Yawancin yanayin rashin lafiyar jiki daban-daban, ciki har da eczema , urticaria da angioedema, da kuma erythema multiforme, na iya kara tsanantawa a lokacin lokaci na farko. Lokacin da waɗannan yanayi suka kamu da kwanaki uku zuwa 10 kafin a fara samuwa, mace zata iya samun ciwon kwayar cutar kwayoyin cutar (APD). APD yana da ikon ci gaba ga anaphylaxis .
Wani nau'i na anaphylaxis wanda ke da alaka da hawan zane shine anaphylaxis na catamenial. Wadannan duka an yarda su zama yanayi mara kyau.
Bayanin nakasassu na Autoimmune Progesterone Dermatitis
Bayanin ƙwayoyin cuta na nakasassu na Autoimmune (APD) yana faruwa ne sakamakon sakamakon rashin lafiyar da ake samu ga mace. Kwayar cututtuka yana faruwa a ko'ina daga kwanaki uku zuwa 10 kafin a fara samfurori kuma za su fara warwarewa a cikin kwana ɗaya zuwa kwana biyu bayan farawa na haila. APD na iya samun nau'i daban-daban iri iri, ko da yake mafi yawan, idan ba duka ba, sun hada da rashes na fata. Wadannan sun hada da eczema, amya, ƙwayoyin maganin ƙwayar cuta, erythema multiforme, angioedema, har ma anaphylaxis. Wataƙila ba a fara nunawa ga mace wadda ta kamu da ita cewa cutar ta kara tsanantawa a lokacin kwanakin farko, kuma yana daukar likita don yin tambaya game da ƙara tsananta cututtuka da suka danganci juyayi kafin zuwan ta kasance ga mace.
Ana iya haifar da APD da farko daga mace wadda take daukar nauyin kwayoyin haihuwa ko wani ƙarin hormone wanda ke dauke da kwayar cutar da ke haifar da hankalin ga hormone. Harkar ciki tana iya haifar da abin da ke tattare da shi zuwa progesterone, kuma ciki zai iya samun tasiri mai mahimmanci akan tsarin rigakafi kuma zai iya haifar da mummunan tasiri game da yanayin rashin lafiyar.
Wasu mata na iya ci gaba da APD sakamakon sakamakon hawan gwiwar jiki tare da corticosteroids , wanda suna da irin kwayoyin kwayoyin halitta zuwa hormones. Yayin da rashin lafiyar halayen sauran kwayoyin hormones, irin su estrogen, zasu iya faruwa, waɗannan sun kasance ba su da yawa fiye da halayen su zuwa progesterone.
Sakamakon ganewar asali na APD yana buƙatar zanga-zangar cutar IgE game da progesterone, wadda aka yi tare da gwajin fata . Za a iya yin gwajin fata tare da progesterone ta mafi yawan masu ciwon kwayar cuta, wanda ƙalubalen ƙwayoyi zai iya biyowa ta hanyar injection na progesterone tare da saka idanu ga alamun bayyanar. Wannan hanya ne kawai za a yi ta likitan likita a cikin ganewar asali da kuma maganin allergies da anaphylaxis, saboda yiwuwar yiwuwar rashin lafiyar hadarin gaske zai iya faruwa a sakamakon gwaji.
Jiyya na APD zai iya cin nasara tare da yin amfani da maganin antihistamines da kuma maganin corticosteroids, ko da yake waɗannan magunguna zasu kasance da amfani don magance alamun bayyanar cutar maimakon gyara matsalar. Kwayoyin da ke kawar da kwayoyin halitta, irin su leuprolide, ya hana tashin hanzarin kwayar cutar a yayin yunkurin zubar da jini kuma sune magani mafi kyau ga APD. Ba da ƙima ba, an cire cirewar ovaries da kuma mahaifa a lokuta masu tsanani na APD lokacin da magunguna ba su iya sarrafa maganin.
Anaphylaxis Catamenial
Samun anaphylaxis na Catamenial wani yanayin ne wanda yake da dangantaka da tsarin hawan. Mata masu fama da wannan yanayin suna fuskantar bayyanar cututtuka na anaphylaxis da zarar jigilar hanzari ya fara kuma alamun bayyanar ya ci gaba har sai raguwa ya ƙare. Sabanin APD, duk da haka, anaphylaxis na catamenial ba yanayin rashin lafiyar ba ne amma dai ana haifar da prostaglandin daga cikin jikin mahaifa (endometrium), wanda za'a iya tunawa cikin jini. Ana gano yawan ganewar asibiti a kan asibiti, yayin gwajin gwaji ga progesterone (da sauran kwayoyin hormones) ƙananan. Jiyya na anaphylaxis na catamenial ya ci nasara tare da yin amfani da magungunan anti-inflammatory marasa steroidal (NSAIDs ) , kamar Indocin (indomethacin).
Ana cire ƙwayar ovaries da kuma mahaifa a lokuta masu tsanani na anaphylaxis na catamenial lokacin da magunguna ba su iya sarrafa maganin.
> Sources:
> Autoimmune Progesterone Dermatitis. NIH Genetic da Rare Disease Information Information. https://rarediseases.info.nih.gov/diseases/9139/autoimmune-progesterone-dermatitis.
> Bauer CS, Kampitak T, Messieh ML, Kelly KJ, Vadas P. Hanyoyin jini a gabatarwa da kuma kula da anaphylaxis na catamenial. Annals na Allergy, Asthma & Immunology . 2013; 111 (2): 107-111. Doi: 10.1016 / j.anai.2013.06.001.
> Nguyen T, Ahmed AR. Bayanin nakasassu na Autoimmune dermatitis: Sabuntawa da kuma fahimta. Bayanin Abubuwan Kulawa . 2016; 15 (2): 191-197. Doi: 10.1016 / j.autrev.2015.11.003.