Qee tus xav tias kev ua xua tsis muaj mob. Tab sis ntau cov tshuaj tiv thaiv immunopathological tuaj yeem ua rau muaj kev phom sij loj, txawm tias tuag. Tej zaum txhua leej txhua tus yuav tsum paub yuav ua li cas muab kev pab nyob rau hauv cov xwm txheej ntawm cov hom kev ua xua. Los ntawm kev tshaj tawm no koj tuaj yeem kawm paub yuav ua li cas nrog Quincke's edema.
Qhov kev tsis haum no yog dab tsi?
Quincke's edema (los yog loj heev urticaria) yog ib qho kev tsis haum tshuaj uas muaj qhov mob hnyav thiab o ntawm daim tawv nqaij, cov nqaij mos subcutaneous, cov leeg, fascia thiab cov mucous membranes. Tus kab mob no cuam tshuam rau cov neeg laus thiab menyuam yaus ntawm txhua tus poj niam txiv neej. Nws lub ntsiab feature yog qhov tshwm sim tam sim ntawd, kis tau sai thiab ploj mus sai sai nrog kev kho kom raug.
Yuav ua li cas thiaj paub qhov o?
Tus kab mob no tuaj yeem kuaj tau los ntawm cov cim hauv qab no:
o ntawm ib qho chaw. Nws tuaj yeem pom ntawm daim tawv muag, lub puab tsaig, daim di ncauj, cov mucous ntawm lub qhov ncauj (palate, tus nplaig, tonsils). Qee zaum muaj o ntawm lub genitourinary system. Nws tuaj yeem lees paub los ntawm qhov nyuajtso zis, mob hauv plab plab thiab ntuav mus rau chav dej
o ntawm cov pa ua pa. Lub larynx feem ntau cuam tshuam: muaj hoarseness, hnoos ntse thiab ua tsis taus pa
Hloov cov xim ntawm daim tawv nqaij hauv thaj chaw cuam tshuam. Thaum xub thawj, cheeb tsam yuav xiav, thiab tom qab ntawd pallor tshwm
Kev qaug dab peg yuav qhia tau hais tias cerebral edema
Vim qhov cuam tshuam rau lub plab zom mov, dyspeptic mob, peritonitis, mob mob hnyav tshwm sim
Ntau zaus, tsis nco qab tam sim no
Qhov mob hnyav ua rau tus neeg mob ntshai, uas tsuas ua rau qhov xwm txheej hnyav dua. Txawm hais tias muaj ib qho tsos mob, yuav tsum tau ceev faj, vim tias nws tuaj yeem ua rau muaj kev tsis haum xeeb - Quincke's edema. Yuav ua li cas rau qhov no, koj tsuas yog xav paub. Yog tias tsis muaj dab tsi tshwm sim, asphyxia yuav pib. Nyob rau hauv lem, yog hais tias nws tsis ua hauj lwm, nws hloov mus rau hauv ib tug tuag tshwm sim.
Tus kab mob no sai npaum li cas
Nrog Quincke's edema, kev pab yuav tsum tau muab hauv thawj feeb, qee zaum - hauv ob peb teev. Feem ntau loj urticaria pib sai sai thiab loj hlob sai. Yog tias qhov no tshwm sim rau qee yam kev ua xua, tom qab ntawd cov tsos mob tshwm sim tom qab 5-30 feeb. Nrog kev kho kom raug, lawv yuav ploj mus ob peb teev lossis hnub. Nrog rau qhov tsis ua xua pathology, o yuav pom tau tom qab 2-3 teev. Cov tsos mob ploj tom qab ob lossis peb hnub.
Pab Algorithm
Yog li casQuincke's edema pib? Yuav tsum ua tam sim ntawd los ntawm kev ua cov hauv qab no:
- Yuav tsum tau hu lub tsheb thauj neeg mob. Edema tuaj yeem hla txoj hlab pas, ua rau ua pa nyuaj. Yog tias muaj kev puas tsuaj rau lub ntsws los yog pharynx, koj yuav tsum qhia tus neeg xa xov mus rau nws. Tom qab ntawd ib pab kws kho mob yuav tuaj txog thawj zaug rau tus neeg raug tsim txom, vim tias txhua thib ob yog qhov tseem ceeb. Kev saib xyuas mob hnyav lossis txawm tias yuav muaj kev txhawb nqa.
