Urticaria: zimayambitsa, zizindikiro, chithandizo. Kodi kuchotsa ming'oma: mankhwala

Ziwengo - vuto wamba kwambiri. pathologies oterewa amakonda kukhala ndi yankho zosayenera kwa chitetezo cha m'thupi kwa chinthu. matenda awo sagwirizana zosiyana, iwo limodzi ndi zizindikiro zosiyanasiyana - ena kubweretsa moyo wa munthu wovuta, pamene ena koopsa.

Urticaria anaitana mmodzi wa zambiri matupi awo sagwirizana matenda limodzi ndi maonekedwe madzi pa khungu la matuza wamng'ono (monga amayaka ku nettle). Mwachibadwa, odwala ndi chidwi zambiri. Mwachitsanzo, kodi zimayambitsa matendawa? Kodi kuzindikira ndi ziwengo nokha? Kodi kuchotsa ming'oma ndipo kodi n'zotheka kuchiza kamodzi kwa nthawi zonse? Mayankho a mafunso amenewa kukhala zothandiza owerenga ambiri.

Kodi ming'oma?

Today nthawi zambiri matenda, monga urticaria ana. Zizindikiro ndi mankhwala a matenda, azungu ndi osokoneza ndithu. chakuti akuti "urticaria" pogwirizanitsa gulu lonse la matenda a chiyambi matupi awo sagwirizana. Iwo limodzi ndi zizindikiro khalidwe - khungu mwadzidzidzi matuza madzi zamitundu yosiyanasiyana, amene Komabe, pambuyo masiku 1-2. Information za matendawa anali woyamba wolembedwa mwamsanga 4. m'ma BC ndi Hippocrates.

Limagwirira chitukuko mmene matupi awo sagwirizana zotsatirazi. Woyamba ingested allergen (chinthu chimene munthu chawonjezeka tilinazo), chitetezo cha m'thupi umabala chitetezo mapuloteni yeniyeni (amangoona, IgM). Iwo kudziunjikira maselo wapadera monga basophils ndi maselo mlongoti. Mu nyumba izi kudziunjikira zinthu biologically yogwira - serotonin, histamine, heparin, ndi ena ambiri. Mobwerezabwereza allergen akulowa thupi mamolekyulu ake kumumanga kwa chitetezo ndipo kenako - kuti mlongoti maselo kuchititsa amasulidwe histamine ndi zinthu zina yogwira mwachindunji mu magazi ndi minofu.

Chifukwa mlingo kuchuluka kwa histamine anati kutupa kwa zimakhala khungu, dilation ziwiya kakang'ono ka magazi, kuyabwa ndi zina zizindikiro ziwengo. Ndi chifukwa uphungu umene akufotokozera ming'oma. Zizindikiro ndi Chithandizo mu Akuluakulu (ndi ana, nawonso) ndi mwachindunji amadalira chitukuko cha limagwirira ndi zimayambitsa chifuwa. N'chifukwa chake n'kofunika kufufuza mfundo zoopsa kwambiri.

Zimayambitsa urticaria akuluakulu ndi ana

N'zoona kuti wodwala aliyense, nkhani yaikulu kwambiri ndi chithandizo bwino matenda. Koma kuti mudziwe mmene kuchotsa ming'oma, choyamba ayenera kukhala bwino ndi limagwirira wa zosayembekezereka za matenda. Popeza izi sayanjana, maziko a chitukuko ndi mgwirizano wa chitetezo cha m'thupi kuti allergen lapansi. Zimayambitsa urticaria ana komanso akuluakulu angathe kukhala osiyana kwambiri. Koma onse akhoza kugawidwa m'magulu angapo chachikulu:

• Choyamba, tiyeni tikambirane za mphamvu ya chilengedwe kunja. Cold, kukhudzana ndi madzi, kukhudzana ndi kuwala ultraviolet, cheza - zonse zimene zingachititse sayanjana.
• Ngati mukufuna zimakonda ming'oma ana, ndi bwino powasamalira chakudya, chifukwa nthawi zambiri zoyambitsa thupi lawo siligwirizana ndi ana. The allergens achangu monga mtedza, uchi, koko ndi chocolate, mkaka wa ng'ombe, nsomba, mazira, ndi zina zipatso ndi ndiwo zamasamba (makamaka anthu ambiri akudwala chifuwa ndi zipatso ndi strawberries).
• Zinthu urticaria? Nthawi zambiri ndi mbali zotsatira za mankhwala, makamaka mankhwala. Nthawi zambiri ziwengo akufotokozera mu ntchito tetracyclines, rifampin, Penicillin. Ikhoza mankhwala owopsa monga nonsteroidal odana ndi yotupa mankhwala. Mwa njira, anachita angathe pang'onopang'ono - zambiri zizindikiro woyamba ming'oma kuonekera patatha masiku 14 pambuyo inu kuyamba kutenga mankhwala.
• Zimayambitsa chifuwa akuluakulu akhoza kukhala ndikukumana ndi mankhwala osiyanasiyana mankhwala aukali, kuphatikizapo lalabala, detergents ndi mankhwala oyeretsera m'nyumba.
• kulumidwa ndi tizilombo (monga ulamuliro, mavu, hornets ndi njuchi) amathanso imfayo totupa.

Ngati inu mukudabwa zomwe zimachitika ku ming'oma, muyenera kudziwa kuti si nthawi zonse zimachitika ndi kumayambika ndi kukhudzana ndi chilengedwe kunja. Nthawi zambiri, zifukwa akhoza yokutidwa mkati thupi. A wofooka chitetezo cha m'thupi, matenda m'thupi, Chotupa chija, matenda autoimmune, mafangasi aakulu ndi matenda parasitic - zonsezi akhoza zimachitika mfundo zoopsa.

Kodi zizindikiro za matenda limodzi ndi?

Nthawi zambiri anthu akukumana ndi vuto ngati zosasangalatsa monga urticaria. Zizindikiro ndi Chithandizo mu Akuluakulu - Izi ndi zofunika, kotero muyenera kuganizira iwo mwatsatanetsatane. Choncho zizindikiro limodzi ndi matenda ndipo ngati mungaone nokha?

Ndipotu, zidzolo limodzi ndi kusintha khalidwe khungu. Pa khungu kuyamba kuonekera matuza ndi okhutira madzi - chinachake iwo amafanana amayaka asanakumane ndi lunguzi obaya, kuti zoona, zinachititsa kuti dzina la sayanjana. The totupa akhoza kupezeka pa pafupifupi malo thupi.

Totupa nthawi zambiri amapezeka pa mikono, miyendo, nthawizina pa nsana ndi pamimba. Matuza kawirikawiri amakhala aang'ono, koma nthawi zina achuluke ndi kufika 10 cm awiri. Mwa njira, kawirikawiri iwo pambuyo maola 24 pokhapokha mwamawonekedwe, wosasiya kuda pa khungu (mabala, mawanga zaka, Intaneti mtima).

The chizindikiro chachiwiri kuyabwa urticaria, amene nakweza madzulo ndi usiku. Mwa njira, mwina itch ndi "oyera" madera ena a khungu (iwo palibe totupa). Kutentha ndi ululu mu chikhalidwe ichi palibe. maonekedwe awo zingasonyeze chitukuko cha angioedema ndi mavuto ena.

Gawo: maonekedwe ndi mitundu ya urticaria

Masiku ano, pali njira zambiri m'kagulu matenda. Mwachitsanzo, chifuwa kungakhale kovuta ndi aakulu (nthawi zambiri sikutheka kupeza zifukwa). Nkhani ndi kutanthauzira za matuza pa khungu - ndi zidzolo ambiri pa manja, koma totupa uonekere pa khungu la mapazi, nkhope pamimba, kumbuyo, etc ...

Malinga zifukwa ndi mitundu zotsatirazi:

• urticaria aerogenic (allergens kulowa m'thupi kudzera mundawo kupuma, mwachitsanzo, mwa inhalation mungu, nkhungu spores, tsitsi nyama, etc ...);
• mlingo;
• autoimmune;
• idiopathic (matenda amenewa anapangidwa kukachitika kuti ngakhale mayesero onse omwe amachititsa sayanjana si wapezeka);
• Matenda opatsirana (ziwengo akufotokozera motsutsa likhale nkhondo ya thupi mabakiteriya, tizilombo, tizilombo);
• chifuwa thupi (anachita limapezeka mchikakamizo cha zinthu thupi, mwachitsanzo, pa kukhudzana ndi madzi tikamva thupi kapena chipsyinjo ozizira);
• misempha urticaria auka kwa excitability kuchuluka kwa wamanjenje dongosolo la overvoltage (kovuta kuchiza ndipo ndi zambiri matenda ana).

