Laryngeal edema

Laryngeal edema amaonedwa kukhala chiwonetsero cha matenda ena kapena matenda, koma osati matenda odziimira okha. Ndizoopsa kwambiri, chifukwa zingayambitse ngati musamuthandize wodwalayo m'kupita kwanthawi.

Zifukwa za edina laryngeal

Laryngeal edema ndi yotupa komanso yopanda kutupa. Pachiyambi choyamba, chikhoza kuchitika monga chikhalidwe chotsatira angin guttural, kupweteka kwa matenda a m'mimba, epiclottis abscess, kukhudzidwa muzu wa lilime, khola lachiberekero, pharynx, pamlomo.

Zosasintha zomwe zimayambitsa vuto la edema zingakwiyitse:

• matenda a mtima;
• matenda a impso;
• Kuchita kwa mankhwala kapena chakudya (odwala edema wa larynx);
• Kuphwanya magazi m'magazi chifukwa cha kupanikizika kwa mitsempha ya mitsempha ndi mitsempha;
• chiwindi cha chiwindi.

Kwa ana, kutupa kwa khungu kumatha chifukwa chodya chakudya chotentha kwambiri. Ikhoza kuyambanso chifukwa cha kuwonongeka kwa makina kwa khunyu ndi thupi lachilendo kapena opaleshoni yopaleshoni.

Angioedema wa larynx

Ngati kudzikuza kwa larynx kumayambitsidwa ndi chichitidwe cha allergen, ndiye, monga lamulo, zimaphatikizidwa ndi urticaria ndi kutupa kwa nkhope ndi miyendo. Matendawa akutchedwa Quincke's edema, amatanthauza zomwe zimachitika mwamsanga.

Kawirikawiri, edema wa Quincke amapezeka atalandira mankhwala omwe ali ndi vitamini B, ayodini, aspirin, penicillin, ndi zina zotero. Nthawi zina zoterezi zimayambitsa:

• mungu wa zomera ndi poizoni wa tizilombo;
• Zakudya zopangira zakudya, zomwe zimaphatikizapo emulsifiers, dyes ndi zinthu zina zomwe zimayambitsa kumasulidwa kwa histamine ndipo, motero, kutupa;
• fumbi la mafakitale, zodzoladzola, mankhwala apanyumba, varnishes, mapezi.

Edeni ya angioneurotic ya larynx imayambitsidwa ndi matenda a parasitic ndi mavairasi (giardiasis, helminthic invasions, chiwindi cha chiwindi, etc.), komanso matenda a dongosolo la endocrine.

Kutulutsidwa kwa histamine kumayambitsa mowa, chifukwa odwala okhala ndi laryngeal edema amawonjezeredwa ku maholide. Kuonjezerapo, chiwerengero cha chifuwa cha Quincke chingakhale cholowa.

Mawonetseredwe a laryngeal edema

Laryngeal edema ili ndi zizindikiro zotsatirazi:

• mawu osasunthika;
• "Kuwomba" chifuwa;
• kuwonjezereka;
• cyanotic complexion.

Poyamba, zimakhala zovuta kuti wodwalayo asinthe, ndiye kuti zonsezi zimasintha ndi kutulutsa. Pambuyo pofufuzidwa, mukhoza kuona kuti chilakolako chofewa, lilime ndi zida za palatine zinakula. Wodwala akuthamanga, kupuma kwake kumawomba. Ngati pali chifuwa cha Quincke, zizindikiro zomwe zili pamwambapa zimaphatikizapo kutupa kwa nkhope ndi manja (wodwala amasambira diso mumphindi zochepa, milomo, zala zimakula).

Chithandizo choyamba kuti kutupa kwa larynx

Pa zizindikiro zoyamba za laryngeal edema, muyenera kuyitanitsa ambulansi, mwinamwake wodwalayo adzasungunuka. Mu kuyembekezera kwa dokotala, izi ziyenera kuchitidwa ngati kuli kotheka:

• Chotsani zinthu zomwe zimapangitsa kupweteka kukhala kovuta kwa wodwalayo (sungani khola, kumasula tayi, chotsani chingwe);
• lekani allergen ngati kutupa kukutsutsani (kuleka kudya, kumwa, kumwa mankhwala, kuchotsa mbola ya tizilombo);
• onetsetsani mapazi anu kapena manja a wodwalayo m'madzi otentha (39 - 40 ° C);
• Muzitsitsimutsa khola ndi yankho la epinephrine hydrochloride (0.1%);
• kuika mphuno zothamanga m'madzi (naftizinum);
• Ikani intramuscularly antihistamines (dimedrol, suprastin, pipolfen, tavegil).

Ngati edema ya laryngeal imayambitsidwa ndi jekeseni kapena kuluma kwa tizilombo m'manja kapena mwendo, zofufuzira ziyenera kuikidwa pamwamba pa tsamba lolowera.

Kuchiza kwa laryngeal edema

Chithandizochi chimayambitsa kuthetsa matenda oyambitsa matendawa. Ndi mpweya wotupa wa larynx, chiphuphu chimatsegulidwa ndipo mankhwala odana ndi kutupa amaikidwa. Ndi mpweya wosokonezeka wa larynx, iwo amapereka mankhwala a antihistamines ndi glucocorticosteroids.