Urtikaria wã b sẽn boond me tɩ kõs-kʋdgã yaa yĩns bãaga, tɩ yaa kõs-kʋdse, tɩ ned yĩnsã kẽedẽ, tɩ b puugdẽ.
Tõe n yɩɩ bũmb toor- toore, wala makre, yĩn- wɩsgre, bãase, la tɩt kẽer n wat ne bãagã.
Sẽn na yɩl n bãng bãagã sã n sɩd yaa urtikarya, b rengd n vaeesa nedã bãagã kʋdemde, n ges a yĩngã, la wakat ninga b maan vaeesg logtor yirẽ.
1. Logtorã sẽn da zoe n tɩp-a to-to: Logtorã na n soka bãadã bãagã sẽn da zoe n tɩp-a to-to, tɩpg ning a sẽn da paame, a bãagã sẽn da wa n pa kaoosã, la tɩpg ning a sẽn da rɩkã.
B na n sok-a-la bãagã sẽn sɩng wakat ninga, a sẽn kaoos to-to, la bũmb ning sẽn kɩt t'a bẽedã.
2. logtorã gesgo: Logtorã na n gesa bãasã sẽn be yĩngrã n bãng b bedrem la b sẽn yalg to-to.
B tõe n baoo bãas a taab sẽn tõe n wa ne bãagã, wala makre, ned nengã, a no-bɩmsã wall a zelemdã sã n puugame.
3. Logtor yir vaeesgo: Wakat ninga, logtorã tõe n yeelame tɩ b tɩp-a n ges a sã n pa bẽed bãag wall a sã n pa tar yĩn-wɩsgr sẽn tõe n kʋ-a.
B tõeeme me n maan yĩn-gãong vaeesgo, wala makre, b sẽn na n fẽrg ned yĩn-gãong n ges a sã n pa bẽedẽ, bɩ b sẽn na n ning bãnd n ges a sã n pa bẽedẽ, sẽn na yɩl n bãng bũmb ning sẽn wat ne a soabã.
4. Bãas sã n wa tar ned tɩɩm: Logtorã sã n tagsdẽ tɩ bãagã tõe n wa tara ned tɩɩm, a tõe n kɩtame tɩ b tɩ ges bãadã n paas t'a paam kibay n paase.
Woto tõe n yɩɩ yĩn-gãongẽ wopeere, tɩbsg zĩig pʋgẽ wopeere, bɩ zɩɩm wopeere, sẽn na yɩl n bãng bũmb ning sẽn wat ne yĩn-gãong bãagã.
5. Logtorã na n bao n bãnga bãagã sẽn tõe n wa ne bũmb ninsã.
6. Makr sẽn wilgd tɩ bãagã sɩd tara pãnga: Sã n yaa yĩn-wɩsgrã n wat ne weoogã, yaa bũmb sẽn wat ne weoogã, wala makre, tʋʋlem, waood bɩ pãng n wat ne weoogã, logtorã tõe n maana makr sẽn wilgd tɩ bãagã sɩd tara pãnga.
B sã n wa maand woto, b ningda bũmb ning b sẽn tẽed tɩ tõe n kɩtame tɩ bãagã paam-bã b yĩnsã pʋsẽ, n ges bãagã sã n na n tɩpame.
7. Bãasã sẽn zabd ne yĩngã yĩngã wilã: Sã n yaa ne bã-kɛgeng ning b sẽn boond tɩ urtikarya wã, logtorã tõe n maana vaeesg n ges bãas nins sẽn zabd ne yĩngã wilã sã n pa beeme, bala wakat ninga yaa rẽ n wat ne bãagã.
8. Makr sẽn wilgd bũmb ning sẽn be yĩngã pʋgẽ wã: Wakat ninga, b tõe n maana wopeere, wall b ges bãadã sẽn yaa to-to wã n bãng bãadã sã n pa bẽed bã-kɛgenga.
Sẽn yɩɩd fãa, bãagã sã n wa kɩt tɩ ned bẽedẽ, b rengd n vaeesa a bãagã kʋdemde, n ges a yĩngã, la wakat ninga b maan vaeesg logtor yirẽ.