Njira matenda: yomwe mayesero zizichitidwa?

Kumene, pamene zizindikiro loyamba ndi bwino kukaonana ndi dokotala. The katswiri adzatha kudziwa ngati pali awo sagwirizana anachita. Childs, khungu kuona ndi mbiri zachipatala kale kupereka chifukwa kuganiza pamaso pa kudwala. Mu kusanthula magazi angathe otchulidwa kuwonjezeka kwa mlingo erythrocyte sedimentation ndi woyera achiyesa maselo a magazi, komanso kuchepa kwa chiwerengero maselo a magazi - umenewu ndi umboni wa kuyan'anila ndi chitetezo cha m'thupi.

Mu mukapimidwenso imachitika kudziwa allergen. Ndithu mayesero khungu nkhani ndi - pansi pa khungu la Mlingo yaing'ono anapatsidwa magulu osiyana a zinthu zingakhale woopsawo, inatuluka anachita ndi kuyang'aniridwa. Mayesero angathe kuchitikira pa mlingo wa mahomoni (limasintha akaleka zimachititsa zosayenera chitetezo kulabadira), kupenda ndowe pamaso pa timene mu matumbo, ndi zina zotero. D. Matendawa chingatithandize zothandiza kwambiri mankhwala chakudya.

Kodi kuchotsa ming'oma? chithandizo ndiwofatsa

Pomwepo ndi ofunika kuti mankhwala chimadalira pa zovuta zimene thupi siligwirizana ndi chikhalidwe cha allergen lapansi. Kumene, choyamba tiyenera kuthetsa kukhudzana ndi mankhwala zikanavulaza. Zitatha izi chakudya mankhwala. Ndiye kodi kuchotsa ming'oma?

Childs, odwala Kwalamulidwa mankhwala. Pali mibadwo awiri a mankhwala. Nthawi zambiri mankhwala wachiwiri m'badwo ntchito lero, ngati iwo alibe chifukwa zizolowezi, kugona ndi zotsatira zina zoyipa. Pakuti ndi otetezeka ndi mankhwala "Loratadine", "desloratidine" "Zyrtec" "Claritin". Kukachitika kuti mankhwala mulibe zotsatira anakhumba, chithandizo imagwiridwa ntchito mankhwala m'badwo woyamba. "Ndi diphenhydramine", "Diazolin", "Tavegil", "Suprastin" mung'oma ntchito kaŵirikaŵiri.

Komanso, mankhwala akhoza monga kugwiritsa ntchito mafuta. Mankhwalawa zikhonza muli kapena mulibe mahomoni. Inde, otetezeka sanali m'thupi mankhwala. Mwatsoka, si nthawi zonse zothandiza. Wotchuka kwambiri lero monga mafuta monga "Soventol" ndi "Fenistil gel osakaniza". Amathandiza kuthetsa kutupa ndi kuyabwa, kusintha wodwalayo bwino.

Zikavuta kwambiri gormonosoderzhaschie mankhwala ntchito kuthetsa mawonetseredwe khungu la ziwengo. Mwachitsanzo, nthawi zambiri ntchito prednisolone mafuta. Kuyambira urticaria, kuweruza ndi ndemanga, ndi bwino kukhala zabwino. Pa mndandanda wa mankhwala ntchito kunja zingaphatikizepo ndi "Lokoid", "Kloveyt", "Latikort", "Dermoveyt".

thandizo kwa thupi lawo siligwirizana

Kumene, choyamba muyenera kuonetsetsa kuti palibe zizindikiro za angioedema kapena anaphylaxis. Kodi chimachitika lotsatira zimadalira chikuchititsa sayanjana. Ngati pali chifukwa chokhulupirira kuti totupa kugwirizana ndi mankhwala, mankhwala ayenera anasiya. Ngati matuza anayamba kuoneka anakumana ndi zonona, detergent, ufa, khungu ayenera yomweyo nadzatsuka ndi madzi ofunda.

