Yini iCold Urticaria?

I-urticaria ebandayo, noma i-urticaria ebangelwa amakhaza, iyindlela yokuphendula ethinta isikhumba lapho ivezwa okuthile okubandayo, njengamanzi abandayo, isimo sezulu, noma iqhwa. Izinga lokushisa elibandayo lidala amangqamuzana omzimba omzimba esikhunjeni - abizwa ngokuthi ama-mast cells - ukusabela nokukhulula i-histamine namanye amakhemikhali. Imvamisa ukuqubuka okubomvu, okunukayo kuvela ngaphakathi kwemizuzu embalwa yokuchayeka okubandayo.

I-urticaria ebandayo ayivamile impela yize lingaziwa inani eliqondile labantu abanalesi sifo. EYurophu, kulinganiselwa ukuthi cishe umuntu oyedwa kwabangu-2,000 XNUMX.

Yini ebangela i-urticaria ebandayo?

Kubantu abaningi imbangela ayaziwa - lokhu kubizwa ngokuthi yi-idiopathic. Ngezikhathi ezithile kungahle kubangelwe ukutheleleka, ukulunywa yizinambuzane, ezinye izidakamizwa, noma umdlavuza wegazi.

Ziyini izimpawu?

Inani kanye nobukhulu bezimpawu kuyahluka kuye ngomuntu nomuntu. Uphawu oluvame kakhulu yi obomvu, ukuqubuka (isifuba, ama-welts, noma amasondo) endaweni yesikhumba evezwe emakhazeni.

Ezinye izimpawu zifaka:

  • Ukuvuvukala (edema) endaweni engaphansi kwesikhumba kuvezwe amakhaza
  • bekhanda

Izimpawu zingavela emizuzwini emihlanu kuya kwengu-10 ngemuva kokuchayeka kwamakhaza, zihlala kaningi kuze kube ngamahora ambalwa. Izimpawu zingaba zimbi njengoba isikhumba sakho sifudumala ngemuva kokuchayeka kwamakhaza.

Kwesinye isikhathi abantu baba nokugula okunzima, komzimba wonke okwaziwa njenge i-anaphylaxis, okungaholela ekutheni kube nzima ukuphefumula, ukushaqeka, noma ukuquleka. Lesi yisimo esiphuthumayo sezokwelapha futhi kudingeka ukwelashwa okuphuthumayo.

Ubani osengozini?

I-urticaria ebandayo ivame ukukhula lapho usukhulile, kepha ingathinta abantu banoma yimuphi ubudala. Abesifazane banamathuba amaningi okuba nayo kunabesilisa.

Kutholakala kanjani?

Uma uhlangabezana nezimpawu, kufanele ubonane nodokotela womndeni wakho, ozoqala akubuze mayelana:

  • Umlando wakho wezokwelapha, kufaka phakathi uma unayo izifo
  • Izifo
  • Ukulunywa yizinambuzane
  • Imithi yamanje
  • Izinguquko zakamuva ekudleni kwakho.

Udokotela wakho angakhipha umthetho noma acabangele ukuxilongwa okuthile ngokuya ngezimpendulo zakho. Uma besola i-urticaria ebandayo, bangakudlulisela kuchwepheshe noma bazihlolele ngokwabo.

Ukuxilongwa inqubo elula ebizwa ngokuthi 'ukuhlolwa kweqhwa'. Udokotela wakho uzobeka i-ice cube engalweni yakho cishe imizuzu emihlanu bese uyisusa bese ulinda ukubona ukuthi isikhumba sakho siyasabela yini njengoba sifudumala. Uma une-urticaria ebandayo, ngemuva kwemizuzu embalwa 'ivili' elibomvu livame ukuqhuma futhi livele lapho kubekwa khona i-ice cube.

Ngenkathi lokhu kuhlolwa kunokwethenjelwa, akunembile ngo-100%. Isibonelo, abanye abantu basabela kuphela ekuchayekeni okubandayo okude kakhulu; kwabanye, amasondo ayabambezeleka futhi avele emahoreni ambalwa kamuva. Imvamisa, umlando wakho wezokwelapha uhlanganiswe nokuhlolwa kwe-ice cube kwanele ukunikeza ukuxilongwa, noma kunjalo.

Abanye odokotela basebenzisa umshini wokushisa oklanywe ngokukhethekile esikhundleni se-ice cube.

Ukwelashwa kwe-urticaria ebandayo

Inketho yokuqala yokwelashwa ukugwema ukuvezwa okubandayo. Kodwa-ke, kuya ngomsebenzi wakho, indlela ophila ngayo, noma lapho uhlala khona, lokhu kungahle kungenzeki ngaso sonke isikhathi.

Izindlela zokugwema zivame ukuhlanganiswa nokwelashwa kwezidakamizwa. Izinketho zifaka:

  • Ama-antihistamine (angahlali phansi) - la angathengwa phezu kwekhawunta noma udokotela wakho angakunika wona. Udokotela wakho angadinga ukukhulisa kancane kancane umthamo we-antihistamine yakho ukuthola izinga elifanele wena
  • I-Omalizumab iyisidakamizwa se-asthma kwesinye isikhathi esisetshenziselwa ukwelapha i-urticaria ebandayo emelana ne-antihistamine.

