Kunezindlela zokwelashwa ezingakwazi ukucindezela i-angioedema. Esikhathini esiningi, uma i-allergen (into edala ukungezwani komzimba) ibonakala, kunconywa ukuba uyigweme.
Uma usuqhelile ukuxilongwa kwe-angioedema , ukwelashwa kwakho kuxhomeke esibangweni. Kungase kudingeke ukuthi uphathe ukwelashwa okuvamile nge-steroids uma izimpawu zakho zingekho umphumela wokungezwani komzimba.
Uma unesifo sofuzo, ikakhulukazi uma singacacisi ngokuphelele ukuthi uyisifo esingakanani, ungase udingeke uthwale i-epinephrine engenayo ngoba iziphuthumayo zingase zithuthuke ngokushesha ngaphambi kokuthola usizo lwezokwelapha.
Amakhambi asekhaya kanye nendlela yokuphila
Kunezinhlobo eziningi zokulungiswa kokuphila okuphumelelayo ongazenza uma uzwa i-angioedema. Ezinye zokuguqula indlela yokuphila ziwusizo ekuvimbeleni ukusabela uma une-allergen eyaziwayo, kanti abanye bangakusiza ukuba ukhululeke uma usuphendule.
Thola izihlungi
Uma ngabe ube neziqephu eziphindaphindiwe, ikakhulukazi uma zisezingeni eliphansi, kungase kube yinselele ukukhomba imbangela ye-angioedema yakho. Ukucabanga ngokudla okuhlukene, iziphuzo, kanye nezinto owake wazixhumana nazo kungakusiza ukuthi ubone ukuthi yini ebangele ukuphendula kwakho.
Kukhona amacala ajwayelekile, njengama-strawberries nama- seafood , kodwa kungenzeka ukuthi i-angioedema iphendule into ongawaziyo ibangela ukusabela okunjalo kubantu.
Ngokuqinisekile ungaba nokuhlolwa kokuvivinya umzimba, kodwa ungase ufunde ukuthi unomdlavuza othile into ongayikhumbuli ukuthi ukhonjiswe kuyo, ngakho kuyazuzisa ukuba ucabangele indawo yakho ngokucophelela njengoba ulungisa isimo sakho sokuphila ukuze ugweme iziqephu zesikhathi esizayo of angioedema.
Gwema Izinto Zokudla
Uma usuqaphela i-trigger, ungathatha isinyathelo ukuze ugweme ukuvezwa ngokufunda izithako zokudla okulungiselelwe ngaphambilini futhi ugweme nokudla uma ungeke ukwazi ukuthola ukuthi zilungisiwe.
Gwema Ukuboniswa Kokutholakala Kwezikhali Zamakhemikhali
Kungase kudingeke ukuba uqaphe ngokweqile ngamakhemikhali emikhiqizo oyisebenzisayo. Uma ngabe usabela ngendlela yesepha, isibonelo, kuzodingeka uhlole ukuthi ama-detergents noma eminye imikhiqizo yomzimba iqukethe leyo-allergen.
Ukuqwashisa ngemithi
Qiniseka ukuthi utshele udokotela wakho uma uthola i-angioedema ekuphenduleni imithi. I-Angiotensin-ukuguqula i-enzyme (ACE) Inhibitors ingenye yemithi ejwayelekile eyenza iziqephu ze-angioedema. Le mithi isetshenziselwa ukwelashwa kwezinkinga zenhliziyo ezifana nokucindezeleka kwegazi nokuhluleka kwenhliziyo.
Ukugcina Induduzo Ngeziqephu Ze-Angioedema
Abanye abantu abane-angioedema basebenzisa amaphakethe e-ice ukuze bathole induduzo, ikakhulukazi uma ukuvuvukala kunendawo yakhona noma uma kukhona ubuhlungu obuhlobene noma ukushisa.
Uma uvuvukala emzimbeni wakho, ungase ubheke ukugeza okubandayo njengendlela yokukhulula ukungahambi kahle. Yiqiniso, kufanele uqiniseke ukuthi ungachithi ngaphezu kwamaminithi ambalwa emanzini abandayo.
Imithi yokwelapha ngaphezulu
Uma une-angioedema ephindaphindiwe engaqhubeki ukuba ibe nzima, ungase uphendule kahle emithonjeni engaphezu kwe-counter. Uma enye yale mithi ikusebenzele esikhathini esidlule, kuwumqondo omuhle ukuthi ube nakho uma kwenzeka izimpawu zakho zibuyele emuva.
I-Oral Antihistamines
Ama-antihistamine afana ne- diphenhydramine (i-Benadryl) , i- loratadine (i-Claritin) , ne- cetirizine (i-Zyrtec) ivame ukusiza ekulawuleni nasekuvimbeleni iziqephu ze-angioedema. Zisebenza ngokucindezela isimiso sakho sokuvikela umzimba, okuyinto evame ukuba yinkinga ema-angioedema.
Le mithi ithathwa ngomlomo futhi kufanele uyisebenzise kuphela uma udokotela wakho esevele ehlola izimpawu zakho nezimpawu zakho futhi ekutshele ukuthi lokhu kuyindlela enhle. Sebenzisa imithi ngokulandela imiyalelo yephakheji bese uthola usizo lwezokwelapha uma uqala ukuzizwa unzima kakhulu noma uma unenkinga yokuphefumula noma ukuphelelwa amandla.
Uma uhlangabezana nemiphumela emibi njengokulala noma ukulala, cabangela ukushintshela kwenye i-antihistamine ongayibekezelela.
I-Antihistamine Creams
Amanye ama-antihistamine ama-creams anganciphisa ukuhleka nokuhlushwa kwakho uma unezi zimpawu. Ngokuvamile zibekezeleleke kahle futhi zingase zinciphise izimpawu zakho uma uphendule okuthile okuhlangene nakho esikhumbeni sakho.
I-Steroid Creams
I-OTC i- crest creams isebenza endaweni yangakini endaweni yokushisa noma ukushaywa, futhi inganciphisa nokunye ukuvuvukala.
I-Hypoallergenic Creams
Ungase ungadingi ukhilimu odliwayo ukuze unciphise isikhumba sakho uma une-angioedema. I-Creams ehlanza isikhumba sakho ngaphandle kokuthi ibe nesithako sezokwelapha esebenzayo ingase ibe ngokwanele ukukunika usizo.
Imigomo
Ungadinga imishanguzo kadokotela uma une-angioedema ephindaphindiwe noma uma izimpawu zakho zinzima.
Ama-antihistamine
Ama-antihistamine wamandla omuthi njengama-cyproheptadine (i-Periactin), i-hydroxyzine (i-Atarax, i-Vistaril) ne-desloratadine (i-Clarinex) isebenza ngendlela efanayo ne-OTC antihistamines-ngokucindezela isimiso somzimba-ngaphandle kokuthi sinomthelela onamandla futhi angenza futhi imiphumela yokulala nokulala. Ama-antihistamine angasetshenziswa njalo noma uma kudingeka, kuye ngesimo sakho.
I-oral (ngomlomo) i-Steroids
Abanye abantu abane-angioedema badinga ukuthatha ama-steroid ngomlomo ukuvimbela ukusabela. Kwezinye izimo, udokotela wakho angase ancome ukuthi uthathe isifo somlomo isikhathi eside ukuze usize izimpawu zakho zixazulule.
I-Intravenous (IV) i-Steroids
Ithimba lakho lezokwelapha lingase likucabangele ukukunikeza i-IV kunomlomo we-oral steroids, ikakhulukazi uma ungakwazi ukugwinya noma uma udinga umphumela ngokushesha kunalokho okulindelwe nge-steroids yomlomo.
Epinephrine
I-Epinephrine imithi enamandla eyenza isistimu yomzimba igweme ngokushesha kakhulu kune-steroids nama-antihistamine. It isetshenziswa njengendlela umjovo uma unzima, ukusabela ngokungazelelwe futhi uma uzimisele ukuphefumula noma ukubandakanya inhliziyo.
Uma unalo mkhuba, udokotela wakho angancoma ukuthi ugcine i- EpiPen nawe ngaso sonke isikhathi ukuze ukwazi ukujova noma ukuba othile akujobe uma uqala ukuphendula ngendlela eyingozi.
Izinqubo Eziqondene Nezici
Ngokuvamile, akufanele udinga ukuhlinzwa noma izinqubo ezikhethekile ze-angioedema. Kodwa-ke, kunezimo ezingavamile lapho ungadinga izinqubo ezikhethekile uma ukuphefumula kwakho kuthinteka.
Tracheostomy
Uma ulimi lwakho noma umphimbo uba lukhubeke kakhulu, kungase kudingeke ube nenqubo yokulondoloza impilo ebizwa ngokuthi i-tracheostomy. Lena inqubo lapho umgodi ubeka khona entanyeni nasempipini futhi ithabhu ifakwa emgodini ukuze umoya ufike emaphashini akho. Lo mgodi uzohlinzwa ngokulungiswa ngemva kokuphumula.
I-Mechanical Ventilation
Uma ubhekene nobunzima bokuphefumula noma ukuboshwa kokuphefumula, ungase udinge umoya owenziwe umoya ohlinzeka ngcindezi edingekayo ukuhambisa emoyeni naphumeni emaphashini akho lapho uthola.
