Edincin's Quincke yakanyanya kuoma, umo mune kuvhara kukuru kweganda uye mafuta asina kuchena, dzimwe nguva inosanganisira chirwere chechirwere chemucous membrane. Chirwere chacho chakatumidzwa zita rechiremba G. Quinke, uyo akatanga kuzvitsanangura muna 1882. Zita rechipiri rehutachiona ndere angioedema.
Quincke's Edema - zvinokonzera
Kufanana nemisango, Quincke's edema inosanganiswa nevasodilation uye kuwedzera mukukwanisa kwavo kudivi rega rega rega, asi munyaya iyi, kuzvikudza hakuoneki kunze kwepamusoro, asi munzvimbo dzakadzika dzeganda, mucous tissues, subcutaneous fat layer. Kuunganidzirwa mumatumbu ehupakati mukati memvura inogadzirisa dema. Kuwedzera kwevascula uye kuwedzerwa mukugadzikana kwavo kunokonzerwa nekusunungurwa kwezvinhu zvinoshandiswa zvehupenyu (bradykinin, histamine, etc.), inoitika nekuda kwekudzivirira zvirwere zvemuviri pasi pesimba rezvimwe zvinhu.
Iyo angioedema inogona kunge yakasiyana, uye inowanzotsamwiswa nezvinhu zvinotevera:
- chiito chezvinokonzera;
- kushungurudzwa kwebasa rekudya kwekudya;
- kuvhiringidzika kwegadziriro ye endocrine;
- kutora mishonga (oral contraceptive, analgesics, antibiotics, ACE inhibitors, zvirwere, serums);
- zvirwere zvinoputika;
- zvirwere zveropa;
- zvipembenene uye zvipembenene zvemuviri;
- kusangana kwepabonde mumuviri;
- Kusiyanana kwemhepo yekumhepo, kutonhora kwemhepo, nezvimwewo.
Hereditary edema yeQuincke
Chimwe chezvinhu zvisingadikanwi zvehutano huri pasi pekufungidzirwa ndeyo nhaka yeanioedema, iyo inobatanidza nehutano mukugadzirisa nzira inoparidzirwa nenhaka. Izvo zvinobatanidza chirongwa, chinosanganisira kubatanidza mapuroteni matanho, chinhu chinokosha chemuviri wemuviri, iyo inobatanidzwa mukuvhiringidza uye kushandiswa kwezvirwere. Mutemo wegadziriro iyi inokonzerwa nemavhudzi enzymes, pakati pavo - inhibitor C1. Apo iyo enzyme inoshaya, kusadzora kunobatanidza kushandiswa uye kusununguka kwezvinhu zvinokonzera dema maiti.
Zviratidzo zvekutanga zveQuinck's edematous edema zvinogona kuonekwa kunyange muhuduku, asi mumatambudziko mazhinji kutanga panguva yekuyaruka kana pakati pezera remakore. Kubudirira kwekurwisana kunowanzotungamirirwa nechimwe kana chimwe chinokonzera chishamiso:
- utachiona;
- vane simba mupfungwa;
- chirurgic operation;
- kukuvadzwa;
- kutora chero mishonga.
Allergic Quincke's Edema
Kurwara kwemhuka ndicho chikonzero chinowanzokonzerwa chengenzieema. Mukuwedzera, kazhinji chirwere chacho chinosanganiswa nedzimwe zvirwere zvinokonzerwa nehutachiona - pollinosis, chirwere chinoputika chiropa, urticaria, atopic dermatitis , nezvimwewo. Kana nzira yekuonekwa kwechirwere ichi chiri mubvunzo, kurwisa kwaEquincke kune mhando yemhinduro kune chinokurudzira. Sezvo zvinhu zvinogumbura zvinogona kuva:
- Zvigadzirwa zvezvokudya uye zvinowedzera kwavari (hove, michero yevirumusi, uchi, nutsitsi, chokoti, zvinonaka, mavara, makachengetedza, nezvimwewo);
- mapureni ;
- minhenga uye pasi pedenga;
- mvere dzembudzi ;
- uchetura uye marara ezvipembenene;
- guruva;
- zvinoreva imba yemakemikari zvinhu;
- solar radiation;
- yakakwirira kana yakadzika;
- mishonga, nezvimwewo.
