ʻO edema Glottis: he aha ia, nā ʻōuli a me nā mea e hana ai

Anter

• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau

ʻO ka edema Glottis, ʻike ʻepekema ʻia ʻo laryngeal angioedema, kahi pilikia i hiki ke ala aʻe i ka wā o ka hopena maʻi ʻino nui a ʻike ʻia e ka huʻu i ka ʻāʻī.

Kuhi ʻia kēia kūlana i kahi pilikia olakino, ʻoiai ʻo ka pehu e hoʻopili i ka ʻāʻī hiki ke pale i ke kahe o ka lewa i nā akemāmā, pale i ka hanu. ʻO ka mea e hana ai inā hihia ʻo glottis edema:

1. Kāhea i ke kōkua lapaʻau ke kāhea ʻana iā SAMU 192;
2. E nīnau inā loaʻa i ke kanaka ka lāʻau āpau, no laila hiki iā ʻoe ke lawe ʻoiai ʻoe e kali nei i ke kōkua. Loaʻa paha i kekahi poʻe me nā maʻi kīpē koʻikoʻi he peni epinephrine, kahi e pono ai e lawelawe ʻia i kahi hanana alapiʻi koʻikoʻi;
3. E waiho i ke kanaka i ka hiamoe maikaʻi, me nā wāwae i hāpai ʻia, e kōkua i ke kahe o ke koko;
4. Nānā i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka puʻuwai puʻuwai a me ka hanu ʻana, no ka mea inā lākou e hele ʻole, pono e hana i ka lomilomi puʻuwai. E nānā i nā ʻōkuhi a me nā ʻanuʻu e pili ana pehea e hana ai i ka massage cardiac.

Hōʻike koke nā ʻōuli o kahi hopena maʻi ahulau, ma hope o kekahi mau minuke i kekahi mau hola o ke kū ʻana i ka lāʻau i loaʻa i ka maʻi āpau, e like me ka paʻakikī i ka hanu ʻana, kahi manaʻo o kahi pōpō i ka puʻu a i ʻole ke kani ʻana i ka hanu ʻana.

Nā hōʻailona nui

ʻO nā ʻōuli o ka edema glottis:

• Ka manaʻo o ka bolus i ka puʻu;
• Hanu paʻakikī;
• Ke kani a i ʻole kahi kani kani i ka hanu ʻana;
• Ke ʻano o ka pilī ma ka umauma;
• Hoarseness;
• Ka ʻōlelo paʻakikī.

Aia kekahi mau hōʻailona ʻē aʻe e pili pū me ka edema glottis a pili pū ʻia me ke ʻano o ka maʻi āpau, e like me ka hives, me ka ʻulaʻula a i ʻole ʻili kaili, nā maka a me nā lehelehe i hoʻonui ʻia, alelo hoʻonui ʻia, ʻāʻī puʻu, conjunctivitis a hoʻouka hānō paha, no ka laʻana.

Hōʻike pinepine ʻia kēia mau ʻōuli ma 5 mau minuke a 30 mau minuke ma hope o ka hōʻike ʻia ʻana i kahi lāʻau e kumu ai i ka maʻi āpau, hiki ke lilo i lāʻau lapaʻau, kahi meaʻai, nā nahu o nā kolo, nā loli o ka mahana a i ʻole ma muli o kahi predisposition genetical, i nā mea maʻi me ka maʻi i kapa ʻia ʻo Hereditary Angioedema. E aʻo hou aʻe e pili ana i kēia maʻi ma aneʻi.

Pehea e hana ai i ka lāʻau

Ma hope o ka loiloi e ka hui olakino a me ka hōʻoia o ka makaʻu o ka glottis edema, hōʻike ʻia ka lapaʻau ʻana, hana ʻia me nā lāʻau e hōʻemi koke i ka hana o ka ʻōnaehana paleʻea, a hoʻokomo pū ʻia me ka hoʻopili ʻana o nā injection i loaʻa nā adrenaline, anti-allergens a me Corticosteroids.

ʻOiai he paʻakikī paha i ka hanu ʻana, pono paha e hoʻohana i kahi mask oxygen a i ʻole intubation orotracheal, kahi e hoʻokomo ʻia ai kahi paipu ma waena o ka puʻu o ke kanaka i hiki ʻole i kā lākou hanu ke pale ʻia e ka ʻōhū.