Ka pupuhi ohorere tō tinana i ētahi wā? Tērā pea he angioedema!

Kua kite koe i te pupuhi ohorere o ō ngutu, te pupuhi rānei o ō kanohi? I ētahi wā ka pupuhi tō mata katoa, tae atu ki ō ringaringa me ō waewae. He mea noa te mataku ina puta mai tēnei āhuatanga. I te nuinga o te wā, ka puta mai tēnei i te mate e kiia nei ko te angioedema . Me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho, āe?

He aha te Angioedema? Kia mārama tātou!

He whakarāpopototanga noa iho, ko te Angioedema he pupuhi o ngā kiko i raro i tō tātou kiri, inā koa ko te kiri raro, te paparanga o roto o te kiri, ngā paparanga rānei i raro i te kiriuhi mucous. Ka puta tēnei hei tauhohenga ki tētahi mea. Kua rongo pea koe i tētahi āhuatanga e kiia nei ko te urticaria , ko te hives rānei. He maha ngā wā ka puta ngātahi te angioedema me te hives, ā, he tino ōrite ngā take. I ngā āhuatanga e rua, ka turuturu te wai mai i ō tātou oko toto iti ki roto i ngā kiko, ka pupuhi ngā wāhi.

I te nuinga o te wā ka tīmata ohorere te angioedema, ā, ka memeha haere i roto i te rā kotahi, e rua rānei. Ko te nuinga ka pā ki ngā ngutu me te taha o ngā kanohi . Engari, whakaarohia, ki te pā tēnei pupuhi ki ō tātou ara manawa , ka tino morearea pea, ka mate pea . Nō reira me tūpato tātou ki tēnā.

He aha ngā momo matua o te angioedema?

He maha ngā momo angioedema. He rerekē te whakarōpūtanga a ngā whakahaere hauora rerekē, engari i te nuinga o te wā, ka taea e tātou te tautuhi i ētahi momo matua.

1. Te angioedema mate pāwera whakapeka

Koinei pea te momo kua rongohia e koe, kua tino pāngia hoki e koe. Ka puta mai tēnei ina pāngia koe e tētahi mea e mate pāwera ana koe. Tērā pea he mea kua kainga e koe (he kai, he inu), he rongoā kua tangohia, he mea kua pāngia rānei e koe (hei tauira, he mea i hangaia ki te rapa maori). Ka puta anō hoki i muri i te ngaunga a te pepeke, te pūngāwerewere rānei.

Ka tino tere te puta o te angioedema mate pāwera whakapeka, i roto i ētahi meneti ki te haora, e rua rānei, i muri i te pānga ki te mate pāwera. He maha ngā wā ka haere tahi tēnei pupuhi me te whewhe.

2. Te angioedema nā te tauhohenga rongoā ehara i te mate pāwera

Kāore tēnei momo angioedema e puta tonu mai i muri i te tango i tētahi rongoā. Ko te momo rongoā matua e puta ai tēnei tauhohenga kore-mate pāwera ko ngā aukati whākōkī-hurihuri angiotensin , ngā aukati ACE rānei, ngā ACEI rānei hei whakarāpopototanga.Ko ēnei rongoā e whakamahia whānuitia ana hei whakawhānui i ngā oko toto, hei rongoā i ngā mate ngākau, hei whakaheke i te toto toto tiketike. Ka taea hoki e ngā rongoā anti-inflammatory kore-steroidal (NSAID) , pērā i te ibuprofen me te naproxen, te whakaputa i tēnei momo angioedema.

3. Te angioedema kāore i te mōhiotia te take (te angioedema idiopathic)

Ko te tikanga o te kupu " idiopathic" he "kore e mōhiotia te take." Nō reira he uaua ki te kimi i tētahi take motuhake mō tēnei momo angioedema. Ko te pupuhi ka puta i te mata, i ngā ringa, i te tinana, me ngā waewae. Tērā pea ka pāngia ētahi tāngata e ngā raruraru pūnaha ārai mate me te ahotea.

