Zotsatira za insulin

Owerenga athu adagwiritsa ntchito bwino Alergyx kuchiza ziwengo. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Chotupa ndi chizindikiro cha matenda ambiri. Itha kukhala padera panjodzi, kumapazi, kumaso, ndikufalikira kumadera ambiri amthupi. Kutengera ndi mtundu wa zotupa zomwe munthu ali nazo, komwe zimayikiridwa, ndi zowonjezera ziti zomwe zimatsatiridwa ndi, dokotala amatha kupereka lingaliro loyambirira. Koma atangopima mayeso athunthu ndi pomwe zidzakhale zothandiza kudziwa ngati ali ndi matenda enieni.

Ndikofunika kudziwa kuti mwana amakhala ndi zotupa nthawi zambiri kuposa munthu wamkulu. Pali zifukwa zingapo: izi: Kuchepa kwa chitetezo chokwanira, kusasinthika kwamatumbo, kudya kwambiri.

Imodzi mwa mitu yomwe adakambirana inali yotupa, yomwe imadziwoneka m'manja ndi kumapazi a mwana. Izi sizosadabwitsa, chifukwa timazolowera kuti zambiri zotupa zimawonedwa kumaso, m'mimba kapena kumbuyo, matako. Akakhala odziwika bwino pamanja ndi kumapazi, nkovuta kumvetsetsa zomwe anakumana nazo.

Zomwe zimayambitsa zotupa

Mankhwala, totupa lomwe limawoneka m'manja ndi mapazi anu limatchedwa dyshidrosis kapena mwanjira ina - dysgodrotic eczema. Poyamba tinkakhulupirira kuti matendawa amakwiya chifukwa cha zotupa za sebaceous, koma masiku ano lingaliro lodziwika bwino ndikuti kuzungulira komwe kumachitika m'manja ndi kumapazi ndikuwonetsedwa kwa mwana wosagwirizana. Nthawi yomweyo, gawo la allergen limakonda kuseweredwa ndi zakudya komanso mankhwala osokoneza bongo.

Dyshidrosis ndi zotumphukira zotumphukira zomwe zimapangidwira kumalo ena amthupi. Nthawi zambiri, awa ndi manja, mapazi. Zimakula mchaka chomwe msewu umakhala wozizira komanso wonyowa. Mapepala amapezeka m'manja nthawi imodzi, komanso amatha kuwoneka m'magulu. Mkati mwawo mumakhala madzi. Chotupa chotere chimaphatikizidwa ndi kuyabwa kwambiri mwa mwana.

Ndi dyshidrosis, redness ya pakhungu ndi kutupa nthawi zambiri imawonedwa.

Pakapita kanthawi, zilonda zamanja ndi miyendo zimayamba kuphulika. Phula limatuluka kuchokera kwa iwo. Pamalo ano, timakhoma tating'onoting'ono, tomwe timakutidwa ndi kutumphuka kowuma. Koma izi sizitanthauza kuti kuchira mwachangu, chifukwa m'malo omwe kuli Hyperpigmentation, ming'alu imawonekera pakhungu, mawonekedwe a nodular. Zonsezi ndizosangalatsa, motero nkovuta kuti mwana aletse kuphatikiza. Muyenera kumvetsetsa kuti simungathe kukanda zotupa zotere, chifukwa kufala kungawonjezeredwe ku matenda omwe alipo, omwe amangokulitsa zinthu. Koma ndi ana ochepa omwe amatha kunyalanyaza kusasangalala ndi izi komanso osakanda manja ndi mapazi awo. Chifukwa chake, ndikofunikira kukaonana ndi dokotala posachedwa ndikupeza malingaliro pazamankhwala kuti mwana athe kupeza bwino msanga.

Popeza kuti nthendayi imakhala yachilengedwe mthupi, siyopatsirana, imabweretsa zovuta zambiri kwa mwana yemwe ali ndi matendawo.

Kuzindikira ndi chithandizo

Kuti mumvetsetse matenda omwe adayambitsa zotupa, dokotalayo ayenera kufufuza mozama. Izi nthawi zambiri zimaphatikizapo mbiri yachipatala, kuyesa kwa labotale, kuyesa khungu. Kufunika kotsirizira kumachitika ngati maphunziro a magazi a mwana akuwonetsa kuchuluka kwa immunoglobulin, kuwonetsa kukhalapo kwa sayanjana.

Ngati zomwe zikuyambitsa vutoli sizikugwirizana, allergen amatsimikiza molondola kwambiri, titha kulankhula za chithandizo chothandiza chomwe chithandizira kuchotsa zotupa m'manja ndi kumapazi, kuchepetsa mkhalidwe wa mwana. Idzakhala ndi izi:

• kusiyiratu kulumikizana kwina ndi allergen - ngati izi sizingachitike, ndiye kuti zotupa m'manja zidzawonekeranso pakapita nthawi, mankhwalawo azitha kukhala osagwira ntchito,
• kumwa antihistamines - itithandiza kuchepetsa mavuto omwe amabwera chifukwa cha matupi athupi, kuchepetsa ziwonetsero zotupa.
• chithandizo chakumaloko - mafuta okalamba amagwiritsidwa ntchito pano, omwe amatha kukhala osakhala m'thupi komanso mahomoni. Popeza kuti kupindika m'manja kumapereka zovuta zambiri, zimakhala zomveka kuyang'ana pa mankhwala a mahomoni omwe amathandizira kuti athetse posachedwa kwambiri.

Posankha mafuta okhathamiritsa a mwana, dokotala amayenera kuganizira zaka zake, thanzi lonse, komanso kupezeka kwa matenda oyamba. Kenako mankhwalawo sangakhale othandiza, komanso otetezeka.

Ndi dyshidrosis m'manja ndi pamapazi, mafuta onunkhira monga Fukartsin, Elokom, Triderm, Advantan amagwiritsidwa ntchito nthawi zambiri.

Zambiri

Chiwopsezo cha insulin ndi kuchuluka kwa chitetezo chathupi mobwerezabwereza makonzedwe a insulin. Nthawi zambiri, thupi lawo siligwirizana ndipo limadziwoneka lokha kuyabwa pakhungu, kuzimiririka, kumva kuwawa pamalowo. Zochita zamachitidwe ndizosowa, zomwe zimadziwika ndi khungu (urticaria, edema ya Quincke), anaphylaxis. Kuchepa kwa insulin kumawonedwa mu 5-30% ya odwala omwe ali ndi matenda osokoneza bongo, kutsika mkati mwa kusintha kwa mankhwala amakono oyeretsedwa (DNA recombinant human insulin) ndikutsata ndendende ukadaulo wa kapangidwe ka mankhwala.

Pochiza matenda a shuga mellitus, mitundu yambiri ya insulin yokonza (bovine, nkhumba, munthu) imagwiritsidwa ntchito, yosiyana pamlingo woyeretsa komanso zomwe zimakhala ndi mapuloteni kapena zosafunikira zama protein. Kwenikweni, thupi lawo limakumana ndi insulini palokha, nthawi zambiri limatulutsa protini, zinki ndi zinthu zina zomwe zimagwiritsa ntchito mankhwalawa.

