Zomwe Zimayambitsa Kuyabwa M'matenda a Chiwindi ndi Momwe Mungachiritse

Zamkati

• Zimayambitsa kuyabwa mu matenda a chiwindi
• Momwe mungachitire ndi kuyabwa komwe kumakhudzana ndi matenda a chiwindi
• Pewani kukanda
• Ikani ma topical anti-itch
• Imwani mankhwala akumwa
• Yesani antihistamines (yogona)
• Ganizirani za mankhwala opepuka
• Kambiranani za kumuika chiwindi ndi dokotala wanu
• Kodi kuyabwa kukuwonetseratu chilichonse chokhudzana ndi matenda a chiwindi kapena kufalikira?
• Zizindikiro za kuyabwa ndi matenda a chiwindi
• Ndi zinthu zina ziti zomwe zingayambitse khungu?
• Nthawi yoti muwonane ndi dokotala
• Kutenga

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kuyabwa (pruritus) ndi chizindikiro chimodzi cha matenda a chiwindi, ngakhale sikuti aliyense amene ali ndi matenda a chiwindi amayamba.

Mutha kukhala ndi chikwangwani chakumaloko, monga kumanja kwanu, kapena kuthekera konseko. Mulimonse momwe zingakhalire, zimatha kubweretsa chisokonezo, nthawi zambiri chopondereza, kukhumba kukanda.

Kuyabwa pang'ono nthawi ndi nthawi sizoyenera kuda nkhawa. Koma kuyabwa kosalekeza kumatha kusokoneza tulo ndikupangitsa mavuto ena ambiri. Izi zikachitika, amakhala nkhawa yayikulu yathanzi.

Munkhaniyi, tiona zomwe zimayambitsa kuyabwa mu matenda a chiwindi, chifukwa chomwe muyenera kuwona dokotala wanu, ndi momwe mungapezere mpumulo.

Zimayambitsa kuyabwa mu matenda a chiwindi

Pruritus imapezeka kawirikawiri mu matenda opatsirana a chiwindi komanso matenda a chiwindi osakhala mowa. Amakonda kugwirizanitsidwa ndi:

• matenda a biliary cirrhosis (PBC)
• pulayimale sclerosing cholangitis (PSC)
• intrahepatic cholestasis wa mimba

Kafukufuku wina woyeserera komanso wamankhwala adachitidwa, koma asayansi sanapezebe chinthu chimodzi chomwe chimayambitsa kuyabwa kwa matenda a chiwindi. Zitha kukhala kuti zimachitika chifukwa cha kuphatikiza zinthu.

Nazi zina mwazotheka zomwe ofufuza akuyang'ana:

• Mchere wambiri. Ngati muli ndi matenda a chiwindi, mutha kukhala ndi mchere wambiri womwe umapezeka pansi pakhungu, womwe ungayambitse kuyabwa. Sikuti aliyense amene ali ndi mchere wambiri wa bile amamva kuyabwa, ndipo anthu ena amamva kuyabwa ngakhale ali ndi mchere wabwinobwino.
• Mbiri. Anthu ena omwe ali ndi pruritus adakweza milingo ya histamine. Ma antihistamine nthawi zambiri samakhala othandiza pakuchiza, komabe.
• Serotonin. Serotonin imatha kusintha malingaliro. Ichi ndichifukwa chake kusankha serotonin reuptake inhibitors (SSRIs) kumatha kuthandizira ma pruritus mwa anthu ena.
• Mahomoni ogonana achikazi. Kuyabwa nthawi zina kumawonjezeka panthawi yapakati kapena ngati mukumalandira mankhwala obwezeretsa mahomoni.
• Seramu zamchere phosphatase (ALP). Anthu omwe ali ndi zotupa zokhudzana ndi matenda a chiwindi atha kukhala atakweza ALP.
• Lysophosphatidic acid (LPA) ndi autotaxin (enzyme yopanga LPA). LPA imakhudza ntchito zambiri zamagetsi. Anthu omwe ali ndi kuyabwa ndi matenda a chiwindi atha kukhala ndi LPA yambiri.

Momwe mungachitire ndi kuyabwa komwe kumakhudzana ndi matenda a chiwindi

Kuyabwa chifukwa cha matenda a chiwindi mwina sikungasinthe kwayekha, koma kumatha kuchiritsidwa.