4. Te angioedema tuku iho (HAE)

Ko te angioedema tuku iho tēnei, e mōhiotia ana ko te HAE mō te poto. He mea tēnei ka riro mai i ō mātua mā ō ira. Ka taea e ngā tamariki te tuku iho ahakoa kotahi anake te mātua kei a rātou te ira, ahakoa kei a rātou te mate. Ka taea hoki e ētahi tāngata te whakawhanake i tēnei momo angioedema nā ngā whakarerekētanga ira tūpono. E kiia ana tata ki te 1 i roto i te 50,000 tāngata ka pāngia e tēnei momo angioedema tuku iho (HAE). E toru ngā momo matua o tēnei, ia momo e pā ana ki ngā taumata o te pūmua C1 me/ranei te aukati C1 esterase i roto i ō tātou toto.

5. Te angioedema o te ngoikore o te aukati C1

Ka puta hoki te angioedema i tēnei, engari ehara i te mea tuku iho. Ko te tikanga o te "acquired" kāore koe i whānau mai me te ngoikore o te pūnaha io, engari ka pāngia koe i muri mai i te ao. Pērā i ētahi atu momo, ka pā pea tēnei momo angioedema ki tō larynx, ki tō whekau rānei, ā, ka pāngia pea koe e te hau. Mena he mate tōu pērā i te lymphoma pūtau-B, ka kiia tēnei mate ko te Acquired C1 inhibitor deficiency.

6. Te angioedema i puta mai i te wiri (Vibratory angioedema)

I tēnei āhua, ka puta te pupuhi i ngā wiri tonu. Hei tauira, ka puta pea tēnei ina eke motopaika koe, ina oma, ina oma tere, ina mirimiri kaha, ina mahi rānei i ētahi atu mahi rite. Ko te angioedema wiri tētahi atu momo o tētahi āhua onge e kiia nei ko te urticaria mau tonu . I roto i tēnei āhua, ka puta ngā hives hei urupare ki ngā whakaohooho o waho pērā i te makariri, te wera, te wai, te pēhanga, te wiri rānei. Ka mau tonu ngā kiri mākūkū, ā, ka roa mō te ono wiki pea.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te angioedema?

Ina hoki, ka taea e te tangata katoa te pāngia e te angioedema. E kiia ana kei waenganui i te 20% me te 25% o te taupori o Amerika ka pāngia e te angioedema me/ranei te urticaria i te iti rawa i te kotahi i roto i ō rātou oranga. Nō reira, he mea noa tēnei mate i Sri Lanka.

He aha ngā tohu o te angioedema? Me pēhea te mōhio ki a rātou?

Ko ngā tohu matua o te angioedema ko:

• Te pupuhi, te pupuhi rānei o te mata , inā koa te taha o ngā kanohi me te waha, tae atu ki ngā ngutu me te arero. Whakaarohia te oho ake i te ata, kātahi ka pupuhi ō ngutu, ā, he uaua ki te kōrero.
• Ki te mumura ō whekau, tera pea ka pāngia koe e ngā raruraru nakunaku . Kei roto i tēnei ko te mamae o te puku, te korere, te whakapairuaki, me te ruaki.
• Te pupuhi o ngā ringa, o ngā waewae, o ngā ira tangata rānei.
• Ka taea e ngā panonitanga o te toto te whakaputa i ngā āhuatanga pēnei i te whanoke, te hemo rānei .
• Ka uaua te manawa me te kōrero i te pupuhi o te waha, o te korokoro, o ngā ara manawa rānei. Koinei te mea tino morearea. Mēnā ka puta he mea pēnei, he āhuatanga ohorere hauora tēnei. Me haere tonu koe ki te hōhipera!

Ko te mea nui: Ki te pupuhi tō korokoro, ā, e ahua uaua ana koe ki te manawa, ehara i te mea whakakatakata. Rapua tonutia he tohutohu hauora.

He aha te take e puta ai te angioedema? He aha ngā take?

