I-urticaria ye-Cholinergic (noma ukushisa kwe-urticaria) yisimo lapho ama-hives (i-urticaria) ekhona khona ekuphenduleni ukuphakama kokushisa komzimba kusuka ekuzivocavoca, ukushisa, umkhuhlane, ukudla ukudla okunezinongo, ukugeza okushisayo noma ukugeza, noma ukucindezeleka. Kuyindlela ejwayelekile kakhulu ye-urticaria yomzimba (ama-hives abangelwa ukuvezwa okuthile kwenyama emvelo.)
Izimpawu nokubukeka kwe-Cholinergic Urticaria
I-urticaria ye-Cholinergic ibonakala njengama-multiple-to-three-millimeter (cabanga: amancane kakhulu) ama- hives abomvu ekhoneni elingaphezulu nezingalo, nakuba kungenzeka noma kuphi kusukela entanyeni kuze kube semathangeni.
Lezi zinyosi ngokuvamile zizungezwe indawo ebanzi yobomvu.
Imifantu ye-urticaria ye-cholinergic ivame ukukhula phakathi kwemizuzu emibili kuya kwezingubili emva kokushisa komzimba kuphakama, nakuba kungathatha kuze kube ihora ukuzoveza. Bangela ukuvuza , ukukhipha, ukushisa nokufudumala kwesikhumba. Izinyosi zigcina imizuzu emahoreni ngamaminithi angu-30. Ukubheka kungase kube kakhulu.
Izimbangela ezivamile
Kukholelwa ukuthi i- histamine ekhishwe ngenxa yokushukunyiswa yi-system ye-nervympathetic ye-nervous yiyo eyenza ama-hives we-urlinaria ye-cholinergic. Kukhona imibono engacacile ehlola ukusebenzisana kwe-acetylcholine ngamaseli amancane , okuholela ekukhululweni kwe-histamine kusuka kumaseli amancane.
Ubani Osesengozini Salo Mkhuba?
I-urticaria ye-Cholinergic iqala ukuqala phakathi kokusana kwasekuqaleni nokukhula kwabantu abadala. Kuvame kakhulu kubantu abanesifo sofuba kanye nezinye izinhlobo ze- urticaria .
Amanye Amafomu E-Urticaria Yomzimba
I-urticaria yomzimba (imihlathi eyenziwe yinto ethile emzimbeni) ibhekene namaphesenti angu-30 amacala e-urticaria.
Ngaphezu kwe-urticaria ye-cholinergic, abantu bangase babe ne-urticaria emzimbeni ekuphenduleni amakhaza ( kubanda urticaria ), ingcindezi (i- pressure urticaria ), ukukhipha (i- dermatographism ), ukukhanya kwelanga (i- urticaria yelanga ), noma ngisho namanzi (i- aquagenic urticaria ).
Ukuthola Ukuxilongwa
I-urticaria ye-Cholinergic itholakala ngomlando futhi ikhiqiza imihlathi ngokuchaza izimo ezithile.
Izikhathi eziningi isiguli siyacelwa ukuthi sizisebenzise ngokugijima endaweni noma sigibele ibhayisikili elimilayo futhi isikhathi esithathayo sokuba imifuba yokuthuthukisa iphawulwe. Awekho ukuhlolwa kwegazi noma ukuhlolwa kwe-scratch ukuhlola i-urlinaria ye-cholinergic.
Yini Okungeke Yenzeke?
Kunezinye izimo ezingase ziholele ukuqhuma noma ngisho nezinyosi ekuphenduleni ukushisa kokushisa. Lokhu kungafaka:
- I-tub folliculitis evuthayo : Ukutheleleka kwebhaktheriya okungase kwenzeke amahora kuya kwezinsuku emva kokuhlezi esitsheni esishisayo, isibhakabhaka esishisayo sabantu abavame ukubangelwa yi-bacterium Pseudomonas aeruginosa . Ukushisa ngokuvamile kuvomvu, kuqhuma, futhi kunzima kakhulu. Izilonda zingase zibe njenge-acne, kodwa ukucima ngamamentimitha amathathu ububanzi kungase kwenzeke, okwenze kube nzima ukuhlukanisa kusuka e-urticaria ye-cholinergic. Izikhathi eziningi zixazulula ngokwayo, kodwa amacala amakhulu angadinga ama-antibiotics.
