Angioedema

ʻO Angioedema ka ʻōhū e like me ka hives, akā aia ka pehu ma lalo o ka ʻili ma kahi o ka papa.

Kāhea ʻia ʻo Hives he welts. He pehu ākea lākou. Hiki ke loaʻa i ka angioedema me ka ʻole o ka hives.

Hoʻokumu ʻia paha ʻo Angioedema e kahi hopena maʻi. I ka hopena, hoʻokuʻu ʻia ka histamine a me nā kemika ʻē aʻe i ke kahe o ke koko. Hoʻokuʻu ke kino i ka histamine ke ʻike ka ʻōnaehana pale i kahi waiwai haole i kapa ʻia he allergen.

I ka hapanui o nā hihia, ʻaʻole i loaʻa ke kumu o ka angioedema.

ʻO ka mea aʻe ke kumu o ka angioedema:

• Dander holoholona (ka unahi o ka ʻili i hoʻokahe ʻia)
• Hōʻike i ka wai, lā, ke anuanu a me ka wela
• Nā meaʻai (e like me nā hua, nā ʻāpala, nā iʻa, nā nati, nā hua manu, a me ka waiū)
• Nahu ʻāpala
• ʻO nā lāʻau lapaʻau (allergy lāʻau) e like me antibiotics (penicillin a me nā lāʻau sulfa), nā lāʻau anti-inflammatorial nonsteroidal (NSAIDs), a me nā lāʻau kaomi koko (ACE inhibitors)
• Pollen

Hiki paha i nā Hives a me ka angioedema ma hope o nā maʻi a me nā maʻi ʻē aʻe (e like me nā maʻi autoimmune e like me lupus, a me leukemia a me lymphoma).

Ke holo nei kahi ʻano angioedema i loko o nā ʻohana a he ʻokoʻa nā mea hoʻoulu, kūpilikiʻi, a me nā mālama ʻana. Kapa ʻia kēia he angioedema hoʻoilina.

ʻO ka hōʻailona nui ka pehu koke ma lalo o ka ʻili. Welts a i ʻole ka pehu ʻana ma ka ʻili o ka ʻili hiki ke hoʻomohala pū kekahi.

Kū pinepine ka pehu a puni nā maka a me nā lehelehe. Hiki ke loaʻa ma nā lima, nā wāwae, a me ka puʻu. Hoʻokumu paha ka pehu i kahi laina a i ʻole pālahalaha aʻe.

He ʻeha nā welts a ʻāwili paha. ʻIke ʻia kēia ʻo hives (urticaria). Huli pala lākou a pehu inā hoʻonāukiuki. ʻEhaʻeha hoʻi ka pehu hohonu o ka angioedema.

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻ .miʻi ʻōpū
• Pilikia hanu
• Pehu nā maka a me ka waha
• ʻO ka uhi maka o nā maka (chemosis)

E nānā ka mea mālama ola i kou ʻili a nīnau inā ua ʻike ʻia ʻoe i nā mea hoʻonāukiuki. Inā pili kou puʻu, hōʻike paha kahi hoʻokolohua kino i nā kani maʻamau (stridor) ke hanu ʻoe.

E kauoha ʻia nā hoʻokolohua koko a i ʻole nā ​​hoʻowalewale maʻi āpau.

ʻAʻole pono nā ʻōuli ʻoluʻolu i ka lāʻau. Pono e mālama ʻia nā lōkō i nā ʻōuli ʻino. ʻO ka paʻakikī hanu kahi kūlana pilikia.

Pono nā poʻe me angioedema e:

• Hōʻalo i nā mea hoʻowahāwahā i ʻike ʻia e kumu ai kā lākou mau ʻōuli.
• Hōʻalo i nā lāʻau, nā mea kanu, a i ʻole nā ​​mea hoʻopili ʻaʻole i kuhikuhi ʻia e kahi mea hāʻawi.

Hiki i nā compresses a i ʻole nā ​​wai pulu ke hōʻoluʻolu i ka ʻeha.

ʻO nā lāʻau i hoʻohana ʻia e mālama i ka angioedema:

• Nā Antihistamines
• Nā lāʻau lapaʻau anti-inflammatory (corticosteroids)
• ʻO nā kiʻi Epinephrine (hiki i nā poʻe me ka mōʻaukala o nā ʻōuli koʻikoʻi ke hāpai i kēia mau mea me lākou)
• Nā lāʻau Inhaler e kōkua i ka wehe ʻana i nā kahawai

Inā pilikia ka hanu o ke kanaka, e ʻimi koke i ke kōkua lapaʻau. Hiki ke pale ʻia ke ala ākea weliweli ke ola inā pehu ka puʻu.

ʻAʻole hōʻoluʻolu ʻo Angioedema e pili ʻole i ka hanu ʻana. He mea maʻamau ʻole ia a hele i kekahi mau lā.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole pane ʻo Angioedema i ka lāʻau
• He koʻikoʻi ia
• ʻAʻole ʻoe i angioedema ma mua

E hele i ka lumi pilikia a kāhea paha i ka helu pilikia kūloko (e like me 911) inā aia kekahi o kēia mau ʻōuli.

• Kani ka hanu maʻamau
• Ka hanu paʻakikī a me ke kani ʻana paha
• Mauleʻa

ʻO ka edema Angioneurotic; Welts; Ka hopena āpau - angioedema; Hives - angioedema

ʻO Barksdale AN, Muelleman RL. Allergy, hypersensitivity, a me anaphylaxis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 109.

ʻO Dinulos JGH. Urticaria, angioedema, a me pruritus. I: Dinulos JGH, hoʻoponopono.ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 6.

ʻO Dreskin SC. Urticaria a me angioedema. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 237.