Edema ya Quincke - zizindikilo ndi chithandizo chake ndi mankhwala azikhalidwe komanso zamankhwala

Thupi lawo siligwirizana ndi gawo lofunikira m'miyoyo ya anthu. Ndizovuta kunena chifukwa chake matenda opatsirana amakhala ofala, koma zakuti anthu kamodzi pa moyo wawo amakumana ndi zovuta zina sizingatsutsike. Mutu wakukambirana uzikhala edema ya Quincke, zizindikiro zake ndi chithandizo kunyumba.

Edema ya Quincke ndikutupa kwa khungu, makamaka kumilomo komanso mozungulira maso. Chodabwitsachi chimawerengedwa kuti ndi chifukwa cha zovuta zomwe zimapangitsa kuti histamine ipangidwe mthupi la munthu. Kuchuluka kwa histamine kumabweretsa kutupa kwa mitsempha.

Kumayambiriro kwa zaka makumi awiri, wasayansi waku Austria Mendel, pofotokoza zizindikilo za angioedema, adapereka zovuta za dzina "Quincke's edema", polemekeza dokotala waku Germany. M'mabuku azachipatala, pali dzina lina - "chimphona chachikulu cha urticaria".

Mitundu 4 ya Quincke edema

Madokotala, kutengera zomwe zimayambitsa, amasiyanitsa mitundu ingapo ya edema ya Quincke.

1. Matupi awo sagwirizana... Mtundu wofala kwambiri. Amayamba anthu omwe ali ndi chifuwa cha zakudya. Zimawoneka mutagwiritsa ntchito zakudya zina, kulumidwa ndi tizilombo, kugwiritsa ntchito Aspirin ndi Penicillin. Matenda opatsirana oopsa kwambiri si matenda osachiritsika, chifukwa mutha kuzindikira chakudya chomwe chimayambitsa matendawa ndikukana kudya nokha.
2. Mankhwala... Zikuwoneka chifukwa cha mankhwala omwe amayambitsa zotupa pakatikati pa khungu. Ngakhale munthu atasiya kumwa mankhwalawa, zizindikiro za edema zimapitilira kwa nthawi yayitali. Kawirikawiri mtundu wa mankhwala ndi zotsatira zoyipa za mankhwala osagwiritsa ntchito zotupa, ma proton pump inhibitors.
3. Idiopathic... Lili ndi dzina chifukwa chazovuta zakuzindikira zomwe zimayambitsa. Matenda, kupsinjika, mowa, mantha, kutenthedwa, nkhawa, komanso zovala zolimba zimathandizira kukulira edema. Zimaganiziridwa kuti zimayambitsidwa ndi mavuto amtundu wa chithokomiro komanso kusowa kwa folate.
4. Cholowa... Mtundu wosowa kwambiri wa Quincke edema. Nthawi zambiri zimayamba kukhala mwa anthu omwe adalandira cholakwika chofananira. Amadziwika ndikukula pang'onopang'ono kwa zizindikilo zomwe zimawonekera munthu atatha msinkhu. Mimba, kuvulala, matenda, komanso ngakhale kulera kumatha kuchititsa zizindikilo.

Kumayambiriro kwa nkhaniyo, ndidakudziwitsani za edema ya Quincke, yolembedwa ndikufotokozera mitundu ndi malo omwe amapezekerako. Kutembenuka kwakhala kukukhala mwatsatanetsatane pazomwe zimayambitsa, zizindikilo zazikulu, komanso, chithandizo ndi njira zowerengera komanso zamankhwala.

Zizindikiro za edema ya Quincke mwa akulu ndi ana

Munthu aliyense amatha kuzunzidwa ndi angioedema, koma odwala matendawa amatha kutenga nawo mbali. Amuna ndi okalamba, edema ya Quincke imakula kwambiri pafupipafupi kuposa ana ndi atsikana. Kwa ana, matendawa ndi osowa kwambiri.

Ngati edema ya Quincke ikukula pankhope, pakhosi, kumapazi ndi m'manja, zizindikilozo zimadziwika. Zimakhala zovuta kwambiri ngati matendawa amadziwonekera pamagulu, ubongo ndi ziwalo zamkati.

