Ukufumanisa isizathu esiyimbangela ye- urticaria , okanye imihlathi, nokuba iyinto enzima okanye engapheliyo, kubalulekile ukukunceda ukulawula iimpawu, ukunciphisa ukuphindaphinda, ukukhokela izigqibo zonyango, kwaye kubaluleke kakhulu, ukukhusela iingxaki ezinokwenzeka.
Omnye kwabathathu abantu baya kuba nama-urticaria ubuncinci kanye ngexesha lokuphila kwabo. Le meko ibonakaliswe yi-welts ebomvu enokuthi ibonakale naphi na elukhumbeni.
Ezi zinyama, ezibizwa ngokuba ngamavili, zingapheli imizuzu kwiiyure kodwa zingaphendukela kwiiveki ezimbalwa.
Uninzi lwexesha, i-urticaria iyancipha kwaye ibenobunzima. Xa i-flare-ups ihlala ixesha elingaphezu kweeveki ezintandathu, oku kwaziwa ngokuba yi-urticaria engapheliyo. Nangona le mihlathi ingathintela ipesenti enye yabantu, ingaba nefuthe elibi kumgangatho wobomi.
Imbali Yonyango
Kwiimeko ezininzi, imbangela ye-urticaria iyacaca. Ukuba ukhonjiswe yiyosi kwaye uphume kwiimingxuma, unempendulo yakho. Ngendlela efanayo, amaninzi amaninzi afunyaniswa ngokusekelwe kwimbali kunye neempawu zeklinikhi.
Uphando kwiWorld Allergy Organisation Journal lihlaziye amanqaku angamayeza angama-82 kwaye yanconywa uluhlu lokutshekisha ugqirha wakho olubandakanya oku kulandelayo:
- Imihla, amaxesha, kunye nobude bemihlathi
- Ukuxinezeleka, uxhalabe okanye uxinzelelo
- Imbali yentsapho yemihlathi
- I-Dyspepsia okanye i- peptic isifo sesilonda (u- H. pylori unyango)
- Ukutya, ngakumbi xa uzame into entsha
- Amachiza kunye nezongezelelo, zombini umyalelo kunye ne-over-counter-counter
- Umjikelezo wesisu (uhlobo olunqabileyo lwe-urticaria engapheliyo-iintsuku ezi-7 ukuya kwi-10 phambi kwexesha lakho)
- Ukubangela umzimba (kubanda, ukuvivinya umzimba, ukushisa, ukukhanya kwelanga)
- Izifo ezisanda kutshatyalaliswa (ubushushu obuqhelekileyo, i-GI bug)
- Ukutyhila emsebenzini (iikhemikhali)
Unokufuna ukuzisa i-log kunye nale ngcaciso kwiofisi yakho yokutyelela.
Uvavanyo lweMzimba
Ngaphandle kokuba unemihlathi ngexesha lokutyelela iofisi yakho, uvavanyo lwakho lomzimba kaninzi aluyi kunceda ukwenza utyilongwe. Yiloo nto ngaphandle kokuba unedemographism .
I-Dermatographism ngumqondiso weklinikhi ehambelana ne-urticaria (i-hives ebangelwa ukunyuka kwenyama) kunye ne- dopatitis ye-atopic . Ukuba une-dermatographism, iifom ye-wheal xa ikhupha isikhumba sakho okanye iqhutywe kwindawo ethile. Ugqirha wakho uya kuphazamisa le mpendulo ngokubetha isikhumba sakho ngento ecocekileyo, eqinile. Ivili liya kuvela kwiimitha ezithandathu ukuya kweyesixhenxe kwaye iqalise ukuphela kweminye imizuzu eyi-15 ukuya kwezi-30 kamva.
IiLabs kunye novavanyo
Iimvavanyo zeebhanki azisoloko zifunekayo ukuxilonga urticaria. Ziluncedo ngakumbi xa unempawu okanye iimpawu ezithile.
Ukukhangela ukutya kokutya
Ukunyuka kokutya akukwandisi nje umngcipheko wakho wemihlathi. Zingabangela ukuba i- angioedem okanye imeko ebi kakhulu, i- anaphylaxis . Kubalulekile ukukhusela ukungcola ekudleni okungabangela ukusabela kokusongela ubomi.
