Cholinergic urticaria: zimayambitsa, zizindikiro, ndi mankhwala national

Mu thupi, pamodzi ndi timene ena, akuchita kufala kwa zikhumbo kudutsa mphanga synaptic pakati manyuroni, pali acetylcholine. Ndiyenso amabweretsa neuromuscular ndi kugwirizana okhudza mitsempha ndi chakudya mu mantha dongosolo parasympathetic. Ngati pa zifukwa zina, mankhwala akuyamba kubala owonjezera, munthu akhoza kukhala matenda - cholinergic urticaria.

M'nkhani ino tikambirana zifukwa pakuwonekera kwake ndi mankhwala.

General zokhudza urticaria cholinergic

Ilo linati matenda ali osowa ndithu. Chimachititsa zosaposa 8% ya chiwerengero cha milandu urticaria. N'zochititsa chidwi kuti ambiri a iwo akudwala achinyamata, ngakhale zaka kapena kugonana zoletsa matenda izi kulibe.

Cholinergic urticaria pa khungu akufanana ndi lamoto masamba nettle - monga matuza kapena wofiira yamawangamawanga kuyabwa kuti tikupatsireni kusapeza amphamvu. Koma nthaŵi zina totupa wosawonekayo Komabe, kuyabwa Pankhaniyi odwala akukhudzidwa, chimodzimodzi. Mu mankhwala, matenda ndi dzina lina - kuyabwa dermatosis.

Cholinergic urticaria: pathogenesis

zimayambitsa odalirika kudwala anafotokoza adakali silidziŵika. Palibe maphunziro kusonyeza momveka Impact mwachindunji chigawo chachikulu pa maonekedwe zizindikiro zake.

Chiphunzitso ambiri amavomereza za chitukuko cha urticaria cholinergic mpaka chimamanga ziwengo kuswa otchedwa maselo mlongoti ku khungu lathu. Iwo kwambiri apadera mayunitsi m'thupi nawo chitetezo chokwanira dziphunzitsiranso. A mpata wa nthawi pamene Thukuta munthu chifukwa cha kutentha kunja, kuukitsa kutentha mkati kapena maganizo kamphindi, chikwiyire ndi kutuluka kwa acetylcholine.

Kodi cholinergic urticaria zimayambitsa, kuwonjezera pamwambapa, Sizikudziwika, koma mankhwala kusiyanitsa zinthu 3 yaikulu zomwe zingachititse kuti:

1. Yankho Pathological kuti zotsatira matenthedwe.
2. olimbitsa thupi.
3. matenda zilipo (matenda endocrine, m'mimba ndi vegetovascular kapena cardiopsychoneurosis).

Ndipo cholinergic urticaria chitukuko limayamba pokhapokha ngati munthu ali ndi kutengera za ku thupi lawo siligwirizana ndi hypersensitivity kwa acetylcholine nthawi yomweyo.

zizindikiro

Zizindikiro za matenda uonekera nthawi yomweyo pambuyo kukhudzana ndi chinthu akutivutitsa, ndipo iwo ndi ovuta kusokoneza ndi zizindikiro kenanso.

• Woyamba thovu laling'ono kuoneka, khungu padziko zomwe kawirikawiri amakhala edematous ndi hyperemic.
• Nthawi zambiri, totupa limapezeka pa khosi, pafupi ndi khosi, mkono wonse wakumanja ndi chifuwa. The mmunsi mwa thupi ndi chinathandiza yosowa kwambiri.
• Thovu itch kwambiri ndi chifukwa woyaka zotengeka.
• Cholinergic urticaria, zizindikiro za zomwe tikambirana chiyani m'nkhani ino, ndipo kawirikawiri limodzi ndi kuwonjezeka kutentha.
• Chifukwa chakuti acetylcholine ndi mtundu ya ubongo, amaika kudziwa zingayambitse mawonetseredwe kwambiri za ntchito yake - m'mimba, nseru, kusanza, amaika salivation.

diagnostics

Cholinergic urticaria amawapeza mosavuta. Pakuti mtima wake mwachilungamo muyezo labotale kafukufuku ndi anamnesis. Ndipo chifukwa chakuti mawonetseredwe woyamba wa matenda amaonedwa yomweyo pambuyo n'zothandiza mmene aliyense zinthu tatchulazi, wodwala nthawi molondola zokwanira kudziwa zimene zinali ndendende chifukwa cha matenda.

Kulongosola bwino matenda ikuchitika subcutaneous mankhwala analogi kapena acetylcholine ndi zotenga mayesero mu mawonekedwe a zotsatira matenthedwe pa khungu (dzanja wodwala uyu aikidwa mu madzi otentha). Ngati pambuyo Mphindi 20 ndiye pali totupa, amene kenako kutha, matenda adzakhala mikangano.

Cholinergic urticaria: azitsamba wowerengeka mankhwala

Ngati zina matenda angathe kuchizidwa ndi mankhwala, ndi urticaria cholinergic ndi mwachilungamo kugonjetsedwa ndi iwo.

Pankhaniyi, mankhwala dzina lake akhoza pang'ono okha kwa kanthawi kochepa kuchepetsa zizindikiro za ziwengo. Ofufuzawa amanena izi kwa hypersensitivity wa thupi la munthu kuti kuwalimbikitsa, amene iye akupereka.

Zingapo zosavuta kungakhale 2 kapena 3 mibadwo ya maselo histamine - "Loratadine", "cetirizine", "ebastine" ndipo chotero iwo kukhala akapitawo chabe dermatologist odziwa, kutola mlingo munthu ndi kutenga nkhani zotsatira zotheka mbali ...

Nthawi zina, mungaone zipangizo zothandiza ndi otchuka:

1. Kulowetsedwa wa licorice mizu, ayenera kumwa theka chikho kawiri pa tsiku. ufa anatengedwa ku muzu uwu kwa ½ h. L. nasamba pansi ndi madzi.
2. The kulowetsedwa wa nettle zouma. Grass ichi madzi otentha ndi kuupereka brew. Imwani monga tiyi katatu patsiku.
3. No zochepa zothandiza timbewu ndi chamomile teas, ali ndi katundu wofatsa sedative. Iwo kumwa tiyi m'malo wakuda.
4. Kutenga madzi kuchokera horseradish (mizu), omwe anali wothira uchi mu chiŵerengero cha 1: 1. Tengani supuni katatu patsiku.

Kuthetsa kuyabwa ndi kutupa kuchotsa, akhoza kupanga lotions wa koloko njira, chamomile, motsatizana mandimu kuchepetsedwa ndi madzi. Njira iliyonse izi ndi impregnated ndi bandeji wosabala kwa theka la ola pa mbali ya superposed ndi totupa. njirayi, ngati akubwerezedwa nthawi 4 tsiku, chingathandize alili.

Kupewa thupi lawo siligwirizana

Ngati wodwala wina wakhala anapezeka ndi "urticaria cholinergic", pofuna kupewa, m'pofunika kuti muyambirenso adzakhala kutsatira malamulo ndi zoletsa:

• Pewani kugwiritsa ntchito miphika otentha. Tsopano lipindulitsa kutenga ankasewera kusamba.
• Zakudya adzakhala kuthetsa chakudya zokometsera. Hot zakudya zina chifukwa mavuto.
• Mowa sikuloledwa.
• Tiyenera kupewa thukuta onse pa masewera olimbitsa thupi ndi zina zonse. Pamene thukuta M'pofunika kumasuka mu mthunzi kapena madzi osamba.
• Iwo akumayesetsa kupewa mavuto. Pamene izi sizotheka, wodwala ayenera kutenga sedative.