Idiopathic Quincke's Edema
Kunewo idiopathic angioedema, iyo isingagoni kutsanangurwa. Munyaya iyi, kurwiswa kwekusagadzikana kwekuita kwechimiro hakugoni kuwirirana nezvimwe zviitiko zvakapfuura. Ichi chimiro chekurwara, nyanzvi dzakawanda dzinoti inonyanya kuipa, nokuti, musingazivi kuti chii chinoita kuti chigumbuke, iwe haugone kudzivisa kutaridzika kwayo uye kubvisa icho-chikonzero.
Quincke's Edema - zviratidzo
Zviratidzo zveAngioedema zvinodanwa, izvo zvakaoma kusateerera, kusanganisira nokuti vanogona kukonzera kusagadzikana uye kunokanganisa kushanda kwemamwe mativi emuviri. Edema panzvimbo yakakanganisika inoonekwa neziso risina kusimba, ganda (kana mucous membrane) rinotaridzika rakareba, asi zvisingashanduki hue (iyo inozopedzisira inogona kuonekwa yakachena).
Nzvimbo dzakajairika dzekuwana nzvimbo ndezvekuti:
- munhu;
- muromo cavity;
- mutauro;
- larynx;
- trachea;
- mutsipa;
- zvikadzi;
- miviri yepamusoro neyepasi;
- nhengo dzomukati (mudumbu, mumukumbo, chikwata, meninges, nezvimwewo).
Munharaunda yakakanganiswa, varwere vanotambudzwa, kuoma, kusuruvara kunopisa, kupisa, kusinganisa, kazhinji - kuchenesa. Nhengo dzomukati dzinokanganisa dzinogona kukonzera kushushikana sekurwadziwa kwepamuviri, kusuruvara, kurutsira, chirwere, chirwere, urusi, kuora musoro, nezvimwewo. Nzira inoputirwa neyokufema inobata nekuonekwa kwekupererwa kwepfufu, kukwezva, kufema kunetseka, kunogona kukonzera kugadzikana. Quincke's allergenic edema inowanzoperekedzwa nechitarisiko chechechera rakasvibiswa. Kuparara kwekuzvikudza kunogona kunge kuri kupisa zvishoma uye kunhuwa.
Inokurumidza kukura sei edema yeQuincke?
Mune zviitiko zvakawanda, kana chirwere chinogadzirisa chinotora chikamu mumagadziriro ekufambisa, kufuridzira kwaQuincke kunooneka nokukurumidza, kutanga kamwe kamwe. Zviratidzo zvinokura mukati ma5-30 maminitsi, uye kusarudzwa kunofanira kutarisirwa mushure maawa akawanda kana mazuva maviri. Nezvo zvisingagoneki zvehutano hwehutano, hupombwe hunowanzotanga mukati maawa maviri uye hunyangarika mushure memazuva maviri.
Angioedema yelarynx
Angioedema yemutsipa inopa dambudziko rakakura pamuviri uye rinogona kukonzera kufa kamwe kamwe. Mumaminetsi mashomanana, mhepo inoenda kunogona kudziviswa zvachose nekuda kwekudzivirirwa kwemashu. Zviratidzo zvinokuvadza, izvo zvinofanira kuva chikonzero chinokurumidzira chokudana ambulensi, ndeizvi:
- ganda rebhuruu rechiso;
- yakasimba magumbo;
- donho rinopinza muropa;
- kunetseka.
Angioedema yechiso
Pamuchiso, edema yeQuincke, iyo mifananidzo yake inoratidza zviratidzo zvakaratidzwa, inowanzowanikwa munzvimbo dzakasvibirira, matama, mhuni, miromo. Panguva imwechete, maziso emeso anogona kunyanya kuderera, nasolabial mapanga anogona kushandiswa, rimwe kana miromo miviri inogona kukura zvakakura muhukuru. Edema inogona kuenderera mberi kumutsipa, iyo inopinda mumhepo uye inovhara mweya. Nokudaro, kufuridzira kwaQuincke pachiso kunofanira kumira nokukurumidza sezvazvinogona.
Angioedema yemigumo
Zviratidzo zveQuincke's edema, zvinowanikwa pamaoko nemakumbo, zvinowanzoonekwa kumashure kwetsoka nemichindwe. Izvi zvinotapira zvishoma kudarika zvinorondedzerwa pamusoro apa uye hazviiti kutyisidzira kunoshanda kwemuviri, kunyange zvazvo kunokonzera kusuruvara kukuru. Mukuwedzera kune chitarisiko chezvikamu zvishoma zvekubatanidza pamakumbo, ganda rinogona kuwana bluish tint.
