Urticaria ndi dermatitis ngati mawonekedwe a pinki a pinki, omwe amawombera. Dzina lachidziwitso lodziwika nalo linali chifukwa cha kufanana kwa maonekedwe a zitsamba zotentha kuchokera masamba a nettle. Kuthamanga uku kumaonedwa kuti ndi polyethi (maonekedwe ake amachititsa zinthu zingapo nthawi imodzi), zomwe zimaphatikizapo mankhwala.
Urticaria - mitundu ndi mankhwala
Matenda omwe akugwiritsidwa ntchito akuchuluka m'njira zosiyanasiyana, chiwerengero chawo chikuwonjezeka pang'onopang'ono. Chifukwa cha kusiyana kotereku ndi momwe munthu amachitira ndi chitetezo cha mthupi cha mtundu wina wa thupi pofuna kuphatikizapo zinthu zina zowopsya. Mitundu ina ya ming'oma imachitika mochuluka kuposa ena:
- chimfine;
- chosemphana;
- osakhalitsa;
- chowoneka;
- idiopathic.
Cold urticaria - mankhwala
Mankhwala opambana a mtundu wa urticaria umapangitsa kuti chiwerengero cha odwala ndi omwe amachititsa kuti matendawa akhale ochepa. Kuchiza kwa urticaria kumafuna malamulo awa:
- Valani zovala zotentha ndi zachilengedwe zopangidwa ndi thonje kapena nsalu, valani chipewa.
- Pewani kugwedezeka, ngakhale mapapo, kuphatikizapo kusambira m'madzi, kuchita masewera olimbitsa thupi mumsewu.
- Musamamwe madzi ozizira ozizira kapena chakudya chozizira kwambiri.
- Musanachoke panyumba, gwiritsani ntchito zipangizo zoziteteza pakhungu (Uryazh Barederm, Floresan Winter, Mustela Cold Cream ndi ena).
Chinthu china chofunikira pamene urticaria imapezeka ndi mankhwala ophera antihistamines. Ogwiritsira ntchito mankhwalawa amakonda kupereka mankhwala a m'badwo wachiwiri:
- Erius;
- Fexadine;
- Desloratadine;
- Cetirizine;
- Allegra;
- Dezal;
- Zirtek;
- Ichi;
- Mantha ndi zina zotero.
Allergic urticaria - mankhwala
Kusankha chithandizo chokwanira ndi chitetezo muzinthu izi ndidokotala yekha. Kusankhidwa kwa njira zamankhwala kumaphatikizapo kutsimikiziridwa kwa matendawa ndi kutsimikiza kwa zomwe chitetezo chachitetezo chachitapo. Chimodzi mwa zizindikiro zomwe zizindikiro zokhudzana ndi zovuta zowopsa: urticaria - mankhwala amaphatikizapo kuchotsedwa kwathunthu kwa chiyanjano chilichonse ndi tizilombo toyambitsa matenda. Kuonjezerapo, katswiri adzalimbikitsa antihistamine yogwira mtima, ndi kuyerekezera zamatsenga:
- Sinaflan;
- Gistan H;
- mafuta a zinki;
- Loriden S;
- Nezulin;
- Chithandizo;
- La Cree ndi ena.
Urticaria Osatha - mankhwala
Izi ndizovuta kwambiri kusiyana ndi urticaria yamakono. Malingaliro amakono a mapangidwe a mankhwala omwe amatha kupitilira mobwerezabwereza akuphatikizapo njira zitatu. Pano ndi momwe mungachitire ming'oma ya mawonekedwe osatha:
- Kulandila kwa antihistamines a m'badwo wachiwiri (Claritin, Zirtek, Clarinex ndi zina zotere). Kuletsa kuopsa kwa matendawa, systemic glucocorticoids - Triamcinolone, Prednisolone, Dexamethasone - ingagwiritsidwe ntchito.
- Kuchulukitsa mlingo wa antihistamines, kuwonjezera mankhwala ena oletsa antiallergic kapena otsutsana ndi leukotriene (Montelukast).
- Kusintha kapena kuwonjezera kwa dongosolo lino ndi H1-histamin blockers (Sinekwan, Atarax, Hydroxysin, Doxepin).
Ngati mankhwalawa sanawathandizire, ndipo urticaria anabwerera - mankhwalawa akuwongosoledwa, amaphatikizapo ma immunosuppressants (Sirolimus, Cyclosporine) ndi mankhwala otsutsa-kutupa (sulfasalazine, Dapsone). Ndikofunika kuyang'anitsitsa nthawi zonse kuopsa kwa zizindikiro za matenda aakulu, chifukwa nthawi zambiri zimayambitsa angioedema.
