Ny urticaria, fantatra ihany koa amin'ny hoe hiti, dia aretin-koditra miavaka amin'ny fisehoan'ny mena, mangidihidy, ary fivontosana amin'ny hoditra.
Mety ho vokatry ny antony maro samihafa izany, toy ny tsy fahazakana, aretina, ary fanafody sasany.
Ny tantaran'ny aretina sy ny fizahana vatana ary indraindray ny fitiliana any amin'ny laboratoara no ilaina mba hamantarana ny urticaria.
1. Ny tantaran'ny aretina: Hanontany momba ny tantaran'ny aretina, anisan'izany ny tsy fahazakana fantatra, ny aretina vao haingana, ary ny fanafody efa noraisina, ny dokotera.
Hanontany koa izy hoe oviana no nanomboka ny soritr'aretina, naharitra hafiriana, ary inona no mety ho nahatonga an'ilay izy.
2. Fandinihana vatana: Hamarinin'ny dokotera ny hoditra raha misy fery, ny habeny, ary ny fiparitahany.
Mety ho hitan'izy ireo koa raha misy soritr'aretina hafa, toy ny fivontosan'ny tarehy, molotra, na lela.
3. Fitiliana any amin'ny laboratoara: Mety hasain'ny dokotera manao fitiliana ra ny olona sasany, mba hahitana raha misy aretina na tsy mahazaka sakafo izy.
Azo atao koa ny manao fitiliana amin'ny hoditra, toy ny fitiliana amin'ny tsindrona na fitiliana amin'ny patch, mba hamantarana ny zavatra manokana mahatonga ny tsy fahazakana.
4. Fitsapana ny tsy fahazakana: Raha miahiahy ny dokotera fa misy tsy fahazakana ny marary, dia mety hanondro azy any amin'ny dokotera manam-pahaizana momba ny tsy fahazakana izy mba hanaovana fitiliana fanampiny.
Mety hisy fitsapana amin'ny hoditra, na fitsapana amin'ny patch, na fitsapana ra mba hamantarana ny zavatra mampanahy azy.
5. Famaritana ny aretina: Handinika ny antony hafa mety mahatonga ny soritr'aretina koa ny dokotera, toy ny aretin-koditra hafa na aretina hafa, ary mety hanao fitiliana fanampiny mba hanamarinana fa tsy aretina hafa ilay izy.
6. Fitsapana: Mety hanao fitsapana ny dokotera mba hanamarinana ny aretina, raha misy urticaria ara-batana, izay vokatry ny zavatra manaitaitra, toy ny hafanana, hatsiaka, na tsindry.
Atao amin'ny hoditra ilay izy, mba hahitana raha misy vokany eo.
7. Fitsapana ny hery fanefitra ao amin'ny vatana: Mety hasain'ny dokotera manao fitsapana ny olona voan'ny aretin-koditra, satria mety ho izy ireny no mahatonga an'ilay aretina.
8. Fandinihana amin'ny sary: Mety hisy olona hanao fitiliana amin'ny sary, toy ny fitarafana amin'ny taratra X na CT, mba hahitana raha misy aretina hafa mitovitovy amin'ny azy.
Amin'ny ankapobeny, ny fitiliana ny urticaria dia ahitana fitambaran'ny tantaram-pahasalamana, ny fizahana ara-batana, ary indraindray ny fitsapana amin'ny laboratoara.
Ny tanjona dia ny hamantatra ny antony sy ny fitsaboana tsara indrindra.
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.
['Fialana andraikitra: fitsaboana']
['Natao hampianarana sy hampahafantarana fotsiny ity tranonkala ity, fa tsy natao hanomezana torohevitra ara-pitsaboana na tolotra matihanina.']
['Tsy tokony hampiasaina mba hamantarana na hitsaboana olana ara-pahasalamana na aretina ny fanazavana omena, ary tokony hanatona dokotera manana fahazoan-dalana hitsabo tena ireo mitady torohevitra ara-pitsaboana.']
["Mariho tsara fa ny tambajotra neural izay mamorona ny valin'ny fanontaniana, dia tsy marina indrindra raha resaka isa no resahina. Ohatra, ny isan'ny olona voamarina fa voan'ny aretina manokana."]
["Mitadiava torohevitra avy amin'ny dokotera na mpitsabo hafa mahay momba ny toe-pahasalamanao. Aza atao tsinontsinona mihitsy ny torohevitra ara-pitsaboana matihanina na manemotra ny fikatsahana azy noho ny zavatra novakianao tao amin'ity tranonkala ity. Raha mieritreritra ianao fa mety manana vonjy taitra ara-pitsaboana, antsoy ny 911 na mandehana any amin'ny efitrano fitsaboana maika akaiky indrindra avy hatrany. Tsy misy fifandraisana mpitsabo-marary noforonin'ity tranonkala ity na ny fampiasana azy. Na ny BioMedLib na ny mpiasa ao aminy, na ny mpandray anjara amin'ity tranonkala ity, dia tsy manao fanambarana, mazava na tsy mazava, momba ny fampahalalana omena eto na ny fampiasana azy."]
["Fanamarihana: zon'ny mpamorona"]
["Ny Digital Millennium Copyright Act of 1998, 17 U.S.C. § 512 (ny DMCA) dia manome vahaolana ho an'ireo tompon'ny zon'ny mpamorona izay mino fa manitsakitsaka ny zony araka ny lalàna momba ny zon'ny mpamorona ao Etazonia ny fitaovana hita ao amin'ny Internet. "]
["Raha mino ianao fa misy votoaty na fitaovana azo ampiasaina amin'ny tranonkalanay na ny tolotra ataonay manitsakitsaka ny zon'ny mpamorona anao, dia afaka mandefa filazana aminay ianao (na ny mpandraharaha anao) mangataka ny hanesorana ny votoaty na ny fitaovana, na ny fanakanana ny fidirana amin'izany. "]
['Tsy maintsy alefa an-tsoratra amin\'ny alalan\'ny mailaka ny filazana (jereo ny fizarana "Contact" raha mila adiresy mailaka). ']
["Ny DMCA dia mitaky ny fampandrenesanao ny voalaza ho fanitsakitsahana ny zon'ny mpamorona ahitana ireto fampahalalana manaraka ireto: (1) famaritana ny asa voaaro zon'ny mpamorona izay voalaza fa voahitsakitsaka; (2) famaritana ny votoaty voalaza fa manitsakitsaka sy fampahalalana ampy ahafahantsika mahita ny votoatiny; (3) fampahalalana momba anao, anisan'izany ny adiresinao, nomeraon-telefaona ary adiresy mailaka; (4) fanambarana avy aminao fa mino tsara ianao fa ny votoaty amin'ny fomba nitarainana dia tsy nomen'ny tompon'ny zon'ny mpamorona alalana, na ny mpandraharahany, na amin'ny asan'ny lalàna rehetra; "]
["(5) fanambarana nosoniavinao, eo ambany sazin'ny fianianana diso, fa marina ny vaovao ao amin'ny fampahafantarana ary manana fahefana hampihatra ny zon'ny mpamorona izay voalaza fa voahitsakitsaka ianao; "]
["Mety hiteraka fahatarana amin'ny fikarakarana ny fitarainanao ny tsy fampidirana ireo vaovao rehetra voalaza etsy ambony."]
['Fifandraisana']
['Alefaso mailaka izahay raha misy fanontaniana / sosokevitra.']
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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