L'urticaria, comunement cognossuda cuma orticaria, l"è una condizion de la pell caratterizada de brufiss che pruden e che pœden comparir in qual-sa-vœlta del corp.
La pœl vesser causada de vari fattur, includ reazion allergich, infezion o condizion medich de base.
El tratament per l'urticaria el dipende de la gravità de la condizion e de la causa sottostante.
Qei chì i henn un quai opzion de cura comun:
1. Antihistaminich:'sti medegh i juten a ridüì prur e gonfiur blocant i efet de l'istamina, una sostanza chimica liberada dal corp duranta una reaziun allergica.
I antiistaminich senza ricett cume la difenidramina (Benadryl) o la loratadina (Claritin) pœden vesser efficaci ind i cas de gravità ligera.
In di cas püsee sever, un dutur el pœl prescriver di antiistamin püsee fort.
2. Corticosteroids: ind i cas indove i antiistaminich inn minga efficaci, i corticosteroids cuma el prednisone pœden vesser prescrit per ridur l'infiammazion e sopprim el sistema immunitari.
Chesti medesinn sun de solet ciapà per bocca e pœden dà un solliev rapid.
3. Immunosupressori: ind i cas de urticaria cronica qe la respond minga a olter tratament, i farmac immunosupressor cuma la ciclosporina o el metotrexato pœden vesser prescrit per sopprim el sistema immunitari e ridur l'infiammazion.
4. Omalizumab: chestu medicament l"è un anticorp monoclonal iniettabil che mira e blocca l'immunoglobulina E (IgE), una proteina coinvolta ind i reazion allergich.
L"è tipicament drovad per l'urticaria cronica che la respond minga a olter tratament.
5. Evita i fattur che scaten: identificà e evità i fattur che causen l'urticaria pœden jutà a prevegnì i focoi.
I fattur comun a hinn certi mangià, di medicament, i punt de insett, e l'esposizion al cald, al frecc o al sol.
6. Compressa freda: Applicà una compressa freda in su la zona infetta pœu aiutà a ridur el prurito e el gonfior.
7. Fasci bagnà: i fasci bagnà pœden vesser drovà per calmar el prurito e ridur l'infiammazion.
Un pan umed l"è impigliad intorna a la zona infetta, e poeu un pan secch l"è metud sora per tegnir l'umidità.
8. Fototerapia: L'esposiziun a la lus ultravioleta la pœl supprimer el sistema immunitari e ridur l'infiammaziun in di cas de urticaria cronica.
L'è important consultà un prufessiunal sanitari per una diagnosi e un trattament adeguà de l'urticaria.
Pœden jutà a determinà la causa e recomandar el plann de cura püssee apropriad.
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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