Quincke ta edema ne mai matukar yanayin, wanda akwai babban busa da fata launi da kuma subcutaneous mai, wani lokaci shafe da tsarin pathological na mucous membranes. An kira wannan cuta bayan likita G. Quinke, wanda ya fara bayanin shi a 1882. Na biyu sunan pathology ne angioedema.
Quincke's Edema - abubuwan da ke sa
Kamar wutsiya, maganar Quincke tana hade da vasodilation da kuma karuwa a cikin haɗin kai ga magungunan jini, amma a cikin wannan yanayin, rashin tausayi ba ya bayyana a sararin samaniya, amma a cikin zurfin launi na fata, kayan ƙwayar mucous, kashin mai fatalwa. Hadawa a cikin kyallen takalma na haruɗɗa na tsakiya na ciki ya kayyade edema. Ƙarar ƙwayar jiki da karuwa a cikin halayensu shine saboda sakin abubuwa masu aiki na biologically (bradykinin, histamine, da dai sauransu), wanda ya faru ne saboda matsalar da ba ta dace ba a ƙarƙashin rinjayar wasu dalilai.
Harshen angiodema na iya zama daban, kuma sau da yawa yana da haɗari da waɗannan abubuwan:
- mataki na allergens;
- illa aikin aiki na tsarin narkewa;
- rushewar tsarin endocrine;
- shan wasu magunguna (maganin hana maganin, maganin cutar, maganin maganin rigakafi, maganin maganin ACE, maganin alurar rigakafi, magani);
- ciwon daji;
- cututtuka na jini;
- viral da kuma parasitic raunuka na jiki;
- cututtuka na jiki a jiki;
- bambance-bambance a matsin yanayi, yanayin iska, da dai sauransu.
Abubuwan da aka rubuta na Quincke
Ɗaya daga cikin irin wadannan nau'o'in pathology da aka yi la'akari da shi shine haɗari ne wanda ke da alaka da rashin lafiya a cikin tsarin da aka samu ta wurin gado. Shirin tsari, wanda ya haɗa da haɗuwa da tsarin gina jiki, wani muhimmin abu ne na tsarin rigakafi, wanda ke da nasaba da cututtuka da ƙananan cututtuka. Tsarin wannan tsarin yana da yawan enzymes, daga cikinsu - mai hana C1. Lokacin da wannan enzyme ya raunana, ba tare da kunnawa ba tare da kunnawa da kuma saki abubuwa masu yawa wadanda ke haifar da layin rubutu.
Alamar farko na Quinck ta rubutaccen rubutu zai iya bayyana ko da a lokacin yaro, amma a mafi yawan lokuta na farko a cikin balaga ko a tsakiyar shekaru. An cigaba da ci gaba da kai hari kan wani abu ko wani abu mai ban mamaki:
- kamuwa da cuta;
- damuwa mai karfi;
- aiki;
- raunin da ya faru;
- shan magunguna.
Abin ƙyama Abin da ke cikin Edema
Allergies ne mafi yawan abin da ya faru na angioedema. Bugu da ƙari, sau da yawa an haɗa da cutar tare da wasu cututtuka na yanayin rashin lafiyar - pollinosis, asthma bronchial, urticaria, dermatitis , da dai sauransu. Idan sashin bayyanar irin abubuwan da ke cikin tambaya shi ne rashin lafiyar, Quincke's edema wani irin amsa ne ga abin da ya dace. Kamar yadda abubuwa masu ban tsoro zasu iya zama:
- kayan abinci da kuma additives a gare su (kifi, 'ya'yan itace citrus, zuma, kwayoyi, cakulan, dadin dandano, masu launi, masu kiyayewa, da sauransu);
- pollen ;
- gashin tsuntsaye da ƙasa na tsuntsaye;
- dabba dabba ;
- guba da ci na kwari;
- dakin ƙura;
- na nufin kayan aikin kaya na gida;
- hasken rana;
- high ko yanayin zafi;
- magunguna, da dai sauransu.