Chiwerengero chochepa kwambiri cha zoyipa zonse zimawonedwa mukamagwiritsa ntchito mitundu yambiri ya insulin yaumunthu, yayikulu kwambiri - ndikuyambitsa insulin ya nyama. Chosavomerezeka kwambiri ndi insulini ya bovine, kusiyana pakati pa anthu kumadziwika kwambiri (zotsalira zina za amino acid za A unyolo ndi amodzi mwa unyolo wa B). Insulin ya nkhumba imakhala yochepa kwambiri (zotsalira za amino acid zokha za B unyolo ndizosiyana). Chiwerengero cha milandu ya insulin allergy yachepa kwambiri pambuyo pokhazikitsa insulin yotsukidwa kwambiri muzochita zamankhwala (zomwe zimapezeka mu proinsulin ndizochepera 10 μg / g).

Kukula kwamachitidwe ammudzi komweko kumatha kuphatikizidwa ndi kuperekera mankhwala osokoneza bongo (intradermally, ndi singano yayikulu ndikumakhudzana kwambiri ndi kuvulala kwambiri pakhungu, kusankha kosayenera kwa jakisoni, kukonzekera kwambiri, etc.).

Hypersensitivity jekeseni wa mankhwala amapangidwa ndi kutenga ma antibodies osiyanasiyana m'makalasi osiyanasiyana. Zoyipa zoyambirira zam'deralo zomwe zimachitika ndi anaphylaxis nthawi zambiri zimayambitsidwa ndi immunoglobulins E. Zotsatira zam'ma 5-8 patatha maola makonzedwe a insulin akukonzekera ndikukula kwa insulin kukhudzana ndi IgG. Thupi lomwe limayambitsa insulin yomwe imayamba patatha maola 12-24 pambuyo pa kuperekera mankhwalawa nthawi zambiri imawonetsa kuchepa kwakanthawi kochepa komwe kumayambitsa matenda a insulin kapena mankhwala a zinc omwe amapezeka m'mankhwala.

Zizindikiro za Insulin Allergy

Kuchepetsa kwa insulin nthawi zambiri kumawonetsedwa ndi kupezeka kwa mawonekedwe amtundu wa hypersensitivity, omwe amatha kuchitika pambuyo pa maola a 0.5-1 pambuyo pa mankhwala ndikuwonekeratu mwachangu (poyambirira), kapena maola 4-8 (nthawi zina mawola 12-24) atabayidwa - kuchedwa, kugwiritsidwa ntchito mochedwa, mawonetseredwe azachipatala omwe amatha masiku ambiri.

Zizindikiro zikuluzikulu zakomwe zimayambitsa matendawa ndi kufupika, kutupa komanso kuyabwa pamalowo. Kuyabwa kumatha kukhala kwanuko, pang'ono, nthawi zina kumakhala kosapirira ndipo kumatha kufalikira kumadera oyandikana ndi khungu. Nthawi zina, khungu limakhudza khungu. Nthawi zina pamalo a jakisoni wa insulin, chisindikizo chitha kuwoneka chomwe chimakwera pamwamba pa khungu (papule) ndikuchuluka kwa masiku atatu.

Nthawi zina, kuyika insulin nthawi yayitali m'malo omwewo kungapangitse kuti pakhale zovuta zam'deralo, monga chodabwitsa cha Arthus. Pankhaniyi, kuyabwa, kupweteka kwapweteka pamalo a jakisoni kumatha kuwonekera patatha masiku 3-5 mpaka atayamba kuperekera insulin. Ngati jakisoni akupitilizidwa kudera lomwelo, kulowetsedwa kumapangika, komwe kumawonjezereka, kumakhala kowawa kwambiri ndipo kumatha kuphatikizana ndikupanga chifuwa ndi puristatas, kuwonjezeka kwa kutentha kwa thupi komanso kuphwanya chikhalidwe cha wodwalayo.

Mavuto

Allergy insulin ndi chitukuko cha zonse, ambiri zimachitikira amapezeka 0,2% odwala matenda a shuga, nthawi zambiri kuposa, zizindikiro zamankhwala amachepetsa maonekedwe a urticaria (hyperemia, matuza a kuyiwalika pamalo a jekeseni), komanso kawirikawiri kufikira chitukuko cha angioedema Quincke edema kapena anaphylactic. Zochitika zamachitidwe zimagwirizana ndi kuyambiranso kwa insulin mankhwala patatha nthawi yayitali.

Chithandizo cha Insulin Allergy

Pankhani ya zovuta zopezeka m'deralo, zomwe mwachangu (patangopita mphindi zochepa, nthawi yayitali) zimadutsa pazokha, njira zochiritsira zowonjezera sizofunikira. Ngati kusinthaku kukupitilira kwanthawi yayitali, kumayamba kutchulidwa pambuyo pobayira jakisoni aliyense, ndikofunikira kupangira antihistamines, ndipo tikulimbikitsidwa kuti jakisoni wa insulin mbali zosiyanasiyana za thupi aperekedwe mu Mlingo wambiri. Ngati mukumwabe ndi insulin, muyenera kugwiritsa ntchito porcine kapena insulin ya anthu, yopanda zinc. Zabwino zonse zimakhala kusintha kokwanira pakukhazikitsa insulin yoyesedwa anthu.

Ndi chitukuko cha zokhudza zochita (urticaria, edema ya Quincke, anaphylaxis), chisamaliro chodzidzimu ndikofunikira ndikukhazikitsa kwa adrenaline, glucocorticosteroids, antihistamines, kusungitsa magazi ndi kupuma. Kutha kwathunthu kwa mankhwala a insulin mu zochitika izi ndikosatheka, ndikotheka kuchepa kwakanthawi kuchuluka kwa insulini yoyendetsedwa ndi nthawi 3-4 komanso kuwonjezeka kwapang'onopang'ono kwa mlingo mpaka pafupifupi achire mkati mwa masiku awiri.

Ngati mankhwala a insulin adayimitsidwa kwa masiku awiri kapena kuposerapo, ndikofunikira kuyang'ana momwe mankhwalawo amathandizira pakuyesa khungu ndikuwona mtundu wa insulin yomwe imayambitsa zovuta zoyipa zonse. Pambuyo pa izi, desensitization (ASIT) ndikofunikira pokhazikitsa mlingo woyambirira wa insulin komanso kuwonjezeka kwapang'onopang'ono kwa Mlingo. Njira zochizira zotere zimatheka pokhapokha chipatala chapadera kapena cha allergological.

Nthawi zina, ngati desensitization ilibe ntchito, mankhwala a insulin amafunikira ndipo pali zizindikiro za anaphylaxis, ma insulin oyeretsedwa aanthu amaperekedwa limodzi ndi glucocorticosteroid mahomoni (hydrocortisone) mu syringe imodzi yaying'ono yaying'ono.

Zotsogola ndi kupewa

Mukamakonza insulin ndikukhala yotsukidwa pang'ono, zizindikiro za ziwengo zimatha. Nthawi zina, zovuta zonse zokhudza thupi zimachitika. Kupewa kumakhala ndi kusankhidwa koyenera kwa insulin kukonzekera ndi kusinthitsa kwakanthaŵi kwake ngati thupi lanu siligwirizana. Kuti tichite izi, odwala ayenera kudziwa momwe ziwonetsero zimayambira ku insulin komanso momwe angaimire zotsatira zosafunikira.

Kodi khungu la tsekwe limawoneka bwanji?

Pafupifupi tsitsi lathu lonse timakula. Tsitsi limodzi - follicle tsitsi limodzi. Tikakhala ozizira kapena amantha, mafutawo amalimba, potero nkukweza tsitsi.

