Yintoni ebangela ukurhawuzelela kwiSifo seSibindi kunye nendlela yokuNyanga

Umxholo

• Izinto ezibangela ukurhawuzelela isifo sesibindi
• Indlela yokunyanga ukurhawuzelela okunxulunyaniswa nesifo sesibindi
• Kuphephe ukukrwela
• Faka isicelo se-anti-itch topicals
• Thatha amayeza kagqirha omlomo
• Zama i-antihistamines (yokulala)
• Cinga ngonyango olulula
• Xoxa ngokufakelwa kwesibindi kunye nogqirha wakho
• Ngaba ukurhawuzelela kubonisa nantoni na malunga nokuqhubela phambili kwesifo sesibindi okanye isifo sephepha?
• Iimpawu ukurhawuzelela kunye nezifo sesibindi
• Zeziphi ezinye izinto ezinokubangela ukurhawuzelela ulusu?
• Nini ukubona ugqirha
• Ukuthatha

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukurhawuzelela (pruritus) sesinye seempawu zesifo esinganyangekiyo sesibindi, nangona ayinguye wonke umntu onesifo sesibindi ayivelisayo.

Unokuba nokutshitshiswa kwendawo, njengengalo yakho engezantsi, okanye ingaba yinto yonke. Nokuba yeyiphi na indlela, inokuthi ikhokelele ekuphazamiseni, ihlala ixhaphakile, umnqweno wokukrwela.

Ukurhawuzela okuncinci ngoku kwaye akukho sizathu sokukhathazeka. Kodwa ukurhawuzelela okungagungqiyo kunokuphazamisa ukulala kwaye kukhokelele kuthotho lwezinye iingxaki. Xa oko kusenzeka, iba yinkxalabo enkulu yezempilo.

Kule nqaku, siza kujonga izizathu zokurhawuzelelwa sisifo sesibindi, kutheni kufuneka ubonane nogqirha wakho, kunye nendlela yokufumana isiqabu.

Izinto ezibangela ukurhawuzelela isifo sesibindi

Ipruritus inqabile kwizifo ezinxulumene notywala kunye nezifo zesibindi ezinamafutha. Kuqhelekileyo kuhambelana:

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

Olunye uphando kunye neeklinikhi lwenziwe, kodwa izazinzulu kusafuneka zichonge into enye enoxanduva lokurhawuzelela isifo sesibindi. Kungenzeka ukuba kubangelwa ukudibanisa kwezinto.

Nazi izinto ezinokwenzeka abaphandi bajonge kuzo:

• Iityuwa zeBile. Ukuba unesifo sesibindi, unokuba namanqanaba aphezulu e-bile ityuwa eqokelela phantsi kolusu, enokubangela ukurhawuzelela. Ayinguye wonke umntu onamanqanaba aphezulu eetyuwa ze-bile azive kurhawuzelela, kwaye abanye abantu baziva kurhawuzelela ngaphandle kwenqanaba leetyuwa eliqhelekileyo.
• Imbali. Abanye abantu abanepruritus baphakamise amanqanaba e-histamine. I-Antihistamines ayisoloko isebenza ekunyangeni, nangona kunjalo.
• ISerotonin. I-Serotonin inokutshintsha ukujonga okungalunganga. Kungenxa yoko le nto i-serotonin reuptake inhibitors ekhethiweyo (i-SSRIs) inokunceda ukulawula ipruritus kwabanye abantu.
• Iihomoni zesini sabasetyhini. Ukurhawuzelela ngamanye amaxesha kuya kusiba mandundu ngexesha lokukhulelwa okanye ukuba ufumana unyango lwehomoni.
• Iserum alkaline phosphatase (ALP). Abantu abanerch ezinxulumene nesifo sesibindi banokuphakamisa i-ALP.
• I-Lysophosphatidic acid (LPA) kunye ne-autotaxin (i-enzyme eyenza i-LPA). I-LPA ichaphazela imisebenzi emininzi yeselula. Abantu abanesifo sokurhawuzelela nesesibindi banokuba namanqanaba aphezulu e-LPA.

Indlela yokunyanga ukurhawuzelela okunxulunyaniswa nesifo sesibindi

Ukurhawuzelela okubangelwa sisifo sesibindi mhlawumbi ngekhe kuphucule kukodwa, kodwa kunganyangwa.

Ngenxa yokuba izizathu aziqondwa ngokupheleleyo, kunzima ukutsho ukuba loluphi unyango olunokusebenzela wena. Ingathatha indibaniselwano yonyango kunye nenani elithile lesilingo kunye nephutha.

