Ukuhlolwa kokungezwani komzimba - isikhumba

Ukuhlolwa kwesikhumba komzimba kuyasetshenziselwa ukuthola ukuthi iziphi izinto ezidala ukuthi umuntu abe neguliswa ukusabela kwakhe.

Kunezindlela ezintathu ezivamile zokuhlolwa kokungezwani komzimba nesikhumba.

Ukuhlolwa kwesikhumba kuhilela:

• Ukubeka inani elincane lezinto ezingadala izimpawu zakho esikhumbeni, imvamisa engalweni, engalweni ephezulu, noma emuva.
• Isikhumba siyabe sesihlikiwe ukuze i-allergen ingene ngaphansi kwesikhumba.
• Umhlinzeki wezokunakekelwa kwezempilo ubhekisisa isikhumba ngokuvuvukala nokubomvu noma ezinye izimpawu zokuphendula. Imiphumela ivamise ukubonwa kungakapheli imizuzu eyi-15 kuye kwengu-20.
• Ama-allergen amaningana angahlolwa ngasikhathi sinye. Ama-Allergens yizinto ezibangela ukusabela okweqile.

Ukuhlolwa kwesikhumba kwe-intradermal kubandakanya:

• Ukujova inani elincane le-allergen esikhunjeni.
• Umhlinzeki bese ebheka ukusabela kusayithi.
• Lokhu kuhlolwa kungenzeka kusetshenziselwe ukuthola ukuthi ngabe awuzwani neze nobuthi bezinyosi noma i-penicillin. Noma singasetshenziswa uma ukuhlolwa kokuhlaba kwesikhumba kwakunegethivu futhi umhlinzeki esacabanga ukuthi une-allergen ku-allergen.

Ukuhlolwa kwe-Patch kuyindlela yokuthola imbangela yokusabela kwesikhumba okwenzeka ngemuva kokuthi into isithinte isikhumba:

• Ama-allergen angenzeka athephelwa esikhumbeni amahora angama-48.
• Umhlinzeki uzobheka le ndawo emahoreni angama-72 kuya kwangama-96.

Ngaphambi kokuhlolwa kokungezwani komzimba, umhlinzeki uzobuza mayelana:

• Izifo
• Lapho uhlala khona futhi usebenza khona
• Indlela Yokuphila
• Ukudla nemikhuba yokudla

Imishanguzo yokungezwani komzimba ingashintsha imiphumela yokuhlolwa kwesikhumba. Umhlinzeki wakho uzokutshela ukuthi imiphi imithi okufanele uyigweme nokuthi ungayeka nini ukuyiphuza ngaphambi kokuhlolwa.

Ukuhlolwa kwesikhumba kungadala ukungakhululeki okuncane uma isikhumba sihlizwa.

Ungahle ube nezimpawu ezinjengokulunywa, ikhala eligcwele, amehlo abomvu amanzi, noma ukuqubuka kwesikhumba uma ungenwe yizinto ekuhlolweni.

Ezimweni ezingavamile, abantu bangaba nomzimba wonke womzimba (okuthiwa i-anaphylaxis), okungasongela impilo. Lokhu kuvame ukwenzeka kuphela ngokuhlolwa kwe-intradermal. Umhlinzeki wakho uzobe ekulungele ukuphatha le mpendulo ebucayi.

Ukuhlolwa kwe-Patch kungahle kucasule noma kulume. Lezi zimpawu zizophela lapho kususwa izivivinyo ze-patch.

Ukuhlolwa kokungezwani komzimba kwenziwa ukuze kutholakale ukuthi iziphi izinto ezibangela izimpawu zakho zokungezwani komzimba.

