Ti urticaria, a gagangay a maawagan iti panagkudil, ket maysa a sakit ti kudil a mangpataud iti panaggagatel, panagngato dagiti kudil a mabalin a tumaud iti aniaman a paset ti bagi.
Mabalin a gapu dayta iti nadumaduma a banag, agraman dagiti allergic reaction, impeksion, wenno dadduma pay a sakit.
Ti panangagas iti urticaria agpannuray iti kinakaro ti kasasaad ken ti makagapu.
Adtoy ti sumagmamano a gagangay a pangagas:
1. Dagiti antihistamine: Makatulong dagitoy nga agas a mangkissay iti panaggagatel ken panagebbal babaen ti pananglappedda iti epekto ti histamine, maysa a kemikal a rummuar iti bagi no adda allergy.
Dagiti di naireseta nga antihistamine a kas iti diphenhydramine (Benadryl) wenno loratadine (Claritin) ket mabalin nga epektibo kadagiti saan unay a nakaro a kaso.
Kadagiti nakarkaro a kaso, mabalin nga ireseta ti doktor dagiti napigpigsa nga antihistamine.
2. Corticosteroids: Kadagiti kaso a saan nga epektibo dagiti antihistamine, mabalin a maireseta dagiti corticosteroid a kas iti prednisone tapno maksayan ti panagebbal ken manglapped iti resistensia.
Dagitoy nga agas ket kadawyan a mausar iti ngiwat ken mangted iti napartak a bang-ar.
3. Dagiti manglapped iti resistensia: Kadagiti kaso ti nakaro a panagkissiw a di agkurri iti dadduma a panangagas, mabalin a maireseta dagiti manglapped iti resistensia a kas iti cyclosporine wenno methotrexate tapno malapdan ti resistensia ken makissayan ti panagebbal.
4. Omalizumab: Daytoy nga agas ket maysa a mai-injection a monoclonal antibody a mangiturong ken manglapped iti immunoglobulin E (IgE), maysa a protina a nainaig kadagiti allergic reaction.
Kadawyanna a mausar dayta iti nakaro nga urticaria a di agkurri iti dadduma a panangagas.
5. Liklikan dagiti pakaigapuan: Ti panangilasin ken panangliklik kadagiti pakaigapuan ti urticaria makatulong a manglapped iti panagwaras.
Adda dagiti gagangay a pakaigapuan ti panagsakit a kas iti makan, agas, kagat ti insekto, pudot, lam-ek, wenno silnag ti init.
6. Nalamiis a pangpakbet: Ti panangpakbet iti nalamiis a pangpakbet iti naapektaran a paset ket makatulong a mangkissay iti panaggagatel ken panagletteg.
7. Nabasa a pangbalkot: Mabalin a mausar dagiti nabasa a pangbalkot tapno mapalag-an ti panaggagatel ken makissayan ti panagebbal.
Maibalkut ti naapektaran a paset iti nabasa a lupot, sa maikabil iti rabawna ti namaga a lupot tapno saan a naagneb.
8. Phototherapy: Ti pannakaisarang iti ultraviolet a lawag mabalin a manglapped iti resistensia ken mangpabassit iti panagebbal iti dadduma a kaso ti nakaro a panagkidar.
Napateg ti panagpabalakad iti propesional iti panangaywan iti salun-at para iti umiso a panangdayagnos ken panangagas iti urticaria.
Matulongandaka a mangammo iti kangrunaan a makagapu ken mangirekomenda iti kasayaatan a plano ti panangagas.
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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