Yini eyenza kusebenze
Amaseli Ensika
Kungani Kubangela Isitaki
Umbono owodwa owusizo kakhulu wokuphatha i-MCAS ukuthi ukwenza kusebenze kuyanqwabelana. Amaseli amakhulu aphendula kumthwalo ophelele, hhayi entweni eyodwa ohlwini.
Iziguli zivame ukuchaza ukusabela kwazo njengokungalindelekile. Ukuhlola eduze ngokuvamile kubonisa okuthile okuhleleke kakhudlwana: ukuchayeka okubekezelelekayo okumbalwa okufika kusondelene ngokwanele ukuze kweqe umbundu okungekho obekungaweqa yedwa. Igumbi elishisayo liyalawuleka. Ingilazi yewayini elibomvu iyalawuleka. Iviki elicindezelayo liyalawuleka. Bobathathu ngobusuku obubodwa abekho.
Yingakho izindlela zokuqeda ezingela ukudla okunecala ngokuvamile zihluleka. Ukukhipha into eyodwa kwehlisa umthwalo ophelele kancane, izimpawu ziba ngcono kancane, futhi isiguli siphetha - ngokunengqondo kodwa ngokungalungile - ukuthi bayitholile impendulo. Ukuqubuka okulandelayo bese kufika ngaphandle kwesizathu esisobala, ngoba imbangela bekuyingqikithi eqoqiwe kunanoma iyiphi ingxenye eyodwa.
Ezinye izici ezimbili zenza ama-trigger kube nzima ukuwacindezela. Ukusabela kungaba ibambezelekile, okuvela amahora ngemva kokuchayeka kunokuba ngokushesha, okunqamula isixhumanisi esinembile phakathi kwembangela nomthelela. Futhi isethi ye-trigger yomuntu ngamunye shintsha ngokuhamba kwesikhathi, ukwanda phakathi nezikhathi zokulawula okubi futhi kuvame ukuncipha futhi uma ukwelashwa kwehlisa ukusebenza kabusha kwesisekelo.
Okushiwo okungokoqobo ukuthi ukuhlonza i-trigger kumayelana namaphethini kunesigameko esisodwa. Okwembula i-trigger irekhodi eligcinwe emavikini amaningi, hhayi isiphetho esithathwe ngenye intambama embi.
Okomzimba & Ezemvelo
Izibangeli ezibonakalayo ziyisigaba esivame ukugejwa, ngoba azibandakanyi lutho olungena emzimbeni nhlobo. Amaseli e-Mast aphendula ngokuqondile ku-mechanical and thermal stimuli - yingakho ukuhlolwa okujwayelekile kokungezwani komzimba, okwakhelwe ukukhomba amaprotheni, kungatholi lutho.
Izinga lokushisa iphakathi kokubikwa njalo. Ukushisa, ukubanda, kanye noshintsho olusheshayo phakathi kwakho konke kungavusa ukuqalisa. Amashawa ashisayo, ama-sauna, ukushintsha kwesimo sezulu kungazelelwe, nokuhamba phakathi kwesipholile nomoya wasehlobo kuyizindaba ezivamile.
Ingcindezi nokungqubuzana esikhumbeni singaveza ukusabela okubonakalayo. I-Dermographism - lapho ukuphulula okuqinile kwesikhumba kuphakamisa i-welt eduze komugqa wokuxhumana - kuwuphawu olubonakalayo, futhi izingubo ezimpintshayo, amabhande asesinqeni, namabhande ehlombe kunganele.
Ukuzikhandla kuyimbangela yangempela yeziguli eziningi, futhi enezindleko zekhwalithi yangempela yokuphila, njengoba ukuvivinya umzimba kuzuzisa ngenye indlela. Ukushuba nezinga lokukhuphuka ngokuvamile kubaluleke ngaphezu kobude besikhathi, yingakho izindlela ezihamba kancane, eziphansi ngokuvamile zibekezelelwa kangcono.
Izikhuthazo Ezidingayo
Ayikho Into
Ukudla & I-Histamine
Izimbangi zokudla ku-MCAS ngokuvamile zimayelana nokuqukethwe kwe-histamine kanye nokucasuka kwe-mast cell esikhundleni sokungezwani nokudla okuvamile - umehluko onemiphumela yangempela yokuthi ukudla kulawulwa kanjani.
I-histamine inqwabelana ekudleni njengoba iguga, ibila, noma igcinwa. Ukudla osekukhulile, okulashiwe, okubilisiwe, noma okushiywe esiqandisini izinsuku ezimbalwa kuvame ukuthwala okuningi kwakho. Yingakho ubusha buvame ukubaluleka ngaphezu kwesithako esithile: inhlanzi efanayo ingabekezelelwa kahle ngosuku ethengwa ngalo futhi ibekezelelwe kabi ezinsukwini ezintathu kamuva.
Iqembu lesibili, ngezinye izikhathi elibizwa ngokuthi i-histamine liberators, ukudla okubonakala kukhuthaza ama-mast cells ukuthi akhiphe awawo i-histamine kunokuzilethela okuningi ngokwawo. Ingxenye yesithathu inikela ngotshwala nezithasiselo ezithile, ezingafaka kokubili umthwalo futhi ziphazamise ama-enzyme asula i-histamine.
