I-edema kaQuincke - izimpawu nokwelashwa ngamakhambi esintu nawokwelapha
Ukusabela okweqile kuyingxenye ebalulekile yokuphila kwabantu. Kunzima ukusho ukuthi kungani izifo zomzimba zivame kangaka, kepha iqiniso lokuthi abantu okungenani kanye empilweni yabo babhekene nohlobo oluthile lokungezwani komzimba alinakuphikwa. Isihloko sengxoxo kuzoba i-edema kaQuincke, izimpawu zayo nokwelashwa ekhaya.
I-edema kaQuincke ukuvuvukala kwesikhumba, ikakhulukazi okwenziwe ezindebeni naseduze kwamehlo. Lesi simo sithathwa njengomphumela wokungazwani komzimba okuholela ekukhiqizweni okwandayo kwe-histamine emzimbeni womuntu. I-histamine eyeqile iholela ekuvukeleni kwemithambo yegazi.
Ekuqaleni kwekhulu lama-20, usosayensi wase-Austrian uMendel, echaza izimpawu ze-angioedema, wanikeza izimpawu eziyinkimbinkimbi igama elithi "Quincke's edema", ngokuhlonipha udokotela waseJalimane. Emibhalweni yezokwelapha, kukhona elinye igama - "i-urticaria enkulu".
Izinhlobo ezi-4 ze-Quincke edema
Odokotela, ngokuya ngesizathu, bahlukanisa izinhlobo eziningi ze-edema kaQuincke.
- Ukungezwani komzimba... Uhlobo oluvame kakhulu. Iqala kubantu abanezifo zokudla. Kuvela ngemuva kokusetshenziswa kokudla okuthile, ukulunywa yizinambuzane, ukusetshenziswa kwe-Aspirin nePenicillin. I-urticaria enkulu egulisayo ayisona isifo esingalapheki, ngoba ungakhomba ukudla okubangele ukungezwani komzimba bese wenqaba ukukudla ngokwakho.
- Imithi... Kubonakala ngenxa yezidakamizwa ezibangela izicubu ezingxenyeni ezijulile zesikhumba. Noma umuntu eyeka ukuthatha umuthi, izimpawu ze-edema ziyaqhubeka isikhathi eside. Imvamisa uhlobo lomuthi lungumthelela ohlangothini lwezidakamizwa ezingezona ukuvuvukala, i-proton pump inhibitors.
- Idiopathic... Lathola igama lalo ngenxa yobunzima bokukhomba izimbangela zezinto ezenzekayo. Ukutheleleka, ukucindezeleka, utshwala, ukwesaba, ukushisa ngokweqile, ukukhathazeka, ngisho nokugqoka okuqinile kunomthelela ekuthuthukiseni i-edema. Kucatshangwa ukuthi kubangelwa izinkinga ze-thyroid nokuntuleka kwe-folate.
- Ifa... Uhlobo olungajwayelekile kakhulu lwe-Quincke edema. Imvamisa ikhula kubantu abazuze ifa lesici esingalungile. Kubonakala ngokukhula kancane kancane kwezimpawu ezivela ngemuva kokuthomba. Ukukhulelwa, ukulimala, ukutheleleka, ngisho nokukhulelwa komzimba konke kungaba nomthelela ezimpawu.
Ekuqaleni kwendatshana, ngikwethulele i-edema kaQuincke, ebhalwe futhi yachaza izinhlobo nezindawo okwenzeka khona. Ithuba selize lahlala ngokuningiliziwe ngezimbangela zokuqala, izimpawu eziyinhloko futhi, impela, ukwelashwa ngomuthi nangemithi.
Izimpawu ze-edema kaQuincke kubantu abadala nasezinganeni
Noma yimuphi umuntu angaba yisisulu se-angioedema, kepha abanesifo sokungezwani komzimba basengozini enkulu yokutholwa yilo. Kubesilisa nasebekhulile, i-edema kaQuincke ikhula kancane kakhulu kunezingane nabesifazane abasebasha. Ezinsaneni, lesi sifo asivamile kakhulu.
