Binciken ainihin dalilin urticaria , ko hives, ko yana da mahimmanci ko na yau da kullum, yana da muhimmanci don taimakawa wajen sarrafa bayyanar cututtuka, don rage yawan sake dawowa, don jagorancin yanke shawara, kuma mafi mahimmanci, don hana yiwuwar rikitarwa.
Ɗaya daga cikin mutane biyar zasu fuskanci urticaria akalla sau ɗaya a rayuwarsu. Yanayin yana alama da launin red itchy welts wanda zai iya bayyana a ko'ina a kan fata.
Wadannan faɗakarwa, wanda aka fi sani da tauraron dan adam, na iya wuce na minti zuwa sa'o'i amma zai iya sake dawowa da dama makonni.
Yawancin lokaci, urticaria yana da iyakacin kansa da kuma maras kyau. Lokacin da ɗakin wuta ya wuce tsawon makonni shida, wannan sanannun shi ne masaniyar urticaria. Duk da yake irin wadannan asibitoci suna shafar kashi daya cikin dari na mutane, zasu iya tasiri mummunan tasirin rayuwa.
Tarihin likita
A mafi yawan lokuta, dalilin urticaria yana bayyane. Idan kudan zuma ya rutsa ku da ƙwaƙwalwa , kuna da amsarku. Hakazalika, mafi yawancin lokuta ana bincikar su bisa ga tarihin ku da kuma alamun asibiti.
Wani binciken a cikin Ƙungiyar Allergy Organization na Duniya ya sake duba magungunan likita 82 kuma ya bada shawara ga jerin likitoci don likita wanda ya hada da wadannan:
- Dates, lokuta, da kuma tsawon lokacin amintattu
- Dama, damuwa, ko damuwa
- Tarihin iyali na amya
- Dyspepsia ko cututtukan cututtuka na cututtuka ( H. pylori kamuwa da cuta)
- Abinci, musamman ma idan kun yi kokarin sabon abu
- Magunguna da kari, duka takardun magani da kuma kan-da-counter
- Hanyoyin hanzarin mutum (wani nau'i na yau da kullum da ke cike da hanzari - 7 zuwa 10 days kafin lokacinka)
- Jigilar jiki (sanyi, motsa jiki, zafi, hasken rana)
- Kwanan nan cututtuka (sanyi na yau da kullum, GI bug)
- Ayyukan aikin (sunadarai)
Kuna so ku zo da wani log tare da wannan bayanin zuwa ziyara ta ofishin ku.
Nazarin jiki
Sai dai idan kuna da asibiti a lokacin ziyara na ofis dinku, jarrawarku na jiki sau da yawa ba zai taimaka wajen tabbatar da asali ba. Wannan shi ne yanayin sai dai idan kuna da dermatographism .
Abun ƙaddamarwa shi ne alamar asibiti da ke hade da jiki na asibiti (asalin da ke haifar da bayyanar jiki) da kuma dermatitis . Idan kana da dermatographism, siffar tauraron lokacin da aka shafa fataka ko kuma aka buge shi a wani yanki. Kwararka za ta haifar da wannan amsa ta hanyar bugawa fataka da wani abu mai tsabta, m. Ruwa zai bayyana a cikin minti shida zuwa minti bakwai kuma ya fara tashi daga minti 15 zuwa 30 bayan haka.
Labs da gwaje-gwaje
Labarin Lab ba a koyaushe ake buƙatar don bincikar urticaria ba. Sun fi taimakawa idan kana da wasu alamomi ko mawuyacin hali.
Neman Allergies Abincin
Abin bala'in abinci ba wai kawai ƙara yawan haɗarin ka ba. Suna kuma iya haifar da angioedema ko a cikin mummunan labari, anaphylaxis . Yana da mahimmanci don kaucewa bayyanar da abinci wanda zai iya haifar da wani abu mai barazana.
