Ingabe nawe uthola amabala alumayo emzimbeni wakho? Lokhu kumayelana ne-Urticaria/Hives!

Wake waphawula ukuthi umzimba wakho uphenduka ubomvu ngokuzumayo, kuvela amaqhubu amancane afana nama-blister, futhi ngezinye izikhathi ayaluma ngokungabekezeleleki? Kufana nokulunywa umiyane, kodwa kungaba kukhulu kakhulu futhi kusakazeke. Abantu abaningi babiza lokhu ngokuthi 'amaswidi ezikelemu'. Abanye bakubiza nangokuthi 'ama-hives'. Ngokwezokwelapha, sikubiza ngokuthi (Urticaria) noma (Ama-Hives). Ngakho-ke namuhla, ingabe kufanele sixoxe ngalokhu ngemininingwane ethe xaxa? Lokhu kuyinto eyenzeka ngempela kubantu abaningi, futhi kuyacasula kancane.

Ngakho-ke kuyini lokhu ukuqhuma noma i-urticaria?

Kalula nje, lawa ma-welts awuhlobo lokuqhuma okubonakala kubomvu futhi kuyisiyingi esikhumbeni sethu. Abukeka njengamaqhubu amancane. Empeleni lokhu kuyimpendulo eyenzeka esikhumbeni sethu. Esikhathini esiningi, kuyimpendulo yokuthile okubangelwa ukungezwani komzimba (i-allergen).

Cabanga nje, la mabala angavela noma kuphi emzimbeni. Ngezinye izikhathi angavela njengamachashazi amancane, ngezinye izikhathi amachashazi amakhulu, noma ngisho nenqwaba yamabala amakhulu ahlangana ndawonye.

Lezi zimbobo zingahlala kusukela emahoreni ambalwa kuya esontweni (noma ngisho nangaphezulu). Izimbobo ezintsha zingavela njengoba ezindala ziphela. Izimbobo ezihlala ngaphansi kwamasonto ayi-6 zibizwa ngokuthi izimbobo ezibukhali. Kodwa uma zihlala isikhathi esingaphezu kwamasonto ayi-6, zibizwa ngokuthi izimbobo ezingamahlalakhona.

Kungani sithola ama-hives? Ziyini izimbangela?

Isizathu esiyinhloko salezi zinhlayiya ukukhishwa kwekhemikhali ebizwa ngokuthi i-histamine evela ohlotsheni lweseli olubizwa ngokuthi ama-Mast Cells emzimbeni wethu. Le histamine ibangela ukuvuza koketshezi oluvela emithanjeni yegazi emincane ngaphansi kwesikhumba. Lolo ketshezi luqoqana ngaphakathi kwesikhumba futhi luvele njengalezi zinhlayiya. Kungaba nezizathu eziningi zalokhu. Kodwa ngezinye izikhathi kunezikhathi lapho imbangela ethile ingatholakali khona.

Ngokuvamile, amaqhubu abangelwa ukusabela kokungezwani komzimba. Uma lokhu kwenzeka, ukuqubuka kungavela ngemizuzu embalwa. Izinto ezivame ukungezwani komzimba zifaka:

• Ukudla: Ikakhulukazi ukudla kwasolwandle (njengezinkalankala, izimfanzi), amantongomane anjengamakinati, ama-cashew, ubisi, kanye nezithelo ezithile.
• Imithi: Eminye imithi, njengemithi elwa namagciwane, kanye nemijovo yokungezwani komzimba.
• Izilwane: Izilwane ezifuywayo, uboya bezinye izilwane, amathe, njll.
• Impova: Izinto ezifana nempova ezimbalini.
• Ukulunywa yizinambuzane: Uma ulunywa yizilwane ezifana nomiyane nezintuthwane.

Kodwa izimpethu azibangelwa njalo ukungezwani komzimba. Kungaba nezinye izizathu futhi:

• Ukutheleleka: Ezinye izifo ezibangelwa amagciwane (njengomkhuhlane, umkhuhlane).
• Ukuzivocavoca umzimba.
• Ukucindezeleka noma ukukhathazeka: Lokhu futhi kuyinto ethinta abantu abaningi.
• Ukuchayeka elangeni.
• Ukuchayeka emakhazeni: Izinto ezifana namanzi abandayo, iqhwa.
• Ukuthintana kwesikhumba namakhemikhali athile.
• Ukuklwebha Isikhumba: Abanye abantu bakha amanxeba ngisho noma beklwebha isikhumba sabo. Lokhu kubizwa ngokuthi i-Dermatographia.
• Ukuqina kwesikhumba: Lokhu kungenzeka uma uhleli endaweni eyodwa isikhathi eside, njengalapho uphethe isikhwama esinzima.