- Ezinye izimbangela ze-urticaria (izimbangela ezingezona zomzimba): Njengoba kuphawuliwe ngenhla, i-urticaria ngokomzimba njenge-cholinergic urticaria akhawunti engamatshumi amathathu e-urticaria. Ezinye izimbangela zingase kube nzima ukuhlukanisa ekuqaleni futhi zihlanganise izimo ezizenzakalelayo , izifo, izifo ezithathelwanayo, nokuningi.
Ukwelapha i-Urlinaria ye-Cholinergic
Enye indlela yokwelapha i-urticaria ye-cholinergic ukuvimbela ukuthi ingenzeki okokuqala ngokunciphisa ukuvivinya umzimba.
Lokho kusho ukuthi abantu abaningi abakwazi noma abafuni i-urticaria ukukhawulela isimiso sabo sokuzivocavoca ngale ndlela. Nakuba izindlela zokwelapha ezifana ne-hydrocortisone aziphumelelanga futhi zingalimaza ngenxa yemiphumela yabo yecala, kunezinye izinketho zokwelashwa. Lokhu kufaka:
- Imithi: Njengoba i-urticaria ye-cholinergic yenzeka ekuphenduleni i-histamine ngomzimba, ama- anti-anti -ististine e-H1 njenge-Benadryl (diphenhydramine) ne-Chlor-Trimeton (chlorpheniramine) angase abe usizo. Noma kunjalo, lokhu kungabangela ukugubha okukhulu. Izinketho ezingezansi zokuhlala ziyi-Claritin (i-loratadine) ne-Zyrtec (cetirizine). Enye i-antihistamine Atarax noma i-Vistaril (i- hydroxyzine ) ibonakala iyasebenza kodwa ingabangela nokulala. I-Doxepin (i-tricyclic anti-depressant) ingasiza futhi uma ezinye izifo zingasebenzi. Le mithi ayisetshenziselwa indima yayo ekucindezelekeni, kodwa kunalokho ezenzweni zayo kwi-histamine receptors emzimbeni. Ekugcineni, i-terbutaline iye yaba usizo kwabanye abantu.
- Izindlela zomzimba: Ukugwedla ngamanzi ashisayo kungabangela ukukhululwa kwe-histamine kuwo wonke umzimba, kuchithe izitolo ze-histamine futhi kubangele isikhathi se-refractory samahora angu-24.
I-urticaria ye-Cholinergic ivame ukuba nomnene futhi ingenakubalwa, kodwa okwenzeka ku-anaphylactic kwenzeka. Ukuze u-urticaria okhudlwana, i- steroid yomlomo noma i-intravenous ingadingeka futhi.
Ukubhekana Nenkinga
I-urticaria ye-cholinergic ingaba yinto ephazamisayo ngokuvamile evimbela imisebenzi. Okusebenza kahle kumuntu oyedwa kungase kungabi ngenye, futhi ukuvimbela nokuphatha lesi simo kungadinga inani elilinganayo lokulinga nephutha. Lokhu kusho ukuthi, ngokuhamba kwesikhathi nokubekezela, abantu abaningi bayakwazi ukulawula izimpawu zabo ukuze bakwazi ukujabulela ukushisa okushisayo (noma okungenani kwe-tepid) nokuzivocavoca.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: Mc Graw Hill Education, 2015. Phrinta.
> Koch, K., Weller, K., Werner, A., Maurer, M., no S. Altrichter. I-Antihistamine Ukubuyekeza Kunciphisa Izifo Umsebenzi Kumagciwane Anezinkinga Zokubhekana Ne-Urlinaria Yokunqothula. I-Journal Yokuzifola Kwegazi Ne-Immunology Yezokwelapha . 2016. 138 (5): 1483-1485.
> Trevisonno, J., Balram, B., Netchiporouk, E., noMnu Ben-Shoshan. I-Urticaria yangokomzimba: Buyekeza kuKwehlukaniswa, ukuHlola, nokuPhatha ngokuGxila okuKhethekile kokuKhulela kufaka phakathi ukuhlaziywa kweMeta. Imithi ye-Postgraduate . 2015. 117 (6): 565-70.