Kurara urticaria: zvinokonzera, zviratidzo uye nzira dzokurapa

Urticaria chirwere umo mabhirikiti ematsvuku anowanikwa paganda uye kunyorera kunooneka. Zviratidzo zvekunze zvechirwere zvakanyanya kufanana nekupindurwa kunopisa, saka zita racho. Kana tichitaura pamusoro pehuwandu hwechirwere, zvinogona kuonekwa kuti vanotambura zvakaenzana kakawanda vanhu vakuru nevana. Izvozvi zvinowanikwa nokukurumidza uye zvinonyangarika nokukurumidza. Zvisinei, pane chimwe chinhu chakadai sekudzoka urticaria. Muchiitiko ichi ruzha runomuka nguva dzose uye runotungamirira kumigumisiro yakakomba. Munhu anouya kuzozadza kupera nemhaka yekusingaperi kwekusingaperi uye kusuruvara.

Zvinokonzera chirwere chacho

Hives (ICD 10) - inokonzera kugadzirisa inowanikwa kamwe kamwe, nenzira yeblisters yemasikisi akasiyana uye maumbirwo. Ichi chirwere chinopararira zvakakurumidza. Zviratidzo zvekunze zvinosanganiswa nechokwadi chokuti kuperera kwepasculasi kunowedzera uye kuzvikudza kunowedzera.

Muvanhu vakuru, chinonyanya kukonzera mikoko ndeyekuzvarwa, kunobatanidzwa nehutano hwakasiyana-siyana. Pakati pezvinhu zvinotanga kutanga kwechirwere, pane:

• Kuvhiringidzika kwemishonga, kazhinji maantibayoti, serums, kwete-narcotic analgesics;
• Hormonal zvinetso, endocrine zvirwere zvirwere, kushungurudzika, maitiro akavanzika;
• Insect hooked, inowanzo misi uye nyuchi;
• Kunyorerwa kwemuviri;
• Zvokudya zvinokonzera, semuenzaniso, mazai, zvigungwa, michero yevirrus, etc;
• Kurwisana nemishonga yemumba kana guruva;
• Kuita kuwedzerwa kweropa, chirwere chekugadzirwa kwechikwata.

Urongwa hwehuticaria

Kufanana nedzimwe zvirwere, mikoko inoparadzaniswa kuva mhando dzakasiyana. Chikamu chinonyanyozivikanwa chinoreva kuparadzana zvichienderana nekliniki yemifananidzo. Mukuwedzera, fomu yepathogenetic yemhando dzinotevera dze urticaria:

1. Allergic. Kubva zita iro zvinonzwisisika zvinoratidzirwa ne rubatsiro rwezvinokonzera.
2. Pseudoallergic. Zvimwe zvakaoma zvikuru pano, nokuti maitiro ezvirwere zvezvirwere zvezvirwere hazvina kubatanidzwa mukugadzirwa kwevatongi. Kune zvikamu zvishoma zve subspecies:

• Urticaria, iyo inowanikwa pamagumisiro ezvirwere zvepachiviri chepamuviri, uyewo zvirwere zvakasiyana-siyana, zvakadai sehepatitis, typhoid fever, malaria, etc;
• Mhinduro yemuviri kunotora mishonga kwenguva refu.

Maererano nekuratidzwa kwekliniki, pane maitiro matatu echirwere ichi:

1. Mikoko yakawanda. Nyaya yakakurumbira. Murefu ane general malaise, mablister anoonekwa uye kutonhora kunowedzera.
2. Recurrent urticaria. Inomiririra chikamu chinotevera chemaitiro akaoma. Iroshti inokanganisa ganda kwenguva yakareba - inonyangarika, inowedzera.
3. Persistent papular (chronic urticaria). Urwu urwere hwechirwere hunofambidzana nekumhanya kwechigarire. Uye inowanzotora nzvimbo itsva dzeganda.

Zviratidzo zve urticaria muvana

Zviratidzo zvemukomana zvakasiyana zvakanyanya nezvinoonekwa kune munhu mukuru. Nzira yekuziva sei kutanga kwechirwere? Kana tichitaura pamusoro pevana, zvino munyaya iyi pane ming'u sechitsva. Kana mwana achitanga kuchenesa ganda, ichi ndicho chiratidzo chokutanga chekuonekwa kwechirwere. Gare gare, blister inowanikwa munzvimbo dzakasiyana dzeganda.

Muhuduku, urticaria inowanzoitika kakawanda, naizvozvo vabereki vanofanira kunyatsocherechedza chero upi neupi mukukanganisa kwehupenyu hwevana. Iko rinowanzosangana neodema yemeso, maoko, miromo. Kunyora kunogona kupera kubva maawa maviri kusvika kumavhiki mashomanana.

Kana pakati pezviratidzo zve urticaria mune vana kune hukama hwakasimba hwemasama, mazamu, rurimi, ruzivo, maziso kana miromo, saka Quincke's edema inonyanya kuitika. Izvi zvinogona kunge zvakasiyana-siyana zvisingafadzi zveboka rechirwere. Munyaya iyi, unoda kudana ambulensi uye kudzikama mwana.

Symptomatic in adults

Kufanana nevana, vanhu vekutanga vanotanga kuve nechinhu chisingachinjiki. Dambudziko nderokuti maererano nekushanda kwavo, vanhu kazhinji havaregi kutarisa kune nzvimbo kune chimwe chinhu chinotyisa. Chero kana pane blisters paganda, munhu achange achinetseka. Kana zviripo uye ugovandudza edema, blister inogona kuchinja ruvara kubva pakutsvuka kusvika ku-grayish-white.

Zviratidzo zve urticaria kune vanhu vakuru zvakanyatsojeka. Blisters inofema kana yakakomberedzwa. Kazhinji vanobatana, vachiumba matanda makuru. Zvakakosha kuziva kuti maumbirwo anogona kuonekwa pane chikamu chipi nechipi chemuviri, asi inonyanya kuipa mablister munzvimbo yebonde uye kumativi ose.

Mumamiriro ezvinhu akadaro kuvhiringidzika kunosvika pakukura kukuru, asi inokurumidza kuwira. Uyewo pakati pezviratidzo zve urticaria kune vanhu vakuru zvinowedzera fever uye kurasikirwa kwechido.

Matanho ekuvandudza zvirwere

Kazhinji kazhinji inoviga maitiro nenzira yemakirini kune chero chinhu. Kubva pane chokwadi ichi, zvikamu zvinotevera zvechirwere zvakasiyana:

1. Immunological. Chokutanga, muviri unosangana nemushumo. Zvadaro zvipembenene zvinopararira neropa, uye muviri unowedzera zvirwere.
2. Patho-chemicals. Vanyori vacho vanotanga kuonekwa panguva iyi. Kana kukanganisa kunoitika kwekutanga, zvinongogadzirisa chete, uye kana kudzoka kunowanikwa, zvino dzakagadzirirwa zvakagadzirwa.
3. Pathophysiological. Pano mutumbi unotanga kuitika kune vamiririri. Mushure mokunge ropa ravo richikwira, zviratidzo zvokutanga zvemakiriniki zvinowanikwa nenzira yeblisters.

Kuongororwa kwechirwere

Kusiyana nedzimwe zvirwere zvizhinji, mikoko mumumuviri yakaoma kupesana nechinhu chipi zvacho. Nokudaro, kuongororwa kwechirwere kazhinji hachisi kukonzera matambudziko. Kana chiremba achiri chikafu, anobva asiyanisa nedzimwe zvirwere.

Mukuwedzera, nyanzvi dzinowanzotaurira kuti iongorore ruzivo kuti ione chikonzero chechirwere, pamwe nekuoma kwayo. Kuwedzera kumwe kurapa kunoenderana nemigumisiro yekutsvakurudza kwachiremba. Yakawandisa urticaria imwe yenzira dzakaipisisa, saka, kana zviratidzo zvokutanga zvikawanikwa, iwe unofanira kunyoresa pakarepo pakurongerwa nemumwe nyanzvi.

Kurapa kwechirwere chechirwere

Achipedza kuongororwa, akagadzwa nachiremba, murwere anodzidza chikonzero chekutengesa. Mune dzimwe nguva, iyi ndiyo imwe yemhando yezvokudya. Chokutanga pane zvose, zvinokosha kuti uzviparadzanise kubva pakudya. Kana kukanganisa kunokonzerwa nemishonga, zvinorambidzwa kutora mishonga iyi kusvikira pakuguma kwehupenyu kuti urege kuratidzira urticaria. Mukuwedzera, zvinokurudzirwa kuti ugare kure neguruva nemvere dzemhuka dzemhuka.

Kana tikataura nezvemishonga, vanachiremba vanowanzogadza:

• Antihistamine mishonga, yakadai se "Loratadin", "Zodak" kana "Zirtek";
• Histaglobulin - inofanirwa kutarisirwa pasi pfupi, zvishoma nezvishoma kuwedzera chiremba;
• Sodium thiosulfate.
• "Ketotifen" neruzhinji urticaria.

Muchiitiko chimwe nechimwe, mishonga iyi yakanyorwa yakasiyana, inobva pane zvakawanda. Asi inenge nguva dzose vanachiremba vanokurudzira kudya kunoremekedzwa kwezvokudya zvinokuvadza. Iwewo unoda kurega kusvuta uye kunwa doro.

Kurapa nemishonga yevanhu

Zvakakosha kuziva kuti nekubatsirwa kwezviyero zvakadai hazvibviri kubvisa zvachose mikoko. Zvirwere zvevanhu ndezveimwe nzira yekurwisa chirwere. Nekubatsira kwavo, munogonawo kusimbisa kusagadzikana.

Mishonga yemagariro inokurudzira zvinotevera:

• Mushure mokunge blisters dzasara, pachava nekukurumidza paganda. Inonatswa nekupukuta ne decoction ye chamomile, nettle uye mioki miidzi.
• Iyi nzira inoratidzika sekudzivirira zvirwere zvakasiyana-siyana, zvinodikamwa pazvisina maturo mangwanani oga oga kuti adye teaspoon yeuchi.
• Kuti kusimbise hutachiona uye kurwisana urticaria, celery juice yakakwana. Iyo inofanira kudhakwa kanomwe pazuva kuti imwe teaspoonful.
• Nenguva yakafanana, iwe unogona kushandisa yarrow tincture. Iko dzimwe nguva kuwedzerwa kunwa doro muchikamu che1 kusvika kune gumi, uye kutora madonhwe makumi matatu pazuva.
• Kuti urwise kukurumidza, shandisa mbatata yakagadzirwa. Inofanira kushandiswa pasi pefirimu uye yakabatanidzwa kwehafu yenguva.
• Kubudirira kwehutano kunogamuchirwa kwemabhati nekuwedzerwa kwe celandine, valerian, St. John's wort, oregano.
• Kana murwere uyu asingagoneki kune coriander, iwe unofanira kushandisa zvinonhuwira pakubika, sezvo zvinorwisana zvachose zviratidzo zvechirwere.

Kurapa kwevanhu ve urticaria kunoshanda chaizvo. Zvisinei, hatifaniri kukanganwa kuti chero zvakadaro, unoda kuona chiremba, uye ozoenderera mberi maererano nemazano ake.

Migumisiro ye urticaria

Muvana nevakuru, imwe nzira yakaipisisa yechirwere ndeye Quincke's edema. Murwere anoumba hutu hwemarara. Ichokwadi ndechokuti izvi zvinoitika nekukurumidza uye zvinogona kutungamirira kugutsikana.

Kana munhu achishungurudzika, ruzivo rwakarasika, kune urombo hwemhepo, ambulense inofanira kunziidzwa pakarepo. Panguva ino, zvakakosha kupa rubatsiro rwekutanga kumurwere, iyo inosanganisira kutungamirira antihistamine intramuscularly. Vanhu vanonyanya kusimba nzvimbo dzeganda zvakagadziriswa ne urticaria, kazhinji vanotambura nehutachiona hwehutachiona. Mukuwedzera, pustules uye furuncles zvinowanzooneka.

Prophylaxis ye urticaria

Urticaria (ICD 10) inoratidzika kakawanda mumhando yeblisters tsvuku, iyo inogara isingadikanwi. Kana izvi zvichiitika, usazeza, iwe unofanira kuenda pakarepo kuchiremba. Zvisinei, kuitira kudzivirira izvi, mitemo inotevera inofanira kuonekwa:

• Edza kudzivisa kusangana chero kupi zvako kune zvinokonzera uye zvinogumbura;
• Chengeta kudya kwe hypoentergenic;
• Tevera hutano, nguva dzose uende kuchiongorori chezvechiremba;
• Simbisa utachiona, zvachose urege tsika dzakaipa.

Sezvo mikoko isingawanzozivikanwa, zviito zvekudzivirira hazvigoni kuregererwa. Zvinosuruvarisa, vanhu vazhinji vanorega hutano hwavo, izvo zvinokonzera matambudziko makuru. Chimiro chakaoma chechirwere chinogona kutungamirira kumigumisiro yakaipa. Saka, kuitira kuti usapore chirwere ichi shure, munhu haafaniri kubvumira kukura kwayo.