L'urticària, comunament coneguda coma rusca, es una malautiá de la pèl caracterizada per de verruga sus tota la partida del còs.
Pòt èsser causada per diferents factors, coma reaccions allergicas, infeccions, o malautiás de fons.
Lo tractament de l'urticària depend de la gravetat de la malautiá e de la causa de la malautiá.
Vaquí qualques opcions de tractament comunas:
1. Antihistaminas: Aquestes medicaments ajudan a reduire la picor e la inflamacion en blocant los efièchs de l'istamina, una substància quimica liberada pel còrs pendent una reaccion allergica.
Los antiistamines coma la difenidramina (Benadryl) o la loratadina (Claritin) pòdon èsser eficaces dins los cases leugièrs.
Dins los cases mai grèus, un mètge pòt prescriure d'antiistaminas mai fòrtas.
2. Corticosteroïdes: Dins los cases ont los antiistamines son pas eficaces, de corticosteroïdes coma la prednisona pòdon èsser prescrits per reduire l'inflamacion e suprimir lo sistèma immunitari.
Aquestes medicaments son mai sovent pres per via orala e pòdon donar un solaç rapid.
3. Immunosupressants: Dins los cases d'urticària cronica que respondon pas als autres tractaments, d'immunosupressants coma la ciclosporina o lo metotrexat pòdon èsser prescrits per suprimir lo sistèma immunitari e reduire l'inflamacion.
Omalizumab: es un anticòrs monoclonal injectable que visa e bloca l'immunoglobulina E (IgE), una proteïna implicada dins las reaccions allergicas.
Es tipicament utilizat per l'urticària cronica que respond pas als autres tractaments.
5. Evitar los desencadenants: Identificar e evitar los desencadenants que provòcan l'urticària pòt ajudar a prevenir los trebles.
Los desencadenants comuns son los aliments, los medicaments, las fissadas d'insèctes, la calor, lo freg o lo solelh.
6. Compressa freja: Aplicar una compressa freja sus la zona tocada pòt ajudar a reduire la picor e la tumefaccion.
7. Embolcals umids: Los embolcals umids pòdon èsser utilizats per calmar la picor e reduire l'inflamacion.
Un teissut umid es enrotlat a l'entorn de la zona tocada, puèi un teissut sec es plaçat al dessús per retenir l'umiditat.
8. Fototerapia: L'exposicion a la lutz ultravioleta pòt ajudar a suprimir lo sistèma immunitari e reduire l'inflamacion dins unes cases d'urticària cronica.
Es important de consultar un professional de santat per un diagnostic e tractament apropriats de l'urticària.
Pòdon ajudar a determinar la causa prigonda e recomandar lo plan de tractament mai apropriat.
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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