Kuphephe ukukrwela

Kubalulekile ukuthintela ukukrwela oko kurhawuzelela kuba kunokwenza izinto zibe mbi kakhulu. Gcina iinzipho zakho zifutshane ukuze xa ukrwempa, mancinci amathuba okuba wophule ulusu kwaye uvule umnyango wosulelo.

Ukuba ufumanisa ukuba ukrwempa kakhulu, zama ukunqanda isilingo ngokugcina ulusu lwakho lufihliwe. Ukuba uhlala unomdla wokukrwela kakhulu ebusuku, nxiba iiglavu xa ulele.

Nazi ezinye izinto onokuzenza ukuthintela ukukruquka kolusu kunye nokunciphisa ukurhawuzelela:

• Sebenzisa amanzi ashushu okanye apholileyo kunamanzi ashushu kwimvula kunye neebhafu.
• Zama ukungachithi ixesha elininzi kwiindawo ezishushu okanye elangeni.
• Khetha iisepha ezimnene ezingenazo iziqholo.
• Sebenzisa amafutha okuthambisa angenamafutha ukuze ulwe nokoma.
• Faka isicelo sendwangu ebandayo, emanzi kwindawo erhawuzayo de umnqweno wokukrwela unciphe.
• Gwema izinto okanye izinto eziphazamisa isikhumba sakho.
• Nxiba iiglavu xa usebenzisa iimveliso ezingqwabalala.
• Nxiba iimpahla ezikulungeleyo nezinokuphefumla.
• Sebenzisa i-humidifier ngexesha lobusika obomileyo.

Thenga i-humidifier kwi-intanethi.

Faka isicelo se-anti-itch topicals

Ukuba unobulali obuncitshisiweyo, ungazama ukhilimu olunamanzi nge-1 yepesenti ye-menthol. Ezinye ii-topical the-counter (OTC), ezifana ne-corticosteroids kunye ne-calcineurin inhibitors, nazo zinokuphucula ukurhawuzelela.

Landela izikhombisi zeleyibhile kwaye uqiniseke ukuba uxelela ugqirha ukuba uyazisebenzisa.

Fumana izithambiso zecorticosteroid online.

Thatha amayeza kagqirha omlomo

Ugqirha wakho unokuncoma unyango lomlomo, njengale:

• ICholestyramine (Ebaluleke kakhulu). La mayeza omlomo anceda ukususa iityuwa ze-bile ekujikelezeni.
• IRifampicin (Rifadin). Eli yeza sithintela bile acid. Ithathwe yonke imihla, ifuna ukubekwa esweni rhoqo ngenxa yeziphumo ebezingalindelekanga ezinje nge-hepatitis okanye ukuphazamiseka kwezintso.
• INaltrexone (Vivitrol). Ithathwe yonke imihla, eli yeza lithintela iziphumo ze-opioids. Ifuna ukubeka iliso rhoqo.
• Sertraline (Zoloft). Le SSRI nayo ithathwa yonke imihla. Ihlala imiselwe njenge-antidepressant. Ezinye i-anti-depressants, ezinje nge-fluoxetine (Prozac), zinokusetyenziselwa ukunyanga ukurhawuzelela okungapheliyo.

Zama i-antihistamines (yokulala)

Ii-antihistamines akufuneki zisebenze ekunyangeni ukurhawuzelelwa okubangelwa sisifo sesibindi, nangona zinokukunceda ulale ngaphandle kokurhawuzelela.

Cinga ngonyango olulula

Olunye ukhetho lonyango olulula, ekwabizwa ngokuba yifotootherapy. Olu nyango lubonisa ulusu kwiintlobo ezithile zokukhanya ukukhuthaza ukuphilisa. Ingathatha iiseshoni ezininzi ukuqala ukusebenza.

Xoxa ngokufakelwa kwesibindi kunye nogqirha wakho

Xa unyango lungasebenzi kwaye umgangatho wobomi uchaphazeleka kakhulu, ugqirha wakho unokufuna ukuxoxa malunga nokufakelwa kwesibindi. Oku kunokuba lukhetho nokuba isibindi sakho sisasebenza.

Ngaba ukurhawuzelela kubonisa nantoni na malunga nokuqhubela phambili kwesifo sesibindi okanye isifo sephepha?

Ukungaphumeleli kwesibindi ngamanye amaxesha kuhamba kunye nokubamba. Kodwa unokuhlakulela ingxaki yokubamba ngokukhawuleza, ngaphambi kokuba wazi ukuba unesifo sesibindi.