Sibiza lezi ziqhumane ezibangelwa yizimbangela zomzimba ezifana nokucindezela, ukubanda, kanye nokukhanya kwelanga (Physical Hives).

Ama-hives angapheli angaba nzima ukuwaxilonga. Ngezinye izikhathi angahlotshaniswa nezifo zesimiso sokuzivikela somzimba ezifana ne-lupus. Ngezinye izikhathi, angabangelwa imithi, ukudla, izinambuzane, noma izifo. Kodwa izikhathi eziningi, ngisho nodokotela abakwazi ukuthola imbangela eqondile yalezi zifo ezingamahlalakhona.

Ziyini izimpawu ze-hives? Sizibona kanjani?

Isici esiyinhloko samaswidi e-worm yisithelo esibomvu, esimise okweqanda, njengoba ngishilo ngaphambili. Kunezinye izici eziningana zalezi zithelo:

• Ingaphakathi labo lingase libe mhlophe kancane.
• Zingavela ngamaqoqo ezindaweni ezahlukene.
• Ingashintsha isimo nendawo phakathi namahora ambalwa.
• Kungaba kusukela echashazini elincane kuya ekulu njengepuleti elikhulu.
• Kungase kuzwakale njengokulunywa okukhulu, mhlawumbe umuzwa wokushisa noma wokuhlaba.

Abanye abantu bangase babe nesimo esibizwa ngokuthi i-Angioedema ngaleli swidi lezibungu. Lokhu kungabangela ukuvuvukala okuzungeze amehlo, izindebe, izandla, imilenze, izitho zangasese, noma umphimbo. Lokhu kuvuvukala ngezinye izikhathi kungabonakala njengamabala abomvu. Akukhona lokho kuphela, izimpawu ezifana nesicanucanu, ukuhlanza, kanye nobuhlungu besisu nazo zingahambisana nalesi simo (i-Angioedema).

Akuvamile kakhulu, lawa maswidi ezikelemu kanye ne-angioedema kungabangela ukusabela okubi kakhulu kwe-allergy okubizwa ngokuthi i-anaphylactic shock. Lesi yisimo esisongela ukuphila esidinga ukwelashwa okuphuthumayo.

Izimpawu ze-Anaphylactic Shock yilezi:

• Ubunzima bokuphefumula
• Ukwehla okungazelelwe komfutho wegazi
• Isiyezi
• Ukulahlekelwa ukwazi (ukuquleka)

Uma unalezi zimpawu, kufanele ufune iseluleko sezokwelapha ngokushesha.

Odokotela bahlonza kanjani ama-hives?

Ngokuvamile, udokotela angabona ukuthi une-ringworm ngokubheka isikhumba sakho. Ukuze athole imbangela, udokotela wakho uzokubuza imibuzo embalwa. Isibonelo:

• Ingabe ukhona emndenini wakho onesifo sokungezwani komzimba esinjengalesi?
• Uke wadla ukudla okusha muva nje? Uke wathatha umuthi omusha?
• Uke wagula muva nje?
• Ingabe unengcindezi empilweni yakho yansuku zonke?
• Ingabe uke wabhekana nokuthile okungadala ukungezwani komzimba?

Uma unezintwala ezingamahlalakhona, udokotela wakho uzokutshela ukuthi ugcine ijenali yemisebenzi yakho yansuku zonke, okuhlanganisa nalokho okudlayo nokuphuzayo, kanye nokuthi izintwala zivela kuphi. Lokhu kubizwa ngokuthi ukugcina idayari.

Ngaphezu kwalokho, ezinye izivivinyo zingenziwa ukuthola imbangela eqondile:

• Ukuhlolwa kwegazi
• Ukuhlolwa Kokungezwani Komzimba
• Kuyenziwa nokuhlolwa okukhethekile ukuze kubonakale ukuthi lezi zimpawu zibangelwa yini ezinye izimo zezokwelapha ezifana nesifo se-thyroid noma i-hepatitis.

