He aha te urticaria roa? Tohutohu, Take, me te Maimoatanga

Ko te urticaria roa he pupuhi, he ngau kei runga i tō kiri e hoki mai ana i te ono wiki, neke atu rānei. Kāore i rite ki te urticaria tūpono ka whiwhi pea koe mai i te kai kāore e pai ki a koe, ka noho tonu te urticaria roa, ā, ka tino raruraru pea te whakahaere.

Ko ēnei āhuatanga kiri mau tonu e pā ana ki te 1 o te 100 o te iwi i tetahi wā o o rātou oranga. Ko te rongo pai, ahakoa ka koretake te urticaria roa, ā, kaore e taea te whakatau i etahi wā, he iti rawa te kino, ā, he maha ngā huarahi whai hua hei whakahaere i a rātou.

He aha te urticaria roa?

Ko te urticaria roa, e kiia ana hoki e ngā tākuta ko te urticaria roa, he pupuhi ngau e puta mai ana i runga i tō kiri i te ono wiki neke atu rānei. Whakaarohia he huarahi te kiri hei whakautu ki tetahi mea, ahakoa kāore i te marama te “mea”.

Ka rereke te rahi o ēnei pupuhi mai i ngā tohu iti ki ngā papatahi nui e toru inihi te whānuitanga. Ka titiro whero, kōwhai rānei i runga i te kiri mā, ā, ka puta kē atu te pouri, te tae kikorangi rānei i runga i ngā tae kiri pouri. Ka mahana pea te pupuhi ki te pa, ā, ka tino ngau.

Ko te mea e whakakāhore ana i te urticaria roa i te urticaria noa ko tōna mau tonu. Ahakoa ka maarama te urticaria noa i roto i te rā, rua rā rānei, ka hoki mai te urticaria roa, kāore rānei e mutu mo ngā wiki, ngā marama, ā, i etahi wā, ngā tau.

He aha ngā tohu o te urticaria roa?

He tino mārama ngā tohu matua o te urticaria roa, ahakoa ka rereke mai i te tangata ki te tangata. Koinei ngā mea ka kite pea koe ina pangia koe e tēnei āhuatanga.

Ko ngā tohu tino noa ko:

• Ngā pupuhi kōwhai, whero rānei e puta ana i te wahi o tō tinana
• Te ngau kaha e kaha ake ana i te pō
• Ngā pupuhi e huri ana i te ahua, te rahi, te wāhi i te rā
• Ngā pupuhi e mahana ana (ka huri ma) ina pēhi koe ki a rātou
• Te pupuhi, inā te taha o ō kanohi, ngutu, ringa rānei
• Te tahuna, te wera rānei i ngā wāhi e pā ana

Ka pāngia hoki etahi i te mea e kiia ana e ngā tākuta he angioedema me ō rātou urticaria. Koinei te pupuhi hohonu ake i ngā wāhi pērā i tō mata, inā te taha o ō kanohi me ō ngutu, i ō ringa me ō waewae rānei. Ahakoa ka kitea tenei he wehi, he iti te kino, kāore rawa e pā ki tō manawa.

Ko te āhuatanga kaore e taea te whakatau i te urticaria roa tetahi o ngā āhuatanga tino wero. Ka oho pea koe me te kiri mā, ka puta mai ngā pupuhi i te ahiahi, ka kite rānei koe he āwangawanga, he mahi rānei e āhei ana ki te whakaoho i ngā pupuhi.

He aha ngā momo urticaria roa?

Ka wehewehe ngā tākuta i te urticaria roa ki ngā kāwai e rua, i runga i te mea ka taea e rātou te kimi i tetahi take motuhake. Ko te mārama ki te momo kei a koe ka āhei te ārahi i tō huarahi maimoatanga.

Ko te urticaria whakaoho koretake roa te momo tino noa, e pā ana ki te 80% o te iwi e pangia ana e te urticaria roa. Me tēnei momo, ka puta mai ngā pupuhi kaore he whakaoho o waho. Ka rite te mahi a tō pūnaha ārai, engari kāore e taea e ngā tākuta te tohu tika he aha te mea.

Ka puta te urticaria whakaoho roa ina whakaoho tonu ngā take motuhake i ō pupuhi. Ko ēnei whakaoho pea he pēhanga ki tō kiri, he huringa i te pāmahana, te rā, te whakakori tinana, te āwangawanga hinengaro rānei. He iti ake te noa o tēnei momo, engari he ngāwari ake te whakahaere ina tohu koe i ō whakaoho motuhake.

