治蕁痲疹找出誘發環境Urticaria induced environmental governance to find out

治蕁痲疹找出誘發環境 問：小兒今年10歲，自2007年底起，一直受蕁痲疹之苦，先是在某教學醫院皮膚科就醫，服用「驅異樂」（Xyzal），歷經三個月，情況仍未見改善，只要忘了吃藥，馬上又起疹子。經人介紹，改至某知名皮膚科診所就醫，服用「Lora」兩天一顆，又歷經四個月的治療，情況一直都是「吃藥就沒事，拉長服藥間隔時間，就又起疹子」。其間曾至某教學醫院小兒過敏科做過敏檢查，亦查不出所以然。我們一直擔心：難道要吃一輩子的藥嗎？需不需要到免疫風濕科就診？(王媽媽，40歲) 答：王媽媽妳好，真是辛苦了。從妳所形容的症狀，「吃藥就沒事，拉長服藥間隔時間，就又起疹子。」我認為妳兒子罹患的應是慢性蕁麻疹，這種毛病和個人體質有關，而和過敏比較沒有關聯，致病原因仍不是很清楚。 大體說來，我們身體有肥胖細胞，部分特殊體質的人其肥胖細胞比較不穩定，易受外界刺激或其他不明原因而釋放出來，致使附近的血管穿透壓改變，血液裡的血漿等物質滲出，導致皮膚腫脹，進而出現蕁麻疹，時間久了即變成慢性蕁麻疹。這種毛病即使抽血檢查，通常也檢查不出異樣來，只能服藥控制。 目前最常見的是抗組織胺類的藥物，我建議應積極服用，不妨將兩天服用一次的頻率改為每天一次，再慢慢從中選擇最適合的藥物，以及服用劑量。慢性蕁麻疹不易治癒，但可透過藥物或其他各種方法來緩解病情，甚至減少發作頻率。 此外，我建議妳可以仔細觀察妳兒子發疹時的環境狀況，比如他是在那種環境下才發病，再從中歸納出一個通則，找出容易誘發他發疹子的因子，再儘量避開。 (諮詢醫師：台北書田診所副院長曾興隆)（林進修） 2008-10-04 Urticaria induced environmental governance to find out Q: This year 10-year-old children, since the end of 2007, has been suffered by urticaria, first in a teaching hospital for medical treatment of dermatology, to take "drive different music" (Xyzal), after three months, the situation has not improved, as long as Forgot to take medicine, the rash began immediately. Introduced, a well-known to change skin clinic for medical treatment, taking "Lora" a two-day, four months after the treatment, the situation has been "nothing on the medication, taking a long time, it began rash . " In the meantime to have a pediatric teaching hospital had to do Minke allergy check, why could not. We have been worried: Is the medicine you want to eat all their lives? Do not need to be immune to the rheumatology clinic? (Wang mother, 40-year-old) A: Ni Hao Wang mother, really tough. From what you describe the symptoms, "to take all right, taking a long time, the rash began." I think your son is suffering from chronic urticaria, the physical and personal problems, and allergies and less Related causes is still not clear. Generally speaking, we have the body of fat cells, a special part of the body of its fat cells were relatively unstable and susceptible to external stimulation or other reasons unknown released, causing the blood vessels in the vicinity of pressure through changes in blood plasma, and other substances leaking , Leading to swelling of the skin, and urticaria occur, that is a long time to become chronic urticaria. This problem even if blood tests are usually also check to see strange, the only medication to control. At present, the most common is the anti-drug organizations Amine, I should be taking an active, we might as well take the first two days will be replaced by the frequency of once a day, and then slowly choose the most appropriate drugs, doses, as well as take. Chronic urticaria is not easy to cure, but through drugs or other ways to alleviate the condition, or even reduce the frequency of attacks. In addition, I suggest that you can examine your son eruptive when environmental conditions, such as he is the kind of environment before onset, and then generalize from a General to find out he made it easier for the rash of factors, as far as possible to avoid. (Physicians Advisory: Taipei Book Tian, vice president of the clinics have been brisk) (Lin education) 2008-10-04 View more information, see the World Journal reported that e-ePaper

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