IGlottis edema: kuyini, izimpawu nokuthi wenzeni

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani

IGlottis edema, eyaziwa ngokwesayensi njenge-laryngeal angioedema, iyinkinga engavela ngesikhathi sokungezwani komzimba futhi ibonakala ngokuvuvukala endaweni yomphimbo.

Lesi simo sithathwa njengesiphuthumayo kwezokwelapha, ngoba ukuvuvukala okuthinta umphimbo kungavimbela ukuhamba komoya kumaphaphu, kuvimbele ukuphefumula. Okufanele ukwenze uma kwenzeka i-glottis edema ifaka:

1. Shayela usizo lwezokwelapha kufonelwa uSAMU 192;
2. Buza ukuthi ngabe umuntu unemithi yokwaliwa komzimba, ngakho-ke ungayithatha ngenkathi ulinde usizo. Abanye abantu abanezifo ezimbi kakhulu bangase babe nepeni le-epinephrine, okufanele linikezwe esimweni esinzima sokungezwani komzimba;
3. Gcina umuntu ngokukhethekile elele phansi, nemilenze iphakanyisiwe, ukwenza lula ukujikeleza kwegazi;
4. Bheka izimpawu ezibalulekile yomuntu, njengokushaya kwenhliziyo nokuphefumula, ngoba uma bengekho, kuzodingeka ukwenza i-massage yenhliziyo. Bheka imiyalo yesinyathelo ngesinyathelo yokuthi ungayenza kanjani i-cardiac massage.

Izimpawu zokungezwani komzimba zivela ngokushesha, ngemuva kwemizuzu embalwa ukuya emahoreni ambalwa wokuchayeka entweni edala ukungezwani komzimba, kufaka phakathi ubunzima bokuphefumula, umuzwa webhola emphinjeni noma ukuphefumula lapho uphefumula.

Izimpawu eziyinhloko

Izimpawu ze-glottis edema yilezi:

• Ukuzwa kwe-bolus emphinjeni;
• Kunzima ukuphefumula;
• Ukushaywa ngomsindo noma umsindo oshisayo ngenkathi uphefumula;
• Ukuzwa ukuqina esifubeni;
• Ukungahambi kahle;
• Kunzima ukukhuluma.

Kunezinye izimpawu ezivame ukuhambisana ne-glottis edema futhi ezihlotshaniswa nohlobo lokungezwani komzimba, njengezinyosi, ezinesikhumba esibomvu noma esilumayo, amehlo avuvukile nezindebe, ulimi olukhulisiwe, umphimbo onukayo, isifo sokuhlangana noma isifo se-asthma, ngokwesibonelo.

Lezi zimpawu zivame ukuvela emizuzwini emi-5 kuye kwimizuzu engama-30 ngemuva kokuchayeka entweni ebanga ukungezwani komzimba, okungaba ngumuthi, ukudla, ukulunywa yizinambuzane, ukushintsha kwezinga lokushisa noma ngenxa yokuthambekela kofuzo, ezigulini ezinesifo esibizwa ngeHereditary Angioedema. Funda kabanzi ngalesi sifo lapha.

Yelashwa kanjani

Ngemuva kokuhlolwa yithimba lezokwelapha kanye nokuqinisekisa ubungozi be-glottis edema, kukhonjiswa ukwelashwa, okwenziwe ngemithi ezokwehlisa ngokushesha ukusebenza kwamasosha omzimba, futhi ifake nokusetshenziswa kwemijovo equkethe i-adrenaline, anti-allergen kanye ne-corticosteroids.

Njengoba kungaba nobunzima obukhulu ekuphefumuleni, kungahle kudingeke ukuthi kusetshenziswe imaski ye-oksijini noma i-orotracheal intubation, lapho kufakwa khona ishubhu emqaleni womuntu ukuze ukuphefumula kwabo kungavinjelwa ukuvuvukala.