Uma i-edema kaQuincke ikhula ebusweni, entanyeni, ezinyaweni nasezandleni, izimpawu ziyabonakala. Kunzima kakhulu uma lesi sifo sizibonakalisa emajoyintini, ulwelwesi lobuchopho nezitho zangaphakathi.
- Ukukhukhumeza... I-Edema uphawu oluyinhloko lwangaphandle. Izimpawu zokuvuvukala ziyavela esiswini, esifubeni, esithweni sangasese, entanyeni, ezindebeni, ezinkophe, emakhaleni nasemphefumulweni. Kukhona ukungezwani kwesikhumba. Ukusabalala kwe-edema kuphezulu kakhulu. Ngaphandle kosizo olufanele, kungaholela ekushayweni yi-anaphylactic.
- Ukwehla kwengcindezi... Ukungezwani komzimba okwenze ukuthi lesi sifo kubonakaliswe ukwehla kwengcindezi, okubangelwa ukusakazeka kahle kwe-edema. I-neoplasm icindezela imithambo yegazi futhi inciphisa ukuhamba kwegazi. Isiguli sizwa ubuhlungu emathempelini nasesiyezi.
- Isicanucanu nokuhlanza... Ukuqhuma kwengcindezi kubangela isicanucanu futhi kwesinye isikhathi kuhlanza. Ukungezwani komzimba okuvamile akuhambisani nezimpawu ezinjalo, ngokungafani ne-edema kaQuincke.
- Ukushisa... Ukuvuvukala kwezicubu kufana nenqubo yokuvuvukala. Endaweni ethintekile, ukuhamba kwegazi kuphuma kokujwayelekile, ngenxa yokuthi izinga lokushisa likhuphuka. Uma ingeqi kuma-38 degrees, njengakumkhuhlane, asikho isidingo sokusebenzisa i-antipyretics.
- Ulimi oluhlaza okwesibhakabhaka... Kubangelwa i-edema yolwelwesi lwamafinyela lwe-nasopharynx ne-larynx. Ukusakazeka kahle nokushoda komoya-mpilo kungadala ukuthi ezinye izingxenye zomzimba ziphenduke zibe luhlaza okwesibhakabhaka.
- Ukuvuvukala kwama-meninges. Izimpawu zesifo se-acute meningitis ziyavela: ikhanda, isiyezi, isicanucanu esinzima, ukwesaba ukukhanya, ukudlikizela nokunye ukuphazamiseka kwemizwa.
- I-Edema yohlelo lwe-genitourinary... Isithombe somtholampilo sifana nokuhlaselwa kwe-cystitis, kuhambisane nobuhlungu nokugcinwa komchamo.
- I-Edema yezitho zangaphakathi... I-edema kaQuincke ihambisana nobuhlungu obukhulu besisu, ngaphandle kokwenza indawo ethile.
- Ukuvuvukala kwamalunga... Lesi sifo sibonakala ngokuhamba okulinganiselwe nokuvuvukala kwamalunga. Okwamanje, izinqubo zokuvuvukala azenzeki emajoyintini.
Imvamisa, abantu baba nokuvuvukala kobuso nolwelwesi lwamafinyila. I-edema kaQuincke iyingozi engaba khona empilweni yomuntu futhi uma kuvela izimpawu, kufanele ufune usizo ngokushesha.
Izimbangela ze-edema kaQuincke
Ukuqhubeka nesihloko sengxoxo, ngizobheka izimbangela ze-edema kaQuincke kubantu abadala nasezinganeni. Ngesikhathi sokusebenza okujwayelekile kwesistimu yomzimba, i-histamine ayisebenzi. Lapho i-allergen ingena emzimbeni futhi iqoqa, abalamuli baqala ukukhishwa ngokushesha. Imithambo iyanda, ukukhiqizwa kwejusi yesisu kuyanda, kuvela imisipha ebushelelezi, ingcindezi iyancipha. Ake sibheke ukuthi iziphi izifo ezibangela isifuba esikhulu.
