Glottis edema: ndi chiyani, zizindikiro ndi zoyenera kuchita

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Glottis edema, yemwe amadziwika kuti laryngeal angioedema, ndi vuto lomwe limatha kuchitika chifukwa chazovuta kwambiri ndipo limadziwika ndi kutupa pakhosi.

Izi zimawerengedwa kuti ndi zachipatala, chifukwa kutupa komwe kumakhudza pakhosi kumatha kulepheretsa mpweya kupita m'mapapu, kupewa kupuma. Zomwe muyenera kuchita mukagwidwa ndi glottis edema zikuphatikizapo:

1. Itanani kuchipatala kuyitana SAMU 192;
2. Funsani ngati munthuyo ali ndi mankhwala ena aliwonse, kuti mutenge mukadikirira thandizo. Anthu ena omwe ali ndi chifuwa chachikulu amatha kukhala ndi cholembera cha epinephrine, chomwe chimayenera kuperekedwa molakwika;
3. Sungani kuti munthuyo akhale pansi makamaka, yokhala ndi miyendo yokwera, yothandiza kuti magazi aziyenda bwino;
4. Onetsetsani zizindikiro zofunika za munthuyo, monga kugunda kwa mtima ndi kupuma, chifukwa ngati kulibe, kudzakhala koyenera kutikita minofu ya mtima. Onani tsatane-tsatane malangizo amomwe mungapangire kutikita minofu ya mtima.

Zizindikiro zakusavomerezeka zimawoneka mwachangu, patangopita mphindi zochepa mpaka maola ochepa kukhudzana ndi zinthu zomwe zimayambitsa zovuta, kuphatikiza kupuma movutikira, kumverera kwa mpira pakhosi kapena kupuma popuma.

Zizindikiro zazikulu

Zizindikiro za glottis edema ndi:

• Kumva kwa bolus pakhosi;
• Kupuma kovuta;
• Kupuma kapena phokoso lofuula popuma;
• Kumverera kwa kufinya pachifuwa;
• Kuwopsya;
• Kulankhula kovuta.

Palinso zisonyezo zina zomwe nthawi zambiri zimatsagana ndi glottis edema ndipo zimakhudzana ndi mtundu wa ziwengo, monga ming'oma, wokhala ndi khungu lofiira kapena loyabwa, maso otupa ndi milomo, lilime lokulitsa, khosi loyabwa, conjunctivitis kapena matenda a mphumu, mwachitsanzo.

Zizindikirozi nthawi zambiri zimawoneka pakadutsa mphindi 5 kapena 30 mutakumana ndi chinthu chomwe chimayambitsa matendawa, chomwe chingakhale mankhwala, chakudya, kulumidwa ndi tizilombo, kusintha kwa kutentha kapena chifukwa cha chibadwa, mwa odwala omwe ali ndi matenda otchedwa Hereditary Angioedema. Dziwani zambiri za matendawa Pano.

Momwe mankhwalawa amachitikira

Pambuyo poyesedwa ndi gulu lazachipatala komanso kutsimikizira kuopsa kwa glottis edema, chithandizo chimawonetsedwa, chopangidwa ndi mankhwala omwe amachepetsa chitetezo chamthupi, ndikuphatikizanso kugwiritsa ntchito jakisoni wokhala ndi adrenaline, anti-allergener ndi corticosteroids.

Popeza pakhoza kukhala zovuta kwambiri kupuma, kungakhale kofunikira kugwiritsa ntchito chigoba cha oxygen kapena ngakhale maubongo oboola m'mimba, momwe chubu chimayikidwa pakhosi la munthu kuti kupuma kwake kusatsekereke ndi kutupa.