Ukungezwani namanzi kubantu abadala

Zonke izidalwa eziphilayo zithembele emanzini ukuze ziphile. Ngokuqondene nabantu, ubuchopho bomuntu nenhliziyo cishe kungama-70% amanzi, kanti amaphaphu aqukethe ama-80%. Ngisho namathambo cishe angama-30% amanzi. Ukuze siphile, sidinga isilinganiso samalitha angu-2,4 ngosuku, ingxenye yawo esiyithola ekudleni. Kodwa kwenzekani uma kunokungezwani namanzi? Lokhu kusebenza kwabambalwa abanesimo esibizwa nge-aquagenic urticaria. Ukungezwani namanzi kusho ukuthi amanzi ajwayelekile ahlangana nomzimba adala ukusabela okubukhali kwamasosha omzimba.

Abantu abanalesi simo esingavamile kakhulu banciphisa izithelo nemifino ethile enamanzi amaningi futhi ngokuvamile bakhetha ukuphuza iziphuzo ezidakayo esikhundleni setiye, ikhofi, noma ijusi. Ngaphezu kokudla, umuntu ophethwe i-aquatic urticaria kufanele alawule izinqubo eziningi zemvelo zemvelo, njengokujuluka nezinyembezi, kanye nokunciphisa ukuchayeka emvuleni nezimo ezimanzi ukuze agweme isifuba, ukuvuvukala, nobuhlungu.

Ingabe abantu abadala bangakwazi ukungezwani namanzi

Icala lokuqala le-aquagenic urticaria labikwa ngo-1963, lapho intombazane eneminyaka engu-15 ubudala yaba nezilonda ngemva kokushushuluza emanzini. Ngemva kwalokho yachazwa njengokuzwela okukhulu kwamanzi, kubonakala njengamabhamuza alumayo esikhumbeni esivelile phakathi nemizuzu.

Lesi simo sivame kakhulu kwabesifazane futhi cishe siqala ukukhula ngesikhathi sokuthomba, kanye nezakhi zofuzo okungenzeka ziyimbangela. Ukuvela kwayo okungavamile kusho ukuthi lesi simo sivame ukubonwa kabi njengokungezwani namakhemikhali emanzini, njenge-chlorine noma usawoti. Ukuvuvukala kungathatha ihora noma ngaphezulu futhi kungaholela ezigulini zibe ne-phobia yokubhukuda emanzini. Ezimweni ezimbi kakhulu, ukushaqeka kwe-anaphylactic kungenzeka.

Izifundo ezingaphansi kwekhulu eziye zatholakala ezincwadini zezokwelapha ezixhumanisa lesi simo nezinye izifo ezimbi njenge-T-cell non-Hodgkin's lymphoma kanye nezifo ze-hepatitis C. Ukuntuleka kocwaningo ngokwelashwa nokuxilongwa kwenza kube nzima ukukhomba isimo, kodwa ama-antihistamine afakazelwe ukuthi ayasebenza kwabanye abantu. Ngenhlanhla, kunqunywa ukuthi isimo asibi nakakhulu njengoba isiguli sikhula, futhi ngezinye izikhathi sinyamalala ngokuphelele.

Ukungezwani namanzi kubonakala kanjani kubantu abadala?

I-Aquagenic urticaria yisimo esingavamile lapho abantu beqala ukungezwani namanzi ngemva kokuba ehlangene nesikhumba. Abantu abane-aquatic urticaria bangaphuza amanzi, kodwa bangase babe nokungezwani komzimba lapho bebhukuda noma beshawa, bejuluka, bekhala, noma lina. I-Urticaria namabhamuza kungase kukhule engxenyeni yesikhumba esithintana ngqo namanzi.

I-Urticaria (uhlobo lokuqubuka olulumayo) iqala ngokushesha ngemva kokuthintana nesikhumba namanzi, okuhlanganisa umjuluko noma izinyembezi. Lesi simo senzeka kuphela ngokuthinta isikhumba, ngakho-ke abantu abane-aquagenic urticaria abekho engozini yokuphelelwa amanzi emzimbeni.

Izimpawu zikhula ngokushesha okukhulu. Lapho nje abantu behlangana namanzi, bathola ukulunywa. Inokubonakala kwamabhamuza, amaqhuqhuva esikhumbeni, ngaphandle kokwakheka kwamabhamuza ngoketshezi. Ngemva kokuba isikhumba somile, ngokuvamile ziyanyamalala phakathi nemizuzu engama-30 kuya kwengama-60.

Ezimweni ezimbi kakhulu, lesi simo singabangela i-angioedema, ukuvuvukala kwezicubu ngaphansi kwesikhumba. Lesi isilonda esijulile kunezinyosi futhi singase sibe buhlungu kakhulu. Kokubili i-urticaria ne-angioedema kuvame ukukhula lapho kuthintana namanzi kwanoma yiliphi izinga lokushisa.

Nakuba i-aquagenic urticaria ifana ne-allergies, ngokobuchwepheshe ayifani - yilokho okubizwa ngokuthi i-pseudo-allergy. Izindlela ezibangela lesi sifo akuzona izindlela zeqiniso zokungezwani komzimba.

Ngenxa yalokhu, imithi esebenzela i-allergies, efana ne-microdosed allergen shots enikezwa isiguli ukuze ivuselele amasosha omzimba futhi yakhe ukubekezelelana, ayisebenzi ngokuphelele. Nakuba ama-antihistamine engase asize ngokukhulula kancane izimpawu zesifuba, into engcono kakhulu iziguli ezingayenza ukugwema ukuthintana namanzi.