Ming'oma yambiri - mankhwala
Mankhwala a mtundu uwu wa kutukuka kwa urticaria ndi ofanana ndi njira yowonongeka, yomwe imagwiritsidwa ntchito kuthetsa kubwereza kwa njira yochepa ya kukula kwa matenda. Ndibwino kuti ayambe kumwa mankhwala a ming'oma mwamsanga kuti athetse kusintha kwake ku mtundu wambiri. Ngati matenda oopsawa akuphatikizapo edema ya Quinck ndi zina, Epinephrine, kuyendetsa kwa Prednisolone ndi oxygen inhalations kumawonjezera.
Mankhwala am'deralo amalimbikitsidwa pamene mphutsi imapweteka, imapezeka pamadera ovuta a khungu, kapena ming'oma pamaso amaoneka - chithandizo chimaphatikizapo kuzizira, antipruritic ndi zovuta zowonongeka:
- mankhwala amadzimadzi ndi menthol (1-2%);
- Chanchi;
- Krotamitoni ndi ena.
Idiopathic urticaria - mankhwala
Mtundu womwewo wafotokozedwa kuti umapezeka muzochitika zosawerengeka pamene wina sangathe kulingalira chomwe chimayambitsa matendawa. Ndi urticaria yamtundu uwu, dokotala yekha ndi amene angapereke machiritso a urticaria. Ndizoopsa kutenga mankhwala aliwonse popanda kuwongolera, amatha kuyambitsa matendawa, ndipo amachititsa kuti matendawa asokonezeke, kumayambitsa angioedema.
Pakakhala khungu lamatenda khungu, muyenera kuonana ndi katswiri mwamsanga. Dokotala woyenerera adzatha kutsimikizira kuti urticaria ikupitirira - iye adzapereka mwamsanga mankhwalawa ndi antihistamine mankhwala. Kugwiritsa ntchito mankhwala ena amadzimadzi kumadalira mphamvu ya mapiritsi a antiallergic.
Hives - momwe mungachitire kunyumba?
Thandizo laulere ndi losafunika, makamaka ndi kawirikawiri kapena kachitidwe kachitidwe ka urticaria. Ndikofunika kupeza chifukwa chake urticaria ikuwonekera - mankhwala kunyumba amathandiza kokha kuchokera ku zizindikiro za matendawa, kotero zimakhala ngati nthawi yochepa kuti athetse vutoli. Njira yoyenera yochizira imaphatikizapo kudziwa zomwe zimayambitsa matenda, kuthetseratu ndi kuthetseratu zinthu zomwe zimayambitsa khungu. Kuti mudziwe bwino kwambiri muyenera kupita kuchipatala.
Hives - mankhwala, kukonzekera
Munthu amene nthawi zambiri amadwala urticaria ayenera kukhala ndi mankhwala oyenera mu kabati ya mankhwala kuti athandizidwe pakapita nthawi. Ndikofunika kugula mapiritsi a antihistamine muming'oma ya chibadwidwe chachiwiri:
- Mamembala;
- Semprex;
- Claritin;
- Fenistil;
- Rupafin;
- Claridol;
- LoraGexal;
- Zirtek ;
- Kestin;
- Gismanal;
- Sowentol;
- Claricens;
- Mphulupulu;
- Wake;
- Misolastine;
- Mankhwala kapena njira zina zoyenera.
Ngati kuopsezedwa kwa moyo kapena kupweteka kwakukulu kumachitika, nthawi zonse muyenera kukhala ndi Epinephrine kapena Andrenalin ngati mawonekedwe a autoinjector. Akufunikirabe mahomoni a glucocorticosteroid:
- Dexamethasone;
- Triamcinolone;
- Betamethasone kapena kukonzekera komweku.
Pofuna kuteteza kukonzanso kwa urticaria, nkofunika kutsatira ndondomeko yomwe imaletsa kugwiritsa ntchito mankhwala osokoneza bongo, kuthetseratu kuyanjana konse ndi zinthu zovulaza, ndi kuchepetsanso kumwa mankhwala. Ngakhale mankhwala a hypoallerggenic a urticaria ndi Quinck a kutupa ndi osafunika. Akatswiri a zamagetsi amachititsa kuti ziphuphu zisawonongeke.
Hives - mankhwala ndi mankhwala owerengeka
Kugwiritsa ntchito maphikidwe ena achilengedwe a urticaria kuthamanga sikuyenera. Ndizoopsa kwambiri ngati sikukwanitsa kupeza chifukwa chake ming†™ oma imapezeka - mankhwala opangidwa ndi anthu akugwiritsidwa ntchito pogwiritsa ntchito mankhwala osakaniza, omwe ndi otsekula kwambiri. Kuloledwa ndi kugwiritsa ntchito kunja kwa mankhwalawa kumangowonjezera vutoli.