I-Angioedema ngokuvamile ivela ngokuzumayo futhi iveza ukuvuvukala kobuso, izingalo noma imilenze. Izimpawu zingase zibe nobukhulu, futhi azivamile ukuba zisongela ukuphila. Kunezinhlobo ezimbalwa ze-angioedema ezikhiqiza ngokuyinhloko izimpawu ezifanayo, phakathi kwazo ukuvuvukala, ukubomvu, nokungahleleki kwe-GI.
Izimpawu Ezivamile
Izimpawu ezivamile kunazo zonke ze-angioedema zenzeka ngemva kokuvezwa kokuthile okubangela ukusabela okweqile, njengokudla, imithi, izingubo zokugqoka, izimonyo, noma ukulunywa kwezinambuzane .
Ngezinye izikhathi izimpawu ziqala ngaphandle kwesizathu esibonakalayo. Futhi, uma une-angioedema yefa, kungenziwa ngokuphendula i-allergen, ukucindezeleka, noma, kaningi, ngaphandle kwesizathu.
I-Angioedema iqhubekela phambili ngokushesha emahoreni ambalwa. Ngokuvamile, ingazixazulula yedwa phakathi kwezinsuku ezintathu kuya kwezintathu. Izimpawu zixazulula ngokuzumayo, kunokuba kancane kancane. Ngamanye amazwi, izimpawu zingathuthuka ngokuzumayo ngokuhamba kwesikhathi, zigcine izinsuku ezintathu, bese zixazululwa ngokushesha phakathi kwemizuzu.
Izimpawu ezivamile kakhulu ze-angioedema zihlanganisa:
- Ukuvuvukala: Okuphawulekayo kwe-angioedema ukuvuvukala nokukhukhumeza kwamehlo noma izindebe. Kungase futhi kuthinte izandla, izinyawo noma imilenze, futhi ngokuvamile kungabandakanya ukuzala. Ukuvuvukala kungathuthuka emphinjeni naselulwimi, kanti lokhu kungathinta ukuphefumula noma ukudla ngenxa yokuvinjelwa ngokomzimba kwendiza yomoya kanye nokudla. Ukuvuvukala akulutholi, okusho ukuthi awukwazi ukukhiqiza indentation endaweni yokukhukhumeza ngokucindezela kuso.
- Ubomvu: Ukubomvu kungahambisana nokuvuvukala noma kuvele kuvele. Kungabonakala njengamabala amancane amancane noma njengendawo ephazamisayo futhi ingaphakanyiswa noma igcwele. Kungabonakala noma kuphi emzimbeni, kufaka phakathi izindawo ezingezange zivuvuke, kepha ngokuvamile zihlasela izindawo ezivuvukalayo noma zivela emaphethelweni ezindaweni ezivuvukile. Ukubomvu kuvamise ukuthi i-blanching, okusho ukuthi ivele ivulekile uma ucindezela kuyo, kodwa ubuyela ekubomvu futhi ngemva kwemizuzu embalwa.
- I-Rash: I-rash, engase ibonakale njengezingxube ezincane noma izindawo ezindizayo ezihlangene ndawonye, zingakhula noma kuphi esikhumbeni futhi ngokuvamile zibomvu. Ngokuvamile, ukuqhuma akuyona nje uphawu olulodwa lwe-angioedema.
- Ama-welts ama-patchy: Ungakwazi ukuhlakulela isikhumba esincane esikhuphukile, ngokuvamile esibomvu noma esibomvu embala. Lezi zimpawu zivame ukuchazwa njenge-welts.
- Isizungu: Umqondo wokuba nomzimba ophansi ophansi ungaphathelene nezinguquko zesikhumba ze-Angioedema.
- Isisu sithukuthele: Ungase uzwe ukungathandeki kwesisu noma isicanucanu ngokuhlanganyela ne-angioedema, futhi lokhu, njengezinye izimpawu, kufanele uxazulule lapho izimpawu ezibonakalayo esikhwameni sokuxazulula.
Izimpawu Ezijwayelekile Ezivamile
Ngokuvamile, izinguquko ezihlobene ne-angioedema zithinta ukubonakala kwesikhumba ngaphandle kokubangela ukunganaki. Ungakwazi ukushintsha izinguquko zesikhumba, uhudo, noma ukuphefumula, nakuba lezi zimpawu zingavamile.
- Ukunambitha: Ukubambisa ngezikhathi ezithile kungase kuhambisane nokubomvu nokuvuvukala nge-angioedema, kodwa ngokuvamile ukuzamazama kuyisibonakaliso sezinye izimo ezifana nodokotela wokuxhumana .
- Ukulinganisa: Ukulinganisa noma ukuzwa okungenabuhlungu kungahambisana nokuvuvukala kwe-angioedema.
- Ukuvutha: Ukuzwa okuvuthayo okubuhlungu kungase kwenzeke nge-angioedema, ikakhulukazi ezindaweni ezivuvukalayo zomzimba.
- Isifo sohudo: Ukutholakala kancane kaningi kunezimpawu eziningi, isifo sohudo esifanele singaphumelela nge-angioedema. Lokhu kwenzeka ngenxa yokuvuvukala kwesistimu yokugaya ukudla. Kuyinto engavamile ikakhulukazi ukuhuda ukuba kube uphawu olulodwa lwe-Angioedema, nakuba lokhu kungenzeka.
