Chithandizo cha Urticaria: njira zazikulu 4

Zamkati

• 1. Pewani zomwe zimayambitsa
• 2. Kugwiritsa ntchito ma antihistamines
• 3. Kugwiritsa ntchito mankhwala a corticosteroid
• 4. Mgwirizano wa antihistamines ndi corticosteroids

Njira yabwino yochizira urticaria ndikuyesera kudziwa ngati pali chifukwa chomwe chikuyambitsa zizindikirocho ndikuzipewa momwe zingathere, kuti urticaria isapitirire. Kuphatikiza apo, kugwiritsa ntchito mankhwala monga antihistamines kapena corticosteroids kungalimbikitsidwe ndi immunoallergologist.

Urticaria ndi mtundu wamagulu omwe sagwirizana ndi khungu womwe umachiritsa chifukwa chomwe chimadziwika ndikuchiritsidwa mwachangu. Zizindikiro zimatha kutha zokha kapena chithandizo chofunikira pothana ndi zovuta zomwe zimayambitsa. Zizindikiro za urticaria zikadatha milungu isanu ndi umodzi, zimakhala zosachiritsika, chifukwa chake, zimakhala zovuta kuwongolera, momwemo upangiri wazachipatala ndiwofunikira kwambiri. Phunzirani momwe mungadziwire ming'oma.

Njira zazikuluzikulu zochizira urticaria ndi izi:

1. Pewani zomwe zimayambitsa

Njira yosavuta komanso yothandiza yochizira urticaria ndikuzindikira wothandizila yemwe amayambitsa zizindikilozo, motero, kupewa kukhudzana. Zomwe zimayambitsa kufalikira kwa khungu ndi izi:

• Kugwiritsa ntchito mitundu ina ya chakudya, makamaka mazira, chiponde, nkhono kapena mtedza;
• Kugwiritsa ntchito mankhwala pafupipafupi, monga maantibayotiki, Aspirin kapena Ibuprofen;
• Lumikizanani ndi zinthu zina tsiku ndi tsiku, makamaka opangidwa ndi latex kapena nickel;
• Ziphuphu kapena kukhudzana ndi tsitsi nyama;
• Kuluma kwa tizilombo;
• Zolimbikitsa zathupi, monga kuthamanga kwa khungu, kuzizira, kutentha, kuchita masewera olimbitsa thupi kapena kutentha kwa dzuwa;
• Matenda pafupipafupi, monga chimfine, chimfine kapena matenda amikodzo;
• Kuwonetsera kwa zomera zina kapena mungu.

Pofuna kuthandizira kuzindikira zomwe zingayambitse urticaria, wotsutsa amatha kuwonetsa kuyesedwa kwa zovuta zomwe zimalola kuzindikira zina mwazomwe zimayambitsa dermatitis, monga chidwi cha nthata kapena ubweya wa nyama. Mvetsetsani momwe kuyezetsa magazi kumachitikira.

Komabe, ngati sizotheka kupeza chifukwa chazovuta zosiyanasiyana zomwe zimapezeka, tikulimbikitsidwa kuti mupange zolemba za chakudya ndi zamankhwala, kuyesera kudziwa ngati izi zingayambitse kapena kukuwonjezera ming'oma.

2. Kugwiritsa ntchito ma antihistamines

Kugwiritsa ntchito mankhwala a antihistamine, omwe amadziwika kuti odana ndi ziwengo, tikulimbikitsidwa ngati sikutheka kuzindikira chomwe chimayambitsa, ndizovuta kupewa kulumikizana ndi wothandizila urticaria kapena ngati zizindikilozo sizili bwino ndipo zitha kusokoneza zochitika za tsikulo .-mpaka lero. Chifukwa chake, tikulimbikitsidwa kukafunsira kwa wotsutsa kuti antihistamine yabwino pamilandu iliyonse iwonetsedwe, kuti athandize kuthana ndi matenda.

Nthawi zambiri, mankhwala amtunduwu amatha kugwiritsidwa ntchito kwa nthawi yayitali, popeza alibe zovuta zambiri, ndipo amatha kumwa tsiku lililonse kuti muchepetse zizindikilo, monga kuyabwa komanso kufiira kwa khungu.

Kuphatikiza apo, njira zina zopangira tokha, monga kupondereza kuzizira pakhungu m'malo omwe akhudzidwa, zimathandiza kuchepetsa kukula kwa zizindikilo komanso kusapeza bwino komwe kumachitika ming'oma. Onani njira yothandizira kwambiri kunyumba kuti muchepetse urticaria.

3. Kugwiritsa ntchito mankhwala a corticosteroid

Magawo azizindikiro zowoneka bwino kwambiri, zomwe sizikusintha pogwiritsa ntchito ma antihistamine, adokotala amatha kuwonjezera mlingo kapena amalangiza kugwiritsa ntchito mankhwala a corticosteroid, monga Prednisolone, omwe ali ndi mphamvu zotsutsana ndi zotupa, koma zomwe zimaperekanso zambiri zotsatira zoyipa, monga kunenepa, kuthamanga kwa magazi, matenda ashuga kapena kufooka kwa mafupa, motero ayenera kugwiritsidwa ntchito kwakanthawi kochepa komanso nthawi zonse motsogozedwa ndi azachipatala.

4. Mgwirizano wa antihistamines ndi corticosteroids

Kugwiritsa ntchito ma antihistamines ndi corticosteroids kumawonetsedwa ndi dokotala ngati ali ndi urticaria yanthawi yayitali, pomwe ndizizindikiro zomwe zimatha milungu yopitilira 6, zimakhala zazikulu, zimawoneka pafupipafupi kapena sizimatha konse. Chifukwa chake, chithandizo cha mtundu uwu wa urticaria chimachitika ndi antihistamines, yomwe imatha kumaliza kugwiritsa ntchito corticosteroids, monga Hydrocortisone kapena Betamethasone, yomwe imathandizira kwambiri zizindikilo, ngakhale zomwe zimayambitsa urticaria sizipewa.

Kuphatikiza pa antihistamines ndi corticosteroids, pali mankhwala ena omwe angathandize kuthetsa zovuta kwambiri kuchiza urticaria, monga cyclosporine, omalizumab, pakati pa ena. Dziwani zambiri za Omalizumab.

Nthawi yomwe urticaria imaphatikizidwa ndi zizindikilo zowopsa, monga kutupa kwa lilime kapena milomo kapena kupuma movutikira, mwachitsanzo, adotolo angavomereze kugwiritsa ntchito cholembera cha epinephrine (adrenaline) kuti chibayiridwe nthawi yomweyo mwa munthuyo zizindikirozi zimayamba.

Odwala omwe ali ndi urticaria yanthawi zonse ayenera kuchenjezedwa ndi wolowerera pazizindikiro zilizonse zomwe zingachitike ndipo ayenera kuphunzira kuchitapo kanthu, chifukwa chake ndikofunikira kupereka chitsogozo pothandizana ndi zapaderazi.