I-edary Laryngeal ibhekwa njengesibonakaliso sesinye isifo noma isimo se-pathological, kodwa hhayi isifo esizimele. Kuyingozi kakhulu, ngoba kungaholela ekwenzeni uma ungasisi isiguli ngesikhathi.
Izimbangela ze-edema laryngeal
I-edary Laryngeal ivuvukala futhi ayi-inflammatory. Esikhathini sokuqala, kungase kuvele njengesimo esihambisana ne-angina ye-guttural, i-laryngitis ye-phlegmonous, i-epiglottis abscess, i-suppuration emmpandeni wolimi, umgogodla wesibeletho, i-pharynx, umlomo womlomo.
Izimbangela ezingezona ukuvuvukala ezenza i-edema yama-laryngeal ingacasulwa:
- izifo zesimiso senhliziyo;
- isifo sezinso;
- ukubhekana nezidakamizwa noma ukudla (i-edema ye-allergen ye-larynx);
- ukwephula ukujikeleza kwegazi ku-larynx ngenxa yokucindezelwa kwemikhumbi ye-lymphatic nemithangu;
- i-cirrhosis yesibindi.
Ezinganeni, ukuvuvukala kwe-larynx kungenzeka ngenxa yokudla okushisayo kakhulu. Kungabuye kubangelwe ukulimala komshini ku-larynx ngomzimba wangaphandle noma ukungenelela okuhlinzayo.
I-Angioedema ye-larynx
Uma ukukhukhumeza kwe-larynx kubangelwa isenzo se-allergen, ngakho-ke, njengomthetho, kuhambisana ne-urticaria nokuvuvukala kobuso nezitho. Lesi simo sibizwa ngokuthi i-edema ka-Quincke, sibhekisela ezenzweni ezakha ngokushesha.
Ngokuvamile, i-edema kaQuincke kwenzeka ngemva kokuthatha imithi equkethe amavithamini B, i-iodine, i-aspirin, i-penicillin, njll. Ngezinye izikhathi ukusabela okunjalo okubangelwa ukwelashwa kubangela:
- impova yezitshalo nobuthi bezinambuzane;
- imikhiqizo yokudla, ehlanganisa ama-emulsifiers, amade kanye nezinye izinto ezibangela ukukhululwa kwe-histamine futhi, ngenxa yalokho, ukuvuvukala;
- uthuli lwezimboni, izimonyo, amakhemikhali omkhaya, ama-varnishes, amapende.
I-edema ye-Angionetictic ye-larynx ivame ukubangelwa ukutheleleka kwegciwane lesandulela ngculaza (i-giardiasis, i-helminthic invasions, i-hepatitis, njll), kanye nezifo zesimiso se-endocrine.
Ukukhululwa kwe-histamine kuvusa utshwala, ngoba iziguli ezine-edema yama-laryngeal zengeziwe emaholide. Ngaphezu kwalokho, ukufakwa kwesimo sokuvuvukala kweQuincke kungaba yifa.
Ukubonakaliswa kwe-edema yama-laryngeal
I-edary Laryngeal ibhekwa yizimpawu ezilandelayo:
- ukuzwakalisa izwi;
- "Barking" ukukhwehlela;
- ukwandisa ukuhlushwa;
- ukukhanya kwe-cyanotic.
Ekuqaleni, kunzima ukuthi isiguli singene, bese-kokubili ukuhumusha nokukhipha. Lapho uhlolwa, ungabona ukuthi amathanga amancane, ulimi nezilonda ezinamapulangwe aqhubekile. Isiguli sigijimela, ukuphefumula kwakhe kuyaqhuma. Uma kukhona ukuvuvukala kweQuincke, izimpawu ezingenhla ngokuvamile zihambisana nokuvuvukala kobuso nezandla (isiguli siyashayela iso emaminithini ambalwa, i-lip, iminwe ikhula).
Usizo lokuqala lokuvuvukala kwe-larynx
Ngezibonakaliso zokuqala ze-edema yama-laryngeal, udinga ukubiza i-ambulensi, kungenjalo isiguli siyothatha amandla. Lapho kulindeleke udokotela, lezi zinyathelo ezilandelayo kufanele zithathwe uma kunokwenzeka:
- susa izinto ezenza ugulane lukhuni (vula ikhola, ukhulule u-tie, ususe isikhala);
- yeka i-allergen uma ukuvuvukala kukhishwa yiyo (yeka ukudla, ukuphuza, ukuthatha imithi, ukususa isilwane sezinambuzane);
- cindezela izinyawo zakho noma izandla zesiguli endaweni yokugeza okushisayo (39 - 40 ° C);
- Nisela i-larynx ngesisombululo se-epinephrine hydrochloride (0.1%);
- ukufaka amaconsi e-vasoconstrictive ekhaleni (naftizinum);
- ukujova i-antihistamine ye-intramuscularly (dimedrol, suprastin, pipolfen, tavegil).
Uma i-edema yama-laryngeal ibangelwa umjovo noma ulunywa yinambuzane engalweni noma emlenzeni, i-tourniquet kufanele ibekwe ngaphezu kwesayithi lokungena kwe-allergen.
Ukwelashwa kwe-edema yama-laryngeal
Ukwelashwa kuhloswe ekuqedeni isifo esiyisisekelo noma i-allergen. Njengoba i-edema evuthayo ye-larynx, i-abscess ivuliwe futhi ukwelashwa okuphikisana nokuvuvukala kunqunywe. Njengoba i-edema ye-alergine ye-larynx, ibeka inkambo yama-antihistamines ne-glucocorticosteroids.