Yini Ebangela Ukulunywa Kwezifo Zesibindi nokuthi Ungayelapha Kanjani

-Delile

• Izimbangela zokulunywa yisifo sesibindi
• Ungakwelapha kanjani ukulunywa okuhambisana nesifo sesibindi
• Gwema ukunwaya
• Sebenzisa ama-anti-itch topicals
• Thatha imithi yomlomo kadokotela
• Zama ama-antihistamine (ngokulala)
• Cabanga ngokwelashwa okulula
• Xoxa nodokotela wakho ngokufakelwa kwesibindi
• Ingabe ukulunywa kukhombisa noma yini ngokuqhubeka kwesifo sesibindi noma ukubikezelwa?
• Izimpawu zokulunywa yisifo sesibindi
• Yiziphi ezinye izinto ezingadala isikhumba esilumayo?
• Ukubonana nodokotela nini
• Ukuthatha

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukulunywa (i-pruritus) yisinye sezimpawu zesifo esingapheli sesibindi, kepha hhayi wonke umuntu onesifo sesibindi uyasiveza.

Ungahle ube nokushaywa okwenziwe kwaba okwasendaweni, njengasesandleni sakho esingezansi, noma kungaba ukulunywa okuphelele. Kungakhathaliseki ukuthi yikuphi, kungaholela ekuthandeni ukukhathazeka, okuvame ukucindezela.

Ukulunywa okuncane ngezikhathi ezithile akusona isizathu sokukhathazeka. Kepha ukulunywa okuqhubekayo kungaphazamisa ukulala futhi kuholele kwezinye izinkinga eziningi. Uma lokho kwenzeka, kuba yinkinga enkulu yezempilo.

Kulesi sihloko, sizohlola izimbangela zokulunywa yisifo sesibindi, ukuthi kungani kufanele ubone udokotela wakho, nokuthi ungakuthola kanjani ukukhululeka.

Izimbangela zokulunywa yisifo sesibindi

I-Pruritus ayivamile ezifweni zesibindi ezihlobene notshwala kanye nezifo zesibindi ezinamafutha ezingezona utshwala. Kuhlotshaniswa kakhulu ne:

• i-cirrhosis eyinhloko ye-biliary (PBC)
• i-primary sclerosing cholangitis (PSC)
• i-cholestasis ye-intrahepatic yokukhulelwa

Ezinye izifundo zokuhlola nezomtholampilo zenziwe, kepha ososayensi abakakhombisi into eyodwa ebhekele ukulunywa yisifo sesibindi. Kungenzeka ukuthi kubangelwa inhlanganisela yezici.

Nawa amanye amathuba okungenzeka abacwaningi ababheke kuwo:

• Usawoti we-Bile. Uma unesifo sesibindi, ungaba namazinga aphezulu kasawoti we-bile aqoqana ngaphansi kwesikhumba, okungadala ukulunywa. Akuwona wonke umuntu onamazinga aphezulu kasawoti we-bile azizwa elunywa, futhi abanye abantu bazizwa belunywa yize kunezinga elijwayelekile likasawoti we-bile.
• Umlando. Abanye abantu abane-pruritus bakhuphule amazinga e-histamine. Ama-antihistamine awavame ukusebenza ekwelapheni, noma kunjalo.
• I-Serotonin. ISerotonin ingahle ishintshe umbono wokushaywa. Kungaleso sizathu i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs) ingasiza ukuphatha ama-pruritus kwabanye abantu.
• Ama-hormone ocansi abesifazane. Ukulunywa kwesinye isikhathi kuba kubi kakhulu ngesikhathi sokukhulelwa noma uma uthola ukwelashwa kokushintsha ama-hormone.
• I-Serum alkaline phosphatase (ALP). Abantu abanokulunywa okuhlobene nesifo sesibindi kungenzeka ukuthi baphakamise i-ALP.
• I-Lysophosphatidic acid (LPA) ne-autotaxin (i-enzyme eyakha i-LPA). I-LPA ithinta imisebenzi eminingi yeselula. Abantu abanesifo sokulunywa nesibindi bangaba namazinga aphezulu we-LPA.

Ungakwelapha kanjani ukulunywa okuhambisana nesifo sesibindi

Ukulunywa okubangelwa yisifo sesibindi mhlawumbe ngeke kuthuthuke kukodwa, kepha kungalashwa.

Ngoba izimbangela aziqondakali ngokuphelele, kunzima ukusho ukuthi iluphi ukwelashwa olungakusebenzela. Kungathatha inhlanganisela yokwelashwa kanye nenani elithile lesilingo nephutha.

Gwema ukunwaya

Kubalulekile ukugwema ukunwaya lokho kuluma ngoba kungenza izinto zibe zimbi kakhulu. Gcina izinzipho zakho zimfushane ukuze uma uziklwebha, mancane amathuba okuthi ungaphuka isikhumba bese uvula umnyango wokutheleleka.

Uma uzithola uklwebha kakhulu, zama ukugwema isilingo ngokugcina isikhumba sakho simboziwe. Uma ujwayele ukuklwebha kakhulu ebusuku, gqoka amagilavu ​​lapho uyolala.

Nazi ezinye izinto ongazenza ukuvimbela ukucasuka kwesikhumba nokunciphisa ukulunywa:

• Sebenzisa amanzi afudumele noma apholile kunamanzi ashisayo emashaweni nakubhavu.
• Zama ukungachithi isikhathi esiningi ezindaweni ezishisayo noma elangeni.
• Khetha insipho emnene engaqukethe amakha angeziwe.
• Sebenzisa amafutha okuthambisa angenaphunga elimnandi ukulwa nokomisa.
• Faka indwangu ebandayo, emanzi endaweni enesifo kuze kube yilapho isifiso sokuklwebha sincipha.
• Gwema izinto noma izinto ezicasula isikhumba sakho.
• Gqoka amagilavu ​​lapho usebenzisa imikhiqizo enokhahlo.
• Gqoka izingubo ezikukhululayo nezikuphefumulayo.
• Sebenzisa i-humidifier phakathi nezinyanga zasebusika ezomile.

Thenga i-humidifier online.

Sebenzisa ama-anti-itch topicals

Uma une-itch emnene, yasendaweni, ungazama ukhilimu o-aqueous nge-1% ye-menthol. Ezinye izihloko ze-over-the-counter (OTC), ezinjenge-corticosteroids kanye ne-calcineurin inhibitors, nazo zingathuthukisa ukulunywa.

Landela izinkomba zelebula futhi uqiniseke ukuthi utshela udokotela wakho ukuthi uyazisebenzisa.

Thola okhilimu be-corticosteroid online.

Thatha imithi yomlomo kadokotela

Udokotela wakho angancoma ukwelashwa ngomlomo, njenge:

• I-Cholestyramine (Okudingekayo). Lo muthi womlomo usiza ukususa osawoti be-bile ekusakazeni kwegazi.
• I-Rifampicin (i-Rifadin). Lo muthi uvimbela i-bile acid. Kuthathwa nsuku zonke, kudinga ukuqashwa njalo ngenxa yamandla emiphumela emibi efana ne-hepatitis noma ukukhubazeka kwezinso.
• I-Naltrexone (i-Vivitrol). Kuthathwa nsuku zonke, lo muthi uvimba imiphumela yama-opioid. Kudinga ukuqapha okujwayelekile.
• Sertraline (UZoloft). Le SSRI nayo ithathwa nsuku zonke. Ngokuvamile kunqunywa njenge-anti-depressant. Amanye ama-anti-depressants, afana ne-fluoxetine (Prozac), nawo angasetshenziswa ukwelapha ukulunywa okungamahlalakhona.

Zama ama-antihistamine (ngokulala)

Ama-antihistamine akumele asebenze ekwelapheni ukulunywa okubangelwa yisifo sesibindi, yize engakusiza ukuthi ulale naphezu kokulunywa.

Cabanga ngokwelashwa okulula

Enye indlela ukwelashwa okulula, okwaziwa nangokuthi i-phototherapy. Lokhu kwelashwa kuveza isikhumba ezinhlotsheni ezithile zokukhanya ukukhuthaza ukuphulukiswa. Kungathatha izikhathi eziningana ukuqala ukusebenza.

Xoxa nodokotela wakho ngokufakelwa kwesibindi

Lapho ukwelashwa kungasebenzi futhi ikhwalithi yempilo ithinteka kakhulu, udokotela wakho angafuna ukuxoxa ukuthi kungenzeka yini ukufakelwa isibindi. Lokhu kungaba inketho noma ngabe isibindi sakho sisasebenza.

Ingabe ukulunywa kukhombisa noma yini ngokuqhubeka kwesifo sesibindi noma ukubikezelwa?

Ukuhluleka kwesibindi kwesinye isikhathi kuhambisana nokulunywa. Kepha ungaba nenkinga yokulunywa ekuqaleni, ngaphambi kokuthi wazi ukuthi unesifo sesibindi.

