Izimbangela Nokunyuka Kwe-Itching kusuka kuhlelo lwakho lwezinzwa
Esimweni esidumile ngo-2008, owesifazane owayenesisindo obangelwa yi- shingles ekhanda lakhe wanyuka kakhulu kangangokuthi wadabula i-crake yakhe futhi wangena endaweni yakhe efanele. Nakuba ngaphandle kwesimo sokwemvelo wayesebenza kahle ngokweqile nangokwengqondo, kwakudingeka avinjelwe ngokomzimba ukuze avimbele ukuzilimaza ngokwengeziwe.
Ngokweqabuka okubonakala sengathi, i-biopsy yesikhumba yendawo yokuhlanza yabonisa cishe amakhombisi omzimba esifundeni esithintekayo.
Leli phunga elibi lavelaphi?
Yini ngempela "i-Itch"?
Naphezu kwayo yonke indawo, ukubhekwa kuye kwacutshungulwa kabi uma kuqhathaniswa nobuhlungu noma ezinye izinzwa. Enye yezincazelo ezinhle kakhulu ze-intshi kuyisimo esicasulayo esenza ukuba kube nokuphendula okuqala, okungase kube nokunikeza isikhashana isikhashana. Le ncazelo ayinelisekile ngokwedlulele, noma kunjalo, ngoba kunezitshalo lapho ukukhipha kunganikeza inzuzo.
Inhloso yokuqala ye-intshi kungenzeka ukuthi yayikuvikela isikhumba kumakhemikhali anobungozi ngokusenza sikwazi ukukhipha icala. Izinto ezinjalo zokudubula zibizwa ngokuthi i-pruritogens. Njengazo zonke izinzwa, noma kunjalo, ukuchithwa kungabangelwa nokungahambi kahle ohlelweni lwezinzwa. Ezimweni ezinjalo, isikhumba akudingeki sihileleke ngokuqondile, futhi ukukhipha kungase kungenzi lutho ekunciphiseni itch chronic.
I-Neurology ye-Itch nobudlelwano bayo nobuhlungu
Kwakuvame ukukholelwa ukuthi ubuhlungu bubuhlungu obukhulu kakhulu.
Manje sisazi ukuthi lo mbono ungalungile. Kuyiqiniso ukuthi umzila ongewona othize wabelwe ngamasignali kokubili ubuhlungu nokushaywa. Le ndlela igxilisa ukucheka lapho kukhishwa ama-pruritogens afana ne-cowgege, isitshalo lapho ama-pranksters athola khona "i-powder itching." Nokho, njengobuhlungu noma ukuthinta okulula, ukuzwa kwe-itch nakho kuhamba ngemigwaqo yayo eyingqayizivele ephuma esikhumbeni kuya ebuchosheni.
Le ndlela ekhethekile ibangelwa ukukhululwa kwe- histamine .
Ukuthi konke okushiwoyo, imigqa yolwazi lobuhlungu nobuhlungu, ngenkathi ihlukanisiwe, yenza uxhumano futhi uxhumane nentsambo yomgogodla. Benza lokhu nge-interneurons. Lokhu kungase kuchaze isifiso esingenakunqotshwa sokukhipha isisindo. Futhi, uma ubuhlungu budubula, kungavimbela noma kugubungele umsebenzi we-itch pathway. Ubuhlobo obunamathekisayo phakathi kwe-itch nobuhlungu bungabonakala ekusetshenzisweni kwamanye ama-opioid , angabangela ukucheka lapho kuvimbela ubuhlungu.
I-Itch Endulo Engaphenduli Ngayo Ukukhanda
Kwezinye izimo ze-itch engapheli, ukukhuluma okuvamile okuphakathi kokubuhlungu nokushaya indlela emgodini awukho. Ukuze uchaze lokhu, kungenzeka ukuthi i- neripheral s , noma izinzwa ezihamba kusukela emthonjeni womgogodla kuya esikhunjeni nakwezinye izingxenye uma umzimba, uzwela kakhulu. Noma mhlawumbe ubuchopho buyashintsha ngendlela yokuthi intukuthelo encane engase ingabhekwa njengento ehlukumezayo ilahlekile. Kunobufakazi bokuthi yikuphi kwalezi zimpikiswano, futhi uhlobo lwangempela lwe-itch okungaphenduliyo olungaphenduli ukukhipha cishe inhlanganisela yalezo zindlela.