Pamene aakulu chifuwa chakudya angathe kumwedwa enterosorbent mwamsanga kubweretsa allergen kwa dongosolo m'mimba. Mukhozanso kuyesa kusamba kunja m'mimba. matuza anaonekera angathe kuchizidwa ndi chida chapadera - yabwino mafuta awo sagwirizana urticaria. Nthawi zina n'koyenera phwando a antihistamine ( "loratidine," "Tavegil").

Yoyenera zakudya ming'oma

Mwachibadwa, ngati sayanjana kugwirizana ndi kumwa zakudya, ndi allergens mukufuna kuti achotse zakudya yomweyo. Nthawi zina munthu angathe kudziwa zotani chakudya ndi matupi awo sagwirizana, zina, mayesero yeniyeni akutsatiridwa kwa cholinga ichi.

Komano, ngakhale maonekedwe a khungu anachita ziribe kanthu kochita ndi mankhwala, chakudya kungatithandize kuti atsogolere ntchito ya dongosolo m'mimba mofulumira kuthetsa zizindikiro kunja kwa chifuwa, kusintha bwino. Kotero kukhala ming'oma, ndi zimene sichili?

The zakudya ayenera monga phala, nyama yophika, kuwala soups. Masamba ndi zipatso akhoza kudyedwa, koma n'kofunika Pre-oyera, wiritsani kapena amaundana (processing ngati wawononga-allergen wothandizila). Onetsetsani kuti kumwa madzi okwanira (osachepera 2-3 malita pa tsiku).

Koma mankhwala okhala ndi mchere; kutetezera, mitundu wothandizira, emulsifiers ndi zina zina ayenera kuzipewa. N'chimodzimodzinso zikanavulaza zipatso, masamba, mtedza, chocolate ndi mkaka. Muyenera tchuti zakumwa zoziziritsa kukhosi (makamaka khofi) ndi mowa. Mfundo imeneyi mphamvu kumathandiza thupi achire msanga.

Zovuta za urticaria: mmene zoopsa mwina matupi awo sagwirizana?

Malinga ndi kafukufuku, 40% milandu urticaria pamodzi ndi ena, matenda owopsa siligwirizana, kuphatikizapo edema angioneurotic ndi anaphylactic mantha. Mwachibadwa, maganizo ali limodzi ndi mbali khalidwe.

Mwachitsanzo, zizindikiro zoyambirira za chifuwa aakulu kunyamula kuchepa lakuthwa magazi, nthawi zina mpaka kukomoka. Angayambitse kupweteka kwa m'mimba pachimake (makamaka zambiri anamuona pa zochita chakudya). Kutupa kwa khosi, lilime, milomo, amavutika popuma, hoarseness, hoarseness a mawu, kufupika kwa mpweya - zonsezi ndi zifukwa zabwino itanani ambulansi. Izi zimachitika makamaka osauka urticaria ana. Zizindikiro (ndi mankhwala, motero, kwambiri) angakhale osiyana, kotero matenda ndi thandizo achinyamata amene akudwala - mwayi wapadera kwa dotoloyo. Self inadmissible mu nkhani iyi.

Kodi pali njira zodzitetezera?

Nthawi zina zimakhala zosavuta kuteteza zikamera wa mavuto kuposa ndiye kuganizira mmene kuchotsa ming'oma. Mwatsoka, mankhwala aliwonse kapena njira zina enieni kupewa alipo. Koma, podziwa chimene ali zimayambitsa urticaria akuluakulu ndi ana, mukhoza kupewa zinthu zoopsa.

Kodi musayandikire zinthu zingakhale woopsawo. Mwachitsanzo, tikulimbikitsidwa kuti kutsatira mfundo za kudya wathanzi, kukana ntchito vysokoallergennyh mankhwala (sitiroberi, chocolate, uchi, mtedza, khofi ndi zina zotero. D.). Sankhani pakhungu quality, ufa. Ngati inu ntchito mankhwala, nthawi zonse Bvalani zozitetezera, kuphatikizapo magolovesi.

Madokotala akulangizidwa nthawizonse umatenga mankhwala (mwachitsanzo, "Suprastin", "Loratadine") ndi kuwatengera pamaso pa totupa akuwonekera. Best kuvala lotayirira-koyenera Zovala zopangidwa ndi nsalu zachilengedwe musati limakhumudwitsa khungu. Pofuna kuchotsa kuyabwa, inu mukhoza kutenga ankasewera kapena kusamba ndi Kuwonjezera msuzi ku flakes oat.