Angioedema ndi chiyani?

Angioedema - isanafalikire dermal edema, zikopa mucous ndi minofu mafuta omwe angagwe chifukwa zifukwa zosiyanasiyana osiyana. matenda kukuyerekezeredwa angioedema, ndi matupi awo sagwirizana edema.

causation matenda

Angioedema zingachititse zinthu zambiri, zochitika ndi zinthu ozungulira munthu tsiku ndi tsiku. Zimakhala:

- mankhwala. Angioedema zingachititse zosiyanasiyana mankhwala immunoglobulins, sulfonamides ndi mavitamini B;

- zakudya. Maonekedwe a angioedema angathandize kuti nkhono, nsomba, tchizi, mazira, mkaka, mtedza, nyemba, zipatso, tomato, strawberries ndi chokoleti;

- tizilombo. Ena tizilombo zingabweretse poizoni chakupha kuti pamene kulowa m'thupi la munthu nthawi yomweyo chifukwa angioedema, ngati wodwalayo ali ndi ziwengo umenewu poizoni. Mwa tizilombo amenewa ndi njuchi, hornets ndi mavu;

- lalabala. Ndithu osowa, koma imfayo ndi matupi awo sagwirizana anachita zinthu za lalabala, makamaka makondomu, magolovesi, mkodzo ndi mtsempha catheters;

- epidermal allergens. allergens Epidermal zomwe zingachititse matupi awo sagwirizana edema ndi malovu ndi dander wa amphaka, agalu ndi nyama zina.

Zizindikiro za matendawa

Kutupa lidzayamba pambuyo Mphindi 15 (pazipita theka la ola) pambuyo kukhudzana ndi allergen ndi, i.e. mlingo anachita ndi kudya isanayambike. Nthawi zambiri izo limodzi ndi urticaria.

Kutupa zambiri localizes kumunda, limene bwino zili subcutaneous mafuta minofu, mwachitsanzo, pa milomo kapena zikope, komanso M'mimbamo m'kamwa, monga m'kamwa zofewa kapena lilime. Komanso, pali milandu pamene kutupa wayamba kukhala mu nembanemba mucous pa mundawo kupuma. Pankhaniyi, pali chiopsezo chachikulu cha asphyxia.

Ngati Airways mucous kukhala angioedema, zizindikiro adzakhala motere: kukuwa chifuwa, amavutika kupuma, phokoso popuma, cyanotic nkhope hue, mtima nkhawa. Ngati wovulalayo pa mfundo imeneyi si mofulumira kupereka thandizo la mankhwala, iye akhoza kufa chifukwa asphyxia.

Komanso, nthawi zambiri pali milandu wa chilema angioedema anaphylactic mantha, amene ali kunja kwa mpanda kuchipatala amakhala mu imfa.

Anaphylactic mantha ndi imptomy zotsatirazi:

- kuyabwa,

- urticaria,

- kutupa pakhosi, pharynx ndi m'phuno,

- bronchospasm

- kusanza,

- nseru,

- ululu m'mimba,

- hypotension,

- osasamba kugunda,

- chitukuko cha PRAs,

- khunyu,

- chikomokere.

Popanda makonzedwe a thandizo yake ndi woyenerera nkhani ya akumane njira ya matenda a wodwalayo zambiri amafa chifukwa chosowa mpweya (asphyxia) chifukwa cha kutupa pakhosi.

mankhwala a matenda

Chithandizo ndi pafupifupi nthawi zonse symptomatic, koma dokotala ayenera kudziwa ma aligorivimu kwenikweni kuthetsa matenda izi.

Laryngeal edema mtima ndi kutumikiridwa Epinephrine ndi mankhwala, inatuluka inhalation imachitika ntchito vasoconstrictors, kenako wodwala ali m'chipatala mu Dipatimenti apadera ENT. Ngati n'zosatheka kukuza Airways njira mankhwala tracheotomy imagwiridwa ndi intubation.

Ngati anaphylactic mantha ayenera kukhala zotheka kuti asiye otaya allergen - ichi ndi chifukwa milandu ambiri anaphylactic anachita kwa kulowetsedwa wa mankhwala osiyanasiyana. Ndiye pofuna airway patency, wodwala kapena intubiruya kubala tracheotomy kutero. Pambuyo Epinephrine kuti parenterally kutumikiridwa, dopamine, norepinephrine, ndi mankhwala. Ndi chitukuko cha edema kugwirizana ndi chakudya kapena mankhwala ziwengo, anachititsa kusala Inde ndi m'kati ehnterosorbentov ndi mankhwala ofewetsa tuvi.