Wake waba nokuqubuka okubomvu nokulumayo emzimbeni wakho okungazelelwe okudinga ukuklwebheka kakhulu? Ngemva kwesikhathi esithile, kuyanyamalala endaweni eyodwa bese kuvela kwenye. Nakuba lokhu kuyinto evamile kubantu abaningi, ngezinye izikhathi kungaba yinto engathí sina. Namuhla sikhuluma ngaleli qhubu , noma njengoba odokotela bekubiza kanjalo, i-Urticaria.
Kuyini i-Urticaria ne-Angioedema?
Kalula nje, i-Urticaria uhlobo lwamabala noma amabala abomvu aphakanyisiwe (ngezinye izikhathi anombala wesikhumba) avela ngokuzumayo ebusweni besikhumba. Ngokuvamile siwabiza ngokuthi “ama-hives.” Lawa ma-welt ayaluma kakhulu, futhi ngezinye izikhathi angazwakala njengobuhlungu obuvuthayo noma obuhlabayo.
Cabanga nje, la mabala angavela noma kuphi emzimbeni. Angavela ebusweni, ezindebeni, olimini, emphinjeni, ngisho nasezindlebeni. Into ekhethekile ngalokhu ukuthi la mabala awatholakali unomphela endaweni eyodwa. Anganyamalala ngokuphelele endaweni eyodwa emahoreni ambalwa bese ephinde avele kwenye indawo emzimbeni. Kwabanye abantu, angase avele kanye kuphela empilweni yabo futhi angaphinde abuye. Kodwa kwabanye, avele ngokuphindaphindiwe.
Lezi zilonda zingahluka ngobukhulu kusukela kusayizi we-eraser yepensela kuya kusayizi wepuleti lokudlela, futhi zingahlangana zibe ama-plaque amakhulu.
Manje ake sibheke ukuthi iyini i-Angioedema . Lokhu kuhlukile kancane kuma-hives. Lapha, ukuvuvukala akwenzeki ebusweni besikhumba, kodwa kwenzeka ngaphansi kwesikhumba . Kuvame ukubonakala eduze kwamehlo nezindebe . Ngezinye izikhathi lokhu kuvuvukala okujulile kungavela nasezandleni, ezinyaweni, nasezithweni zangasese. Lokhu kuvuvukala kuvame ukwehla zingakapheli amahora angama-24, kodwa ngezinye izikhathi kungahlala isikhathi eside.
Nakuba kungavamile kakhulu, i-angioedema yomphimbo, ulimi, noma amaphaphu ingabangela ukuvaleka komoya kanye nobunzima bokuphefumula. Lesi yisimo esibi kakhulu nesiphuthumayo.
Kungani lokhu kwenzeka kithi? Yiziphi izizathu?
Ukungezwani komzimba , amakhemikhali ekudleni okuthile, ukulunywa yizinambuzane, ukukhanya kwelanga, kanye neminye imithi kubangela ukuthi amangqamuzana omzimba wethu akhiphe ikhemikhali ebizwa ngokuthi i-histamine . Le histamine ibangela ukuthi i-plasma yegazi iphume emithanjeni yegazi emincane esikhumbeni. Yilokho esikubona njenge-Urticaria (ama-hives) noma i-Angioedema (ukuvuvukala).
Kodwa uma ngikhuluma iqiniso, ezimweni eziningi, ngisho nodokotela abakwazi ukuthola imbangela eqondile yalokhu.Siyibiza ngokuthi i-Idiopathic Urticaria.
| Uhlobo oluyinhloko | Incazelo nezizathu eziyinhloko |
|---|---|
| I-Acute Urticaria (ukuqala ngokuzumayo) | Lokhu kuhlala isikhathi esingaphansi kwamasonto ayi-6. Izimbangela ezivame kakhulu ukudla (ama-cashew, amantongomane, inhlanzi, utamatisi, amaqanda, ubisi), imithi (ama-NSAID afana ne-aspirin, i-ibuprofen), ukungezwani komzimba ne-latex, kanye nezifo ezahlukahlukene. |
| I-Urticaria Engapheli (isimo esihlala isikhathi eside) | Lokhu kuhlala isikhathi esingaphezu kwamasonto ayisithupha. Ukuthola imbangela kunzima kakhulu kune-Acute Urticaria. Ngezinye izikhathi kungabangelwa inkinga ngesimiso somzimba sokuzivikela, ukutheleleka osekunesikhathi eside, noma izinkinga zamahomoni. |
| I-Urticaria Yomzimba (ngenxa yezisusa zomzimba) | Kubangelwa ukushukunyiswa okuqondile ngokomzimba esikhumbeni. Izibonelo: ukubanda okukhulu, ukushisa, ukukhanya kwelanga, ukushaqeka, ingcindezi (njengebhande eliqinile), ukujuluka, kanye nokuzivocavoca umzimba. |
| Ukudweba isikhumba (umdwebo esikhumbeni) | Lolu uhlobo olungavamile kakhulu. Uma isikhumba siklwejwa ngamandla, njengokungathi ngozipho, sakha isibazi endaweni eklwejiwe. Incazelo yaleli gama "ukubhala esikhumbeni." |
| I-Angioedema Eyifa | Lokhu ukuvuvukala okubuhlungu, okungaphansi kobuso. Lesi yisimo esingavamile esingadluliselwa emindenini kusukela esizukulwaneni kuya kwesinye. |
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzokubuza imibuzo eminingi. Uzozama ukuthola umbono wembangela ngokukubuza imininingwane eminingi, njengokuthi ngabe udle noma yini engavamile ngaphambi kokuba kuvele izimpawu, ukuthi ngabe uphuze noma yimuphi umuthi, ukuthi usunesikhathi esingakanani uzisebenzisa, nokuthi zimbi kangakanani ngosuku.