He rerekē ngā take o te angioedema i runga i te momo angioedema kei a koe. Heoi, ko te tino take ko ngā mate pāwera . He maha ngā momo mate pāwera ka puta ai:

• Mate pāwera kai: Ko te miraka, ngā hua manu, ngā nati pērā i te kāhew, me ngā kaimoana pērā i te mātaitai te take o tēnei.
• Mate pāwera rongoā: Ka taea tēnei e ngā paturopi pērā i te penicillin me te sulfa drugs, ngā rongoā anti-inflammatory kore-steroidal (NSAIDs), me ngā rauemi whakawehewehe e whakamahia ana i roto i ētahi whakamātautau whakaahua. Ka taea e ēnei momo mate pāwera te whakaputa i te hives.
• Paitini: Te paitini e tukuna ana e ngā ngau a ngā pepeke, ā, he onge noa iho e ngā kararehe pēnei i te pūngāwerewere parauri mōkemoke.
• Rapa rapa tūturu: He rauemi te rapa hei hanga i ngā mea pēnei i ngā karapu, ngā poihau, ngā ure tārewa, me ngā katitere hauora. Tērā pea kua pātai atu tō tākuta ki a koe mēnā he mate pāwera koe ki te rapa.

Ko ētahi atu take ko ngā raruraru tuku iho me ngā raruraru o muri mai ki te pūmua aukati C1, ngā tauhohenga rongoā e puta ana me te kore e mākūkū, e ponana rānei (ehara ēnei i te mate pāwera noa), me ngā nekehanga wiri.

He mate hopuhopu te angioedema?

Kāore rawa.Kāore e taea te pangia e te angioedema mai i tētahi atu, kāore hoki e taea te hora atu ki tētahi atu. Ehara i te mate hopuhopu.

Me pēhea te tautuhi i te angioedema? He aha ngā mea e tirohia ana e ngā tākuta?

He uaua pea te kī he aha te momo angioedema kei a koe. Ka tirohia tō tinana e tō tākuta i te tuatahi, engari i te nuinga o te wā ka kitea ngāwari te pupuhi. Kātahi ka pātai atu rātou ki a koe i ētahi pātai:

• Nōnahea i tīmata ai te pupuhi?
• I kai koe, i inu, i tango, i pā rānei ki tētahi mea i whakaaro koe koinei pea te take o te tauhohenga?
• He aha ngā rongoā me ngā tāpiringa e tangohia ana e koe i tēnei wā?
• Kua pā mai tētahi tauhohenga pēnei i mua?
• Kua pāngia tētahi atu o tō whānau e te pupuhi pēnei?

Haunga te pātai i ēnei pātai, ka tono pea tō tākuta i ngā whakamātautau toto, i ngā whakamātautau kiri rānei hei tirotiro mō ngā mate pāwera , i ngā whakamātautau toto rānei hei tirotiro mō te angioedema e pā ana ki te pūmua aukati C1.

He aha ngā maimoatanga mō te Angioedema?

Ka rerekē te maimoatanga mō te angioedema i runga i te momo e pā ana ki a koe.

• Mō ngā mate pāwera kino , ka hoatu pea e tō tākuta he werohanga epinephrine ka taea e koe te pupuri i ngā wā katoa. Me hoatu tēnei werohanga ki a koe anō ina waea atu koe ki te 911 (1990 i Sri Lanka) i roto i tētahi āhuatanga ohorere.
• Mō te angioedema mate pāwera , ka tohua pea e tō tākuta he rongoā antihistamine , he steroids rānei. Ka taea ēnei te tango hei pire, hei wai (ā-waha), hei hoatu rānei mā roto i te uaua.
• Mena he tauhohenga rongoā kāore i te mate pāwera tōu, ka kitea e tō tākuta he rongoā hei whakakapi mō te mea e pupuhi ana. Kaua rawa e mutu te tango i tō rongoā me te kore he tohutohu a tō tākuta.

Ko ngā rongoā kāinga ko te paninga hukapapa hei whakaiti i te pupuhi, te kaukau i te wai matao, me te paninga i tētahi kakahu matao, mākū ki te wāhi pupuhi. He pai ēnei mō te pupuhi ā-rohe, te pupuhi o ngā ngutu katoa, te pupuhi rānei o ngā kanohi.

Mena he angioedema tuku iho tōu, he idiopathic, he acquired C1 inhibitor deficiency rānei , tera pea ka tukuna koe ki tētahi tohunga. Ko ētahi o ngā rongoā e whakamahia ana hei rongoā, hei ārai rānei i te angioedema tuku iho (HAE) ko:

• Te aukati i te C1 esterase (recombinant) (Ruconest®)
• Ārai C1 (tangata) (Berinert®, Cinryze®, Haegarda®)
• Ecallantide (Kalbitor®)
• Icatibant (Firazyr®)
• Lanadelumab (Takhzyro®)
• Berotralstat (Orladeyo®)

He huarahi hei ārai i te angioedema?