Khungu limakhala ngati tsekwe - koma limasunthika msanga pansi pazovomerezeka. Koma ngati tikunena za matendawa, chifukwa chake ndikuboweka kwa masamba a tsitsi ndi tinthu tating'onoting'ono ta stratum corneum.

Komanso, khungu silongoboweka. Malinga ndi madokotala, corneum ya stratum imayamba mkati mwa masamba. Kodi izi zikutanthauza chiyani?

Ngati simukulimbana ndi goosebumps, imadziwika kwambiri ndikukula ndikukula kwambiri.

Popita nthawi, ziphuphu zimakonda kufanana ndi ziphuphu zazing'ono. Pambuyo pake, ziphuphu zazikulu zimayamba kutuluka magazi.

Amuna nthawi zina amakumana ndi vuto lofooka ngati ma bampu kumapeto kwa mbolo ndi scrotum. Nthawi zambiri chizindikiro chimadandaula achichepere ndipo chimagwirizanitsidwa ndi kusintha kwa mahomoni m'thupi lomwe likukula.

Kuthamangira kumaliseche popanda chifukwa chodziwika - chifukwa chofunsira yolumikizana ndi venereologist.

Kodi zimayambitsa kupezeka kwa tsekwe?

Osathamangira kugula mafuta ndikusainirana ndi wokongoletsa. Follicular hyperkeratosis sikuwonetsa mavuto amisala, koma kusokonezeka mthupi.

Zomwe zimayambitsa matendawa:

1. Anachepetsa chitetezo chokwanira.
2. Vitamini A ndi C
3. Mavuto am'mimba.
4. Kuyipa kwa ukhondo wa pakhungu.
5. Matenda a mahomoni (nthawi zambiri mwa achinyamata).
6. Kuuma kwambiri pakhungu.
7. Ziwengo

Monga mukuwonera, pali zifukwa zambiri zoyambitsa ziphuphu pakhungu. Chodziwika kwambiri mwa izi ndikusowa kwa mavitamini A ndi C.

Bwezerani m'matangadza awo kuthandiza:

• Kaloti.
• Dzungu
• Nsomba.
• Ng'ombe ya chiwindi.
• Zinthu zamkaka.
• Mazira.
• Zipatso za citrus.
• Kabichi

Kukonzekera koyenera kungaphatikizidwenso.

Kukhala ndi mavitamini ambiriMuthana ndi mavuto ambiri omwe amachititsa kuti mukhale ndi tsekwe.

Monga matenda a metabolic, chitetezo chochepa, matumbo ofooka ndi matumbo, khungu louma. Mwambiri, ndikakhala ndi ukhondo woyenera, ziphuphu zimatuluka m'masiku ochepa.

Goosebump ziwengo zimatha kupangidwa ndi chilichonse, nthawi zambiri ndi chakudya. Kusankha koyenera ndikumapita kukaonana ndi dotolo ndikumuwonetsa yemwe wakhumudwitsani, komwe kukhudzidwa komwe kumaperekedwa pambuyo pake.

Goosebumps mu mawonekedwe a ziwengo kumiyendo ndi mikono

Kalanga, nthawi zambiri follicular hyperkeratosis imachokera ku chibadwa komanso mawonekedwe osakhazikika. Ndizovuta kumuchiritsa. Zimakhalabe pakutsatira boma ndikusunga khungu labwinobwino.

Ziphuphu zimatha kuwoneka paliponse. Nthawi zambiri amatha malo omwe khungu limakhala lofowoka komanso lopepuka - pakhosi, pachifuwa, matako, m'makutu ndi m'mphepete.

Pali zochitika zosasangalatsa pamene mabampu amapindika pansi pa maso. Koma malo "okonda" kwambiri a follicular hyperkeratosis ali m'manja ndi miyendo.

Tizilombo ta goosebumps nthawi zambiri zimawonekera mwa ana - ngakhale mu makanda. Kutumphuka kwa "malalanje" pamiyendo ndi pamwamba pa chiwongolero nthawi zambiri kumakhala chizindikiro cha atopic dermatitis - nthenda yachilengedwe.

Kuphatikiza apo, ziwengo sizili kulumikizidwa (kutengera khungu) - zimakhalanso chakudya kapena kupuma. Zimakhala zovuta kudziwa chomwe chinayambitsa izi.

Mawonekedwe akhoza kukhala osiyanasiyana. Mwanjira zina, khungu limakutidwa ndi kupindika kosasintha kwa ziphuphu, mwa ena - mawanga. Zimachitika kuti kukwiya kumawonekera m'malo - mwachitsanzo, kokha pazenera.

Ma Allergies amatha kuchitika mwa mwana wakhanda. Pachifukwa ichi, mwana sayenera kudya zipatso zamtundu wa zipatso kapena chokoleti. Ndikulumikizana kokwanira ndi zinthu zonse zomwe mayi amakhala nazo - makamaka panthawi yoyipa ya mimba.

Dermatitis ya atopic mwa mwana sichinthu chowopsa. Nthawi zambiri, ziwopsezo zimatha patatha zaka zitatu kapena zinayi.

Goosebumps mu mwana: momwe mungachitire ndi mankhwala?

Kudzidziwitsa nokha si yankho labwino kwambiri, makamaka kwa mwana wochepa. Musanapite ku mankhwala azachipatala, muyenera kudziwa chifukwa chomwe amapangira ma bumps ndikufunsira kwa dokotala.

Malangizo a Goose Skin:

Tcherani khutu! Makanda sakonda kutumiza ma antihistamines.

Ambiri a iwo nthawi zambiri amapangika kwa ana osakwana chaka chimodzi. Musanapatse mwana wanu mankhwala ochizira, onetsetsani kuti mwawonana ndi dokotala!

Momwe mungachotsere goosebumps kwa akulu omwe ali ndi mankhwala wowerengeka?

Pali maphikidwe angapo amomwe mungachotsere ziphuphu zoyipa pakhungu. Sadzathandizira kuthetsa zomwe zimayambitsa matendawa - koma adzatsika kwathunthu kukonza khungu.

Mchere wowonda. Pofunika mchere wam'nyanja ndi mafuta aliwonse. Tenthetsani khungu ndi madzi ofunda, onjezerani osakaniza ndikupaka bwino.

Muzimutsuka ndipo musaiwale kugwiritsa ntchito moisturizer. Chovala chakudongo chamtambo. Clay imatha kupezeka mu pharmacy - yotsika mtengo.

Sakanizani ndi mkaka, kuwonjezera madontho ochepa amafuta a lalanje. Lemberani ku zovuta zakhungu.

Kukulani zolimba ndi kanema womata. Pamwamba ndi thaulo. Gona mphindi 40. Sambani chigoba ndi madzi ofunda kumapeto. Apple Vinegar Ma compress. Sungunulani viniga m'madzi. Gawo lake ndi 1:10. Moisten yankho la gauze ndikugwirizana ndi madera a "tsekwe".

Tsitsimutsani compress iliyonse 10 Mphindi. Zokwanira kangapo.

Kuthana ndi ziphuphu kapena kuwapangitsa kuti asamawoneke ndikosavuta. Tikukhulupirira kuti nkhaniyi inali yothandiza kwa inu. Wathanzi komanso wathanzi khungu!