Kwararka na iya yin umurni daya daga cikin gwaje-gwaje masu zuwa idan sunyi tunanin abincin da ke cikin abinci:
- Mahimmancin jigilar kwayoyin cutar ta Enzyme (ELISA) : Karuwa a cikin tsoffin kwayoyin IgE shine alamar rashin lafiya. A cikin gwaji na ELISA, an sanya antigen daga wani abinci na musamman zuwa samfurin jini. Idan kuna da rashin lafiyar wannan abincin, za ku sami ciwon kwayoyin IgE a cikin jininku akan wadannan antigens. Za su haɗu da juna a cikin samfurin jini, kuma za ku sami sakamakon gwaji mai kyau. Ana iya gwada gwajin a cikin dakin gwaje-gwaje kuma yana da inganci. Hakanan kyauta ne mai kyau ga wanda bai iya jure wa gwajin fata ba.
- Gwajin Radioallergosorbent (RAST) : gwajin ELISA sun fi maye gurbin RAST. RAST yayi matakan IgE ta hanyar ƙara wani nau'in haɗari zuwa samfurin jini. Babban mahimmanci shi ne cewa yana amfani da wanda ake kira IgE antibody don fassara sakamakon karshe.
- Binciken kwayoyin fata : An karamin adadin antigen a cikin fata tare da allurar kuma an kula da kai don aikin ka. Idan gwajin ya tabbatacce, za ku ci gaba da karami a cikin yankin, yawanci cikin 20 zuwa 30 minutes. Ana gwajin wannan gwaji a asibitin likitanka a yanayin da kake da mummunan hali wanda ke buƙatar magani. Don samun karin sakonni masu kyau, yana da muhimmanci kada ku dauki wani maganin antihistamines a mako guda kafin gwaji.
Wadannan gwaje-gwaje za a iya amfani da su don nuna nauyin abubuwan da ke tattare da su zuwa ga wasu mawuyacin hali, ba kawai abinci ba.
Neman Lafiya na Autoimmune
Yawancin kashi 40 zuwa 45 cikin dari na lokuta na urticaria na yau da kullum suna hade da cututtuka irin na cututtukan Celiac , Lupus, Sjogren ciwo, cututtuka na rheumatoid , da ciwon sukari iri na 1. Har ma ya fi karfi da haɗuwa da cututtuka irin ta cututtukan cututtuka kamar cututtukan Graves da na thyroiditis na Hashimoto , wadanda asusun na akalla kashi 10 cikin waɗannan lokuta.
Idan likitanku yana jin damuwa da yanayin mutum, zai iya nunawa tare da wasu gwaje-gwaje na jini masu zuwa:
- Antineclear antibody (ANA)
- Kwayar C-reactive
- Ƙimar ƙwaƙwalwa
- Thyroid stimulating hormone (TSH)
Abubuwa masu ban sha'awa a kan wadannan gwaje-gwaje na iya haifar da wasu ƙayyadaddun gwaje-gwaje bisa ga yanayin da ake zaton: cututtuka na transglutaminase ga cutar celiac; anti-dsDNA, anti-Smith, da kuma goyon bayan lupus ; peptide (anti-CCP) da aka yi amfani da shi na anti-cyclic da kuma rheumatoid factor for rheumatoid arthritis; da kuma anti-SSA / Ro ko anti-SSB / La don ciwon Sjogren .
Yawancin lokaci bai isa ya duba aikinka kawai ba. A kashi takwas cikin dari na lokuta, yawancin asibiti yana iya haifar da cututtukan thyroid ne kawai amma maganin thyroid ne na al'ada. Saboda wannan dalili, likitanku na iya dubawa don kasancewar alamun maganin thyroid, musamman thyroglobulin antibody (anti-Tg) da kuma thyroid peroxidase antibody (anti-TPO).