Ugqirha wakho unokuyalela enye yezilingo ezilandelayo ukuba akrokre ukutya kokutya:
- Iimvavanyo ze-immunosorbent (i-ELISA) ezinxulumene ne-enzyme : Ukunyuka kwama- anti-ige e- IgE kuyimpawu zokugula. Kuvavanyo lwe-ELISA, i-antigen evela ekutya okuthe ngqo ifakwe kwisampuli yegazi. Ukuba unesifo sokutya kuloo nto, uya kuba ne-IgE antibodies egazini lakho kulawo ma-antigen. Baya kukhonkisana ndawonye kwi-sampuli yegazi, kwaye uza kufumana umphumo ovavanyo oluhle. Uvavanyo lwenziwa lula kwibhubhoratri kwaye alubizi. Yinto enhle kakhulu kumntu ongenako ukunyamezela ukuvavanywa kwesikhumba.
- Uvavanyo lwe-radioallergosorbent (RAST) : Iimvavanyo ze-ELISA zithatha indawo yeRAST. I-RAST iphinda ilandele i-IgE antibodies ngokufaka i-allergen ethile kwisampuli yegazi. Umehluko ophezulu kukuba usebenzisa i-anti-ignored IgE antibody ukutolika iziphumo zokugqibela.
- Izilingo zokuhlaziya izikhumba: Ixabiso elincinane le-antigen linyeliselwe esikhumbeni ngenaliti kwaye uhloliselwe ukuphendula kwendawo. Ukuba uvavanyo lukhangelekile, uza kuphuhlisa umpu omncinci obomvu phezu kwendawo, ngokuqhelekileyo phakathi kwemizuzu engama-20 ukuya kwe-30. Olu vavanyo lwenziwa kwireferensi yakho kwimeko apho unempendulo enzima efuna unyango. Ukufumana iziphumo ezichanekileyo, kubalulekile ukuba ungathathi naliphi na i-antihistamines iveki phambi kovavanyo lwakho.
Ezi mvavanyo zingasetyenziselwa ukukhenkcelela ukunyuka kwamanye amazwe, kungabi nje ukutya.
Ukukhangela izifo eziMzimbeni
Amanqaku angama-40 ukuya kuma-45 eengxaki ezingapheliyo ze-urticaria zidibene nezifo ezizimelayo ezifana nezifo ze- celiac , lupus, i-Sjogren syndrome, i- rheumatoid arthritis , kunye nohlobo lwe-1 lweswekile. Kuxhomekeke ngakumbi kunxulumene nezifo ze-thyroid ezifana nezifo ze- Graves kunye ne- Hashimoto's thyroiditis , ebandakanya okungenani iipesenti ezili-10 zala matyala.
Ukuba ugqirha wakho uphonsela imeko engenazo iimpawu, unokuzikhupha ngezinye zeemvavanyo ezilandelayo zegazi:
- I-anti-nuclear antibody (ANA)
- Iprotheyini esebenzayo yeC
- Izinga lokunciphisa
- I-thyroid ekhuthaza i-hormone (TSH)
Iziphumo ezingavumelekanga kule mvavanyo zingakhokelela kwezinye iimvavanyo ezizodwa ezixhomekeke kwimeko ekhankanyweyo: i-transglutaminase antibodies yezifo eziqhekezayo; i-anti-dsDNA, i-anti-Smith, kunye ne-compus for lupus ; i-peptide e-anti-cyclic citrullinated (anti-CCP) kunye ne-rheumatoid factor for arthritis ye-rheumatoid; kunye ne-SSA / Ro ne-anti-SSB / La ye- Sjogren syndrome .
Ngokuqhelekileyo akwanele ukujonga umsebenzi we -roid kuphela. Kwipesenti ezisibhozo zamatyala, i-urticaria engapheliyo ibangelwa kwisifo se-thyroid ngaphandle komzimba kodwa umsebenzi we-thyroid uqhelekileyo. Ngenxa yeso sizathu, ugqirha wakho unokujonga kwakhona ubukho be-antibodies, i-thyroglobulin antibody (anti-Tg) kunye ne-thyroid-peroxidase antibody (anti-TPO).