- Ukudla... Amaqanda noma imikhiqizo equkethe - ama-cutlets, amabhanisi, amakhekhe khekhe. Ubisi lwenkomo lungaholela naku-edema kaQuincke. Iqukethe i-lactoglobulin, ebangela ukusabela okweqile. Ngokuvamile, ukungabekezelelani kubonakala ngemuva kokudla ibhotela noma i-cottage shizi. Isoda elimnandi, utshwala, uju, izinongo kanye nama-strawberry kungadala ukungezwani komzimba.
- Amakhemikhali nokwelapha... Imithi eminingi iholela ku-edema kaQuincke. Phakathi kwabo: i-acetylsalicylic acid, i-insulin kanye nama-antibiotic ahlukahlukene. Indlela yokusebenzisa izidakamizwa ayinandaba.
- Ukuhogela... Uhlu lwezinto ezibangela ukungezwani komzimba luboniswa impova yezitshalo, i-poplar fluff, uthuli, izimpaphe zomcamelo, ukudla kwesilwane okwomile.
- Imininingwane... I-edema kaQuincke iqala ngemuva kokuthi umuntu ahlangane nento engezwani nakho. Isibonelo: upende nemikhiqizo ye-varnish, izinto zokuhlanza nezokugeza, izimonyo.
- Amagciwane kanye nefungal... Kwabanye abantu, i-colibacillus, i-staphylococci, noma i-streptococci ibangela i-urticaria enkulu. Ukugxila kokutheleleka kuvame ukutholakala emazinyweni athintwe yi-caries noma ku-cyst ene-suppuration.
Imbangela ye-edema kaQuincke kungaba izimuncagazi zamathumbu ezishiya imfucumfucu enobuthi, ukulunywa uphondo, izimbungulu, omiyane, iminyovu nezinyosi.
Ukuze kuvele i-edema kaQuincke enesici sokuthola ifa, ukuqoqwa kwama-allergen akudingeki. Ngisho nokuchayeka okuncane kuzo kubangela ukungezwani komzimba. Iqembu eliyingozi lifaka abantu abanezinkinga zemizwa, isifo sikashukela, izifo ezingalapheki, abesifazane abakhulelwe nabesifazane ngesikhathi sokuya esikhathini.
Ukwelashwa kwe-edema kaQuincke kubantu abadala nasezinganeni
Lesi sifo okukhulunywa ngaso siyisihlungu esibi, esesongela impilo esisabekayo, esibonakala ngokuvela okungalindelekile kwe-edema enkulu yesikhumba, izicubu ezingaphansi komzimba nobukhulu bemisipha.
Imvamisa, abantu abaneminyaka engaphezu kwamashumi amabili ubudala bathola i-edema kaQuincke. Kubantu asebekhulile, kubonakala kaningi kakhulu. Ezinganeni, ukungezwani komzimba kungokofuzo futhi kukhula kube ngosayizi omangalisayo. Imvamisa ihambisana ne-urticaria.
Ukwelashwa kwe-edema ezinganeni kunzima kakhulu ngoba abakwazi ukunikeza ukuhlolwa okulungile kwenhlalakahle yabo. Ngakho-ke, abazali kufanele bakubhekisise ukusabela kwengane. Ungayiphatha kanjani i-edema kaQuincke kubantu abadala nasezinganeni, funda ngezansi.
Usizo lokuqala lwe-edema kaQuincke
Uma kuvela izimpawu ze-edema kaQuincke, kufanele ufune usizo ngokushesha. Kepha ukuthunywa akugcini lapho. Ngaphambi kokuba i-ambulensi ifike, isiguli kufanele sithole usizo oluphuthumayo.
Indlela yokusiza yokuqala ye-edema kaQuincke ichazwe ngezansi. Ngaphambi kokuqhubekela esenzweni, kuzomele wehlise umoya phansi futhi wehlise isiguli phansi. Ngikholwe, imizwa ejwayelekile ngeke isize imbangela.