Neman Kamuwa da cuta
Yawancin bincike sun nuna cewa urticaria za a iya hade da cututtuka daga kwayoyin cuta, ƙwayoyin cuta, da kuma ɓangaren cuta. Cutar cututtuka na iya haifar da mummunan fata ko kuma na gaggawa. Wasu cututtukan cututtuka na yara a cikin yara, amma ba manya ba, suna da haɗari ga ƙananan amya. Wadannan ƙwayoyin cuta sun haɗa da adenovirus, enterovirus, rotavirus , da RSV .
| Kwayoyin cuta | Farawa | Kwayoyin cuta |
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Abin godiya, yawan cututtukan cututtuka da ƙuƙwalwar su suna iyakancewa. Kwayoyin cuta na yau da kullum, duk da haka, zai iya jawo hankalin gaggawa da kuma buƙatar magani. Labbobi na Lab zai zama wajibi don yin ganewar asali.
Labarin Lab yana farawa tare da cikakken ƙididdigar jini. Hanyoyin jini mai tsabta zai iya zama alamar kamuwa da cuta da kuma karuwa a cikin eosinophils, musamman, zai iya nuna cewa kamuwa da cutar parasitic shine zargi. A wannan yanayin, dole ne a tara wani samfuri a kan allo don ɓangaren ƙwayoyin cuta.
Hanyoyin maganin maganin maganin maganin rigakafin jiki a cikin jiki akan wasu pathogens, yana nuna cewa an kamu da ku, ko a kalla a fili, wannan kwayoyin. Akwai gwaje-gwaje na jini wanda ke samuwa ga yawancin kwayoyin cutar da ƙwayoyin cuta da aka lissafa a sama. Anti-streptolysin (ASO) yana duba maganin rigakafi da Streptococcus.
H. pylori za a iya jarraba shi tare da serology amma akwai wasu hanyoyi guda biyu don dubawa da shi wanda zai iya zama daidai.
- Binciken antigen antigen: H. pylori yana cikin ciki. An cire antigens daga kwayoyin zuwa cikin ɗakin ajiya kuma za'a iya gano su a cikin samfuri ta amfani da immunoassay.
- Urea gwajin gwaji: H. pylori ya karya urea zuwa carbon dioxide da ammoniya. Bayan kayi amfani da kwamfutar ta urea ko ruwa wanda yake dauke da nauyin carbon a haɗe, ana tambayarka numfashi a cikin akwati. Jarabawar ta gano H. pylori dangane da kasancewar isotope na carbon a cikin fitarwa.
Neman Harkokin Jiki
Jirgin asirin jiki na asali na kashi 20 zuwa 30 cikin dukan asibiti na gaggawa. A wannan yanayin, ƙaddamarwa ga wani zanewar muhalli na iya haifar da asali.
Don yin ganewar asali, likitanku na iya so suyi motsin jiki a cikin yanayin sarrafawa. Zai kuma gwada ƙoƙarin tabbatar da irin wannan motsawar da za ku iya jurewa kafin bunkasa bayyanar cututtuka. Wannan zai ba shi izinin bada shawara mai kyau game da yadda za a rage da kuma sarrafa alamun bayyanar.
Waɗannan su ne mafi yawan al'amuran jiki da ke jawo hankalin likitanku don gwadawa bisa ga tarihinku:
- Cold: Cold urticaria ne yanayin inda iska mai sanyi, taya, ko abubuwa ke haifar da amya. Kwararka zai iya yin jarrabawar kwalba, idan an yi amfani da kwakwalwan kankara a cikin jakar filastik zuwa gawar gaba a minti biyar. A dauki yawanci yakan auku a cikin minti 10 na cire.
- Exercise: Wasu mutane suna ci gaba da ɓoye tare da motsa jiki . Wannan zai iya kasancewa daga motsa jiki da kanta ko daga ƙara yawan zafin jiki da ke faruwa tare da motsa jiki. Kwararka zai iya yin motsa jiki a kan wani mota mai tsayi ko a kan motsa jiki don haifar da bayyanar cututtuka.
