Urticaria Pūmau

Whakaahua o te urticaria i runga i ngā tae kiri rerekē. Ka taea e te urticaria te whakaeke i ngā whewhe pupū, ngāngā. Ko te urticaria te ingoa ke atu mō te urticaria.

Urticaria—ko te urticaria (ur-tih-KAR-e-uh) te ingoa ke atu mō tēnei—he āhuatanga o te kiri e whakaeke ana i ngā whewhe ngāngā. Ko te urticaria roa ngā whewhe e roa atu ana i te ono wiki, ā, ka hoki mai anō i ngā marama, i ngā tau rānei. I te nuinga o te wā, kāo te take o te urticaria roa e mārama.

Ka tīmata ngā whewhe hei ngā kōpū ngāngā e huri ana hei ngā whewhe pupū e rerekē ana te rāhi. Ka puta mai ēnei whewhe, ā, ka ngaro haere i te mutunga o te āhuatanga. Ka roa ake i te 24 haora te roa o ia whewhe.

Ka tino mōrearea te urticaria roa, ā, ka āwangawanga te moe me ngā mahi o ia rā. Ki te nuinga o te iwi, ka whakaora ngā rongoā whakangā, arā, ngā antihistamine.

Ko ngā tohu o te urticaria roa e whai ake nei: Ngā kaupapa o ngā whewhe, e kiia nei ko ngā whewhe, ka puta mai i ngā wāhi katoa o te tinana. Ngā whewhe pea ka whero, puru, kāore rānei i te tae o te kiri, kei te whakawhirinaki ki tō tae kiri. Ngā whewhe e rerekē ana te rahi, e whakarerekē ana te ahua, ka puta mai anō hoki, ka memeha anō hoki. Te ngau, e kiia ana hoki ko te pruritus, ka kaha. Te pupuhi mamae, e kiia ana ko te angioedema, i te taha o ngā kanohi, ihu, ngutu rānei. Ngā āhuatanga e whakaohotia ana e te wera, te whakakori tinana, te ahotea rānei. Ngā tohu e mau tonu ana mo te ono wiki neke atu, ka puta mai anō hoki i ngā wā katoa, i etahi wā mo ngā marama, ngā tau rānei. Tirohia tetahi kaimahi hauora mena he urticaria nui tō, he urticaria rānei e roa atu ana i ngā rā torutoru. Kāore te urticaria roa e whakatū te tūponotanga o te mate pāwera nui, e kiia ana ko te anaphylaxis. Mena ka whiwhi koe i te urticaria hei wāhanga o te mate pāwera nui, rapuhia te tiaki ohorere. Ko ngā tohu o te anaphylaxis ko te wiri, te raruraru o te manawa, me te pupuhi o te arero, ngutu, waha, korokoro rānei.

Tena tirohia tetahi tohunga hauora mena he uaua nui ōu whewhe, ā, kei te roa atu i te torutoru rā. Kāo te whakawehi atu ngā whewhe roa ki te mate pāwera nui, e kiia nei ko te anaphylaxis. Mena ka puta mai ngā whewhe hei wāhanga o te mate pāwera nui, rapuhia te tiaki āwhina. Ko ngā tohu o te anaphylaxis ko te mārō, te uaua o te manawa, me te pupuhi o te arero, ngutu, waha, rānei korokoro.

Ko ngā whewhe e puta mai ana me ngā hives ka puta mai i te tukunga o ngā matū pūnaha ārai mate, pēnei i te histamine, ki roto i tō toto. E kore e te mohiotia te take o te hives roa, te take rānei e puta ai ngā hives poto ki te raruraru roa. Ka taea te whakaoho i te āhuatanga o te kiri e: Te wera, te makariri rānei. Te rā. Te wiri, pēnei i te oma, te whakamahi rānei i ngā kotinga tarutaru. Te pehanga ki te kiri, pēnei i te kākahu kākahi. Ngā āhuatanga hauora, pēnei i te mate thyroid, te mate, te mate pāwera me te mate pukupuku.