He whakakotahitanga o ngā momo e rua ētahi, ka āhei te whakaaro he koretake tō āhuatanga. Ko te rongo pai he maimoatanga whai hua kei reira mō ngā momo e rua, ahakoa kei te ngaro tonu te take tika.

He aha ngā take o te urticaria roa?

Ko te pono whakahāwea mō te urticaria roa ko te kore e taea e ngā tākuta te tohu i te take motuhake i te 80-90% o ngā take. Ka rite te mahi a tō pūnaha ārai, engari he tino wero te tohu tika he aha.

Ina taea e ngā tākuta te tohu i te take, ko ngā take tino noa ko:

• Ngā āhuatanga ārai-tinana e whakaeke ana tō pūnaha ārai i ngā kiko hauora
• Ngā mate thyroid, inā te thyroid nui rawa atu, te iti rawa rānei
• Ngā mate roa, pērā i te huakita H. pylori i roto i tō kopu
• Etahi rongoā, inā ngā kaihoroi ACE, ngā NSAID rānei
• Ngā taapiri kai, ngā whakaora rānei, ahakoa he iti rawa ngā mate kai pono
• Ngā whakaoho tinana pērā i te pēhanga, te wera, te makariri, te rā rānei

I roto i ngā take iti rawa, ka hono pea te urticaria roa ki ngā āhuatanga kei raro, pērā i te hepatitis, te lupus, ētahi momo mate pukupuku rānei. Heoi, he mea nui kia mōhio ko ēnei āhuatanga kino he iti te take, ā, ko te urticaria roa kāore e whakaatu ana kei a koe tētahi o ēnei mate.

Kāore te ahotea e whakaoho tika ana i te urticaria roa, engari ka tino kino ake rānei, ka whakaoho rānei i ngā pupuhi mena kei te pāngia koe.

Nōhea koe me haere ki te tākuta mō te urticaria roa?

Me haere tonu koe ki te tākuta mena he pupuhi kei a koe e hoki mai ana, kāore rānei i maarama i muri i te ono wiki. Ahakoa he iti te kino o te urticaria roa, ko te whiwhi i te taumata tika ka āhei te awhina i a koe ki te kimi i te huarahi maimoatanga tika.

Rapua te awhina hauora tūturu mena ka pāngia koe e tētahi o ēnei tohu kino atu me ō pupuhi:

• Te uaua ki te manawa, te whewhe rānei
• Te pupuhi o tō mata, ngutu, arero, korokoro rānei
• Te tere o te tukunga, te māuiui rānei
• Ngā pupuhi whānui nui e puta mai ana i te wa poto
• Te ruaki, te ruaki, te mamae o te kopu nui rānei me ō pupuhi

Ka taea e ēnei tohu te tohu i te mate pāwera nui e kiia ana ko te anaphylaxis, e hiahia ana ki te maimoatanga tūturu. Heoi, he iti rawa tenei me te urticaria roa, ā, he noa ake te hono ki ngā mate pāwera nui.

He mea tika hoki te haere wawe atu ki tō tākuta mena kei te pā kino atu ō pupuhi ki tō moe, mahi, mahi o ia rā rānei. Kāore koe e mamae anake, ā, he maha ngā maimoatanga whai hua kei reira.

He aha ngā take morearea mō te urticaria roa?

Ka taea e ētahi take te whakaiti i tō tūmanako ki te whiwhi i te urticaria roa, ahakoa ko te whai i ēnei take morearea kāore e whakaatu ana ka whiwhi koe i a rātou. Ko te mārama ki ēnei take ka āhei te awhina i a koe me tō tākuta ki te whakahaere pai ake i tō āhuatanga.

Ko ngā take morearea tino nui ko:

• Ko te wahine i waenganui i ngā tau 30-50 (e rua te maha o ngā wahine e pāngia ana e te urticaria roa i te hunga tāne)
• Te whai i ētahi atu āhuatanga ārai-tinana pērā i te mate thyroid, te mate rheumatoid rānei
• He hītori whānau o te urticaria roa, ētahi atu āhuatanga pāwera rānei
• Te whai i ētahi atu āhuatanga pāwera pērā i te mate huhu, te eczema rānei
• Te ahotea roa, te manukanuka rānei
• Etahi mate, inā ngā mea e pā ana ki tō pūnaha kai

Ko ngā take morearea iti ake, engari he mea nui, ko te tango i ētahi rongoā i ia rā, te mahi pokanga, te whara rānei, te noho rānei me ngā āhuatanga mumura roa. Ka kitea hoki ētahi i te urticaria roa i muri i te wheako i tetahi kaupapa ora tino ahotea.