- Rawan zafi: Ƙananan zafi zai iya haifar da ƙwallon kafa. An yi gwajin gwajin zafi ta wurin saka gilashin gilashin da aka cika da ruwa 44 ° C ko kuma wani ƙaddarar azurfa a 50 ° C zuwa 55 ° C a kan hannu don minti biyar. Hives suna ci gaba a cikin minti kadan.
- Ƙunƙwasa: Akwai nau'i na dermatographism jinkiri inda kumburi na fata ya fara hudu zuwa shida bayan an yi amfani da matsa lamba , ko da yake zai iya faruwa a ko'ina daga minti 30 zuwa 12 bayan haka. Zai iya faruwa a ko'ina cikin jiki inda tufafi suke da ƙarfi, a kan tsutsa tare da zama mai tsawo, ko kuma bayan kafa bayan tafiya. Dikita zai iya amfani da nau'in kilo 10 a hannunka na minti 20. Za a umarce ka don saka idanu don farawar fata a cikin sa'o'i 24 na gaba.
- Hasken rana: Solar urticaria abu ne mai wuya kuma yana tasowa akan jikin da ba a gano ba a cikin minti na daukan hotuna zuwa hasken rana kai tsaye. Anyi gwajin gwajin ta hanyar yada kananan wurare masu fatar jiki zuwa ultraviolet (UV) fitilu da filin UV-A da UV-B.
Gwajin ya fi dacewa idan ba a kan farfadowa na antihistamine a lokacin.
Skin Biopsy
Labaran baƙar fata yana da wuya amma yana iya taimakawa idan akwai damuwa game da vascularitis. Wannan ba ainihin nau'i na urticaria amma zai iya kwatanta shi a bayyanar. Bambanci shine cewa launi na fata an kwatanta shi ne a matsayin ƙonawa maimakon ƙyamar.
Wannan yanayin yafi tsanani fiye da asibitoci masu kyau saboda zai iya rinjayar tsarin kwayoyin halitta, ciki har da sassan gastrointestinal, kodan, huhu, da tsokoki.
Binciken Bambanci
Hives suna da magunguna daban-daban, suna jingina daga cututtuka zuwa cutar ta jiki. Cold ko zafi zafi, motsa jiki, hasken rana, har ma da m tufafi na iya haifar da wani flare-up. Hanyar cututtuka, kamar H. pylori ko hepatitis C, an haɗa su da urticaria. Tare da ganewar asali, yana da mahimmanci don bambanta tsakanin amintattun gashi da amintattun vascularitis, wanda zai iya kama kama amma zai iya samun matsala mai tsanani.
> Sources:
> Cherrez-Ojeda I, Robles-Velasco K, Bedoya- P, et al. Jerin Lissafi na Tarihin Lafiya na Tarihi: Kayan Gwari. Ƙungiyar Allergy na Duniya Organ J. 2017 Oktoba 3; 10 (1): 34. Doi: 10.1186 / s40413-017-0165-0.
> Kasumagic-Halilovic E, Beslic N, Ovcina-Kurtovic1 N. Yourroid Autoimmunity a cikin marasa lafiya tare da m Urticaria. Mad Arch. 2017 Feb; 71 (1): 29-31. Doi: 10.5455 / medarh.2017.71.29-31.
> Saini S. Na'urar Urticaria: Gidajen Gidajen Halitta, Bincike, Bincike, da Tarihin Tarihi. A: Feldweg AM (ed), UptoDate [Intanit] , Waltham, MA. Updated Yuni 29, 2017.
> Schoepke N, Doumoulakis G, Maurer M. Sanin asalin Urticaria. Indian J Dermatol . 2013 Mayu-Jun; 58 (3): 211-218. Doi: 10.4103 / 0019-5154.110831.
> Wedi B, Raap U, Wieczorek D, Kapp A. Urticaria da cututtuka. Allergy Asthma Clin Immunol. 2009; 5 (1): 10. Doi: 10.1186 / 1710-1492-5-10.