Urticaria - I-Urticaria
☆ Emiphumeleni ka-2022 ye-Stiftung Warentest evela eJalimane, ukwaneliseka kwabathengi nge-ModelDerm bekungaphansi kancane kunokuxhumana okukhokhelwayo kwe-telemedicine.
Izilonda okusolwa ukuthi ziyi-Erythema multiforme minor noma urticarial vasculitis kune-urticaria evamile.
Kuyisimo esijwayelekile sezinyosi. Izilonda zinganyakaza njalo emahoreni ambalwa.
Urticaria - ingalo
Cold urticaria
References
I-Urticaria, evame ukubonakala ngamasondo alumayo futhi ngezinye izikhathi ukuvuvukala kwezingqimba zesikhumba ezijulile, ivamise ukulawulwa ngokugwema izinto ezibangisayo, uma zaziwa. Ukwelashwa okuyinhloko kuhilela ama-antihistamine esizukulwane sesibili se-H1, angashintshwa abe imithamo ephezulu uma kudingeka. Ukwengeza, eminye imithi efana nama-antihistamine esizukulwane sokuqala se-H1, ama-antihistamine e-H2, ama-leukotriene receptor antagonists, ama-antihistamine anamandla, nezifundo ezimfushane ze-corticosteroids zingasetshenziswa eceleni. Ezimweni eziqhubekayo, ukudluliselwa kochwepheshe kwezinye izindlela zokwelapha ezifana ne-omalizumab noma i-cyclosporine kungase kucatshangelwe.
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 ukuvuvukala okungashiyi umgodi lapho icindezelwe, okwenzeka ezingqimbeni ezingaphansi kwesikhumba noma ulwelwesi lwamafinyila. Ngokuvamile kuthinta izindawo ezifana nobuso, izindebe, intamo, nezitho, kanye nomlomo, umphimbo, namathumbu. Kuba yingozi uma kuthinta umphimbo, okungase kubangele isimo esisongela ukuphila.
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.
Ukuvimbela kungukugwema noma yini edala lesi simo. Ukwelashwa kuvame ukusebenzisa ama-antihistamine afana ne-diphenhydramine ne-ranitidine. Ezimweni ezimbi kakhulu, i-corticosteroids noma i-leukotriene inhibitors ingase isetshenziswe. Ukugcina izinga lokushisa lemvelo lipholile nakho kuyasiza okwesikhashana. Ezimweni ezihlala isikhathi esingaphezu kwamasonto ayisithupha ama-immunosuppressants afana ne-cyclosporin angasetshenziswa.
Kuyisifo esijwayelekile njengoba cishe ama-20% abantu abathintekayo. Izigameko ze-acute urticaria zenzeka ngokulinganayo kwabesilisa nabesifazane kanti izimo zesikhathi eside zivame kakhulu kwabesifazane. Amacala e-acute urticaria avame kakhulu phakathi kwezingane kuyilapho izimo zesikhathi eside zivame kakhulu kulabo abaneminyaka ephakathi. Uma ihlala ngaphezu kwezinyanga ezi-2, ngokuvamile ihlala iminyaka bese iyahamba.
○ Ukwelashwa - Izidakamizwa ze-OTC
I-acute urticaria ngokuvamile ixazulula phakathi nesonto, kodwa i-urticaria engapheli ingahlala iminyaka nakuba iningi layo lihamba ngesikhathi esithile. Endabeni ye-urticaria engapheli, kunconywa ukuthatha i-antihistamine njalo futhi ulinde ukuthi ihambe yodwa.
Ama-antihitamine e-OTC. I-Cetirizine noma i-levocetirizine iyasebenza kakhulu kune-fexofenadine kodwa ikwenza wozele.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
Nge-urticaria engapheli, ama-antihistamine angawozeli njenge-fexofenadine ayakhethwa.
#Fexofenadine [Allegra]
#Diphenhydramine [Benadryl]
#Loratadine [Claritin]