Izisusa Zendawo Kanye Nezizukulwane Zesiqhwa Sesikhumba
I-Pruritus ibhekisela kumzwelo ongajabulisayo obangela isidingo sokuqala, ngokuvamile esibizwa ngokuthi ukushaywa ngabantu abaningi. Ukunambitha kungasendaweni ethile endaweni ethile yomzimba noma kungapheli noma kujwayelekile. Uma kukhona ukuqhuma okuhambisana ne-pruritus, imbangela ivame ukutholakala kalula nokuphathwa. Kodwa-ke, amacala anzima kunawo wonke ama-pruritus yilabo abangenakho ukuhlaselwa okuhambisanayo.
I-Basics of Itching
Ukunambitheka kwenzeka lapho ama-nerve fibers esikhumbeni athumela umlayezo ebuchosheni ngezinzwa. Ukunambitha (pruritis) nobuhlungu buhambisana nokuzwa okuhlobene, ngoba izinzwa ezifanayo zithumela zombili izibonakaliso ebuchosheni.
Ngokuvamile, i-pruritus ingaxhunyaniswa nenkinga yesikhumba noma esinye isifo esiyisifo somzimba (isifo sesistimu). Uma kutholakala endaweni ethile yesikhumba, ngokuvamile kubangelwa isimo sesikhumba sendawo. Ukumisa okujwayelekile, noma kunjalo, kuhlobene nesistimu (umzimba wonke) kubangela cishe isigamu sesikhathi.
I-Scratch-Itch Cycle
Ngaphezu kwanoma yikuphi okubangela ukushaywa okokuqala, ukukhipha kungase kuholele ekubambeni okukhulu nakakhulu. Lokhu kubizwa ngokuthi umjikelezo we-scratch-itch futhi kubalulekile ekuphatheni itch kungakhathaliseki imbangela.
Ama-Pruritus Akhona Ezindaweni ZesiFunda
Uma kutholakala kwenzeka engxenyeni eyodwa kuphela yomzimba, ngokuvamile kubangelwa inkinga esikhumbeni.
Indawo ethize yomzimba ukuthi i-checks inganikeza insizakalo mayelana nombangela we-itch. Ake sibheke ngalendawo:
Izifunda ezihlukahlukene zomzimba: Izimo zesikhumba ezingase zidale ukulunywa ezindaweni eziningi zomzimba zihlanganisa i- atopic dermatitis (eczema), uxhumano lwe-dermatitis (isikhumba sokuvuvukala okuhlobene nokuxhumana nezinto ezicasulayo), i- psoriasis , kanye nesifo sofuba ,
Isikrini: Izimbangela ezivamile zokubamba isikhumba sihlanganisa i-psoriasis, i- head lice , ne- seborrheic dermatitis (dandruff).
Amapilisi: Izimbangela ezivamile ze-i-eyideri ukuhlunga kufaka phakathi izimbangela ezibalwe ngenhla kanye ne-conjunctivitis ye-allergenic .
I-Nose: Isizathu esivame kakhulu sokubamba ngamanzi kuyinto rhinitis ye-allergen (hayfever).
Izindlebe: Ukudonsa indlebe yomlomo kuhlotshaniswa nezimbangela ezingenhla kanye ne- otitis externa (indlebe yokudoba).
Isikhumba, isisu, noma emuva: Izimbangela ezivamile zokubamba isikhumba engxenyeni enkulu yomzimba zingase zihlanganise izimo ezingenhla kanye ne- folliculitis , okuwukuvuvukala kwezinwele zezinwele, ngokuvamile ngenxa yokutheleleka kwendawo.
Izikhali: Ukubheka izingalo, ikakhulukazi indawo ekukhoneni kwe-elbow, ngokuvamile kubangelwa i-psoriasis noma i-atopic dermatitis. Ezinye izimbangela zibandakanya i-xerosis (isikhumba esomile) kanye ne-brachioradialis pruritis, ehlanganisa izingalo ezingaphezulu, izintamo kanye namahlombe ehlombe okuhlobene nokuchayeka kwelanga kanye nokulimala kwamagundane emgodini ophezulu.
Imilenze: Ukushaywa kwemilenze kubangelwa izifo eziningi ezifanayo ezibangelwa ukugaya izingalo, futhi i-atopic dermatitis iyimbangela evamile kakhulu yokubamba ngemuva kwamadolo. Ukuqhuma kwama-Pruritic ngamadolo (futhi ama-elbow) kuvame ukubangelwa i-psoriasis ne- dermatitis herpetiformis (ukuqhuma okuvame ukuhambisana nozwela lwe-gluten).
Amandla Namazinyo : Ukunambitheka kwezandla nezinyawo kungase kube ngenxa yokuxhumana nodokotela, i-atopic dermatitis, i- pompholyx (i-dyshidrotic eczema), i- tinea (i-ringworm) , ne-scabies.
Ukudla noma ukuvuthwa: Izimbangela ezivamile zokubamba ukulimaza nezimpumputhe zihlanganisa i- tinea (jock itch), uxhumano lwe-dermatitis, ama-scabi, kanye nezifo zesilonda.
I-Anus: I- Pruritus ani igama elisetshenziselwa ukuchaza ukuthayipha ezindaweni ezivulekile. Izimpungushe ziyimbangela evamile yalesi simo, ikakhulukazi ezinganeni ezincane. Kunezinye izimbangela eziningi, kufaka phakathi ama-hemorrhoids, kanye nezimo zezokwelapha ezizoxoxwa ngokulandelayo.