Ukubandakanya ukuphefumula kuyinkinga ehlukile ekuvimbeleni umoya, okubangelwa ukuvuvukala ngokomzimba kolimi noma umphimbo. Izinkinga ezinzima zokuphefumula ziwumphumela womphumela wokuvuvukala wama-angioedema emaphashini nase-bronchi.
I-Angeliedema ye-Hereditary
Izindlela zokwelashwa ezisetshenziselwa i-angioedema engewona ifa, ngokuvamile ebizwa ngokuthi i-angioedema efunyenwe, ayifani nalokho esetshenziselwa i-angioedema yefa. Eqinisweni, ama-antihistamine kanye ne-steroid angenza i-angioedema yefa libi kakhulu.
Izindlela eziningi zokwelapha ezigunyaziwe ze-FDA ze-angioedema yefa ezihlanganisa idilesi ezilandelayo.
I-C1 Esterase Inhibitors (C1-INH)
Imithi ihlanganisa uBerinert, uCinryze, Haegarda, noRuconest. Le mithi idinga ukuzijoza futhi ingasetshenziswa uma uzizwa umcimbi ozayo.
Kallikrein Inhibitor
I-Ecallantide (Kalbitor) iyimithi ejojelwayo evimbela ubuchopho be-bradykinin. I-Bradykinin ikhuthaza ukuvuvukala, ngakho ukunciphisa i-bradykinin kungasiza ekuvimbeleni ukuhlaselwa kwe-angioedema yefa.
I-Bradykinin I-Antagonism
Enye imithi, i-icatibant (i-Firazyr), iqeda ngokuqondile umsebenzi we-bradykinin ukuvimbela ukuvuvukala okungaphezu kwe-angioedema yefa.
Imithi Ephelele
Ezinye izindlela zokwelapha zisetshenziselwe izimpawu zengculazi encane, kanti ezinye izindlela zokwelashwa eziye zithathwa njengento ewusizo ekuvikeleni.
Ezinye zalezi zokwelapha ziyaduduza kakhulu futhi zinikeze ukukhululeka kweziqephu ze-angioedema, nakuba zingelapheki isimo uma unelungelo lokufa, futhi akuvimbeli ukuba ungenelele kulokho okulindelekile kuwo.
Noma kunjalo, uma uthola ukuphumula ezivela kumpawu zakho, kunengqondo ukusebenzisa indlela eyokusiza uma nje uvunyiwe udokotela wakho.
Amavithamini
Amavithamini anconyelwe ukuvimbela nokwelashwa kwe-angioedema, enobufakazi obuncane obuqinile.
Kunobunye ubufakazi obonisa ukuthi ukutholakala kwevithamini D kungabangela ukuba kube ne-angioedema. Ngokuphambene nalokho, kunemibiko ye-angioedema okungenzeka ibangelwa amavithamini. Akucaci ukuthi amavithamini abangela i-angioedema noma ngabe enye ingxenye yamaphilisi ngokwayo ingaba yinhloko.
Oatmeal
Ukwelashwa okunomsoco okufana ne-oatmeal ngezinye izikhathi kunconywa ukuqhuma nokuhlambalaza kwe-angioedema. Ngokuvamile, ukuphucula isikhumba sakho akunciphisi umsebenzi we-immune immune we-angioedema.
Nakuba kungekho bufakazi obucacile obusekela ukuphumelela kokusebenzisa i-oatmeal esikhumbeni, kuyindlela ethandwayo ye-angioedema. Uma ukwelashwa okuphuculisayo esikhumbeni sakho kwenza uzizwe ungcono njengoba usuphulukile esiqhingini, khona-ke kufanele usebenzise noma yini eyenza ukhululeke ngokomzimba.
Amanzi okugeza
Njenge-oatmeal, abukho ubufakazi obucacile bokuthi ubisi okugeza kubakhulula ukuvuvukala kwe-angioedema. Noma kunjalo, lokhu kuyindlela yokwelashwa ethandwa kakhulu yesikhumba abantu abaningi ababhekana nakho.
> Imithombo:
> I-Goetz DW. Ukwelashwa kwe-Vitamin D ye-idiopathic itch, ukuqhuma, ne-urticaria / i-angioedema. Ukungezwani komzimba Njengoba kuhl. 2010 Mar-Apr; 31 (2): 158-60. i-doi: 10.2500 / aap.2010.31.3322.
> I-Riedl M. Hereditary i-angioedema therapy: i-kallikrein inhibition kanye ne-bradykinin receptor antagonism. I-World Allergy Organ J. 2010 Sep; 3 (9 Ukusekela): S34-8. i-doi: 10.1097 / WOX.0b013e3181f20dbc.