Ngapha koko, i-pruritis inokukhula nangaliphi na ixesha kwisifo sesibindi. Esi sibonakaliso sisodwa asithethi nto malunga nobukrakra besifo sesibindi, ukuqhubela phambili, okanye isifo.

Oko akuthethi ukuba ayongxaki enkulu. Xa ukurhawuzelela kuyaqhubeka, kunokuba negalelo koku:

• ukuphuthelwa
• ukudinwa
• ixhala
• ukudakumba
• umgangatho wobomi ongalunganga

Iimpawu ukurhawuzelela kunye nezifo sesibindi

Ukurhawuzelela okunxulunyaniswa nesifo sesibindi kuhlala kubi ngokuhlwa kunye nasebusuku. Abanye abantu banokurhawuzela kwindawo enye, njengelungu, iinyawo, okanye iintende zezandla, ngelixa abanye benamava okurhawuzelela.

Ukurhawuzelela okunxulunyaniswe nesifo sesibindi akubandakanyi ukubola okanye ulusu. Nangona kunjalo, unokuhlakulela ukucaphuka okubonakalayo, ubomvu, kunye nosulelo ngenxa yokukrwela kakhulu.

Ingxaki inokuba mandundu yile:

• ukubonakaliswa bubushushu
• uxinzelelo
• ukuba sexesheni
• ukukhulelwa
• Unyango lwehormone

Zeziphi ezinye izinto ezinokubangela ukurhawuzelela ulusu?

Ngenxa yokuba zininzi izinto ezibangela ukurhawuzelela ulusu, kunokwenzeka ukuba ukurhawuzelela akuhambelani nesifo sakho sesibindi.

Ityala elibi lolusu olomileyo (i-xerosis cutis) ngokuqinisekileyo linokukhokelela kurhawuzelo olunengxaki. Ukubamba ngaphandle kokukhawuleza kunokuba yimpembelelo yecandelo elithile lamayeza, kuquka i-opioids, i-statins, kunye noxinzelelo lwegazi.

Iimeko zolusu ezifana ne-eczema kunye ne-psoriasis zibangela ukurhawuzelela zikhatshwa lulusu oludumbileyo, olubomvu, okanye olunamaxolo.

Ukurhawuzelela ulusu kunokubangelwa kukungazenzi izinto ezifana nezi:

• ityefu ye-Ivy
• izinto zokuthambisa
• iisepha
• iimveliso zokucoca ekhaya
• imichiza
• amalaphu afana noboya okanye i-mohair

Ukongeza kokurhawuzelela, ukusabela okungafunekiyo kunokubandakanya ubomvu, ulusu, okanye umngxunya.

Ezinye izifo kunye nokuphazamiseka okungakhokelela kulusu olurhawuzayo kubandakanya:

• ixhala
• ukudakumba
• isifo seswekile
• i-anemia yentsimbi
• ukusilela kwezintso
• Ileukemia
• lymphoma
• myeloma ezininzi
• isifo sokuqinelwa yimithambo (multiple sclerosis) (MS)
• Ukuphazamiseka okungafunekiyo (OCD)
• uxinano lwemithambo
• izibilini (herpes zoster)
• iingxaki zedlala lengqula

Ukurhawuzelela kukwayanyaniswa:

• intsholongwane, intsholongwane, ukungunda, okanye usuleleko lolusu
• ukulunywa sisinambuzane
• ukukhulelwa

Akusoloko kunokwenzeka ukufumanisa unobangela wokurhawuzelela.

Nini ukubona ugqirha

Ukuba unesifo sesibindi, jonga ugqirha wakho nanini na uneempawu ezintsha okanye eziba mandundu. Oko kubandakanya ukurhawuzelela.

Ngelixa isenokungathethi nantoni na ukuya kufikelela ekuqhubekeni kwesifo okanye ukuxela kwangaphambili, ngekhe uyazi ukuba ngokuqinisekileyo ngaphandle koviwo olucokisekileyo.

Kubaluleke ngakumbi ukuxelela ugqirha wakho ukuba unengxaki yokulala kwaye ukuba ukurhawuzelela kuchaphazela umgangatho wobomi bakho.

Ukuthatha

Ukurhawuzelela okunxulunyaniswa nesifo sesibindi kunokuba ngenxa yeemeko ezahlukeneyo. Ukurhawuzelela kakhulu kunokukhokelela kwimicimbi emininzi, ke kubalulekile ukuba ubone ugqirha wakho ukuze afumane isifo kunye nonyango.