Urticaria, to mpi bansusu, kele maladi ya mpusu ya nitu yina ke monanaka na bidimbu ya mbwaki, ya ke basikaka na nitu, mpi ya ke nikaka na mpusu ya nitu.
Mambu mingi lenda sala nde yo salama, mu mbandu, maladi ya ntu, maladi ya misuni, mpi kusadila bankisi ya nkaka.
Sambu na kuzaba kana muntu kele ti maladi ya urticaire, bo fwete zaba mambu ya metala maladi na yandi, bo fwete tala yandi mbote-mbote, mpi bantangu yankaka bo fwete sala ekzame na laboratoire.
1. Mambu ya metala maladi na yandi: Munganga tayula yandi mambu ya metala maladi na yandi, mu mbandu kana yandi kewaka nzala ya madya, maladi yina yandi vandaka kubela ntama mingi ve, mpi bankisi yina yandi vandaka kunwa.
Bo ta yula nge mpi ntangu yina bidimbu yantikaka kumonana, bantangu ikwa yo salaka mpi nki ke pusaka nge na kubela.
2. Kumona nitu: Munganga tatadila nitu sambu na kuzaba kana yo kele ti bidimbu ya mbi, nene na yo, mpi kisika yo kele.
Bo lenda tala mpi kana kele ti bidimbu yankaka ya ke monisa nde muntu kele ti maladi, mu mbandu kana ilungi, bikobo, to ludimi me fuluka.
3. Bansosa ya bo kesalaka na laboratoire: Na bantangu yankaka, munganga lenda lomba nde bo sala ekzame ya menga sambu na kuzaba kana muntu kele ti maladi yina kebebisaka nitu na yandi to ve.
Bo lenda sala mpi ekzame ya nitu, mu mbandu ekzame ya kulosila muntu na nitu to ekzame ya kutula kitini ya nitu na zulu ya nitu sambu na kuzaba bima yina kebasisaka maladi.
4. Bametode ya kuzaba kana muntu kele ti maladi mosi buna: Kana munganga keyindula nde muntu yango kele ti maladi, yandi lenda tinda yandi na munganga yina kelongukaka maladi yina sambu yandi sala yandi ekzame yankaka.
Yo lenda vanda ekzame ya nitu, ekzame ya nitu ya muntu mosi, to ekzame ya menga sambu na kuzaba bima yina kebasisaka maladi.
5. Kusosa kuzaba kana maladi yango kele ya nki mutindu: Munganga tatadila mpi mambu yankaka yina lenda sala nde muntu kubela maladi yai, mu mbandu maladi yankaka ya mpusu ya nitu to maladi yankaka ya yandi kebela ntete ve, mpi yandi lenda lomba nde bo sala yandi ba ekzame yankaka sambu na kuzaba kana maladi yango kele ve.
6. Kumeka na kuzaba kana muntu kele ti maladi ya urticaire: Kana muntu kele ti maladi ya urticaire sambu na kima mosi ya kepusaka yandi na kubasisa bansende, mu mbandu tiya, madidi, to bupusi ya ngolo, munganga lenda sala ekzame sambu na kuzaba kana yandi kele ti maladi yango.
Yo kelombaka kutula nitu na kisika yina kima yina lenda sala nde muntu kuwa makasi kubasika sambu na kutala kana yandi ta wa makasi.
7. Bametode ya kekatulaka maladi na nitu: Kana muntu kele ti maladi ya ngolo ya kebasikaka na nitu, munganga lenda lomba nde bo sala yandi ekzame sambu na kuzaba kana yandi kele ti maladi ya kekatulaka maladi na nitu, sambu bantangu yankaka maladi yango kekatukaka na maladi yango.
8. Ba ekzame ya bo kesalaka na nsadisa ya ba-imagerie: Na bantangu yankaka, bo lenda lomba nde bo sala ekzame ya mutindu yai sambu na kuzaba kana maladi yankaka ya mutindu mosi kele ve.
Na kutuba ya mbote, sambu na kuzaba kana muntu kele ti maladi ya urticaire, bo fwete zaba mambu ya maladi na yandi, bo fwete tala yandi mbote, mpi bantangu ya nkaka bo fwete sala ekzame ya nene.
Lukanu kele ya kuzaba kikuma ya ke pusa yandi na kubela mpi kuzaba mutindu ya mbote ya kusansa yandi.
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.
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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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