Mitundu ya kusintha kwa mankhwala

Popanga insulin, mapuloteni amtundu wa nyama amagwiritsidwa ntchito. Amakhala chifukwa chofala. Insulin ikhoza kupangidwa potengera:

Komanso, akaperekedwa, mtundu wa insulin womwe umagwiritsidwanso ntchito umagwiritsidwa ntchito.
Odwala omwe amapaka jakisoni tsiku ndi tsiku, chiopsezo chotengera mankhwalawa chimawonjezeka. Ndi chifukwa cha kukhalapo kwa ma antibodies mthupi kupita ku mahomoni. Ndi matupi awa omwe amakhala gwero la zomwe zimachitikazo.
Chiwopsezo cha insulin chimatha kukhala mitundu iwiri:

Ndi chiwonetsero cha zomwe zimachitika nthawi yomweyo, ziwengo za matupi awo zimawoneka nthawi yomweyo munthu akangovulaza insulin. Kuyambira pa nthawi ya makonzedwe mpaka kumayambiriro kwa zizindikiro, palibe wopitilira theka la ola. Munthawi imeneyi, munthu akhoza kukhala ndikuwonetsedwa:

Zomwe zimachitika nthawi yomweyo zimakhudza matupi osiyanasiyana a thupi. Kutengera kutengera kwazizindikiro komanso mawonekedwe awo.

Ndi zowonongeka kwanuko, zizindikiro zimadziwika pokhapokha pakukhazikitsa mankhwala. Kuchita mwadongosolo kumakhudza mbali zina za thupi, kufalikira mthupi lonse. Pankhani yophatikiza, zosintha zakumaloko zimatsatiridwa ndi kuwonekera koyipa m'malo ena.
Ndi pang'onopang'ono ziwengo, chizindikiritso chowonongeka chimadziwika tsiku lotsatira makonzedwe a insulin. Amadziwika ndi kulowetsedwa kwa malo a jakisoni. Allergy amawonetsedwa onse mu mawonekedwe a khungu wamba ndipo amadziwika ndi kuwonongeka kwakukulu kwa thupi. Ndi chidwi chochulukirapo, munthu amakula anaphylactic kapena edema ya Quincke.

Zizindikiro zakugonjetsedwa

Popeza umphumphu wa pakhungu umalephereka ngati mankhwalawa aperekedwa, chimodzi mwazizindikiro zazikulu ndizosintha pakhungu. Amatha kuwonetsedwa ngati:

Zomwe zimachitika m'deralo zimayendera pafupifupi munthu aliyense amene amamvera insulin. Komabe, pamakhala zotupa zazikulu za thupi. Pankhaniyi, zizindikiro zimawoneka ngati kuchitapo kofotokozedwa. Nthawi zambiri munthu amamva:

Pafupipafupi, koma owononga kwambiri thupi. Chifukwa cha kayendetsedwe ka insulin, izi zitha kuchitika:

Odwala omwe ali ndi chidwi chachikulu ndikamayambitsa mankhwalawa nthawi zambiri amawonongeka kwambiri mthupi, zomwe zimakhala zowopsa kwambiri. Mu odwala matenda ashuga, angioedema ndi anaphylactic mantha amayamba. Kuopsa kwa vutoli kuli m'lingaliro loti kusinthaku kumangoyambitsa thupi kwambiri, komanso kumatha kupha. Ngati chiwonetsero champhamvu chikuchitika, munthu ayenera kuyimbira ambulansi.

Momwe mungatolere insulin?

Momwe thupi limasokoneza insulin sikuti kungoyesa thupi. Ngati zizindikiro zikuchitika, odwala nthawi zambiri sadziwa choti achite, popeza chithandizo cha matenda ashuga chiyenera kupitiliza. Sizoletsedwa kudzipatula pakokha ndi kupereka mankhwala atsopano okhala ndi insulin. Izi zimapangitsa kuyankha kulimbikitsidwa ngati kusankhidwa sikulakwa.

onani Zitsanzo pakhungu. Kuzindikira matupi a chifuwa kumachitika m'magulu azachipatala mwanjira yoyenera kudziwa zotsatira zake.

Zotsatira zake zikachitika, wodwalayo ayenera kufunsa dokotala nthawi yomweyo. Pankhaniyi, adotolo atha kukulemberani nkhawa. Chinsinsi cha njirayi ndikuyesa mayeso pakhungu. Ndikofunikira pakusankha koyenera kwa jakisoni. Zotsatira za phunziroli ndizabwino koposa jakisoni wa insulin.
Njirayi ili ndi zovuta kuyitsatira. Izi ndichifukwa choti nthawi zina wodwalayo amakhala ochepa nthawi yokwanira kuti asankhe mankhwalawo. Ngati jakisoni safunika kuchitika mwachangu, ndiye kuti kuyezetsa khungu kumachitika ndi kupatula kwa mphindi 20-30. Munthawi imeneyi, adokotala amawunika momwe thupi limayankhira.
Mwa insulini yodekha kwambiri yogwira thupi la anthu achidwi, mankhwala omwe amapangidwa potsatira mapuloteni amtundu wa munthu amapatulidwa. Poterepa, ndende yake ya hydrogen siyowona nawo. Amagwiritsidwa ntchito pakagwiritsidwa ntchito ndi insulin yokhala ndi mapuloteni a ng'ombe.

M'pofunika kuchotsa chizindikiro cha matupi awo sagwira antihistamines. Kuphatikiza apo, amathandizanso kuchepetsa magazi. Zina mwa izo ndi:

Zisindikizo zikatuluka m'malo a jakisoni, dokotalayo amapereka njira ya electrophoresis yokhala ndi calcium chloride. Zotsatira zake, chinthucho chimakhala ndi kusintha padera lomwe lakhudzidwa.
Komanso, njira ya hyposensitization imagwiritsidwa ntchito nthawi zambiri. Pakati pa njirayi, ma insulin microdoses amaperekedwa kwa wodwala. Thupi limayamba kuzolowera mankhwalawa. Ndi kuwonjezeka kwa mlingo, chitetezo chokwanira chimakhala chololera, chimaleka kupanga ma antibodies. Momwe thupi limasokoneza limachotsedwa.
Nthawi zina, kuyambitsa insulin yophika kumasonyezedwa. Pankhaniyi, palibe mphamvu pakukhudzidwa kwa mahomoni, ndipo kuyamwa pang'onopang'ono kwa zomwe zimagwiranso ntchito kumadziwika. Pambuyo pakuchotsa kwathunthu zomwe zimachitika, ndikotheka kusintha insulin yophika ndi mankhwala wamba.
Komanso, chithandizo chitha kuphatikizira mankhwala kuti muchepetse kupangika kwa ma antibodies. Chimodzi mwazithandizo zabwino za dongosololi ndi Dekaris. Iwonjezera chitetezo chokwanira. Potere, insulin imayendetsedwa kwa masiku atatu. Ndipo Dekaris amalumikizidwa ndi chithandizo cha mankhwala kwa masiku atatu. Mlingo wotsatira ndi masiku 10 pambuyo pake.
Momwe thupi limasokonezera insulin nthawi zina limakhudza kwambiri thupi. Chifukwa chake, ngati ndizosatheka kudziyimira pawokha kuchepetsa zovuta za chifuwa, wodwala amayenera kupita kuchipatala kuti akalandire chithandizo. Pankhaniyi, akatswiri azachipatala azithandiza kuthana ndi zizindikiro za chifuwa.

