Ye tuanyë cuäŋduɔ̈ɔ̈n de cuäŋduɔ̈ɔ̈n de cuäŋ yök këdë?
Urticaria, aye cɔl 'hives', ee tuany ë guɔ̈p ye kɔ̈ɔ̈c në kɔ̈u, ku ye kɔ̈ɔ̈c në kɔ̈u ku ye kɔ̈ɔ̈c në kɔ̈u.
Alëu bï rot looi në kä juëc wääc yiic, nɔŋiic tuanytuɛny, tuanytuɛɛny, ku wal kɔ̈k.
Kuɛ̈n tuany de urticaria ee rot mat thïn ëbën agut cï akïm, athëm de guɔ̈p, ku jɔl ya thëm de laboratory.
1. Akököl tuany: Akïm abï thiëc në akököl tuany de raan tuany, nɔŋiic tuanytuɛnytuɛɛny ŋic, tuanytuɛɛny cï döŋ, ku wal cï ke dɔm.
Keek abï thiëc aya në biäk de kä ye tuaany nyuɔɔth, kaam ye kek rëër thïn, ku kä lëu bïk ye cɔl aŋuɛ̈ɛ̈n.
2. Athëm de guɔ̈p: Akïm abï guɔ̈p ya them ago kä tɔ̈ në guɔ̈p ya tïŋ, ku bï them në ciin den, ku jɔl ya tɛ̈n yenë kek tɔ̈ thïn.
Keek alëu bïk tïŋ lɔn leŋ yen kä kɔ̈k ye nyuɔɔth lɔn leŋ yen tuany, cït mɛn bï nyin, thok, ku thok ya tuɛny.
3. Thëm ë laboratory: Në thɛɛr kɔ̈k yiic, ke akïm alëu bï thëm ë riɛm ya looi ago kä ye raan liääp ke guɔ̈p ya tïŋ.
Athëm de guɔ̈p, cït mɛn thëm de guɔ̈p de cuäŋ ka athëm de patch, alëu bï ya looi ago kä ye raan cɔl 'allergens' ya ŋic.
4. Thëm ë tuany de cuäŋ: Na ye akïm tak ke raan tuany de cuäŋ acï tuany de cuäŋ dɔm, ka lëu bï raan tuany ya tuɔɔc tënë akïm de cuäŋ bï yen ya them apɛi.
Kän alëu bï ya naŋ thëm de cuäŋ, thëm de cuäŋ, ka thëm de riɛm bï kä ye raan cɔl alergen ya ŋic.
5. Kë ye yök: Akïm abï kä kɔ̈k lëu bïk kä ye nyuɔɔth cɔk loi röt ya tïŋ, cït mɛn tuany de guɔ̈p dɛ̈t wala tuanytuɛɛny kɔ̈k tɔ̈u thïn, ku alëu bï kä kɔ̈k peei ya them ago käkë ya nyaai.
Thëm de kë ye cɔl 'provocation tests': Në thɛɛr cenë tuany de physical urticaria bɛ̈n ya cak, man ye tuany kënë bɛ̈n ya cɔk loi rot në kë de kë ye cɔl 'physical stimuli' cïmën de atuɔ̈c, të lir yen thïn, ka të nɔŋ raan ye yen kum, ke akïm alëu bï athëm de kë ye cɔl 'provocation test' ya looi ago kë cï yök ya deetic.
Kän ee yic naŋ kë ye guɔ̈p cɔk tɔ̈u në kë ye tak ke yen kë ye kɔc cɔk tɔ̈u në guɔ̈p yic ku bï tïŋ naa bï kë looi rot.
7. Thëm de tuanytuɛɛny ke guöp: Na ye tuanytuɛɛny ke guöp cïï kɔ̈ɔ̈c, ke akïm alëu bï athëm ya looi ago tuanytuɛɛny ke guöp ya tïŋ, në kë ye kek kɔc cɔl agum.
8. Thëm de kä ye tïŋ: Në thɛɛr kɔ̈k yiic, ke thëm de kä ye tïŋ cït mɛn de X-ray ka CT scan alëu bï ya looi ago kä kɔ̈k peei lëu bïk tuaany ya cɔk loi röt ya cɔk ŋic kek.