Ukuze ahlole ukuthi kukhona yini amaqhubu emzimbeni, udokotela angabeka iphakethe leqhwa esikhumbeni sakho ukuze abone ukuthi uyasabela yini emakhazeni. Noma angabeka into esindayo, njengesikhwama sesihlabathi, ethangeni lakho ukuze abone ukuthi kuyabuhlungu yini ukuyisunduza.

Yiziphi izindlela zokwelapha ama-hives?

Ezimweni eziningi, amacala amancane e-ringworm awadingi ukwelashwa okukhethekile. Ngokuvamile axazululeka ngokwawo zingakapheli izinsuku ezimbalwa. Uma ungathola imbangela, kungcono ukuyigwema. Isibonelo, uma uthola ukuthi ukudla okuthile kubangela inkinga, kubalulekile ukugwema lokho kudla.

Uma ukulunywa kukhulu, udokotela angase akunikeze i-antihistamine, evimbela ukukhiqizwa kwe-histamine. Lokhu kuzonciphisa ukubonakala kwamaqhubu kanye nokulunywa. Eminye yale mithi ikwenza ulale, kanti eminye ayikwenzi.

Uma unezinhlungu ezingapheli, udokotela angase akunike i-antihistamine yansuku zonke engalalisi ubuthongo. Lezi zingathengwa ngaphandle kwemithi kadokotela noma ngomuthi kadokotela.

Khumbula, akuwona wonke ama-antihistamine asebenzela wonke umuntu. Ngakho-ke kubalulekile ukukhuluma nodokotela wakho ukuze uthole umuthi ofanele wena futhi ulandele iseluleko sakhe.

Uma i-antihistamine ingalawuli ukozela, udokotela wakho angase akunikeze i-antihistamine enamandla, uhlobo oluhlukile lomuthi, noma inhlanganisela yemithi.

Akuvamile kakhulu ukuthi udokotela anikeze amaphilisi noma uketshezi lwe-steroid isikhathi esifushane (ngokuvamile izinsuku ezi-5 kuya emavikini ama-2). Lawa ma-steroid angaba nemiphumela emibi, ngakho awasetshenziswa isikhathi eside.

Yini okufanele uyenze uma kunesimo esiphuthumayo?

Njengoba ngishilo ngaphambili, amacala okushaqeka kwe-anaphylactic kanye nama-hives anzima noma i-angioedema akuvamile kakhulu. Kodwa uma kwenzeka, kuyisimo esiphuthumayo sezokwelapha. Lokho kusho ukuthi udinga ukuya esibhedlela ngokushesha.

Kubantu abane-allergies enzima, odokotela ngezinye izikhathi batusa ukuthi uphathe uhlobo lwe-epinephrine olujovwayo (i-auto-injector). Uma usengozini yokuba ne-allergy enkulu, udokotela wakho uzokufundisa wena nomndeni wakho ukuthi nizinike kanjani umjovo.

Nazi ezinye zezinto ezibaluleke kakhulu esifuna ukuzithatha ekhaya kule ndaba!

Kulungile, ngakho-ke sesikhulume kakhulu ngala maswidi ezinambuzane. Okokugcina, nazi izinto ezibaluleke kakhulu okufanele uzikhumbule:

• I-Urticaria/Hives yisifo sesikhumba esivame kakhulu.
• Kungaba nezizathu eziningi zalokhu - ukungezwani komzimba, izifo, ukucindezeleka, imithi ethile, njll.
• Esikhathini esiningi, lokhu akukubi kangako, kodwa kungaba yinto ecasulayo kakhulu ngoba kuyaluma.
• Uma i-ringworm inzima kakhulu, isibe khona isikhathi eside, noma inezimpawu eziyingozi njengobunzima bokuphefumula noma umphimbo ovuvukile, qiniseka ukuthi ubona udokotela.
• Kubaluleke kakhulu ukuthola imbangela yezibungu uma kungenzeka. Ngemuva kwalokho ungazigwema.
• Kunemithi efana nama-antihistamine njengokwelashwa. Yisebenzise njengoba kuqondiswe udokotela.

Ngakho-ke, uma ubhekene nalolu hlobo lomonakalo, ungesabi. Kodwa ungawushayi indiva. Into ehlakaniphe kakhulu ongayenza ukukhuluma nodokotela bese uthola ukwelashwa okudingekayo.

I-Ringworm, i-Eczema, i-Urticaria, ama-Hives, ukungezwani komzimba, izifo zesikhumba, isikhumba esilumayo