1. Kutupa... Edema ndiye chizindikiro chachikulu chakunja. Zizindikiro zotupa zimawoneka pamimba, pachifuwa, kumaliseche, khosi, milomo, zikope, mucosa wamphongo, ndi kholingo. Pali zotupa pakhungu. Kufalikira kwa edema ndikokwera kwambiri. Popanda thandizo loyenerera, zitha kubweretsa mantha a anaphylactic.
2. Kupanikizika... Matupi omwe adayambitsa matendawa amatha kuwonetsedwa ndikutsika kwa kuthamanga, komwe kumachitika chifukwa cha kufalikira kwa ma cell chifukwa cha edema. Chotupa chimafinya mitsempha yamagazi ndikuchepetsa kuyenda kwa magazi. Wodwala amamva kupweteka kwakachisi ndi chizungulire.
3. Nseru ndi kusanza... Zovuta zamagetsi zimayambitsa nseru ndipo nthawi zina zimasanza. Matupi wamba samatsatira izi, mosiyana ndi edema ya Quincke.
4. Kutentha... Kutupa kwa minofu kumafanana ndi njira yotupa. M'dera lomwe lakhudzidwa, mayendedwe amwazi amachoka pamachitidwe, chifukwa kutentha kumakwera. Ngati sichipitilira madigiri 38, monga chimfine, palibe chifukwa chogwiritsa ntchito antipyretics.
5. Lilime labuluu... Amayambitsa edema wa mucous nembanemba wa nasopharynx ndi m'phuno. Kusayenda bwino komanso kuchepa kwa oxygen kumatha kupangitsa ziwalo zina za thupi kutembenukira buluu.
6. Kutupa kwa meninges. Zizindikiro za pachimake meninjaitisi kuonekera: mutu, chizungulire, nseru kwambiri, kuopa kuwala, khunyu ndi matenda ena ubongo.
7. Edema wa dongosolo la genitourinary... Chithunzi chachipatala chikufanana ndi kuukira kwa cystitis, komwe kumatsagana ndi ululu komanso kusungidwa kwamikodzo.
8. Kutupa kwa ziwalo zamkati... Edema ya Quincke imatsagana ndi ululu wam'mimba, wopanda kutanthauzira kwina kulikonse.
9. Kutupa kwamafundo... Matendawa amawonetsa kuchepa kochepa komanso kutupa kwamafundo. Pakadali pano, zotupa sizimachitika m'malo ophatikizika.

Nthawi zambiri, anthu amatupa pankhope ndi mamina. Edema ya Quincke ndiwowopsa pamoyo wamunthu, ndipo ngati zizindikilo zikuwonekera, muyenera kupeza thandizo nthawi yomweyo.

Zomwe zimayambitsa edema ya Quincke

Kupitiliza mutu wakukambirana, ndilingalira zomwe zimayambitsa edema ya Quincke mwa akulu ndi ana. Pakugwira ntchito kwabwino kwa chitetezo chamthupi, histamine imagwira ntchito. Pamene ma allergen amalowa mthupi ndikuchulukirachulukira, oyimira pakatiwo amayamba kumasulidwa mwachangu. Mitsempha imakula, kutulutsa madzi am'mimba kumawonjezeka, kutuluka kwa minofu yosalala kumawonekera, kuthamanga kumachepa. Tiyeni tiwone momwe ma allergen amapangira ming'oma yayikulu.

• Chakudya... Mazira kapena zinthu zomwe muli nazo - ma cutlets, buns, cheesecake. Mkaka wa ng'ombe amathanso kubweretsa edema ya Quincke. Lili ndi lactoglobulin, yomwe imayambitsa vuto linalake. Nthawi zambiri, kusalolera kumaonekera pambuyo podya batala kapena kanyumba tchizi. Soda yotsekemera, mowa, uchi, zonunkhira, ndi strawberries zingayambitse chifuwa.
• Mankhwala ndi mankhwala... Mankhwala ambiri amatsogolera ku edema ya Quincke. Izi ndi monga: acetylsalicylic acid, insulin, ndi maantibayotiki osiyanasiyana. Njira yoperekera mankhwala zilibe kanthu.
• Kutulutsa mpweya... Mndandanda wazinthu zoyambitsa ziwengo umaimiridwa ndi mungu wazomera, popula, fumbi, nthenga zamiyala, chakudya chanyama chouma.
• Lumikizanani... Edema ya Quincke imayamba munthu atakumana ndi chinthu china chosagwirizana ndi mankhwala. Mwachitsanzo: zopaka utoto ndi varnish, zotsukira ndi zotsukira, zodzoladzola.
• Bakiteriya ndi fungal... Kwa anthu ena, colibacillus, staphylococci, kapena streptococci zimayambitsa urticaria yayikulu. Cholinga cha matendawa nthawi zambiri chimakhala m'mano omwe amakhudzidwa ndi zotupa kapena zotupa.

Zomwe zimayambitsa edema ya Quincke zitha kukhala tiziromboti ta m'mimba tomwe timasiya zinyalala zapoizoni, kuluma kwa ma hornet, nsikidzi, udzudzu, mavu ndi njuchi.