Kia mahara ko ngā take morearea kāore he take. He maha ngā tangata e whai ana i ngā take morearea maha kāore e whiwhi i te urticaria roa, ā, ko ētahi atu kāore he take morearea e kitea ana e mahi ana. Ko tō wheako motuhake te mea nui mō tō mahere maimoatanga.

He aha ngā raruraru pea o te urticaria roa?

Ahakoa he iti te mate o te urticaria roa, ka taea e ia te arahi ki ngā raruraru maha e pā ana ki tō kounga ora. Ko ngā take tino noa e pā ana ki te hunga e moe ana, te oranga hinengaro rānei i te hunga mate hauora nui.

Ko ngā raruraru matua ka pāngia koe ko:

• Te kore moe roa mai i te ngau pō, te kore ngāwari rānei
• Ngā mate kiri tuarua mai i te karaka nui
• Te manukanuka, te pouri rānei e pā ana ki te āhuatanga kaore e taea te whakatau i ngā pupuhi
• Te whakakorenga pāpori, te kounga ora iti rānei
• Te uaua ki te aro i te mahi, i te kura rānei na te kore ngāwari
• Angioedema (pupuhi hohonu ake) ka taea te pā ki te manawa

I roto i ngā take iti rawa, ka taea e te iwi e pangia ana e te urticaria roa te whiwhi i te mate pāwera nui, engari he noa ake tenei me te urticaria nui e whakaohotia ana e ngā mea pāwera motuhake. Ko te nuinga o te iwi e pangia ana e te urticaria roa kāore e wheako i tetahi mea nui atu i te ngau me ngā take ataahua.

Kāore e whakaitihia te pānga hinengaro o te urticaria roa. Ko te noho me te āhuatanga kaore e taea te whakatau, te kitea rānei ka taea te wero hinengaro, ā, he mea noa te whakaaro pouri, te manukanuka rānei mō ngā pupuhi. Ko te kōrero ki tō tākuta mō ēnei āwangawanga he mea nui ano te maimoatanga i ngā tohu tinana.

Me pēhea te aukati i te urticaria roa?

Na te kore e taea e ngā tākuta te tohu i te take tika o te urticaria roa i te nuinga o ngā take, kāore i te taea te aukati katoa. Heoi, ka taea e koe te mahi i ngā mahi maha hei whakaiti i te auau me te kino o ō pupuhi ina mārama koe ki ō tauira whaiaro.

Ko ngā rautaki aukati tino whai hua ko:

• Te tohu me te karo i ō whakaoho whaiaro mā te tirotiro tika
• Te whakahaere i te ahotea mā ngā tikanga whakahaumaru, te whakakori tinana, te tohutohu rānei
• Te pupuri i te mahinga moe mau tonu me te whiwhi i te okioki tika
• Te whakamahi i ngā hua tiaki kiri ngawari, kāore he kakara
• Te karo i ngā mea whakaoho e mohiotia ana pērā i ngā kakahu kino, ngā pāmahana nui rānei
• Te tango i ngā antihistamines i ia rā e whakaritea ana e tō tākuta

Ko te pupuri i te puka urticaria ka tino awhina ki te tohu i ngā tauira. Tuhia te wā e puta mai ana ngā pupuhi, ngā mea i kai koe, te ahotea i wheakohia e koe, ngā āhuatanga o te rangi, ngā mahi i mahia e koe. I te wa roa, ka kite pea koe i ngā hononga e āhei ana te awhina i a koe ki te karo i ngā whakaoho.

Ka kitea e ētahi he āwhina ētahi huringa kai, ahakoa he iti rawa ngā whakaoho kai i te whakaaro o te nuinga o te iwi. Mena kei te whakaaro koe he whakaoho kai, mahi tahi me tō tākuta i te whakakore i ngā kai ma ō ake, na te mea ka āhei tenei ki te arahi ki ngā ngoikoretanga kai.

Me pēhea te taumata o te urticaria roa?

Ko te taumata o te urticaria roa he mea nui ki te whakahaere i ō tohu me te whakapai ake i tō kounga ora. Ko te nuinga o te iwi e kite ana i te whakaora nui me te whakakotahitanga tika o ngā rongoā me ngā whakaritenga noho, ahakoa kei te ngaro tonu te take tika.