Izizathu Zezinzwa Ze-Itching
Ngesikhathi ukuhlaziya kubhekwa njengenkinga ngesikhumba, ezinye izinkinga zesimiso sezinzwa nazo zichazwe njengokubangela inkinga.
Kwezinye izimo, lokhu kungase kubangele ukulimala kwesibindi se-peripheral okuholela ekusayineni okuzenzekelayo kusuka emlenzeni noma kumgogodla. Izibonelo zifaka i-brachioradial pruritis ne -neuralgia ye-post-herpetic . Kwezinye izimo, ukuzwa okuncane kungabangela iphethini yamasignali okungaqondakali kahle ngumbono njengengqondo.
Nazi izibonelo ezimbalwa zezimo ze-neurological ezibangelwa ukushaywa:
- I-trophic syndrome ye-Trigeminal - lesi yisimo esibangelwa indlela yokuphazamiseka yendlela ye-trigeminal nerve, evame ukudlulisa umuzwa kusuka ebusweni kuya ebuchosheni. I-ulcer ekhulayo kancane isakazeka emthonjeni ohlangothini lwangaphandle lwama-nostril. Ukwelashwa ngokuvamile akusizi, okubandakanya ikakhulukazi ngokusebenzisa amagilavu okuzivikela noma ezinye izithiyo ezingokwenyama ukuvimbela isiguli ukuba singakaki.
- I-Brachioradial pruritis - lokhu kuvezwa kuvame ukuvela engxenyeni, futhi kungase kuhlobene nokuchayeka kwelanga. Nakuba ukuhlolwa nokuhlolwa kwe-electrodiagnostic kuzoba okuvamile, abantu bangase baqale ingalo yabo kuze kube sekugcineni kwegazi. Lesi simo singase sisizwe ngokuthe xaxa ngeqhwa neminye imishanguzo ye-antiseidure.
- I-Notalgia paresthetica-lesi sifo ngokuvamile sikhona ngakwesokunxele kwesokunxele ngaphansi kwekhasi lehlombe, lapho iningi lethu lingakwazi ukufinyelela khona. Kungase kubangelwe ukungena komgogodla wesibindi. I-Capsaicin , izidakamizwa ezithile ezihlukunyezwayo, izivimbela zezinzwa, ngisho nemithi ye-toxin ye-botulinum ingasiza.
- Izilonda zentambo yomgogodla - Izinhlobo eziningana zezilonda zomgogodla, kuhlanganise neurofibroma , i-tumor ye-nerve fiber ne-cavernous hemangiomas, lapho imithwalo yegazi ye-tumor, ihlotshaniswa nokushaya. Lokhu kuvame ukungahambisani nesayithi lesilonda.
- Izilonda zesibindi - Ukushaywa isisu nezinye izinkinga kungabangela ukucheka okuvame ukwesokunene kwesilonda.
Indlela Yokuphatha I-Itch Neurological
I-itches engapheli ye-neurological kunzima ukuyiphatha. Izindlela ezinjengama-anthistamine omlomo (isib. Benadryl) noma ama-steroids angama-topical ngokuvamile ayinaso usizo. Indlela ephikisayo ingahlola i- capsaicin , imishanguzo ye-antiseizure efana ne- gabapentin futhi ngisho nama-agent afana ne-thalidomide noma i-toxin ye-botulinum ingacatshangwa. Izindlela ze-neurostimulation nazo ziyahlolwa.
Imithombo:
I-MJ Aminoff, i-neurology ye-intshi, Izinzuzo Zamuva ku-Conference Neurology, eSan Francisco Ritz-Carlton, ngoFebhuwari 13, 2014
I-Dhand ne-MJ Aminoff: I-neurology ye-intshe, Ubunjongo 2013119128
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .