Cholinergic urticaria: zvinokonzera, zviratidzo, uye National zvinodhaka kurapwa

In womunhu, pamwe nemamwe neurotransmitters, kuita kupararira nomunhu mhiri synaptic mumukaha pakati Tutsinga tunofambisa mashoko utwu, pane acetylcholine. Ndiye anokonzera neuromuscular uye neuronal kwokubatana ariwo sadza mu iri parasympathetic tsinga. Kana paine chikonzero chinoita, nefuma anotanga kubudisa rakawandisa, munhu anogona kutanga chirwere - cholinergic urticaria.

Munyaya ino tichakurukura zvikonzero parinowanika uye kurapwa.

General information about cholinergic urticaria

Yaiti chirwere zvisinganyanyi kuitika. Nezvokuvandudzika hapana anopfuura 8% of uwandu kacho urticaria. Zvinofadza kuti vakawanda vavo chirwere vechidiki, kunyange zera kana pabonde mitemo kuti chirwere ichi haako.

Cholinergic urticaria paganda chakafanana nokupisa kubva yorukato mashizha - zvakadai Maronda akasiyana kana tsvuku itchy makwapa akasvibirika kuti vazopa simba kusanzwa. Asi mune zvimwe zviitiko Zvisinei kuti mapundu haaoneki,, kuvava iri nyaya varwere vari kunetseka, kwete zvishoma. In mushonga, chirwere ichi ndechimwe zita - kuvaviwa dermatosis.

Cholinergic urticaria: pathogenesis

Nhungamiro zvinokonzera kuti zvinorondedzerwa zvokurwara ichiri usingazivi. Hapana zvidzidzo vakatadza kuratidza pachena rakananga kwechirwere chikamu chinoumba pamusoro chimiro zviratidzo zvayo.

The vakawanda vaibvuma dzidziso kukura cholinergic urticaria kusvikira anosunga chisimbwa kuputsa vanonzi rechikepe masero ari ganda redu. Vari zvikuru specialized zvirwere dzakabatana zvinobatanidzwa adaptive kutapata. A pakaputsika nguva apo munhu sweats kubva zvinokonzerwa zvokunze kupisa, kumutsa womukati tembiricha kana nguva kunetseka, kushatiriswa kusunungurwa acetylcholine.

Anoita cholinergic urticaria zvinokonzera, kuwedzera kune apa, haisi kuzivikanwa, asi mune zvokurapa kusiyanisa 3 Pane zvinhu zvinogona kukonzera nayo:

1. Pathological Kupindura chafariz migumisiro.
2. basa rinoda.
3. Available zvirwere (zvirwere kwemakemikari anobudiswa, gastrointestinal uye vegetovascular kana cardiopsychoneurosis).

Uye cholinergic urticaria kukura kunotanga chete kana munhu ane uye kubatwa kune neutachiona uye hypersensitivity kuti acetylcholine panguva iyoyowo.

zviratidzo

Zviratidzo zviri chirwere kuonekwa pakarepo pashure pakunzwisisa kunovhiringidza chinhu, uye vari zvakaoma kuvhiringidza chero mamwe zviratidzo.

• Yokutanga matema duku kuonekwa, ganda pakavakirwa zvinowanzooneka edematous uye hyperemic.
• Kakawanda, munhu mapundu rinowanikwa pamitsipa, pedo pamutsipa, emberi uye chipfuva. Rezasi chikamu muviri ane akwanise zvisinganyanyi kuitika.
• Matema kuvava zvikuru uye kukonzera inopisa manyawi.
• Cholinergic urticaria, zviratidzo izvo chatichakurukura munyaya ino, uye kunowanzoguma kuwedzera tembiricha.
• Nokuda kuti acetylcholine ari neurotransmitter pakati tsinga, kunyanya aikanganiswa kunogona kukonzera kuratidzwa kwayakaita - manyoka, kuda kurutsa, kurutsa, kunyanya salivation.

