I-Quincke edema , okanye i- angioedema , idla ngokugqithiseleyo kubasetyhini nakubantwana, kodwa akukho mntu ulwa nayo. Ubungqina beli sifo bukho kwinto yokuba ibonakalisa ngokukhawuleza kangangokuba ngamanye amaxesha kunzima ukuphendula ngokuchanekileyo kwimeko yangoku. Ukuthintela eso sifo ukuba singathatyathwa kwaye uzikhusele wena kunye nabathandekayo bakho ekuphuhlisweni kweengxaki, kufuneka ukwazi ngeempawu ze-edema ka-Quincke kunye neyokuqala uncedo lokuqala olufunekayo ukubonelela kulo mzekelo.
Izizathu zeQuincke Edema
I-edema kaQuincke yinto enobungakanani bendalo kwaye iyenzeka njengendlela yokusabela kumaqela angaphandle angena emzimbeni. Njengoko i-allergen iyakwenza:
- amalungiselelo amayeza;
- iimveliso zokutya;
- iimveliso zokucoca;
- zilwanyana;
- izinto ezibonakalayo (ukukhanya kwelanga, ubanda, njl.);
- zityalo, njl njl
Ekuphenduleni kwimiphumo yezilwanyana ezisemzimbeni, izinto eziphilayo ezikhutshwayo zikhishwa - i-histamine, i-kinins, i-prostaglandines, ebangela ukwandiswa kwendawo yamapilisi kunye nemithanjeni, okubangele ukwanda kwe-microvessels kunye ne-tisema ye-tema.
Kwakhona, izifo ezibangelwa yintsholongwane kunye nezifo eziphene (i-helminthic invasions, i-hepatitis, giardiasis ), izifo zangaphakathi (isibindi, isisu) kunye ne-endocrine (i-thyroid gland) ingakhokelela kwi-edema yeQuincke.
I-edema kaQuincke nayo ingaba yifa, xa inani elincinci le-enzymes likhishwa emzimbeni otshabalalisa izinto ezibangelwa ukuvuvukala. Ifom ye-Heditary ye-edema ivela ngendlela yokucima amandla phantsi kwefuthe leemeko ezahlukeneyo: ukuxhatshazwa, utshintsho oluzelelwe kwimeko yokushisa komoya, uxinzelelo, izilwanyana.
Kwezinye iimeko (malunga ne-30%), isizathu asikwazi ukuchongwa (idiopathic edema).
Iimpawu zeQuincke Edema
I-edema kaQuincke iqhutyelwa ngokukhawuleza ngokumalunga nemvelaphi yempilo eqhelekileyo kwaye ibonakalisa ngokwanda okwenziwe kwimiqulu yeecuksi. Ukuqubuzela kunokwenzeka kwikhumba, kumacandelo angaphantsi, kwi-fatty layer, kunye nangaphezulu kwimbumba.
I-Edema inokuchaphazela intamo, ubuso, umzimba ophezulu, iindlebe, iinkophezelo, imilomo, ulwimi, i-palate ezithambileyo, iifoni, indlela yokuphefumula, izitho zangasese, kunye nesemva kwezandla kunye neenyawo. Ngelo xesha, iintlungu zincabha kakhulu, izigulane zifumana nje ukuvakalelwa nokuxhatshazwa kwezicubu. Iindawo ezichaphazelekayo ziluhlaza, zinezakhiwo ezininzi, ezinxulumene nomxholo ophezulu weprotheni kwi-edematous fluid.
Ingozi ye-edema kaQuincke
I-Edema ihlala kwiiyure ezimbalwa ukuya kwiintsuku ezingama-2-3, ize iphele ngokupheleleyo. Kodwa kunokuza kusongela imeko xa kukho ukuvuvukala kwe-larynx, pharynx kunye ne-trachea. Oku kunciphisa i-lumen yendlela yokuphefumula, ngezinye izihlandlo ekhokelela ekuxhatshazweni. Okokuqala, kunzima ukuphefumula, ukuphefumula okufutshane, ukunyamezela, ukukhwehlela ukukhwehlela, kunye nokulahleka kwengqondo.
Kunobungozi kwaye kunqobana ne-urrogenital tract, engakhokelela ekuphuhliseni ukugcinwa kwamanzi emzimbeni. Ukuhlala kwendawo ye-edema ebusweni kubungozi bokubandakanya inkqubo ye-meninges, ebonakaliswe yintloko, isiyezi.
Ngeendlela ezinjalo ze-edema, iQuincke ifuna uncedo ngokukhawuleza.
Uncedo olukhawulezileyo lwe-Quinck's Gwelling
Ukuba iimpawu ze-edema zeQuincke zivela, kufuneka uqale ubiza i-ambulensi. Ngaphambi kokufika kwakhe, kufuneka:
- uthathe indawo yokuhlala;
- zama ukuzincama (kunye neengxabano zesantya iinkqubo ziqinisa);
- ukubonelela ngomoya ophelileyo;
- ufake i-compress ebandayo kwindawo ye-edema;
- uthathe amaconsi e-nasoconstrictive yamanzi;
- kuthatha i-antihistamine.