Urticaria, hiv, tia hriat lar bawk hi vun natna a ni a, vun a sen, a khawih leh a vûng a ni.
A chhan chu thil chi hrang hrang, allergy te, natna hrik te, leh damdawi ṭhenkhatte vâng a ni thei a.
Urticaria natna hriat chhuah nân damdawi chanchin te, taksa endik te, leh laboratory test te a tel a.
1. Damdawi lam chanchin: Doctor chuan damlo damdawi lam chanchin, allergy hriat tawh te, dam lohna a neih hnuhnûng te, leh damdawi a ei tawh te a zâwt ang.
Chûng natna lan chhuah ṭan hun leh a rei dân te, leh a awmtîrtu thil awm thei te pawh an zâwt bawk ang.
2. Taksa endikna: Doctor chuan vun chu a hmuna hliam awm leh awm loh te, a len zawng te, leh a hmun a zirin a endik ang.
Chu bâkah, hmai, hmui, a nih loh leh leiba a vûn emaw, allergy a neih vâng emaw pawh a ni thei bawk.
3. Laboratory test: A châng chuan, doctor chuan allergy emaw, natna hrik emaw a awm leh awm loh hriat nân thisen test a ti mai thei.
Allergen chi hrang hrang hriat nân vun test, skin prick test emaw, patch test emaw ang chi pawh tih theih a ni bawk.
4. Allergy test: Doctor-in allergy a nei nia a hriat chuan, a natna hriat chian lehzual nân allergy doctor-ah a hruai thei a ni.
Chutah chuan allergen chi hrang hrang hriat nân vun enna te, patch test te, a nih loh leh thisen enna te a tel thei a ni.
5. Hri kai hmuhchhuah dân: Doctor chuan natna lan chhuah chhan dang, vun natna dang emaw, natna dang emaw pawh a ngaihtuah ang a, chûngte chu hriat chhuah a nih loh nân fiahna dang a ti thei bawk.
6. Hri kai hmuhchhuahna: Hri kai hmuhchhuahna chu taksa lama thil awmte, a nih loh leh lumna, lumna, leh nêkchêpna avânga lo awm a ni.
Chutah chuan, a tihdân a awm leh awm loh hriat nân, a tihrangtu nia rin thil chu vun chhûngah an dah a ni.
7. Autoimmune test: Urticaria natna a awm reng chuan, doctor chuan autoimmune natna a awm leh awm loh hriat nân test a ti mai thei a, chûngte chuan a châng chuan chu natna chu a thlen thei a ni.
8. Imaging test: A châng chuan, chutiang natna nei lo damlo dangte hriat chhuah nân X-ray emaw, CT scan emaw ang chi chu tih a ngai mai thei.
A tlângpui thuin, urticaria natna hriat chhuah nân damdawi chanchin te, taksa endik te, leh laboratory test te a tel a.
A tum ber chu a awm chhan hriat chhuah a, damlo tâna inenkawlna ṭha ber tûr hriat chhuah a ni.
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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