- Cia koj tus kheej thiab ua siab ntev rau tus neeg raug tsim txom. Kev ntxhov siab tsuas yog exacerbates txoj kev loj hlob ntawm cov txheej txheem tsis zoo.
- Yog tias koj paub qhov ua xua, ces koj yuav tsum tsis txhob tiv tauj nws. Piv txwv li, tsis txhob noj, noj tshuaj, tshem tawm cov kab kab, thiab lwm yam.
- Yuav kom ua pa yooj yim, tso tus neeg mob rau hauv ib qho chaw zaum lossis ib nrab zaum. Tshem koj cov hlua khi, loosen koj lub duav lossis siv, tshem koj lub tsho, thiab lwm yam. Nws tseem yuav tsum tau qhib qhov rais kom ntseeg tau tias muaj huab cua zoo rau hauv chav. Qhov no yuav pab txo cov tsos mob ntawm angioedema.
- Yuav ua li cas ua ntej pab neeg kho mob tuaj txog? Sim koj qhov zoo tshaj plaws los txo qhov o. Yog tias muaj kev tsis haum xeeb vim yog kab tom, txhaj tshuaj rau hauv caj npab lossis txhais ceg, ces yuav tsum tau siv lub tourniquet saum toj qhov chaw o. Yog tias lwm qhov ntawm lub cev raug cuam tshuam los yog muaj lwm yam laj thawj, ces cov khoom txias yuav tsum tau siv rau thaj tsam cuam tshuam. Tab sis nws tseem ceeb heev kom tsis txhob overdo nws, txwv tsis pub, ntxiv rau, koj tuaj yeem ua rau frostbite.
- Muab cov tshuaj tiv thaiv rau tus neeg raug mob. Feem ntau hauv cov khoom siv pab thawj zaug hauv tsev muaj xws liCov nyiaj xws li Suprastin, Tavegil, Loratadin, Claritin, Diazolin, Fenkarol thiab Ketotifen. Koj tuaj yeem siv cov tshuaj muaj zog dua. Cov no suav nrog Zirtek, Zodak, Cetirinax, Cetrin, Cetirizine, Eridez, Erius, Desloratadine, Telfast thiab Fexofenadine. Yog tias tsuas yog qhov ntswg qhov ntswg o, ces nws raug tso cai siv vasoconstrictor tee uas muaj cov nyhuv hauv zos, piv txwv li, Naphthyzinum.
Nws tsim nyog sau cia tias cov ntsiav tshuaj tau txais kev ua xua me me. Nrog rau cov tshuaj tiv thaiv immunopathological uas muaj zog heev, cov tshuaj intramuscular thiab cov hlab ntsha yuav ua tau zoo dua.
Yog tias cov nyiaj saum toj no tsis nyob hauv tsev, ces qhov xwm txheej hnyav yuav ua. Nws zoo dua tsis muaj dab tsi. Tus neeg mob tuaj yeem muab activated charcoal (ntsiav tshuaj ib 10 kilograms ntawm qhov hnyav).
Kuj, nrog rau urticaria loj heev, koj yuav tsum haus dej ntau. Nws yog qhov zoo dua los muab cov neeg raug tsim txom "Borjomi" los yog npaj cov tshuaj alkaline (noj 1 gram ntawm dej qab zib ib liter ntawm boiling dej).
Txhua yam no tsim nyog rau Quincke's edema ua ntej lub tsheb thauj neeg mob tuaj txog. Dab tsi yuav tsis nyob rau lub sijhawm tsis txaus ntshai. Cov kws kho mob lawv tus kheej yuav ua txhua yam tsim nyog.
Txoj Kev Pabcuam Me Nyuam
Nws yog ib qho tseem ceeb uas cov neeg laus tsis txhob ntshai. Ua kom pom kev ntseeg siab ntawm qhov tshwm sim ib txwm yuav pab tus menyuam tiv thaiv nws txoj kev xav. Txawm tias muaj mob me me, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd. Tom qab tag nrho, urticaria loj heev yog ib qho mob hnyav, thiab kev pab thawj zaug yuav tsum tau muab tam sim.