B sẽn dat yaa b bãng bãagã sẽn wat ne bũmb ningã, la b bãng tɩbsg ning sẽn na n sõng bãadã n yɩɩdã.
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.
['Bãngr-gomde: logtoeemdã']
['Yaa zãmsg la kibay kũun yĩng bal la b yiisd sit kãngã, la pa logtoeemdã wɛɛngẽ sagls bɩ tʋʋm-sõng maaneg yĩng ye.']
['B pa segd n tũnug ne kɩbay nins b sẽn kõ wã n bao bãag bɩ zu-loɛɛg tɩɩm ye. Sẽn dat-b tɩbsg b toor segd n tɩ yãa logtor sẽn tar sor n tõe n tɩp-ba.']
['D tẽeg tɩ b sẽn maand to-to n leokd sogsgã to-to wã pa zems ye.']
['Y sã n wa karemd bũmb sẽn be sɩtã pʋgẽ, bɩ y ra tol n yĩm tɩ y segd n tɩ gesa logtor ye. Y sã n tagsdẽ tɩ y tara yĩn-wɩsgr yell bɩ y bool 911 wall y kẽng logtor yirã.']
['Bas-m-yam: sɛbã zãab wɛɛngẽ']
['Digital Millennium Copyright Act sẽn yaa yʋʋmd 1998 soabã, 17 U.S.C. § 512 (DMCA) kõta sor tɩ ned sã n tẽed tɩ bũmb sẽn be ẽntɛrnetã pʋgẽ kɩɩsda a sẽn tar sor n tõe n maan bũmb ninsã, a tõe n tɩ kos n paam n lebse.']
['Yãmb sã n tẽed ne pʋ-peelem tɩ bũmb sẽn be tõnd sɩt wɛɛbã pʋgẽ bɩ tõnd tʋʋm-noyã pʋsẽ n sãamd yãmb dʋrwa wã, yãmb (bɩ y tʋʋm-tʋmdã) tõe n toola tõnd koɛɛg n kos tɩ d yiis bũmbã wall d gɩdg tɩ y ra paam n kẽ ye.']
['B segd n tʋma koees ne ẽtɛrnetã (Ges-y ẽtɛrnetã adɛrs sẽn be babg ning sẽn yet tɩ "Tõnd sõsg zĩigã").']
['DMCA wã baoodame tɩ yãmb sẽn na n togs ned tɩ b maan-a-la bũmb sẽn kɩɩsd a sẽn tar sor n tõe n maan bũmb ningã, bɩ y wilg-a bũmb nins sẽn pʋgdã: 1) bũmb ning sẽn kɩt tɩ b maan-a bũmb ningã, 2) bũmb ning sẽn kɩt tɩ b maan-a bũmb ningã, la y wilg-d bũmb ning sẽn kɩt tɩ d tõe n bãng a sẽn be zĩig ninga. 3) y sẽn tõe n paam ned n gom ne-a to-to, n paas y adɛrsã, telefõnnã nimero, la y e-mailã. 4) y sã n yeel tɩ y kɩsa sɩd tɩ bũmb ning sẽn kɩt tɩ y maan bũmb ningã pa ned ning sẽn tar sor n tõe n maan bũmbã, bɩ a tʋm-tʋmdã, bɩ laloa wã sẽn kõ sor tɩ y maan ye.']
['5) Y sã n wa rat n wilg tɩ y pa tar sor n na n kɩɩs ned a to, bɩ y gʋls sebr n wilg tɩ y sẽn togsã yaa sɩda, la tɩ y tara sor n na n wilg tɩ nedã sẽn maan bũmb ning n kɩɩs yãmb dʋrwa rãmbã yaa sɩda.']
['La (6) sɛb nins sẽn tar-b sor n na n yiis sɛbã, bɩ ned sẽn tar sor n na n tʋm sɛbã yiisg yĩngã.']
['Y sã n pa gʋls kibay nins sẽn be yĩngrã, tõe n kɩtame tɩ y yẽgengã kaoos n pa sa ye.']
['Sõsg ne neda']
['Y sã n tar sokr bɩ y sẽn dat n bãnge, bɩ y gʋls-d lɛtr n tool-do.']
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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