How is Urticaria diagnosed?

['Phulaphula eli phepha']

Sifunyaniswa njani isifo sokurhawuzelela?

I-Urticaria, ekwabizwa ngokuba yindawo enobuhlungu, yimeko yesikhumba ebonakala ngokubonakala kwamabala abomvu, alunywayo, kwaye adumbileyo esikhumbeni.

Inokubangelwa zizinto ezahlukahlukeneyo, kuquka ukwalana komzimba, usulelo namayeza athile.

Ukuxilongwa kwesifo sokurhawuzelela kubandakanya ukuhlola imbali yezonyango, ukuxilongwa emzimbeni yaye maxa wambi nokuxilongwa elebhu.

1. Imbali yezonyango: Ugqirha uya kubuza ngembali yezonyango yomguli, kuquka naluphi na utywala obaziwayo, ukugula akutshanje namayeza awasebenzisileyo.

Kwakhona baya kubuza ukuba ziqale nini ukuba neempawu, zide kangakanani nokuba yintoni ebangela ukuba zibe njalo.

2. Uxilongo lomzimba: Ugqirha uya kuhlola ulusu ukuze abone ukuba akukho zitshotsho, ubungakanani bazo nendlela ezithe saa ngayo.

Basenokujonga nezinye iimpawu zokwalana komzimba, njengokuvuvuka kobuso, imilebe okanye ulwimi.

3. Uvavanyo lwaselebhu: Kwezinye iimeko, ugqirha usenokuyalela ukuba kuhlolwe igazi ukuze abone ukuba akukho nto ingafunekiyo okanye akunazo na izifo.

Uvavanyo lolusu, olufana novavanyo lokutshixa ulusu okanye uvavanyo lwepatch, lunokwenziwa ukufumanisa izinto ezithile ezibangela ukuba umntu abe novakalelo.

4. Uvavanyo lokwalana komzimba: Ukuba ugqirha ukrokrela ukuba umntu unengxaki yokwalana nomzimba, usenokumthumela kugqirha ukuze ahlolwe.

Oku kusenokuquka ukuxilongwa kolusu, ukuxilongwa kwebala okanye ukuxilongwa kwegazi ukuze kuchongwe izinto ezithile ezibangela ukuba ubani abe nomzimba ongezwaniyo nezinto ezithile.

5. Ukuxilongwa: Ugqirha uya kuhlolisisa nezinye izinto ezinokubangela ezi mpawu, njengokugula kolusu okanye ezinye iingxaki zempilo, yaye usenokuyalela ukuba kwenziwe olunye uvavanyo ukuze kuqinisekiswe ukuba ezi zinto azikho.

6. Uvavanyo lokuchukumisa: Kwiimeko zeurticaria ebonakalayo, apho iimpethu zibangelwa zizinto ezibonakalayo njengobushushu, ingqele okanye uxinzelelo, ugqirha usenokwenza uvavanyo lokuchukumisa ukuze aqinisekise ukuba ugula yintoni.

Oku kuquka ukuyibeka eluswini into ekrokreleka ukuba ibangele ingxaki ukuze ubone ukuba iza kwenzeka na.

7. Uvavanyo lwezifo ezibangelwa ziiseli zomzimba: Kwiimeko zeurticaria engapheliyo, ugqirha usenokuyalela ukuba kuhlolwe izifo ezibangelwa ziiseli zomzimba, kuba maxa wambi ezi zifo zisenokubangela esi sifo.

8. Uxilongo lokujonga imifanekiso: Kwiimeko ezinqabileyo, kusenokufuneka ukuba umntu ahlolwe imifanekiso, njengemifanekiso yeX-reyi okanye yeCT scan ukuze kuqinisekiswe ukuba akakho omnye umntu onesi sifo.

Xa ujonga yonke into, ukuxilongwa kwe-urticaria kubandakanya ukudibanisa imbali yezonyango, ukuxilongwa emzimbeni, kwaye ngamanye amaxesha iimvavanyo zaselebhu.

Injongo kukufumanisa oyena nobangela nokumisela olona nyango lufanelekileyo.

['Iimbekiselo']

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.