Chii chingaita neKuincke yekudzora?
Varwere vakambova nechiitiko chekudzimuka kamwe kamwe kwechimwe chemuviri kamwechete kamwe muhupenyu hwavo vanofanira kuziva kuti vabvise sei kuputika kweQuincke, nokuti chirwere chinogona kubudazve kamwe kamwe. Chokutanga pane zvose, iwe unofanidza kudana ambulensi, kunyanya apo kune kuvhara mumugwagwa kana kune kunetseka kwekuwana nzvimbo yehutachiwana mukati memukati. Kusati kwasvika vashandi vehutano, matanho ekutanga anobatsira anofanira kutorwa.
Edema Quincke - First Aid
Emergency care for Quinck's gland, iyo inogona kupiwa musati ambulensi isvika, inosanganisira zvikamu zvinotevera:
- Kusurukirwa kweakakanganiswa kubva pamabasa ekusimudzirwa (kana akaiswa).
- Kupa rusununguko rusununguko rwemhepo yakachena.
- Kusunungurwa kwemurwere kubva kuputsanya nguo uye zvokushandisa.
- Kugadziriswa kwemurwere mune imwe nheyo kana kugara panzvimbo yekufema kufema.
- Kuchengetedza nzvimbo dzakadzikama dzakapoteredza, kudzivisa kutya.
- Kunyengedzwa kwemvura inotonhora panzvimbo yezvionda.
- Ipa zvinwiwa zvakawanda (zvinosarudzwa kuti zvive zvekare).
- Mishonga: vasoconstrictive madonhe mumhino (Naphthyzin, Otryvin), antihistamines (Fenistil, Suprastin) uye masvikiro (Enterosgel, Atoxil) mukati.
Izvo zviyero zvepamusoro, zvinopa rubatsiro nekuputika kweQuincke, zvinodiwa, kutanga kune zvose, kana zvichiti:
- kuzvimba kwemhino;
- kurira kwemiromo;
- kunyunyuta kwemukanwa mucosa;
- kurira kwehuro, ruzha;
- kurira kwemutsipa;
- edema yezvemuviri.
Nzira yekurapa angioedema sei?
Emergency mishonga yekubvisa edema yakaoma uye kudzorera mabasa anokosha ingasanganisira kushandiswa kwemishonga yakadaro:
- Adrenaline - nekunonoka kweropa;
- Prednisolone, Dexamethasone - munyaya yeQuinck's edema, zviratidzo zvikuru zvinobviswa;
- Glucose, Haemodez, Reopoliglyukin - kubvisa kushungurudzika uye chepfu kubviswa;
- Dimedrol, Suprastin injection - ine zvinokonzera kugadzikana;
- Furosemide, Mannitol - pazvakagadziriswa uye zvakanyanya kukamanikidzwa kubvisa zvinodhaka zvinokonzera mvura uye zvinokonzera;
- Eufillin neDexamethasone - nokuda kwekubviswa kwebhanchial spasm, nezvimwewo.
Non-allergenic edema Quincke mishonga ine yakasiyana, dzimwe nguva yakaitwa kuburikidza nokuwedzerwa kweplasma yeropa uye kushandiswa kwemishonga yakadaro:
- Z-aminocaproic acid;
- Counter.
Kunze kwechigadzirwa chemaitiro, kurapa kunogona kusanganisira:
- kusagadziriswa kwemashoko akaoma;
- Short courses of hormonal therapy (Prednisolone, Dexazone);
- kushandiswa kwezvinodhaka kuti kusimbise hurongwa hwemagetsi uye kuderedza kuperera kwevascula (Ascorutin, calcium, vitamini complexes);
- kutora antihistamine (Loratadine, Suprastin, Cetirizine).
Quincke's Edema - mhinduro
Varwere vanoongororwa kuti vane anioedema vanogara vachirarama nehupenyu husingagumi vanofanira kugara vachigadzirira kudzivisa zvinetso uye kutakura mishonga inodiwa kuti irege kurwisa. Apo pane kuvhara kweQuincke, zviratidzo uye kurapwa izvo zvisina hanya kana kusakwanira kurapwa kuri kuitwa, izvi zvinokanganisa utano nehupenyu hunotyisa. Pakati pavo:
- anaphylactic shock;
- asphyxia;
- neurological disorders;
- acute cystitis;
- matumbo okudzivirira;
- peritonitis.