Në kërilic, ke tuany de urticaria ee rot mat thïn ëbën agut cï tuany de akïïm, thëm de guɔ̈p, ku jɔl ya thëm de laboratory.
Kë wïc ee bï kë tɔ̈u yen thïn nyic ku bï kuɛɛr puɔth ke pial de raan tuany ya kuanycök.
Torabi B, Ben-Shoshan M: The association of cholinergic and cold-induced urticaria: diagnosis and management. BMJ Case Rep. 2015, 2015 (): .
Schoepke N, Doumoulakis G, Maurer M: Diagnosis of urticaria. Indian J Dermatol. 2013, 58 (3): 211-8.
Hochstadter EF, Ben-Shoshan M: Cold-induced urticaria: challenges in diagnosis and management. BMJ Case Rep. 2013, 2013 (): .
Ensina LF, Brandão LS, Neto HC, Ben-Shoshan M: Urticaria and angioedema in children and adolescents: diagnostic challenge. Allergol Immunopathol (Madr). 2022, 50 (S Pt 1): 17-29.
Silvestre Salvador JF, Giménez-Arnau AM, Gómez de la Fuente E, González Del Castillo J, Martínez Virto AM, Miguens Blanco I, Serra-Baldrich E, Llorens P: Managing urticaria in the emergency department: recommendations of a multidisciplinary expert panel. Emergencias. 2021, 33 (4): 299-308.
Visitsuntorn N, Tuchinda M, Arunyanark N, Kerdsomnuk S: Ice cube test in children with cold urticaria. Asian Pac J Allergy Immunol. 1992, 10 (2): 111-5.
['Wɛ̈t cï lueel: wal']
['Wɛbthait kën ee piööc ku wël tɔ̈u thïn ku acie kë ye looi bï kɔc ke akïm ya lɛ̈k wala bï kɔc ke luɔi ya kony.']
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['Tiɛ̈ŋë kä ye kuɔɔny de neural net looi, man ye kä ye bɛ̈n në kä cï kek ya thiëëc yiic, aye kek cɔk tɔ̈ ëke cïï kek ye deet yiic në thɛɛr juëc yiic. Cïmën de, ciin de kɔc cï kek yök ëke tuany.']
['Thïëc wɛ̈t akïmdu ka raan dɛ̈t wënë cï piöc ë pialgup wënë cï yök në biäk de tuaany. Duk wɛ̈t akïm ye kuɛ̈ɛ̈c nhom cɔk alɔn cï yen ya kë cï kueen në wɛbthait kënnë yic. Na ye tak ke yïn nɔŋ kë wïc bë yï kony në tuany, cɔl 911 ka lɔɔr në ɣön akïm tɔ̈u të thiääk ke yï në kaam thiin koor yic. Acïn akïm-tuany ye thiääk në yen në wɛbthait kënnë yic ka luɔ̈i de. BioMedLib ka kɔc cï luöi, ka raan ëbɛ̈n ye luui në yen në wɛbthait kënnë yic, acïn kë ye lueel, ye lueel ka ye lueel, në kë de wël cï kek gɔ̈ɔ̈r në ye athöör kënnë yic ka luɔ̈i de.']
['Wɛ̈t cï lueel: copyright']
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['Na ye gam në yith ke këriɛ̈ɛ̈c ka kä cï gɔ̈ɔ̈r tɔ̈ në wɛbthaitda ka kuɔɔnyda yic acï löŋ de gël de kä cï gɔ̈ɔ̈r dhoŋ kɔ̈u, ke yïn (ka raan ye yïn luɔ̈ɔ̈i) alëu ba ɣok tuɔ̈c wɛ̈t bï këriɛ̈ɛ̈c ka kä cï gɔ̈ɔ̈r nyaai, ka bï yïn pëën ba lɔ thïn. ']
["Wël aa bë ke tuɔɔc në athöör yic në email (tïŋ 'Rin de athöör' në biäk de email)."]
