L'orticaria, comunemente conosùa come orticaria, xe 'na condizion deła pele caraterixada da brufoli che prude e che pol aparir in qualsiasi parte del corpo.
Ła pol essar causà da vari fatori, includendo reasion ałergiche, infezioni o condision mèdeghe.
El tratamento par l'orticaria dipende dała gravità deła condision e dała causa fondamentałe.
Qua ghe xe alcune opsion de tratamento comuni:
1. Antihistaminici:'sti medexini i aiuta a ridur prurito e gonfiore blocando i efeti de l'istamina, 'na sostansa chimica rilascià dal corpo durante 'na reazion ałergica.
I antiistaminici da banco come a difenidramina (Benadryl) o a loratadina (Claritin) pol essar efetivi nei casi lievi.
Nei casi pì gravi, un dotor el pol prescrivar antiistaminici pì forti.
2. Corticosteroidi: nei casi dove i antiistaminici no i xe efficaci, i corticosteroidi come el prednisone i pol esar prescriti pa ridur l'infiammazion e soprimar el sistema immunitario.
Sti medexini de sołito i vien presi per boca e i pol dar un rapido sollievo.
3. Immunosoppressori: Nei casi de orticaria cronica che no risponde a altri tratamenti, i pol esser prescriti farmaci immunosoppressori come a ciclosporina o el metotrexato pa sopprimare el sistema immunitario e ridur l'infiamasion.
4. Omalizumab:'sto medicamento xe un anticorpo monoclonałe inietabiłe che mete e bloca l'immunoglobulina E (IgE), 'na proteina coinvolta nełe reasion ałergiche.
El xe tipicamente usà pa l'orticaria cronica che no risponde a altri tratamenti.
5. Evita i fattori scatenanti: identificare e evitar i fattori scatenanti che causa l'orticaria pol jutar a prevenir i focolai.
I soliti trigger i include certi alimenti, medexine, morsi de inseti e esposision al caldo, al fredo o al sol.
6. Conpressa freda: Metar 'na conpressa freda neła zona colpia pol ridur el prurito e el gonfior.
7. Fasci bagnà: i fasci bagnà i pol essar usai pa calmar el prurito e ridur l'infiamasion.
Un panno umido el vien ligà intorno ała zona colpita e dopo un panno seco el vien messo sora par tegner l'umidità.
8. Fototerapia: L'esposizion ała luce ultravioleta pol jutar a soprimar el sistema immunitario e ridur l'infiamasion in alcuni casi de orticaria cronica.
Xe importante consultar un profesionista sanitario pa na diagnosi e tratamento coreti de l' orticaria.
I pol jutarte a determinàr ła causa fondamentałe e raccomandar el piano de tratamento pì aproprià.
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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