Chii chinonzi angioedema?

Angioedema inonzi edema inowanikwa munharaunda yedermis, mucous membrane nemafuta ane simba, zvinogona kuitika nekuda kwezvikonzero zvakasiyana-siyana. Senyamato yechirwere ichi inonzi inonzi Quincke's edema uye inoripira edema.

Etiology yechirwere

Angioedema inogona kukonzera zvinhu zvakawanda, zviitiko uye zvinhu zvinopoteredza munhu muupenyu hwezuva nezuva. Inogona kuva:

- mishonga. Angioedema inogona kukonzera marudzi akawanda emishonga inorwisa mabhakitiriya, immunoglobulins, sulfonamides, uyewo mavitamini B;

- zvokudya zvekudya. Quincke inogona kuchinjwa nemakristace, hove, tchizi, mazai, mukaka, marimu, nyemba, michero yemuchero, tomate, strawberries uye chokoti;

- zvipembenene. Zvimwe zvipembenene zvinogona kubudisa tsvina ine chepfu iyo, kana ichibvumirwa mumuviri womunhu, ichangoita kuti angioedema pakarepo, kana murwere ane zvinokonzerwa nemhando iyi yehupfu. Zvipembenene zvakadaro zvinosanganisira nyuchi, hornets uye makumbo;

- latex. Kazhinji, asi zvakadaro zvinogona kuita kuti zvirwere zvinenge zvichitengesa zvebikiti, kunyanya, makondomu, magirafu, urinary uye intravenous catheters;

- epidermal allergens. Epidermal allergens inogona kukonzera edema yeergic iine salivha uye dander yemakati, imbwa nemamwe mhuka.

Zviratidzo zvechirwere

Edema inotanga mumaminitsi gumi nemashanu (hafu yehafu yeawa) mushure mekusangana ne-allergen, kureva kuti, kupindira kwekuita kwakanyanya kwazvo. Inowanzoperekedzwa nemapuchi.

Edhiema inowanzotarirwa munzvimbo umo mafuta mashoma anonyatsoratidzwa, somuenzaniso, pamiromo kana maziso, uye mumuromo, somuenzaniso, mumutauro wakanyoroka kana mutauro. Mukuwedzera, pane zviitiko apo kubvumira kunotanga kukura pane mucous membrane yemugumisiro wekupumha. Muchiitiko ichi, kune ngozi yakakura yeAsphyxia.

Kana angioedema inowedzera mucous membrane yemugumisiro wekupemha, zviratidzo zvichave zvakadai: kuputika chifukidziro, kufema kunetseka, kufema kunofadza, mhepo yechinotic mumeso, kushungurudzika kwomurwere. Kana munhu akabatwa panguva ino asingakurumidzi kupa rubatsiro rwezvehutano, saka angafa nekuda kweAsphyxia.

Mukuwedzera, kazhinji pane zviitiko zvekusimudzira kubva kune anowanzo angioedema, anaphylactic shock, iyo iri kunze kwemasvingo echipatara inowanzoguma mumugumisiro unouraya.

Anaphylactic shock has the following with the symptoms:

- itching,

- mikoko,

- kuputika kwehuro, pharynx nemarara,

- bronchospasm,

- kurutsa,

- nausea,

- kurwadziwa mumimba,

- hypotension,

- kukanganisa kwepfungwa yemwoyo,

- kukura kweOSSN,

- kushungurudzika,

- a coma.

Pasina kupa rubatsiro rwakakodzera panguva yakakodzera uye rwakakosha munzira isina kunaka yechirwere ichi, murwere anowanzofa nekushayikwa kweokisijeni (asphyxia) sechikonzero chekudzivirira kwehuro.

Kurapa kwechirwere

Mishonga inenge nguva dzose inoratidza zviratidzo, asi nyanzvi yese yezvokurapa inofanira kuziva nheyo dzakarongedzerwa dzakanaka dzekubvisa chirwere ichi.

Apo bhanhire rinoputika, adrenaline uye antihistamine inotarisirwa kumurwere , inoteverwa nekuputika nekushandiswa kwevasoconstrictors, uye ipapo murwere anochengetwa muchipatara mune imwe nhengo yeET inokosha. Kana zvisingakwanisi kuparadzira mhepo nemakiriniki, tracheotomy uye intubation zviri kuitwa.

Ne anaphylactic shock, zvakakosha kumisa kusvika kwemaharagen kana zvichikwanisika - izvi zvinokonzerwa nekupararira kwematambudziko eanaphylactic ekutapukisa kwezvinodhaka zvemishonga yakasiyana-siyana. Mushure meizvi, zvakakosha kuchengetedza hutano hwemhepo, kana zvichidikanwa, kuvhara murwere kana kubudisa tracheotomy. Mushure meizvi, parenterally inoshandiswa adrenaline, dopamine, norepinephrine uye antihistamines. Nekuvandudzwa kweedema inobatanidza nekudya kana kushandisa zvinodhaka zvinokonzerwa nemishonga, imwe nzira yekutsanya kwekushushikana nekushandiswa kwevanoshushikana uye marashiro inotungamirirwa.