Urticaria, si wogayɔna be anyixe, nye ŋutigbalẽ ƒe dɔléle si me dzẽwo dona ɖe ŋutigbalẽa me, wobiãna, eye woƒoa tititi.
Nu vovovowoe ate ŋu ana wòadzɔ, wo dometɔ aɖewoe nye dɔxɔleameŋuwo, dɔlékuiwo, kple atike aɖewo.
Ne wodi be woanya ne ŋuɖui le ame ŋu la, wobiaa ame ƒe lãmesẽ ŋuti nyatakakawo, edodo kpɔ, eye ɣeaɖewoɣi wodea dodokpɔwo hã eme.
1. Dɔléle si me wòto va yi: Ðɔkta la abia nya tso dɔnɔa ƒe dɔléle ŋu, eye wòabia eƒe lãmegbegblẽ, dɔléle siwo me wòxɔ nyitsɔ laa, kple atike siwo wòno ŋu.
Woabia nya wò hã tso ɣeyiɣi si me dzesiawo dze egɔme kple ɣeyiɣi didi si wòxɔ kpakple nu bubu siwo gbɔ wòanya tso la ŋu.
2. Ŋutilã me dodokpɔ: Ðɔkta la alé ŋku ɖe ŋutigbalẽa ŋu akpɔe ɖa be abiwo le eŋu hã, akpɔ woƒe lolome kple afisiwo woƒo ɖe eŋu hã.
Woate ŋu alé ŋku ɖe dɔléle bubu siwo ate ŋu ana lãmetsi aɖe naɖu ame ŋu, abe mo, nuyi, alo aɖe ƒe tete ene hã ŋu.
3. Dɔwɔƒe ƒe dodokpɔwo: Le go aɖewo me la, ɖɔkta ate ŋu abia be woado ʋu akpɔ be dɔléle aɖe le fu ɖem na amea loo alo dɔlékui aɖe le eŋu hã.
Woate ŋu awɔ ŋutigbalẽ dodokpɔwo abe lãmetsi dodokpɔ alo lãmetsi si woade ŋutigbalẽa ŋu be woakpɔ nusi koŋ naa ame dzea dɔ ene hã.
4. Dɔlékuiwo ƒe dɔléle ƒe dodokpɔwo: Ne ɖɔkta susui be dɔléle aɖe le fu ɖem na amea la, ate ŋu aɖo dɔnɔa ɖe dɔléleŋutinusrɔ̃la aɖe be wòadoe kpɔ.
Esia ate ŋu anye dodokpɔ si me woado ame ƒe ŋutigbalẽ kpɔ, dodokpɔ si me woade nu eƒe ŋutigbalẽ ŋu kpɔ, alo ʋudodokpɔ si me woado ame kpɔ le be woanya nusi koŋ na amea le dɔ lém.
5. Dɔdamɔnu si dzi woato akpɔe adze sii: Ðɔkta la abu nusiwo hã ate ŋu ahe dzesi siawo vɛ ŋu, abe ŋutigbalẽ ƒe dɔléle bubuwo alo dɔléle bubu aɖe ene, eye ate ŋu abia be woawɔ dodokpɔ bubuwo be wòakpɔe ɖa be menye woawoe o hã.
6. Dɔléle si nana woʋãa ame: Ne dɔ si nana woʋãa ame, abe dzoxɔxɔ, fafa, alo tititi ene, ye na be woʋãa ame la, ɖɔkta ate ŋu awɔ dodokpɔ aɖe atsɔ aɖo kpe edzi.
Esia bia be woado nu si wosusu be eyae na dɔlélea do mo ɖa la ɖe ŋuti be woakpɔe ɖa be nu kae adzɔ hã.
7. Dɔlélenutsiŋutete ƒe dodokpɔwo: Ne ŋuɖui si nɔa anyi ɣeyiɣi didi aɖe le ame ŋu la, ɖɔkta ate ŋu abia be woadoe akpɔ be dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie ƒe dɔlélewo hã le eŋu hã, elabena esiawo ate ŋu ana wòadze ame dzi ɣeaɖewoɣi.
8. Fotoɖeɖefia ƒe dodokpɔwo: Le go ʋɛ aɖewo me la, woate ŋu abia be woawɔ fotoɖeɖefia ƒe dodokpɔwo abe X-ray alo CT scan ene atsɔ akpɔe ɖa be dɔléle bubu siwo ate ŋu ahe dzesi mawo tɔgbe vɛ hã li o.