Pakuwoneka kwa edema ya Quincke wokhala ndi cholowa chakubadwa, kudzikundikira kwa ma allergen sikofunikira. Ngakhale kuwonekera pang'ono kwa iwo kumayambitsa chifuwa. Gulu lowopsa limaphatikizapo anthu omwe ali ndi vuto lamanjenje, matenda ashuga, matenda osachiritsika, amayi apakati ndi azimayi panthawi yakusamba.

Chithandizo cha edema ya Quincke mwa akulu ndi ana

Matenda omwe akukambidwawo ndi oopsa, omwe amatha kuwopseza moyo, omwe amawonetseredwa ndi mawonekedwe osayembekezereka a khungu lalikulu la khungu, minofu yocheperako ndi minofu.

Nthawi zambiri, anthu azaka zopitilira makumi awiri amakumana ndi edema ya Quincke. Kwa anthu okalamba, zimawoneka mocheperako. Kwa ana, chifuwa chachikulu chimachokera kwa makolo ndipo chimakula kukula modabwitsa. Nthawi zambiri limodzi ndi urticaria.

Chithandizo cha edema mwa ana chimakhala chovuta kwambiri chifukwa sangathe kupereka zowunika zaumoyo wawo. Chifukwa chake, makolo amayenera kuyang'anitsitsa zomwe mwana akuchita. Momwe mungasamalire edema ya Quincke mwa akulu ndi ana, werengani pansipa.

Chithandizo choyamba cha edema ya Quincke

Ngati zizindikiro za edema ya Quincke ziwoneka, muyenera kufunafuna thandizo nthawi yomweyo. Koma cholinga sichitha pamenepo. Ambulensiyo isanafike, wodwalayo ayenera kulandira thandizo ladzidzidzi.

Njira yoyamba yothandizira edema ya Quincke yafotokozedwa pansipa. Musanapite patsogolo, muyenera kudekha ndikumukhazika mtima pansi wodwalayo. Ndikhulupirireni, malingaliro wamba sangathandize.

1. Ngati allergen amadziwika, kukhudzana kuyenera kusokonezedwa mwachangu. Sizipweteka kutsegula mawindo, kuvula zovala zolimba kwa wodwalayo, kumasula makola ndi malamba.
2. Wodwala ayenera kukhala pansi kapena kutsamira nthawi zonse. Poterepa, ndikosavuta kuti apume. Malo osambira otentha amawerengedwa kuti ndi masewera olimbitsa thupi kwambiri. Thirani madzi otentha mu chidebe chachikulu momwe wodwalayo angapirire. Thirani madzi otentha nthawi ndi nthawi mpaka madokotala atafika.
3. Ikani china chake chozizira ku edema. Mutha kugwiritsa ntchito chopukutira choviikidwa m'madzi oundana. Limbikitsani madontho a vasoconstrictor m'mphuno mwa wodwalayo. Njira yabwino imawerengedwa kuti Naphthyzin, yomwe imagwiritsidwa ntchito chimfine.
4. Gulu la ambulansi litafika, madotolo adzapatsa wodwalayo mankhwala oyenera a antihistamines ndikumutengera kuchipatala. Simuyenera kukana kupita kuchipatala ngakhale zitasintha kwambiri.
5. Ndikofunika kudziwitsa madokotala zomwe adachita asanafike. Ngati chitukuko cha edema chikugwirizana ndi chochitika china, nenani izi. Izi ndizofunikira kwambiri pakuzindikira matenda ndi kusankha mankhwala.

Upangiri wavidiyo pakuthandizira koyamba kwa edema ya Quincke

Ndikukhulupirira ndi mtima wonse kuti m'moyo wanu wonse simudzafunika kugwiritsa ntchito izi. Pakachitika tsoka, khalani odekha ndikutsatira malangizowo molimba mtima.

Mankhwala

Chithandizo cha edema ya Quincke chimaphatikizapo kugwiritsa ntchito mankhwala. Njira zina zilizonse ndizosayenera. Izi ndi zofunika kukumbukira kwa anthu omwe amagwiritsa ntchito mankhwala azitsamba. Kugwiritsa ntchito kwawo ndikotsutsana ndi chifuwa.

Mankhwalawa ayenera kuperekedwa mwachangu. Ngakhale kuchedwa pang'ono kumatha kubweretsa zovuta zazikulu, kutayika kwakukulu kapena kufa.