Edema Idiopathic Quincke
Akwai kuma angioedema na idiopathic, wadda ba za a iya bayyana ba. A wannan yanayin, hare-hare na rashin karɓar maganin kwayoyin halitta ba za'a iya haɗuwa da kowane ƙayyadaddun abubuwan da suka gabata ba. Wannan nau'i na farfadowa, masana da dama suna kira mafi haɗari, saboda, ba tare da sanin abin da yake haifar da ƙumburi ba, ba za ku iya hana bayyanarta ba kuma kawar da mai laifi.
Quincke ta Edema - bayyanar cututtuka
Ana nuna alamar cutar angiodema, wanda yana da wuya a kula da su, ciki har da suna iya haifar da rashin jin daɗi kuma suna hana aikin wasu sassa na jiki. Edema a yankin da ya shafa yana iya ganewa tare da ido marar ido, fata (ko fata mai launin fata) yayi kama da kumbura, yayin da ba a canza saɓin (ba daga baya zai iya zama fari).
Yankuna na al'ada na al'ada sune:
- mutum;
- rami na bakin ciki;
- harshe;
- larynx;
- Hanyar sarrafawa;
- wuyansa;
- al'amuran;
- babba da ƙananan wata gabar jiki;
- gabobin ciki (ciki, hanji, mafitsara, meninges, da dai sauransu).
A cikin yankin da aka kamu, marasa lafiya suna fuskantar damuwa, damuwa, ƙananan ciwo, ƙona, tingling, da wuya - itching. Tsarin ciki na ciki zai iya haifar da halayen irin su ciwo na ciki, tashin zuciya, vomiting, zawo, fitsari, ciwon kai, da dai sauransu. Rashin respiratory cutar ya yi daidai da bayyanar numfashin numfashi, tari, wahalar numfashi, zai iya zubar da ciki. Cutar da ke fama da rashin lafiyar jiki sau da yawa yana tare da bayyanar launin ja-haushi. Rashin haushi yana iya zama dan ƙanshi da kuma ƙanshi.
Yaya sauri yayi tasowa daga Quincke?
A mafi yawancin lokuta, idan wani rashin lafiyan ya dauki bangare na tsarin bunkasa, saurin Quincke ya bayyana da sauri, farawa ba zato ba tsammani. Kwayar cututtuka na ci gaba a cikin minti 5-30, kuma ana iya sa ran ƙaddamarwa bayan sa'o'i da yawa ko kwanaki 2-3. Tare da yanayin rashin lafiyar jiki, nau'o'in hankali yakan taso a cikin sa'o'i 2-3 kuma bace bayan kwanaki 2-3.
Angiodema na larynx
Angiodema daga cikin makogwaro yana kawo hatsari ga jiki kuma yana iya mutuwa ta kwatsam. A cikin 'yan mintuna kaɗan, ana iya rufe kullun ta hanyar kullun fuka. Alamar da ke cikin hatsari, wanda ya kamata ya zama dalilin gaggawa don kiran motar asibiti, sune:
- launin fata na fata;
- karfi wheezing;
- matsananciyar sauƙin saukar karfin jini;
- zubar da jini.
Angioedema daga fuska
A fuska, littafin Quincke, wanda hotunansa ya nuna alamacciyar alama, an bayyana shi a cikin ido, cheeks, hanci, lebe. A lokaci guda, idanu yana iya ƙinƙasa, ƙwararrayar nasolabial za a iya zama mai tsabta, daya ko duka lakabi zai iya girma cikin girma. Edema zai iya hanzari zuwa wuri na wuyansa, shafi hanyoyi da kuma toshe iska. Saboda haka, dole ne a dakatar da kumburi na Quincke akan fuska da wuri-wuri.
Angioedema na extremities
Alamar Quincke ta edema, da aka gano akan hannaye da ƙafa, an lura da shi a baya da ƙafa da dabino. Irin wannan karfin ba shi da na kowa fiye da yadda aka bayyana a sama kuma baya sanya wani barazana ga aikin jiki, ko da yake yana haifar da rashin jin daɗi. Bugu da ƙari da bayyanar iyakokin wurare masu ƙira a kan ƙwayoyin, fata zai iya samo launi mai haske.
Mene ne ya yi da kullun Quincke?
