Matenda a ziwengo ndi Anaphylaxis: Zizindikiro ndi Chithandizo

Zamkati

• Chithandizo choyamba cha anaphylaxis
• Kudzithandiza
• Chithandizo choyamba kwa ena
• Kufunika kwa chithandizo chamankhwala
• Zizindikiro za anaphylaxis
• Zoyambitsa komanso zomwe zimayambitsa anaphylaxis
• Mwa ana
• Akuluakulu
• Mitundu ya anaphylaxis
• Uniphasic anachita
• Biphasic anachita
• Kusintha kwakanthawi
• Zovuta za anaphylaxis
• Chiwonetsero

Kumvetsetsa ziwengo ndi anaphylaxis

Ngakhale kuti ziwengo zambiri sizowopsa ndipo zimatha kuwongoleredwa ndi mankhwala wamba, zovuta zina zimatha kubweretsa zovuta zowononga moyo. Chimodzi mwamavuto owopsawa amatchedwa anaphylaxis.

Anaphylaxis ndiwowopsa, thupi lonse lomwe limakhudza mtima komanso kuzungulira kwa magazi, mapapo, khungu, komanso kugaya chakudya. Zitha kukhudzanso maso ndi dongosolo lamanjenje.

Matenda owopsa amatha kuyambitsidwa ndi chakudya, monga mtedza, mkaka, tirigu, kapena mazira. Zitha kukhalanso zokhudzana ndi kulumidwa ndi tizilombo kapena mankhwala ena.

Amalandira chithandizo chamankhwala nthawi yomweyo kuti apewe zovuta zomwe zimayamba kuchepa.

Chithandizo choyamba cha anaphylaxis

Anthu ambiri omwe amadziwa kuti ali ndi chifuwa chachikulu amakhala ndi mankhwala otchedwa epinephrine, kapena adrenaline. Izi zimalowetsedwa mu minofu kudzera mu "auto-injector" ndipo ndizosavuta kugwiritsa ntchito.

Imagwira mwachangu mthupi kuti ikweze kuthamanga kwa magazi, imalimbikitsa mtima wanu, imachepetsa kutupa, ndikupumira. Ndiwo mankhwala osankhidwa ndi anaphylaxis.

Kudzithandiza

Ngati mukukumana ndi anaphylaxis, perekani epinephrine kuwombera nthawi yomweyo. Jekeseni m'ntchafu kuti mupeze zotsatira zabwino.

Lankhulani ndi dokotala wanu za nthawi ya jekeseni wanu. Akatswiri ena amalangiza kugwiritsa ntchito epinephrine kuwombera mukangozindikira kuti mwakumana ndi zovuta, m'malo modikirira zisonyezo.

Mudzafunika kupita kuchipinda chodzidzimutsa (ER) monga kutsata. Kuchipatala, mudzapatsidwa oxygen, antihistamines, ndi intravenous (IV) corticosteroids - makamaka methylprednisolone.

Mungafunike kuwonedwa mchipatala kuti muwone momwe mumathandizira komanso kuwonerera zomwe mungachite.

Chithandizo choyamba kwa ena

Ngati mukuganiza kuti wina akukumana ndi anaphylaxis, tengani izi:

• Funsani wina kuti ayitane thandizo lachipatala. Imbani 911 kapena kwanu mwadzidzidzi ngati muli nokha.
• Funsani munthuyo ngati ali ndi epinephrine auto-injector. Ngati ndi choncho, athandizireni molingana ndi malangizo. Osapereka epinephrine kwa munthu yemwe sanalandire mankhwala.
• Thandizani munthuyo kuti akhale wodekha ndikugona mwakachetechete ndikukweza miyendo yake. Ngati kusanza kukuchitika, atembenuzireni kumbali kuti athetse kutsamwa. Musawapatse chilichonse chakumwa.
• Ngati munthuyo wakomoka ndipo wasiya kupuma, yambani CPR, ndipo pitirizani mpaka thandizo lachipatala lifike. Pitani apa kukalandira malangizo mwatsatanetsatane pochita CPR.

Kufunika kwa chithandizo chamankhwala

Ndikofunika kupeza chithandizo chamankhwala kuti awonongeke kwambiri, ngakhale munthuyo atayamba kuchira.

Nthaŵi zambiri, zizindikiro zimatha kusintha poyamba koma zimakula mofulumira pakapita nthawi. Chithandizo chamankhwala ndichofunikira kuti tipewe kuukiranso.

Zizindikiro za anaphylaxis

Kuyamba kwa anaphylaxis ndikofulumira. Mutha kukumana ndi zomwe mungachite m'masekondi ochepa chabe mutakumana ndi chinthu chomwe simukudziwa. Pakadali pano, kuthamanga kwa magazi kwanu kumachepa mwachangu ndipo momwe mpweya wanu uyenera kuchepa.

