Urticaria yehucheche: zviratidzo, zvinokonzera uye kurapwa

Urticaria yehucheche: zviratidzo, zvinokonzera uye kurapwa

Urticaria inobata nezve mumwe chete pagumi evana. Chikonzero chakajairika chekupenga nekukurumidza hutachiona hwehutachiona, asi kune zvimwe zvinokonzera mukoko muvana. 

Chii chinonzi urticaria?

Urticaria ndicho chiitiko chinongoerekana chaitika chediki dzvuku kana pingi mapundu anomutswa muzvimedu, akafanana nekurumwa kwetumbure. Iyo inonzwika uye inowanzoonekwa pamaoko, makumbo uye trunk. Mikoko dzimwe nguva inokonzera kuzvimba kana edema yechiso uye kumagumo. 

Musiyano unoitwa pakati peacute urticaria uye chisingaperi urticaria. Acute kana yekunyepedzera urticaria inoratidzirwa nekukasika kuoneka kwemapuru matsvuku ayo anonhuwa uye ndokuzonyangarika mumaminetsi mashoma kana maawa (mazuva mashoma mashoma) pasina kusiya vanga. Mune isingagumi kana yakadzika urticaria, iwo mapundu anoenderera kweanopfuura masvondo matanhatu.

Pakati pe3,5 ne8% yevana uye 16 kusvika 24% yevechiri kuyaruka vanobatwa neurticaria.

Ndezvipi zvikonzero zveurticaria muvana?

Mucheche

Chikonzero chinowanzoitika mumikoko muvacheche chisimbwa chekudya, kunyanya mukaka wemukaka mapuroteni allergy. 

Muvana

mavhairasi

Muvana, hutachiona hutachiona uye kutora mimwe mishonga ndizvo zvinonyanya kukonzera mikoko. 

Utachiona hunowanzo kuve nehutachiona muhutachiona muhutachiona hutachiona (hunokonzera furuwenza), adenovirus (mweya wekufema), enterovirus (herpangina, aseptic meningitis, gumbo, ruoko uye chirwere chemuromo), EBV (inokonzeresa mononucleosis) uye coronaviruses. Kusvika padiki padiki, hutachiona hunokonzera hepatitis hunogona kukonzera urticaria (mune chetatu chezviitiko hepatitis B). 

Mishonga

Iyo mishonga inogona kukonzera urticaria muvana mamwe maantibhakitiriya, nonsteroidal anti-anogumbura zvinodhaka (NSAIDs), paracetamol kana codeine-based zvinodhaka. 

Zvokudya zvekudya

Mune urticaria inokonzerwa nechikafu chekudya, izvo zvine chekuita chikafu kazhinji mukaka wemombe (pamberi pemwedzi mitanhatu), mazai, nzungu nenzungu, hove uye hove, michero yekunze uye zvinowedzerwa chikafu. 

Kurumwa nezvipembenene

Urticaria muvana inogona zvakare kuoneka mushure mekurumwa kwezvipembenene, kusanganisira wasp, nyuchi, svosve, uye runyanga. Zvakawanda zvisingawanzo, urticaria ndeyezvipembenene mavambo (munzvimbo dzinowanikwa). 

Tembiricha

Chekupedzisira, iyo inotonhora uye inononoka ganda inogona kutungamira kumikoko mune vamwe vana.  

Zvirwere

Zvakawanda zvakanyanya, autoimmune, kuzvimba kana systemic hosha dzimwe nguva dzinokonzeresa mikoko muvana.

Ndeapi marapirwo?

Mishonga yeacute urticaria 

Acute urticaria inonakidza asi kazhinji ine hunyoro. Allergic mafomu anogadzirisa zvinongoitika mukati memaawa mashoma kusvika maawa makumi maviri nemana. Izvo zvine hukama nehutachiona hutachiona zvinogona kutora mazuva akati wandei, kunyangwe mavhiki akati wandei ezvehutachiona. Kana mikoko ikapfuura maawa makumi maviri nemana, antihistamine inofanira kupihwa kumwana kwemazuva gumi (kusvika mikoko yaenda). Desloratadine uye levocetirizine ndiwo mamorekuru anonyanya kushandiswa muvana. 

Kana mwana ane angioedema yakakosha kana anaphylaxis (inowedzera kukanganiswa kwega nekufema, kugaya uye kuzvimba kwechiso), kurapwa kunoitwa nechimbichimbi jekiseni repinephrine. Ziva kuti vana vakatowana chikamu chekutanga cheanaphylactic kuvhunduka vanofanirwa kugara vakatakura mudziyo pamwe navo vachibvumidza iyo yega-jekiseni yeadrenaline mune chiitiko chekudzokorora. Neraki, zvikamu zviviri kubva muzvitatu zvevana vakaita episode yemikoko havazombove neimwe episode. 

Kurapa kwechirwere chisingaperi uye / kana chinowanzoitika urticaria

Chirwere cheurticaria chinogadzirisa zvoga panguva zhinji mushure mepakati nepakati pemwedzi gumi nematanhatu. Zera (pamusoro pemakore masere ekuberekwa) uye bonde rechikadzi zvinhu zvinovandudza urticaria isingaperi. 

Kurapa kwakavakirwa pane antihistamines. Kana iyo urticaria ichiri kuenderana nehutachiona hutachiona kana nekutora mishonga, antihistamine inofanira kutorwa nemwana mumamiriro ezvinhu ane njodzi. Kana zuva nezuva chisingaperi urticaria isina chikonzero chinozivikanwa, iyo antihistamine inofanira kutorwa kwenguva yakareba (mwedzi yakati wandei, ichidzokororwa kana iyo urticaria ichiramba). Antihistamines inobatsira kumisa kuchenesa. 

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