I-Quincke edema , noma i- angioedema , ivame ukubonwa kwabesifazane nezingane, kodwa akekho olwa nayo. Ukungathí sina kwalesi sifo kubonakala ukuthi kubonakala ngokuzumayo kangangokuthi ngezinye izikhathi kunzima kakhulu ukusabela kahle esimeni samanje. Ukuvimbela lesi sifo ukuba singamangali futhi uzivikele wena nabathandekayo bakho ekuthuthukiseni izinkinga, kufanele wazi ngezimpawu ze-edema ka-Quincke kanye nosizo lokuqala lokuqala oludingayo ukuhlinzeka kulolu cala.
Izimbangela ze-Quincke Edema
I-edema ka-Quincke inomthelela omkhulu emvelo futhi kwenzeka njengendlela yokusabela ezakhiweni zangaphandle ezingena emzimbeni. Njengoba i-allergen ingenza:
- amalungiselelo okwelapha;
- imikhiqizo yokudla;
- imikhiqizo yezimonyo;
- ukulunywa kwezinambuzane;
- izici zomzimba (imisebe yelanga, ubanda, njll);
- izitshalo zezimbali, njll.
Ephendula imiphumela yezifo ezihamba emzimbeni, kukhishwa izinto eziphilayo eziphilayo - i-histamine, i-kinins, i-prostaglandins, ebangela ukwandiswa kwendawo yamapillary nemithanjeni, okwenza kube nokwanda kwe-microvessels kanye nama-tishu edema.
Futhi, izifo ezibangelwa yi-viral and parasitic (izifo ze-helminthic, i-hepatitis, giardiasis ), izifo zesitho zangaphakathi (isibindi, isisu) nesistimu ye-endocrine (i-thyroid gland) ingaholela edema yeQuincke.
I-edema ka-Quincke nayo ingaba yifa, lapho inani elincane le-enzyme likhishwa emzimbeni obhubhisa izinto ezibangelwa ukuvuvukala. Uhlobo oluhle lwe-edema lwenzeka ngesimo sokukhushulwa ngaphansi kwethonya lezici ezihlukahlukene: ukuhlukumezeka, izinguquko ngokungazelelwe ekushiseni kwemoya, ukucindezeleka, izifo.
Kwezinye izimo (cishe u-30%), imbangela ayikwazi ukukhonjwa (idiopathic edema).
Izimpawu ze-Quincke Edema
I-edema ka-Quincke ivela ngokucacile ngokumelene nesizinda sempilo ejwayelekile futhi ibonakale ngokunyuka okukhulu emanzini amathishu. I-puffiness ingenzeka esikhumbeni, emigqeni engaphansi, phezu kwezingqimba ezinamafutha, futhi nangaphezulu kwezingqimba zamangcwaba.
I-Edema ingathinta intamo, ubuso, umzimba ophezulu, izindlebe, izinkophezelo, izindebe, ulimi, i-palate esithambile, amathoni, ukuphefumula, izitho zangasese, kanye nangemva kwezandla nezinyawo. Ngesikhathi esifanayo, ukuzwa okubuhlungu kungavamile kakhulu, iziguli zizwa kuphela ukuzwa nokucindezeleka kwezicubu. Izindawo ezithintekayo ziphaphathekile, zinezakhiwo ezinomsoco, ezihlotshaniswa nokuqukethwe okuphezulu kwamaprotheni ku-fluematous fluid.
Izingozi ze-edema kaQuincke
I-Edema ihlala emahoreni ambalwa kuya kwezinsuku ezingu-2-3, bese iphela ngokuphelele. Kodwa kungase kufike isimo esisongelayo uma kukhona ukuvuvukala kwe-larynx, pharynx ne-trachea. Lokhu kunciphisa ukukhanya kwesibindi sokuphefumula, okuyinto ngezinye izikhathi okuholela ekuguleni. Okokuqala, kunzima ekuphefumuleni, ukuphefumula, ukukhwehlela, ukukhwehlela ukukhwehlela, bese kulahlekelwa ukwazi.
Kuyingozi kakhulu futhi kunqobe uhlangothi lwe-urogenital, okungaholela ekuthuthukiseni ukugcinwa kwe-urinary. Ukuhlelwa kwendawo ye-edema ebusweni kusongela ukuthi kuhileleke inqubo yamamenyu, okubonakaliswa yikhanda, isizungu.
Ngezinhlobo ezinjalo ze-edema, u-Quincke udinga usizo oluphuthumayo ngokushesha.
Ukunakekelwa Okuphuthumayo Ukuthumba Kwe-Quinck
Uma izimpawu ze-edema kaQuincke zivela, kufanele ushayele ngokushesha i-ambulensi. Ngaphambi kokufika kwakhe, kufanele:
- thatha indawo yokuhlala;
- zama ukunciphisa (ngokuphazamiseka kwemizwa izinqubo ziqinisa);
- inikeza ukufinyelela emoyeni omusha;
- faka i-compress ebandayo endaweni ye-edema;
- uthathe amaconsi emisipha e-vasoconstrictive;
- thatha i-antihistamine.