Urticaria, algemein bekind es netelroos, is 'n huidtoestand die weurt gekenmerkt door jeukende, opgehoge strieke die op eder deil vaan 't lief kinne versjiene.
't Kin weure veroorzaak door versjèllende factore, boe-oonder allergische reacties, infecties of oonderligkende medische condities.
De behandeling vaan urticaria hingk aof vaan de ernst vaan de conditie en de oonderligkende oorzaak.
Hei zien 'n paar algemeine behandelingsopties:
1. Antihistaminica: Dees mediciene helpe jeuk en zwelling te vermindere door de effekte te blokkere vaan histamine, 'n chemische stof die door 't lief weurt vrijgegeve bij 'n allergische reactie.
Over-the-counter antihistaminica wie diphenhydramine (Benadryl) of loratadine (Claritin) kinne effectief zien in milde gevalle.
In ernstiger gevalle kin 'ne dokter sterkere antihistaminica veurskrieve.
2. Corticosteroïden: In gevalle boe antihistaminica neet effectief zien, kinne corticosteroïden wie prednison weure veurgesjreve um ontstekinge te vermindere en 't immuunsysteem te onderdrukke.
Dees mediciene weure miestal oraal genómme en kinne snel verleiing bringe.
3. Immunosuppressante: In gevalle vaan chronische urticaria die neet reagere op aander behandelinge, kinne immunosuppressante mediciene wie cyclosporine of methotrexaat weure veurgesjreve um 't immuunsysteem te onderdrukke en ontstekinge te vermindere.
4. Omalizumab: Dit medicijn is 'n injecteerbaar monoklonaol antistof wat zich richt op en immunoglobuline E (IgE) blokkeert, 'n eiwit wat betrokke is bij allergische reacties.
't Weurt typisch gebruuk veur chronische urticaria die neet reageert op aander behandelinge.
5. Vermijd triggers: 't identificere en vermijde vaan triggers die urticaria veroorzake kinne oetbrake helpe veurkoume.
Algemein triggers zien bepaolde aete, mediciene, insektebeet en blootstèlling aon wermte, kou of zonleech.
6. Koue kompres: 't Aansjloete van 'n koude kompres op 't aangetaste gebied kan helpe de jeuk en zwelling te vermindere.
7. Natte wikkels: Natte wikkels kinne weure gebruuk um jeuk te verzachte en ontsteking te vermindere.
'n Vochtige doek wikkelt ziech um 't aangetaste gebeed en dan weurt 'n droge doek d'r euver geplaats um de vochtigheid te behawwe.
8. Fototherapie: Blootstèlling aon ultraviolet leech kin 't immuunsysteem oonderdrökke en de ontsteking bij sommege gevalle vaan chronische urticaria vermindere.
't Is belangriek um 'n medisch deskundige te raadplege veur 'n correcte diagnose en behandeling vaan urticaria.
Ze kinne helpe de oonderligkende oorzaak vas te stèlle en de mies gesjikde behandeling aonbeve.
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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