Isexwayiso esibalulekile ukuthi ukudla okune-histamine ephansi kunemingcele, futhi ubufakazi obushicilelwe obusekelayo bunomkhawulo futhi busezingeni eliphansi. Ukuvinjelwa okunwetshiwe okungagadiwe kunobungozi bangempela bokuntuleka komsoco kanye nokudla okungenamsoco, futhi ingozi iphezulu entsheni. Odokotela abaningi batusa ukuhlolwa okunesikhathi esinqunyelwe, okuhlelekile nokwethulwa kabusha okuhlelekile - kanye nokubandakanyeka kochwepheshe bezokudla lapho kutholakala khona - kunokugwema ukugwema okuvulekile.
Ukucindezeleka, AmaHormone
& Ukugula
Akuwona wonke ama-trigger avela ngaphandle. Okunye okunamandla kakhulu kuvela esimweni sangaphakathi somzimba - okuyingxenye yokuthi kungani i-MCAS ingavutha ngesikhathi lapho kungashintshile lutho lwangaphandle.
Ukucindezeleka isiqalo sokuphila, hhayi isifenqo. Amaseli e-Mast athwala ama-receptors e-hormone ekhulula i-corticotropin futhi ahlale eduze neziphetho zemizwa, enikeza isimiso sezinzwa umzila oqondile wokuthonya ukusebenza kwawo. Le nqubo idinga ukugcizelelwa, ngoba iziguli ezinezimpawu zazo eziba zimbi kakhulu ngaphansi kwengcindezi zivame ukutshelwa ukuthi lesi simo singokwengqondo. Ukucatshangelwa akulungile: indlela ye-neuroimmune ebonakalayo ayifani nophawu olucatshangwayo.
Ukuguquguquka kweHormonal ngokuvamile kubikwa, ikakhulukazi mayelana nokuya esikhathini, futhi ezinye iziguli zichaza izinguquko phakathi nokukhulelwa noma ukuya esikhathini. I-Estrogen ithonya ukuziphatha kwe-mast cell, okungenye yencazelo ehlongozwayo yokuthi kungani i-MCAS ixilongwa kaningi kwabesifazane.
Ukutheleleka kuphakamisa ngokuthembekile ukusebenza kabusha kwesisekelo. Iziguli eziningi zithola ukuthi ukugula okubangelwa amagciwane okujwayelekile kunweba isiqalo sazo emasontweni ambalwa kamuva, nokuthi izinto ezazibekezelelwa ngaphambilini zivusa inkanuko phakathi nokululama.
Imithi & Izinqubo
Eminye imithi ingavusa ukusebenza kwe-mast cell ngqo. Lena ngenye yezindawo ezimbalwa lapho ukuwenza ngendlela engafanele kuba nengozi enkulu, futhi kufanele isingathwe nodokotela bakho.
Amakilasi athile emithi abonwa ezincwadini zamaseli amakhulu njengezicupha ezingase zibe khona. Ama-opioid, amanye ama-non-steroidal anti-inflammatory drugs, i-radiocontrast media, iziphumlisi zemisipha ezisetshenziswa ekubulaleni izinzwa, kanye ne-vancomycin kuvela ngokungaguquki. Akuzona zonke iziguli ezisabela kunoma iyiphi yalezi, futhi eziningi zithatha ngaphandle kobunzima.
Izithako ezingasebenzi nazo zinendaba. Odayi, izilondolozi, nezigcwalisi ekwenziweni kungaba ingxenye ecasulayo esikhundleni somuthi osebenzayo, yingakho isiguli singase sisabele enguqulweni yomuthi womkhiqizi oyedwa futhi sibekezelele omunye.
Ukuhlinzwa kanye nezinzwa kufanele kuhlelwe kusengaphambili. Iziguli ezinokuxilongwa kwe-mast cell ngokuvamile ziyelulekwa ukuthi zazise ithimba labahlinzayo nelokubulala izinzwa kusenesikhathi ngaphambi kosuku, ukuze kukhethwe ama-agent kucatshangelwa isimo kanye nokucatshangelwa kokwelashwa kusengaphambili. Lena ingxoxo okufanele iqale kusenesikhathi, hhayi ekungeneni.
Ukuthola Eyakho Izicupha
Ngenxa yokuthi amasethi e-trigger awawodwana, okuwukuphela kwendlela enokwethenjelwa ukugcinwa kwerekhodi lomuntu siqu okuhlelekile. Idayari yokuqalisa ayilungile futhi iyasebenza.
Qopha okungaphezu kokudla. Qaphela isikhathi sosuku, izinga lokushisa le-ambient, lokho okudlile nokuthi bekukusha kangakanani, ukuvivinya umzimba, ingcindezi nokulala, ukuchayeka kwephunga, imithi ephuziwe, kanye - neziguli ezisesikhathini - ukuma komjikelezo. Bese ubhala izimpawu ngesikhathi kanye nobukhulu bazo. Inkinga yokusabela okubambezelekile isho ukuchayeka okubalulekile kungase kuhlale amahora ambalwa ngaphambi kophawu.
Amasonto amabili cishe abuncane ngaphambi kokuba amaphethini afundeke, futhi amade angcono. Bheka impinda kuzo zonke izigameko kunezincazelo zemicimbi eyodwa. Inhloso inkolelo-mbono ongayihlola, hhayi isinqumo.
Letha idayari kuma-aphoyintimenti. Kungenye yezinto eziwusizo kakhulu isiguli esinganikeza udokotela: ukhonkolo, ubude besikhathi, futhi okuqondile kuwe ngendlela okungekho uhlu olushicilelwe olungaba khona. Kuyasiza futhi ukuhlukanisa i-trigger yangempela kusukela ekuziboneleni, okunzima ukuyenza ngenkumbulo yodwa.