IGlottis edema: yintoni, iimpawu kunye nokwenza

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani

IGlottis edema, eyaziwa ngokwenzululwazi njenge-laryngeal angioedema, sisixhobo esinokuthi sivele ngexesha lokungalungelelani komzimba kwaye sibonakaliswa kukudumba kwindawo yomqala.

Le meko ithathwa njengengxamisekileyo kwezonyango, kuba ukudumba okuchaphazela umqala kungathintela ukuhamba komoya ukuya emiphungeni, kuthintele ukuphefumla. Kufuneka wenze ntoni xa i-glottis edema ibandakanya:

1. Tsalela uncedo lwezonyango Ukutsalela umnxeba uSAMU 192;
2. Buza ukuba ngaba umntu unalo na amayeza okwaliwa, ke unokuyithatha ngelixa ulinde uncedo. Abanye abantu abanezigulo ezibangelwa kukwalana komzimba kakhulu banokuba nepeni ye-epinephrine, ekufuneka inikezelwe kwimeko yokugula kakhulu;
3. Gcina umntu ngokukhethekileyo elele phantsi, kunye nemilenze ephakamileyo, ukuququzelela ukujikeleza kwegazi;
4. Jonga iimpawu ezibalulekileyo zomntu, ezinje ngokubetha kwentliziyo kunye nokuphefumla, kuba ukuba azikho, kuyakufuneka wenze umyalezo wentliziyo. Jonga imiyalelo yenyathelo ngenyathelo ngendlela yokwenza umthambo wentliziyo.

Iimpawu zokungabikho komzimba ziyabonakala ngokukhawuleza, emva kwemizuzu embalwa ukuya kwiiyure ezimbalwa zokuvezwa kwezinto ezibangela ukungabikho komzimba, kubandakanywa ubunzima bokuphefumla, ukuvakalelwa kwebhola emqaleni okanye ukuphefumula xa uphefumla.

Iimpawu eziphambili

Iimpawu ze-glottis edema zezi:

• Ukuziva kwe-bolus emqaleni;
• Ubunzima bokuphefumla;
• Ukubetha okanye ukungxola xa uphefumla;
• Ukuziva ubungqongqo esifubeni;
• Ukudakumba;
• Kunzima ukuthetha.

Kukho ezinye iimpawu ezihlala zihamba ne-glottis edema kwaye zinxulunyaniswa nohlobo lokungezwani nezinto ezithile, ezinje ngemihlathi, enesikhumba esibomvu okanye esirhawuzelelayo, amehlo adumbileyo kunye nemilebe, ulwimi olwandisiweyo, umqala onqabileyo, isifo sokudumba okanye isifo sombefu, umzekelo.

Ezi mpawu zihlala zibonakala kwimizuzu emi-5 ukuya kwimizuzu engama-30 emva kokuvezwa kwento ebangela ukungalungelani, okunokuba lunyango, ukutya, ukulunywa zizinambuzane, ukutshintsha kobushushu okanye ngenxa yesimo semfuza, kwizigulana ezinesifo ekuthiwa lilifa I-Angioedema. Funda ngakumbi ngesi sifo apha.

Unyango lwenziwa njani

Emva kovavanyo lweqela lezonyango kunye nokuqinisekiswa komngcipheko we-glottis edema, unyango luyaboniswa, lwenziwe ngamayeza aza kunciphisa ngokukhawuleza ukusebenza kwamajoni omzimba, kwaye kubandakanya ukusetyenziswa kwenaliti ene-adrenaline, anti-allergen kunye ne-corticosteroids.

Njengoko kunokubakho ubunzima obukhulu ekuphefumlweni, kunokuba yimfuneko ukusebenzisa imaski yeoksijini okanye intubation ye-orotracheal, apho ityhubhu ibekwa emqaleni womntu ukuze ukuphefumla kungathintelwa kukudumba.