- Uma i-allergen yaziwa, oxhumana naye kufanele aphazanyiswe ngokushesha. Ngeke kulimaze ukuvula amafasitela, ukususa izingubo eziqinile esigulini, ukuqaqa amakhola namabhande.
- Isiguli kufanele ngaso sonke isikhathi sihlale noma sihlale phansi. Kulesi sikhundla, kulula ngaye ukuthi aphefumule. Ukugeza ngezinyawo okushisayo kubhekwa njengokuzivocavoca okuhle kakhulu. Thela njengamanzi ashisayo esitsheni esibanzi njengoba isiguli sikwazi ukumelana naso. Thela amanzi ashisayo ngezikhathi ezithile kuze kufike odokotela.
- Faka okuthile okupholile ku-edema. Ungasebenzisa ithawula elifakwe emanzini e-ice. Faka amaconsi e-vasoconstrictor ekhaleni lesiguli. Inketho ekahle yiNaphthyzin, esetshenziselwa umkhuhlane ovamile.
- Ngemuva kokufika kwethimba le-ambulensi, odokotela bazojova isiguli ngomthamo ohloniphekile wama-antihistamine bese besiyisa emtholampilo. Akufanele wenqabe ukulaliswa esibhedlela noma ngabe isimo sakho sithuthuke kakhulu.
- Kubalulekile ukwazisa odokotela ukuthi yiziphi izinyathelo ezathathwa ngaphambi kokufika kwabo. Uma ukuthuthukiswa kwe-edema kuhlotshaniswa nomcimbi othile, yisho nalokhu. Lolu lwazi lubaluleke ngendlela emangalisayo ekuhlolweni nasekukhetheni ukwelashwa.
Iseluleko ngevidiyo ngosizo lokuqala lwe-edema kaQuincke
Ngithemba ngobuqotho ukuthi kuyo yonke impilo yakho ngeke kudingeke usebenzise lolu lwazi ngokwenza. Uma kwenzeka inhlekelele, hlala uzolile bese ulandela imiyalo ngokuqiniseka.
Imithi
Ukwelashwa kwe-edema kaQuincke kufaka ukusetshenziswa kwemithi. Noma iziphi ezinye izindlela azifanelekile. Lokhu kufanele kukhunjulwe kubantu abasetshenziselwa ukusebenzisa amakhambi wesintu. Ukusetshenziswa kwabo kuyaphikisana nokwaliwa.
Ukwelashwa ngemithi kufanele kuhanjiswe ngokushesha. Ngisho nokubambezeleka okuncane kungaholela ezinkingeni ezinkulu, ukulahleka okukhulu kokwazi noma ukufa.
- Ama-antihistamine... Yehlisa ukuthambekela komzimba ku-allergen. Uhlu lwabo lubandakanya iSuprastin, iTavegil neDiphenhydramine.
- Imijovo yeHormonal... Umjovo owodwa nje womuthi wehomoni uzonciphisa ukuvuvukala futhi uqede ukuqunjelwa. Ngale njongo, i-Dexamethasone, i-Hydrocortisone noma i-Prednisolone isetshenziswa.
- Ukuphumula kwemisipha... Kukhona amacala ajwayelekile lapho i-edema kaQuincke iholela ekuhlaselweni kwe-asphyxia. Odokotela bese befaka uthayela nghubhu ekhethekile eyenza ukuphefumula kube lula. Okulandelayo, i-Ephedrine noma i-Adrenaline yemisipha iyabekwa.
- Ama-Glucocorticoids... Ama-hormone agents amisa izimpawu eziningi zokungezwani komzimba futhi avimbele ukushaqeka kwe-anaphylactic. Imithi enjalo isetshenziswa kanye namalungiselelo aqukethe i-sodium ne-calcium.
- Izidakamizwa... Ukwelashwa okuhlanganisayo kufaka ukusetshenziswa kwe-diuretics. Zinciphisa ukuvuvukala, njengoba zisheshisa ukususwa komswakama emzimbeni futhi zijwayele umfutho wegazi. Izidakamizwa ezisebenza ngempumelelo kakhulu yiPhytolysin neKanefron.