Zambiri

Allergy to insulin ndi imodzi mwazinthu zofunikira kwambiri zachipatala. Mankhwala sangathetsedwe, popeza odwala matendawa sangathe popanda iwo (kupatula omwe amamwa mapiritsi ndi matendawa).

Vutoli litha kuthetsedwa ndi chithandizo cha hyposensitizing (cholinga chake ndi kuchepetsa mawonetseredwe amtunduwu wa pathological) ndi kutuluka kwa mitundu yatsopano ya insulin, yomwe ikhoza kusintha.

Mitundu ya mankhwalawa yomwe imagwiritsidwa ntchito pakadali pano imayambitsa mavuto ambiri omwe amakhala nawo pafupipafupi - mukamachotsa insulin ndi mtundu wina wake, kusakanikirana mobwerezabwereza sikugwirizana.

Komabe, pali chizolowezi chakuchepa kwa zotsatira za thupi lanu mukamagwiritsa ntchito kukonzedwa kofunika kwambiri. Izi zikuwonetsa kuti zowonjezera zachilengedwe zimathandizira pakuchitika kwa matenda omwe afotokozedwawo.

Nthawi zambiri amavutika chifukwa chogwira ntchito komanso kukalamba. Pafupipafupi zomwe zimachitika mwanjira imeneyi mwa abambo ndi amai ndizofanana.

Zoyambitsa Insulin Allergy

Zomwe zimayambitsa kukula kwa matenda omwe afotokozedwazi ndi:

• insulin yamunthu
• mnzake wa nkhumba
• ng'ombe insulin (kapena bovine).

Zonsezi ndi mankhwala a kapamba.

Nthawi yomweyo, asing'anga anali ogwirizana ndi monovid insulin (imakhala ndi chinyezi cha nyama zamtundu umodzi wokha) ndipo kuphatikiza (zimapangidwa kuchokera kuzinthu zakunyumba za nyama zamitundu mitundu).

Adanenedwa kuti kuphatikiza insulini kumawonjezera mwayi wokhala ndi vuto lililonse, koma izi sizinatsimikizidwe. Tsopano funsoli lilibe phindu, popeza ma insulini ophatikizidwawo sagwiritsidwa ntchito pano.

Zovuta za insulin zimatha kuchitika mosasamala nthawi yoyambira komanso nthawi yayitali ya insulin (malingana ndi chikhalidwe ichi, amagawidwa pang'onopang'ono komanso mankhwala ambiri, omaliza nawonso amakhala a nthawi yayitali, yayitali komanso yopanda nthawi yayitali).

Kuphatikiza pazakudya zamapuloteni, insulini imakhala ndi zinthu zopanda pake (mwachitsanzo, zinc), zomwe zimapangitsanso kuyanjana.

Monga momwe kuyembekezera, matupi awo sagwirizana nthawi zambiri amayamba kugwiritsa ntchito insulin yaumunthu, samatchulidwanso kuposa momwe amapangira ziwonetsero zomwe zimapezeka kuchokera ku zikondamoyo za nyama. Mphaka wa insulin amadziwika chifukwa cha zovuta zomwe zimayambitsa matendawa.

Mitundu ya momwe thupi lanu limagwirira ntchito chifukwa cha insulin lili ndi chinthu chimodzi - jakisoni wolakwika (jakisoni) wa insulin atha kukhala mphamvu yake. Nthawi zambiri izi zimakhala zolakwika monga:

• gwiritsani ntchito jakisoni wakhungu,
• kusoweka kwake (singano zosalongosoka), zomwe zimapweteketsa minofu yofewa pamalo opangira jakisoni,
• kuyambitsa kwa insulini sikuli kwakuya m'matupi, koma kukula kwa khungu.
• kuyambitsa kwake kumalo omwe sanapangidwe kuti achite izi,
• kuzizira kwambiri kwa insulin yomwe ikulowetsedwa.

Zomwe zadziwika zomwe sizikutsogolera mwachangu ku insulin, koma zimathandizira pakupezeka kwake, ndipo ngati zachitika kale, pakuwonetsedwa bwino, kuwonjezeka kwa kukhudzidwa kwa mankhwala ndi zovuta zambiri. Izi ndi zinthu monga:

• ntchito kwa nthawi yayitali insulin pochiza matenda ashuga (ngakhale osayanjana nawo),
• kupezeka kwa ziwonetsero zachilendo - pakadali pano kapena m'mbuyomu,
• kukhalapo kwa autoimmune pathologies - matenda omwe amachokera pazinthu zopotoza za thupi kumankhwala ake (amawazindikira ngati osawadziwa ndikuyamba kumenyana nawo poyesa kuwononga kapena kuwononga). Nthawi zambiri, awa ndi matenda a autoimmune monga systemic lupus erythematosus (autoimmune systemic lesion of the cholumikizira minofu, momwe chizindikiro chake chimawonekera - "gulugufe" wofiyira pakhungu la kumaso ndi kumbuyo kwa mphuno), myasthenia gravis (njira yomwe minyewa yotumiza ma neuromuscular transmit. Chifukwa chomwe munthu amakula kwambiri kufooka kwa minofu), amabweza poyizoni (kupanga kwambiri mahomoni a chithokomiro, omwe amachititsa kuti poizoni wa ziwalo zathupi) ndi ena,
• The kukhalapo m'mbuyomu pafupifupi anaphylactic mantha ndi kukhazikitsidwa kwa insulin - kutchulidwa thupi lawo siligwirizana, nthawi zambiri zimakhala zovuta.

Kodi zimayenderana ndi mtundu wanji wa ziwengo?

Nthawi zambiri, ziwopsezo za lalanje zimachitika mwana wosabadwayo atamwa, motero, tsankho limafanananso ndi mitundu ya zakudya zomwe sizigwirizana.

Koma mwa anthu ena, chisonyezo cha nthendayi chimachitika mukamapaka mafuta ofunika a lalanje mkati kapena pomwe juwisi wake umalowa pakhungu. Poyamba, zosintha zambiri zimakhudza kupuma. Khungu lachiwiri.

Komabe, nthawi zambiri, kulimbana ndi lalanje kumatsogolera pakugonjetsedwa kwa machitidwe angapo nthawi imodzi. Mukamayeretsa ndikudya zipatso, zipatso zake zimadzalowa mucous membrane wa mucous, ndipo kukomoka kwa lalanje kumayamwa kumayambitsa kukhumudwitsa kwa mucous nembanemba.

Maonekedwe akusintha pakhungu satheka kokha pakumalumikizana ndi madzi a mwana wosabadwa, komanso tikayatsidwa ndi poizoni ndi zamkati kuchokera mkati.

Development matenda

Insulin ndi allergen (antigen) yolimba - kuchuluka kwake mu mawonekedwe amkati kumakhala kokwanira kuchititsa zimachitika. Kuphatikiza apo, ndikuyambitsa kuchuluka kwa mankhwalawa, kuopsa kwa zovuta kuchokera ku minofu kungafanane.

Kodi insulin ndi chiyani? Thupi limatha kuwona ngati wogwirizira kwachilendo (antigen) ndikuyesera kusokoneza. Pachifukwa ichi, ma antibodies amatumizidwa kuma antijeni omwe "amawamatira" kuti "atseke" ntchito zawo.

Ndi ziwopsezo insulin, zimachitika:

• mtundu posachedwa
• wodekha mtundu.

