Quincke edema , kana angioedema , inonyanya kuonekwa mumadzimai nevana, asi hapana anozvidzivirira kubva pairi. Kukosha kwechirwere ichi kunowanikwa mukuti inoratidzika pakarepo zvokuti dzimwe nguva zvakaoma zvikuru kugadzirisa zvakanaka mumamiriro ezvinhu iye zvino. Kuti udzivise chirwere ichi kubva pakushamiswa nekushamisika uye kuzvidzivirira iwe uye vadiwa vako kubva pakuvandudzwa kwezvinetso, unofanira kuziva nezvezviratidzo zveQuincke's edema uye yekutanga rubatsiro rwaunoda kupa munyaya iyi.
Zvinokonzera Quincke Edema
Edimende yaQuincke inonyanya kukanganisika mune zvechisikigo uye inoitika senzira yekuita kune dzimwe nyika dzinopinda mumuviri. Sezvo mutoro unogona kuita:
- kurapwa kwemishonga;
- zvokudya zvekudya;
- zvipfeko;
- insect bites;
- zvinhu zvepanyama (masikati machena, kutonhora, nezvimwe);
- michero, nezvimwewo.
Mukupindura kwemigumisiro yezvinokonzera muviri mumutumbi, zvinhu zvehupenyu zvinoshandiswa zvinosunungurwa - histamine, kinins, prostaglandin, izvo zvinokonzera kuwedzera kwemajapillari uye mitsipa yepamunharaunda, zvichiita kuti kuwedzerwa kwehutachiona hwe microvessels uye tema edema.
Uyewo, zvirwere zvehutachiona uye zvipembenene (helminthic invasions, hepatitis, giardiasis ), zvirwere zvenhengo dzomukati (chiropa, dumbu) uye endocrine system (utachiona gland) inogona kutungamirira kuEdema yeQuincke.
Edimende yaQuincke inogonawo kuva nhaka, apo inokwana masero enzyme inosunungurwa mumutumbi unoparadza zvinhu zvinokonzera kupfugama. Hedhi yemhando yeEdema inowanikwa nenzira yekuwedzera mukati mekuvhiringidzwa kwezvinhu zvakasiyana-siyana: kushungurudzika, kushanduka kamwe kamwe mumhepo yekushisa, kushungurudzika, zvinokonzera.
Mune dzimwe nguva (anenge 30%), mhaka yacho haigoni kuonekwa (idiopathic edema).
Zviratidzo zveQuincke Edema
Edema yaQuincke inowanikwa zvakapesana nechemberi yehutano hwehutano uye inozviratidza nekuwedzera kukuru muhuwandu hwemashupu. Kuputika kunogona kuitika paganda, muzvikamu zviduku, pane mafuta, uye napamusoro pemakumbo.
Edema inogona kukanganisa mutsipa, chiso, muviri wepamusoro, nzeve, maziso, miromo, rurimi, ruvara rwemafuta, tonsils, nzira yekufema, maitiro, uyewo kumashure kwemaoko nemakumbo. Panguva imwecheteyo, kurwadziwa kunonzwa kusingawanzoitiki, varwere vanongonzwa manzwiro ekudzvinyirira uye kusagadzikana kwemasumbu. Nzvimbo dzakakanganiswa dzakasviba, dzine chivako chakaoma, icho chinosanganiswa nepamusoro peprotein zvakagadziriswa mumagetsi emvura.
Ngozi dzeCyincke's edema
Edema inotora kubva maawa mashomanana kusvika mumazuva matatu, zvino inopera zvachose. Asi panogona kuuya mamiriro ekutyisidzira apo kune kuvhara kwevheya, pharynx uye trachea. Izvi zvinoderedza chiedza chemuviri wekupemha, izvo zvinowanzoita kuti munhu asvike. Kutanga, pane kuoma mukufema, kufema kwekufemerwa, kutadza, kugunun'una, uye ipapo kurasikirwa kwekuziva kunogona kuitika.
Izvo zvine ngozi uye zvinokunda ruzivo rweurogenital, runogona kutungamirira kukurudzirwa kwekuchengetedza kwekuita urinary. Kunzvimbo ye edema pachiso kunotyisidzira kubatanidza nzira ye meninges, iyo inoratidzirwa nemusoro, chizuru.
Ne maitiro akadaro eEdema, Quincke pakarepo anoda rubatsiro rwekukurumidzira.
Emergency Care for Quinck's Influence
Kana zviratidzo zveQuincke's edema zvikaonekwa, iwe unofanidza kudana ambulensi. Asati asvika, unofanira:
- tora nzvimbo yakagara;
- edza kugadzikana pasi (nekutya kunetseka iyo nzira dzinowedzera);
- anopa kuwanikwa kwemweya mutsva;
- kuisa compress inotonhora panzvimbo yedema;
- kutora vasoconstrictive nasal madonhwe;
- tora antihistamine.