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by Klinik Atlanta
on October 15, 2021
Pengertian
Biduran atau sering dikenal sebagai gatal-gatal, adalah benjolan merah atau bentol pada kulit yang muncul tiba-tiba. Pembengkakan yang sering disertai gatal-gatal disebut angioedema.
Reaksi alergi, bahan kimia dalam makanan tertentu, sengatan serangga, sinar matahari, dan obat-obatan dapat menyebabkan gatal-gatal. Seringkali tidak mungkin untuk mengetahui dengan tepat mengapa gatal-gatal terbentuk.
Penyebab Biduran
Ada beberapa jenis gatal-gatal, antara lain:
1. Urtikaria akut. Ini adalah gatal-gatal yang berlangsung kurang dari 6 minggu. Penyebab paling umum adalah makanan, obat-obatan, dan infeksi. Gigitan serangga dan penyakit lain mungkin juga bisa menjadi faktor.
Makanan paling umum yang menyebabkan gatal-gatal adalah kacang-kacangan, cokelat, ikan, tomat, telur, buah beri segar, dan susu. Makanan segar menyebabkan gatal-gatal lebih sering daripada makanan yang dimasak. Aditif dan pengawet makanan tertentu juga bisa menjadi penyebabnya.
Obat-obatan yang dapat menyebabkan gatal-gatal termasuk aspirin dan obat antiinflamasi nonsteroid lainnya seperti ibuprofen, obat tekanan darah tinggi (terutama ACE inhibitor), atau obat penghilang rasa sakit seperti kodein.
2. Urtikaria kronis. Ini adalah gatal-gatal yang bertahan lebih dari 6 minggu. Penyebabnya biasanya lebih sulit untuk diidentifikasi daripada yang menyebabkan urtikaria akut. Bagi kebanyakan orang dengan urtikaria kronis, penyebabnya tidak mungkin ditemukan. Namun, dalam beberapa kasus, penyebabnya mungkin penyakit tiroid, hepatitis, infeksi, atau kanker.
Urtikaria kronis juga dapat mempengaruhi organ seperti paru-paru, otot, dan saluran pencernaan. Gejalanya meliputi sesak napas, nyeri otot, muntah, dan diare.
3. Urtikaria fisik. Gatal-gatal ini disebabkan oleh sesuatu yang merangsang kulit - misalnya, dingin, panas, paparan sinar matahari, getaran, tekanan, berkeringat, atau olahraga. Biduran biasanya terjadi tepat di tempat kulit dirangsang dan jarang muncul di tempat lain. Sebagian besar gatal-gatal muncul dalam waktu 1 jam.
4. Dermatografi. Ini adalah bentuk umum dari urtikaria fisik di mana gatal-gatal terbentuk setelah membelai atau menggaruk kulit dengan kuat. Gatal-gatal ini juga dapat terjadi bersama dengan bentuk urtikaria lainnya.
Dermatitis
Dermatitis adalah ruam yang menyakitkan atau gatal yang Anda dapatkan setelah kulit Anda menyentuh sesuatu yang membuat Anda alergi (dermatitis alergi) atau yang mengiritasi kulit Anda. Ini tidak sama dengan gatal-gatal, akan tetapi terkadang orang dengan dermatitis kontak juga mengalami gatal-gatal setelah mereka bersentuhan dengan alergen.
Diagnosa Biduran
Dokter Anda akan mengajukan banyak pertanyaan dalam upaya menemukan kemungkinan faktor penyebab gatal-gatal. Karena tidak ada tes khusus untuk gatal-gatal atau pembengkakan yang terkait pengujian akan tergantung pada riwayat kesehatan Anda dan pemeriksaan menyeluruh oleh dokter Anda.
Dokter Anda mungkin melakukan tes kulit untuk memeriksa alergi Anda. Atau mereka mungkin menguji darah Anda untuk melihat apakah Anda memiliki riyawat penyakit penyerta lain.
Pengobatan Biduran
Cara terbaik untuk gatal-gatal adalah menemukan dan menghilangkan pemicunya, tetapi ini bukan tugas yang mudah. Antihistamin biasanya diresepkan oleh dokter Anda untuk meredakan gejala. Antihistamin bekerja paling baik jika dikonsumsi secara teratur untuk mencegah pembentukan gatal-gatal.
Gatal-gatal kronis dapat diobati dengan antihistamin atau kombinasi obat-obatan. Ketika antihistamin tidak memberikan bantuan, steroid oral dapat diresepkan. Obat biologis, omalizumab (Xolair), juga disetujui untuk mengobati gatal-gatal kronis pada orang berusia minimal 12 tahun.
Untuk gatal-gatal yang parah, Anda mungkin memerlukan suntikan epinefrin atau obat kortison.
Perawatan Biduran
Sambil menunggu gatal-gatal dan bengkak hilang, berikut beberapa tipsnya:
1. Kompres air dingin atau kain basah ke area yang terkena.
2. Cobalah bekerja dan tidur di ruangan yang sejuk.
3. Kenakan pakaian ringan yang longgar.
Kapan Harus Menghubungi Dokter?
Jika Anda memiliki gatal-gatal dengan salah satu gejala berikut, hubungi dokter Anda segera:
1. Pusing
2. Mengi
3. Sulit bernafas
4. Sesak di dada
5. Pembengkakan pada lidah, bibir, atau wajah
Topics:
#alergi, #biduran, #dokter, #dokterkulit, #dokterspkk, #eksim, #gatal, #klinik24jam, #klinikatlantis, #klinikdimedan