabe ama-hives angapheli angabangelwa ukucindezeleka noma ukukhathazeka?

Eqinisweni, ukucindezeleka nokukhathazeka kungenza izimo zesikhumba zibe zimbi kakhulu. Okusho ukuthi, ukucindezeleka kungenza isikhumba sibe sibi kakhulu futhi ukulunywa kube kubi kakhulu. Ngakho-ke, ngezinye izikhathi imithi yokulwa nokukhathazeka ingasiza. Ungazuza futhi ezintweni ezifana nokuzindla, ukuqaphela, i-yoga, kanye nokulala ngokwanele ukuze uthulise ingqondo yakho. Khumbula, ingqondo ejabule ibaluleke kakhulu emzimbeni onempilo.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu? (Umyalezo Wokuya Ekhaya)

Ama-hives angapheli (i-Chronic Urticaria) angaba lusizi kakhulu futhi angakhululeki. Ngezinye izikhathi ungazizwa uphatheke kabi ngendlela obukeka ngayo. Nakuba odokotela bevame ukungakwazi ukukhomba imbangela eqondile yama-hives angapheli, imithi efana nama-antihistamine, ama-steroids, futhi ngezinye izikhathi ngisho nama-immunosuppressants ingasiza. Kukhona nezinto ongazenza ekhaya ukusiza ekunciphiseni ukulunywa nokuvuvukala.

Into ebalulekile ukuthi kubantu abaningi, ama-hives angapheli ayaphela ngokwawo ngokuhamba kwesikhathi (mhlawumbe ngisho nangemva konyaka noma ngaphezulu). Ngakho-ke hlala uqinile futhi ulandele iseluleko sikadokotela wakho. Awuwedwa, futhi kukhona odokotela abangakusiza ukuthi unqobe lesi simo. Kunezindlela zokwelapha ezingathuthukisa ikhwalithi yempilo yakho.

Ukuqhuma , amaqhubu angapheli, i-urticaria, izifo zesikhumba, ukulunywa, ukungezwani komzimba, i-angioedema