La orticarie, cognossude pal solit come orticarie, e je une condizion de piel caraterizade di brutecis che a puedin vignî fûr in cualsisei part dal cuarp.
Al pues jessi causât di diviers fatôrs, come reazions allergichis, infezions o cundizions medichis contignudis.
La terapie par l'orticarie e dipent de gravitât de malatie e de cause che e je daûr.
Chestis a son cualchi cure tipiche:
1. Antihistaminis: Chescj medisinis a judin a ridusi il svant e il gonfiament blocant i efiets de istamine, une sostance chimiche liberade dal cuarp cuant che e à une reazion allergiche.
I antiistaminis cence prescrizion come la difenidramine (Benadryl) o la loratadine (Claritin) a puedin jessi eficaçs intai câs di forme leve.
In câs plui seriis, un miedi al pues prescrivi antiistaminis plui fuarts.
2. Corticosteroits: In câs dulà che i antiistaminis no son eficaçs, si puedin prescrivi corticosteroits come il prednison par ridusi la infiammazion e soprimî il sisteme imunitari.
Chescj farmacs a son gjeneralmentri cjapâts par bocje e a puedin dâ un solêf svelt.
3. Immunosupressôrs: In câs di orticarie croniche che no rispuint a altris trataments, a puedin jessi prescrits farmacs immunosupressôrs come la ciclosporine o il metotrexat par sopprimî il sisteme imunitari e ridusi la inflamasiôn.
Omalizumab: chest medicament al è un anticorp monoclonâl inietabil che al cjape e al bloche la imunoglobuline E (IgE), une proteine coinvolte tes reazions allergichis.
Al è par solit doprât par l'orticarie croniche che no rispuint a altris trataments.
5. Evitait i fatôrs scatenants: Identificâ e evitâ i fatôrs scatenants che a causin la orticarie al pues judâ a prevignî i sflandôrs.
A son dispès dai aliments, medisinis, muarts di insets e il jessi in soference o al frêt o al soreli.
6. Compresse frede: fâ une compresse frede ta zone colpide al pues judâ a ridusi il svuacarâ e il gonfâsi.
7. peçotâr bagnât: peçotâr bagnât al pues jessi doprât par calmâ il prurît e ridusi l'infiammazion.
Une stofe umide e ven intorteade ator de zone tocjade, e daspò si met une stofe secje par tignî l'umiditât.
8. Fototerapie: L'espozion a la lûs ultraviolete e pues judâ a sopprimisi e a ridusi la infiammazion in cualchi câs di orticarie croniche.
Al è impuartant consultâ un professionist de salût par une corete diagnosi e cure de orticarie.
A puedin judâ a determinâ la cause principâl e dâ conseis su la terapie plui juste.
Deleanu D, Nedelea I, Petricau C, Leru P, Dumitrascu D, Muntean A: Clinical impact of omalizumab in refractory chronic urticaria: One centre experience. Exp Ther Med. 2019, 18 (6): 5078-5081.
Grundmann SA, Kiefer S, Luger TA, Brehler R: Delayed pressure urticaria - dapsone heading for first-line therapy? J Dtsch Dermatol Ges. 2011, 9 (11): 908-12.
Staumont-Sallé D, Piette F, Delaporte E: [Etiological diagnosis and treatment of chronic urticaria]. Rev Med Interne. 2003, 24 (1): 34-44.
Akashi R, Ishiguro N, Shimizu S, Kawashima M: Clinical study of the relationship between Helicobacter pylori and chronic urticaria and prurigo chronica multiformis: effectiveness of eradication therapy for Helicobacter pylori. J Dermatol. 2011, 38 (8): 761-6.
Calogiuri G, Nettis E, Mandurino-Mirizzi A, Di Leo E, Macchia L, Foti C, Vacca A, Kounis NG: Omalizumab for the Treatment of Persistent Drug Induced Urticaria Elicited by Thienopyridines: A Case Report. Antiinflamm Antiallergy Agents Med Chem. 2020, 19 (3): 335-339.
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How to treat urticaria?
Urticaria, commonly known as hives, is a skin condition characterized by itchy, raised welts that can appear on any part of the body.
It can be caused by various factors, including allergic reactions, infections, or underlying medical conditions.
Treatment for urticaria depends on the severity of the condition and the underlying cause.
Here are some common treatment options:
1. Antihistamines: These medications help to reduce itching and swelling by blocking the effects of histamine, a chemical released by the body during an allergic reaction.
Over-the-counter antihistamines such as diphenhydramine (Benadryl) or loratadine (Claritin) can be effective in mild cases.
In more severe cases, a doctor may prescribe stronger antihistamines.
2. Corticosteroids: In cases where antihistamines are not effective, corticosteroids such as prednisone may be prescribed to reduce inflammation and suppress the immune system.
These medications are usually taken orally and can provide quick relief.
3. Immunosuppressants: In cases of chronic urticaria that do not respond to other treatments, immunosuppressant drugs such as cyclosporine or methotrexate may be prescribed to suppress the immune system and reduce inflammation.
4. Omalizumab: This medication is an injectable monoclonal antibody that targets and blocks immunoglobulin E (IgE), a protein involved in allergic reactions.
It is typically used for chronic urticaria that does not respond to other treatments.
5. Avoid triggers: Identifying and avoiding triggers that cause urticaria can help prevent outbreaks.
Common triggers include certain foods, medications, insect bites, and exposure to heat, cold, or sunlight.
6. Cold compress: Applying a cold compress to the affected area can help reduce itching and swelling.
7. Wet wraps: Wet wraps can be used to soothe itching and reduce inflammation.
A damp cloth is wrapped around the affected area, and then a dry cloth is placed over it to retain moisture.
8. Phototherapy: Exposure to ultraviolet light can help suppress the immune system and reduce inflammation in some cases of chronic urticaria.
It is important to consult a healthcare professional for proper diagnosis and treatment of urticaria.
They can help determine the underlying cause and recommend the most appropriate treatment plan.
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