Future angioedema,
Such a pathological good was named after the German doctor Quincke, who described his symptoms in 1882. Edema appears in most cases for the face, less rarely - in the mucous membranes of the respiratory system, gastrointestinal tract and urogenital system. Such a deviation can be of several types: Hereditary angioedema. It manifests itself in one family from generation to generation, but it occurs very occasionally. According to statistics, this pathology suffers about a single person for 150 thousand people. The pain manifests at the age of 7 before 14 years. A fascinating feature of patients with this genetic deviation is the highest possibility of development in their SLE or other autoimmune diseases. The disease is inherited in accordance with the autosomal dominant type, and the possibility of its manifestation is 50% in a baby, if this deviation is noted in one of the parents. And if the couple are sick, then the opportunity is 100%. Acute edema occurs in 30% of all cases. In half of all cases, it mixes with hives. In pensioners, this phenomenon occurs in most cases, to be used for the healing of ACE inhibitors (1-2 variants for one thousand people). Idiopathic if you know the nature of the onset of the disease is not likely for this stage of development of medical science.Huge urticaria is preferred in young patients; in women, the pain regytsya more often than the guys. Quincke's edema in children soon appears in the near future.Prerequisites of pathology
In the basis of the etiology of this difference, in most cases an allergy appears. As provocative substances in this case can walk: products (citrus fruits, nuts); food additives and colorants; pollen; hair of animals; speck of dust; poison of stinging insects; worm invasion; viral infection (hepatitis). Pseudoallergic effects occur in this case if the patient's digestive system is broken. And the love for the development of edema often causes a violation in the work of the organs of internal secretion. In most cases, this happens to be a malfunction in the thyroid gland. The causes of the ailment may also be: chemical substances (in the book number and pharmaceuticals); physical causes (burden, temperature); Inborn disturbances (missing activity or number of produced enzymes). With the action of ACE inhibitors, Quincke's edema also arises, the prerequisites of which are the blocking of the production of the angiotensin-converting enzyme. This slows down the death of bradikine, dilating the blood vessels. The hereditary angioedema appears due to the inherent deficiency of the C1 inhibitor, which may exist due to its reduced formation, overestimated consumption by the organism or with insufficient activity of this enzyme. This helps to increase the production of bradykinin with an increase in the degree of vascular permeability. The same design is manifested by the impact of malignant lesions of the lymphatic system, autoimmune deviations and a number of infectious diseases. In a number of all possible cases, the hereditary angioedema appears as a result of gene mutation to be the usual level of C1 enzyme. In women, the design of its development is often associated with the highest level of estrogen. The circumstances of the onset of puffiness can exist at a fairly long time. This is one of the most unsafe manifestations of this disease, which leads to respiratory deficiency. The signs of the Quincke edema located in the area of the digestive organs are not specific and resemble the picture of acute obstruction in the intestinal tract. The patient suffers from unbearable pain in the abdomen, diarrhea, nausea and vomiting. To be affected by the bladder and urethra (which happens quite often) there are pain and pains to be emptied, there may be a stop of urination. Localization of the process in the pleural cavity is accompanied by shortness of breath, chest pain for inspiration. If the edema develops in the brain, the clinical image recollects a transient ischemic attack, sometimes a convulsive syndrome or headache develops. Symptoms of the edema of Quincke located in the area of the digestive organs are not specific and resemble the picture of acute obstruction in the intestinal tract. The patient suffers from unbearable pain in the abdomen, diarrhea, nausea and vomiting. To be affected by the bladder and urethra (which happens quite often) there are pain and pains to be emptied, there may be a stop of urination. Localization of the process in the pleural cavity is accompanied by shortness of breath, chest pain for inspiration. If the edema develops in the brain, the clinical image recollects a transient ischemic attack, sometimes a convulsive syndrome or headache develops. Symptoms of the edema of Quincke located in the area of the digestive organs are not specific and resemble the picture of acute obstruction in the intestinal tract. The patient suffers from unbearable pain in the abdomen, diarrhea, nausea and vomiting. To be affected by the bladder and urethra (which happens quite often) there are pain and pains to be emptied, there may be a stop of urination. Localization of the process in the pleural cavity is accompanied by shortness of breath, chest pain for inspiration. If the edema develops in the brain, the clinical image recollects a transient ischemic attack, sometimes a convulsive syndrome or headache develops. The patient suffers from unbearable pain in the abdomen, diarrhea, nausea and vomiting. To be affected by the bladder and urethra (which happens quite often) there are pain and pains to be emptied, there may be a stop of urination. Localization of the process in the pleural cavity is accompanied by shortness of breath, chest pain for inspiration. If the edema develops in the brain, the clinical image recollects a transient ischemic attack, sometimes a convulsive syndrome or headache develops. The patient suffers from unbearable pain in the abdomen, diarrhea, nausea and vomiting. To be affected by the bladder and urethra (which happens quite often) there are pain