Sonke sikubonele. Ngemuva kokuthatha ishaxa eside, eshisayo phakathi nezinyanga ezibandayo zasebusika, isikhumba sakho sithola into encane emva kokumisa nokugqoka. Kwabaningi bethu, lesi sibonakaliso sinomnene, sithatha imizuzu embalwa nje kuphela, futhi sihlobene nomzimba owomile obangelwa umoya obanda, umoya owomile kanye nemvula ende, eshisayo. Kodwa kwabanye abantu, ukushaywa ngemuva kokugeza kungaba okungavamile, okubi futhi ngisho nokwehlisa amandla. Kunezimo eziningana ezahlukahlukene ezingabangela ukutshala emva kokudlulela emanzini ashisayo - iningi lazo liyingozi, kanti ezinye zingaba yingozi.
Kunezinye izimo eziningana ezingabangela ukushaya kodwa azihlobene nokuthatha ishaxa esishisayo.
I-Xerosis
Isikhumba esomile sihlupha abantu beminyaka yonke kodwa sivame kakhulu kubantu abadala. Emile, ecasuliwe, isikhumba esilula sichaza izifo zesikhumba eziningana ezibizwa ngokuthi i- eczema . I-Xerosis, eyaziwa nangokuthi i-shrimp yasebusika, iyenzeka kaningi phakathi nezinyanga ezomile, ezibandayo zasebusika, ngenxa yokucwiliswa nokumiswa ngokuphindaphindiwe ngaphandle kokusetshenziswa kwamanzi. Izimpawu zihlanganisa isikhumba esomile, esinamahloni, esinamahloni, esinombala obomvu, esinamahlumela ebuhlungu ezandleni nasezinyaweni.
I-Polycythemia Vera
I-Polycythemia vera (i-PV) isifo somnyosa wethambo lapho kune-overproduction yamaseli abomvu abomvu. Abantu abane-PV banegazi "elikhudlwana" ngenxa yale nqubo yesifo, okungabangela izimpawu ezihlukahlukene ezifana nokukhanda ikhanda, isizungu, izinguquko ezibukwayo, ubuhlungu besifuba, ukuphuma kwegazi, ama-blood clots, isibindi esandisiwe kanye nesibamba, " ubomvu buso). Lesi simo singakhishwa ngokuhlola i-blood count count.
I-Lodphoma kaHodgkin
I-lodphoma ye-Hodgkin ingumdlavuza we-lymph nodes. Abantu abanomdlavuza baye bawandisa ama-lymph nodes entanyeni, izimpondo, ubuhlungu noma ngaphakathi kwesifuba. Ngaphandle kwe-lymph nodes ekhulisiwe, i-Hodgkin's lymphoma ingabangela zonke izimpawu zomzimba kuhlanganise nokulahlekelwa kwesisindo, umkhuhlane, ukuthuza ebusuku nokushaya. I-lodphoma ye-Hodgkin ingacutshungulwa ngokwenza ama-x-ray ukufuna i-lymph nodes ekhulisiwe, noma ukwenza i-biopsy ku-lymph node ekhulisiwe.
I-Urticaria ye-Cholinergic
I-urticaria ye-Cholinergic yindlela yama-hive ebangelwa ukunyuka kokushisa komzimba. Ama-hives abangelwa yinoma yikuphi ukwanda kokushisa komzimba, njengokushisa okushisa, ukuvivinya umzimba, ukudla okuneziphuzo, noma ukufakwa kwezikhumba eziningi embhede ebusuku. Imizwelo enamandla ingabangela ukuba imifantu ivele kubantu abane-urticaria ye-cholinergic.
Imifantu e-urticaria ye-cholinergic iyingqikithi yesayizi, engaphansi kwesayizi somlingo wokulunywa. Lezi zingase zihlangane ndawonye, noma zihlanganise, zibe yizinkukhu ezinkudlwana ngokuhamba kwesikhathi. Ngezinye izikhathi, i-urticaria ye-cholinergic ingahlotshaniswa nezimpawu ezinzima kakhulu, kuhlanganise nezimpawu ze-asthma nokucindezela kwegazi okuphansi.
I-urticaria ye-Cholinergic, njengezinye izinhlobo eziningi ze-urticaria, ingavame ukuphathwa kalula ngama- antihistamine omlomo.
I-Urticaria ye-Aquagenic
I-urticaria ye-Aquagenic yindlela engavamile kakhulu yemihlathi eyenziwa ngamanzi ahlangana nosikhumba. Abantu abathintekayo bayothola isidleke emaminithini ambalwa wokudonswa kwamanzi esikhumbeni, kungakhathaliseki ukuthi izinga lokushisa kwamanzi. Okwenza lokhu kungaziwa, nakuba abanye abacwaningi bacabanga ukuthi amanzi avumela amaprotheni athile esikhumbeni ukuba ahlakazeke emanzini, futhi leyo phrotheni encibilikile iyakwazi ukufinyelela ezingxenyeni ezijulile zesikhumba lapho kuzokwenzeka ukusabela khona. Ukuxilongwa kwe-urticaria ye-aquagenic kuhilela ukumane nje kokubekwa kwehla lokushisa kwamakamelo esikhumbeni nokugcina ukwakha isidleke emaminithini ambalwa.
I-urticaria ye-Aquagenic, njengezinye izinhlobo eziningi ze-urticaria, ingavame ukuphathwa kalula ngama-antihistamines omlomo.
Idiopathic Aquagenic Pruritus
Idiopathic aquagenic pruritus (IAP) yisimo esingavamile esibangela ukutshaya ngaphandle kokushona ngemva kokuba isikhumba somuntu sihlangana namanzi. IAP kungenzeka kubangelwa kodwa kusebenze isimiso sezinzwa zomuntu, ngokukhululwa kwamakhemikhali ahlukene ngamagciwane aphakathi kwesikhumba ngemuva kokuxhumana namanzi. Ukusetshenziswa kwama-antihistamine kubonakala kuwusizo kwabanye abantu, kuyilapho isifundo esincane seziguli ezingu-6 ezine-IAP sithola ukwelashwa nge- beta-blocker ukuze kube usizo kakhulu ekuphatheni izimpawu.
Noma yimuphi umuntu onentshisekelo engaqondakali, ikakhulukazi ngemuva kokuthatha ishazi eshisayo, kufanele abone udokotela wabo ukuhlolwa okuphelele, njengoba nje ezinye izimo ezibangela lesi sigciwane zingase zibe yingozi ngisho nokusongela ukuphila.
> Imithombo:
> Dice, JP. > I-Urticaria ye-Physical >. I-Immunol Yokuzivocavoca Imithi N Am. 2004; 24: 225-246.
> Nosbaum A, et al. > Ukwelapha Nge-Propranolol Yeziguli Ezi-6 Nge-Idiopathic Aquagenic Pruritus >. J Allergy Clin Immunol. 2011; 128: 1113.