- Ukudla okunzima: Uma ulimi lwakho nomphimbo wakho uvuvukala ngenxa ye-angioedema, ukuvuvukala kungaphazamisa ngokomzimba ikhono lakho lokuhlafuna nokugwinya ukudla. Lokhu kungandisa amathuba okuchofoza.
- Izinkinga zokuphefumula: Ukuvuvukala akuvame ukubandakanya umphimbo nolimi, kodwa uma kwenzeka, ukuphefumula kungase kwenzeke ngenxa yokuvinjelwa komzimba wakho.
Izinkinga
Ngokuvamile, i-angioedema ixazulula ngokwayo noma ngekwelashwa. Kodwa-ke, nakuba kungavamile, i-angioedema ingabangela ukungathí sina, noma ngisho nokusongela ukuphila, izinkinga.
Izinkinga ze-angioedema zihlanganisa:
- Ukuvinjelwa okuphefumulayo : Uma ukuvuvukala emqaleni nasemlonyeni wakho kukhulu, lokhu kungaphazamisa ukuphefumula, ukuvimbela umoya ukuba ungene kahle. Ezimweni ezingavamile, lokhu kuyisimo esiphuthumayo sezokwelapha, esidinga ukungenelela kwezokwelapha noma okuhlinzekwayo ukuze ususe umoya wakho.
- Ukuphefumula: Ukuphefumula kungase kwenzeke nge-angioedema. Lokhu kuhluke kunenkinga yokuphefumula eyenzeka ngenxa yolimi nokubhoboza ukubhoboza. Kwezinye izimo, i-angioedema ingenza izinguquko zangempela emakhono akho okuphefumula, okudinga ukunakekelwa okuphuthumayo.
- Ukuboshwa kokuphefumula: Uma une-angioedema, isimiso sakho somzimba sokuzivikela singashukunyiswa ngokwezinga kangangokuthi ukuphefumula kungazelelwe. Lesi yisimo esisongela ukuphila esidinga usizo oluphuthumayo lwezokwelapha.
- I-arrhythmia ( ukungabi nesimo senhliziyo) : Nakuba kunqabile kakhulu, inhliziyo ingahlakulela ukushaya kwenhliziyo okungavamile nge-angioedema. Ngeke ube nezimpawu, noma ungase uzwe ukuphelelwa amandla, isizungu, ukukhanya okulula, noma ukulahlekelwa ukwazi.
Nini Ukubona Udokotela
Akunakwenzeka ukubikezela ukuthi ngabe izimpawu zakho ziyoba zimbi yini, ikakhulukazi uma ungakaze ube ne-angioedema ngaphambili. Futhi, ngoba izimpawu ze-angioedema zivele ngokuzumayo futhi zivame ukungaqondakali, kunzima ukwazi ukuthi kwenzekani. Uma ubona noma yiziphi izimpawu ezilandelayo, kufanele ufune usizo lwezokwelapha:
- Ukuphefumula: Uma uthola ukuphefumula noma uzwa ukuthi awukwazi ukuphefumula, lokhu kungase kuhambe ngokushesha kakhulu. Kufanele ucele usizo oluphuthumayo. Uma ingane yakho noma omunye umuntu ephefumula, kufanele ucele usizo oluphuthumayo futhi.
- Ukuphelelwa amandla, isizungu, noma ikhanda: Lokhu kungaba isibonakaliso sokuthi unesisindo esibi esingase singasheshe siphendule.
- Ukuvuvukala komphimbo noma ulimi lwakho: Njengokuphefumula, izinto zingathuthuka ngokushesha. Ngisho noma uqaphele ngokugcwele, ukuvuvukala kungashesha ukuvimba umoya wakho.
- Ukusabela okuqinile kwe-allergenic: Uma uye waba nokusabela okungathí sina, okusongela impilo ye-allergen ngaphambili, ungase uphendule ngendlela efanayo uma uthola ukuphindaphindiwe kwe-allergen. Lokhu kuhlanganisa ukuphefumula, ukulahlekelwa ukwazi, ulimi lokuvuvukala, noma izimpawu zenhliziyo . Uma unesifiso sokubhekana nesifo esithile esinamandla ku-allergen ethile, ekugcineni uzokwazi ukuphatha ngokwakho, mhlawumbe nge-EpiPen , noma nini lapho izimpawu ziqala khona.
> Imithombo:
> Bernstein JA, Cremonesi P, Hoffmann TK, J. Hollingsworth J. Angioedema emnyangweni ophuthumayo: isiqondiso esiwusizo sokuhlukana nokuphathwa ngokuhlukana. Int J Emerg Med. Ngo-2017 Dec; 10 (1): 15. i-doi: 10.1186 / s12245-017-0141-z. Epub 2017 Apr 13.
> Gill P, i-Betschel SD. Ukuhlolwa Kwemitholampilo ye-Angioedema. I-Immunol Yokuphefumula Kwemithi Clin North Am. Ngo-2017 Aug; 37 (3): 449-466. doi: 10.1016 / j.iac.2017.04.007.