How to treat Urticaria?

['Tega amatwi iyi paji']

Ni gute umuntu yavura ibishishi?

Urticaria, ikunze kwitwa ibishishi, ni indwara y'uruhu igaragazwa no kubyimba, kubyimba hejuru bishobora kugaragara ku gice icyo ari cyo cyose cy'umubiri.

Bishobora guterwa n'impamvu zitandukanye, harimo kugira ubwivumbure, kwandura cyangwa izindi ndwara.

Uburyo bwo kuvura ibiheri biterwa n'uburemere bwabyo n'icyabiteye.

Dore uburyo bumwe na bumwe bwo kuvura bukunze gukoreshwa:

1. Imiti ivura ibiheri: Iyo miti igabanya ibishishi no kubyimba, kuko ituma umubiri utagira icyo ukora ku bintu byo mu rwego rwa shimi byitwa histamine, umubiri usohora iyo umuntu afite ikibazo cy'ubwivumbure.

Imiti yo mu bwoko bwa antihistaminique idafite imiti yandikirwa kwa muganga nka diphenhydramine (Benadryl) cyangwa loratadine (Claritin) ishobora kugira akamaro mu ndwara yoroheje.

Mu gihe umuntu arwaye cyane, umuganga ashobora kumwandikira imiti ikomeye igabanya uburyaryate.

2. Korutikositeroyide: Mu gihe imiti irwanya histamine idakora, korutikositeroyide nka prednisone ishobora kwandikirwa umuntu kugira ngo igabanye kubyimba no kugabanya ubushobozi bw'umubiri bwo kurwanya indwara.

Ubusanzwe iyo miti umuntu ayinywa mu kanwa, kandi ishobora kumufasha guhita yoroherwa.

3. Imiti igabanya ubudahangarwa bw'umubiri: Mu gihe urticaria idakira itavuwe n'indi miti, imiti igabanya ubudahangarwa bw'umubiri nka cyclosporine cyangwa methotrexate ishobora kwandikirwa umuntu kugira ngo igabanye ubudahangarwa bw'umubiri kandi igabanye kubyimba.

4. Omalizumab: Uyu muti ni umuti ushobora guterwa mu mubiri w'umuntu ufite abasirikare b'umubiri umwe, ugamije kurwanya no guhagarika umusemburo witwa immunoglobuline E (IgE), umusemburo ugira uruhare mu gutuma umuntu arwara indwara ziterwa n'ibyokurya runaka.

Ubusanzwe ikoreshwa mu kuvura urticaria idakira iyo itavuwe n'indi miti.

5. Kwirinda ibyatera: Kumenya no kwirinda ibyatera urticaria bishobora gufasha kwirinda ko yakwaduka.

Ibyo bishobora guterwa n'ibiribwa, imiti, udukoko, ubushyuhe, ubukonje cyangwa izuba.

6. Gushyiraho ikintu gikonje: Gushyiraho ikintu gikonje ku gice cy'umubiri gishobora gutuma kigabanya ububabare no kubyimba.

7.Ibikoresho by'amazi: Ibikoresho by'amazi bishobora gukoreshwa mu kugabanya ibishishi no kugabanya kubyimba.

Bazinga igitambaro gisukuye mu gice cy'umubiri cyafashwe, hanyuma bagashyiraho igitambaro cyumye kugira ngo kituma amazi atinjira.

8. Gufata imirasire y'izuba: Iyo umuntu afashwe n'indwara y'urwagashya idakira, iyo amurikiwe n'imirasire y'izuba bishobora gutuma umubiri udakora neza kandi bikagabanya kubyimba.

Ni ngombwa kugisha inama abaganga kugira ngo umenye indwara y'urticaria neza kandi uyivure.

Bashobora kugufasha kumenya impamvu nyayo ituma urwara iyo ndwara, kandi bakagusaba uburyo bwiza bwo kuyivura.

['Ibitabo']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

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.

['Icyitonderwa: ubuvuzi']

["Uru rubuga rwashyiriweho kwigisha abantu no kubaha amakuru gusa, ntirutanga inama ku birebana n'ubuvuzi cyangwa ngo rukore nk'ikigo gitanga serivisi z'ubuvuzi."]

