Angioedema akhoza kukhala cholowa, koma nthawi zambiri siili. Pali mayesero omwe amatha kudziwa kuti angioedema ndi cholowa chotani.
Angioedema yomwe siili cholowa chawo kawirikawiri imapezeka kuti imachokera ku khungu la khungu kuphatikizapo mbiri yowonekera kwa chinthu chomwe chikanatha kuyambitsa vutoli. Nthawi zina, kuyezetsa magazi kungathandize kuthana ndi matendawa, koma zotsatira sizowonekera mwazinthu zowonongeka.
Kuyesedwa / Kuyesedwa Kwapanyumba
Mukhoza kudzifufuza nokha kapena mwana wanu kuti muone angioedema. Kawirikawiri, zizindikiro zomwe mungayang'ane zikuwoneka bwino pamwamba pa khungu, kotero simusowa kufufuza.
Zizindikiro zomwe mungayang'ane zikuphatikizapo:
- Kutulutsa milomo
- Kutupa maso
- Kutupa kwa manja kapena miyendo
- Kutupa kwa lilime lanu kapena kumbuyo kwa mmero
- Kuvulala mosayembekezereka mbali iliyonse ya thupi
- Kutaya: Kuphulika kwa angioedema kumawoneka pamwamba pa khungu ndipo kumawoneka kudzitukumula. Kawirikawiri, pali mtundu wofiira kapena wobiriwira kapena mphukira.
- Kuthetsa Blanching: Tsamba lofiira lomwe limapezeka ndi blanc angioedema. Blanching imatanthauzira kuti khungu lomwe lakhudzidwa limakhala lopweteka kwa masekondi angapo pamene mukuliyika ndiyeno kubwerera ku pinki kapena mtundu wofiirira.
Njira ina yodziwunikira ngati inu kapena mwana wanu muli angioedema ndikuyang'ana mndandanda wa zosakaniza za chakudya chokonzekera chomwe mwadya, ngati muli ndi chinachake chomwe inu kapena achibale anu mwakhala mukukumana nazo kale.
Mapulogalamu ndi Mayesero
Pali mitundu iwiri ikuluikulu ya angioedema-mtundu wa cholowa komanso mtundu wopanda cholowa. Zizindikirozo ndi zofanana, koma mayesero ozindikiritsa omwe amatsimikizira mtundu uliwonse ndi osiyana.
Angioedema Amene Sali Oyera
Kawirikawiri, angioedema yomwe siili cholowa chawo ndi matenda omwe akugwiritsidwa ntchito ndi dokotala wanu poyerekeza ndi zizindikiro zanu, kuunika kwanu, ndikudziwitsidwa kwa allergen.
An allergen ndi chinthu chomwe chimayambitsa mphamvu ya chitetezo cha mthupi.
Mayesero omwe amagwiritsidwa ntchito kawirikawiri pamayeso a angioedema ndi awa:
- Kuyezetsa magazi : Pali mitundu yosiyanasiyana yoyezetsa magazi . Kawirikawiri imaphatikizapo khungu kakang'ono kamene kali ndi kachidutswa kakang'ono ka zinthu zomwe zimayesedwa kuti zimayambitsa matenda. Ngati mukumva ngati kufiira, kuphulika, kutupa, kapena kuyabwa m'dera la prick, mumakhala ndi zovuta zowonjezereka. Mukhoza kuyesedwa zinthu zingapo panthawi, ndipo ngati mutayankha wina osati ena, ndiye chizindikiro cholimba cha zovuta.
- Kuyesedwa kwa Magazi: Mayeso a magazi amatha kuzindikira kuchuluka kwa ntchito za thupi. Zizindikiro zina za kuchulukitsidwa kwa maselo a m'magazi zimakhala ndi maselo oyera a mitsempha yoyera, erythrocyte sedimentation mlingo (ESR), ndi anti-nuclear antibody (ANA). Zonsezi, ngakhale zilizonse, zimatha kuwonetsa matenda osiyanasiyana komanso matenda a immunological, kotero iwo sali enieni a angioedema.
Nthawi zina, palibe mankhwala omwe amadziwika ndipo angioedema akhoza kukhala osadziwika chifukwa cha zina zomwe zimayambitsa zizindikirozo.
Angededicated Angioedema
Kuyesedwa kwa chibadwa ndi kuyezetsa magazi kungathe kuzindikira vutoli. Zowonjezereka kukhala ndi mayeso a magazi.
- Kuyesera Kuyeza: Kuyezetsa magazi komwe kumayendera magulu a C4 angagwiritsidwe ntchito ngati kuyesa magazi poyesera za angioedema. Maseŵera ochepa a C4 amasonyeza matenda osokonekera, ndipo msinkhu wotsika umasonyeza kuti mukusowa mayeso ena enieni a magazi kuti muwone kufooka kwa C1 inhibitor. Ngati pali mwayi waukulu kuti mukhale ndi angioedema cholowa, mungafunikire kuyesa magazi poyesera C1 inhibitor. Koma ngati muli ndi mwayi wokhala ndi angioedema, chodziwika C4 chimasonyeza kuti mulibe vutoli.
- Mayeso a Magazi: Mayeso a magazi amasonyeza chilema mu C1 esterase inhibitor mapuloteni (C1-INH). Mzere wa C1-INH ukhoza kukhala wotsika kuposa wachizolowezi, kapena ukhoza kukhala wabwinobwino koma wosagwira ntchito. C1-INH ndi mapuloteni omwe amathandiza kuti chitetezo chanu cha mthupi chitetezeke kuti icho chisasokoneze. Cholakwika cha chibadwa cha mafuko chimayambitsa mtundu wa angioedema, zomwe zimabweretsa mazinga osavuta a C1-INH kapena mtundu wa ll angioedema, umene umayambitsa ntchito yachilendo ya C1-INH.
