Kuyini angioedema?

Angioedema - itholakala dermal edema, nolwelwesi lwamafinyila namafutha izicubu okungase kwenzeke ngenxa yezizathu ezihlukahlukene ezahlukene. Lesi sifo kubhekwe angioedema kuyahambisana, futhi edema nomzimba.

causation yesifo

Angioedema kungabangela izinto eziningi, izenzakalo futhi izinto ezizungezile indoda ekuphileni kwansuku zonke. Kungaba:

- imithi. Angioedema kungabangela izinhlobo eziningi antibiotic, immunoglobulin, ayisiza, sulfonamides, no-B amavithamini;

- ukudla. Ukubukeka of angioedema kungaba nomthelela shellfish, inhlanzi, ushizi, amaqanda, ubisi, amakinati, ubhontshisi, izithelo ezisawolintshi, utamatisi, ama-strawberry kanye ushokoledi;

- izinambuzane. Ezinye izinambuzane zingabona ukukhiqiza ubuthi ezinobuthi ukuthi uma ufaka umzimba womuntu ngokushesha imbangela angioedema, uma isiguli ine yokungezwani komzimba ukuze lolu hlobo ushevu. Phakathi izinambuzane ezifana okuyizinyosi, iminyovu neminyovu;

- latex. Izimo zethu zihluke kakhulu ezingavamile, kodwa namanje kungenzeka avuse i iguliswa ukuphendula imikhiqizo latex, ngokukhethekile, amakhondomu, amagilavu, catheters urinary futhi emthanjeni;

- epidermal nomzimba. nomzimba Epidermal ukuthi kungabangela edema iguliswa kukhona ngamathe futhi dander of amakati, izinja kanye nezinye izilwane.

Izimpawu zesifo

Ukuvuvukala luqala ngemva kwemizuzu engu-15 (uhhafu esiphezulu ihora) ngemva kokuthintana i allergen, okusho ukuthi izinga yokusabela ukuqala fast kakhulu. Kaningi kuhambisana urticaria.

Ukuvuvukala ngokuvamile localizes emkhakheni, okuyinto kahle uboniswe ongama okunamafutha izicubu, isib, phezu izindebe noma Isivalo, kanye kule ngalo ingaphakathi ngomlomo, ezifana ulwanga esithambile noma ulimi. Ngaphezu kwalokho, kukhona amacala lapho ukuvuvukala iqala ukuthuthukisa e nolwelwesi lwamafinyila yaleli pheshana zokuphefumula. Kulokhu, kunobungozi olukhulu asphyxia.

Uma yomoya lwamafinyila ukuthuthukisa angioedema, izimpawu kuyoba kanje: barking ukukhwehlela, nobunzima bokuphefumula, ukuphefumula ezinomsindo, cyanotic luhlaza ebusweni, ukukhathazeka nesineke. Uma isisulu okwamanje akuyona ngokushesha ukunikeza usizo lwezokwelapha, afe ngenxa asphyxia.

Ngaphezu kwalokho, ngokuvamile kakhulu kukhona amacala ongavamile angioedema ukushaqeka anaphylactic, okuyinto ngaphandle kwezindonga esibhedlela ngokuvamile kugcine ekufeni.

ukushaqeka Anaphylactic kuyinto imptomy ezilandelayo:

- ukulunywa,

- urticaria,

- ukuvuvukala umphimbo, pharynx futhi amalaka,

- bronchospasm

- ukuhlanza,

- ukucanuzelelwa inhliziyo,

- Ubuhlungu obukhulu besisu,

- hypotension,

- okungajwayelekile ukushaya kwenhliziyo,

- ukuthuthukiswa PRAs,

- Ukudlikizela,

- ikhoma.

Ngaphandle ukuhlinzekwa kosizo esifike ngesikhathi futhi abaqeqeshiwe uma Yiqiniso okungekuhle lesi sifo isiguli ngokuvamile uyafa ngenxa yokuntuleka mpilo (asphyxia) ngenxa zokuzikhukhumeza emphinjeni.

ekwelapheni lesi sifo

Ukwelashwa cishe njalo lingaze, kodwa zonke lochwepheshe bezokwelapha idinga ukwazi algorithm ucace kakhulu ukuqeda yilesi sifo.

edema Laryngeal isiguli iqondiswa epinephrine futhi antihistamine, whereupon ephefumula ukuqhutshwa ngeBhayibheli vasoconstrictors, bese isiguli esibhedlela umnyango ENT ezikhethekile. Uma kungenakwenzeka ukuba sandise yomoya izindlela zokwelapha tracheotomy wenziwa kanye intubation.

Uma ukushaqeka anaphylactic kufanele kwenzeke ukuba ayeke ukugeleza allergen - lokhu kungenxa amacala okwandile ukuphendula anaphylactic kuya ukumnika izidakamizwa ehlukahlukene. Khona-ke kubalulekile ukuqinisekisa umgudu patency, nesineke noma intubiruya esikhiqiza tracheotomy kunesidingo. Ngemva epinephrine ukuthi parenterally iqondiswa, Dopamine, norepinephrine, futhi antihistamine. With ukuthuthukiswa edema elihlobene ne-ukudla noma izidakamizwa yokungezwani komzimba, olwenziwa ngokuzila ukudla Yiqiniso ne ngaphakathi ehnterosorbentov futhi laxatives.