Ahokeka

**Ahokeka**(ɛsane de "**pruritus"**) ɛyɛ atenka a ɛma wo ho yɛ hene na ɛsan ma wo titi wo ho . 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.

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"

## 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 .

Sɛ atenka a ɛwɔ ahoɔne mu toa so bɛyɛ nnawɔtwe nsia anaa deɛ ɛboro saa a ɛna yɛfrɛ no yadeɛ koankorɔ. Yadeɛ koankorɔ yɛ kwan a ahoɔhene tena nipadua mu  boro nnawɔtwe nsia, adekorɔ a ɛdeba pɔtee no deɛ nhyenda nna adi pɔtee.

## Deɛ ɛde ba

### Nsaeɛ

* Honam dwidwie ba wɔ beaeɛ a ahodidie wɔ fam.
* Cutaneous larva migrans, ɛyɛ honam ani yarewa .
* "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
* Varicella&nbsp;– 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. Nnyarewa bi wɔ hɔ a nhwehwɛ mu na yɛde hunu .
* Foreign objects on the skin are the most common cause of non-pathological itching.
* Photodermatitis&nbsp;– 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 conditions (such as psoriasis, eczema, seborrhoeic dermatitis, sunburn, athlete's foot, and hidradenitis suppurativa). Most are of an inflammatory nature.
* Scab healing, scar growth, and the development or emergence of moles, pimples, and ingrown hairs 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)
* 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
* Malignancy or internal cancer, such as lymphoma or Hodgkin's disease
* Polycythemia, which can cause generalized itching due to increased histamines
* Psychiatric disease ("psychogenic itch", as may be seen in delusional parasitosis)
* Thyroid illness
* Uraemia&nbsp;– 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

## Kwan a yɛfa so ma no kɔ

Aman ahodoɔ pii de nnuro ahodoɔ de aba sɛ ahokeka aduro. Nnua bi nso a yɛhunu nso tumi sa saa 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:

* Antihistamines, such as diphenhydramine (Benadryl)
* Corticosteroids, such as hydrocortisone topical cream; *see* topical steroid
* Counterirritants, such as mint oil, menthol, or camphor
* 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 anesthetics, 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.

## Beaeɛ a menyaa mmoa firiiɛ