O le urticaria, e masani ona taʻua o le maʻi fulafula, o se maʻi e tupu i le paʻu e iloga i le mageso, ma le tutupu aʻe o ni maʻila e mafai ona aliali mai i so o se vaega o le tino.
E mafai ona māfua ona o ni vala eseese, e aofia ai le aafia i le tino o se tagata i se mea, o ni faamaʻi, po o ni maʻi.
O le togafitiga o le urticaria e faalagolago i le tulaga o le maʻi ma le pogai.
O nisi nei o togafitiga masani:
1. Vailaau e tetee atu i le fulafula o le tino: O nei vailaau e fesoasoani e faaitiitia ai le mageso ma le fulafula o le tino, e ala i le taofia o aafiaga o le histamine, o se vailaau e faamatuu atu e le tino pe a aafia i le fulafula o le tino.
O vailaau e lē manaʻomia e fomaʻi e taʻu o le antihistamines e pei o le diphenhydramine (Benadryl) po o le loratadine (Claritin) e aogā i le maʻi e lē ogaoga.
I nisi tulaga e sili ona ogaoga, e ono faatonuina e se fomaʻi ni vailaau e malosi atu e tetee atu ai i le fulafula o le tino.
2. Corticosteroids: I tulaga e lē aogā ai vailaau e tetee atu i le fulafula o le tino, e ono faatonuina ai corticosteroids e pei o le prednisone e faaitiitia ai le fulafula ma taofia ai le malosi o le tino e tetee atu i faamaʻi.
E masani ona inuina nei vailaau ma e vave ona mapusaga ai.
3. Vailaau e taofia ai le malosi o le tino e tetee atu i faamaʻi: I tulaga o le urticaria faaumiumi e lē mafai ona togafitia i isi togafitiga, e ono faatonuina ai fualaau e taofia ai le malosi o le tino e tetee atu i faamaʻi e pei o le cyclosporine po o le methotrexate ina ia taofia ai le malosi o le tino e tetee atu i faamaʻi ma faaitiitia ai le fulafula.
4. Omalizumab: O lenei vailaau, o se vailaau e tuiina e puipuia ai le tino mai le faamaʻi o le tino, lea e faasagatau ma taofia ai le immunoglobulin E (IgE), o se polotini e aafia i le aafia o le tino i le maʻi o le tino.
E masani ona faʻaaogaina mo le urticaria tumau e le tali atu i isi togafitiga.
5. ʻAlofia mea e māfua ai: O le iloaina ma ʻalofia o mea e māfua ai le fiva faiʻai, e mafai ona fesoasoani e ʻalofia ai le tupu o le fiva faiʻai.
O nisi o vala e māfua ai le fiva faiʻai, o nisi o meaʻai, fualaau, ū e iniseti, vevela, mālūlū, po o le susulu o le lā.
6. Fufulu i se mea malulu: O le tuu o se mea malulu i le vaega o loo aafia e mafai ona fesoasoani e faaitiitia ai le mageso ma le fulafula.
7. Fulufulu ʻie: E mafai ona faaaogā ʻie e faamalulu ai le mageso ma faaitiitia ai le fulafula.
E afifi se ʻie mālūlū i le vaega ua aafia, ona tuu lea i luga o se ʻie mamago ina ia taofia ai le susū.
8. Phototherapy: O le aafia i le malamalama o le ultraviolet e mafai ona fesoasoani e taofia ai le malosi o le tino e tetee atu i faamaʻi ma faaitiitia ai le fulafula i nisi o tulaga o le urticaria faaumiumi.
E tāua le vaai o se fomaʻi mo le saʻo o le togafitiga o le urticaria.
E mafai ona latou fesoasoani e iloa le pogai autū ma fautuaina le togafitiga e sili ona talafeagai.
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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['Faafesootaʻi']
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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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