Hoʻopilikia ʻo Urticaria ma kahi o hoʻokahi o nā keiki he ʻumi. ʻO ke kumu maʻamau o kēia mau ʻūhū koke ʻana he maʻi viral, akā aia kekahi mau kumu ʻē aʻe no ka hives i nā keiki. 

ʻO ka Urticaria ka puka koke ʻana o nā pimples ʻulaʻula liʻiliʻi a ʻulaʻula paha i hoʻāla ʻia i loko o nā ʻāpana, e like me nā nahu ʻupena. He ʻeha a ʻike pinepine ʻia ma nā lima, nā wāwae a me ke kumu. ʻO ka hives i kekahi manawa ke kumu o ka pehu a i ʻole ka edema o ka maka a me nā wēlau. 

Hoʻokaʻawale ʻia ma waena o ka urticaria acute a me ka urticaria mau loa. Hōʻike ʻia ka urticaria a i ʻole ka pāpaʻi e ka ʻike koke ʻana o nā papules ʻulaʻula e ʻūlū a nalo i loko o kekahi mau minuke a i ʻole mau hola (he mau lā ka lōʻihi) me ka waiho ʻole ʻana i kahi ʻili. I ka urticaria maʻi a hohonu paha, hoʻomau nā ʻōpala ma mua o 6 mau pule.

Ma waena o 3,5 a me 8% o nā keiki a me 16 a 24% o nā ʻōpio e pili ana i ka urticaria.

I ka pēpē

ʻO ke kumu maʻamau o ka hives i nā kamaliʻi ʻo ia ka allergies meaʻai, ʻoi aku ka maʻi maʻi protein waiu bipi. 

I nā keiki

Nā Virus

I nā keiki, ʻo nā maʻi viral a me ka lawe ʻana i nā lāʻau lapaʻau ke kumu nui o ka hives. 

ʻO nā maʻi maʻi ʻoi loa ke kumu o ka urticaria i nā keiki ʻo ia ka maʻi maʻi influenza (ke kuleana no ka maʻi influenza), adenovirus (maʻi maʻi hanu), enterovirus (herpangina, aseptic maningitis, wāwae, lima a me ka waha), EBV (ke kuleana no ka mononucleosis) a me nā coronaviruses. ʻO ka liʻiliʻi liʻiliʻi, hiki i nā maʻi maʻi no ka maʻi hepatitis ke hoʻoulu i ka urticaria (ma ka hapakolu o nā hihia he hepatitis B). 

ka lapaʻauʻia

ʻO nā lāʻau lapaʻau e hiki ke hoʻoulu i ka urticaria i nā keiki kekahi mau lāʻau antibiotic, nonsteroidal anti-inflammatory drugs (NSAIDs), paracetamol a i ʻole codeine-based drugs. 

Nā meaʻehaʻai

I ka urticaria ma muli o ka ma'i 'ai, 'o ka waiu pipi (ma mua o 6 mahina), nā hua manu, nā pīni a me nā nati, nā i'a a me nā pūpū, nā hua'ai a me nā mea ho'ohui. 

Nahu ʻāpala

Hiki ke ʻike ʻia ka urticaria i nā keiki ma hope o ka nahu ʻana o nā pepeke, e like me ka nalo, ka pi, ka ant, a me ka hornet stings. ʻOi aku ka kakaikahi, ʻo ka urticaria no ka parasitic kumu (ma nā wahi endemic). 

ʻO nā mahana wela

ʻO ka hope, hiki i ka ʻili anu a paʻakikī ke alakaʻi i nā hives i kekahi mau keiki.  

ʻO nā maʻi

ʻOi aku ka kakaikahi, nā maʻi autoimmune, inflammatory a i ʻole nā ​​​​maʻi ʻōnaehana i kekahi manawa e hoʻoulu i ka hives i nā keiki.

ʻO nā lāʻau no ka urticaria acute 

ʻO ka urticaria acute he mea kupanaha akā ʻoluʻolu pinepine. Hoʻopau wale ʻia nā ʻano maʻi maʻi i loko o kekahi mau hola a 24 mau hola. ʻO nā mea e pili ana i kahi maʻi maʻi maʻi hiki ke lōʻihi i kekahi mau lā, ʻoiai he mau pule no nā maʻi parasitic. Inā ʻoi aku ka lōʻihi o nā hives ma mua o 24 mau hola, pono e hāʻawi ʻia kahi antihistamine i ke keiki no kahi o ʻumi lā (a hiki i ka hala ʻana o nā hives). ʻO Desloratadine a me levocetirizine nā mole i hoʻohana nui ʻia i nā keiki. 

Inā he angioedema ko'iko'i ke keiki a i 'ole anaphylaxis (he ma'i ma'i i ho'onui 'ia me ka hanu, ka ho'ohehe'e a me ka pehu 'ana o ka maka), 'o ka mālama 'ana i ka epinephrine. E hoʻomaopopo i nā keiki i loaʻa mua i kahi hanana mua o ka haʻalulu anaphylactic pono e lawe mau i kahi hāmeʻa me lākou e ʻae ai i ka hoʻokomo ʻana iā lākou iho o ka adrenaline i ka wā e hoʻi hou ai. ʻO ka mea pōmaikaʻi, ʻelua hapakolu o nā keiki i loaʻa i kahi maʻi hives ʻaʻole loaʻa i kahi hanana hou. 

Nā lāʻau lapaʻau no ka urticaria mau a / a i ʻole

Hoʻoholo wale ʻia ka urticaria maʻi i ka nui o nā hihia ma hope o ka lōʻihi o 16 mahina. ʻO ka makahiki (ʻoi aku ma mua o 8 mau makahiki) a me ka wahine ke kumu e hoʻomaikaʻi ai i ka urticaria mau loa. 

Hoʻokumu ʻia ka mālama ʻana i nā antihistamines. Inā pili mau ka urticaria me ka maʻi viral a i ʻole ka lawe ʻana i ka lāʻau lapaʻau, pono e lawe ʻia ka antihistamine e ke keiki i nā kūlana pilikia. Inā ʻaʻohe kumu ʻike ʻia o ka urticaria mau i kēlā me kēia lā, pono e lawe ʻia ka antihistamine no kahi manawa lōʻihi (he mau mahina, e hana hou inā hoʻomau ka urticaria). Kōkua nā antihistamines i ka hoʻopau ʻana i ka ʻeha.