Āe, tera ētahi huarahi.

• Mena he angioedema tōu e pā ana ki te mate pāwera , ka taea e koe te ārai mā te karo i ngā kai, ngā rongoā, ētahi atu mea rānei (ngā mea e whakaoho ai) i te mate pāwera.
• Mena ka pāngia koe e te angioedema ehara i te mate pāwera i a koe e tango ana i ngā rongoā ACEI (ngā aukati ACE) , me kōrero koe ki tō tākuta mō te huri ki tētahi atu rongoā.

He aha ngā mea ka taea e te tangata e pāngia ana e te angioedema te tumanako atu?

Ko te nuinga o ngā mate pukupuku e kore e roa . Ka memeha noa iho. Heoi, i ngā wā tino kino, me rongoā kia tuwhera tonu te ara manawa.

Ka taea te whakamate i te angioedema? He mea morearea tēnei?

Mō ētahi tāngata, ka taea e te angioedema mate pāwera te arahi ki tētahi āhuatanga e kiia nei ko te anaphylaxis - he pupuhi nui o ngā ara manawa me ngā pukahukahu. Ka taea e tēnei te whakararu i te ora . Ka tohutohu ngā tākuta ki te hunga whai mate pēnei kia mauria he epinephrine werohanga (EpiPen®, Auvi-Q®, Adrenaclick® me ētahi atu waitohu) hei rongoā i ngā urupare mate pāwera kino.

Ahakoa te take, he āhuatanga ohorere hauora tonu te angioedema e pā ana ki te ara manawa. Nō reira, me tere tonu te maimoatanga. I ētahi wā, me whai pokanga e kiia nei ko te tracheostomy (te hanga i tētahi pūaha i roto i te puha manawa) hei āwhina i te manawa.

Mena he angioedema tōku, me pēhea taku tiaki i a au anō?

Mena he angioedema tōu, me karo i ngā mea e whakaoho ana i te mate pāwera . Mena ka tohua e tō tākuta he rongoā hei ārai i ngā wā ka pā mai anō, me tango kia rite ki ngā tohutohu. Mena kua kīia atu ki a koe kia mauria he epinephrine werohanga , kia mau tonu i a koe. Whakaakona tō whānau me ō hoa ki te whakamahi.

Āhea ahau me toro atu ki te tākuta?

Mena he nui te mate pāwera kei a koe, ā, ka pāngia ō ara manawa e te pupuhi, waea atu ki te 1990 (ratonga waka tūroro ohorere) tonu atu.

I ngā wā kāore i te tino kino, ki te haere tonu te angioedema ki a koe, tirohia tō tākuta. Ka taea e rātou te matapaki i ngā kōwhiringa ārai. Ko ētahi atu kōwhiringa maimoatanga ko ngā antihistamines ā-waha me ngā steroids. Idiopathic, he uaua ki te rongoāKua whakamahia e ētahi tākuta he paturopi monoclonal e kiia nei ko Omalizumab (Xolair®) mō te angioedema (idiopathic angioedema).

Hei whakamutunga, ko ngā mea tino nui hei maumahara

Ki te pupuhi ō kanohi, ngutu, ringaringa rānei, tera pea he mate kiri e kiia nei ko te angioedema. He nui ake te tūponotanga ka puta tēnei mena he mate pāwera koe. Puritia he tuhinga mō te wā me te wā ka puta ai tēnei, ā, akohia te karo i ngā mea e mate pāwera ana koe. Mena e mōhio ana koe kua pāngia ētahi atu o tō whānau e ēnei mate, kōrero atu ki tō tākuta. Tērā pea ka tūtohu ia i ngā whakamātautau hei tirotiro mena kei roto i tō whānau te mate. Mena he mate pāwera tōu, he mea nui kia tata tonu te epinephrine werohanga, nā te mea ka mutu te manawa i te pupuhi o ō ara manawa. Kaua e mataku, engari he mea whakaaro nui kia mōhio koe ki tēnei me te mahi i ngā mahi e tika ana.

` Angioedema, pupuhi, mate pāwera, mate kiri, tiaki ohorere, epinephrine, urticaria