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'''Ahokeka'''(ɛsane de "'''pruritus"''') ɛyɛ atenka a ɛma wo ho yɛ hene na ɛsan ma wo titi wo ho .<ref name="andersen">{{cite journal|vauthors=Andersen HH, Elberling J, Arendt-Nielsen L|title=Human surrogate models of histaminergic and non-histaminergic itch|journal=Acta Dermato-Venereologica|volume=95|issue=7|pages=771–777|date=September 2015|pmid=26015312|doi=10.2340/00015555-2146|doi-access=free}}</ref> Mpen pii no ahoɔhene pɛ sɛ ɛbɛka atenka a nipadua no wɔ no mu baako nanso anyɛ yie. Ahoɔhene wɔ nsosoesoɔ bebree a ɛne honamyaw sɛ, ɛnam sɛ ne nyinaa ɛnyɛ atenka a ɛma anigyeɛ nti, wɔn nneyɛe sesa wɔ akwan bebree so. Honamyaw ma w'ani ba wo ho so ntɛm ɛna ahoɔhene nso ma wo titi wo ho ma no watiri.<ref name="ikoma">{{cite journal|vauthors=Ikoma A, Steinhoff M, Ständer S, Yosipovitch G, Schmelz M|display-authors=3|title=The neurobiology of itch|journal=Nature Reviews. Neuroscience|volume=7|issue=7|pages=535–547|date=July 2006|pmid=16791143|doi=10.1038/nrn1950|s2cid=9373105}}</ref>
Ntini a ɛwɔ ɛnam nipadua no mu kɔ adwenemu nso yɛ hene na yaw wei nyinaa ba honam ani; bio, adwuma a wɔn nyinaa di ne sɛ wɔn boaboa wɔn ho wɔ nipadua no beaeɛ baabi na wɔn nyinaa fa ntini ne "spinothalamic tract"<ref>{{cite journal|vauthors=Greaves MW, Khalifa N|title=Itch: more than skin deep|url=https://archive.org/details/international-archives-of-allergy-and-immunology_2004-10_135_2/page/166|journal=International Archives of Allergy and Immunology|volume=135|issue=2|pages=166–172|date=October 2004|pmid=15375326|doi=10.1159/000080898|s2cid=13376216}}</ref>
== Nkyekyɛmu ==
Mpen pii no, nipadua baabi faako na wonnya saa atenka no.Sɛ ɛtɔ honam no ho nyinaa a, ɛna yɛfrɛ no ahotitiɛ anaa sɛ ahoɔhene .<ref name=":0">{{cite journal|vauthors=Molkara S, Sabourirad S, Molooghi K|title=Infectious differential diagnosis of chronic generalized pruritus without primary cutaneous lesions: a review of the literature|journal=International Journal of Dermatology|volume=59|pages=30–36|date=July 2019|pmid=31364165|doi=10.1111/ijd.14587|s2cid=198998956}}</ref>
Sɛ atenka a ɛwɔ ahoɔne mu toa so bɛyɛ nnawɔtwe nsia anaa deɛ ɛboro saa a ɛna yɛfrɛ no yadeɛ koankorɔ.<ref name=":0"/><ref>{{cite journal|vauthors=Harrison IP, Spada F|title=Breaking the Itch-Scratch Cycle: Topical Options for the Management of Chronic Cutaneous Itch in Atopic Dermatitis|journal=Medicines|volume=6|issue=3|page=76|date=July 2019|pmid=31323753|pmc=6789602|doi=10.3390/medicines6030076|doi-access=free}}</ref> [[Yareɛ mu nhwehw3 mu|Yadeɛ]] koankorɔ yɛ kwan a ahoɔhene tena nipadua mu boro nnawɔtwe nsia, adekorɔ a ɛdeba pɔtee no deɛ nhyenda nna adi pɔtee.<ref>{{cite journal|vauthors=Erickson S, Nahmias Z, Rosman IS, Kim BS|title=Immunomodulating Agents as Antipruritics|journal=Dermatologic Clinics|volume=36|issue=3|pages=325–334|date=July 2018|pmid=29929604|doi=10.1016/j.det.2018.02.014|s2cid=49336771}}</ref><ref>{{Cite book|vauthors=Hinkle JL, Cheever KH|url=https://books.google.com/books?id=yS7vDwAAQBAJ&pg=PA1269|title=Brunner and Suddarth's Textbook of Medical-Surgical Nursing|date=2018-08-30|publisher=Wolters kluwer india Pvt Ltd|isbn=978-93-87963-72-6|pages=1269|language=en}}</ref>
== Deɛ ɛde ba ==
[[File:Scabies-burrow.jpg|link=https://en.wikipedia.org/wiki/File:Scabies-burrow.jpg|thumb|[[Scabies]] is one cause of itching.]]