Ngaphezu kwalokho, kuzohlolwa umzimba. Ukuhlolwa kwesikhumba noma ukuhlolwa kwegazi nakho kungenziwa ukuze kubonakale ukuthi kukhona yini ukungezwani komzimba.
Yiziphi izindlela zokwelapha lokhu?
Isinyathelo esihle kakhulu nesokuqala ukuthola imbangela bese uyigwema . Isibonelo, uma uqiniseka ukuthi ukudla okuthile kubangela izimpawu zakho, into engcono kakhulu ongayenza ukugwema lokho kudla. Kodwa njengoba sishilo ngaphambili, ukuthola imbangela akulula ngaso sonke isikhathi.
Udokotela wakho uvame ukukunika iphilisi elibizwa ngokuthi i-antihistamine . Lokhu kusebenza ngokulawula ukusebenza kwe-histamine nokunciphisa ukulunywa nokuvuvukala.
Uma unesimo esingamahlalakhona, udokotela wakho angase akunikeze inhlanganisela yama-antihistamine noma eminye imithi, njenge-steroids, nsuku zonke.
Esimweni esiphuthumayo nesibucayi, njenge-angioedema enobunzima bokuphefumula, kungadingeka ukuthi unikezwe umjovo we- epinephrine (adrenaline) noma umjovo we-steroid esibhedlela.
Izinto ezi-7 ezilula ongazenza ekhaya ukuze unciphise ubuhlungu
Ungazama lezi zinto kuze kube yilapho ukuvuvukala nokuvuvukala kunciphile:
- Ungagezi ngamanzi ashisayo. Sebenzisa amanzi afudumele. Amanzi ashisayo angenza ukulunywa kube kubi nakakhulu.
- Sebenzisa insipho ethambile engenaphunga elinamandla.
- Beka indwangu ecwiliswe emanzini abandayo noma iphakethe leqhwa (eligoqwe ngendwangu) endaweni ethintekile.
- Zama ukulala ekamelweni elibandayo ngangokunokwenzeka.
- Gqoka izingubo zikakotini ezikhululekile nezilula ezingaqinile.
- Faka amafutha anconywe udokotela wakho noma into efana ne-"Calamine lotion" ukuze ulawule ukulunywa.
- Faka i-moisturizer engenaphunga izikhathi eziningana ngosuku ukuvimbela ukoma kwesikhumba.
Kufanele ngibone nini udokotela ngokushesha?
Lena yingxenye ebaluleke kakhulu yalesi sihloko. Uma unezinye zezimpawu ezilandelayo ngaphezu kokudumba noma ukuvuvukala, kuyisimo esiphuthumayo . Yiya esibhedlela esiseduze ngokushesha.Yiya eYunithi Yokwelapha Eziphuthumayo (i-ETU).
- Uma uzizwa unesiyezi
- Uma wenza umsindo wokushaya ikhwela lapho uphefumula (Ukushaya umoya)
- Uma unenkinga yokuphefumula
- Uma uzizwa uqinile esifubeni
- Uma ulimi lwakho, izindebe, noma ubuso bakho buvuvukala ngokuzumayo
Lezi zimpawu zibonisa ingozi yokuvaleka komoya. Ngakho-ke, ungahlali ekhaya ngesikhathi esinjengalesi, iya esibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Urticaria (ama-hives) yisimo esivamile, kodwa ngezinye izikhathi singaba sibi kakhulu.
- I-Angioedema ukuvuvukala okujulile okwenzeka ngaphansi kwesikhumba. Qaphela kakhulu lokhu kuvuvukala okwenzeka eduze kwezindebe namehlo.
- Uma ungathola imbangela, yigweme. Ungakhathazeki uma ungayitholi, kuvame ukuba njalo.
- Sebenzisa ama-antihistamine udokotela wakho akunike wona ukuze unciphise ukulunywa nokuvuvukala.
- Okubaluleke kakhulu: Uma unezimpawu ezifana nobunzima bokuphefumula, ukuqina kwesifuba, ukuvuvukala kolimi noma kobuso, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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