Urticaria
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References
Acute and Chronic Urticaria: Evaluation and Treatment 28671445O le urticaria, e masani ona fa'aalia i le mageso ma o nisi taimi o le fula o le loloto o le pa'u, e masani lava ona pulea e ala i le aloese mai fa'aoso, pe a iloa. O le togafitiga muamua e aofia ai le H1 antihistamines lona lua, lea e mafai ona fetuunai i tui maualuga pe a manaʻomia. E le gata i lea, o isi vailaʻau e pei o le H1 antihistamines muamua, H2 antihistamines, leukotriene antagonists, antihistamines malosi, ma vasega pupuu o corticosteroids e mafai ona faʻaoga faʻatasi. Mo fa'afitauli faifai pea, fa'asino i tagata fa'apitoa mo isi togafitiga e pei o le omalizumab po'o le cyclosporine e ono mafaufauina.
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 o le fula lea e le alu ese ai se lua pe a oomi, e tupu i luga ole pa'u po'o le mucous membrane. E masani ona afaina ai vaega e pei o foliga, laugutu, ua, ma vae, faʻapea foʻi ma le gutu, faʻaʻi, ma le gutu. E o'o ina mata'utia pe a a'afia ai le fa'a'i, e ono tupu ai se tulaga e ono lamatia ai le ola.
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.
O le puipuiga e ala i le aloese mai soo se mea e mafua ai le tulaga. O togafitiga e masani lava ile antihistamines pei ole diphenhydramine ma le ranitidine. I tulaga ogaoga, e mafai foi ona faʻaaogaina corticosteroids poʻo leukotriene inhibitors. O le tausia o le malulu o le siosiomaga e aoga foi mo sina taimi. Mo mataupu e sili atu i le ono vaiaso e mafai ona fa'aoga tui puipuia e pei ole cyclosporin.
Ose fa'ama'i masani ona e tusa ma le 20% o tagata e a'afia. O mataupu o le ma'i urticaria e tupu tutusa i alii ma tamaitai ae o mataupu umi umi e masani ona taatele i tamaitai. O mataupu o le ma'i urticaria e sili atu ona taatele i tamaiti ae o mataupu o le umi e sili atu ona taatele ia i latou o loʻo vaelua le matutua. Afai e sili atu i le 2 masina, e masani ona umi mo le tele o tausaga ona alu ai lea.
○ Togafitiga - Vailaau OTC
O le ma'i mama'i e masani lava ona fofo i totonu o le vaiaso, ae o le ma'i mama'i e mafai ona tumau mo le tele o tausaga e ui o le tele o ia mea e alu ese i se taimi. I le tulaga o le urticaria masani, e fautuaina e ave le antihistamine i taimi masani ma faʻatali seʻi alu ese na o ia.
OTC antihitamines. O le Cetirizine poo le levocetirizine e sili atu le aoga nai lo le fexofenadine ae e te tulemoe ai.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
Mo urticaria tumau, antihistamines e le moemoe pei o fexofenadine e sili.
#Fexofenadine [Allegra]
#Diphenhydramine [Benadryl]
#Loratadine [Claritin]