I-Angioedema (noma i-edema ka-Quincke) uhlobo lokuziphendulela komzimba, okuqukethe i-edema elinganiselwe, ngokuvamile kuvame engxenyeni engenhla yomzimba (ubuso, intamo). Nge-edema yeQuincke, ukusabela okweqile kwenzeka emathini adipose angaphansi kwesigqebhezana nasezikhungwini zomunyu. I-Angioedema ayihlali ihambisana nokushaywa. Ingozi yukuthi ingabangela ubunzima ekuphefumuleni, kuze kufinyeleleke ekuphefumuleni (kuye ngokuthi indawo lapho ukungezwani khona kwenzeka khona).
I-Angioedema - izimbangela
Njengoba sishilo ngenhla, imbangela eyinhloko ye-angioedema yindlela yokuphikisa. Le ndlela ilandelayo: ekuphenduleni ukungena kwe-allergen emzimbeni, inqwaba yezinto eziphilayo ezisebenzayo, njenge-histamine, faka igazi legazi. Ngokufanayo, i-histamine iyancibilikisa imithwalo yegazi, ngakho-ke, iyakwazi ukubhebhetheka kakhulu kwe-plasma nezinye izingxenye zegazi. Ngakho-ke, "ukufuduka" kusukela ezitsheni kuya ezihlotsheni eziseduze, i-edema yenziwa.
Ezimweni eziningi, kunzima ukubala ukuthi yini eyabangela i-edema ka-Quincke. Kodwa izifundo ezingapheli zifakazele ukuthi ngokuvamile, i-allergen yilezi:
- ukudonsa kwezilwane (izinhlayiyana zesikhumba esifile);
- ukudla (okufana namajikijolo, inhlanzi, amantongomane, amaqanda, ubisi);
- ukulunywa kwezilwane;
- imithi, isibonelo, ama-antibiotics weqembu le-penicillin, i-cephalosporins, izidakamizwa ezingezona izifo ezivutha ukuvuvukala (ama-NSAID), kanye nezinye izidakamizwa ezithathelisayo;
- impova;
Futhi i-angioedema angioedema ingabonakala ngesikhathi sokuphulukisa, emva kwezifo ezidlulisiwe (izifo, izifo ezihlukahlukene zokuzibulala - lupus, i-leukemia).
Kukhona futhi uhlobo oluthile lwe-angioedema, oluhambisana nokuntuleka komsebenzi wamaphrotheni, okuthiwa yi-C1 inhibitor. Lokhu kuthinta umsebenzi wama-capillary kanye nemikhumbi, okuvusa ukuvuvukala kokuqina okukhulu.
Izimpawu ze-Quincke Edema
Uphawu oluyinhloko ukuvuvukala ngokuzumayo ngaphansi kwezinga lesikhumba. Ngokuvamile i-angioedema iyenzeka ezingeni lobubuso (izinkophezelo, izindebe, ulimi). Izindawo ze-Puffy ziphaphathekile, zingaba buhlungu noma buhlungu. Ezinye izimpawu ziyi:
- ukuphefumula, okuhambisana ne-stridor okuthiwa (ukushaya imimoya ngesikhathi sokuphefumula, ngenxa yokwephulwa kwemimoya emoyeni ephepheni eliphezulu);
- ubuhlungu nokucindezeleka esiswini;
- amehlo avuvukile nomlomo.
Ukwelashwa kwe-Quincke Edema
Indlela yokwelapha i-angioedema ingumuntu ngamunye, kuye ngesilinganiso sokubonakaliswa kwezimpawu. Ukuvuvukala okukhanya kungase kungadingeki ukwelashwa. Ukubonakaliswa kwesibindi esilinganiselwe kungadinga ukungenelela kudokotela. Ukuphefumula okunzima kudinga izinyathelo eziphuthumayo, ngoba yisimo esisongela ukuphila.
Uma unomlando we-angioedema, kufanele:
- Gwema zonke izifo ezizwakalayo ezingabangela ukusabela.
- Gwema ukuthatha noma yimiphi imithi, amakhambi noma izithako zokudla ezingakunqunywa udokotela, ngokucabangela imininingwane yakho.
- Ukucindezeleka okumanzi okuphuzile kuletha impumuzo.
Imithi esetshenziswe ezimweni ezinjalo ifaka phakathi kwamanye amaqembu alandelayo:
- Ama-antihistamine.
- I-Corticosteroids (izidakamizwa ezilwa nokuvuvukala).
- Epinephrine.
- Izidakamizwa zokuphuza iziphuzo eziphumelela kakhulu uma i-edema yama-laryngeal.
Uma umuntu enenkinga yokuphefumula, shayela i-ambulensi ngokushesha.
Isibikezelo: ezimweni eziningi, i-angioedema ilawulwa yiyo ngokwayo ngezinsuku ezimbalwa ngaphandle kwemiphumela.
Ezimweni ezimbi, iziguli zonke izimpilo zazo kufanele zithwale umthamo we-epinephrine noma i-corticosteroids ukuze ugweme imiphumela ebulalayo uma kwenzeka ukuhlaselwa okusha.