Ka tīmata pea tō tākuta me ēnei maimoatanga tuatahi:

• Ngā antihistamines kore moe pērā i te cetirizine, loratadine, fexofenadine rānei e tangohia ana i ia rā
• Ngā rongoā antihistamines nui ake mena kāore ngā rongoā noa e whai hua
• Ngā kaihoroi H2 pērā i te ranitidine, famotidine rānei mō te whakahaere tohu atu
• Ngā whakamātautau poto o ngā corticosteroids waha mō ngā pupuhi nui
• Ngā maimoatanga o waho pērā i te kiri kiri mō te whakaora ngau wa poto

Mena kāore ēnei maimoatanga tuatahi e whakarato i te whakaora nui, ka whakaaro pea tō tākuta ki ētahi atu whiringa, pērā i te omalizumab (Xolair), he rongoā injectable e whakaaetia ana mō te urticaria roa. Ka tino whai hua tenei maimoatanga mō te iwi kāore e whai hua ki ngā antihistamines.

Mō ngā take iti rawa kāore e whai hua ki ngā maimoatanga noa, ka whakamātau pea ngā tākuta ki ngā rongoā whakangawari pūnaha ārai pērā i te cyclosporine, methotrexate rānei. Ko ēnei te nuinga e waiho ana mō ngā take nui na te mea e hiahia ana ki te tirotiro tika mō ngā pānga.

Ko te matua ko te kimi i te whakakotahitanga tika e mahi ana mōu. Ka hiahia pea tenei ki te whakamātautau me te whakarite, engari ka kite te nuinga o te iwi i te huarahi maimoatanga whai hua me te manawanui me te kōrero pai me tō kaiwhakarato hauora.

Me pēhea te whakahaere i te urticaria roa i te kāinga?

Me te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i tō urticaria roa me te whakaiti i tō pānga ki tō oranga o ia rā. Ko ēnei rautaki tiaki whaiaro e mahi pai ana ina whakakotahitia ki ngā maimoatanga i whakaritea e tō tākuta.

Ko ngā tikanga whakahaere kāinga whai hua ko:

• Te tango i ngā kaukau makariri, te whakamahi rānei i ngā kāpeka makariri ki ngā wāhi ngau
• Te whakamahi i ngā kaihoroi kiri ngawari, kāore he kakara hei pupuri i tō kiri makuku
• Te kakahu i ngā kakahu kōti, manawa
• Te karo i ngā kaukau wera, kaukau rānei e taea te whakaiti i te ngau
• Te mahi i ngā tikanga whakaiti ahotea pērā i te manawa hohonu, te whakaaroaro rānei
• Te pupuri i ō maru poto hei whakaiti i te kino mai i te karaka

Ko te hanga i te taiao whakahaumaru i tō kāinga ka āhei hoki te awhina. Whakaarohia te whakamahi i te humidifier mena he maroke te hau, te pupuri i tō ruma moe makariri mō te moe pai ake, me te wātea ngā antihistamines mō ngā pupuhi kaore e tūpono.

Ka kitea e te tini o te iwi he awhina ētahi rongoā taiao pērā i ngā kaukau oatmeal, te keke aloe vera rānei, ahakoa kāore ēnei e whakakapi i ō rongoā i whakaritea. Tirohia tonu me tō tākuta i mua i te whakamātautau i ngā maimoatanga hou, ahakoa ngā mea taiao, kia kore ai e whakaroa i tō mahere o nāianei.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite pai mō tō haerenga ki te tākuta ka āhei te awhina i a koe ki te whiwhi i te taumata tika me te mahere maimoatanga whai hua. Ko te whakarite iti i mua ka taea te whakarereke nui i te kounga o te tiaki ka whiwhi koe.

I mua i tō hui, kohia ēnei korero nui:

• He rārangi katoa o ngā rongoā, ngā taapiri, ngā huaora katoa e tangohia ana e koe
• Ngā whakaahua o ō pupuhi i ngā wā rereke mena ka taea
• He puka o ngā tohu, ngā whakaoho pea, ngā tauira wā rānei
• Tō hītori whānau o ngā mate pāwera, ngā āhuatanga ārai-tinana, ngā raruraru kiri rānei
• Ngā pātai mō ngā whiringa maimoatanga me ngā mea e tumanakohia ana
• Ngā korero e pā ana ki te pānga o ngā pupuhi ki tō oranga o ia rā

Kaua e whakaroa te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei, inā kei te pānga atu ō tohu ki tō kaha ki te mahara i ngā korero, ki te kōrero mārama rānei. Ka āhei te awhina i a koe ki te mahara i ngā kōrero nui mai i te haerenga.

