Ukuthetha nge-urticaria kufana nokuthetha ngeentloko: zombini izizathu kunye neefom ziyahluka kakhulu. Uluhlu lusuka kwixesha elifutshane, ukungonwabi kancinci ukuya kwiminyaka yokuthuthunjiswa rhoqo kwaye ukusuka kwizinto ezicacileyo, eziphephekayo ngokulula ukuya (kungekhona ezimbalwa kakhulu) iimeko apho unobangela ungafunyanwanga. Kwakhona, akusoloko kulula ukuchonga imida phakathi kwe-urticaria kunye nezinye izifo. Ezinye iintlobo ze-allergies zikhangeleka kakhulu njenge-urticaria, kwaye iinkqubo kumajoni omzimba kunye nomzimba nazo ziyafana kodwa zihluke kakhulu kwiinkqubo ezibonwayo, umzekelo, ngokunxulumene i-asthma, hay fever, okanye iklasikhi ukutya kokutya.

Iifoto ezininzi ezahlukileyo zeklinikhi ye-urticaria zingahlulwa ngokwexesha lazo libe lide (ngaphantsi kweeveki ezi-6) kwaye zinganyangeki (ngaphezulu kweeveki ezi-6) nakumaqela amathathu aphambili ngokwendlela yazo:

  1. urticaria yokuzenzekelayo
  2. urticaria yomzimba kunye
  3. iqela lolunye uhlobo

Iifom ze-urticaria ezizenzekelayo

  • I-urticaria ekhawulezileyo: Amatsango okanye engioedemata zenziwa kwaye ziphele emva kweeyure okanye iintsuku-kutshanje emva kweeveki ezintandathu.
  • I-urticaria engapheliyo: I-Hives okanye i-angioedemata yenziwa; iimpawu ziyaqhubeka ngaphezulu kweeveki ezintandathu.

Yintoni i-urticaria ezenzekelayo, kwaye kutheni sihlula phakathi kwe-urticaria enzima kunye nengapheliyo?

In urticaria yokuzenzekelayo, amavili kunye nokunye ukungonwabi kwenzeka "ngaphandle kweblue", okt, izigulana ezichaphazelekayo azinakho ukuqikelela ukuba uhlaselo lwesifo lwazo luzakwenzeka nini kwaye azinakho ngokwesiqhelo ukubangela olo hlaselo. Kwi-urticaria yokuzenzekelayo onke amalungu omzimba anokuchaphazeleka.

In urticaria etsolo, olona hlobo luqhelekileyo luxhaphakileyo, kukho ubuninzi beeveki ezi-6 zokungonwabi, okt, i-urticaria ebukhali iyanyamalala kwiintsuku nje ezimbalwa ukuya kwiiveki emva kokuvela kokuqala kwemingci okanye ukudumba kolusu olunzulu (rhoqo ngokungaqondakaliyo njengoko kuye kwafika). Kwiimeko ezininzi zemingxunya etsolo kukho uhlaselo olwenzeka kube kanye olunokubangela uxinzelelo olukhulu- ubuncinci kuba iimpawu bezingaziwa kwaphela kwabo bachaphazelekayo ukuza kuthi ga ngoku.

I-urticaria engapheliyo, okt, urticaria yokuzimela ehlala ngaphezulu kweeveki ezintandathu, inqabile kakhulu kune-urticaria ebukhali.

Iifom ye-urticaria yomzimba

  • I-Urticaria factitia: Ukurabha, ukukrwela, okanye uhlikihla ulusu.
  • I-urticaria ebandayo: Unxibelelwano phakathi kolusu kunye nokubanda.
  • Ubushushu be-urticaria: Ukunxibelelana phakathi kolusu kunye nobushushu / ubushushu.
  • I-urticaria yelanga: Ukukhanya kwe-UV okanye ukukhanya kwelanga
  • Uxinzelelo lwe-urticaria: Uxinzelelo
  • Ukungcangcazeleka kwe-urticaria / i-angioedema engcangcazelayo: Iintshukumo

Ezinye iintlobo ze-Urticaria

  • Physical urticaria: Ukuba ukuvuselela ngokomzimba okufana nokubanda, ubushushu, uxinzelelo, ukukhuhlana, okanye ukukhanya kubangela i-hives, ngakumbi ukubanda, ubushushu, okanye uxinzelelo.
  • I-Cholinergic urticaria: Amaqondo obushushu anyusiweyo (umzekelo, ngenxa yeebhafu ezishushu).
  • I-Aquagenic urticaria: Nxibelelana phakathi kolusu namanzi.
  • Nxibelelana ne-urticaria: Nxibelelana phakathi kolusu kunye nezinto ezithile.
  • Ukuzivocavoca okubangelwa ngu-urticaria / anaphylaxis: Uxinzelelo lomzimba.
  • Akukho Urticaria: Ezinye izifo zibonakala zifana ne-urticaria kwaye zaye zahlelwa ndawonye.

Kwiqela elithi "enye i-urticaria", i-urticaria ye-cholinergic kunye ne-urticaria eyenziwa ngumzimba, kunye ne-contact urticaria iqokelelwa. Ngokuchasene noko kunamava kwimeko ye-urticaria ezenzekelayo, ukungahambi kakuhle okukhoyo malunga nolu hlobo lwe-urticaria kunokuziswa ngamabomu, kwaye iimpawu zolu hlobo lwe-urticaria, ngokungafaniyo nezo ze-urticaria. urticaria yomzimba, zenzeka ngokuzimeleyo kukhuthazo lomzimba.

I-urticaria yeCholinergic

I-urticaria ye-Cholinergic yenye yeentlobo eziqhelekileyo ze-urticaria. "I-Cholinergic" ithetha ukuba i-neurotransmitter acetylcholine idlala indima ngokunxulumene nale fomu ye-urticaria. Ngokwenene okwangoku akwaziwa; Nangona kunjalo, i-acetylcholine ikhutshwa kwimithambo-luvo, kwaye isebenze kwiiseli zemasti ngendlela engaqondakali ngokupheleleyo. Eyona nto ixhaphakileyo ye-cholinergic urticaria ngumsebenzi womzimba (weembaleki), kodwa umkhuhlane, uxinzelelo, iibhafu ezishushu okanye iishawari, kunye nokusetyenziswa kokutya okunezipayisi okanye ukusela utywala nako kuyakuchukumisa. Amavili e-urticaria ye-cholinergic aqhelekileyo amancinci kunalawo enziwe kwimeko yezinye iintlobo ze-urticaria kwaye afunyanwa kwindawo "zentsimbi" (ezinje ngeengalo ezingaphantsi, ngasemva) zabantu abachaphazelekayo. Izilonda kwiimeko ezininzi zivela kwimizuzu embalwa emva kokunyusa ubushushu bomzimba kunye nokuqala kokubila, zihlala ziqala entanyeni nasemzimbeni ongasentla. Emva kokupholisa ii-hives ziyanyamalala ngaphandle komkhondo kwisithuba semizuzu ukuya kwiiyure.

I-urticaria ye-Cholinergic inokubhideka ngokulula kunye

  • Uxinzelelo olungapheliyo olwenziwe ngoxinzelelo lwe-urticaria kunye
  • Ukuzivocavoca okubangelwa yi-urticaria / anaphylaxis

Kwindaba ye uxinzelelo lwe-urticaria olungapheliyoUkuzilolonga okanye ukunyusa amaqondo obushushu emzimbeni akubangeli mingxunya nakwirhawuzelela.

Kwindaba ye ukusebenzisa i-urticaria / anaphylaxis, ukwenza umthambo, njengakwimeko ye-urticaria ye-cholinergic, kukhokelela kukungonwabi. Ngokuchasene ne-urticaria ye-cholinergic, nangona kunjalo, kubetha Kwaye imingxunya kule meko ibangelwa kuphela kukungabi namandla komzimba hayi ngokufudumeza (umzekelo: ziibhafu ezishushu).

unyango

Ngelishwa, oonobangela abaziimeko ezininzi ze-cholinergic urticaria aziwa. Unyango lweempawu (unyango olungumqondiso) lukhetho kuphela. Kunye antihistamines or ketotifen or danzazol (edibene ngokusondeleyo nehomoni yesini kunye ne-androgen kwaye ke kufuneka igcinelwe iindlela ezinobuzaza besi sifo) okanye
Ukuqinisa: Izigulana zinokusebenzisa ixesha elichasayo ngokubangela uhlaselo lwe-urticaria ngendlela elawulwayo (umz. Ngokwenza umthambo) kwaye emva koko bakhululekile kumavili ukuya kuthi ga kwiiyure ezingama-24. Ukuzilolonga ngokuzilolonga amatyeli aliqela mihla le kunokukuthintela ukwenzeka kokuhlaselwa kwemingci.

Nxibelelana ne-urticaria

Apha amavili avela naphina apho isikhumba sidibana khona nento ethile (okanye izinto ezithile). Iimbola ezihlabayo kunye nejellyfish yimizekelo yakudala. Ukuze uqiniseke, le fomu yoqhakamshelwano lwe-urticaria lwenzeka kuye wonke umntu ophilileyo ononxibelelwano oluhambelana nolusu. Impendulo ehambelana nokutya okanye iinwele zezilwanyana aziqhelekanga. I-Latex, nayo-ngakumbi kwimisebenzi yezempilo-inokuba sisisulu se-urticaria yokunxibelelana. Rhoqo, izinto zokuthambisa, okanye izithako zazo (umz. Iziqholo) zizinto ezibangela oko.

I-Aquagenic urticaria

Ewe, kwanamanzi anokubangela ukuba urhapho. Nangona kunjalo, oku kunqabile kakhulu. Ngokwoncwadi, zizigulana ezingama-35 kuphela ezaziwayo kwihlabathi liphela. Kwaye impendulo ayinakwenzeka ukuba iyinyanzele kwifom yayo ecocekileyo, i-chemical drug H2O, kodwa kwiimaminerali okanye izinto ezingaziwa zichithwe emanzini. Ngenxa yokunqaba kwesifo uphando oluchanekileyo luyinto enzima kakhulu. Ukuba i-urticaria yenzeka ngelixa umntu ehlamba okanye ehlamba, oku akufuneki kuthathelwe ingqalelo njengophawu lwe- "aquagenic" urticaria: ngesiqhelo iba yimeko ye-urticaria factitia (eqhutywa luxinzelelo loomatshini "besepha" okanye omiswe kamva).

izifo ze-ome zibonakala zifana ne-urticaria kwaye ngoko ke zaye zahlelwa kunye nayo kwangaphambili. Namhlanje siyazi ukuba ezinye iindlela zesifo zisemva kwazo, kwaye ngoko ke azisabalwa njenge-urticaria. Ezi zifo ziquka, phakathi kwezinye izinto,

  • I-Urticaria pigmentosa (i-mastocytosis enqamlezileyo)
  • vasculitis Urticarial
  • I-angioedema yelifa

Akukho Urticaria

I-Urticaria pigmentosa (i-mastocytosis enqamlezileyo)

Esi sifo sinqabileyo kukuqokelelwa okugqithisileyo kweeseli zemasti ngasemva- zihlala zibamdaka okanye zimdaka ngebala- kunye neepapuli ezincinci zolusu ezinokwenza amavili xa ziphantsi kwempixano. Esi sifo sihlala sivela okokuqala kwiminyaka embalwa yokuqala yobomi, kwaye sihlala sibonisa ikhosi eguqukayo emva kweminyaka embalwa. Kuyacetyiswa ukukhutshwa kwento ebizwa ngokuba yifom yenkqubo. Unyango lweempawu ziyafana nezo zisetyenziswa ngokunxulumene ne-urticaria.

vasculitis Urticarial

Olu kukudumba kwenqanawa okudala urticaria kunye ne-angioedema. Esi sifo ngokusisiseko asinanto yokwenza ne-urticaria kwaye siphathwa ngokwahlukileyo.

I-angioedema yelifa

Ngenxa yokuphazamiseka kwemfuza kwi-enzyme (into yokuzalwa, usapho), i-angioedema inokwenzeka. Ii-antihistamines okanye ii-corticosteroids azincedi apha, kuba i-histamine ayibandakanyeki kuphuhliso lwe-edemas, kwaye isifo esichanekileyo kunye nokunyamekela unyango kuhlala kunokwenzeka kumaziko awodwa okanye ngoogqirha abaqhelene nesifo.