and pains to be emptied, there may be a stop of urination. Localization of the process in the pleural cavity is accompanied by shortness of breath, chest pain for inspiration. If the edema develops in the brain, the clinical image recollects a transient ischemic attack, sometimes a convulsive syndrome or headache develops.In more than 50% of cases, all these episodes occur in the presence of urticaria with skin itching. In some cases, there is an effect on the part of many organs. Complications of Quincke's swelling with loss of consciousness, anaphylactic shock, or respiratory arrest due to obstruction of the upper respiratory tract. To be hereditary, the symptomatology develops more slowly (some days), tends to reverse development for 5 days. With all this, surrender of the throat and internal organs often occurs. This swelling occurs a couple of times a year around the impact of many causes. Between them - the dose of some drugs and alcohol, stress and lethargy, a cold or infectious disease. In the place of development of puffiness, the unhealthy person feels burning and tingling, in 1/3 part redness of the body and limbs appears.Urgent help
Here is what should be performed to be the first signs of ill-being: Call the professionals of the ambulance even to be in the condition of the relatively well-being of the victim. Dispose of the patient and try to calm him down. If the allergen is known, then its effect should be terminated. Beat the bee to pull the point. Remove for the intake of anti-histamine medication. Again it is better, if you can eat, enter it parenterally, mainly be a violation of the digestive system. Prepare drinks (for a single liter of uncomplicated water take 1 g of soda). It is also permissible to extract Borzhomi or Narzan. Swallow should be abundant, this will help, therefore, the matter from the body, which caused an allergic reaction. With the same purpose it is necessary to give a sorbent (Enterosgel, Sorbeks or ordinary activated carbon). Puffiness is removed by applying a cold compress or ice to the affected area. Begin the window and unfasten the pressing details of the clothes to ensure free passage to the lungs of air. If the patient begins anaphylactic shock, then it should be killed, tilted head for no reason, so that it was below the legs, and turn to the side. It is necessary to extract the presence of removable dentures.Qualified help to be edematous
If there comes an early help, then to be such a pathology, like Quincke's edema, the 1st help appears on several fronts: In order to prevent the progress of the pathological process, it is necessary to finish the act of the allergen. This is predominantly proud, if matter becomes the prerequisite, because of which allergic effects appear. Should exclude insecure food for the affected food, do not favor contact with dust, pollen and chemical substances. It is necessary to finish the dose of medicamentous property that causes sensitization. To swelling through the bite of an insect did not spread, just above the place of defeat, a tourniquet is placed. Carrying out desensitizing therapy. Enter the parenteral orally antihistamine drug, corticosteroids, enterosorbents. In a languid state, the body cleanses the body using infusion therapy. The allergic edema of Quincke is usually treated without reason. Apply drugs for the removal of pathological symptoms. Restoring the burden and bcc is permitted with the help of a saline or colloidal solution intravenously. Bradycardia is used atropine subcutaneously. Bronchospasm is removed by bronchodilators and anti-inflammatory agents by inhalation. Oxygen therapy is also performed. If there is an ostrast for the life of the patient, then the healing activities are conducted in the intensive care unit. There, antishock therapy is used around the unchanged control of pressure, respiration and heart rhythm. Preparations are introduced proceeding from the fact that Gehenna in an adult should not exist at least 100 mm Hg. and the baby has the least 50. The hereditary kind is treated a little differently. The image of the deficiency of the enzyme C1 is compensated by its introduction as a purified concentrate. Again, male hormones, frozen plasma, antifibrinolytic property are used.Preexisting development of Quincke's edema
Prophylaxis of the disease depends on the prerequisite of its development: If the result of an allergy is Quincke's edema, then I must reconsider the dose and remove the person's contact with the allergen. The presence of such cases of edema in family members should not be extracted for the sake of healing ACE inhibitors. If there is a hereditary location, then it should run injuries and operations. The reduced height of the C1 inhibitor can be restored by resorting to the help of synthetic hormones (androgens), which enhance the production of this substance. The baby for the prevention of puffiness does not use hormonal property, they give aminocaproic acid.Folk ways to be edemas
Healing to be a Quincke's edema should be treated with caution by traditional means. Before starting to prepare or extract natural ingredients, you should consult an allergist or another treating doctor. Helps to reduce the image of an allergy infusion of lemon balm. For the sake of manufacturing, 10 grams of a dry plant are taken and poured into 2 cups of boiling water. Take should be in accordance with 100 ml three to four times a day. To cope with the disease and to do better the good of the digestive tract helps the juice obtained from the root of the celery. Take it should be in accordance with one little spoon three times a day. It is allowed to perform tincture from this root. Insist crushed start in the amount of 2 huge spoons in a glass of cool water for 2 hours. The total amount of filtered water is divided into three parts and drunk in the course of the day. People prone to severe allergic reactions, it is recommended that they always have the proper antihistamine property for themselves.
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