Angioedema

Angioedema kuzvimba kwakafanana nemukoko, asi iko kuzvimba kuri pasi peganda panzvimbo pepamusoro.

Mikoko inowanzonzi welts. Iwo kuzvimba kwepamusoro. Izvo zvinokwanisika kuve neangioedema isina mikoko.

Angioedema inogona kukonzerwa neanogadzirisa maitiro. Munguva yekuita, histamine nemamwe makemikari anosunungurwa muropa. Muviri unoburitsa histamine kana immune system yaona chinhu chekunze chinonzi allergen.

Muzviitiko zvakawanda, iyo chikonzero cheangioedema hachiwanzo kuwanikwa.

Izvi zvinotevera zvinogona kukonzera angioedema:

• Animal dander (zviyero zveganda rakadeurwa)
• Kusangana nemvura, chiedza chezuva, kutonhora kana kupisa
• Zvikafu (zvakaita semabriji, hove, hove, nzungu, mazai uye mukaka)
• Kurumwa nezvipembenene
• Mishonga (zvinodhaka zvinopesana) semishonga inorwisa mabhakitiriya (penicillin uye sulfa zvinodhaka), nonsteroidal anti-inflammatory drugs (NSAIDs), uye mishonga yeropa (ACE inhibitors)
• Mukume

Mikoko uye angioedema inogona zvakare kuitika mushure mekutapukirwa kana nezvimwe zvirwere (zvinosanganisira autoimmune kusagadzikana senge lupus, uye leukemia uye lymphoma).

Fomu ye angioedema inomhanya mumhuri uye ine zvakasiyana zvinokonzera, zvinetswa, uye kurapwa. Izvi zvinonzi nhaka angioedema.

Chiratidzo chikuru iko kamwe kamwe kuzvimba pazasi peganda pamusoro. Welts kana kuzvimba pamusoro peganda kunogona zvakare kukura.

Iko kuzvimba kunowanzoitika kwakatenderedza maziso nemiromo. Inogona zvakare kuwanikwa pamaoko, tsoka, uye pahuro. Iko kuzvimba kunogona kuumba tambo kana kutambanuka.

Iyo welts inorwadza uye inogona kunge isinganzwisisike. Izvi zvinozivikanwa semikoko (urticaria). Vanoshanduka kuchena uye kuzvimba kana vakatsamwa. Iko kudzika kwakadzika kweangioedema kunogona zvakare kuve kunorwadza.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kubata mudumbu
• Kufema kunetseka
• Akazvimba maziso nemuromo
• Kuzvimba kumeso kwemaziso (chemosis)

Anopa hutano anotarisa paganda rako obvunza kana wakambosangana nezvinhu zvinogumbura. Kana huro hwako hukanganiswa, bvunzo dzepanyama dzinogona kuburitsa manzwi asina kujairika (stridor) paunofema.

Kuongororwa kweropa kana kuongororwa kweseji kunogona kurairwa.

Zviratidzo zvinyoro zvinogona kusada kurapwa. Kuenzanisa kusvika kune zvakakomba zviratidzo zvingangoda kurapwa. Kufema kunetseka mamiriro ekukurumidzira.

Vanhu vane angioedema vanofanirwa:

• Dzivisa chero ipi zvayo inozivikanwa yegengengen kana chinokonzera chinokonzera zviratidzo zvavo.
• Dzivisa chero mishonga, mahebhu, kana zvinowedzerwa zvisina kutaurwa nemupi.

Kutonhorera kumanikidza kana soaks kunogona kubvisa marwadzo.

Mishonga inoshandiswa kurapa angioedema inosanganisira:

• Antihistamines
• Mishonga inorwisa-kupisa (corticosteroids)
• Epinephrine shots (vanhu vane nhoroondo yezviratidzo zvakakomba vanogona kutakura izvi pamwe navo)
• Inhaler mishonga inobatsira kuvhura nzira dzekufema

Kana munhu achinetseka kufema, tsvaga rubatsiro rwechiremba ipapo ipapo. Iyo yakaoma, inotyisidzira hupenyu nzira yekuvhara mweya inogona kuitika kana huro ikazvimba.

Angioedema isingakanganise kufema inogona kusagadzikana. Kazhinji haina kukuvara uye inoenda mumazuva mashoma.

Fonera mupiki wako kana:

• Angioedema haina kupindura kurapwa
• Zvakanyanya
• Iwe hauna kumbobvira uine angioedema pamberi

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana paine chero anotevera zviratidzo:

• Kufema zvisina kujairika kurira
• Kunetseka kufema kana kufema
• Kufenda

Angioneurotic edema; Welts; Allergic reaction - angioedema; Hives - angioedema

Barkdale AN, Muelleman RL. Allergy, hypersensitivity, uye anaphylaxis. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 109.

Dinulos JGH. Urticaria, angioedema, uye pruritus. Muna: Dinulos JGH, ed.Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021: chits.

Dreskin SC. Urticaria uye angioedema. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 237.