• Antihistamines... Amachepetsa chiwopsezo cha thupi kutengera zovuta zonse. Mndandanda wawo muli Suprastin, Tavegil ndi Diphenhydramine.
• Majakisoni a Hormonal... Jakisoni mmodzi yekha wa mankhwala amthupi amachepetsa kutupa ndikuchotsa kupindika. Pachifukwa ichi, Dexamethasone, Hydrocortisone kapena Prednisolone amagwiritsidwa ntchito.
• Opumitsa minofu... Nthawi zambiri pamakhala zotupa za Quincke zomwe zimayambitsa asphyxia. Madokotala amalowetsa trachea ndi chubu chapadera chomwe chimapangitsa kupuma mosavuta. Kenako, Ephedrine kapena Adrenaline amapatsa minofu.
• Glucocorticoids... Amadzimadzi amadzimadzi amasiya zizindikiritso zambiri ndikupewa mantha a anaphylactic. Mankhwalawa amagwiritsidwa ntchito limodzi ndi kukonzekera komwe kuli sodium ndi calcium.
• Okodzetsa... Chithandizo chothandizirana chimaphatikizapo kugwiritsa ntchito okodzetsa. Amachepetsa kutupa, chifukwa amathandizira kuchotsedwa kwa chinyezi mthupi ndikuwonetsetsa kuthamanga kwa magazi. Ma diuretics othandiza kwambiri ndi Phytolysin ndi Kanefron.
• Mavitamini maofesi... Kugwiritsa ntchito mavitamini ndi njira yothandizira. Mavitamini amathandiza thupi louma kuti lipezenso bwino chifukwa cha zovuta zina. Ndi chizolowezi kulimbikitsa chitetezo mothandizidwa ndi ascorbic acid ndi mavitamini a B.

Ndikuganiza tsopano zikuwonekeratu chifukwa chake ndizosatheka kulimbana ndi edema ya Quincke pogwiritsa ntchito njira zowerengera. Pakakhala zovuta, ndizosatheka kuthandiza wodwala kunyumba.

Zithandizo za anthu

Ndikofunika kuchiza angioedema ndi mankhwala, kudzipangira nokha matendawa akhoza kukhala owopsa.

Mawonekedwe azachipatala a Quincke's edema amakula msanga, kugwiritsa ntchito mankhwala azitsamba panthawi yakukulira kumatha kubweretsa imfa. Madokotala ayenera kutenga nawo mbali pachithandizochi.

Zithandizo zaanthu zimaloledwa kugwiritsidwa ntchito chiwonongekocho chitachotsedwa. Zidzathandiza kupewa kuyambiranso. Koma ngakhale zili choncho, m'pofunika kusankha ndi kugwiritsa ntchito mankhwala wowerengeka mukafunsira kwa dokotala.

1. Kutolere zitsamba... Kuti mukonzekere, kuphatikiza ziweto za alder ndi rose, maluwa osafa, udzu wa zingwe ndi nsapato za akavalo, mizu ya aralia, dandelion, burdock, elecampane ndi licorice mofanana. Thirani supuni ya chopereka ndi kapu yamadzi otentha, gwirani kwa mphindi 30, kuziziritsa, kusefa, ndikuwonjezera madzi otentha kuti mupange 200 ml wamadzi. Imwani makapu 0,33 katatu patsiku mutatha kudya.
2. Kulowetsedwa kwa Nettle... Pofuna kukonza magalamu 10 a nettle osamva, tsitsani 250 ml ya madzi. Ndibwino kugwiritsa ntchito gawo limodzi mwa magawo atatu a galasi la tebulo katatu patsiku.
3. Kulowetsedwa kwa ephedra... Magalamu awiri a nthambi zodulidwa zimathiridwa mu 250 ml ya madzi otentha. Amamwa mamililita 100 katatu patsiku, ndikuwunika momwe magazi amayendera.
4. Datura tincture. Thirani supuni ya dope ndi 150 ml ya vodka wapamwamba, kusiya mlungu umodzi ndi kutenga katatu patsiku. Mlingo umodzi usadutse madontho 15.

Mwa munthu yemwe samakonda kuyanjana ndi mankhwala, mankhwala azitsamba omwe amadzipangira okha amatha kuyambitsa tsankho. Chifukwa chake muyenera kugwiritsa ntchito mankhwala azitsamba mosamala.

Pomaliza, ndiwonjezera kuti anthu omwe agonjetsa edema a Quincke akuyenera kuwunika thanzi lawo mosamala komanso kusamala akamakumana ndi zovuta zina.

Kanema wa pulogalamuyi Khalani bwino

Momwemonso, muyenera kutsatira zakudya zolimba, osaphatikiza zipatso za zipatso, nsomba, chokoleti, mazira, mtedza, uchi ndi koko pachakudyacho. M'nyengo yozizira, musadye ndiwo zamasamba, chifukwa zimakhala ndi zoteteza zomwe zimawonjezera mashelufu. Sikoyenera kudya zinthu zomwe zili ndi ma GMO ndi utoto, ndikugwiritsanso ntchito mankhwala am'nyumba onunkhira bwino.

Onerani kanemayo: Top 7 Exercises for Leg Edema or Swelling Program or Protocol for Edema (September 2024).