ʻO Angioedema ((Quincke's edema) heʻano likeʻole o ke kino, i loko o ka māmā o ka māmā, eʻike pinepineʻia ma kaʻaoʻao o ke kino (face, neck). Me ka edema o Quincke, kahi hopena o ka hopena ma loko o keʻano o ke kino o ke kino a me nā membrane mucous. ʻAʻole i hele pinepineʻiaʻo Angioedema me kaʻono. ʻO ka pilikia he hiki ke hoʻonā i ka hanuʻana, a hiki i ka asphyxiation (ma kahi o ka maʻi maʻi e hiki ai).
Angioedema - nā kumu
E like me ka mea i hōʻikeʻia ma luna nei,ʻo ka kumu nui o ka angioedema he hopena maʻi. ʻO keʻano o kēiaʻano: no ka paneʻana i kaʻaiʻana o ka mea komo i loko o ke kino, kahi nui o nā mea olaolaola e like me ka histamine, e komo i ke koko. ʻO ka huliʻana o ka histamine i nā kīʻaha koko, no laila, uaʻoi aku ka maʻalahi o ka plasma a me nā mea koko. No laila, "ke holoʻana" mai nā moku i nā kinona kokoke, ua hanaʻia ka edema.
I ka hapanui o nā hihia, he paʻakikī ka heluʻana i ka hopena o ka edema o Quincke. Akā, uaʻikeʻia keʻano haʻahaʻa e ka mea pinepine,ʻo ka mea pili:
- pupule i nā holoholona (nāʻili o kaʻili make);
- ka meaʻai (e like me nā hua, nā iʻa, nā hua, nā hua, ka waiū);
- na holoholona;
- nā lāʻau lapaʻau, e like me nā lāʻau'alopelo o ka penicillin group, cephalosporins, mau anti-inflammatory drugs (NSAIDs), a me kekahi mau lāʻau lapaʻau;
- pollen;
Hiki keʻikeʻia nā angioedema angioedema i loko o ka manawa o ka ho'ōla hou, ma hope o nā maʻi i hoʻololiʻia (nā maʻi, nā maʻi maʻi autoimmune - lupus, leukemia).
Aia kekahiʻano hoʻohālike o angioedema, pili i ka hemahema o ka hana kinipona, i kapaʻiaʻo ka mea nāna i hoʻopiʻi ka mea C1. Hoʻopili kēia i ka hana o nā capillaries a me nā moku, e hoʻonāukiuki ana i ka ikaika.
Nā Symptoms o Quincke Edema
ʻO ka hōʻailona nui ke kūpopo koke i lalo o kaʻili. Hiki i nā manawa ke kū i ka angioedema ma ke kiʻekiʻe o ka maka ('euli, lehelehe, alelo). ʻO nā wahiʻo Puffy he pale, hiki iā lākou ke hōʻeha aʻili paha. ʻO nā mea'ē aʻe he:
- ka hanu o ka hanu, me kahi mea i kapaʻia (stridor) i ka manawa e hanu ana, no ka hakiʻole i ka lewa o ka ea ma kaʻaoʻao o ka hanu makani kiʻekiʻe);
- kaʻeha a me ka māmā i ka'ōpū;
- ʻO nā maka maka a me ka waha.
Hanaʻia o Quincke Edema
ʻO ka heleʻana i ka hoʻomaʻamaʻaʻana i ka angioedema he kanaka ia, ma muli o ke kaʻina o ka hōʻike o nā hōʻailona. ʻAʻole hiki i ka hoʻouluʻana o ka mālamalama ke koi aku i ka lāʻau. ʻO nā hōʻailona o ka hana kūpono ke koi aku i ke kauka. ʻO ka hanu koʻikoʻi e koi ana i nā mea koi, no ka mea he mea weliweli ia.
Inā loaʻa iāʻoe kahi moʻolelo o angioedema, ponoʻoe:
- E pale i nā allergens iʻikeʻia e hiki ai ke hoʻoulu i ka hopena.
- E hōʻole i ka laweʻana i nā lāʻau lapaʻau, nā mea kanu a meaʻai paha i kūʻole i ke kauka iāʻoe, e noʻonoʻo i kāu mau mea.
- Hoʻolālā i nā mea hōʻoluʻolu.
ʻO nā lāʻau e hoʻohanaʻia ana i ia mauʻano,ʻo ia nā mea o nā hui ma lalo nei:
- ʻO nā antihistamines.
- Corticosteroids (anti-inflammatory drugs).
- ʻO ka'epepepine.
- ʻO ka hoʻohāhāʻana i nā lāʻau lapaʻau e pili pono loa ana i ka maʻamau laryngeal edema.
Inā pilikia ka hanuʻana o kekahi, e kāhea koke i kahi kaʻahua.
Ka hōʻailona: ma ka hapanui o nā hihia, hoʻopau waleʻia ka angioedema nona wale no nā lā me ka hopenaʻole.
I nā hihia koʻikoʻi,ʻo nā mea maʻi i ko lākou ola a pau e lawe i ka nui o epinephrine a iʻole corticosteroids i mea e pale ai i kahi hopena i ka hihia o kahi hoʻouka hou.