I-Angioedema ngokuqhelekileyo ivela ngokukhawuleza kwaye ivelise ukuvuvukala ubuso, iingalo, okanye imilenze. Iimpawu ziyakwazi ukuhamba ngokukhawuleza, kwaye azinqabile ukuba zisongela ubomi. Kukho iimbalwa ezimbalwa ze-angioedem eninzi zivelisa iimpawu ezifanayo, phakathi kwazo ukuvuvukala, ubomvu, kunye no-GI.
Iimpawu eziqhelekileyo
Iimpawu eziqhelekileyo ze-angioedema zenzeka emva kokuba zivelele kwinto ethile ebangela ukusabela okuphazamisayo, njengokutya, amayeza, iimpahla, izimonyo, okanye ukuluma kwezilwanyana .
Ngamanye amaxesha iimpawu ziqala ngaphandle kwesizathu esibonakalayo. Yaye, ukuba unayo i-angioedem yefa, inokuthi ivele ekuphenduleni i-allergen, ingcinezelo okanye, ngokuphindaphindiweyo, ngaphandle kwesizathu.
I-Angioedema iqhubela phambili ngokukhawuleza kwiiyure ezimbalwa. Ngokuqhelekileyo, iyakwazi ukuzixazulula yodwa kwiintsuku ezintathu ukuya kwiintsuku. Iimpawu zisingatha ngokukhawuleza, kunokuba kancane kancane. Ngamanye amazwi, iimpawu zingaphuthuma ngokukhawuleza kwixesha lemizuzu, ukugqibela iintsuku ezintathu, kwaye emva koko zixazulule ngokukhawuleza kwimizuzu.
Iimpawu eziqhelekileyo ze-angioedema ziquka:
- Ukuvuvukala: Inqaku elibonakalayo le-angioedema ukuvuvukala nokukhukhuma kwamehlo okanye emlonyeni. Inokuchaphazela nezandla, iinyawo okanye imilenze, kwaye kaninzi kungabandakanya i-genitalia. Ukukhupha kungahlakulela emqaleni nasemlonyeni, kwaye oku kunokuchaphazela ukuphefumula okanye ukutya ngenxa yokukhutshwa komzimba womoya kunye nombhobho wokutya. Ukuvuvukala akuyi kulungiswa, oku kuthetha ukuba awukwazi ukuvelisa indinyana kwindawo yokukhukhumeza ngokucinezela kuyo.
- Ubomvu: Ubomvu buhamba kunye nokuvuvukala okanye kubonakale kwedwa. Ingabonakala njengamabala amaninzi amancinci okanye njengeendawo ezinqamlekileyo kwaye inokuphakanyiswa okanye isicatshulwa. Ingabonakala naphi na emzimbeni, kubandakanywa indawo ezingapheliyo, kodwa zihlala zichaphazela indawo ezikhukhulayo okanye zivela kwimida yeendawo ezivuvukileyo. Ukubomvu kudla ngokugqithisa, oku kuthetha ukuba ngokugqithiseleyo kuluhlaza xa ucinezela kuyo, kodwa ubuyela kwakhona obomvu kwakhona kwiminithi embalwa.
- I-Rash: I-rash, enokubonakala ngathi iindawo ezincinci okanye iindawo eziphangaleleyo ezihlanganiswe kunye, zinokuphuhliswa naphi na kwesikhumba kwaye zidla ngokubomvu. Ngokuqhelekileyo, ukukhawuleza akuyiyo kuphela uphawu lwe-angioedema.
- I-welts i-Patchy: Ungakwazi ukuhlakulela i-patches yolusu ephakanyisiwe, ngokuqhelekileyo ibomvu okanye i-pinki embala. Ezi ntlanzi zidlalwa njenge-welts.
- Utyeshelo: Iqondo lokuhamba ngokukhawuleza lincinci lingahamba kunye neenguqulelo zesikhumba se-angioedema.
- Isisu sithukuthele: Unokuthi ufumane ukungathandeki kwesisu okanye isicupunu ngokubambisana ne-angioedem, kwaye oku, njengeminye impawu, kufuneka isombulule xa iimpawu ezibonakalayo kwesikhumba zigqiba.
Iimpawu Eziqhelekileyo Eziqhelekileyo
Ngokuqhelekileyo, utshintsho oluhambelana ne-angioedema luchaphazela ukubonakala kwesikhumba ngaphandle kokuphazamiseka. Unokufumana utshintsho olushukumisayo kwesikhumba, uhudo, okanye ukuphefumla umoya, nangona ezi zibonakaliso ziphantsi.
- Ukutshiza: Ukubamba ngexesha elihle kunokuhamba kunye nokuvuvukala kunye ne-angioedema, kodwa ngokuqhelekileyo, ukubetha kuyimpawu yezinye iimeko ezinjenge- dermatitis .
- Ukulinganisa: Ukulinganisa okanye olunye uvakalelo olungenabuhlungu lunokuhamba kunye nokuvuvukala kwe-angioedema.
- Ukutshisa: Ukuvutha komsindo okuvuthayo kungenzeka nge-angioedema, ngokukodwa kwiindawo ezivuvukileyo zomzimba.