Ukukhangela uGawulayo
Izifundo ezininzi zibonise ukuba i-urticaria inokudibaniswa nezifo ezivela kwiibhaktheriya, ii-virus kunye nama-parasites. Izifo zingabangela i-urticaria ephazamisayo okanye engapheliyo. Ezinye iintsholongwane zentsholongwane kubantwana, kodwa kungekhona abantu abadala, banomngcipheko okhulayo wemifuba enzima. Ezi zintsholongwane zibandakanya i-adenovirus, i-enterovirus, i- rotavirus , ne- RSV .
| Ibhaktheriya | Izidumbu | Iintsholongwane |
|
|
|
Ngombulelo, ezininzi iintsholongwane zentsholongwane kunye nemifuno yazo zizinzileyo. Izifo ezingapheliyo, nangona kunjalo, kunokukhokelela kwi-urticaria engapheliyo kwaye ifuna unyango. Iimvavanyo zeebhanki ziyimfuneko ukuba zenze uhlolwe.
Ukubonwa kweLeb kudla ngokuqala ngokubala kwegazi. Inani eliphezulu legazi elimhlophe lingabonakalisa isifo kunye nokunyuka kwama-eosinophil, ngokukodwa, kunokubonisa ukuba ukusuleleka kwintsholongwane. Kule meko, umzekelo wesigxina kufuneka uqokelelwe ukukhusela i-ova kunye neepasisiti.
I-Serology yenza amachiza omzimba emzimbeni malunga nezifo ezithile, ezibonisa ukuba unentsholongwane, okanye ubuncinci obonakalayo, loo mzimba. Kukho iimvavanyo zegazi ze-serologic ezifumaneka ezininzi kwiibhaktheriya kunye ne-virus echazwe ngasentla. I-anti-streptolysin (ASO) ihlola i-antibodies nge-Streptococcus.
H. pylori unokuvavanywa nge-serology kodwa kukho ezinye iindlela ezimbini zokuzikhumbuza ukuba zichaneke ngakumbi.
- Ukuhlolwa kwe-antigen: I- H. pylori uhlala esiswini. Ama-antigens avela kwi-bacteria ayengena kwi-stool kwaye ingafunyanwa kwisampuli yesitorethi usebenzisa i-immunoassay.
- Urea uvavanyo lokuphefumula: H. pylori uphula urea ukuya kwi-carbon dioxide kunye ne-ammonia. Emva kokuba usebenzise ipilisi ye-urea okanye i-liquid elandelelanisa ixabiso le-carbon carbon, ucela ukuba uphefumlele kwisitya. Uvavanyo lubona uHl pylori ngokusekelwe kubume be-carbon isotope ekuphumeni kwakho.
Ukukhangela izizathu zobomi
Ii-akhawunti ze-urticaria ezimalunga nama-20 ukuya kuma-30 ekhulwini yazo zonke i-urticaria ezingapheliyo. Kule meko, ukuchazwa kwindalo ethile yezinto ezingqongileyo kungenza ukuba imihlathi ibe yinto.
Ukuze wenze utyilongwe, ugqirha wakho unokufuna ukulinganisa ukukhuthazwa komzimba kwindawo elawulwayo. Unokuzama ukuseka ukuba zininzi zezi zinto onokuzinyamezela ngaphambi kokuba uvelise iimpawu. Oku kuya kumvumela ukuba anike iingcebiso ezifanelekileyo malunga nendlela yokunciphisa nokulawula iimpawu.
Lawa awona mayeza aqhelekileyo adala ugqirha wakho unokuvavanya ngokusekelwe kwimbali yakho:
- Ubumba: I- cold urticaria yimeko apho umoya obandayo, utywala, okanye izinto zibangelwa umthi. Ugqirha wakho unokwenza uvavanyo lweqabunga leqhoqho, apho i-cube yeqhwa eplastiki isetyenziswa kwi-forearm ngaphezu kwemizuzu emihlanu. Ukuphendula ngokuqhelekileyo kubangelwa mizuzu eyi-10 yokususwa.
- Ukuzivocavoca: Abanye abantu bahlakulela imifuno ngokuzivocavoca . Oku kunokuvela kumsebenzi ngokwawo okanye ukususela kumgangatho wokushisa womzimba okhulayo owenziwa ngokuzilolonga. Ugqirha wakho unokuthi usebenze ngebhayisekile okanye kwindawo yesiteyibrari ukuze wenze iimpawu.
- Ukushisa: Ukushisa kwendawo ngezinye izikhathi kungabangela ukuba iivili zifake. Ukuvavanywa kwamanzi kuqhutywe ngokubeka i-cylinder yeglasi egcwele amanzi angama-44 ° C okanye i-cylinder yentsimbi kwi-50 ° C ukuya kwi-55 ° C ngeengalo imizuzu emihlanu. Iimisundu zikhula ngaphakathi kwemizuzu emininzi.
