Angioedema

I-Angioedema (okanye i-edema ka-Quincke) luhlobo lokusabela okwenziwe ngomzimba, oluqukethe i-edema encinci, ngokuqhelekileyo ibonakala kwindawo ephezulu yomzimba (ubuso, intamo). Nge-edema yeQuincke, ukuphendula okubonakalayo kuvela kwi-tisti ye-adipose engaphantsi kunye nakwiimbumba ezinamaqabunga. I-Angioedema ayisoloko ihamba kunye nokubetha. Ingozi yayo kukuba kunokubangela ubunzima ekuphefumla, kuze kube yilapho i-asphyxiation (kuxhomekeke kwindawo apho kuvela khona ukungabikho komzimba).

I-Angioedema - izizathu

Njengoko sikhankanywe ngasentla, imbangela ebalulekileyo ye-angioedema yindlela yokuphendula. Inkqubo yile ndlela ilandelayo: ekuphenduleni ukungena kwe-allergen emzimbeni, ininzi enkulu yezinto eziphilayo eziphilayo, njenge-histamine, ukungena kwigazi. Ngaloo ndlela, i-histamine idibanisa imithana yegazi, ngoko ke, ibe yinto engaphephekiyo kwi-plasma nakwezinye izixhobo zegazi. Ngaloo ndlela, "ukufuduka" ukusuka kwiinqanawa ukuya kwiisuncu eziseduze, i-edema yenziwa.

Kwiimeko ezininzi, kunzima ukubala oko kubangela i-edema ka-Quincke. Kodwa izifundo ezingapheliyo zibonakalise ukuba eziqhelekileyo, i-allergen yile:

• ukuthutha kwezilwanyana (iinqununu zesikhumba efile);
• ukutya (njengamajikijolo, intlanzi, iisuthi, amaqanda, ubisi);
• ukubetha kwezilwanyana;
• amayeza, umzekelo, amayeza e-penicillin, i-cephalosporins, iziyobisi ezingekho-steroidal ezichasayo (i-NSAID), kunye nezinye iziyobisi ezichasayo;
• impova;

I-angioedema inokuthi ibonakale ngexesha lokubuyiswa, emva kwezifo ezidluliselweyo (izifo, izifo ezahlukeneyo ezizimelayo-lupus, leukemia).

Kukho uhlobo oluthile lwe-angioedema, ehambelana nokusilela komsebenzi weprotheni, obizwa ngokuba yi-C1 inhibitor. Oku kuchaphazela umsebenzi we-capillaries kunye neenqanawa, okubangela ukuvuvukala kobunzima obuhlukahlukeneyo.

Iimpawu zeQuincke Edema

Uphawu oluphambili lukhukhumele ngokukhawuleza phantsi kwesikhumba. I-angioedema ngokuqhelekileyo ivela kwinqanaba lobuso (iipilisi, imilomo, ulwimi). Iindawo zePuffy zibalahle, zinokuba zibuhlungu okanye zibuhlungu. Ezinye iimpawu zi:

• ukuphefumula okufutshane, okuhamba kunye nomoya obizwa ngokuba ngumgca (ukubethela ikhwelo ngethuba lokuphefumla, ngenxa yokuphulwa komoya ukuphelela kwiphepha eliphezulu lokuphefumula);
• intlungu kunye nokuqhawula esiswini;
• amehlo avuvukileyo nomlomo.

Unyango lwe-Quincke Edema

Indlela yokwenza unyango lwe-angioedem ngokuzimeleyo, kuxhomekeke kwinqanaba lokubonakaliswa kweempawu. Ukuvuvukala kokukhanya akufuneki unyango. Ukubonakaliswa kobunzima obunomlinganiselo kungadinga ukungenelela kwonyango. Ukuphefumula okunzima kudinga imilinganiselo engxamisekileyo, kuba imeko yingozi.

Ukuba unembali ye-angioedema, kufuneka:

1. Gwema zonke izilwanyana eziyaziwayo ezinokubangela ukuphendula.
2. Gwema ukuthatha nawaphi na amayeza, izityalo okanye izongezelelo zokutya ezingagunyazisiwe ngugqirha, ngokuqwalasela iinkcukacha zakho.
3. Ukuxinwa kwamanzi amaninzi kukuzisa.

Amachiza asetyenziswa kwiimeko ezinjalo ziquka ezi zivela kumaqela alandelayo:

1. Antihistamines.
2. I-Corticosteroids (izidakamizwa ezichasayo).
3. Epinephrine.
4. Iziyobisi ezisebenzisekayo ezinempumelelo kakhulu xa kwenzeka i-edema ye-laryngeal.

Ukuba umntu unzima ukuphefumula, biza i-ambulensi ngokukhawuleza.

Ukugxekwa: kwiimeko ezininzi, i-angioedema ihlaziywa yodwa imihla ngemihla ngaphandle kwemiphumo.

Kwiimeko ezinzima, izigulane bonke ubomi babo kufuneka zithwale umthamo we-epinephrine okanye i-corticosteroids ukwenzela ukuphepha isiphumo esibulalayo xa kwenzeka ukuhlasela okutsha.