L'orticaria, conosciua communemente comme orticaia, a l"é unna condiçion da pelle caratterizzâ da di segni de prurito e de montâ che peuan comparî in sce tutte e parte do còrpo.
A peu ëse caxonâ da di fattoî despægi, compreiso de reaçioin allergiche, infeçioin ò condiçioin de base.
O trattamento pe l'orticaria o depende da-a gravitæ da condiçion e da-a caxon sottostante.
E chì apreuvo gh'é de poscibilitæ de trattamento commun:
1. Antihistaminichi: Sti medicamenti aggiuttan à redue o prurito e o gonfiô bloccando i effetti de l'istamina, unna sostansa chimica rilasciâ da-o còrpo quande se verifica unna reaçion allergica.
I antiistaminichi sensa reçetta comme a difenidrammina (Benadryl) ò a loratadina (Claritin) peuan ëse efficaci inti caxi lievi.
Inte di caxi ciù gravi, un mego o peu prescrive di antiistaminichi ciù fòrti.
2. Corticosteroidi: inti caxi donde i antiistaminichi no son efficaçi, peuan ëse reçevui di corticosteroidi comme o prednisone pe redue l'infiammaçion e sopprimme o scistema immunitäio.
Sti farmachi pe commun vëgnan piggiæ pe bocca e peuan dâ un allevio spedio.
3. Immunosoppressanti: inti caxi de urticaria cronica ch'a no responde à di atri trattamenti, peuan ëse reçevui di farmachi immunosoppressanti comme a ciclosporina ò o metotrexato pe sopprimme o scistema immunitäio e redue l'infiammaçion.
4. Omalizumab: sto medicamento o l"é un anticorpo monoclonale iniettabile ch'o l"attacca e o blocca l'immunoglobulina E (IgE), unna proteina coinvòlta inte reaçioin allergiche.
O l'é deuviou pe commun pe l'urticaria crònica ch'a no responde à di atri trattamenti.
5. Evitâ i caxoin che scatenan: identificâ e evitâ i caxoin che scatenan l'urticaria peu aggiuttâ à scansâ i focolai.
I caxi ciù commun comprendan çerti alimenti, di farmachi, e puntûe di insetti, e l'espoxiçion a-o cado, a-o freido ò a-a luxe do sô.
6. 'N impacco freido: applicâ 'n impacco freido in sciâ zöna colpîa o peu aggiuttâ à redue o prurito e o gonfiô.
7.Bande umide: e bande umide peuan ëse deuviæ pe calmâ o prurito e redue l'infiammaçion.
Un panno umido o se mette in gio a-a zöna colpita, e dapeu se ghe mette un panno seco pe tegnî l'ægua.
8. Fototerapia: L'espoxiçion a-a luxe ultravioletta a peu aggiuttâ à sopprimme o scistema immunitäio e à redue l'infiammaçion inte çerti caxi d'urticaria cronica.
L'é importante consultâ un profescionista sanitäio pe 'na corretta diagnosi e o trattamento de l'urticaria.
Peuan aggiuttâ à determinâ a caxon sottostante e raccomandâ o ciù bon cian de trattamento.
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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