Glottis edema: chii icho, zviratidzo uye zvekuita

Zvemukati

• Zviratidzo zvikuru
• Kurapwa kunoitwa sei

Glottis edema, yesainzi inozivikanwa se laryngeal angioedema, chinetso chinogona kumuka panguva yechirwere chakasimba uye chinoonekwa nekuzvimba muhuro.

Aya mamiriro anoonekwa sekurapwa kwekukurumidza, sezvo kuzvimba kunokanganisa huro kunogona kutadzisa kuyerera kwemweya kuenda kumapapu, kuchidzivirira kufema. Zvokuita kana glottis edema inosanganisira:

1. Fonera rubatsiro rwechiremba kufonera SAMU 192;
2. Bvunza kana munhu wacho aine chero mishonga yekurwisa, saka unogona kuitora paunenge wakamirira rubatsiro. Vamwe vanhu vane kurwara kwakakomba vanogona kunge vaine epinephrine pen, iyo inofanirwa kupihwa mune yakanyanya kukanganiswa mamiriro;
3. Chengetedza munhu zviri nani akarara pasi, nemakumbo akasimudzwa, kufambisa kutenderera kweropa;
4. Cherekedza zviratidzo zvakakosha yemunhu, sekurova kwemoyo uye kufema, nekuti kana vasipo, zvichave zvakakosha kuita massage yemoyo. Tarisa uone nhanho-nhanho-mirairo yekuita massage yemoyo.

Zviratidzo zvekusagadzikana zvinowoneka nekukurumidza, mushure memaminetsi mashoma kusvika kumaawa mashoma ekuratidzwa kuchinhu chinokonzeresa kurwara, kusanganisira kunetseka kufema, kunzwa kwebhora muhuro kana kufema kana uchifema.

Zviratidzo zvikuru

Zviratidzo zve glottis edema ndezvi:

• Kunzwa kwebolus muhuro;
• Kunetseka kufema;
• Kupururudza kana ruzha runotinhira uchifema;
• Kunzwa kuomarara mubhokisi;
• Hoarseness;
• Zvakaoma kutaura.

Kune zvimwe zviratidzo zvinowanzo kuperekedza glottis edema uye zvinosanganisirwa nerudzi rwezvinhu zvisina kumira mushe, senge mikoko, ine ganda dzvuku kana rinonzwika, maziso akazvimba nemiromo, rurimi rwakawedzera, huro huro, conjunctivitis kana chirwere cheasima, semuenzaniso.

Zviratidzo izvi zvinowanzoonekwa mumaminetsi mashanu kusvika pamaminitsi makumi matatu mushure mekuratidzwa kune chinhu chinokonzeresa kurwisa, izvo zvinogona kunge zviri mushonga, chikafu, chirumwa chechipembenene, chinja tembiricha kana kunyangwe nekuda kweiyo geni rinotungamira, kune varwere vane chirwere chinonzi Hereditary Angioedema. Dzidza zvakawanda nezve chirwere ichi pano.

Kurapwa kunoitwa sei

Mushure mekuongororwa neboka rezvekurapa uye kusimbiswa kwenjodzi ye glottis edema, kurapwa kunoratidzwa, kunoitwa nemishonga iyo inokurumidza kudzikisira maitiro ezvirwere zvemuviri, uye inosanganisira kuiswa kwemajekiseni ane adrenaline, anti-allergener uye corticosteroids.

Sezvo panogona kuve nekuomerwa kwakanyanya mukufema, zvinogona kuve zvakakosha kushandisa okisijeni mask kana kunyangwe orotracheal intubation, mune iyo chubhu inoiswa kuburikidza nehuro yemunhu kuitira kuti kufema kwavo kusavharwe nekuzvimba.