Angioedema

Angioedema (kapena Quincke's edema) ndi mtundu wa thupi lopanda mphamvu, lomwe liri ndi edema yochepa, kawirikawiri limapezeka kumtunda kwa thupi (nkhope, khosi). Ndi edema ya Quincke, mankhwalawa amapezeka m'magazi a subcutaneous adipose ndi mucous nembanemba. Angioedema nthawizonse sichitsatira ndi kuyabwa. Zowopsa zake ndizakuti zingayambitse kupuma, mpaka kutsekemera (malinga ndi malo omwe zowonongeka zimachitika).

Angioedema - zimayambitsa

Monga tafotokozera pamwambapa, chifukwa chachikulu cha angioedema ndi cholakwika. Mankhwalawa ndi awa: Poyankha kumeza kwa allergen m'thupi, chiwerengero chachikulu cha zinthu zamoyo, monga histamine, kulowa m'magazi. Komanso, histamine imatulutsa mitsempha ya magazi, choncho imakhala yotetezeka kwambiri kwa plasma ndi zigawo zina za magazi. Choncho, "kusunthira" kuchoka ku zombo kupita ku zinyama zapafupi, edema imapangidwa.

Nthawi zambiri, zimakhala zovuta kuwerengera zomwe zinayambitsa edema ya Quincke. Koma maphunziro osatha awonetsetsa kuti nthawi zambiri, the allergen ndi:

• dander wa nyama (particles wa khungu lakufa);
• chakudya (monga zipatso, nsomba, mtedza, mazira, mkaka);
• kuluma kwa nyama;
• mankhwala, mwachitsanzo maantibayotiki a gulu la penicillin, cephalosporins, mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), komanso mankhwala ena osokoneza bongo;
• mpweya;

Angioedema angioedema ikhoza kuoneka nthawi ya kuchira, pambuyo pa matenda opatsirana (matenda, matenda osiyanasiyana omwe amachititsa kuti munthu azidwala matendawa - lupus, khansa ya m'magazi).

Palinso mtundu wochuluka wa angioedema, wokhudzana ndi kusowa kwa puloteni ntchito, yomwe imatchedwa C1 inhibitor. Izi zimakhudza ntchito ya capillaries ndi ziwiya, zomwe zimapangitsa kutupa kumakhala kovuta kwambiri.

Zizindikiro za Quincke Edema

Chizindikiro chachikulu ndi kutupa mwadzidzidzi pansi pa khungu. Kawirikawiri angioedema imapezeka pamlingo wa nkhope (maso, milomo, lilime). Madera a Puffy ali otumbululuka, amatha kukhala opweteka kapena osangalatsa. Zizindikiro zina ndi izi:

• kupuma pang'ono, limodzi ndi malo otchedwa stridor (kuimbira mluzu panthawi yopuma, chifukwa cha kuphwanya mpweya pamphepete mwakumtunda);
• ululu ndi kupweteka m'mimba;
• Kutupa maso ndi pakamwa.

Kuchiza kwa Quincke Edema

Njira yothandizira angioedema ndiyekha, malinga ndi mlingo wa mawonetseredwe a zizindikiro. Kutupa kwa kuwala sikukufuna mankhwala. Mawonetseredwe okhwimitsa moyenera angafunike kulowetsa kwa dokotala. Kupuma kovuta kumafuna kuchitapo kanthu mwamsanga, chifukwa ndi mkhalidwe woopsya.

Ngati muli ndi mbiri ya angioedema, muyenera:

1. Pewani zozizwitsa zonse zomwe zimadziwika.
2. Pewani kugwiritsa ntchito mankhwala, zitsamba kapena zowonjezera zakudya zomwe simudapatsidwa ndi dokotala, podziwa zambiri.
3. Mvula yonyozeka imapereka mpumulo.

Mankhwala amene amagwiritsidwa ntchito pazinthu zoterewa ndi awa ochokera m'magulu otsatirawa:

1. Antihistamines.
2. Corticosteroids (anti-inflammatory drugs).
3. Epinephrine.
4. Mankhwala osokoneza bongo omwe ali othandiza kwambiri ngati ali ndi edema.

Ngati munthu akuvutika kupuma, pitani ambulansi mwamsanga.

Kugonjetsa: Nthawi zambiri, angioedema imayendetsedwa ndi yokha masiku angapo popanda zotsatira.

Pa milandu yoopsa, odwala onse miyoyo yawo ayenera kunyamula mlingo wa epinephrine kapena corticosteroids kuti asapewe zotsatira zowopsa ngati padzakhala kuukira kwatsopano.