Ere kaka inyalo fweny ni ng'ato nigi tuwo mar urticaria?
Tuwo miluongo ni urticaria, ma bende iluongo ni hives, en tuwo mar dend ng'ato manyiso ni dende bedo makwar, ma ng'ich, kendo ma iye ng'ich.
Nitie gik mang'eny manyalo miyo ng'ato obed gi tuwo ma kamano, kaka tuwo mar allergy, tuoche, kod yedhe moko.
Mondo ng'ato ong'e ni en gi tuwo mar urticaria, dwarore ni ong'e weche moko e wi tuwo mar urticaria, otim nonro e dende, kendo seche moko otim nonro e lab.
1. Weche motudore gi tuwo: Laktar biro penjo jatuwo weche motudore gi tuwo ma ne en - go chon, moriwo nyaka tuwo moro amora ma ne ong'eyo ni en - go, tuoche ma ne en - go machiegni, kod yedhe ma ne otiyo.
2. Nonruok: Laktar biro nono dend ng'ato mondo one kabe nitie ng'injo moko e dend ng'atno, kaka ng'injogo duong' kendo kaka gipogore.
Bende ginyalo nono kabe nitie gik mamoko manyiso ni ng'ato nigi tuwo mar allergy, kaka ng'ol e wang'e, dhoge, kata dhoge.
3. Nonro mag laboratory: Seche moko, laktar nyalo chiko ni otim nonro mag remo mondo ong'e kabe ng'ato nigi tuwo mar allergy kata mar kute mag ayaki.
Tembe mag del, kaka skin prick test kata patch test, bende inyalo tim mondo ong'e gik manyalo miyo ng'ato obed gi allergen.
4. Tembe mag allergy: Kapo ni laktar paro ni ng'ato nigi tuwo mar allergy, onyalo tero jatuwo ir laktar molony e weche mag allergy mondo otimne nonro momedore.
Mano nyalo riwo timo nonro e wi dend ng'ato, timo nonro e wi ng'ato, kata timo nonro e wi remo mondo ong'e gik makelo tuwo moro.
5. Tiyo gi yore mopogore opogore mag fwenyo tuwo: Laktar bende biro nono gik mamoko manyalo miyo ng'ato obed gi tuwono, kaka tuoche mamoko mag del kata tuoche mamoko, kendo onyalo chiko mondo otimne nonro momedore mondo ong'e kabe tuwono nitie.
6. Tembe mag chwanyruok: E kinde ma ng'ato nigi tuwo mar urticaria, ma en tuwo ma ng'ato yudo nikech liet, liet mang'eny, kata teko mang'eny, laktar nyalo timo nonro mar chwanyruok mondo ong'e ni en tuwo mane.
Mano oriwo keto dend ng'ato e bwo gimoro ma ng'ato paro ni nyalo kelo tuwono, mondo one kabe ng'ato biro timo kamano.
7. Nonro mag tuoche mag autoimmune: Kapo ni ng'ato nigi tuwo mar urticaria, laktar nyalo chiko mondo otimne nonro mar tuoche mag autoimmune, nikech seche moko tuoche ma kamago ema nyalo kelo tuwono.
8. Tembe mag ng'iyo piche: E kinde manok, nyalo dwarore ni ng'ato otim nonro mag ng'iyo piche kaka X-ray kata CT scan mondo ong'e kabe nitie tuoche mamoko manyalo kelo ranyisi machalo gi mago.
Kinde mang'eny, fwenyo ni ng'ato nigi tuwo mar urticaria dwaro ni ng'ato ong'e weche duto e wi tuwo mar urticaria, otim nonro e dende, kendo seche moko otim nonro e lab.
Gimaduong' en ng'eyo gima kelo tuwono kendo ng'eyo kaka inyalo thiedhe e yo maber moloyo.
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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