Poyambirira, kusintha kuchokera kumbali ya minofu sikutanthauza kupitirira maola 5-8 (ndipo nthawi zina mphindi 30). Ngati ziwonetsero za mziwopsezo zimachitika pambuyo pa maola 12-24, ndiye kuti izi zikuchedwa.

Limagwirira a chitukuko cha thupi lawo siligwirizana insulin ndi ofanana mapangidwe mawonekedwe a ziwengo zamitundu ina. Pankhaniyi, mndandanda wa "zochitika" zotsatizanatsatizana zimachitika:

• insulin imalowa minyewa, koma poyamba siyiyambitsa kuyanjana ngakhale kuwonekera kochepa.
• imakhala "chisonyezo" pakupanga ma immunoglobulins,
• kukhudzana koyambirira kwa ma immunoglobulins omwe ali ndi insulin kumabweretsa chitukuko cha chidwi cha anthu (hypersensitivity),
• insulin ikalowanso m'thupi, ndiye kuti thupi lawo siligwirizana. Ma immunoglobulin amakumana ndi maselo am'mimba, omwe ali "malo osungirako" a allergy - zinthu zina zomwe, zikatulutsidwa m'maselo amenewa, zimakhudza minofu, ndikuwonetsa kusintha komwe kumawonedwa ndi chifuwa.

Matenda a minofu omwe amayambitsidwa ndi ma neurotransmitters adzakhala motere:

• kuchuluka kwa khoma lamitsempha,
• kutulutsa kwamadzi m'matumbo - kuwonetsedwa ndi kutupa kwawo,
• mkwiyo wa mitsempha mathero - kuyabwa
• kupanga kwa ntchofu - kuwonetsedwa ndi kumaliseche kwammphuno

Zinthu zikuluzikulu za matendawa

Pali zifukwa zambiri zoyambitsa matenda a matenda okalamba omwe ali kale mu ukalamba ndipo zomwe zimapangitsa nthawi zambiri kukhala matenda osachiritsika.

Ndi zowona zowona, zizindikilo za kusalolera zimasokonezeka nthawi zonse, koma chithandizo choyenera ndikuwonetsetsa njira zodzitetezera kupewa kupewa kufalikira kotsatira.

Ndi pseudo-chifuwa, kusalolerana angayime ndi kutsimikiza zolondola zoyambitsa matenda.

Zizindikiro

Zotsatira za lalanje zimabweretsa kusintha kwa ziwalo zopumira, kugaya chakudya ndi khungu.

Ndi ziwengo zowona, nthawi zambiri kuchokera kumbali ya nasopharynx ndi maso nthawi zambiri zimayamba kuwonekera, popeza allergen imakhala yambiri zipatso awiriawiri zipatso, zomwe, zikavunda, zimatha kulowa mucous nembanemba wamaso ndi mphuno. Ma allergen ena amakhalanso pamakoma a pharynx, zomwe zimawakwiyitsa.

Chifukwa chake, kuyanjana ndi lalanje kumayamba ndi kuonekera kwa zizindikiro zotsatirazi:

• Kutsetsemula, kuchulukitsa kwammphuno ndi kutulutsa mphuno,
• Zowawa, chifuwa chowuma,
• Woopsa bronchospasm ndi mpweya wokwanira,
• Kuwala, kupweteka m'maso, redness ya sclera ndi kutupa kwa matope,
• Kuyabwa kwa mucous nembanemba amaso ndi mphuno.

Kulowa m'matumbo, ma allergen a lalanje amalowa mucous membrane m'mimba, duodenum, matumbo, zomwe zimayambitsa kugaya chakudya:

• Kuchepetsa mseru
• Colic m'mimba
• Kubweza
• Zovala zonyansa.

Anthu ena sangasinthe kwenikweni m'matumbo athu. Pafupifupi nthawi zonse, chifuwa cha lalanje chimakhudza khungu, thupi pakatha maola angapo (nthawi zina mphindi) limatuluka:

• Mabala ndi amphaka, opindika pang'ono matupi athupi losagwirizana,
• Zowombera - chotupa chaching'ono,
• Kukwiya pakhungu kumayambitsa kuyabwa ndi kutentha,
• Osiyanasiyana mawanga hyperemic.

Zomwe zimayambitsa malalanje zingayambitse diathesis mwa ana, neurodermatitis. Kwa odwala akuluakulu, eczema nthawi zambiri imakhazikitsidwa.

Milandu yayikulu, machitidwe owopsa a chitetezo cha mthupi pakukwiya amatsogolera ku Quincke's edema ndi anaphylactic mantha https://allergiik.ru/anafilakticheskij-shok.html.

Kutheka kwa matendawa kumatengera kuchuluka kwa zomwe allergen adalowa m'thupi, nthawi zambiri mtundu uwu wa mankhwalawa umawonekera mukamwa madzi a lalanje, chifukwa chikho cha zakumwa zatsopano chimapangidwa kuchokera ku zipatso zingapo.

Urticaria mwa ana ochokera ku malalanje

Ndi mitundu ya zakudya zomwe ana amadwala, zimachitika kawirikawiri. Munthawi ya urticaria yomwe imachitika panthawi yotsutsana ndi lalanje, mfundo zingapo zimasiyanitsidwa:

• Chiyambira lakuthwa. Nthawi zambiri, matuza amawoneka masana mutadya malalanje,
• Kuwongolera mwachangu kwa zizindikiro za khungu. Ngati causative allergen salowanso m'thupi, ndiye kuti chiwonetsero chachikulu cha urticaria chimadutsa mkati mwa masiku 1-2,
• Mapangidwe amadzimadzi amaphatikizidwa ndi kuyabwa kwambiri, komwe kumabweretsa nkhawa, kusokoneza kugona kwa mwana.

Zinthu zikuluzikulu za urticaria ndi chotupa. Uwu ndi kutupa kwakukwera pamwamba pa thupi, wokhala ndi masentimita awiri kuchokera ku 2-3 mm mpaka masentimita angapo.

Mabedi omwe amakhala pafupi nawo nthawi zambiri amaphatikizana, zomwe zimapangitsa kuti khungu lizionekera kwambiri. Mtundu wa thovu ndi wofiirira, wa pinki, wosayera kwenikweni. Mukasunthira chithaphwi ndi zala zanu, mthunzi wake umasinthasintha.

Zochizira

Kuti muchepetse mofulumira zizindikiro za chifuwa ndikuthamangitsanso kuchira, choyambirira, ndikofunikira kupatula kwathunthu kulumikizana pafupipafupi ndi lalanje. Izi sizikugwira ntchito ku chipatso chonse chokha, komanso zipatso kuchokera kwa iwo ndi zinthu zomalizidwa kuchokera pamenepo.

Dokotalayo amasankha mankhwalawa kwa wodwala potengera kuopsa kwa zizindikiro, msambo, komanso mavuto obanika.