- Uxinzelelo: Kukho uhlobo lokulibaziseka kwedermatographism apho ukukhukhuma kwesikhumba kwenzeka emva kweeyure ezine ukuya kweyesithandathu emva kokuba uxinzelelo lusetyenziswa , nangona luya kwenzeka naphakathi kwemizuzu engama-30 ukuya kwiiyure eziyi-12 emva koko. Kungenzeka nantoni na emzimbeni apho iimpahla zomeleleyo, ezinqeni kunye nokuhlala ixesha elide, okanye ezinyaweni emva kokuhamba okude. Ugqirha unokufaka isicelo sesisindo se-10-kwindalo engalo yakho imizuzu engama-20. Uyakucelwa ukuba ubeke iliso ekuphenduleni kwesikhumba kwiiyure ezingama-24 ezizayo.
- Ukukhanya kwelanga: I-urticaria ye-solar iyabunqabile kwaye ikhula kwi-skin engafihliweyo ngaphakathi kwemizuzu yokukhanya kwelanga. Uvavanyo lokunyusa luqhutyelwa ngokubonakalisa iindawo ezincinci zesikhumba kwii-ultraviolet (UV) izibane ezine-UV-A kunye ne-UV-B.
Ukuvavanya kuchanekile kakhulu ukuba awukho kwi-antihistamine unyango ngexesha.
I-Skin Biopsy
I-skin biopsy ayifanelekanga kodwa ayinokuba luncedo xa kukho inkxalabo ye-vasculitis ye-urticarial. Oku akunjalo uhlobo lwe-urticaria kodwa unokuyilinganisa ngokubonakala. Ukwahlukana kukuba izilonda zesikhumba zidla ngokuchazwa njengokutshisa kunokuba zibuhlungu.
Le meko ibaluleke kakhulu kunemihlathi ye-classic kuba inokuchaphazela iinkqubo ezininzi zesebe, kubandakanywa nesondlo sesisu, izintso, imiphunga kunye nezihlunu.
Ukuxilongwa ngokungafani
Iinqwelo zinezizathu ezinobangela, ezivela kwintlungu ukuya kwisifo esisodwa. Ubushushu obushushu okanye obushushu, ukusetyenziswa, ukukhanya kwelanga, kunye neengubo ezinxibileyo kunokubangela ukuba i-flare-up. Izifo ezingapheliyo, njengeH. i-pylori okanye i-hepatitis C, sele idibene ne-urticaria. Ngenxa yokuxilongwa, kubalulekile ukuhlukanisa phakathi kwemihlathi yeqiniso kunye ne-vasticitis ye-urticarial, engathi ibonakale ifanayo kodwa inokuba neengxaki ezinzulu.
> Imithombo:
> Cherrez-Ojeda I, uRobles-Velasco K, Bedoya- P, et al. Uluhlu lokuHlola lweMpilo epheleleyo ye-Urticaria yeMpilo: Isixhobo esilula. World Worldergy Organ J. 2017 Oktobha 3; 10 (1): 34. i-doi: 10.1186 / s40413-017-0165-0.
> Kasumagic-Halilovic E, Beslic N, Ovcina-Kurtovic1 N. I-Thyroid Autoimmunity kwizigulane ezine-Urticaria engapheliyo. Med Arch. 2017 Feb; 71 (1): 29-31. i-doi: 10.5455 / i-medarh.2017.71.29-31.
> Saini S. Chronic Urticaria: Ukubonakaliswa kwezonyango, ukuxilongwa, i-Pathogenesis kunye neMbali yeNdalo. Ku: Feldweg AM (ed), UptoDate [Intanethi] , Waltham, MA. Ukuhlaziywa ngoJuni 29, 2017.
> Schoepke N, Doumoulakis G, Maurer M. Ukuxilongwa kwe-Urticaria. Indian J Dermatol . 2013 ngoMeyi-Juni; 58 (3): 211-218. i-doi: 10.4103 / 0019-5154.110831.
> Wedi B, Raap U, Wieczorek D, Kapp A. Urticaria kunye nezifo. I-Allergy Asthma Clinic Immunol. 2009; 5 (1): 10. ityala: 10.1186 / 1710-1492-5-10.