Diagnostics

Cholinergic urticaria kunokwanisa kuonekwa nyore. Nokuti kwayo kutsunga nokururamisira mureza rabhoritari pakutsvakurudza uye anamnesis. Uye nokuti kuti kuratidzwa chirwere okutanga kuona pakarepo mushure Nokumukira kwechirwere chero zvinhu pamusoro apa, murwere anogona nguva dzose zvakarurama zvakakwana kuziva chii chaizvo chaiva chikonzero chacho.

Kujekesa nechirwere vakatakura subcutaneous zvinodhaka analoginen kana acetylcholine iri tsamwisa miedzo muchimiro chafariz migumisiro iri paganda (ruoko ichi murwere anoiswa mumvura inopisa). Kana pashure maminitsi 20 pane ipapo rashes, vakazochinja kunyangarika, nechirwere haifaniri akapikisana.

Cholinergic urticaria: kurapwa acho mishonga

Kana mamwe marudzi chirwere chinogona kubatwa antihistamines, kuti cholinergic urticaria iri kumbonyanya husingakwanisi kwavari.

Panyaya iyi, iyo inonzi mishonga inogona bedzi zvishoma kwenguva pfupi nguva kuderedza zviratidzo chisimbwa. Vaongorori vanoti izvi hypersensitivity yevanhu muviri kuti tide kuita, izvo iye kunobereka.

Several rikurumidze kungava 2 kana 3 Zvizvarwa histamine receptors - "Loratadine", "cetirizine", "ebastine" uye saka vanofanira kugadza chete ane ruzivo dermatologist, kunhonga munhu chipimo chemushonga uye kufungisisa zvingakonzerwa nemishonga ...

Mune zvimwe zviitiko, ungawana anobatsira uye dzakakurumbira Ezvemutauro:

1. Aizomupa licorice mudzi, izvo vanofanira kunwa hafu kapu kaviri pazuva. The upfu akatorwa kubva pamudzi ichi nokuda ½ h. L. uye ndikandoshamba pasi nemvura.
2. The aizomupa yorukato akaomeswa. Mafuro ichi dira mvura achibika uye kuzvipa yokubika. Inwai sezvinoita tii katatu pazuva.
3. No zvishoma chinobatsira chemindi chamomil teas, ane munyoro kunyaradza ehupfumi. Vanonwa tii panzvimbo dema.
4. Atorewo muto kubva horseradish (mudzi), iyo yakanga yakasanganiswa uchi ari nhamba 1: 1. Tora yetea katatu pazuva.

Kubvisa kuvaviwa uye kuzvimba tisisiri, anogona kuita lotions pamusoro pasoda mhinduro, chamomil, pakutevedzana, ndimu muto rakasanganiswa nemvura. Chero nzira idzi uye akaiswa mushonga wokuuraya ine chena bhandeji kwehafu yeawa panguva migove superposed pamwe mapundu. nzira iyi, kana iri rinodzokororwa 4 kanomwe pazuva, unogona aivabatsira murwere ezvinhu.

Kudzivirira neutachiona

Kana mumwe murwere kwave nechirwere "urticaria cholinergic", kuitira kudzivisa, zvakakodzera kuitazve kuchaita kuomerera zvimwe mitemo uye kurambidzwa:

• Dzivisa kushandisa inopisa tubs. Zvino unobatsira kutora akadzikama mvura yokushambidza.
• Kubva Zvokudya vachafanira kubvisa Spicy chikafu. Hot zvokudya kunogona kukuvadza.
• Doro haabvumirwi.
• Tinofanira kudzivisa iratidzike seiri kubuda zvose panguva yechiitwa uye mune zvimwe zviitiko zvose. Kana ziya zvinokosha kuzorora mumumvuri kana kugeza.
• Zvinonzi studiously kudzivisa anoshungurudza ezvinhu. Kana zvisingaiti, murwere vanofanira kunyaradza.