Yuav ua li cas rau qhov oQuincke? Nyob rau hauv txoj cai, lub algorithm yog tib yam li hais saum toj no. Tab sis muaj qee qhov nuances ntawm no:
- Yog muaj teeb meem tshwm sim rau tus menyuam mos uas tseem tsis tau zaum, yuav tsum tau muab tso rau hauv txoj kab rov tav. Nws raug nquahu kom muab lub hauv ncoo hauv qab koj txhais taw. Qhov no yuav pab txhim kho cov ntshav ncig.
- Yog tias tus sting ua raws li kev ua xua, ces nws yuav tsum tau ua tib zoo rub tawm. Yog hais tias ua rau paj ntoos, so lub ntsej muag, tes thiab lub cev nrog ib daim ntaub ntub dej. Txwv tsis pub, siv lub tshuab txias txias.
- Muab tus me nyuam ib lub sorbents. "Enterosgel" (ntawm 2-3 xyoos - 2 teaspoons, rau cov me nyuam - ib tug teaspoon). "Smekta" (txog ib xyoos - 1 sachet, thaum lub hnub nyoog laus - ib lub hnab thaum sawv ntxov thiab yav tsaus ntuj). Activated charcoal (txog peb xyoos - 3 ntsiav tshuaj, ces ib ntsiav tshuaj ib 10 kilograms ntawm qhov hnyav).
- Muab tshuaj tua kab mob raws hnub nyoog. Piv txwv li, Fenistil, Fenkarol, Claritin.
- Muab cov kua dej alkaline ntau yog tias tus menyuam mos tsis muaj kev cuam tshuam ntawm metabolic.
Yuav ua li cas ntxiv rau Quincke's edema hauv tus menyuam? Nws raug nquahu kom sau nws cov khoom, vim tias cov menyuam yaus feem ntau mus pw hauv tsev kho mob. Yog tias kws kho mob qhia qhov no, koj yuav tsum tsis txhob tsis kam, tshwj xeeb tshaj yog tias tus kab mob tau tshwm sim thawj zaug. Lub tsev kho mob yuav saib xyuas tus neeg mob tus mob thiab kuaj xyuas qhov tsim nyog.
Txoj kev tshwj xeeb ntawm kev pab cov poj niam cev xeeb tub
Rau cov poj niam uas pub niam mis lossis nqa menyuam, yuav luag txhua yam tshuaj raug txwv. Txawm li cas los xij, tuaj yeem cuam tshuam los ntawmCov tshuaj tsis txaus ntshai ntau dua li Quincke's edema thaum cev xeeb tub. Yuav ua li cas rau qhov no? Cov lus teb nyob ntawm seb muaj contraindications rau ib pawg ntawm cov tshuaj. Tsuas yog tus kws kho mob tuaj koom tuaj yeem pom zoo cov tshuaj. Yog tias koj yuav tsum ua sai sai, nws raug nquahu kom siv cov tshuaj uas tshem tawm cov tsos mob ntawm kev ua xua. Feem ntau, nrog urticaria loj heev, cov kws kho mob tso cai rau cov poj niam cev xeeb tub xws li Zyrtec, Claritin, L-Cet. Txhawm rau txo vascular permeability, koj tuaj yeem noj calcium gluconate.
lub tsheb thauj neeg mob yuav ua li cas?
Tom qab tuaj txog, ib pab kws kho mob, raws li txoj cai, tshuaj xyuas tus neeg mob thiab txhaj tshuaj intramuscularly lossis intravenously, yog tias yuav tsum tau muaj txiaj ntsig ntxov. Dab tsi yog txhaj tshuaj rau Quincke's edema? Feem ntau nws yog "Prednisolone" lossis "Dexamethasone". Qhov ntau npaum yog xaiv ib tus zuj zus nyob ntawm lub cev qhov hnyav. Hydrocortisone tej zaum yuav raug muab tshuaj los tiv thaiv txoj hlab ntsws o.