Muyezo mankhwalawa olandirira zikuphatikizapo:

• ANTIHISTAMINE MEDICINES. Amasiya kuyanjana ndipo nthawi yomweyo amachepetsa kuyabwa, kutupa, rhinoconjunctivitis, totupa. Ndi ziwopsezo za lalanje, Claritin (wa ana mu madzi), Loratadin, Cetrin, Lomilan, Fexadin, Erius adalembedwa. Ndi zizindikiro zomwe zimakula msanga m'masiku oyamba, mutha kugwiritsa ntchito Suprastin kapena Tavegil, mankhwalawa ali ndi mphamvu ya antihistamine, koma sibwino kuti muzigwiritsa ntchito kwa nthawi yayitali. Zambiri pamutuwu https://allergiik.ru/preparaty.html,
• Enterosorbents. Mankhwala osokoneza bongo omwe amachokera pagululi amachititsa kuti poizoni ndi woledzera azikhalapo, imathandizira kuchotsedwa kwa thupi. Nthawi zambiri amaika kaboni wambiri, Enterosgel, Polysorb, Filtrum,
• Glucocorticosteroids. Mankhwala okhala ndi mahomoni operekera jakisoni komanso mapiritsi azithandizo zamankhwala amaperekedwa pokhapokha ngati zizindikiro zomwe zikukula zikuwopseza moyo wa wodwala kapena chithandizo chamankhwala chokhala ndi antihistamines sichimapereka zotsatira zomwe akufuna. Glucocorticosteroids akuphatikiza Prednisolone, Dexamethasone, Metipred.

Kusintha pakhungu kumachitika, mankhwala amkamwa amathandizidwa ndi mafuta. Muzochitika zofatsa, zopanda mahomoni omwe amagwiritsidwa ntchito - Fenistil gel, Bepanten, mafuta a Zinc, Boro-plus, Protopic, Psilo-balm.

Mafuta odzola a Hormonal amagwiritsidwa ntchito pakusintha kwambiri komanso kwapang'onopang'ono pakhungu. Izi ndi zinthu monga mafuta a prednisone, Sinaflan, Advantan, Elokom, Flucinar.

Mankhwalawa, muyenera kutsatira zakudya zopatsa chidwi:

• Musachotse zipatso zamalanje, zipatso zokhala ndi utoto wofiirira. Zakudya zokometsera, marinade, chokoleti, koloko, mtedza, nsomba, mowa,
• Idyani zakudya zam'mera, njere, mankhwala a lactic acid, msuzi wamasamba, nyama yophika,
• Imwani zambiri
• Tsatirani chakudyacho - idyani kangapo patsiku, pomwe magawo sayenera kukhala akulu.

Kuchiza ziwonetsero kwa malalanje kumatha kutenga kulikonse kuchokera masiku angapo mpaka miyezi 1-2. Kutsatira malingaliro onse a dokotala kumathandizira kufulumira kuchira.

Zogulitsa mmalo a Orange

Chipatso chowala cha lalanje sichimangotengera kukoma, komanso mawonekedwe ake apamwamba a ascorbic acid.

Vitamini C ndi antioxidant, amathandizira mu njira yokhazikika ya kagayidwe kachakudya, amathandizira kuchulukana kwamitsempha yamagalasi, amalimbitsa mafupa, amawongolera kugwira ntchito kwa chitetezo chathupi.

Chifukwa chake, anthu ambiri amadya malalanje kuti akhalebe athanzi. Kuphatikizidwa kwa zipatso kuchokera ku zakudya kumatipangitsa kuti tizifunafuna zakudya zomwe zili ndi asidi wambiri.

Ndipo mitundu iyi ya zakudya ndi:

• NJIRA YOSAONEKA. Mwa zomwe zili ndi vitamini C, mitu yaying'ono 8 ya kabichi yamtunduwu wa kabichi imagwirizana ndi lalanje yayikulu yaying'ono. Koma kuphukira kwa Brussels kuli ndi vitamini K yambiri, chinthu chomwe chimakhudza bwino kupangika kwa magazi ndikuletsa kupewa matenda otupa.
• PAPAYA. Poyerekeza ndi lalanje, zipatso zosowa zimakhala ndi mavitamini C ochulukirapo pafupifupi kawiri. Pali mapweya ambiri mu papaya, kuphatikiza ndi mavitamini kumathandizira kugaya chakudya, kuchepetsa cholesterol ndikulepheretsa kukula kwa atherosulinosis, stroko ndi mtima,
• POTATOES. Zomwe zimapezeka kwambiri kwa anthu ambiri okhala ndi mavitamini C. Mwatsoka, ambiri amawonongeka ndi kutentha.
• MALO OGWIRA BWANJI. Pali mitundu yambiri ya ascorbic acid yomwe imakhala masamba atsopano a masamba, komanso kabichi wowawasa.

Zovuta kwa malalanje sizitanthauza kuti kusalolera kumachitika pamapatso ena onse a zipatso. Komabe, mandimu, mandimu ndi zipatso zina ziyenera kuyambitsidwa m'zakudya pang'onopang'ono mukatha kulandira chithandizo, ndikuwona momwe thupi lanu limayendera.

Izi ndizowona makamaka kwa ma tangerine, omwe amathanso kukhala opanda vuto ku https://allergiik.ru/mandariny.html okhala ndi zofananira.

Kupewera kwa kukokoloka ndi chifuwa cha lalanje

Kuletsa kuchulukana kwatsopano kwa mitundu iwiri ya malalanje ndikosavuta. Koma pa izi muyenera kusamala ndi kusankha kwa zinthu. Poletsedwa osati zipatso zokha, komanso timadziti tothira kumene, zakumwa zozimira zipatso.

Tiyenera kudziwa kuti kuchuluka kwa lalanje kungakhale mu zakudya zosavuta, ma marinade komanso kuphika.

Ndi ziwengo zopezeka kale mukamakula, matenda osachiritsika amayenera kuthandizidwa, kupimidwa matenda opatsirana, kusinthasintha zakudya zanu, kuyesa kudya mopitirira muyeso, ndipo ndikofunika kusiya zakumwa zoledzeretsa ndi chakudya mwachangu.

Pokonza ziwengo, psychosomatics imatenganso gawo. Izi zikutanthauza kuti anthu omwe amakhala ndi nkhawa zambiri komanso nkhawa amakhala ndi mavuto ambiri.

Kuchepetsa mphamvu ya kupsinjika kwa thupi kumathandizira kuchepetsa kuchepa kwa ziwopsezo, makamaka pokhudzana ndi mawonekedwe ake a pseudo-allergic.

Zizindikiro za Allergies kwa Insulin

Mwachidziwikire, zizindikiro zakomweko komanso zambiri zokhudzana ndi insulin zimatha. Ziwirizi zimawoneka kawirikawiri, kukula kwa zizindikiro zotere kumasonyezanso kuti thupi limatulutsa insulini.

Zizindikiro zakomweko za matenda omwe afotokozedwera zimawonekera pamalo a jakisoni a mankhwalawa m'matangamu. Izi ndi zizindikiro monga:

• redness
• kuyabwa
• kupweteka
• kumva kutentha
• chisindikizo
• matuza
• nthawi zina kumangika
• kawirikawiri - mawonekedwe a papule (zolengeza mwa mawonekedwe akukweza pamwamba pakhungu).

Kuchepa pakufotokozera kwa mapangidwe am'mimba kumapangidwa mozungulira malo a jakisoni mu mawonekedwe amipweya yamitundu yosiyanasiyana, kukula kwake ndi matalikidwe amtundu (kuchokera kutuwa lofiirira mpaka lofiira).

Kuyabwa ndi chifuwa mpaka insulini kumatha kukhala kosiyanasiyanaku - kuyambira pang'onopang'ono mpaka kutchulidwa, kulephera, chifukwa pomwe wodwalayo samasiya kukwiyitsa pamalo opangira jakisoni, akumakwiyitsa mitsempha yam'mitsempha ndikuwonjezera mphamvu zosasangalatsa.

