Matupi edema - zimayambitsa ndi mankhwala. Mitundu ya matupi awo sagwirizana edema

Zomwe zatsimikiziridwa

Kutupa kwa thupi, komwe nthawi zambiri kumakhala kochepa, kumayamba pang'onopang'ono chifukwa cha kusamvana. Izi zimachitika, mwachitsanzo, pambuyo polumidwa ndi udzudzu, kuluma kwa njuchi kapena mutatha kudya zakudya zina (monga sitiroberi) zomwe zimakhala allergen kwa chamoyo chopatsidwa chomwe chimayambitsa machitidwe ake ndi ma antibodies. Kutupa ndi chifukwa cha kuwonjezeka kwakanthawi kwa ma capillaries.

Kodi matupi awo sagwirizana edema ndi chiyani?

Kutupa kwa thupi, komwe kumadziwikanso kuti angioedema kapena Quincke's, ndikofanana ndi urticaria, koma mozama pang'ono. Imaukira zigawo zakuya za khungu ndi minofu ya subcutaneous, ndipo imakonda kuchitika kuzungulira maso ndi pakamwa. Nthawi zina zimatha kukhudza ziwalo zina za thupi, monga maliseche kapena manja. Kutupa kwa thupi sikumayabwa, khungu limakhala lotumbululuka ndipo limatha pakatha maola 24-48. Kutupa kumachitika pambuyo pa chakudya, mankhwala kapena mbola. Matupi edema okhudza mucous nembanemba wa glottis kapena m`phuno ndi owopsa, monga wodwalayo akhoza kufa chifukwa cha kupuma. Kutupa kwa matupi awo sagwirizana ndi nettle ndizochitika zofala pakati pa anthu. Chigawo chimodzi chimachitika pafupifupi 15-20% ya anthu. Kubwereranso kwa zizindikiro kumawonedwa pafupifupi 5% ya anthu, nthawi zambiri azaka zapakati (nthawi zambiri azimayi).

Zomwe zimayambitsa matupi awo sagwirizana edema

Zomwe zimayambitsa matupi awo sagwirizana edema ndi:

1. Zakudya zomwe mumadya - Zakudya zowonongeka kwambiri ndi mazira, nsomba, mkaka, mtedza, mtedza, tirigu ndi nkhono. Zizindikiro nthawi zambiri zimayamba usiku ndipo zimafika pachimake m'mawa. Dziwani ngati muli ndi ziwengo zakudya ndi mayeso 10 a allergen omwe amachitikira kunyumba kwanu.
2. Mankhwala omwe amatengedwa - pakati pa zokonzekera zomwe zingakulimbikitseni mungapeze: mankhwala opweteka, cephalosporins, othandizira kusiyana, makamaka mankhwala olemera kwambiri a maselo, insulini, streptokinase, tetracyclines, sedatives.
3. Matenda a parasitic.
4. Matenda osokoneza bongo.
5. Matenda a virus, bakiteriya ndi mafangasi.
6. Ma allergen mu mawonekedwe a mungu kapena latex. 
7. Modzidzimutsa predisposition to angioedema.

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Mitundu ya matupi awo sagwirizana edema

Poganizira zomwe zimayambitsa matenda a edema, mitundu yake yosiyanasiyana imasiyanitsidwa:

1. idiopathic matupi awo sagwirizana edema - chifukwa chake sichidziwika, ngakhale pali zinthu zina zomwe zimawonjezera chiopsezo chake, monga kusowa kwachitsulo ndi kupatsidwa folic acid m'thupi, kupsinjika maganizo, kusokonezeka kwa chithokomiro, kusowa kwa vitamini B12 ndi matenda am'mbuyomu.
2. ziwengo angioedema - vuto lofala kwambiri lomwe nthawi zambiri limapezeka mwa anthu omwe sali ndi zinthu zina. A pachimake matupi awo sagwirizana ndi kudya chakudya akhoza kudzionetsera osati kutupa, komanso ndi kupuma movutikira ndi mwadzidzidzi dontho la magazi. Kuchotsa ziwengo, kupewa kudya allergenic mankhwala;
3. kutupa kwachibadwa - kumachitika chifukwa chotengera chibadwa cha makolo. Zimachitika kawirikawiri. Zizindikiro zake zimaphatikizira pakhosi ndi matumbo, ndipo wodwalayo amatha kumva kupweteka kwambiri m'mimba. Kuopsa kwa zizindikiro za matenda kumakhudzidwa ndi zinthu monga mimba, kutenga njira zolerera pakamwa, matenda ndi kuvulala;
4. Kutupa kwamankhwala komwe kumayambitsidwa ndi mankhwala - zizindikiro za kutupa kumeneku zimawonekera chifukwa chomwa mankhwala enaake a pharmacological, monga mankhwala a kuthamanga kwa magazi. Zizindikiro za matenda zitha kuwoneka nthawi iliyonse mukamagwiritsa ntchito mankhwala osokoneza bongo ndikupitilira mpaka miyezi itatu mutasiya mankhwala.