Yog pom tias muaj kev poob siab anaphylactic, ces tus neeg mob muab tso rau ntawm lub txaj kom ob txhais ceg qis dua lub taub hau. Tom qab ntawd, "Epinephrine" yog qhia los ua kom lub siab txo qis heev. Cov kws kho mob saib xyuas ua pa thiab mem tes. Asphyxia yuav tsum tau tracheostomy (tso tawm ntawm lub trachea) tom qab mus pw hauv tsev kho mob.
Tsis tas li, cov kws kho mob tuaj yeem sau tshuaj tiv thaiv - Suprastin, Diprazin, Diphenhydramine, diuretics kom tshem tawm cov tshuaj tsis haum hauv cov zis - Lasix, Mannitol. Qee zaum detoxification txoj kev (enterosorption, hemosorption) raug pom zoo.
Cov kws kho mob hauv tsheb thauj neeg mob yuav qhia koj tias yuav ua li cas nrog Quincke's edema. Kev pab thawj zaug yuav tsum tau muab raws sijhawm - qhov no yog qhov tseem ceeb rau kev rov qab los, uas tuaj yeem tshwm sim hauv ob peb teev.
Yaj urticaria kho li cas?
Kev kho tus kab mob no yog txhawm rau tshem tawm cov mob edema thiab rov ua haujlwm tseem ceeb. Cov tshuaj hauv qab no tau muab rau qhov no:
- "Adrenaline" - rau ntshav siab.
- "Dexamethasone", "Prednisolone" - txhawm rau txo cov tsos mob tseem ceeb ntawm edema.
- "Suprastin", "Dimedrol" txhaj - txhawm rau tshem tawm qhov tsis haum tshuaj.
- Glucose, Reopoliglyukin, Hemodez - tshem tawm co toxins thiab tawm ntawm lub xeev ntawm kev poob siab.
- "Mannitol", "Furosemide" - txhawm rau tshem tawm cov allergen thiab tawm ntawm cov kua dej ntau dhau ntawm qhov siab thiab ib txwm muaj.
- "Dexamethasone" ua ke nrog "Eufillin" - txhawm rau txo qis bronchial spasm thiab lwm yam.
Thiab yuav ua li cas nrog Quincke's edema, yog tias nws muaj qhov tsis haum? Nyob rau hauv cov ntaub ntawv no, kev kho mob feem ntau muaj cov ntshav plasma thiab noj tshuaj xws li Kontrykal, Z-aminocaproic acid. Yog tias tus kab mob tsis nyob rau theem mob hnyav, txoj kev kho yuav suav nrog cov kev ntsuas hauv qab no:
- Kev cais tawm ntawm qee qhov kev xav.
- Noj tshuaj tiv thaiv kab mob (Suprastin, Loratadine, Cetirizine).
- Cov tshuaj hormonal luv luv (Dexazone, Prednisolone).
- Kev siv tshuaj uas txo cov vascular permeability thiab ntxiv dag zog rau lub paj hlwb("Calcium", "Ascorutin", ntau yam vitamin complexes).
Khoom noj
Peb paub tias yuav ua li cas nrog angioedema. Kev pab thawj zaug suav nrog kev cais tawm ntawm cov khoom ua xua, uas feem ntau dhau los ua ib yam khoom. Tab sis txawm tias tom qab muaj kev tawm tsam, nws yog ib qho tsim nyog los saib xyuas kev noj zaub mov kom cov kev kho mob ua tiav. Cov neeg mob raug qhia kom ua raws li kev noj zaub mov tshwj xeeb, uas tau muab tso ua ke ntawm tus kheej.
Ua ntej ntawm tag nrho, koj yuav tsum tsis suav nrog cov khoom uas ua rau muaj kev fab tshuaj ncaj qha lossis cuam tshuam. Cov zaub mov hauv qab no yog thawj qeb:
- qaib, mis, qe, kua, txiv laum huab xeeb, cocoa. Lawv feem ntau provoke "muaj tseeb" kev tsis haum tshuaj.
- Los ntawm cov zaub mov cog, zam spinach, txiv lws suav, strawberries, txiv hmab txiv ntoo, pineapple, bananas thiab citrus txiv hmab txiv ntoo.
- Koj yuav tsum tsis kam lees cov khoom uas muaj nitrogen-muaj cov extractives. Cov no yog kib, stewed ntses thiab nqaij tais, broths, legumes (peas, taum, lentils), kas fes, cocoa, dub tshuaj yej, chocolate, txuj lom.