Chifukwa zomwe zimayambitsa sizimvetsetsedwa kwathunthu, ndizovuta kunena kuti ndi chithandizo chiti chomwe chingakugwireni. Zitha kutenga njira zochiritsira zingapo pamodzi ndi kuchuluka kwa mayesero ndi zolakwika.

Pewani kukanda

Ndikofunika kuti musakande zovalazo chifukwa zitha kupangitsa zinthu kukhala zoyipa kwambiri. Sungani zikhadabo zanu zazifupi kuti ngati mungakande, simumatha kuthyola khungu ndikutsegula chitseko cha matenda.

Ngati mukukhala kuti mukukanda kwambiri, yesetsani kupewa mayesero posunga khungu lanu. Ngati mumakonda kukanda kwambiri usiku, valani magolovesi pogona.

Nazi zina zomwe mungachite kuti muchepetse kuyabwa kwa khungu ndikuchepetsa kuyabwa:

• Gwiritsani ntchito madzi ofunda kapena ozizira m'malo mwa madzi otentha osamba ndi osambira.
• Yesetsani kuti musamataye nthawi yochuluka m'malo otentha kapena padzuwa.
• Sankhani sopo wofatsa yemwe mulibe zonunkhira zowonjezera.
• Gwiritsani ntchito zofewetsa, zopanda kununkhira kuti muchepetse kuuma.
• Ikani nsalu yozizira, yonyowa pamalo oyabwa mpaka pomwe chidwi chanu chikuchepa.
• Pewani zinthu kapena zinthu zomwe zimakhumudwitsa khungu lanu.
• Valani magolovesi mukamagwiritsa ntchito mankhwala ovuta.
• Valani zovala zoyenera, zopumira.
• Gwiritsani ntchito chopangira chinyezi m'miyezi yozizira.

Gulani chopangira chinyezi pa intaneti.

Ikani ma topical anti-itch

Ngati muli ndi vuto lofewa, mutha kuyesa kirimu wamadzi ndi 1% menthol. Mitu ina ya pa-counter (OTC), monga corticosteroids ndi calcineurin inhibitors, imathandizanso kuyabwa.

Tsatirani mayendedwe amalemba ndipo onetsetsani kuti mwauza dokotala kuti mukuwagwiritsa ntchito.

Pezani mafuta a corticosteroid pa intaneti.

Imwani mankhwala akumwa

Dokotala wanu angakulimbikitseni kumwa mankhwala, monga:

• Cholestyramine (Chofunika). Mankhwalawa amathandiza kuchotsa mchere wa bile.
• Rifampicin (Rifadin). Mankhwalawa amaletsa bile acid. Kutengedwa tsiku ndi tsiku, kumafunikira kuwunikidwa pafupipafupi chifukwa cha zovuta zina monga matenda a chiwindi kapena kufooka kwa impso.
• Naltrexone (Vivitrol). Kutengedwa tsiku ndi tsiku, mankhwalawa amaletsa zovuta za ma opioid. Pamafunika kuwunika pafupipafupi.
• Sertraline (Zoloft). SSRI imatenganso tsiku lililonse. Kawirikawiri amalembedwa ngati mankhwala opatsirana pogonana. Mankhwala ena opatsirana pogonana, monga fluoxetine (Prozac), atha kugwiritsidwanso ntchito kuthana ndi kuyabwa kwanthawi yayitali.

Yesani antihistamines (yogona)

Antihistamines sayenera kukhala othandiza pochiza kuyabwa komwe kumayambitsidwa ndi matenda a chiwindi, ngakhale atha kukuthandizani kugona ngakhale kuyabwa.

Ganizirani za mankhwala opepuka

Njira ina ndi mankhwala opepuka, omwe amadziwikanso kuti phototherapy. Mankhwalawa amatulutsa khungu kumitundu ina yakuwala yolimbikitsira machiritso. Zitha kutenga magawo angapo kuti ziyambe kugwira ntchito.

Kambiranani za kumuika chiwindi ndi dokotala wanu

Ngati mankhwala sakugwira ntchito ndipo moyo umakhudzidwa kwambiri, dokotala wanu angafune kukambirana za kuthekera kwa chiwindi. Izi zitha kukhala zosankha ngakhale chiwindi chanu chikugwirabe ntchito.

Kodi kuyabwa kukuwonetseratu chilichonse chokhudzana ndi matenda a chiwindi kapena kufalikira?

Kulephera kwa chiwindi nthawi zina kumatsagana ndi kuyabwa. Koma mutha kukhala ndi vuto loyabwa koyambirira, musanadziwe kuti muli ndi matenda a chiwindi.

M'malo mwake, pruritis imatha kukula nthawi iliyonse mu matenda a chiwindi. Chizindikiro chokhachi sichinena kanthu za kuopsa kwa matenda a chiwindi, kupita patsogolo, kapena kudwala.

Izi sizitanthauza kuti si vuto lalikulu. Ngati kuyabwa kukupitilira, kumatha kuthandizira:

• kusowa tulo
• kutopa
• nkhawa
• kukhumudwa
• Kusokonekera kwa moyo

Zizindikiro za kuyabwa ndi matenda a chiwindi

Kuyabwa komwe kumayambitsidwa ndi matenda a chiwindi kumakhala koipa kwambiri madzulo komanso pakati pausiku. Anthu ena amatha kuyabwa m'dera limodzi, monga chiwalo, mapazi, kapena zikhatho za manja awo, pomwe ena amakumana ndi kuyabwa konse.

Kuyabwa komwe kumalumikizidwa ndi matenda a chiwindi sikutanthauza kuphulika kapena zotupa pakhungu. Komabe, mutha kukhala ndi mkwiyo wowoneka bwino, kufiira, komanso matenda chifukwa chakukanda kwambiri.

Vutoli limakulitsidwa ndi:

• kutentha
• nkhawa
• kusamba
• mimba
• mankhwala othandizira mahomoni

Ndi zinthu zina ziti zomwe zingayambitse khungu?

Chifukwa pali zinthu zambiri zomwe zimayambitsa khungu loyabwa, ndizotheka kuti kuyabwa sikugwirizana ndi matenda anu a chiwindi.

Matenda owopsa a khungu lowuma (xerosis cutis) atha kubweretsa kuyabwa kovuta. Kuyabwa popanda kuthamanga kungakhalenso zotsatira zina za mankhwala ena, kuphatikizapo opioid, statins, ndi mankhwala a magazi.

Zinthu zakhungu monga chikanga ndi psoriasis zimayambitsa kuyabwa limodzi ndi khungu lotupa, lofiira, kapena lamapere.

Kuyabwa pakhungu kumatha kukhala chifukwa chakusagwirizana ndi zinthu monga:

• Ivy chakupha
• zodzoladzola
• sopo
• zogulitsa zapakhomo
• mankhwala
• nsalu ngati ubweya kapena mohair

Kuphatikiza pa kuyabwa, kusokonezeka kumatha kuphatikizira kufiira khungu, zidzolo, kapena ming'oma.

Matenda ena ndi zovuta zomwe zingayambitse khungu loyabwa ndi monga:

• nkhawa
• kukhumudwa
• matenda ashuga
• chitsulo akusowa magazi m'thupi
• impso kulephera
• khansa ya m'magazi
• lymphoma
• angapo myeloma
• multiple sclerosis (MS)
• matenda osokoneza bongo (OCD)
• mitsempha yotsinidwa
• mitsempha (herpes zoster)
• mavuto a chithokomiro

Kuyabwa kumagwirizananso ndi:

• bakiteriya, mavairasi, mafangasi, kapena matenda opatsirana pakhungu
• kulumidwa ndi tizilombo kapena mbola
• mimba

Sikuti nthawi zonse zimakhala zotheka kudziwa chomwe chimayambitsa kuyabwa.

Nthawi yoti muwonane ndi dokotala

Ngati muli ndi matenda a chiwindi, kukaonana ndi dokotala mukakhala ndi zizindikiro zatsopano kapena zowonjezereka. Izi zimaphatikizapo kuyabwa.

Ngakhale sizingatanthauze chilichonse chokhudzana ndi kukula kwa matenda kapena kufalikira, simudziwa izi popanda kupimidwa.

Ndikofunikira kwambiri kuuza dokotala ngati mukuvutika kugona komanso ngati kuyabwa kumakhudza moyo wanu.

Kutenga

Kuyabwa komwe kumayambitsidwa ndi matenda a chiwindi kumatha kukhala chifukwa cha zinthu zosiyanasiyana. Kuyabwa kwambiri kumatha kubweretsa zovuta zina zambiri, chifukwa chake ndikofunikira kuti muwone dokotala wanu kuti akuthandizeni.