Ama-Pruritus Causes ajwayelekile
Ngenkathi ukuchithwa okujwayelekile kungabangelwa izimo zesikhumba (njenge-scabies), isimo sesistimu yisona imbangela cishe ngamaphesenti angu-50 abantu.
Ezinye zezimo nezimbangela zokubamba okujwayelekile, ikakhulukazi uma ukuqhuma kungekho, kufaka:
Ukutheleleka kwama-parasitic: Emhlabeni wonke, ukutheleleka ngama-parasites (njengezinhlobo eziningana zezibungu) kuyimbangela evamile yokubamba okujwayelekile
Imithi: Kunezinhlobo eziningi zemithi ezingabangela ukucheka, kungaba yedwa noma umphumela wezenzo zabo esibindi. Imithi evame ukubangela ukutshaya ngaphandle kokuqubuka ihlanganisa ama-opiates (afana ne-morphine noma i-codeine) nemithi evikela ukugula noma ukuphatha imilariya. Ezinye zezidakamizwa ezihlosiwe ezintsha ezisetshenziselwa umdlavuza zingabangela ukushaywa noma ngaphandle kokushona. Imithi eminingi ingathinta isibindi futhi ibangele ngenxa yesifo sokukhubazeka kwesibindi.
Isifo sesibindi: Izinhlobo eziningi zezifo zesibindi, kanye nokukhubazeka kwesibindi ezihlobene nemithi, kungaholela ekubambeni ngaphandle kokuqhaqhazela
Ukwehla kwe-Iron : Isikhumba sithinteka ngesikhathi se-iron anemia, Kungase kube owomile futhi kuthuthukiswe imifantu noma ukuqhuma.
Ukucheka kwe-neuropathic: Lolu hlobo lokubamba luhlobana nokuwohloka noma ukufakwa kwezintambo zezinzwa. Izimbangela zokubamba izimbangela ezivame ukukhungathekisa kakhulu njengoba zingaphenduli ekukhaleni futhi kungaba nzima ukuphatha
Isifo se-thyroid: Kokubili i-hyperthyroidism ne-hypothyroidism ingaveza ukubola.
Isifo sezinso: Isifo sezinso sivame ukubangela ukushaywa ngaphandle kokushona, futhi amaphesenti angama-25 kuya kwangu-50 abantu abanobuchopho be-dialysis abhekana nokushaywa isikhathi eside.
I-Cancer : I-leukemi ne-lymphomas ingase ibangele. Isifo sikaHodgkin senza ukuthi kuhlaselwe ngamaphesenti angu-10 kuya kwangu-25 abantu, nakuba kungaqiniseki ukuthi kungani
Ukunambitheka okuhlobene nemifantu : I-urticaria engapheli (ama-hives), ikakhulukazi i- dermatographism , nezinhlobo zesistimu zokuxhumana ne-dermatitis nazo ziyizimbangela ezivamile ze-generur pruritus, ngisho noma kungekho ukuqhuma okubonakalayo okukhona.
Ukubona i-Generalized Pruritus
Uma uhlolile ngokujwayelekile, udokotela wakho uzofuna ukuthatha umlando oqaphile futhi enze ukuhlolwa ngokomzimba. Izivivinyo zama-pruritus ezijwayelekile, ikakhulukazi uma kungekho ukuqhuma, kungabandakanya inani eliphelele legazi, umsebenzi wezinso, umsebenzi wesibindi, umsebenzi we -roid, izinga lesimbi, izifundo zesibalo sezidakamizwa, nesifo se-X-ray esifuna ubufakazi be-lymphoma.
I-Itching iphathwe kanjani?
Ukwelashwa okungcono kakhulu kwe-pruritus ukulungisa imbangela eyimbangela yokubamba, kungakhathaliseki ukuthi isimo sesikhumba noma isifo sesistimu. Kuze kube yilapho inkinga engaphansi ilungiswa, ukwelashwa kungadingeka ukuze ulawule itchki, ngakho-ke ukunciphisa umjikelezo we-itch-scratch. Imithi engavumelekile yokubamba ingabandakanya ama-cremic steroid, ama- antihistamine omlomo , nokunakekelwa kahle kwesikhumba nokunyusa amandla .
Kunconywa ukuthi abantu abanezimpawu zokubamba, ikakhulukazi ama-pruritus ajwayelekile, babone udokotela wabo ukuhlolwa okufanele nokuphathwa.
> Imithombo
> Ebata, T. Ukulawulwa Kwe-Itch Ehamba Ngezidakamizwa. Izinkinga Zamanje Nge-Dermatology . 2016. 50: 155-63.
> I-Mettang, iT. Uremic Itch Management. Izinkinga Zamanje Nge-Dermatology . 2016. 50: 133-41.
> Rajagopalan, M., Saraswat, A., Godse, K. et al. Ukuhlonza nokuphathwa kwe-Pruritus engapheli: Ukubuyekezwa kokubuyiselwa kobuchwepheshe. I-Indian Journal of Dermatology . 2017. 62 (1): 7-17.
> Savk, E. Neurologic Itch Management. Izinkinga Zamanje Nge-Dermatology . 2016. 50: 116-23.