- Tsis txhob noj zaub mov uas muaj cov khoom siv hluavtaws. Cov no suav nrog cov tshuaj tsw qab, tsw qab (glutamates, cloves, cinnamon, vanilla, menthol), xim (erythrosine, azorubine, tartrazine, amaranth, thiab lwm yam), preservatives (nitrites, sulfites, benzoic acid, thiab hais txog).
- Wine tseem txwv.
- Nrog ceev faj, koj yuav tsum muaj cov khoom noj uas muaj cov tshuaj histamine thiab biogenic amine hauv cov ntawv qhia zaub mov. Cov no yog cov ntses, qee cov ntses (tuna, herring,cod), cheese, rhubarb thiab sauerkraut.
Kev tsis haum xeeb tshwm sim vim kev noj ib txhij ntawm qee yam khoom noj thiab tshuaj. Qhov no feem ntau provokes kev loj hlob ntawm angioedema. Yuav ua li cas thiaj zam tau qhov no? Cov kev sib txuas hauv qab no yuav tsum tsis suav nrog:
- apples + pears, quince, cherries lossis cherries.
- Y nyuj mis nyuj + nyuj, nqaij nyuj lossis tshis mis nyuj.
- Seafood + ntses. Ntawd yog, cov khoom kawg tsis tuaj yeem noj nrog cov plhaub ntses, cws, crabs, thiab lwm yam.
- Ciav thiab cereals thaum lub sij hawm flowering ntawm oats, hom qoob mog, rye los yog hom qoob mog nyom.
- Kefir + mouldy cheeses lossis nceb, tshuaj tua kab mob penicillin.
- Acetylsalicylic Acid + Raspberries, Strawberries, Grapes, Apricots, Plums lossis Peaches.
- qe qaib + Lysozyme, Interferon.
Nws yog ib qho tsim nyog yuav tsum ua tib zoo mus rau qhov kev npaj ntawm tus neeg mob noj zaub mov. Los ntawm cov npe nws yog ib qho tsim nyog kom tshem tawm cov allergens, ua ke ntawm cov khoom thiab cov tshuaj. Qhov no yuav pab txo qis kev pheej hmoo ntawm cov tshuaj tiv thaiv immunopathological.
kev kho neeg zoo
Nyob rau hauv kev kho cov kab mob, qee qhov chaw rau cov tshuaj tsoos. Cov nyiaj no tuaj yeem pab txo tus mob nrog Quincke's edema. Yuav ua li cas tom tsev? Nov yog qee cov zaub mov txawv:
- Ntshav compress. Ntxiv ib teaspoon ntsev rau ib liter dej, sib tov kom huv si. Soak ib daim ntaub nyob rau hauv ib qho kev daws txias thiab siv rau thaj chaw muaj kev cuam tshuam. Rov ua cov txheej txheem ntau zaus hauv ib hnub.
- Nettle infusion. 2 lub tsev noj movchop ib spoonful ntawm nettle paus thiab ncuav ib liter ntawm boiling dej. Insist nyob rau hauv lub hau kaw rau 2 teev. Tom qab straining, noj 2 tablespoons ob peb zaug ib hnub twg.
- mis nyuj haus. Ua kom sov li ib khob mis nyuj. Nyob rau hauv nws, yaj cov dej qab zib ntawm lub ntsis ntawm riam. Haus tag nrho ib zaug. Noj ntau zaus hauv ib hnub.
Reviews
Raws li kev tshuaj xyuas ntawm cov neeg mob thiab lawv cov txheeb ze pom, tsis muaj leej twg tiv thaiv los ntawm Quincke's edema. Txhua tus yuav tsum paub yuav ua li cas tom tsev. Tom qab tag nrho, tus kab mob no loj hlob sai thiab tuaj yeem tshwm sim txawm tias tsis muaj kev fab tshuaj. Ntau tus neeg uas muaj tus kab mob no ntseeg tias txawm tias me ntsis edema, nws tsim nyog hu rau tus kws kho mob lossis lub tsheb thauj neeg mob. Tom qab ntawd, nws raug nquahu kom kuaj xyuas cov tshuaj tsis haum. Qhov no yuav pab txiav txim seb yog vim li cas thiab xaiv txoj kev kho mob uas tsim nyog.
