Ngezinye izikhathi kungenzeka ukuthi uke wabona ingane encane, noma mhlawumbe eyakho, ngokuzumayo iba nokuqubuka okubomvu nokulumayo esikhumbeni sayo. Kuvamile ukuzizwa wesaba kancane uma ubona lesi simo esingalindelekile. Kodwa ungakhathazeki, yilokhu esikubiza ngokuthi 'i-Urticaria' noma ngokuvamile 'amaHives'. Ake sifunde okwengeziwe ngakho namuhla.
Uyazi ukuthi ziyini lezi zidlebe?
Kalula nje, amaqhubu abomvu, amaqhubu aphakanyisiwe esikhumbeni. Ngezinye izikhathi abukeka njengamachashazi amancane, ngezinye izikhathi abukeka njengamachashazi amakhulu, futhi ngezinye izikhathi angahlangana abe yisiqephu esisodwa esikhulu. Into emangalisayo ukuthi la maqhubu angavela noma kuphi emzimbeni.
Lezi zimbobo zivame ukuhlala kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa, ngezinye izikhathi ngisho nesonto. Njengoba izimbobo ezindala ziphela, izimbobo ezintsha zingase zivele. Uma lezi zimbobo zihlala ngaphansi kwamasonto ayisithupha, sizibiza ngokuthi 'Ama-Acute Hives'. Okusho ukuthi, uhlobo oluba ngcono ngemva kwesikhathi esithile. Kodwa kwabanye abantu, lezi zimbobo zingaqhubeka isikhathi esingaphezu kwamasonto ayisithupha. Yilokho okubizwa ngokuthi 'Ama-Chronic Hives'. Okusho ukuthi, isimo esihlala isikhathi eside nesikhathazayo.
Kungani lokhu kwenzeka? Yiziphi izimbangela ze-hives (i-Urticaria)?
Manje cishe uyazibuza, 'Kungani emhlabeni kuvela la maqhubu ngokuzumayo?' Empeleni okwenzekayo yilokhu. Kukhona amangqamuzana akhethekile egazini lethu abizwa ngokuthi 'ama-Mast Cells'. Lawa maseli akhipha ikhemikhali ebizwa ngokuthi 'i-Histamine'. Kungenxa yaleyo histamine ukuthi uketshezi luvuza emithanjeni yegazi emincane ngaphansi kwesikhumba, luqoqeke esikhumbeni, bese lwenza lawo maqhubu namabala amakhulu esikhulume ngawo.
Kungaba nezizathu ezahlukahlukene zokukhishwa kwe-histamine ngale ndlela. Kodwa-ke, ngezinye izikhathi imbangela eqondile ayitholakali, futhi lokho kufanele kukhunjulwe.
Ukulimala okubangelwa ukungezwani komzimba
Esikhathini esiningi, amaqhubu abangelwa ukungezwani komzimba. Lokhu kusho ukuthi la maqhubu angavela ngemizuzu embalwa ngemva kokuthintana nento engalungile emzimbeni. Nazi ezinye zezinto ezingabangela ukungezwani komzimba kanye nokuqubuka:
- Ukudla neziphuzo: Ikakhulukazi ukudla kwasolwandle (njenge-shrimp, i-crab, i-squid), amakinati namanye amantongomane emithi, ubisi, nezithelo ezithile. Cabanga ngengane yomngane wakho idle amakinati ephathini futhi ngokushesha ngemva kwalokho yaqubuka amabala abomvu emzimbeni wonke. Yilokho kuphela.
- Imithi: Eminye imithi, njengemithi elwa namagciwane, kanye neminye imijovo yokungezwani komzimba nayo ingabangela lokhu.
- Izilwane: Ezifuywayo ezifana namakati nezinja, noma kwezinye izilwane.
- Impova evela ezimbalini: Ngesikhathi sokuqhakaza kwezimbali, lezi zingantanta emoyeni futhi zibangele ukungezwani komzimba.
- Ukulunywa yizinambuzane: Izinambuzane ezifana nomiyane, izinsensane, kanye nezinyosi.
Ezinye izimbangela ezingadala umonakalo ngaphandle kokungezwani komzimba
Lokhu kuqubuka akubangelwa njalo ukungezwani komzimba. Kunezinye izimbangela futhi:
- Ukutheleleka: Ngenxa yezinye izifo, okuhlanganisa nezinye izifo ezibangelwa amagciwane.
- Ukuzivocavoca: Abanye abantu bayakuthola ngisho nangemva kokujuluka kakhulu nokuzivocavoca.