Kuzindikira matupi awo sagwirizana edema

Pachidziwitso cha ziwengo edema, mbiri yachipatala ndi mawonekedwe a morphological a edema komanso mphamvu ya antiallergic kukonzekera ndizofunika kwambiri. Pa diagnostics, khungu kuyezetsa ikuchitika zinthu zimene zingachititse ziwengo, komanso kuchotsa ndi kuputa mayesero.

Pali matenda ena omwe angawonekere ngati matupi awo sagwirizana edema. Ayenera kuchotsedwa asanayambe chithandizo.

1. Lymphoedema - chifukwa cha zizindikiro zagona pa kutsekereza kutuluka kwa mitsempha yamagazi kuchokera ku minofu ndi kusungidwa kwake mu mawonekedwe a edema.

2. Rose - amadziwika ndi kutupa kwa nkhope chifukwa cha kutupa kwa minofu ya subcutaneous.

3. Shingles - ndi matenda a virus omwe amatha kukhudza dera la nkhope.

4. Dermatomyositis - ndi chikhalidwe chomwe, kupatula kutupa kwa zikope, kufiira kungawonekere.

5. Matenda a Crohn pakamwa ndi milomo - akhoza kugwirizanitsidwa ndi kutupa ndi zilonda m'madera awa.

6. Pachimake matupi awo sagwirizana dermatitis - angakhudze mbali iliyonse ya thupi; zomwe zingachitike, mwachitsanzo, mutakumana ndi zitsulo.

7. Appendicitis, ovarian cyst torsion (matendawa akhoza kusokonezedwa ndi mawonekedwe a chakudya cha allergenic edema).

8. Superior vena cava syndrome - imayambitsa kutupa ndi kufiira chifukwa cha kutsekeka kwa magazi a venous kuchokera kumutu, khosi kapena chifuwa chapamwamba.

9. Matenda a Melkersson-Rosenthal - amatsagana ndi, pakati pa ena, kutupa kwa nkhope.

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Njira zochizira matenda a edema

Matupi otupa amakhala oopsa kwambiri akachitika makamaka m'mutu, makamaka lilime, kapena m'mphuno. Mu kunyumba pre-mankhwala njira muzochitika zotere muyenera:

1. gwiritsani ntchito compresses ozizira pamalo omwe kutupa kwapatsirana kapena kugwiritsa ntchito zinthu zozizira, mwachitsanzo zitsulo (ngati malo osagwirizana ndi ziwengo akupezeka).
2. kugwiritsa ntchito antiallergic mankhwala kamodzi,
3. kupanga nthawi yokumana ndi dokotala, makamaka pamene zizindikirozo ndi zachiwawa ndipo thupi lawo siligwirizana limakhudza chiuno chapamwamba, kuti muchepetse nthawi ya chithandizo chamankhwala momwe mungathere.

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Matupi edema - chithandizo

Chithandizo cha matupi awo sagwirizana edema nthawi zonse ndi nkhani payekha. Nthawi iliyonse m'pofunika kuganizira zomwe zimayambitsa matenda. Kusankhidwa kwa chithandizo kumadaliranso: malo a edema (larynx, nkhope, khosi, mmero, lilime, mucosa); liwiro lachitukuko; kukula ndi kuyankhidwa kwa mankhwala omwe amaperekedwa. Ndikulimbikitsidwa kugwiritsa ntchito kwakanthawi:

1. adrenaline 1/1000 subcutaneously;
2. glucocorticoids, mwachitsanzo, Dexaven;
3. antihistamines (Clemastin);
4. calcium kukonzekera.

Komanso, pakakhala edema yobwerezabwereza, ma p-histamines osankhidwa payekha amaperekedwa kapena chithandizo cha glucocorticosteroid chimayendetsedwa. Pazochitika zonse za edema, ndikofunikira kwambiri kuti njira yodutsa mpweya ikhale yotseguka. Kuphatikizika kwa pharynx kapena pharynx kungayambitse kukomoka ndi kufa. Zikavuta kwambiri, wodwalayo ayenera kupatsidwa mwayi wodutsa mpweya pogwiritsa ntchito endotracheal intubation - trachea imadulidwa, ndiyeno chubu chimalowetsedwa munjira ya mpweya.

Matupi edema ndi urticaria amathandizidwa ndi glucocorticosteroids kuphatikiza antihistamines. Komanso, odwala ayenera kupewa allergenic zinthu, monga mankhwala kapena zakudya. Monga chothandizira, mutha kugwiritsa ntchito gel osakaniza a Propolia BeeYes BIO pamikwingwirima ndi mikwingwirima yokhala ndi anti-edema.

Pankhani ya congenital matupi awo sagwirizana kapena anapeza edema ndi C1-INH akusowa, concentrate wa mankhwala ntchito, makamaka pamene moyo wa wodwalayo ali pachiwopsezo. Mankhwala opweteka kapena androgens angagwiritsidwenso ntchito. Zotsatira za mankhwala zimayang'aniridwa ndi miyeso ya ndende kapena zochitika, kuphatikizapo C1-INH.

Werenganinso: Edema