Urticaria
☆ Katika matokeo ya 2022 ya Stiftung Warentest kutoka Ujerumani, kuridhika kwa watumiaji na ModelDerm kulikuwa chini kidogo kuliko na mashauriano ya matibabu ya simu yanayolipishwa.
Vidonda vinavyoshukiwa kuwa Erythema multiforme minor au urticarial vasculitis badala ya urtikaria ya kawaida.
Ni kesi ya kawaida ya mizinga. Vidonda vinaweza kusonga kila masaa machache.
Urticaria - mkono
Cold urticaria
References
Urticaria, ambayo mara nyingi ina sifa ya mikunjo ya kuwasha na wakati mwingine uvimbe wa tabaka za ndani zaidi za ngozi, kwa kawaida hudhibitiwa kwa kuzuia vichochezi, ikiwa inajulikana. Tiba ya kimsingi inahusisha antihistamines za kizazi cha pili za H1, ambazo zinaweza kurekebishwa kwa viwango vya juu zaidi ikiwa inahitajika. Zaidi ya hayo, dawa zingine kama vile antihistamines za kizazi cha kwanza za H1, antihistamines za H2, wapinzani wa leukotriene, antihistamine zenye nguvu, na kozi fupi za kotikosteroidi zinaweza kutumika pamoja. Kwa kesi zinazoendelea, rufaa kwa wataalamu kwa matibabu mbadala kama vile omalizumab au cyclosporine inaweza kuzingatiwa.
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, 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.
Second-generation H1-antihistamines (e.g., cetirizine, loratadine, fexofenadine), Omalizumab, Ciclosporin, and short courses only of systemic corticosteroids
Angioedema ni uvimbe ambao hautoki kwenye shimo unapobanwa, unaotokea kwenye tabaka chini ya ngozi au utando wa mucous. Kwa kawaida huathiri maeneo kama vile uso, midomo, shingo, na miguu na mikono, pamoja na mdomo, koo na utumbo. Inakuwa hatari wakati inathiri koo, ambayo inaweza kusababisha hali ya kutishia maisha.
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.
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.
Kuzuia ni kwa kuepuka chochote kinachosababisha hali hiyo. Matibabu ni kawaida na antihistamines kama vile diphenhydramine na ranitidine. Katika hali mbaya, corticosteroids au inhibitors leukotriene pia inaweza kutumika. Kuweka hali ya joto ya mazingira pia ni muhimu kwa muda. Kwa kesi ambazo hudumu zaidi ya wiki sita dawa za kukandamiza kinga kama vile cyclosporin zinaweza kutumika.
Huu ni ugonjwa wa kawaida kwani karibu 20% ya watu wameathiriwa. Kesi za urticaria ya papo hapo hutokea kwa usawa kwa wanaume na wanawake wakati kesi za muda mrefu ni kawaida zaidi kwa wanawake. Kesi za urticaria ya papo hapo ni kawaida zaidi kati ya watoto wakati kesi za muda mrefu ni za kawaida kati ya wale walio na umri wa kati. Ikiwa hudumu zaidi ya miezi 2, mara nyingi hudumu kwa miaka na kisha huenda.
○ Matibabu - Dawa za OTC
Urticaria ya papo hapo kawaida huisha ndani ya wiki, lakini urtikaria sugu inaweza kudumu kwa miaka ingawa nyingi huisha wakati fulani. Katika kesi ya urticaria ya muda mrefu, inashauriwa kuchukua antihistamine mara kwa mara na kusubiri ili kwenda peke yake.
OTC antihitamines. Cetirizine au levocetirizine ni bora zaidi kuliko fexofenadine lakini hukufanya kusinzia.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
Kwa urticaria ya muda mrefu, antihistamini zisizo na usingizi kama vile fexofenadine zinapendekezwa.
#Fexofenadine [Allegra]
#Diphenhydramine [Benadryl]
#Loratadine [Claritin]