["Amakuru atangwa n'iyi porogaramu ntagomba gukoreshwa mu gusuzuma cyangwa kuvura ikibazo cy'uburwayi cyangwa indwara runaka, kandi abashaka inama z'ubuvuzi bagombye kugisha inama umuganga ubifitiye uburenganzira."]

['Nyamuneka menya ko imbuga nkoranyambaga zitanga ibisubizo kubibazo, ntabwo zifite ukuri mugihe kijyanye numubare. Kurugero, umubare wabantu basanzwemo indwara runaka.']

["Buri gihe ujye usaba inama umuganga wawe cyangwa undi muntu wemewe mu bijyanye n'ubuzima ku bijyanye n'uburwayi. Ntuzigere wirengagiza inama z'abaganga cyangwa ngo utinde kuzisaba bitewe n'ikintu wasomye kuri uru rubuga. Niba utekereza ko ufite ikibazo cyihutirwa, hamagara 911 cyangwa ujye ku ivuriro rikwegereye. Nta mubano hagati y'umuganga n'umurwayi ukorwa n'uru rubuga cyangwa ikoreshwa ryarwo. Yaba BioMedLib cyangwa abakozi bayo, cyangwa undi muntu wese wagize uruhare kuri uru rubuga, nta gihamya batanga, yaba igaragara cyangwa itagaragara, ku bijyanye n'amakuru atangwa hano cyangwa ikoreshwa ryayo."]

["Ibirego: uburenganzira bw'umuhanzi"]

["Itegeko ryo mu 1998 ryerekeye uburenganzira bw'ibihumbi by'ibihumbi by'ibihumbi by'ibihumbi, 17 U.S.C. § 512 (DMCA) ritanga ubujurire ku bafite uburenganzira bw'umuhanzi bemera ko ibintu bigaragara kuri interineti bibangamira uburenganzira bwabo hakurikijwe amategeko y'uburenganzira bw'umuhanzi muri Amerika. "]

['Niba wemera ko ibintu cyangwa ibikoresho byashyizwe ku rubuga rwacu cyangwa serivisi bitubahiriza uburenganzira bwawe, wowe (cyangwa umuhagarariye) ushobora kutwoherereza ubutumwa udusaba ko ibyo bintu cyangwa ibikoresho bikurwaho, cyangwa ko utabikoresha.']

['Itangazo rigomba koherezwa mu nyandiko kuri interineti (reba ahanditse "Kwitaba" kugira ngo ubone aderesi ya interineti). ']

["DMCA isaba ko imenyesha ryawe ry'ikirego cyo kuvutswa uburenganzira rikubiyemo amakuru akurikira: (1) ibisobanuro by'igikorwa kirengera uburenganzira bw'umuhanzi kivugwaho kuvutswa uburenganzira; (2) ibisobanuro by'ibikubiyemo bivugwa ko ari ukurenga ku mategeko n'amakuru ahagije atuma dushobora kubona ibikubiyemo; (3) amakuru yo kuguhamagaraho, harimo aderesi yawe, nomero ya terefone na aderesi imeyiri; (4) inyandiko yawe ivuga ko ufite icyizere ko ibikubiyemo mu buryo bwatanzwe nta burenganzira bifite na nyiri uburenganzira bw'umuhanzi, cyangwa umukozi we, cyangwa mu mategeko ayo ari yo yose; "]

["(5) inyandiko yawe isinyweho, uhanishwa kubeshya, yemeza ko amakuru ari mu itangazo ari ukuri kandi ko ufite ububasha bwo kurengera uburenganzira bw'umuhanzi uvugwaho kubwamburwa; "]

["kandi (6) umukono usanzwe cyangwa wa elegitoroniki w'ufite uburenganzira ku nyandiko cyangwa uw'umuntu wabiherewe uburenganzira bwo gukora mu izina ry'ufite uburenganzira ku nyandiko. "]

['Kudatanga amakuru yose yavuzwe haruguru bishobora gutuma ikibazo cyawe gitinda gukemurwa.']

['Uko twavugana na we']

['Ohereza imeri ikibazo / igitekerezo.']

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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