['DMCA ee wïc lɔnadɛ̈ ke kë ca lueel de kä cï keek gɔ̈ɔ̈r cï keek luɔ̈ɔ̈i anɔŋic wël cï keek gɔ̈ɔ̈r: (1) luɛɛl de kä cï keek luɔ̈ɔ̈i cï keek gɔ̈ɔ̈r cï keek luɔ̈ɔ̈i cï keek lueel; (2) luɛɛl de kä cï keek gɔ̈ɔ̈r cï keek lueel ku wël cï keek lueel bï keek cɔk lëu bïkë kä cï keek gɔ̈ɔ̈r yök; (3) wël bï yïn ke kɔn ya kɔɔr, nɔŋiic adrɛ̈ɛ̈rdu, namba de telepun ku adrɛ̈ɛ̈r de imeel; (4) wɛ̈t cï lueel në yï nhom lɔnadɛ̈ ke yïn ye gam ke kë cï gɔ̈ɔ̈r cï looi në kueer cï yïn ye gaam acie gam në raan de kä cï keek gɔ̈ɔ̈r cï keek luɔ̈ɔ̈i, ka raan de lööŋ, ka në luɔɔi de löŋ; ']
['(5) athöör cï yïn gätpiny në awuɔ̈c de wɛ̈t lueth, lɔnadɛ̈ ke wël tɔ̈ në athöör yic aye yith ku lɔnadɛ̈ ke yïn anɔŋ riɛl ba kä cï gɔ̈t ke lööŋ ke raan nɔŋ nhïïm ya looi në kë cï wuɔ̈ɔ̈c; ']
['Ku (6) ke ye kä cï gɔ̈t ke guɔ̈p ka kä cï gɔ̈t ke mɛ̈ɛ̈t de raan de kä cï luɔ̈ɔ̈i ka raan cï gäm riɛl bï luui në nyin de raan de kä cï luɔ̈ɔ̈i. ']
['Na këc wël cï gɔ̈ɔ̈r nhial tɔ̈u thïn kedhiɛ gɔ̈t, ke ka lëu bï këdun cï yïn gaam ya gääu.']
['Thiëc kek']
['Tuɔɔc email tënë ɣok na nɔŋ këdun thiëc/cï yïn tak.']
How is urticaria diagnosed?
Urticaria, also known as hives, is a skin condition characterized by the appearance of red, itchy, and swollen welts on the skin.
It can be caused by a variety of factors, including allergic reactions, infections, and certain medications.
Diagnosing urticaria involves a combination of medical history, physical examination, and sometimes laboratory tests.
1. Medical history: The doctor will ask about the patient's medical history, including any known allergies, recent illnesses, and medications taken.
They will also inquire about the onset of symptoms, their duration, and any potential triggers.
2. Physical examination: The doctor will examine the skin for the presence of welts, their size, and distribution.
They may also check for other signs of an allergic reaction, such as swelling of the face, lips, or tongue.
3. Laboratory tests: In some cases, the doctor may order blood tests to check for the presence of allergies or infections.
Skin tests, such as a skin prick test or patch test, may also be performed to identify specific allergens.
4. Allergy tests: If the doctor suspects an allergic reaction, they may refer the patient to an allergist for further testing.
This may include skin prick tests, patch tests, or blood tests to identify specific allergens.
5. Differential diagnosis: The doctor will also consider other possible causes of the symptoms, such as other skin conditions or underlying medical conditions, and may order additional tests to rule these out.
6. Provocation tests: In cases of physical urticaria, where the hives are triggered by physical stimuli such as heat, cold, or pressure, the doctor may perform a provocation test to confirm the diagnosis.
This involves exposing the skin to the suspected trigger to see if a reaction occurs.
7. Autoimmune tests: In cases of chronic urticaria, the doctor may order tests to check for autoimmune disorders, as these can sometimes cause the condition.
8. Imaging tests: In rare cases, imaging tests such as an X-ray or CT scan may be ordered to rule out other conditions that may cause similar symptoms.
Overall, diagnosing urticaria involves a combination of medical history, physical examination, and sometimes laboratory tests.
The goal is to identify the underlying cause and determine the best course of treatment for the patient.
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