Angioedema

Angioedema ndikutupa komwe kumafanana ndi ming'oma, koma kutupa kumakhala pansi pakhungu m'malo mokhala pamwamba.

Ming'oma nthawi zambiri imatchedwa welts. Ndi kutupa kwapamwamba. Ndikotheka kukhala ndi angioedema yopanda ming'oma.

Angioedema imatha chifukwa cha kusokonezeka. Pochita izi, histamine ndi mankhwala ena amatulutsidwa m'magazi. Thupi limatulutsa histamine pomwe chitetezo chamthupi chimazindikira chinthu chakunja chotchedwa allergen.

Nthawi zambiri, chifukwa cha angioedema sichipezeka.

Zotsatira zingayambitse angioedema:

• Animal dander (masikelo a khungu losalala)
• Kukumana ndi madzi, kuwala kwa dzuwa, kuzizira kapena kutentha
• Zakudya (monga zipatso, nkhono, nsomba, mtedza, mazira, ndi mkaka)
• Kuluma kwa tizilombo
• Mankhwala (mankhwala osokoneza bongo) monga maantibayotiki (penicillin ndi mankhwala a sulfa), mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs), ndi mankhwala a kuthamanga kwa magazi (ACE inhibitors)
• Mungu

Ming'oma ndi angioedema amathanso kuchitika atatha matenda kapena matenda ena (kuphatikiza zovuta zama autoimmune monga lupus, ndi leukemia ndi lymphoma).

Mtundu wa angioedema umayenda m'mabanja ndipo umakhala ndi zoyambitsa, zovuta, komanso chithandizo. Izi zimatchedwa cholowa angioedema.

Chizindikiro chachikulu ndikutupa mwadzidzidzi pansi pakhungu. Welts kapena kutupa pakhungu kumatha kukhalanso.

Kutupa kumachitika kuzungulira maso ndi milomo. Zitha kupezekanso m'manja, kumapazi, ndi pakhosi. Kutupa kumatha kupanga mzere kapena kufalikira.

The welts ndi zopweteka ndipo mwina kuyabwa. Izi zimadziwika ngati ming'oma (urticaria). Amayera ndipo amatupa ngati akwiya. Kutupa kwakukulu kwa angioedema kungakhalenso kowawa.

Zizindikiro zina zitha kuphatikiza:

• Kupunduka m'mimba
• Kupuma kovuta
• Kutupa maso ndi pakamwa
• Kutupa kwa maso (chemosis)

Wothandizira zaumoyo adzayang'ana khungu lanu ndikufunsani ngati mwakumana ndi zinthu zilizonse zokhumudwitsa. Ngati pakhosi lanu lakhudzidwa, kuyezetsa thupi kumatha kuwonetsa phokoso losazolowereka mukamapuma.

Kuyesa magazi kapena kuyesa ziwengo kumatha kuyitanidwa.

Zizindikiro zofatsa sizingasowe chithandizo. Zizindikiro zochepa mpaka zofunikira zimafunika kuthandizidwa. Vuto la kupuma ndi vuto ladzidzidzi.

Anthu omwe ali ndi angioedema ayenera:

• Pewani zovuta zilizonse zomwe zimayambitsa zizindikilo zawo.
• Pewani mankhwala aliwonse, zitsamba, kapena zowonjezera zomwe sizinaperekedwe ndi omwe amakupatsani.

Kuziziritsa kozizira kapena koziziritsa kumatha kuchepetsa ululu.

Mankhwala omwe amathandizidwa ndi angioedema ndi awa:

• Antihistamines
• Mankhwala oletsa kutupa (corticosteroids)
• Epinephrine shots (anthu omwe ali ndi mbiri yazizindikiro zazikulu amatha kunyamula nawo)
• Inhaler mankhwala omwe amathandiza kutsegula mpweya

Ngati munthuyo akuvutika kupuma, pitani kuchipatala nthawi yomweyo. Kutsekeka kwakukulu, koopsa panjira yapaulendo kumatha kuchitika ngati pakhosi pathupi.

Angioedema yomwe imakhudza kupuma imatha kukhala yovuta. Nthawi zambiri imakhala yopanda pake ndipo imatha pakapita masiku ochepa.

Itanani omwe akukuthandizani ngati:

• Angioedema siyankha mankhwala
• Ndizovuta
• Simunakhalepo ndi angioedema kale

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati pali izi:

• Kupuma kosazolowereka kumamveka
• Kuvuta kupuma kapena kupuma
• Kukomoka

Edema wa Angioneurotic; Achi Welts; Thupi lawo siligwirizana - angioedema; Ming'oma - angioedema

Barkdale AN, Muelleman RL. Matupi, hypersensitivity, ndi anaphylaxis. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 109.

Dinulos JGH. Urticaria, angioedema, ndi pruritus. Mu: Dinulos JGH, mkonzi.Chipatala cha Habif's Dermatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 6.

Dreskin SC. Urticaria ndi angioedema. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 237.