Cov neeg uas muaj mob urticaria loj heev kuj tseem nco ntsoov tias ib tus tsis tuaj yeem tso siab rau cov zaub mov txawv nkaus xwb. Kev tsis saib xyuas zoo li no tuaj yeem ua rau tuag taus. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum nco ntsoov txog qhov ua tau rov qab los. Yog li ntawd, koj yuav tsum nqa ib qho tshuaj pom zoo los ntawm koj tus kws kho mob uas yuav pab tiv thaiv kev tawm tsam, thiab ua raws li kev tiv thaiv.
Qee tus tau kawm ntev lawm yuav ua li cas hauv tsev los ntawm Quincke's edema. Thaum qaug dab peg, lawv tau txhaj tshuaj "Prednisolone". Tab sis ua ntej yuav ua li no, nws yog ib qho tsim nyog yuav tsum tau txais cov txuj ci tsim nyog thiab tshawb xyuas qhov tsim nyog npaum li cas.
Kev Tiv Thaiv
Peb tham txog yuav ua li cas nrog angioedema, kev pab thawj zaug thiab kev kho mob. Qhov kev paub no pab tau zoo heev. Tab sis yooj yim dua los tiv thaivqhov tshwm sim ntawm tus kab mob, soj ntsuam kev tiv thaiv. Lawv kuj tseem tsim nyog tom qab pib thiab tshem tawm Quincke's edema. Kev tiv thaiv yog dab tsi?
Nov yog qee cov lus pom zoo:
Ua raws li kev noj zaub mov nruj. Nws yog ib qho tsim nyog yuav tsum tshem tawm ntawm kev noj zaub mov txhua yam khoom noj uas ua rau muaj kev tiv thaiv kab mob immunopathological
Tsis txhob sib cuag nrog ib puag ncig ua xua. Nws tuaj yeem yog tsiaj txhu, nroj tsuag, thiab lwm yam. Yuav tsum noj tshuaj antihistamine thaum lub sij hawm tawg paj
Yog tias koj muaj kev nkag siab zoo rau kab tsuag, tsis txhob tawm mus rau hauv cov khaub ncaws kaj, tsis muaj khau thiab lub kaus mom. Tsis tas li ntawd, koj yuav tsum muaj tshuaj tiv thaiv kab mob hauv koj lub hnab nyiaj
Ua kom lub tsev huv si. Qhov no yog yuav ua li cas tom qab Quincke's edema tsuas yog tsim nyog, txij li qhov teeb meem provokes kev loj hlob ntawm kev ua xua. Nws yog ib qho tsim nyog yuav tsum tau so cov plua plav ntau zaus, ntxuav hauv pem teb, ua pa hauv chav, saib xyuas qhov ntsuas kub thiab av noo hauv tsev
Nws yog qhov zoo dua los xaiv cov khaub ncaws tsuas yog los ntawm cov ntaub ntawv ntuj. Yam tsawg kawg ntawm cov khoom siv hluavtaws yuav tsum nyob hauv tsev. Piv txwv li, koj tuaj yeem tshem tawm cov khoom ua si uas pheej yig lossis qub qub, hloov cov pam vov thiab hauv ncoo nrog cov hypoallergenic
Tsis suav nrog kev sib cuag ncaj qha nrog tshuaj hauv tsev, rau cov menyuam mos nws yuav tsum tsis txhob muaj txhua
Nco ntsoov nrog kws kho mob ua ntej noj tshuaj. Yog hais tias urticaria loj heev twb raug xa mus, ces qhov no yuav tsum tau qhia
Raws li cov lus saum toj no, peb tuaj yeem xaus. Paub tias yuav ua li cas nrog angioedema yog qhov tseem ceeb heev. Qhov no yogdheev tuaj yeem tshwm sim rau ib tus neeg txheeb ze lossis cov neeg hla dhau. Nws yog ib qho tseem ceeb uas yuav tau hu lub tsheb thauj neeg mob kom sai thiab muab kev pab thawj zaug txhawm rau tiv thaiv qhov tshwm sim ntawm kev tuag.