Magunguna waɗanda suka yi wani ɓangaren kwatsam na daya ko wani ɓangare na jiki a kalla sau ɗaya a cikin rayuwarsu su san yadda za su cire kumburi na Quincke, saboda alamun zai iya tashi ba zato ba tsammani. Da farko, ya kamata ka kira motar motsa jiki, musamman ma idan akwai kumburi a cikin jirgin sama ko kuma akwai tuhumar ganowa na ilimin pathology a cikin gabobin ciki. Kafin zuwan ma'aikatan kiwon lafiya, dole ne a dauki matakai na farko.
Edema Quincke - Taimako na farko
Kiran gaggawa don kullun Quinck, wanda za'a iya ba kafin motar motar ta zo, ya hada da matakai masu zuwa:
- Faɗakar da wanda aka azabtar daga aikin mai zane (idan aka shigar).
- Bayar da damar shiga iska mai tsabta.
- Saki masu haƙuri daga cinye tufafi da kayan haɗi.
- Shirye-shiryen mai haƙuri a cikin wani wuri mai zaman wuri ko matsayin zama don tallafawa numfashi.
- Tsayawa da yanayin kwantar da hankali a kusa da, hana tsoro.
- Fitar da wani damfara mai sanyi a kan sashin launi.
- Samar da yawan sha (zai fi dacewa alkaline).
- Magunguna: vasoconstrictive saukowa a cikin hanci (Naphtthyzin, Otryvin), antihistamines (Fenistil, Suprastin) da kuma sorbants (Enterosgel, Atoxil) ciki.
Matakan da ke sama, wanda ke bayar da taimako tare da kumburi na Quincke, wajibi ne, na farko, lokacin da aka lura:
- kumburi daga hanci;
- kumburi daga lebe;
- kumburi na maganganu na mucosa;
- kumburi na makogwaro, larynx;
- kumburi daga wuyansa;
- edema na gabobin ciki.
Yadda za a bi da angioedema?
Magunguna na gaggawa don kawar da rubutun ganyayyaki da sake mayar da ayyuka masu mahimmanci sun haɗa da amfani da irin wannan kwayoyi:
- Adrenaline - tare da rage yawan karfin jini;
- Prednisolone, Dexamethasone - a cikin batun Quinck's edema, an cire manyan bayyanannu;
- Glucose, Haemodez, Reopoliglyukin - don kawar da girgiza da kuma kawar da su;
- Dimedrol, Ƙarar rigakafi - tare da rashin lafiyar abu;
- Furosemide, Mannitol - a matsa lamba na al'ada da haɓaka don cire wuce haddi ruwa da allergens;
- Eufillin tare da Dexamethasone - don kaucewa spasm bronchial, da dai sauransu.
Littafin wanda ba mai rashin lafiyan Shirin magani yana da bambanci, wani lokacin ana aiwatar da ita ta hanyar yaduwar jini da jini da kuma amfani da irin wadannan kwayoyi:
- Z-aminocaproic acid;
- Counter.
Daga matsanancin mataki, magani na iya haɗawa da:
- wariya da kafa irritants;
- Kwararrun gajeren maganin hormonal (Prednisolone, Dexazone);
- yin amfani da kwayoyi don ƙarfafa tsarin juyayi da rage yawan abin da ke cikin jiki (Ascorutin, alli, ƙwayoyin bitamin);
- shan maganin antihistamines (Loratadine, Suprastin, Cetirizine).
Quincke's Edema - sakamakon
Magunguna waɗanda aka bincikar su tare da ci gaba da sauri tare da ci gaba na yau da kullum dole ne su kasance a shirye don kauce wa rikitarwa da kuma daukar kwayoyi masu guba don dakatar da kai hari. Idan akwai kumburi na Quincke, ana nuna alamar cututtuka da kuma kula da abin da aka yi watsi da rashin lafiya, wannan yana barazanar sakamakon lafiyar jiki da barazana. Daga cikin su:
- anaphylactic girgiza;
- asphyxia;
- rikitarwa neuro;
- m cystitis;
- ƙuntatawa na hanji;
- peritonitis.