I-angioedema ephikisayo iyindlela engavamile yezihlahla ezingapheli ezibangelwa ukugqugquzela okuthile emzimbeni. Kulesi simo, ukuvuselelwa kuyisidlidliza esinamandla.
Lesi simo asihlangene no-Angioedema (okuyinto uhlobo lokuvuvukala olufana nemifantu, kodwa ukuvuvukala kwe-Angioedema kungaphansi kwesikhumba). Esikhundleni salokho, i-angioedema yokududuza inhlobo ye-urticaria yomzimba (imihlathi emzimbeni ebusweni isikhumba esivame ukubizwa ngokuthi ama-welts).
Izimpawu
Izinyosi ezibangelwa i-angioedema ezivuthiwe zivame ukukhula lapho isikhumba sithintana khona nokudlidliza phakathi kwemizuzu emibili ukuya emi-5 yokuvulwa. Izinyosi ngokuvamile zixazulula ngaphakathi kwemizuzu engama-30 kuya ku-1 ihora lokuyeka ukuvezwa kwezidakamizwa nezici ze-angioedema ezidlidlizayo zihlanganisa:
- Amasondo aphakathi
- Isikhumba esinomhlophe
- Ukukhwabanisa okuphakanyisiwe ( pruritus )
- Ukuchithwa
- Ukubomvu
- Ukuvuvukala
Izimbangela
I-Angioedema engabonakaliyo kungaba yinkinga ezuze njengefa (eyaziwa ngokuthi i-autosomal disorder, i-autosomal disorder), lapho abazali bobabili kufanele babe yizithwala zegesi) noma kungaba impendulo etholakalayo ekuvezeni isikhathi eside kud vibration.
Isimo esingavamile kakhulu lapho isikhumba sikhiqiza ukusabela kwe-hypersensitivity ukuze kufinyeleleke kakhulu ekudlideni okungenalutho.
Izibonelo zezinyathelo ezingabangela i-angioedema eguquguqukayo kubantu abajwayele isimo kufaka:
- Ukusebenza isando somshini noma imishini
- Ukugibela noma ukuphoqa i-lawnmower
- Ukugibela isithuthuthu
- Ukugijima
- Ukubhoboza ngamandla ngethawula
Iphepha lika-Okthoba 2015 elanyatheliswa kuyi-American Journal of Case Reports, labika icala lomama oneminyaka engu-70 ubudala obonisa izimpawu ze-angioedema eziduduzayo, okuhlanganisa ukuvuvukala kolimi nokuphuza, okwakubangelwa ukubhoboza okukhulu ebusuku . Lokhu kungase kube isimo esingavamile nesingaphansi kwengqondo esidinga ukuqhubeka nokutadisha.
Kukhona neminye imisebenzi ejwayelekile engozini engase ibe nemiphumela ephakeme yesimo sesikhumba, esekelwe uhlobo lohlobo lwemishini evame ukusetshenziswa njalo. Lezi zingozini ezisengozini zifaka:
- Umsebenzisi we-Jackhammer
- Umbazi
- I-Machinist
- Metal grinder
- I-landscaper
Ukwelapha
Ukwelashwa okuyinhloko kwe-angioedema yokududuza kukugwema ukuvuselela okudlidliza. Imifantu ingaba yinto enhle kepha ngokuvamile ivele isuke yodwa phakathi nemizuzu engama-30 kuya kwehora lokuchayeka kwesikhuthazo. Ukuze uhlale uphephile, abantu abajwayele ukunyakaza kwama-angioedema kufanele bagweme noma yikuphi ukugqugquzela okuye kwaba khona ukuphendula kulowo muntu.
Uma ubona izimpawu zokukhwabanisa noma izithuko ngemuva kokuhlangana nomfutho wokudlidliza, sicela ucabangele ukuthatha izinyathelo ezilandelayo:
- Xhumana nodokotela oqeqeshiwe ukuze uthole ukuxilongwa okufanele futhi ukwelashwa kwesimo sakho.
- Udokotela wakho kufanele aqhube ukuhlolwa kwe-urine kanye negazi ukuthola ukuthi unesifo sengculazi noma cha.
- Yima ngokushesha ukusebenzisa ukuvuselela okucasulayo futhi ucabange ukugwema ukusetshenziswa kwalo okuzayo esikhathini esizayo.
- I-Epinephrine (i-epi-pen) yisidakamizwa esindisa ukuphila ikakhulukazi uma kwenzeka i-angioedema etholakale, xoxa nodokotela wakho ukuze ubone ukuthi udinga ukuthwala i-epi-pen nawe.
- Ezinye izindlela zokwelapha zama- antihistamine zingasiza kodwa xoxisana nodokotela wakho ngaphambi kokusebenzisa noma yiziphi izidakamizwa ze-counter.
- Ukuze uthole i-angioedema eshukumisayo yokudonsela phambili , ukuqhutshwa kwe-airway okucindezelayo okuqhubekayo (CPAP) kungasiza.
Imithombo:
Grattan, Clive, no-Anne Kobza Black. "I-Urticaria ne-Angioedema." Dermatology. 2nd. Ed. Jean Bologna. ENew York: Mosby, 2008: 261-76.
UHabif, uTomas. "I-Urticaria ne-Angioedema." Dermatology Clinic, Edition 4. Ed. UThomas Habif, MD. ENew York: Mosby, 2004. 129-61.
> Kalathoor, Ipe. "I-Angioedema eVibratory ene-Snoring-Induced. I-American Journal of Case Reports 16 (2015): 700-702. PMC.
UZuberbier, uTorsten noMarcus Maurer. "Urticaria: imibono yamanje mayelana ne-etiology, ukuxilongwa, kanye nokwelapha." Acta Derm Venereologica. 87 (2007): 196-205.