Ndi mitundu yakomweko ya kukomoka kwa insulin motero, palibe ululu wokwanira - ululu umawonekera kwambiri pafupi ndi zovuta.

Kuphatikizana pamalo opangira jakisoni wa mankhwalawa kumachitika chifukwa cha kulowetsedwa (kulowetsedwa) kwa minyewa yokhala ndi chitetezo cha mthupi, komanso ngati mankhwalawa adalowetsedwa pamalo osaperekedwa ndi malangizo operekera insulin.

Matumphu omwe amawoneka ndi mawonekedwe am'deralo kwa insulin nawonso amayenda. Wodwalayo, kuphatikiza matuza, kuwononga khoma lawo, madzi amadzimadzi otuluka, matenda a bala amatha.

Kumva kutentha kumachitika chifukwa chakukwiyitsidwa kwa zolandilira zolimba ndi ma immunological complexes ndi oyimira pakati. Pazifukwa zomwezo, pamakhala kugwedezeka kwamphamvu, muzochitika zosowa kwambiri - zotchulidwa kwambiri paresthesia (kupotoza kwa chidwi) mu mawonekedwe a "goose bumps" ndi dzanzi la zofewa.

Papule, yomwe imapezeka pamalo a jakisoni wa insulin, ndiye chidutswa chophatikizika chomwe chimatuluka pamwamba pa khungu. Imatha kupitilira maola asanu ndi limodzi mpaka asanu ndi limodzi mpaka masiku awiri, pambuyo pake imasowa popanda kufufuza.

Poyamba, mavuto am'deralo amatha kukhala mkati mwa mphindi 30 pambuyo pa insulin. Koma amachoka mwachangu momwe amawonekera.

Kachiwiri, kusokonezeka mu mawonekedwe a redness, zilonda zam'mimba, kuyabwa ndi zina zotere zimachitika pakapita maola 4-8 (nthawi zina, atatha masiku 1-2). Nthawi yomweyo, amazimiririka pang'onopang'ono - mkati mwa 2-3, nthawi zina masiku 4.

Mtundu wosiyanitsa wa insulin poyerekeza ndi wakunja ndiwosowa - pafupifupi awiri mwa anthu chikwi chimodzi omwe amapezeka kuti ali ndi matenda osokoneza bongo. Koma poyerekeza ndi mitundu imodzimodziyo ndi mitundu ina ya zilonda (chakudya, mankhwala osokoneza bongo, ndi zina zotere), imatha kutchulidwa kwambiri. Monga mawonetsedwe ake ali:

• urticaria - mawonekedwe a zotupa pakhungu monga mtundu womwe umawonekera pakhungu likalumikizana ndi zunguzo.
• Quincke's edema ndimatenda owopsa omwe amachititsa kuti pakhale edema ya pakhungu, mafuta onunkhira, komanso mucous membrane. Mayina ena omwe ali ndi vutoli ndi edema ya angioneurotic, gionicaria wamkulu,
• bronchospasm - mawonekedwe ofunikira a minofu ulusi khoma la bronchi, omwe amatsogolera kuchepa kwa lumen yawo, chifukwa cha izi, chitukuko cha kukomoka (kumverera kwa kusowa kwa mpweya).

Kusiyanitsa mitundu

Kusiyanitsa kosiyanitsa (kosiyanitsa) kwa inshuwaransi kumachitika ndi ma pathologies monga:

• dermatitis matupi awo ndi chotupa chotupa cha khungu lochokera komwe kumayambira, komwe kumatha kuchitika chifukwa cha hypersensitivity ma antijeni osiyanasiyana. Itha kuchitika chifukwa cha zakudya, mankhwala, ubweya, fluff, nthenga za nyama ndi mbalame, ndi zina zambiri,
• pseudo-thupi lawo siligwirizana - kusokonezeka kwa ziwalo ndi minyewa (ambiri khungu ndi kupuma dongosolo), amene, mwa mawonekedwe a chipatala, amatsutsana ndi thupi lawo siligwirizana, koma kwenikweni si choncho, malinga ndi makina a chitukuko,
• Kulephera kwa chiwindi - kumayambitsa kuyabwa pakhungu,
• Matenda a pakhungu - nthawi zambiri amasokonezeka ndi chifuwa cha insulin chifukwa cha zovuta zomwe zimayamba chifukwa chakukanda kumbuyo kwa kuyabwa,
• zotupa ndi zotupa. Nthawi zina, kulowa mu inshuwaransi pamalo a jakisoni kumatchulidwa - zimakhala zimakhala zowonda kwambiri, pafupifupi zolimba, zomwe zimawapangitsa kukhala ofanana ndi zotupa.

Kodi chochita ndi ziwengo kuti insulin?

Insulin ndi mankhwala ofunikira pochiza wodwala yemwe ali ndi matenda ashuga. Chifukwa chake, chisankho cholocha m'malo mwake ndichabwino. Mankhwala safunikira kuti munthu asatsatidwe, mosakhazikika msanga m malo mozungulira mawonekedwe a redness, kuyabwa ndi zotupa zomwe zimazimiririka kwakanthawi kuyambira 1 min 1 mpaka 1 ora.

Ndi mawonekedwe owopsa a m thupi, zotsatirazi zikuwonetsedwa:

• othandizirana nawo
• glucocorticosteroid mankhwala - amagwiritsidwa ntchito kufooketsa (kuchepetsa mphamvu ya thupi) ngati mankhwala osagwiritsa ntchito mahomoni osagwira ntchito kapena kuwonetsa kuchepa mphamvu,
• kukhazikitsa insulin m'malo osiyanasiyana a thupi,
• ngati mankhwala omwe akufotokozedwayo amakhala ndi mphamvu zochepa, ndiye kuti insulin ikhoza kutumikiridwa mu syringe yomweyo ndi glucocorticosteroids,
• Pokhapokha pakufunika zotsatira za izi - kugwiritsa ntchito insulin yoyesedwa ya anthu,
• ziwengo zokhudza immunotherapy - zimachitidwa ndi cholinga chopatsa kulekerera kwa insulin kwa thupi. Wodwalayo amapaka jekeseni wa insulin nthawi yayitali, kuyambira pang'ono ndikuibweretsa mankhwala othandizira.

Momwe matendawa amathandizira kukhala ndi insulin ndi osiyana, koma ndimayendedwe abwino, amakhala abwino. Kugwiritsa ntchito mitundu ya anthu yoyeretsedwa ngati mankhwalawa, wothandizidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo ndi glucocorticosteroid, kungathandize kuchepetsa chiopsezo cha chidwi cha wodwalayo.

Matendawa amakula ndikukula kwa matenda omwe afotokozedwawo.

Edema ya Quincke ndi kugwedezeka kwa anaphylactic ndi kukhazikitsidwa kwa insulini kumafunika kuyankhidwa mwachangu ndi kupumula mwachangu kwa izi. Mankhwala osankhidwa ndi glucocorticosteroids.

Ndi chitukuko cha kukhathamiritsa, njira zotsitsimutsa zitha kufunikira - makamaka, kulowetsedwa kwa trachea ndikulumikiza wodwala ku chida chothandizira kupuma kuti apatsidwe mphamvu pakupuma.

Kovtonyuk Oksana Vladimirovna, wowonera zachipatala, dokotala wothandizira, mlangizi wazachipatala