- Izakhi zevithamini... Ukusetshenziswa kwamavithamini kuyindlela yokwelapha. Amavithamini asiza umzimba onomzimba ukuba ululame lapho uxabana nezinto ezithile. Kuyisiko ukuqinisa amasosha omzimba ngosizo lwama-ascorbic acid namavithamini B.
Ngicabanga manje sekucacile ukuthi kungani kungenakwenzeka ukubhekana ne-edema kaQuincke usebenzisa izindlela zabantu. Uma kwenzeka kuba nezinkinga, akunakwenzeka ukusiza isiguli ekhaya.
Amakhambi abantu
Kudingeka ukwelashwa i-angioedema ngemithi, ukuzelapha ngokwakho kwalesi sifo esibi kungaba yingozi.
Ukubonakaliswa komtholampilo kwe-edema kaQuincke kukhula ngokushesha, ukusetshenziswa kwamakhambi wesintu ngesikhathi sokukhula kungaholela ekufeni. Odokotela kufanele babambe iqhaza ekwelashweni.
Amakhambi abantu avunyelwe ukuthi asetshenziswe ngemuva kokususwa kokuhlaselwa. Zizosiza ukuvimbela ukubuyela emuva. Kodwa noma kunjalo, kubalulekile ukukhetha nokusebenzisa ikhambi lesintu ngemuva kokubonisana nodokotela.
- Ukuqoqwa kwamakhambi... Ukulungiselela, hlanganisa i-alder ne-rose hips, izimbali ezingafi, intambo yotshani ne-horsetail, izimpande ze-aralia, i-dandelion, i-burdock, i-elecampane ne-licorice ngamanani alinganayo. Thela isipuni seqoqo ngengilazi yamanzi abilayo, bamba imizuzu embalwa engama-30, upholile, uhlunge, bese ufaka amanzi abilayo ukwenza u-200 ml ketshezi. Phuza izinkomishi ezingama-0,33 kathathu ngosuku ngemuva kokudla.
- Ukumnika i-Nettle... Ukulungisa amagremu ayi-10 we-nettle isithulu, uthele ama-250 ml wamanzi. Kunconywa ukusebenzisa ingxenye eyodwa kwezintathu zengilazi yetafula kathathu ngosuku.
- Ukumnika kwe-ephedra... Amagremu amabili amahlumela aqoshiwe esitshalo athelwa ku-250 ml wamanzi abilayo. Baphuza amamililitha ayikhulu kathathu ngosuku, bahlale beqapha umfutho wegazi.
- I-Datura tincture. Thela isipuni se-dope powder nge-150 ml yevodka esezingeni eliphakeme, shiya isonto bese uthatha kathathu ngosuku. Umthamo owodwa akufanele weqe amaconsi ayi-15.
Kumuntu othambekele ekungezwani nezinto ezithile, umuthi owenziwe ngamakhambi ungadala ukukhula kokungabekezelelani ngakunye. Ngakho-ke, udinga ukusebenzisa amakhambi abantu ngokucophelela.
Sengiphetha, ngizokwengeza ukuthi abantu abaye banqoba i-edema kaQuincke badinga ukuqapha impilo yabo njalo futhi baqaphele lapho behlangana nemikhiqizo yokungezwani komzimba.
Ividiyo evela ohlelweni Phila kahle
Ngokufanelekile, kufanele ulandele ukudla okuqinile, ungafaki izithelo ezisawolintshi, izinhlanzi zasolwandle, ushokoledi, amaqanda, amantongomane, uju kanye nococoa ekudleni. Ebusika, ungadli imifino, ngoba iqukethe izinto zokuvikela ezandisa impilo eshalofini. Akuthandeki ukudla imikhiqizo equkethe ama-GMO nodayi, nokusebenzisa amakhemikhali asendlini anephunga elibi.