How is Urticaria diagnosed?

Mvetserani tsamba ili

Kodi matenda a urticaria amadziŵika bwanji?

Matenda a urticaria, omwe amadziwikanso kuti urticaria, ndi matenda a khungu amene amaoneka ngati ofiira, odya, ndi otupa pakhungu.

Zingayambitsidwe ndi zinthu zosiyanasiyana, kuphatikizapo matenda a chifuwa, matenda opatsirana, ndi mankhwala ena.

Kufufuza matenda a urticaria kumaphatikizapo kufufuza mbiri ya matenda, kufufuza thupi, ndipo nthaŵi zina kufufuza m'ma laboratory.

1. Mbiri ya matenda: Dokotala adzafunsa za mbiri ya matenda a wodwalayo, kuphatikizapo matenda alionse odziŵika, matenda aposachedwapa, ndi mankhwala ogwiritsidwa ntchito.

Adzafunsanso za chiyambi cha zizindikirozo, kutalika kwake, ndi zinthu zilizonse zimene zingachititse kuti zizindikirozo zichitike.

2. Kufufuza thupi: Dokotala adzafufuza khungu kuti aone ngati pali ziphuphu, kukula kwake, ndi kufalikira kwake.

Iwo angayang'anenso ngati pali zizindikiro zina za chifuwa, monga kutupa kwa nkhope, milomo, kapena lilime.

3. Mayeso a labotale: M'zochitika zina, dokotala angalamule mayeso a magazi kuti aone ngati pali matenda kapena matenda ena.

Mayeso a pakhungu, monga mayeso a pakhungu kapena mayeso a patch, angathenso kuchitidwa kuti adziŵe ma allergen enaake.

4. Mayeso a chifuwa: Ngati dokotala akuganiza kuti wodwalayo ali ndi chifuwa, angam'tumize kwa dokotala wa chifuwa kuti akafufuze zambiri.

Zimenezi zingaphatikizepo mayesero a khungu, mayesero a patch, kapena mayesero a magazi kuti adziŵe ma allergen enaake.

5. Kafukufuku wosiyana: Dokotala adzaganiziranso za zifukwa zina zotheka za zizindikirozo, monga matenda ena a khungu kapena matenda ena, ndipo angalamule mayeso owonjezereka kuti athetse zimenezi.

6. Mayeso ochititsa chidwi: M'milandu ya physical urticaria, kumene ziphuphu zimayambitsidwa ndi zinthu zolimbikitsa monga kutentha, kuzizira, kapena kupanikizika, dokotala angachite mayeso ochititsa chidwi kuti atsimikizire matendawo.

Zimenezi zimaphatikizapo kuika khungu pa chinthu chimene chikukayikiridwacho kuti aone ngati chikuchitika.

7. Mayeso a chitetezo cha m'thupi: M'milandu ya urticaria yosatha, dokotala angalamule mayeso kuti aone ngati pali matenda a chitetezo cha m'thupi, popeza kuti nthaŵi zina matenda ameneŵa angayambitse vutoli.

8. Mayeso a zithunzi: M'zochitika zachilendo, mayeso a zithunzi monga X-ray kapena CT scan angalamulidwe kuti asakhale ndi matenda ena amene angayambitse zizindikiro zofananazo.

Kaŵirikaŵiri, kudziŵitsa matenda a urticaria kumaphatikizapo kusakaniza mbiri ya matenda, kufufuza thupi, ndipo nthaŵi zina mayeso a labotale.

Cholinga chake n'chakuti adziŵe chimene chimayambitsa matendawa ndipo adziŵe njira yabwino kwambiri yothandizira wodwalayo.

Maumboni othandiza

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

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.

Chodzikanira: zachipatala

Webusaitiyi imaperekedwa kaamba ka zolinga za maphunziro ndi chidziŵitso zokha ndipo si kupereka uphungu wa zachipatala kapena mautumiki a akatswiri.

Chidziŵitso choperekedwacho sichiyenera kugwiritsiridwa ntchito kupenda kapena kuchiza vuto la thanzi kapena matenda, ndipo awo ofuna uphungu waumoyo waumwini ayenera kufunsa dokotala wovomerezeka.

Chonde dziŵani kuti ma neural net amene amapanga mayankho a mafunso, ndi osayenerera makamaka pankhani ya manambala. Mwachitsanzo, chiŵerengero cha anthu odwala matenda enaake.

Nthawi zonse funsani upangiri wa dokotala wanu kapena wothandizira wina waluso pankhani ya matenda. Musanyalanyaze upangiri wa zamankhwala kapena kuchedwetsa kufunafuna chifukwa cha china chake chomwe mwawerenga patsamba lino. Ngati mukuganiza kuti mungakhale ndi vuto ladzidzidzi, itanani 911 kapena pitani ku chipinda chadzidzidzi chapafupi nthawi yomweyo. Palibe ubale wa dokotala ndi wodwala womwe umapangidwa ndi tsamba ili kapena kugwiritsa ntchito kwake. Neither BioMedLib kapena antchito ake, kapena aliyense wothandizira patsamba lino, amapanga ziwonetsero zilizonse, zowonetsera kapena zomveka, zokhudzana ndi chidziwitso choperekedwa pano kapena kugwiritsa ntchito kwake.

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Kulephera kuphatikizapo chidziŵitso chonse chapamwamba kungayambitse kuchedwa kwa kusanthula madandaulo anu.

Kulumikizana

Chonde titumizireni imelo ndi funso / lingaliro lililonse.

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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