I-urlinaria ye-Cholinergic (okanye i-urticaria ye-heat) yimeko apho i-urticaria ivela khona ngokunyuka kokushisa komzimba ukusuka ekuziphatheni, ukugqithisa, umkhuhlane, ukutya ukutya okunesonka, isitya sokuhlamba okanye isitya. Kuhlobo oluqhelekileyo lwe-urticaria (imifuno ebangelwa ukubonakaliswa kwinto ethile emzimbeni.)
Iimpawu kunye nokubonakala kwe-Cholinergic Urticaria
I-urlinaria ye-Cholinergic ibonakala njenge-multiple-to three-millimeter (cinga: kakhulu kakhulu) imisundu ebomvu kwisigxina esiphezulu kunye neengalo, nangona ingavela naphi na entanyeni ukuya emathangeni.
Ezi mihlathi zihlala zijikelezwe yindawo ebanzi yobomvu.
Imihlathi ye-urticaria ye-cholinergic ivame ukukhula phakathi kwemizuzu emibini ukuya kwimashumi amabini emva kokushisa komzimba, nangona banokuthatha ukuya kwiyure ukuza. Bangela ukubetha , ukubetha, ukutshisa, nokufudumala kwesikhumba. Imihlathi iphela imizuzu kwieyure kunye nomyinge wama-30 imizuzu. Ukubetheka kunokuba nzima kakhulu.
Izizathu eziqhelekileyo
Kukholelwa ukuba i- histamine ikhutshwe ngenxa yokuvuselelwa yinkqubo ye-nervympathetic ye-nervous yiyo eyenza imifuno ye-urticaria ye-cholinergic. Kukho neengcamango ezingqalileyo ezihlolisisa ukusebenzisana kwe-acetylcholine kunye neeseli zesisitrasi , okubangelwa ukukhululwa kwe-histamine kwii-cell mast.
Ngubani Osemngciphekweni Lo Mqathango?
I-urlinaria ye-Cholinergic iqala ukuqala phakathi kobuntwana bexesha elide kunye nokudala. Kuqheleke kakhulu kubantu abanobuchopho kunye nezinye iindlela ze- urticaria .
Ezinye iifomu ze-Physical Urticaria
I-urticaria yomzimba (imihlathi eyenziwa yinto ethile kwimvelo) ixanduva lokufikelela kuma-30 ekhulwini amatyala e-urticaria.
Ukongeza kwi-urticaria ye-cholinergic, abantu banokuba ne-urticaria ekuphenduleni ubanda ( urticaria ebandayo ), uxinzelelo ( uxinzelelo lwe-urticaria ), ukukhangela (i- dermatographism ), ilanga ( i-urticaria yelanga ), okanye amanzi (i- urticaria ye-aquagenic ).
Ukufumana iSifo
I-urlinaria ye-Cholinergic ifunyaniswa yimbali kwaye ivelise imifuno ngokuchaza ezinye iimeko.
Amaxesha amaninzi isigulane siceliwe ukuba sisebenzise ngokuqhubela kwindawo okanye sihamba ngebhayisikili esityebileyo kunye nexesha elithathayo ukuba kubekho imifuno yokuphuhlisa ibonakala. Akukho ziphumo zegazi okanye iimvavanyo zokuhlola ukuhlola i-urlinaria ye-cholinergic.
Yintoni Enokubekwa Ngayo?
Kukho ezinye iimeko ezinokubangela ukugqithisa okanye nokuba nemihlathi ekuphenduleni ukufudumala kobushushu. Ezi ziquka:
- I-tub folliculitis ebomvu : Usulelo lwebhaktheriya olunokuthi lufike iiyure emva kweentsuku emva kokuhlala kwisibhakabhaka eshushu, i-tub folliculitis eshushu iyabangelwa yi-britterium Pseudomonas aeruginosa . Ukukhawuleza ngokuqhelekileyo kubomvu, kubomvu, kwaye kunzima kakhulu. Izilonda zinokufana ne-acne, kodwa i-hives ukuya kwi-centimeters ezintathu ububanzi ingaba khona, okwenza kube nzima ukuhlula kwi-urlinaria ye-cholinergic. Amaxesha amaninzi iyanqumla ngokwalo, kodwa iimeko ezinzima zingadinga i-antibiotics.