[[File:CercariaDermatitis.JPG|link=https://en.wikipedia.org/wiki/File:CercariaDermatitis.JPG|thumb|[[Swimmer's itch]]]]
[[File:Tinea_pedis_interdigitalis.jpg|link=https://en.wikipedia.org/wiki/File:Tinea_pedis_interdigitalis.jpg|thumb|[[Athlete's foot]] (showing the toes from below plus the front part of the sole)]]
=== Nsaeɛ ===
* Honam dwidwie ba wɔ beaeɛ a ahodidie wɔ fam.
* [[Cutaneous larva migrans]], ɛyɛ honam ani yarewa .
* [[Head lice|"Head lice]]", ɛtumi ba wo kon ne wotiri ho nnam no nko ara.
* [[Herpes]], ɛyɛ yareɛ a ɛkɔ akyiri.
* Mmoa keka, ɛbi tesɛ deɛ ɛfiri ntontom anaa sakasaka.
* [[Pubic lice]], sɛ aba wɔ ɔbaa baa ho anaa ɔbarima barima ho.
* [[Scabies]], mpen pii no, sɛ ɛkɔba sɛ nnipa pii ɛben na wɔn nyinaa anya ahoɔhene no bi.
* Nwii ayie, a ɛtumi de honam ani nsaansaa ba.
* [[Swimmer's itch]], a short-term immune reaction
* [[Chickenpox|Varicella]] – i.e. chickenpox, prevalent among young children and highly contagious
* [[Tungiasis]], ectoparasite of skin
=== Atenaeɛ ne Ho yadeɛ ===
* [[Allergic reaction]] sɛ wo ne nnuro bɔne bi adi ahyea sɛ ebia, [[urushiol]], yɛnya firi awuduro mu ɛna [[Balsam of Peru]], yɛnnya no nnuane ahodoɔ mu.<ref>{{cite journal|vauthors=Pfützner W, Thomas P, Niedermeier A, Pfeiffer C, Sander C, Przybilla B|display-authors=3|title=Systemic contact dermatitis elicited by oral intake of Balsam of Peru|journal=Acta Dermato-Venereologica|volume=83|issue=4|pages=294–295|date=2003-02-20|pmid=12926805|doi=10.1080/00015550310016599|doi-access=free}}</ref><ref>{{cite journal|vauthors=Usatine RP, Riojas M|title=Diagnosis and management of contact dermatitis|journal=American Family Physician|volume=82|issue=3|pages=249–255|date=August 2010|pmid=20672788|url=http://www.aafp.org/afp/2010/0801/p249.html|access-date=2014-04-09|publisher=Aafp.org}}</ref> Nnyarewa bi wɔ hɔ a nhwehwɛ mu na yɛde hunu .<ref>{{cite book|url=https://books.google.com/books?id=QhWgKgiT6FoC&pg=PA329|title=Metalworking Fluids|edition=Second|publisher=CRC Press|isbn=142001773X|date=2006|author=Byers, Jerry P.}}</ref><ref>{{cite book|url=https://books.google.com/books?id=Me5rAAAAMAAJ&q=pruritus+%22patch+test%22|title=Introduction to clinical allergy|vauthors=Feingold BF|veditors=Byers JP|publisher=the University of Michigan|date=1973|isbn=0398027978}}</ref>
* [[Foreign Body|Foreign objects]] on the skin are the most common cause of non-pathological itching.
* [[Photodermatitis]] – [[sunlight]] reacts with chemicals in the skin, leading to the formation of irritant metabolites.
* [[Urticaria]] (also called [[hives]]) usually causes itching.
=== Honam ani nnyarewa ===
* [[Dandruff]]; an unusually large amount of flaking is associated with this sensation.
* [[Punctate palmoplantar keratoderma]], a group of disorders characterized by abnormal thickening of the palms and soles.
* [[Skin condition]]s (such as [[psoriasis]], [[eczema]], [[seborrhoeic dermatitis]], [[sunburn]], [[athlete's foot]], and [[hidradenitis suppurativa]]). Most are of an inflammatory nature.
* [[Wound healing|Scab]] healing, [[scar]] growth, and the development or emergence of [[Melanocytic nevus|moles]], [[pimple]]s, and [[ingrown hair]]s from below the epidermis.
* [[Xerosis]]: dry skin, frequently seen in the winter and also associated with older age, frequent bathing in hot showers or baths, and high-temperature and low-humidity environments.