Le goawo katã me la, dɔdzẽ ƒe dzesi didi bia be woaku nu me tso dɔlélea ŋu, woado ame akpɔ, eye ɣeaɖewoɣi woadoe kpɔ le dɔwɔƒe.
Taɖodzinuae nye be woade dzesi nu si gbɔ dɔa tso eye woatia dɔdamɔnu nyuitɔ si woazã na dɔnɔa.
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.
['Mɔxeɖenu: atikewɔwɔ']
['Taɖodzinu siwo nye nufiafia kple nyatakaka koe le nyatakakadzraɖoƒe sia ŋu eye menye atikewɔwɔ ŋuti ɖaŋuɖoɖo alo dɔwɔnawo ƒe nya gblɔm wole o.']
['Mele be woazã nyatakaka siwo wona la atsɔ ada dɔléle alo dɔ aɖe o, eye ele be amesiwo di be yewoakpɔ atikewɔwɔ ŋuti ɖaŋuɖoɖo na yewo la nabia ɖɔkta si xɔ mɔɖegbalẽ.']
['De dzesii be neural network si wɔa nyabiabiawo ƒe ŋuɖoɖowo la meɖia o vevietɔ ne wotsɔ xexlẽdzesiwo wɔe. Le kpɔɖeŋu me, ne wotsɔ ame siwo ŋu dɔléle aɖe le ƒe xexlẽme wɔ dɔe.']
['Bia wò ɖɔkta alo lãmesẽdɔwɔla bubu si dze ƒe aɖaŋuɖoɖo ɣesiaɣi le lãmesẽkuxi aɖe ŋu. Mègaŋe aɖaba ƒu aɖaŋuɖoɖo si ɖɔktawo ɖo na wò alo gbɔ dzi ɖi le exexlẽ me le nyatakakadzraɖoƒe sia ta o. Ne èsusu be ɖewohĩ lãmesẽkuxi aɖe le fu ɖem na ye la, ke yɔ 911 alo yi ɖe afisi wokpɔa nɔnɔme kpatawo gbɔ le.']
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['Ne èxɔe se kple kakaɖedzi be nyatakakadzraɖoƒe alo dɔwɔnu aɖe si míetsɔ wɔ míaƒe nyatakakadzraɖoƒea alo dɔwɔnawo la nye dada le wò gome la, wò ŋutɔ (alo wò dɔtɔ) ate ŋu aŋlɔ agbalẽ aɖo ɖe mí abia be míaɖe nyatakakadzraɖoƒea alo dɔwɔnua ɖa alo axe mɔ ɖe ezazã nu.']
['Ele be woana nyatakakawo to e-mail dzi (kpɔ "Kpekpeɖeŋunaƒe" ƒe akpa si nye e-mail adrɛs). ']
['DMCA bia be nàŋlɔ nyatakaka siwo gbɔna ɖe wò nyatakaka si nèŋlɔ be woada le copyright dzi la me: (1) nuŋɔŋlɔ si fia be copyright le dɔ si ŋu wole nu ƒom le la ŋu; (2) nyatakaka si fia be nuŋɔŋlɔa le eme eye wòade mía nu be míake ɖe eŋu; (3) nyatakaka siwo ana míake ɖe ŋuwò, siwo dometɔ aɖewoe nye wò adrɛs, kaƒodzesi kple e-mail adrɛs; (4) wò nya si fia be èxɔe se kple kakaɖedzi be copyright ƒe ame si tɔe nyatakakaa nye, alo eƒe dɔtɔ, alo se aɖeke meɖe mɔ ɖe eŋu o; ']
['(5) Wò ŋutɔ nàŋlɔ agbalẽ si dzi nàde asii, si me nàde se be ne mèwɔe o la, àda alakpa, atsɔ aɖo kpe edzi be nyatakaka siwo le nyatakakaa me la de pɛpɛpɛ eye be ŋusẽ le asiwò be nàʋli agbalẽ siwo ŋu wogblɔ le be woda le la ta.']
['Eye (6) ame si tɔe agbalẽa nye alo ame si wona ŋusẽe be wòawɔ dɔ le ame si tɔ ŋkɔ me la ƒe asinuŋɔŋlɔ alo eƒe asinuŋɔŋlɔ si le mɔ̃ dzi. ']
['Ne mèŋlɔ nyatakaka siwo katã le etame ɖe agbalẽa me o la, ate ŋu ana be wò nyatoƒoe me dzodzro natsi megbe.']
['Kadodo']
['Taflatse ɖo email ɖe mí ne nyabiabia alo aɖaŋuɖoɖo aɖe le asiwò.']
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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