['Ukuzikhusela: unyango']

['Le webhsayithi yenzelwe ukufundisa nokunika inkcazelo kuphela yaye ayibonisi ukuba inikela amacebiso ezonyango okanye iinkonzo zobungcali.']

['Inkcazelo enikelweyo ayifanele isetyenziselwe ukuxilonga okanye ukunyanga ingxaki yempilo okanye isifo, yaye abo bafuna icebiso lonyango lobuqu bafanele babonane nogqirha onelayisensi.']

['Nceda uqaphele ukuba inethiwekhi ye-neural eyenza iimpendulo kwimibuzo, ayichanekanga xa kufikwa kumxholo wenani. Umzekelo, inani labantu abafunyaniswe benesifo esithile.']

['Soloko ucela icebiso kugqirha wakho okanye komnye umboneleli wezempilo ofanelekileyo malunga nemeko yakho yezonyango. Ungaze ungayihoyi ingcebiso yezonyango okanye ulibazise ukufuna ngenxa yento oyifunde kule webhusayithi. Ukuba ucinga ukuba unengxaki yezonyango, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko. Akukho buhlobo bukagqirha nomguli obudalwa yile webhusayithi okanye ukusetyenziswa kwayo. I-BioMedLib okanye abasebenzi bayo, okanye nabani na onegalelo kule webhusayithi, abenzi zimelo, ngokucacileyo okanye ngokungangqalanga, ngokubhekisele kulwazi olunikezwe apha okanye ekusetyenzisweni kwalo.']

['Ukuzikhulula: ilungelo lokushicilela']

['Umthetho we-Digital Millennium Copyright ka-1998, 17 U.S.C. § 512 (i-DMCA) ubonelela ngeendlela zokubhena kubanini bamalungelo obunini abakholelwa ukuba izinto ezibonakala kwi-Intanethi ziphula amalungelo abo phantsi komthetho welungelo lokushicilela wase-US. ']

['Ukuba ukholelwa ukuba kukho umxholo okanye izinto ezenziwe zafumaneka kwi-website yethu okanye iinkonzo eziphula ilungelo lakho lokushicilela, wena (okanye iarhente yakho) ungathumela isaziso esicela ukuba umxholo okanye izinto zisuswe, okanye ukufikelela kuzo kuvalwe. ']

['Izaziso kufuneka zithunyelwe ngokubhaliweyo nge-imeyile (jonga kwicandelo elithi "Qhagamshelana" ukuze ufumane idilesi ye-imeyile).']

['I-DMCA ifuna ukuba isaziso sakho sokutyholwa ngokophula ilungelo lokushicilela siquke ezi nkcukacha zilandelayo: (1) inkcazelo yomsebenzi onelungelo lokushicilela ongundaba-mlonyeni wokutyholwa ngokophula; (2) inkcazelo yomxholo otyholwa ngokophula kunye nolwazi olwaneleyo ukusivumela ukuba sifumane umxholo; (3) iinkcukacha zokuqhagamshelana nawe, kuquka idilesi yakho, inombolo yomnxeba nedilesi ye-imeyile; (4) ingxelo yakho yokuba unokholo olulungileyo lokuba umxholo ngendlela ekhalazwa ngayo awugunyaziswanga ngumnini welungelo lokushicilela, okanye iarhente yakhe, okanye ngokusebenza kwawo nawuphi na umthetho; ']

['(5) ingxelo yakho, esayinwe phantsi kwesohlwayo sobuxoki, yokuba ulwazi olukwisibhengezo luchanekile kwaye unegunya lokunyanzelisa amalungelo okushicilela ekuthiwa aphulwe;']

['kwaye (6) utyikityo lomzimba okanye lwe-elektroniki lomnini welungelo lokushicilela okanye lomntu ogunyazisiweyo ukuba enze egameni lomnini welungelo lokushicilela. ']

['Ukungabandakanyi lonke ulwazi olungentla kungakhokelela ekulibaziseni ukuphathwa kwesikhalazo sakho.']

['Unxibelelwano']

['Nceda usithumelele i-imeyile ngayo nayiphi na imibuzo / iingcebiso.']

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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