I te nuinga o ngā wā, kaore e taea te whakatau i te urticaria roa. Ki ētahi tāngata, ka piki ake te tūponotanga o te urticaria roa ki te whai rātou i ētahi āhuatanga hauora. Kei roto i ēnei ngā mate pukupuku, ngā mate thyroid, ngā mate pāwera, te mate pukupuku, me te pupū o ngā oko toto, e kiia nei ko te vasculitis.

Karekau ngā ururua roa e whakatakoto i a koe ki te tūponotanga ohorere o te mate pāwera kino, e kiia nei ko te anaphylaxis. Ki te whiwhi koe i ngā ururua hei wāhanga o te mate pāwera nui, rapuhia te tiaki āwhina. Kei roto i ngā tohu o te anaphylaxis te māuiui, te raruraru o te manawa, me te pupū o te arero, ngutu, waha, rūwau rānei.

Kia whakaitihia te tūponotanga o te whiwhi i te ururua, whakamahia ēnei tohutohu tiaki-whaiaro:

• Kaua e whakamahi i ngā mea ka puta ai te mate. Ki te mōhio koe he aha te mea i puta ai te ururua, ngana ki te karo i taua mea.
• Horomia me te whakarereke i ō kakahu. Ki te mea ko te pōrene, te kararehe rānei te take i puta ai te ururua i mua, horomia, kaua e horomia rānei, ka whakarereke i ō kakahu ki te whakaatu koe ki te pōrene, ki ngā kararehe rānei.

Hei whakatau i te urticaria roa, ka korerorero pea tō kaiwhakarato hauora ki a koe mō ō tohu, ka titiro hoki ki tō kiri. Ko tetahi o ngā āhuatanga tohu o te urticaria roa ko te puta mai me te ngaro o ngā whewhe i te wa kotahi, ā, ko ia waahi e noho roa ana i raro iho i te 24 haora. Ka tono pea rātou ki a koe kia tuhi i tētahi rangitaki hei pupuri i te tuhi o:

• Ngā mahi a koe.
• Ngā rongoā, ngā rongoā tāngata whenua, ngā taapiri ranei e inu ana koe.
• Ngā mea e kai ana koe me ngā mea e inu ana koe.
• Ngā wāhi e puta mai ana ngā whewhe, me te roa o te ngaro o te whewhe, me te waiho ranei i te pupū, i ētahi atu tohu ranei.
• Kei te puta mai rānei ō whewhe me te pupū mamae.

Ka hiahia pea koe ki ngā whakamātautau toto hei whakatau i te take o ō tohu. Ka ārahi te whakatau tika ki tō maimoatanga. Ki te hiahiatia kia mārama ake te whakatau, ka taea pea e tō kaiwhakarato hauora te mahi i te tātaritanga kiri. Ko te tātaritanga he tukanga hei tango i te tauira o te kiko hei whakamātautau i roto i te taiwhanga.

Ko te rongoā mo ngā whewhe roa e tīmata pinepine ana ki ngā rongoā kore-tūtohu hei whakangā, e kiia nei ko ngā antihistamine. Ki te kore enei e āwhina, ka taea pea e tō kaimahi hauora te kī kia whakamātau koe i tetahi rongoā rānei atu rongoā kaha-tūtohu. Kei roto i ēnei:

• Montelukast (Singulair).
• Doxepin (Silenor, Zonalon).
• Ranitidine.
• Omalizumab (Xolair).

Mō ngā whewhe roa e ngāwari ana ki ēnei rongoā, ka taea pea e tō kaimahi hauora te tāpāi i tetahi rongoā ka taea te whakatau i te pūnaha ārai kino e nui rawa ana. Ko ētahi tauira ko te cyclosporine (Neoral, Sandimmune), te tacrolimus (Prograf, Protopic, ētahi atu), te hydroxychloroquine (Plaquenil) me te mycophenolate (Cellcept).