Zizindikiro za anaphylaxis ndi izi:

• kukokana m'mimba
• kugunda kwa mtima
• nseru ndi kusanza
• kutupa kwa nkhope, milomo, kapena mmero
• zotupa pakhungu monga ming'oma, kuyabwa, kapena khungu
• mavuto opuma
• chizungulire kapena kukomoka
• ofooka komanso wofulumira kugunda
• kuthamanga kwa magazi (hypotension)
• khungu lotumbululuka
• zoyendetsa, makamaka kwa ana

Zoyambitsa komanso zomwe zimayambitsa anaphylaxis

Anaphylaxis imayambitsidwa ndi chifuwa - koma sikuti aliyense amene ali ndi chifuwa amakhala ndi vuto lotere. Anthu ambiri adakumana ndi zizindikilo za ziwengo, zomwe zingaphatikizepo:

• mphuno
• kuyetsemula
• kuyabwa kapena khungu
• totupa
• mphumu

Ma Allergen omwe angachititse kuti chitetezo cha mthupi lanu chikweze kwambiri ndi awa:

• zakudya
• mungu
• nthata
• nkhungu
• dander kuchokera ku ziweto monga amphaka kapena agalu
• kulumidwa ndi tizilombo, monga omwe amachokera ku udzudzu, mavu, kapena njuchi
• lalabala
• mankhwala

Mukakumana ndi allergen, thupi lanu limaganiza kuti ndi lochokera kunja ndipo chitetezo cha mthupi chimatulutsa zinthu kuti zilimbane nazo. Zinthu izi zimapangitsa kuti maselo ena atulutse mankhwala, omwe amachititsa kuti thupi lawo lisagwire bwino ntchito ndikusintha mthupi lonse.

Mwa ana

Malinga ndi European Center for Allergy Research Foundation (ECARF), chifukwa chofala kwambiri cha anaphylaxis mwa ana ndi chifuwa cha zakudya. Zakudya zomwe anthu amakonda kudya zimakhala monga:

• chiponde
• mkaka
• tirigu
• mtedza wamtengo
• mazira
• nsomba

Ana amakhala pachiwopsezo chachikulu cha chakudya pamene ali kutali ndi kwawo. Ndikofunika kuti muwadziwitse onse osamalira okhudzana ndi zakudya zamwana wanu.

Komanso, phunzitsani mwana wanu kuti asalandire chilichonse chophika chokha kapena zakudya zina zilizonse zomwe zingakhale zosadziwika.

Akuluakulu

Kwa akuluakulu, zomwe zimayambitsa anaphylaxis ndi zakudya, mankhwala, ndi ululu wa kulumidwa ndi tizilombo.

Mutha kukhala pachiwopsezo cha anaphylaxis ngati simugwirizana ndi mankhwala aliwonse, monga aspirin, penicillin, ndi maantibayotiki ena.

Mitundu ya anaphylaxis

Anaphylaxis ndi nthawi yayitali yokhudzana ndi izi. M'malo mwake, imatha kugawidwa m'magulu ang'onoang'ono. Magawo osiyanasiyana amatengera momwe zimachitikira komanso momwe zimachitikira.

Uniphasic anachita

Uwu ndiye mtundu wofala kwambiri wa anaphylaxis. Kuyamba kwa zomwe achite ndikufulumira, ndipo zizindikilo zikuwonjezeka pafupifupi mphindi 30 mutakumana ndi zovuta.

Akuti pafupifupi 80 mpaka 90 peresenti ya milandu yonse imatha kukhala zochitika zosagwirizana.

Biphasic anachita

Biphasic reaction imachitika atangomva kumene anaphylaxis, makamaka pakati pa 1 mpaka 72 maola kuchitira koyamba. Nthawi zambiri zimachitika pakadutsa maola 8 mpaka 10 mutangoyamba kuchitapo kanthu.

Kusintha kwakanthawi

Uwu ndiye mtundu wautali kwambiri wa zomwe zimachitika. Pochita izi, zizindikiro za anaphylaxis zimapitilira ndipo ndizovuta kuchiza, nthawi zina zimakhala maola 24 kapena kupitilira osathetsa kwathunthu.

Izi zimachitika kawirikawiri. Kupitirizabe kuthamanga kwa magazi kumatha kuchitika ndipo kuchipatala kungafune.

Zovuta za anaphylaxis

Mukasiya chithandizo, anaphylaxis imatha kubweretsa mantha a anaphylactic. Izi ndizowopsa pomwe kuthamanga kwa magazi kumatsika ndipo njira zanu zoyendetsera mpweya zimachepetsa ndikutupa, zomwe zimalepheretsa kupuma. Mtima wanu amathanso kuyimilira mukamanjenjemera chifukwa chosayenda bwino kwa magazi.

Milandu yovuta kwambiri, anaphylaxis imatha kupha. Kuchiritsidwa mwachangu ndi epinephrine kumatha kuletsa zoopsa za anaphylaxis. Phunzirani zambiri za zotsatira za anaphylaxis.

Chiwonetsero

Maganizo a anaphylaxis ndi abwino pamene njira zamankhwala zithandizidwa mwachangu. Kusunga nthawi apa ndichinsinsi. Anaphylaxis imatha kupha ngati siyichiritsidwa.

Ngati muli ndi chifuwa chachikulu, nthawi zonse muyenera kukhala ndi epinephrine auto-injor dzanja mukamawonekera ndi anaphylaxis. Kuwongolera pafupipafupi mothandizidwa ndi wotsutsa kumathandizanso.

Pewani ma allergen odziwika ngati kuli kotheka. Komanso, tsatirani dokotala wanu ngati mukukayikira kukhudzidwa ndi zovuta zina zomwe sizikupezeka.