Orticaria, tí wọ́n sábà máa ń pè ní hives, jẹ́ àìsàn awọ ara tó máa ń mú kí ara máa gbóná, tó sì lè fara hàn níbikíbi tó bá wà nínú ara.
Ọ̀pọ̀ nǹkan ló lè fa rẹ̀, títí kan àìsàn kan, àrùn tó ń ṣe èèyàn, tàbí àìsàn kan tó ń ṣe èèyàn.
Ìtọjú àrùn urticaria sinmi lórí bí àìsàn náà ṣe le tó àti ohun tó fà á.
Àwọn ìtọ́jú tí wọ́n sábà máa ń lò rèé:
1. Àwọn oògùn tí wọ́n ń pè ní antihistamines: Àwọn oògùn wọ̀nyí máa ń dín ìbàjẹ́ àti ìbàjẹ́ kù nípa dídènà ipa histamine, tó jẹ́ kẹ́míkà tí ara máa ń tú jáde nígbà tí àrùn bá ń ṣe é.
Àwọn oògùn antihistamines tí wọ́n ń tà láìsí ìtọ́jú bíi diphenhydramine (Benadryl) tàbí loratadine (Claritin) lè wúlò nínú àwọn ọ̀ràn tí kò fi bẹ́ẹ̀ le.
Nígbà tí àrùn náà bá le gan-an, dókítà lè fúnni ní oògùn antihistamine tó lágbára ju ti tẹ́lẹ̀ lọ.
2. Corticosteroids: Nínú àwọn ọ̀ràn tí àwọn oògùn antihistamines kò bá ṣiṣẹ́, a lè fúnni ní corticosteroids bíi prednisone láti dín àìsàn kù kí wọ́n sì dín ètò ààbò kù.
Wọ́n sábà máa ń mu àwọn oògùn wọ̀nyí ní ẹnu, wọ́n sì lè mú kí ara tù wọ́n kíákíá.
3. Àwọn oògùn tó ń dènà ààbò: Nígbà tí àrùn urticaria bá ń báni fínra tí kò sì lè dáhùn sí ìtọ́jú mìíràn, a lè fúnni ní àwọn oògùn tó ń dènà ààbò bí cyclosporine tàbí methotrexate láti dènà ètò ààbò àti láti dín ìdààmú kù.
4. Omalizumab: Oògùn yìí jẹ́ àjẹsára monoclonal tí a lè fi ọgbẹ́ ṣe tí ó máa ń dí immunoglobulin E (IgE) lọ́wọ́, èyí tó jẹ́ èròjà protein tí ó máa ń fa àìsàn.
Wọ́n sábà máa ń lò ó fún àrùn urticaria tí kì í dáhùn sí àwọn ìtọ́jú mìíràn.
5. Yẹra fún àwọn ohun tó ń fa àrùn urticaria: Fífi àwọn ohun tó ń fa àrùn urticaria hàn, kí o sì yẹra fún wọn lè ràn ẹ́ lọ́wọ́ láti dènà àrùn náà.
Lára àwọn ohun tó sábà máa ń fa àrùn náà ni àwọn oúnjẹ kan, àwọn oògùn kan, àwọn kòkòrò kan tó máa ń gún èèyàn, ooru, òtútù, tàbí oòrùn.
6. Àwòrán tí ó tutù: Fífi àwòrán tí ó tutù sórí ibi tí àrùn náà ti ń ṣe lè dín ìbànújẹ́ àti ìbànújẹ́ kù.
7. Àwọn aṣọ tí wọ́n fi omi bo: Wọ́n lè lo àwọn aṣọ tí wọ́n fi omi bo láti mú kí ìrora kúrò, kí wọ́n sì dín àìsàn náà kù.
Wọ́n máa ń fi aṣọ rírẹ̀ yí ibi tó ní àrùn náà ká, wọ́n á sì wá fi aṣọ gbígbẹ bò ó láti mú kí omi máa wà níbẹ̀.
8. Ìtọ́jú Ìmọ́lẹ̀: Ìmọ́lẹ̀ ultraviolet lè ràn wá lọ́wọ́ láti dín ètò ààbò kù, ó sì lè dín ìdààmú ara kù nínú àwọn àìsàn kan tó ń fa àrùn urticaria.
Ó ṣe pàtàkì láti lọ bá oníṣègùn kan fún àyẹ̀wò àti ìtọ́jú tó tọ́ fún àrùn urticaria.
Wọ́n lè ràn wá lọ́wọ́ láti mọ ohun tó ń fa àrùn náà, kí wọ́n sì fún wa ní ìtọ́jú tó yẹ jù lọ.
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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