Umhlinzeki wakho anga-oda ukuhlolwa kwesikhumba kokungezwani komzimba uma une:

• I-hay fever (i-allergen rhinitis) nezimpawu zesifuba somoya ezingalawulwa kahle ngomuthi
• Isifuba ne-angioedema
• Ukungezwani kokudla
• Ukuqubuka kwesikhumba (i-dermatitis), lapho isikhumba siba bomvu, sibuhlungu, noma sivuvuke ngemuva kokuthintana naleyo nto
• Ukungezwani ne-penicillin
• Ukungezwani komzimba ne-venom

Ukungezwani komzimba ne-penicillin kanye nemithi ehlobene nakho yikhona kuphela ukungezwani komzimba nezidakamizwa okungahlolwa kusetshenziswa ukuhlolwa kwesikhumba. Ukuhlolwa kwesikhumba ukwaliwa ukungezwani komzimba nezinye izidakamizwa kungaba yingozi.

Ukuhlolwa kwesikhumba kungasetshenziselwa ukuxilonga ukungezwani kokudla. Ukuhlolwa kwangaphakathi akusetshenziswanga ukuvivinya ukungezwani komzimba nokudla ngenxa yemiphumela ephezulu yokuthola amanga nobungozi bokubangela ukusabela okweqile kokugula.

Umphumela wokuhlolwa omubi usho ukuthi bekungekho ushintsho lwesikhumba ekuphenduleni i-allergen. Lokhu kusabela okungalungile kaningi kusho ukuthi awuyena oweqile kulokho.

Ezimweni ezingavamile, umuntu angaba nokuhlolwa kokungezwani komzimba okungekuhle futhi abe ne-aleji entweni.

Umphumela omuhle usho ukuthi usabele entweni ethile. Umhlinzeki wakho uzobona indawo ebomvu, ephakanyisiwe ebizwa nge Wheal.

Imvamisa, umphumela omuhle usho ukuthi izimpawu onazo kungenxa yokuchayeka kuleyo nto. Impendulo enamandla isho ukuthi kungenzeka ukuthi uzwela kakhudlwana kulokho.

Abantu bangaba nempendulo enhle entweni enokuhlolwa kokungezwani komzimba nesikhumba, kepha bangabi nezinkinga ngaleyo nto empilweni yansuku zonke.

Ukuhlolwa kwesikhumba ngokuvamile kunembile. Kepha, uma umthamo we-allergen ukhulu, ngisho nabantu abangenalo igciwane bazophendula kahle.

Umhlinzeki wakho uzocubungula izimpawu zakho kanye nemiphumela yokuhlolwa kwesikhumba sakho ukuphakamisa ushintsho lwendlela yokuphila ongayenza ukugwema izinto ezingadala izimpawu zakho.

Ukuhlolwa kwe-patch - ukungezwani komzimba; Ukuhlolwa kokuqala - ukungezwani komzimba; Ukuhlolwa kwesikhumba - ukungezwani komzimba; Isivivinyo RAST; I-allergen rhinitis - ukuhlolwa kokungezwani komzimba; I-asthma - ukuhlolwa kokungezwani komzimba; I-eczema - ukuhlolwa kokungezwani komzimba; IHayfever - ukuhlolwa kokungezwani komzimba; I-dermatitis - ukuhlolwa kokungezwani komzimba; Ukuhlolwa kokungezwani komzimba nomzimba; Ukuhlolwa kokungezwani komzimba kwangaphakathi

• I-allergen rhinitis - okufanele ubuze udokotela wakho - umuntu omdala
• I-allergen rhinitis - okufanele ubuze udokotela - ingane yakho

• ISIVIVINYO SOKUDLULA
• Ukuhlolwa kwesikhumba somzimba okweqile noma ukuhlolwa kokuqala
• Ukusabela kokuhlolwa kokungezwani komzimba kwangaphakathi
• Ukuhlolwa kwesikhumba - i-PPD (R ingalo) ne-Candida (L)

I-Chiriac AM, i-Bousquet J, i-Demoly P. Ngezindlela ze-vivo zokutadisha nokuxilongwa kokungezwani komzimba. Ku: Burks AW, Holgate ST, O'Hehir RE, et al, ama-eds. Ukungezwani komzimba noMiddleton: Izimiso kanye Nokuzijwayeza. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 67.

IHomburger HA, iHamilton RG. Izifo ezingezwani nomzimba. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2017: isahluko 55.