- Ukucindezeleka Nokukhathazeka: Lokhu kungenzeka uma ukuhlolwa kusondela noma uma uzizwa ucindezelekile kakhulu.
- Ukuchayeka elangeni: Ngisho nelanga elinamandla kakhulu lingaba yingozi kwabanye abantu.
- Ukuchayeka emakhazeni: Ukuthinta izinto ezibandayo njengamanzi eqhwa noma iqhwa, noma ukuba sendaweni ebandayo.
- Ukuthintana namakhemikhali.
- Ukuklwebha: Abanye abantu bakha izilonda endleleni yokuklwebha isikhumba sabo. Lokhu kubizwa nangokuthi i-dermatographia.
- Ukucindezela isikhumba: Njengokuhlala endaweni efanayo isikhathi eside, noma ukuthwala isikhwama esisindayo emahlombe akho.
Siphinde sibize ama-hives abangelwa yizimbangela ezibonakalayo (njengokubanda, ilanga, kanye nokucindezela) ngokuthi 'ama-hives angokoqobo'.
Ngezinye izikhathi kunzima kakhulu ukuthola imbangela 'ye-urticaria engapheli' noma ama-hives aqhubekayo esikhulume ngawo ngaphambili. Kodwa ngezinye izikhathi kungahlotshaniswa nobuthakathaka obuthile ohlelweni lokuzivikela komzimba, isibonelo, ngesifo esifana 'ne-Lupus'. Futhi, la ma-hives esikhathi eside angavela emithini ethile, ekudleni, ezinambuzaneni, ezifweni, njll. Kodwa esikhathini esiningi, ngisho nodokotela abakwazi ukuthola imbangela eqondile yala ma-hives angapheli.
Yiziphi izimpawu ozibonayo uma unalesi sifo emzimbeni wakho?
Isici esiyinhloko sama-hives ukubonakala kwama-welts abomvu nalumayo. Lawa ma-welts angabukeka kanje:
- Ingxenye ephakathi ingase ibe mhlophe.
- Zingafika ngamaqoqo endaweni eyodwa.
- Isimo nendawo kungashintsha zingakapheli amahora ambalwa. Lokho kusho ukuthi akusikho lapho bekukhona ekuseni kodwa lapho kukhona kusihlwa.
- Kungaba kuncane njengechashazi elincane, noma kube kukhulu njengepuleti elikhulu.
- Iyaluma kakhulu, futhi ngezinye izikhathi kungaba nobuhlungu obuvuthayo nobuhlabayo.
Abanye abantu bangase babe nesimo esibizwa ngokuthi 'i-angioedema' kanye nalezi zimpawu. Lokhu kungabangela ukuvuvukala okuzungeze amehlo, izindebe, izandla, imilenze, izitho zangasese, noma umphimbo. Ngezinye izikhathi wonke umzimba ungase ube bomvu futhi ube namaqhubu. Akukhona lokho kuphela, kodwa izimpawu ezifana nesicanucanu, ukuhlanza, kanye nokuqaqamba kwesisu ngezinye izikhathi zingahambisana nalokhu.
Into ebaluleke kakhulu ukuthi, nakuba kungavamile kakhulu, ama-hives kanye ne-angioedema kungahambisana nokusabela okukhulu kwe-allergy okubizwa ngokuthi 'i-anaphylactic shock'. Lokhu kuyingozi kakhulu. Kungabangela ubunzima bokuphefumula, ukwehla ngokuzumayo komfutho wegazi, isiyezi, kanye nokulahlekelwa ukwazi.Uma uhlangabezana nalezi zimpawu, kufanele ulaliswe esibhedlela ngokushesha.
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Esikhathini esiningi, udokotela angakwazi ukuthola ama-hives ngokubheka isikhumba sengane yakho. Kodwa ukuze athole imbangela, udokotela uzokubuza ngomlando wezokwelapha wengane yakho, izifo zakamuva, imithi, ukuchayeka ezintweni ezibangela ukungezwani komzimba, kanye nokucindezeleka kwansuku zonke .
Uma ingane yakho inezintwala ezingamahlalakhona, udokotela uzokutshela ukuthi ugcine idayari yansuku zonke yalokho okwenziwa yingane yakho, lokho ekudlayo, nokuthi ivame ukuzithola kuphi izintwala. Lokhu kubizwa ngokuthi irekhodi lansuku zonke. Lokhu kungakusiza ukuthola imbangela.
Ngaphezu kwalokho, ezinye izivivinyo zingenziwa ukuthola imbangela eqondile yalezi zinhlayiya. Isibonelo , ukuhlolwa kwegazi, ukuhlolwa kokungezwani komzimba, kanye nokuhlolwa kokuhlola ezinye izimo zezokwelapha ezingabangela izinhlayiya (isb., isifo se-thyroid, i-hepatitis) .