- Idayarrhea: Ukufumana ubuncinane ngaphantsi kweempawu ezininzi, isifo sohudo sinokuhamba kunye ne-angioedema. Oku kwenzeka ngenxa yokuvuvukala kwenkqubo yokutya. Kubaluleke kakhulu ukuba uhudo lube ngumqondiso kuphela we-angioedema, nangona oku kwenzeka.
- Ingxaki yokutya: Ukuba ulwimi lwakho nomqala wakho uyavuvukala ngenxa ye-angioedema, ukuvuvukala kunokuphazamisa umzimba wakho ukuhlafuna nokugwinya ukutya. Oku kunokwandisa amathuba akho wokukhahlela.
- Ubunzima bokuphefumula : Ukuvuthwa akuqhelekanga kubandakanya umqala nomlomo, kodwa xa kwenzeka, ubunzima bokuphefumla buya kwenzeka ngenxa yokukhuseleka komzimba wakho.
Iingxaki
Ngokuqhelekileyo, i-angioedema isombulula ngokwayo okanye ngonyango. Nangona kunjalo, ngelixa lingaqhelekanga, i-angioedema inokubangela ukonakala, okanye nokuba usongela ubomi, iingxaki.
Iingxaki ze-angioedema ziquka:
- Ukuphazamiseka okuphefumulayo: Ukuba ukuvuvukala emqaleni nasemlonyeni wakho kukhulu, oku kunokuphazamisa ukuphefumla, ukukhusela umoya ukuba ungaphumelelanga kakuhle. Kwiimeko ezinqabileyo, le ngxakeko yonyango, efuna unyango okanye ugqirha okhuphayo ukucima indlela yakho.
- Ukuphefumula: Ukuphefumula kufutshane kungenzeka nge-angioedema. Oku kwahluke kunobunzima bokuphefumula obwenzeka ngenxa yolwimi nokuvuvukala komqala. Kwezinye iimeko, i-angioedema inokubangela ukuba utshintsho olwenziwe kwiimeko zakho zokuphefumula, ezifuna unyango oluphuthumayo.
- Ukubanjwa kokuphefumula: Ukuba unayo i-angioedema, isistim somzimba sakho sokugonywa singagxininisa kangangokuthi ukuphefumula kungazelelwe. Le yimeko esongela ubomi efuna uncedo lwezonyango lwengxamisekileyo.
- I-Arrhythmia (isisu esingaqhelekanga) : Ngelixa lingaqhelekanga, intliziyo inokuhlakulela intliziyo engavumelekanga nge-angioedema. Awunayo nayiphi na impawu, okanye unokuba nobuthathaka, utyhefu, ukukhanya okulula, okanye ukulahleka kwengqondo.
Nini ukubona iDokotela
Akunakwenzeka ukuqikelela ukuba iimpawu zakho ziya kuba zibi kakhulu, ngakumbi ukuba awuzange ube ne-angioedema ngaphambili. Kwaye, ngenxa yokuba iimpawu ze-angioedema zikhawuleza kwaye zisoloko zingaqondakali, kunzima ukwazi oko kwenzekayo. Ukuba unamava alandelayo, kufuneka ufune unyango:
- Ukuphefumla okufutshane: Ukuba unomoya ophefumlelweyo okanye uvakalelwa kukuba awukwazi ukuphefumula, oku kuhamba ngakumbi ngokukhawuleza. Kufanele ucele uncedo olungxamisekileyo. Ukuba umntwana wakho okanye umntu ophefumlelweyo, kufuneka ucele uncedo olungxamisekileyo.
- Ukuphazamiseka, ukuxelenga, okanye ukukhanya okulula: Oku kungabonakalisa ukuba unempendulo enzima engenakuyenza isisombululo ngokukhawuleza.
- Ukuvuvukala komqala wakho okanye ulwimi: Njengokuphefumla okufutshane, izinto ziyakhula ngokukhawuleza. Nangona uqikelele ngokupheleleyo, ukuvuvukala kunokukhawuleza ukukhawuleza indlela yakho yokuhamba.
- Isisombululo esinamandla: Ukuba uye waba nesisombululo esinzulu, esasisongela ubomi kwi-allergen ngaphambili, unokufumana impendulo efanayo xa ukhankanywa ngokuphindaphindiweyo kwi-allergen. Oku kubandakanya ukuphefumula okufutshane, ukulahleka kwengqondo, ukukhupha ulwimi, okanye iimpawu zeentliziyo . Ukuba unomdla wokuba uphendule kakhulu kwi-allergen ethile, ekugqibeleni uya kuba nakho ukunyanga, mhlawumbi nge-EpiPen , nokuba kukho impawu ziqala ukuvela.
> Imithombo:
> Bernstein JA, Cremonesi P, Hoffmann TK, Hollingsworth J. Angioedema kwisebe eliphuthumayo: isikhokelo esicwangcisiweyo sokuxilonga kunye nokuphathwa ngokwahlukileyo. Int J Emerg Med. Ngo-2017 Dec; 10 (1): 15. i-doi: 10.1186 / s12245-017-0141-z. Epub 2017 Apr 13.
> Gill P, iBetschel SD. Uvavanyo lweKlinikhi ye-Angioedema. Immunol Allergy Clin North Am. 2017 Aug; 37 (3): 449-466. i-doi: 10.1016 / j.iac.2017.04.007.