Ka taea e ngā whewhe roa te haere tonu mō ngā marama me ngā tau. Ka taea e rātou te whakaroa i te moe, te mahi me ētahi atu mahi. Ka taea pea e ngā tohutohu tiaki-whaiaro e whai ake nei te āwhina i a koe ki te whakahaere i tō āhuatanga:

• Kaua e whakamahi i ngā mea whakaoho. Ka uru atu ēnei ki ngā kai, ngā rongoā, te paura, te huruhuru kararehe, te latex me ngā ngā kopani. Ki te whakaaro koe kua puta mai ō whewhe i tetahi rongoā, mutu te whakamahi me te whakapiri atu ki tō kaimahi hauora. Kei te whakaatu mai etahi rangahau ko te ahotea, te ngenge ranei ka taea te whakaoho i ngā whewhe.
• Whakamahia he rongoā kore-tūtohu hei whakangā. Ko te rongoā kore-tūtohu hei whakangā, e kiia nei ko te antihistamine, kaore e pāngia te moe ka āwhina pea ki te whakaheke i te ngau. Ko ētahi tauira ko te loratadine (Alavert, Claritin, ētahi atu), te famotidine (Pepcid AC), te cimetidine (Tagamet HB), te nizatidine (Axid AR) me te cetirizine (Zyrtec Allergy). Ki te kino ake tō ngau i te wa e moe ana koe, ka taea pea e koe te whakamātau i te momo antihistamine e pāngia ana te moe—te diphenhydramine (Benadryl).

Tirohia ki tō kaimahi hauora i mua i te tango i ētahi o ēnei rongoā ki te hapu koe, ki te whāngai u, ki te whai mate roa koe, ki te tango rongoā atu rānei.

• Whakamahia te makariri. Whakaorahia te kiri mā te hipoki i te wāhi ngau ki te tauera makariri, ki te whakahekea rānei he kēte hukapapa ki runga mō etahi meneti.
• Horomia he kaukau makariri, he kaukau wai makariri rānei. Ka taea pea e ētahi te whakaora i te ngau i te wa poto mā te horomi i te kaukau makariri, kaukau wai makariri rānei. Whakamātauria te whakato i te wai kaukau ki te paura paraoa tunutunu, ki te paura witi rānei (Aveeno, ētahi atu).
• Whakamahia he kirikiri, he mīti rānei hei whakangā. Whakamātauria he kirikiri me te menthol mō te pānga whakahāhā.
• Kakahu kakahu kōtuhi, ngawari te kakano. Kaua e kakahu i ngā kakahu e rapa, e pī, e ngākau kino ana, e hangaia ana i te huruhuru.
• Tīakina tō kiri i te rā. Whakamahia te sunscreen nui i te haurua haora i mua i te haere ki waho. I te wa e noho ana i waho, rapu i te atarangi hei awhina i te whakaora i te mamae.
• Aroturukihia ō tohu. Pupuri i te puka mō te wā me te wāhi o ngā whewhe, te mea i mahi koe, te mea i kai koe, me ētahi atu. Ka taea pea tenei te āwhina i a koe me tō kaimahi hauora ki te kimi i te mea e kawe mai ana i ngā tohu mōu.

Whakamahia he rongoā kore-tūtohu hei whakangā. Ko te rongoā kore-tūtohu hei whakangā, e kiia nei ko te antihistamine, kaore e pāngia te moe ka āwhina pea ki te whakaheke i te ngau. Ko ētahi tauira ko te loratadine (Alavert, Claritin, ētahi atu), te famotidine (Pepcid AC), te cimetidine (Tagamet HB), te nizatidine (Axid AR) me te cetirizine (Zyrtec Allergy). Ki te kino ake tō ngau i te wa e moe ana koe, ka taea pea e koe te whakamātau i te momo antihistamine e pāngia ana te moe—te diphenhydramine (Benadryl).

Tirohia ki tō kaimahi hauora i mua i te tango i ētahi o ēnei rongoā ki te hapu koe, ki te whāngai u, ki te whai mate roa koe, ki te tango rongoā atu rānei.

Kaore he uauatanga