Tuhia ō pātai tino nui i mua kia kaua e wareware ki te ui i a rātou i te wā o te hui. Kia mahara, kei te hiahia tō tākuta ki te awhina i a koe kia pai ake, no reira he mea nui te pono ki te kōrero e pā ana ki te pānga o te āhuatanga ki a koe i te hinengaro me te tinana mō te whakawhanake i te mahere maimoatanga pai rawa atu.

He aha te mea nui mō te urticaria roa?

Ka taea te whakahāwea me te koretake te urticaria roa, engari ka taea te whakahaere me te huarahi tika, ā, he iti rawa te kino. Ko te nuinga o te iwi e kite ana i te whakaora nui me te maimoatanga tika, ahakoa kei te ngaro tonu te take tika.

Ko ngā mea tino nui hei mahara ko te kore koe e noho anake ki te whakahaere i tēnei āhuatanga, kei reira ngā maimoatanga whai hua, ā, ko te mahi tata me tō kaiwhakarato hauora ka hoatu ki a koe te tūmanako pai rawa atu ki te whakahaere i ō tohu. He maha ngā tangata e pangia ana e te urticaria roa e noho ana i ngā oranga noa, kaha.

I te wā e tatari ana mō te maimoatanga ki te whai hua katoa, kia manawanui ki a koe me te aro ki ngā rautaki tiaki whaiaro e āhei ana te awhina i a koe kia pai ake te ngāwari. Me te wā me te huarahi maimoatanga tika, ka tumanako koe ki te kite i te whakapai ake i ō tohu me tō kounga ora katoa.

Ngā pātai e ui pinepinetia ana mō te urticaria roa

Ka mutu rānei ōku pupuhi roa?

He maha ngā tangata e pangia ana e te urticaria roa e kite ana i te whakapai ake o tō rātou āhuatanga, te mutu rānei i te wa roa. Ka whakaatu ngā rangahau ko te 50% o te iwi e pangia ana e te urticaria roa kāore he tohu i roto i te tau kotahi, ā, tae atu ki te 70% te whakapai ake i roto i ngā tau rima. Heoi, ka rereke tenei wā mai i te tangata ki te tangata, ā, ka hiahia pea ētahi ki te whakahaere tonu.

He mate pāwera te urticaria roa?

Kāore, kāore te urticaria roa e pāwera. Kāore e taea te hopu mai i tetahi atu, ā, kāore e taea te tuku ki ngā mema whānau, hoa rānei. Ko te urticaria roa e whakaohotia ana e te whakautu a tō pūnaha ārai ake, kāore i te mea pāwera e taea te horapa i waenga i te iwi.

Ka taea te whakaiti i ōku pupuhi e te ahotea?

Ae, ka taea e te ahotea te whakaoho i ngā pupuhi, te whakaiti rānei i ngā pupuhi kei reira, ahakoa he iti rawa te take kotahi o te urticaria roa. Ko te ahotea e pā ana ki tō pūnaha ārai, ā, ka taea te whakanui i te mumura i roto i tō tinana. Ko te ako i ngā tikanga whakahaere ahotea e āhei ana te awhina i te iwi ki te whakahaere pai ake i ō rātou tohu me te maimoatanga hauora.

Me whakakore e ahau ngā kai i roto i taku kai hei awhina i ōku pupuhi?

He iti rawa ngā mate kai hei take o te urticaria roa, no reira ko te whakakore i ngā kai i te wa poto kāore e whai hua, ā, ka āhei te arahi ki ngā raruraru kai. Mena kei te whakaaro koe he whakaoho kai motuhake, he pai ake te mahi tahi me tō tākuta, rānei he kaiwhakahaere kai rehitatia hei whakamātautau tika i tēnei whakaaro i te whakaiti i tō kai ma ō ake.

Ka taea e ahau te whakakori tinana me te urticaria roa?

Ko te nuinga o te iwi e pangia ana e te urticaria roa ka taea te whakakori tinana, ahakoa ka kitea e ētahi he wera, he wera, he pēhanga tinana rānei e whakaoho ana i ō rātou tohu. Mena ka kitea te whakakori tinana e whakaiti ana i ō pupuhi, whakamātautau i ngā mahi ngawari, whakakori tinana i ngā taiao makariri, tango rānei i te antihistamine i mua i te mahi. Kōrero tonu ki tō tākuta mō te huarahi whakakori tinana pai rawa atu mō tō āhuatanga motuhake.