Uma usengozini ye-anaphylaxis, udokotela wakho angaphinde akunikeze i-epinephrine auto-injector ongayiphatha uma kwenzeka kuphuthumayo. Le yidivayisi yezokwelapha ongayisebenzisa ukuphatha ngokushesha umthamo we-epinephrine (adrenaline) kusibonakaliso sokuqala se-anaphylaxis. Isidakamizwa sizosiza ukunciphisa ukusabela okweqile, kepha kusamele ufune usizo lwezokwelapha.

Ngingayiphatha kanjani i-urticaria yami ebandayo?

Iningi labantu lithembele kuzinguquko zendlela yokuphila ukugwema ukuqhuma kwesimo sabo. Kodwa-ke ayithinti wonke umuntu ngendlela efanayo.

Kungasiza ukwazi izimbangela zakho ezivamile nokuthi isimo sikuthinta kanjani wena uqobo. Isibonelo, uyakwazi ukubekezelela amazinga okushisa aphansi ngokulinganisela ngaphandle kokuphendula kwesikhumba sakho, noma ingabe umkhawulo wakho wokushisa uphakeme kakhulu?

Uma wazi ukuthi uzovezwa ngokungenakuvinjelwa emakhazeni, cabanga ukuthatha i-antihistamine yakho kusengaphambili.

Kanye nokuthatha imithi yakho njengoba kunqunyiwe, gwema noma uthathe izinyathelo zokuqapha nge:

  • Izindawo ezivakashelwa ezinamazinga okushisa aphansi kuma-ambulensi isib. Amasela angaphansi, ama-ice rink, izitolo ezinkulu ezinamakhabethe afriji, njll.
  • Imisebenzi yokuzilibazisa yangaphandle isb. Ukubhukuda, izindawo zamanzi, izithwathwa, imihume nezintaba
  • Imisebenzi yasendlini isib. Ukuhlanza amawindi, ukususa ifriji
  • Izinqubo ezibandayo zezimonyo
  • Ukudla okubandayo / okubandayo neziphuzo.

Ngaphambi kwanoma iyiphi inqubo yezokwelapha noma yamazinyo noma yokubeletha, tshela iqembu lakho lezokunakekelwa kwempilo ukuthi une-urticaria ebandayo ukuze ikugcine ufudumele ngesikhathi senqubo.

Ngabe i-urticaria yami ebandayo izophela?

I-urticaria ebangelwa amakhaza yisimo esingelapheki, esihlala isikhathi esingaphezu kwezinyanga eziyisithupha. Imvamisa ihlala iminyaka ethile, noma umuntu oyedwa kwabathathu ebika ukuthi izimpawu zabo ziyaphela neminyaka emihlanu kuya kweyishumi.

Uma ucabanga ukuthi une-urticaria ebandayo, kufanele ukhulume nodokotela ongakunika izeluleko.

 

SOURCES

I-AAAAI 2020. Isifuba (urticaria) kanye nokubuka konke kwe-angioedema. I-American Academy of Allergy, Isifuba Somoya Ne-Immunology. https://www.aaaai.org/conditions-and-treatments/library/allergy-library/hives-angioedema

IBritish Association of Dermatologists. 2020. I-Urticaria ne-angioedema. Amaphepha Olwazi Eziguli. https://www.bad.org.uk/for-the-public/patient-information-leaflets/urticaria-and-angioedema/?showmore=1#.YHg7ruhKhPY

UBernstein JA, uLang DM, uKhan DA et al. Ukuxilongwa nokuphathwa kwe-urticaria ebukhali futhi engapheli: isibuyekezo se-2014. J Ukungezwani komzimba ne-Immunol 2014; 133: 1270-7. https://www.jacionline.org/article/S0091-6749(14)00335-2/fulltext

GARD 2020. Isikhungo Sokwaziswa Sofuzo kanye Nezifo Ezingavamile. UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-US. https://rarediseases.info.nih.gov/diseases/6131/cold-urticaria

Kulthanan K, Hunnangkul S, Tuchinda P et al. Ukwelashwa kwe-urticaria ebandayo: Ukubuyekezwa okuhlelekile. J Ukungezwani komzimba ne-Immunol 2019; 143: 1311-1331. https://www.jacionline.org/article/S0091-6749(19)30209-X/fulltext

UMaltseva N, uBorzova E, uFomina D et al. I-urticaria ebandayo - Lokho esikwaziyo nalokho esingakwaziyo. Ukungezwani komzimba 2020. 76: 1077-1094. https://onlinelibrary.wiley.com/doi/10.1111/all.14674

Umtholampilo waseMayo. 2019. Ukuxilongwa nokwelashwa. https://www.mayoclinic.org/diseases-conditions/cold-urticaria/diagnosis-treatment/drc-20371051

Umtholampilo waseMayo. Izimpawu nezimbangela. https://www.mayoclinic.org/diseases-conditions/cold-urticaria/symptoms-causes/syc-20371046

I-Ngan V. 2006.  https://dermnetnz.org/topics/cold-urticaria/

UZuberbier T, Aberer W, Asero R et al. Umhlahlandlela we-EAACI / GA²LEN / EDF / WAO wencazelo, ukuhlukaniswa, ukuxilongwa nokuphathwa kwe-urticaria. Ukungezwani komzimba no-2018; 73: 1393-1414. https://onlinelibrary.wiley.com/doi/full/10.1111/all.13397