=== Nnyarewa ahodoɔ ni ===
* [[Diabetes mellitus]], a group of metabolic diseases in which a person has high blood sugar
* [[Hyperparathyroidism]], overactivity of the parathyroid glands resulting in excess production of parathyroid hormone (PTH)<ref>LaBagnara, James. [http://www.emedicine.com/ent/TOPIC299.HTM eMedicine –Hyperparathyroidism]. emedicine.com</ref>
* [[Iron deficiency anemia]], a common anemia (low red blood cell or hemoglobin levels)
* [[Cholestasis]], where bile acids leaking into the serum activate peripheral opioid receptors, resulting in the characteristic generalized, severe itching
* [[Jaundice]], where excess bilirubin (hyperbilirubinemia) irritates nerves in the skin{{Citation needed|date=September 2021}}
* [[Malignancy]] or internal cancer, such as [[lymphoma]] or [[Hodgkin's disease]]<ref name="ReferenceA">{{cite journal|vauthors=Botero F|title=Pruritus as a manifestation of systemic disorders|url=https://archive.org/details/sim_cutis_1978-06_21_6/page/873|journal=Cutis|volume=21|issue=6|pages=873–880|date=June 1978|pmid=657843}}</ref>
* [[Polycythemia]], which can cause generalized itching due to increased histamines
* [[Psychiatric]] disease ("[[Psychogenic disease|psychogenic]] itch", as may be seen in [[delusional parasitosis]])
* [[Thyroid]] illness
* [[Uraemia]] – the itching sensation this causes is known as [[uremic pruritus]]
=== Medication ===
* Drugs (such as [[opioids]]) that activate histamine (H1) receptors or trigger histamine release
* [[Chloroquine]], a drug used in the treatment and prevention of [[malaria]]
* [[Bile acid]] congeners such as obeticholic acid
=== Related to pregnancy ===
* [[Gestational pemphigoid]], a dermatosis of pregnancy
* [[Intrahepatic cholestasis of pregnancy]], a medical condition in which cholestasis occurs
* [[Pruritic urticarial papules and plaques of pregnancy]] (PUPPP), a chronic hives-like rash
=== Other ===
* [[Menopause]], or changes in hormonal balances associated with aging
* [[Terminal illness]]<ref name=":1">{{cite journal|vauthors=Siemens W, Xander C, Meerpohl JJ, Buroh S, Antes G, Schwarzer G, Becker G|display-authors=3|title=Pharmacological interventions for pruritus in adult palliative care patients|journal=The Cochrane Database of Systematic Reviews|volume=11|issue=11|pages=CD008320|date=November 2016|pmid=27849111|pmc=6734122|doi=10.1002/14651858.CD008320.pub3}}</ref>
== Kwan a yɛfa so ma no kɔ ==
{{Main|Antipruritic}}
[[Amansan Kubatan|Aman]] ahodoɔ pii de nnuro ahodoɔ de aba sɛ ahokeka aduro. [[Nnua]] bi nso a yɛhunu nso tumi sa saa [[Yareɛ mu nhwehw3 mu|yadeɛ]] no nnua no bi nte saa. Kwan a yɛfa so ne sɛ , yɛreka aduro no hye ne ade.
Nnuro no bi ye sɛ krem ne supree wɔ mmeaɛ a wɔtɔn nnuro. Nnuro a yɛtumi de nsɛm na ɛyɛ nso wɔ hɔ. Nnoɔma a edi mu akotene paa no wɔ saaa ekuo a edidi soɔ yi mu:
* [[Antihistamine]]s, such as [[diphenhydramine]] (Benadryl)<ref name=":2">{{cite journal|vauthors=Andrade A, Kuah CY, Martin-Lopez JE, Chua S, Shpadaruk V, Sanclemente G, Franco JV|display-authors=3|title=Interventions for chronic pruritus of unknown origin|journal=The Cochrane Database of Systematic Reviews|volume=1|pages=CD013128|date=January 2020|pmid=31981369|pmc=6984650|doi=10.1002/14651858.CD013128.pub2|collaboration=Cochrane Skin Group}}</ref>
* [[Corticosteroid]]s, such as [[hydrocortisone]] topical cream; ''see'' [[topical steroid]]
* [[Counterirritant]]s, such as [[Mentha|mint oil]], [[menthol]], or [[camphor]]<ref>{{cite journal|vauthors=Hercogova J|title=Topical anti-itch therapy|journal=Dermatologic Therapy|volume=18|issue=4|pages=341–343|year=2005|pmid=16297007|doi=10.1111/j.1529-8019.2005.00033.x|s2cid=31573591}}</ref>
* [[Crotamiton]] (trade name Eurax) is an antipruritic agent available as a cream or lotion, often used to treat [[scabies]]. Its mechanism of action remains unknown.
* [[Local anesthetic]]s, such as [[benzocaine]] topical cream (Lanacane)
[[Phototherapy]] is helpful for severe itching, especially if caused by [[kidney failure]]. The common type of light used is [[UVB]].<ref name="ReferenceA"/>
== Beaeɛ a menyaa mmoa firiiɛ ==
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