Urticaria - Urtikè
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References
Acute and Chronic Urticaria: Evaluation and Treatment 28671445Urtikarya, ki souvan karakterize pa gratèl (wheals) epi pafwa anfle nan kouch po ki pi fon, anjeneral jere pa evite deklanche li, si sa posib. Tretman prensipal la enplike dezyèm jenerasyon antihistamin H1, ki ka ogmante dòz la si sa nesesè. Anplis de sa, lòt medikaman tankou premye jenerasyon antihistamin H1, antihistamin H2, antagonis reseptè leukotrien, antihistamin ki pi fò, ak kout tèm kortikoterapi yo ka itilize ansanm. Pou ka ki pèsistan, yo ka konsidere voye pasyan bay espesyalis pou terapi altènatif tankou omalizumab oswa cyclosporine.
Urticaria, often characterized by itchy wheals and sometimes swelling of the deeper skin layers, is typically managed by avoiding triggers, if known. The primary treatment involves second-generation H1 antihistamines, which can be adjusted to higher doses if needed. Additionally, other medications like first-generation H1 antihistamines, H2 antihistamines, leukotriene receptor antagonists, potent antihistamines, and short courses of corticosteroids may be used alongside. For persistent cases, referral to specialists for alternative therapies like omalizumab or cyclosporine may be considered.
Urticaria and Angioedema: an Update on Classification and Pathogenesis 28748365
Chronic Urticaria 32310370 NIH
Second-generation H1-antihistamines (e.g., cetirizine, loratadine, fexofenadine), Omalizumab, Ciclosporin, and short courses only of systemic corticosteroids
Angioedema 30860724 NIH
Angioedema se anfle ki pa kite yon twou lè peze, ki fèt nan kouch ki anba po a oswa manbràn mikez yo. Tipikman, li afekte zòn tankou figi, bouch, kou, ak branch, osi byen ke bouch, gòj, ak zantray. Li vin danjere lè li afekte gòj la, ki kapab lakòz yon sitiyasyon ki menase lavi.
Angioedema is non-pitting edema that involves subcutaneous and/or submucosal layers of tissue that affects the face, lips, neck, and extremities, oral cavity, larynx, and/or gut. It becomes life-threatening when it involves the larynx.
Prevansyon se evite faktè ki lakòz kondisyon an. Tretman se tipikman ak antihistamin tankou diphenhydramine ak ranitidine. Nan ka ki grav, yo ka itilize kortikoterapi oswa inibitè leukotrièn tou. Kenbe tanperati anviwònman an fre ka ede tou pou yon ti tan. Pou ka ki dire plis pase sis semèn, yo ka itilize imunosuppresseurs tankou ciclosporin.
Li se yon maladi komen, ki afekte apeprè 20 % popilasyon an. Ka urtikè egi rive egalman nan gason ak fi, pandan ke ka ki dire lontan yo pi komen nan fi. Ka urtikè egi yo pi komen nan mitan timoun yo, pandan ke ka ki dire lontan yo pi komen nan mitan moun ki gen laj mwayen. Si li dire plis pase 2 mwa, li souvan dire pou plizyè ane epi finalman disparèt.
○ Tretman - Medikaman OTC
Urtikè egi anjeneral rezoud nan yon semèn, men urtikè kwonik ka dire pou ane byenke pifò nan yo disparèt nan kèk pwen. Nan ka urtikè kwonik, li rekòmande pou pran antihistamin sou yon baz regilye epi tann pou li ale poukont li.
OTC antihistamin. Cetirizine oswa levocetirizine yo pi efikas pase fexofenadine, men yo ka fè ou dòmi.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
Pou urtikè kwonik, antihistamin ki pa fè dòmi tankou fexofenadine yo pi pito.
#Fexofenadine [Allegra]
#Diphenhydramine [Benadryl]
#Loratadine [Claritin]