Ngaphezu kwalokho, i-aquagenic urticaria ibangela ukucindezeleka okukhulu. Nakuba ukusabela kuhluka, iziguli eziningi zibhekana nakho nsuku zonke, izikhathi eziningana ngosuku. Futhi iziguli zikhathazeka ngakho. Ucwaningo luye lwabonisa ukuthi iziguli ezinazo zonke izinhlobo ze-urticaria engapheli, kuhlanganise ne-aquagenic urticaria, zinamazinga aphezulu okucindezeleka nokukhathazeka. Ngisho nokudla nokuphuza kungase kucindezele ngoba uma amanzi engena esikhunjeni noma ukudla okubabayo kujulukisa isiguli, siyoba nokungezwani komzimba.

Indlela yokwelapha ukungezwani namanzi kubantu abadala

Izigameko eziningi ze-aquatic urticaria zenzeka kubantu abangenawo umlando womndeni we-aquatic urticaria. Nokho, izigameko zomndeni sezike zabikwa izikhathi eziningi, omunye umbiko uchaza lesi sifo ezizukulwaneni ezintathu zomndeni owodwa. Kukhona futhi ukuhlotshaniswa nezinye izimo, ezinye zazo okungenzeka kube ezomndeni. Ngakho-ke, kubalulekile ukukhipha zonke ezinye izifo, bese kuphela ukwelapha ukungezwani kwamanzi.

Diagnostics

Ukuxilongwa kwe-aquagenic urticaria kuvame ukusolwa ngokusekelwe ezimpawu nezimpawu zesici. Ukuhlolwa kokuchaphaza kwamanzi kungase ku-odwe ukuze kuqinisekiswe ukuxilongwa. Phakathi nalokhu kuhlolwa, i-compress yamanzi engu-35 ° C isetshenziswa emzimbeni ongaphezulu imizuzu engu-30. Umzimba ongaphezulu wakhethwa njengendawo ekhethwayo yokuhlolwa ngoba ezinye izindawo, njengemilenze, azivamile ukuthinteka. Kubalulekile ukutshela isiguli ukuthi singawaphuzi ama-antihistamine izinsuku ezimbalwa ngaphambi kokuhlolwa.

Kwezinye izimo, udinga ukugeza izindawo ezithile zomzimba ngamanzi noma ukugeza okuqondile kanye neshawa. Ukusetshenziswa kwalezi zivivinyo kungase kudingeke lapho ukuhlolwa okujwayelekile kokuvuselela amanzi usebenzisa i-compress encane yamanzi kubi, nakuba iziguli zibika izimpawu ze-urticaria.

Izindlela zesimanje

Ngenxa yokungatholakali kwe-urticaria yasemanzini, idatha ekusebenzeni kokwelashwa ngakunye ilinganiselwe kakhulu. Kuze kube manje, azikho izifundo ezinkulu ezenziwe. Ngokungafani nezinye izinhlobo ze-urticaria yomzimba, lapho ukuchayeka kungagwenywa, ukugwema ukuchayeka emanzini kunzima kakhulu. Odokotela basebenzisa izindlela zokwelapha ezilandelayo:

Ama-Antihistamine - ngokuvamile asetshenziswa njengokwelashwa komugqa wokuqala kuzo zonke izinhlobo ze-urticaria. Lawo avimba ama-H1 receptors (ama-antihistamine e-H1) futhi angalalisi, njenge-cetirizine, ayakhethwa. Amanye ama-antihistamine e-H1 (afana ne-hydroxyzine) noma ama-antihistamine e-H2 (afana ne-cimetidine) angase anikezwe uma ama-antihistamine e-H1 engasebenzi.

Amakhilimu noma eminye imikhiqizo ye-topical - zisebenza njengesithiyo phakathi kwamanzi nesikhumba, njengemikhiqizo esekelwe ku-petrolatum. Zingasetshenziswa ngaphambi kokugeza noma okunye ukuchayeka kwamanzi ukuvimbela amanzi ukuthi angangeni esikhumbeni.

I-Phototherapy – kunobufakazi bokuthi ukwelapha ngokukhanya kwe-ultraviolet (okubizwa nangokuthi i-phototherapy), njenge-ultraviolet A (PUV-A) ne-ultraviolet B, kunciphisa izimpawu zokungezwani komzimba kwezinye izimo.

Omalizumab Umuthi omjovo ovame ukusetshenziselwa abantu abanesifuba somoya esinamandla uhlolwe ngempumelelo kubantu abambalwa abangezwani namanzi.

Abanye abantu abane-aquatic urticaria bangase bangaboni ukuthuthukiswa kwezimpawu ngokwelashwa futhi kungase kudingeke banciphise ukuchayeka kwabo emanzini ngokunciphisa isikhathi sokugeza nokugwema imisebenzi yamanzi.

Ukuvimbela ukungezwani namanzi kubantu abadala ekhaya

Ngenxa yokungavamile kwalesi simo, izinyathelo zokuvimbela azikasungulwa.

Imibuzo nezimpendulo ezidumile

Uphendule imibuzo mayelana nokungezwani komzimba namanzi usokhemisi, uthisha we-pharmacology, umhleli-oyinhloko we-MedCorr Zorina Olga.