Eqinisweni, i-pruritis ingakhula noma kunini lapho isifo sesibindi. Lesi sibonakaliso sisodwa asisho lutho ngokuqina kwesifo sesibindi, ukuqhubeka, noma ukubikezela.

Lokho akusho ukuthi akuyona inkinga enkulu. Lapho ukulunywa kuqhubeka, kungaba nomthelela kulokhu:

• ukuqwasha
• ukukhathala
• ukukhathazeka
• ukudana
• ikhwalithi yempilo engakhubazekile

Izimpawu zokulunywa yisifo sesibindi

Ukulunywa okuhambisana nesifo sesibindi kuvame ukuba kubi kusihlwa nasebusuku. Abanye abantu bangalunywa endaweni eyodwa, njengelungu lomzimba, amathe ezinyawo zabo, noma izintende zezandla zabo, kanti abanye babhekana nokulunywa okugcwele.

Ukulunywa okuxhunyaniswe nesifo sesibindi akuvamile ukubandakanya ukuqubuka noma izilonda zesikhumba. Kodwa-ke, ungathuthukisa ukucasuka, ubomvu, kanye nokutheleleka ngenxa yokuklwebha ngokweqile.

Inkinga ingakhuliswa ngu:

• ukuchayeka ekushiseni
• ukucindezeleka
• ukuya esikhathini
• ukukhulelwa
• ukwelashwa kwe-hormone replacement

Yiziphi ezinye izinto ezingadala isikhumba esilumayo?

Ngenxa yokuthi kunezinto eziningi kakhulu ezidala ukulunywa kwesikhumba, kungenzeka ukuthi ukulunywa akuhlobene nesifo sakho sesibindi.

Icala elibi lesikhumba esomile (i-xerosis cutis) ngokuqinisekile lingaholela ekulungeni okunzima. Ukulunywa ngaphandle kokuqubuka nakho kungaba yimiphumela eseceleni yemithi ethile, kufaka phakathi ama-opioid, ama-statins, kanye nemithi yomfutho wegazi.

Izimo zesikhumba ezifana ne-eczema ne-psoriasis zibangela ukulunywa okuhambisana nesikhumba esivuvukile, esibomvu, noma esikhanyayo.

Ukulunywa kwesikhumba kungabangelwa ukusabela okweqile ezintweni ezinjenge:

• I-poison ivy
• izimonyo
• insipho
• imikhiqizo yokuhlanza indlu
• amakhemikhali
• izindwangu ezifana noboya noma i-mohair

Ngaphezu kokulunywa, ukusabela okweqile kungabandakanya ukubomvu kwesikhumba, ukuqhuma, noma isifuba.

Ezinye izifo kanye nokuphazamiseka okungaholela esikhunjeni esilumayo kufaka phakathi:

• ukukhathazeka
• ukudana
• isifo sikashukela
• ukushoda kwe-iron anemia
• ukwehluleka kwezinso
• i-leukemia
• I-lymphoma
• i-myeloma eminingi
• i-multiple sclerosis (MS)
• ukuphazamiseka okucindezelayo (OCD)
• izinzwa ezicindezelwe
• ama-shingles (herpes zoster)
• Izinkinga ze-thyroid

Ukulunywa kuhlotshaniswa ne:

• amagciwane, igciwane, ukhunta, noma ukutheleleka kwesikhumba
• ukulunywa noma ukulunywa yizinambuzane
• ukukhulelwa

Akunakwenzeka ngaso sonke isikhathi ukuthola imbangela yokulunywa.

Ukubonana nodokotela nini

Uma unesifo sesibindi, bheka udokotela wakho noma kunini lapho unezimpawu ezintsha noma eziya ziba zimbi. Lokho kufaka ukulunywa.

Yize kungahle kungasho lutho maqondana nokwanda kwesifo noma ukubikezelwa, ngeke wazi lokho ngokuqinisekile ngaphandle kokuhlolwa okuphelele.

Kubaluleke kakhulu ukutshela udokotela wakho uma unenkinga yokulala futhi uma ukulunywa kuthinta ikhwalithi yakho yokuphila.

Ukuthatha

Ukulunywa okuhambisana nesifo sesibindi kungahle kube ngenxa yezici ezahlukahlukene. Ukulunywa okukhulu kungaholela kwezinye izindaba eziningi, ngakho-ke kubalulekile ukubona udokotela wakho ukuthola ukuxilongwa nokwelashwa.