Urticaria - Ürtiker
☆ Germaniyaning 2022 yilgi Stiftung Warentest natijalariga ko'ra, iste'molchilarning ModelDermdan qoniqish darajasi pullik teletibbiyot maslahatlariga qaraganda bir oz pastroq bo'lgan.
Oddiy ürtiker emas, balki Erythema multiforme minor yoki urticarial vasculitis bo'lishidan shubha qilingan jarohatlar.
Bu quvnoqlarning odatiy holidir. Lezyonlar har bir necha soatda harakatlanishi mumkin.
Urticaria - qo'l
Cold urticaria
References
Ko'pincha qichiydigan qichishish va ba'zida terining chuqur qatlamlarining shishishi bilan tavsiflangan ürtiker, odatda, agar ma'lum bo'lsa, qo'zg'atuvchi omillardan qochish orqali boshqariladi. Asosiy davolash ikkinchi avlod H1 antigistaminlarini o'z ichiga oladi, agar kerak bo'lsa, ularni yuqori dozalarga sozlash mumkin. Bundan tashqari, birinchi avlod H1 antigistaminlari, H2 antigistaminlari, leykotrien retseptorlari antagonistlari, kuchli antigistaminlar va kortikosteroidlarning qisqa kurslari kabi boshqa dorilar ham qo'llanilishi mumkin. Doimiy holatlarda, omalizumab yoki siklosporin kabi muqobil terapiya uchun mutaxassislarga murojaat qilish ko'rib chiqilishi mumkin.
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 - teri yoki shilliq pardalar ostidagi qatlamlarda paydo bo'ladigan, bosilganda chuqur qoldirmaydigan shish. Odatda yuz, lablar, bo'yin va oyoq-qo'llar, shuningdek, og'iz, tomoq va ichak kabi joylarga ta'sir qiladi. Tomoqqa ta'sir qilganda xavfli bo'lib, hayot uchun xavfli vaziyatni keltirib chiqarishi mumkin.
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.
Oldini olish - bu holatni keltirib chiqaradigan har qanday narsadan qochishdir. Davolash odatda difenhidramin va ranitidin kabi antigistaminlar bilan amalga oshiriladi. Og'ir holatlarda kortikosteroidlar yoki leykotrien inhibitörleri ham qo'llanilishi mumkin. Atrof-muhit haroratini salqin saqlash ham vaqtinchalik foydalidir. Olti haftadan ortiq davom etadigan holatlarda siklosporin kabi immunosupressantlar qo'llanilishi mumkin.
Bu keng tarqalgan kasallik, chunki odamlarning taxminan 20% ta'sir qiladi. O'tkir ürtiker holatlari erkaklar va ayollarda bir xil, uzoq davom etadigan holatlar esa ayollarda ko'proq uchraydi. O'tkir ürtiker holatlari ko'proq bolalarda, uzoq davom etish holatlari esa o'rta yoshlilarda ko'proq uchraydi. Agar u 2 oydan ortiq davom etsa, u ko'pincha yillar davom etadi va keyin ketadi.
○ Davolash ― OTC dori vositalari
O'tkir ürtiker odatda bir hafta ichida yo'qoladi, ammo surunkali ürtiker yillar davomida davom etishi mumkin, ammo ularning aksariyati bir nuqtada yo'qoladi. Surunkali ürtiker bo'lsa, antigistaminni muntazam ravishda qabul qilish va uning o'z-o'zidan ketishini kutish tavsiya etiladi.
OTC antigitaminlari. Cetirizine yoki levocetirizine feksofenadinga qaraganda samaraliroq, ammo sizni uyquchan qiladi.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
Surunkali ürtiker uchun feksofenadin kabi uyqusiz antigistaminlar afzallik beriladi.
#Fexofenadine [Allegra]
#Diphenhydramine [Benadryl]
#Loratadine [Claritin]