- Ezinye izimbangela ze-urticaria (izizathu ezingezizo zomzimba): Njengoko kuphawuliwe ngasentla, urticaria ngokomzimba njenge-cholinergic urticaria akhawunti malunga nesithathu kwe-urticaria. Ezinye izizathu zingenzima ukuhlula ekuqaleni kwaye zibandakanya iimeko ezizimeleyo, izifo , izifo ezithintekayo, kunye nokunye.
Ukuphatha i-Urlinaria yeCholinergic
Enye indlela yokunyanga i-urticaria ye-cholinergic kukukhusela ukuba kwenzeke kwindawo yokuqala ngokunciphisa ukuzivocavoca.
Oko kwathiwa, abantu abaninzi abanakukwazi okanye abangafuni i-urticaria ukuba banciphise umgangatho wabo wokusebenza rhoqo ngale ndlela. Nangona unyango lwezonyango ezifana ne-hydrocortisone alusebenzi kwaye lunokulimaza ngenxa yemiphumo yazo, kukho ezinye iindlela zokonyango. Ezi ziquka:
- Amachiza: Njengoko i-urticaria ye-cholinergic eyenzekayo ekuphenduleni i-histamine ngomzimba, i-anti-stistamines ye- H1 efana ne-Benadryl (i-diphenhydramine) ne-Chlor-Trimeton (chlorpheniramine) inokuba luncedo. Nangona kunjalo, oku kungabangela ukulala okukhulu. Izinketho ezingaphantsi kwee-Claritin (loratadine) kunye neZyrtec (cetirizine). Enye i-antihistamine i-Atarax okanye i-Vistaril (i- hydroxyzine ) ibonakala iyasebenza kodwa ingabangela ukulala. I-Doxepin (i-tricyclic antidepressant) ingaba luncedo xa ezinye iindlela zonyango zingasebenzi. Eli gama alisetyenziselwa indima yalo ekudakaleni, kodwa kunenxa yezenzo zalo kwi-histamine receptors emzimbeni. Ekugqibeleni, i-terbutaline iye yanceda abanye abantu.
- Izindlela eziphathekayo: Ukugubha ngamanzi ashushu kunokubangela ukukhululwa kwe-histamine kuwo wonke umzimba, ukuphazamisa izitolo ze-histamine kwaye kubangele i-hour-hour refractory time.
I-urlinaria ye-Cholinergic ivame ukuba nomnene kwaye ayinakuzikhawulela, kodwa ukuphendula kwe-anaphylactic kwenzeka. Ukuba u-urticaria enamandla, umlomo okanye i-intravenous steroids ingafuneka kwakhona.
Ukujamelana neNgxaki
I-urticaria ye-Cholinergic ingaba yinto ephazamisayo eyenza ukuba imingcele imise imisebenzi. Oko kusebenza kakuhle kumntu oyedwa akuvumelekanga ukuba omnye, kwaye ukukhusela nokunyanga le mqathango kungadinga inani elifanelekileyo lokulinga kunye nephutha. Oko kwathiwa, ngexesha kunye nomonde, abaninzi abantu banako ukulawula iimpawu zabo ukuze banandiphe ukutshisa (okanye ubuncinci) kunye nokuzivocavoca.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: iMac Graw Hill Education, 2015. Print.
> Koch, K., Weller, K., Werner, A., Maurer, M., noS S. Altrichter. I-Antihistamine I-Updating Iyanciphisa Izifo Umsebenzi kwizigulane ezinzima ukuphatha i-Urlinaria ye-Cholinergic. I-Journal ye-allergies kunye ne-Clinic Immunology . 2016. 138 (5): 1483-1485.
> Trevisonno, J., Balram, B., Netchiporouk, E., noMn. Ben-Shoshan. I-Urticaria yaseMzimbeni: Ukuphononongwa kwiNgcaciso, abaPhambili kunye noLawulo kunye neNgcaciso ekhethekileyo yokuKhulela kubandakanya ukuHlola kweMeta. I-Postgraduate Medicine . 2015. 117 (6): 565-70.