Odokotela benza nokuhlolwa okukhethekile ukuhlola 'izinhlungu zomzimba' esikhulume ngazo ngaphambili. Isibonelo, babeka i-ice cube esikhumbeni sengane ukuze babone ukuthi iyasabela yini emakhazeni. Noma babeka into esindayo, njengesikhwama sesihlabathi, emilenzeni yabo ukuze babone ukuthi ukucindezeleka kubangela ubuhlungu.
Yini engenziwa ukwelapha lesi simo? (Ukwelashwa)
Esikhathini esiningi, amaqhubu angakabi mabi kakhulu futhi avele ngokuzumayo awadingi ukwelashwa okukhethekile futhi azolulama ngokwawo. Kodwa-ke, uma imbangela eqondile itholakala, ukuyigwema yingxenye eyinhloko yokwelashwa. Cabanga ngakho njengokuthi uma ugula ngemva kokudla amakinati, uzogwema ukudla amakinati futhi.
Uma ukulunywa kakhulu ngenxa yamaqhubu, udokotela wakho angase akunikeze i-antihistamine. Le mithi isebenza ngokuvimbela ukukhishwa kwe-histamine egazini, esikhulume ngakho ekuqaleni, nokulawula ukulunywa.
Uma unama-hives angapheli, udokotela wakho angase akunike i-antihistamine engadambisi ubuhlungu, etholakala ngaphandle kwemithi kadokotela, noma enikezwa udokotela ukuze uyithathe nsuku zonke. Kodwa-ke, akuyona yonke imithi esebenza kuwo wonke umuntu. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho ukuze uthole imithi efanele ingane yakho.
Uma i-antihistamine engalalisi ingasizi, udokotela wakho angase akunike i-antihistamine enamandla, omunye umuthi, noma inhlanganisela yemithi. Akuvamile kakhulu, udokotela angase akunike iphilisi le-steroid noma uketshezi lokwelapha ama-hives angapheli. Kodwa lokhu kuvame ukuba isikhathi esifushane kakhulu (cishe izinsuku ezi-5 kuya emavikini ama-2).Isizathu salokhu ukuvimbela imiphumela emibi engaba khona ye-steroids.
Yini okufanele uyenze uma kwenzeka isimo esiphuthumayo? (Uma kwenzeka isimo esiphuthumayo)
Ukushaqeka kwe-anaphylactic, ukusabela okukhulu kokungezwani komzimba okubangela ama-hives noma i-angioedema, akuvamile. Kodwa-ke, uma kwenzeka, kubalulekile ukuthola usizo lwezokwelapha ngokushesha.
Odokotela beluleka izingane ezine-allergies ezinzima ukuthi zihlale ziphethe umjovo ojovayo obizwa ngokuthi i-epinephrine. Uma ingane yakho isengozini yokusabela okukhulu kwe-allergy, udokotela wakho uzokufundisa wena nengane yakho ukuthi ningayinika kanjani umjovo ngokuphephile esimweni esiphuthumayo.
Ngakho-ke, ake sikhumbule ukuthi sixoxe ngani? (Umyalezo Wokuya Ekhaya)
Kulungile, ake sibukeze amaqiniso abaluleke kakhulu mayelana 'ne-Urticaria' noma ama-hives esikhulume ngawo namuhla, akunjalo?
- Ama-hives abomvu, ayaluma, futhi aphakama amaqhubu esikhumbeni. Avame kakhulu.
- Esikhathini esiningi, lokhu kubangelwa ukungezwani komzimba, kodwa kungaba nezinye izimbangela.
- Uma kungenzeka, kungcono ukubona nokugwema izimbangela zalezi zimpawu.
- Kukhona imithi yokulwa nokuvuvukala enciphisa ukulunywa.
- Amanye ama-hives azophela ngokwawo, kodwa uma eqhubeka (ama-hives angapheli), kufanele ubone udokotela futhi uthole ukwelashwa okufanele.
- > Uma uzwa izimpawu ezinzima njengobunzima bokuphefumula, ukuvuvukala komphimbo, noma isiyezi, kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha.
- Ungakhathazeki, kunezindlela zokwelapha ezinhle zalesi simo. Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese uthola iseluleko esifanele.
` Ama-Hives, i-Urticaria, Izifo zesikhumba, Ukungezwani komzimba, Izifo zezingane, i-Histamine











💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho