Urticaria nyob rau hauv cov me nyuam - yuav ua li cas thiaj paub thiab kho tau tus kab mob tsis zoo?

Urticaria nyob rau hauv cov me nyuam tshwm sim dheev thiab zoo li xim liab, nws khaus heev. Lub npe ntawm tus kab mob no yog xaiv tsis yog vim li cas - cov pob khaus yog zoo li uas tshwm ntawm daim tawv nqaij tom qab kov lub nettle. Raws li txoj cai, qhov teeb meem kis tau sai npaum li nws pib - nyob rau hauv 6-8 xuab moos - tab sis qee zaus khaus khaus kuj ua rau kev muaj mob.

Hom tshuaj urticaria nyob rau hauv cov me nyuam

Cov dej hiav txwv yog cov dej num raws li ntau yam. Raws li qhov ua rau ntawm tus kab mob, hom ntawm urticaria yog cov nram no:

• Kev tsis haum - tshwm nyob rau hauv cov lus teb rau kev sib cuag nrog cov stimulus;
• txias - ras txog rau Frost;
• psychoemotional - tshwm vim yog kev ntxhov siab lossis mob siab;
• Pigment - tsim tawm tsam tom qab ntawm teeb meem nyob rau hauv lub cev tsis muaj zog thiab qhov nthuav tawm ntawm cov hlwb mast;
• mechanical - yog tshwm sim los ntawm kev sib txuas lus nrog cov irritants.

Nyob rau hauv daim ntawv ntawm tus kab mob, urticaria nyob rau hauv cov me nyuam yog:

• lub teeb;
• nruab nrab-hnyav;
• hnyav.

Hives - Ua rau

Qhov teeb meem tuaj yeem tsim nws tus kheej los yog ua ib qho kev mob ntawm ntau yam kev mob ntsws. Feem ntau, muaj ib qho kev ua mob ua xua. Feem ntau cov kab mob npau taws:

• mis nyuj;
• ntses;
• qe;
• citrus txiv hmab txiv ntoo;
• ceev;
• chocolate.

Tsis tas li ntawd, cov pob ua pob yog tshwm sim thaum raug cov tshuaj chemicals, paj hlwb los yog kev phom sij hauv tsev neeg. Feem ntau qhov ua rau ntawm tus kab mob yog tom tom kab. Urticaria rau cov menyuam yaus loj dua ob xyoos yuav muaj tus kab mob viral tuaj. Tom qab cov qoob rubella, mycoplasma lossis kab mob mononucleosis , qee cov menyuam yaus tsim muaj kab mob ntawm cov kab mob. Feem ntau blisters tshwm tawm tsam tom qab ntawm helminthic invasions thiab vim hais tias ntawm kev ua si ntawm cov kab mob.

Cov mob urticaria

Nyob rau hauv lub chav kawm ntawm tus kab mob, ib tug mob thiab mob tshwm sim yog txawv. Cov kab mob urticaria hauv cov menyuam yaus tsim tawm vim yog kev sib tiv tauj nrog cov tshuaj tiv thaiv thawj zaug. Yog vim li cas nws yog raws li nram no:

• noj cov zaub mov ua xua;
• nqus pa ntawm cov kabmob (pollen, wool, plua plav);
• kab tom;
• noj tshuaj;
• hu rau cov ntaub ntawv-irritants.

Cov mob urticaria ntev

Txheeb xyuas qhov ua rau ergicaria hauv cov menyuam yaus tsis yooj yim. Yuav kom to taub zoo li cas los ua qhov tshwm sim, nws tsuas yog muaj peev xwm 20% - 30% ntawm cov neeg mob. Feem ntau, cov pob khaus muaj tshwm sim vim yog lub cev muaj mob, kab mob, ua xua rau cov khoom noj thiab cov khoom noj haus. Qee lub sij hawm mob chronic (urticaria) hauv cov menyuam yaus yog ib qho kev mob ntawm cov qog ntawm cov thyroid caj pas, plab hnyuv siab raum ntawm txoj hlab plawv, daim siab, lub hlwb.

Cov tsos mob ntawm urticaria

Paub txog qhov khaus lub ntsej muag, nws tuaj yeem kuaj sai thiab kho. Qhov no yuav pab tiv thaiv kom txhob muaj teeb meem thiab tiv thaiv kom txhob kis tus kab mob mus rau ib daim ntawv ntev. Cov tsos mob tshwm sim feem ntau ntawm qhov teeb meem yog:

• Sudden pib ntawm khaus tshwj xeeb yog khaus uas tshwm sim hauv cov cheeb tsam ntawm daim tawv nqaij;
• blisters ntawm daim tawv nqaij thiab tej zaum kuj txawm nyob rau hauv cov xoos mucous;
• kub thiab kub;
• hauv qee zaum, urticaria rau cov me nyuam ua rau xeev siab, zawv plab, ntuav, mob taub hau loj heev.

Hom mob pob khaus nrog khaus

Yuav ua li cas tag nrho cov khaus zoo li nyob rau hauv cov me nyuam, yuav luag txhua tus niam txiv paub. Txuj lom yog cov kaab mob. Liab me ntsis nce saum toj noj qab nyob zoo ntawm daim tawv nqaij. Yog tias lawv raug combed, tej qhov chaw ntawm kev txaij, voos, thiab kab mob yuav tshwm sim. Qhov luaj li cas yog qhov me me. Lawv kab tsis tshaj ob peb millimeters. Lwm hom pob khaus muaj raws li nram no:

• giant urticaria - cov qoob loo yog cov loj heev, tsis muaj qhov pom tseeb;
• ntiv nplhaib - zoo li - raws li cov kabmob contour muaj ntiv taw nrog liab inflamed ridges;
• hives nrog pigmentation - cov pob khaus yog txawv ntawm qhov noj qab haus huv epidermis nyob rau hauv cov xim - nws yog ib tsos tsaus tsawv.

Localization ntawm pob khaus nrog khaus

Dheev, qhov tawm tawg sai heev sai hloov mus rau hauv pinkish-xim av pob caus, qhov loj ntawm uas tsis ntau tshaj pinhead. Me me npuas rau ntawm kab mob. Thaum combing, lub stain yuav tau them nrog ib tug ntshav crust. Qee lub sij hawm eruptions yog tsim nyob rau hauv lub eruptions. Raws li txoj cai, lub nraub qaum tau raug cuam tshuam. Blisters "hlub" ib ncig ntawm cov pob loj loj, tab sis qee zaus muaj kev khaus ntawm lub ntsej muag ntawm tus me nyuam los yog thoob plaws hauv lub cev.

Cov theem ntawm urticaria nyob rau hauv cov me nyuam

Thaum thawj cov tsos mob tshwm, nws yuav tsum tau mus ntsib ib tus kws kho mob tshwj xeeb. Qhov no yuav pab tiv thaiv kom txhob muaj kab mob thiab qhov teeb meem yuav tswj tau sai thiab yooj yim dua. Muab cov theem ntawm theem pib ntawm kev loj hlob ntawm tus kab mob:

1. Thaum pib ua ntej, urticaria rau cov menyuam yaus muaj cov tsos mob tsis dhau cov lus qhia. Cov plab hnyuv yuav luag tsis ua rau tus neeg mob me me, qhov khaus khuav tsis yog li ntawd, tsis muaj kev pom zoo ntawm kev qaug cawv.
2. Qhov thib ob theem yog pom los ntawm cov tsos mob ntawm kev qaug. Feem ntau tus kab mob no tau nrog Quinck qhov o los yog ua npaws. Nyob rau lub sijhawm luv luv, kev tsis haum tshuai yuav kis tau thoob plaws hauv lub cev ntawm tus menyuam. Yog hais tias nws muaj feem xyuam rau cov kab mob, tus me nyuam ua pa nyuab nyuab, muaj kev sib ntaus ntawm kev tuag.
3. Rau theem loj, tag nrho cov tsos mob tib yam yog tus cwj pwm uas tshwm sim nyob rau theem ob, tsuas yog lawv qhia ntau dua. Tus mob ntawm tus me nyuam muaj kev nyuab heev, ntau tus neeg mob ua dhau los thiab ua siab tawv.

Dab tsi yog qhov muaj kev puas tsuaj rau menyuam yaus?

Xws li muaj kab mob, ua rau khaus, feem ntau tshwm sim ntawm cov menyuam feem ntau, vim cov niam txiv tsis txhob ntshai nws, tab sis nws tsis tuaj yeem pib mob rau nws tus kheej. Qhov txaus ntshai yog hais tias tus kab mob no yuav mus rau hauv ib daim ntawv ntev, thiab nws yuav nyuaj dua rau tiv nrog nws. Tsis tas li ntawd, cov kev mob loj ntawm idiopathic urticaria yog fraught nrog txoj kev loj hlob ntawm edema , uas qee zaum ua rau tuag taus.

Yuav ua li cas kho urticaria nyob rau hauv cov me nyuam?

Cov kev xaiv ntawm cov kev kho cov tshuaj yog me ntsis cuam tshuam los ntawm qhov ua rau mob. Txoj kev kho mob ntawm urticaria ntawm me nyuam yaus yuav tsum:

• cais tawm ntawm kev sib tsoo nrog irritants;
• kev tiv thaiv ntawm combing ntawm stains;
• txias compresses;
• noj tshuaj antihistamines;
• Kev sib ntaus tawm tsam cov kab mob uas cuam tshuam rau cov tsos ntawm pob liab liab.

Thawj pab rau khaus

Qhov no yog ib yam kabmob loj, vim hais tias khaus rau menyuam yaus, cov tsos mob thiab kev kho mob ntawm nws, yuav tsum muaj kev kawm zoo los ntawm niam txiv. Yog tias tus me nyuam tsis haum, antihistamines yuav tsum nyob ntawm tes.

Kev kho mob thaum muaj xwm ceev rau urticaria thiab edema Quincke pom zoo kom sai sai rau kev sib chwv nrog kev ua xua:

1. Txuam ntawm kev noj tshuaj phom sij.
2. Tshem tawm qhov chaw ntawm tshuaj lom thaum raug cov kab tawm.
3. Noj cov tshuaj qaub ncaug, yog tias tus khaus khaus yog khoom noj khoom haus.
4. Tshem tawm cov tshuaj tiv thaiv los ntawm daim tawv nqaij.

Lub tsheb thauj neeg mob yuav tsum raug hu yog tias:

• muaj ntau hom mob urticaria thiab Quincke's edema;
• exacerbation ntawm ntev daim ntawv ntawm tus kab mob, uas tsis teb rau kev kho mob tom tsev;
• anaphylactic poob siab tshwm sim.

Tshuaj rau urticaria

Cov tshuaj uas feem ntau pab nrog khaus yog cov tshuaj antihistamines. Niaj hnub no, cov npe hu ua thib ob yog tshuaj ntau dua. Tshuaj siv yog xaiv ib lub zuj zus - thaum lub sij hawm sib tham txog kev kho mob khov, nrog ib tus kws kho mob tshwj xeeb. Yog tias cov tshuaj tsis pab, cov koob tshuaj yuav nce, tiam sis ua ntej nws yuav tsum tau pom zoo nrog tus kws kho mob.

Cov tshuaj yeeb-thib uas siv rau qhov teeb meem no zoo li qhov no:

• Loratadine ;
• Cyproheptadine;
• Diphenhydramine;
• Eriaus;
• Lclaritin;
• Ebastin;
• Xizal;
• Telfast;
• Zodak ;
• Cetirizine;
• Acryvastine;
• Tavegil;
• Suprastin.

Qee lub sij hawm nyob rau hauv parallel nrog cov ntsiav tshuaj yog qhia anti-allergic tshuaj pleev:

• Sinaflan;
• Flucinar;
• Latticort;
• Hydrocortisone;
• Afloderm;
• Triamcinolone;
• Fluorocort;
• Lokoid;
• Advantan;
• Cloveit;
• Dermovate;
• Celestoderm-B;
• Elokom.

Noj cov zaub mov noj rau cov menyuam yaus

Thaum qaug dab peg, nws yog ib qho tseem ceeb heev uas yuav tau soj ntsuam txoj kev haus cawv. Nws yog ntshaw tias ib tug me nyuam haus 2-3 liv dej ib hnub twg. Qhov no yuav pab kom tshem tawm txoj kev tshem tawm ntawm qhov stimulus ntawm lub cev. Ntxiv mus, yuav tsum noj zaub mov rau khaus:

1. Los ntawm kev noj haus nws yog tsim nyog los tshem tag nrho cov khoom uas yuav ua rau muaj kev tsis haum tshuaj. Yog tias nws tsis yooj yim los txiav txim rau lawv, nws tseem yuav tau ua ib qho kev sim: tom qab ib hnub ntawm kev yoo mov, pib muab ib tus tshiab tais. Qhov ib tom qab uas cov khaus ua zuj zus, thiab yog tus neeg ua txhaum.
2. Kev noj zaub mov yuav tsum tau muaj cai, txawm tias yog thaum cov tshuaj tiv thaiv tsis tau noj zaub mov. Rau tus neeg mob tus mob tsis exacerbated, nws yuav zoo dua rau nws muab cov khoom uas muaj kev ua kom muaj zog ua rau ib ntus. Qhov no yuav txhawb nqa lub cev.
3. Txo cov allergenicity yuav pab ua cov khoom ntawm cov khoom: khov, ua noj, tev.

Los ntawm kev noj haus ntawm tus mos ab yuav tsum tshem tawm cov khoom noj uas muaj cov tshuaj tsw qab, dyes, emulsifiers. Nws yog ib qho tsis tsim nyog rau urticaria mus haus tshuaj yej, kas fes, haus dej qab zib thiab muaj xws li cov khoom:

• Strawberry;
• zib ntab;
• ceev;
• nceb noj;
• citrus txiv hmab txiv ntoo;
• txiv lws suav;
• chocolate;
• txuj lom;
• vinegar;
• mayonnaise;
• pineapples;
• taum;
• ci;
• qe;
• nqaij qaib nqaij.

Cov khoom uas pom zoo yog:

• porridge, ua mov rau hauv dej;
• Qab los ntawm cereals thiab zaub;
• dawb khob cij (tsuas yog tsis butter);
• kefir;
• ci apples;
• txiv roj roj;
• kua compote;
• yogurt.

Prophylaxis ntawm urticaria nyob rau hauv cov me nyuam

Txwv kom tiv thaiv tau qhov teeb meem ua tsis tau - hives ntawm cov me nyuam yaus hnub nyoog ib xyoos thiab laus dua tuaj yeem tshwm sim txhua lub sij hawm - tab sis nws muaj qee cov tswv yim uas yuav pab txo qhov yuav ua rau nws tshwm sim:

1. Nws yog ib qho tsim nyog los sim to taub qhov kev xyov ua rau qhov ua tsis zoo thiab tsis txhob tiv tau nrog tej yam ua tau. Yog hais tias nws tsis muaj peev xwm yuav tshem tawm kev sib cuag, ces tsawg kawg txo kom tsawg kawg.
2. Tus menyuam yuav tsum hnav cov khaub ncaws xoob xaim ntawm cov ntaub npog ntuj. Coarse, tuab, cov ntaub ntawv thorny tuaj yeem tsim kev kub ntxhov ntawm cov kab mob.
3. Yog tias muaj ib qho kev tsis txaus siab uas tau tshwm sim los ntawm kev noj zaub mov, koj tuaj yeem pib khaws cov ntawv teev khoom noj. Nws sau tag nrho cov khoom siv los ntawm tus menyuam thiab lub cev ua li cas rau lawv.
4. Thaum thawj manifestations ntawm qhov teeb meem, muab ib tug txias compress on lub cheeb tsam cuam tshuam. Qhov no yuav pab tiv thaiv txoj kev tawm tsam.
5. Txias dej qab zib kuj pab tau kom tsis txhob muaj cov tshuaj tiv thaiv kab mob thiab tiv thaiv kom tsis txhob kis mob pob tw rau lub cev.
6. Yuav tsum muaj tshuaj antihistamines tom koj lub ntsis ntiv tes.