- Mthendayi Yachibadwa: Zomwe zimayambitsa jini zomwe zimayambitsa angioedema zimapezeka pa SERPING1 jini ya mtundu wa l ndi ll angioedema. Zosintha za F12 zimatha kudziwika ngati mtundu wa angioedema. Chotsatira chenichenicho cha kusamvetseka uku sichimveka bwino.
Angedede angioedema imachokera mwachindunji kuchokera kwa makolo omwe ali ndi zovuta kwambiri, zomwe zikutanthauza kuti ngati munthu ali ndi jini chifukwa cha matendawa, zizindikiro za matendawa zidzakula. Chifukwa ndizovuta kwambiri, monga kholo limene mumalandira geni la mtundu wa angioedema l, ll kapena lll ayenera kukhala ndi zizindikiro za chikhalidwe chifukwa ndi khalidwe lalikulu. Angededicated angioedema sizolowereka, imakhudza anthu 1 pa 50,000 okha.
Nthawi zambiri, angioedema yomwe imayambitsidwa ndi majini amenewa imatengedwa koma munthu akhoza kupanga gene gene mutation pokhapokha, kutanthauza kuti ndizotheka kusintha maonekedwe a chibadwa omwe amachititsa chikhalidwecho popanda kuchilandira kuchokera kwa makolo anu.
Kujambula
Kujambula sikokwanira pozindikira angioedema. Nthawi zina, makamaka pamene pali mpweya wochepa kapena pamene mavuto a m'mimba monga vuto la m'mimba, khunyu, ndi kutsekula m'mimba ndizovuta, kuyerekezera kuganizira zozizwitsa pofuna kuteteza matenda ena kungakhale kofunikira.
Kusiyanitsa kusiyana
Pali zina zochepa zomwe zingabweretse zizindikiro zofanana ndi za angioedema.
Contact Dermatitis
Mkhalidwe umene uli wofanana kwambiri ndi angioedema, kukhudzana ndi dermatitis kumabwera kuchokera ku kukhudzana ndi chinthu chomwe chimapanga hypersensitivity. Mavuto ali ofanana ndipo zingakhale zovuta kunena kusiyana. Dermatitis yothandizira siyikugwirizana ndi kutupa, ndipo imayambitsa khungu lofewa kwambiri, lofiira, komanso kuthamanga khungu.
Edema Chifukwa cha Kudwala kapena Kuvulaza
Edema ndi kutupa kwa gawo lirilonse la thupi. Zitha kuchitika chifukwa cha kuvulala kapena matenda, pomwe zikhoza kufulumira komanso mwadzidzidzi, zofanana ndi mathero a angioedema.
Monga angioedema, edema chifukwa chovulala kapena matenda angaphatikizepo gawo lokhalo la thupi. Pali kusiyana kwakukulu pakati pa edema, komabe kuphatikizapo fever ndi ululu wopweteka ngati chifukwa chake ndivulala kapena matenda.
Kulephera kwa Mtima kapena Kulephera kwa Impso
Kupweteka kwa mtima kusagwidwa kapena kuperewera kwa impso kumawonekera pang'onopang'ono. Nthawi zambiri, edema si chizindikiro choyamba cha zinthu izi.
Kusiyana kwakukulu kochepa ndikokuti kusokonezeka kwa mtima kusagwidwa kapena kugwidwa kwa impso nthawi zambiri kumakhala kosiyana, zomwe siziyenera kukhala choncho mu angioedema. Matenda a angioedema sali pitting, pamene edema wa mtima kusagwedezeka kapena impso kusalankhula ndi pitting edema.
Mthunzi Wozama Thrombosis (DVT)
DVT imayambitsa kutupa kwa gawo limodzi la thupi, kawirikawiri kumbuyo kwa mwendo. Monga angioedema, ikhoza kukhala mwadzidzidzi, yopweteka, komanso yopanda malire. DVT ikhoza kuyambitsa embolism ya pulmonary, zomwe zimapangitsa kupuma kwadzidzidzi. DVT sichiyembekezeredwa kupitilira ndi kutupa kwa milomo kapena maso.
Lymphedema
Kutseka kwa kutuluka kwa madzi m'thupi lonse kungatheke chifukwa cha kuwonongeka kwa mimba. Izi zingachitike pambuyo pa mitundu ina ya opaleshoni, makamaka opaleshoni ya khansa.
Mankhwala ena akhoza kupanga lymphedema . Kaŵirikaŵiri amadziŵika ndi kutukumula m'dzanja limodzi ndipo sachitika kawirikawiri popanda mbiri yachipatala yomwe imasonyeza kuti thupi limayambitsa matenda a mitsempha.
> Zotsatira:
> Bova M, De Feo G, Parente R, et al. Hereditary and Acquired Angioedema: Kusagwirizana kwa Pathogenesis ndi Clinical Phenotypes. Int Arch Zozizira Immunol. 2018; 175 (3): 126-135. lembani: 10.1159 / 000486312. Epub 2018 Jan 26.
> Kuperstock JE, Pritchard N, Horný M, Xiao CC, Brook CD, Platt M, Inhalant allergen sensitization ndizoopsa payekha kuti pakhale chitukuko cha angioedema. Am J Otolaryngol. 2018 Mar - Apr; 39 (2): 111-115. lembani: 10.1016 / j.amjoto.2017.12.013. Epub 2017 Dec 27.