Mlembi: John Pratt
Tsiku La Chilengedwe: 12 Febuluwale 2021
Sinthani Tsiku: 21 Novembala 2024
Anonim
Anaphylaxis: chimene chiri, zizindikiro zazikulu ndi chithandizo - Thanzi
Anaphylaxis: chimene chiri, zizindikiro zazikulu ndi chithandizo - Thanzi

Zamkati

Anaphylaxis, yomwe imadziwikanso kuti anaphylactic shock, ndiyomwe imawopsa kwambiri, yomwe imatha kupha ngati singachiritsidwe mwachangu. Izi zimayambitsidwa ndi thupi lokha ngati pali zovuta zina zamtundu uliwonse, zomwe zimatha kukhala chakudya, mankhwala, ululu wa tizilombo, zinthu kapena zinthu zina.

Kuyankha kwa anaphylactic kumayamba mwachangu, ndipo kumatha kukula mumphindi zochepa kapena maola ochepa, kumabweretsa kuwonekera kwa zizindikiro monga kuthamanga kwa magazi, kutupa kwa milomo, mkamwa komanso kupuma movutikira.

Ngati mukukayikira anaphylaxis, tikulimbikitsidwa kuti mupite mwachangu kuchipatala, kuti chithandizo chichitike mwachangu. Chithandizochi nthawi zambiri chimakhala ndikuwapatsa jakisoni adrenaline ndikuwunika zizindikilo zake.

Zizindikiro zazikulu

Zizindikiro za anaphylaxis nthawi zambiri zimawoneka mwachangu kwambiri ndipo zimaphatikizapo:


  • Kufiira pakhungu ndi khungu;
  • Zowombetsa mkota kuyabwa;
  • Kutupa kwa milomo ndi lilime;
  • Kumva kwa bolus pakhosi.
  • Kuvuta kupuma.

Kuphatikiza apo, zizindikilo zina zochepa, zomwe zitha kuwonekeranso ndi izi: kusadziletsa, kupweteka m'mimba, kusanza ndi kukoma kwachilendo pakamwa.

Kuphatikiza apo, mtundu wazizindikiro amathanso kusiyanasiyana kutengera zaka. Tebulo lotsatirali likuwonetsa zodziwika kwambiri kwa ana ndi akulu:

AkuluakuluAna
Kufiira pakhunguKufiira pakhungu
Kutupa kwa lilimeKupuma kwamphamvu
Nseru, kusanza ndi / kapena kutsegula m'mimbaChifuwa chowuma
Chizungulire, kukomoka kapena hypotensionNseru, kusanza ndi / kapena kutsegula m'mimba
Kupumira ndi / kapena kutsekeka kwammphunoKhungu, kukomoka ndi / kapena hypotension
ItchKutupa kwa lilime
 Itch

Kodi ndizomwe zimayambitsa kwambiri

Anaphylaxis imachitika chifukwa chokhala ndi zosafunikira, zomwe ndi zinthu zomwe chitetezo chamthupi chimatha. Zitsanzo zina mwazomwe zimayambitsa matendawa ndi awa:


  • Zakudya, monga dzira, mkaka, soya, gluten, mtedza ndi mtedza wina, nsomba, molluscs ndi crustaceans, mwachitsanzo;
  • Mankhwala;
  • Tizilombo toyambitsa matenda, monga njuchi kapena mavu;
  • Zipangizo, monga lalabala kapena faifi tambala;
  • Zinthu, monga mungu kapena ubweya wa nyama.

Phunzirani kuzindikira chomwe chingakhale choyambitsa matendawa, kudzera pakuwunika.

Momwe mankhwalawa amachitikira

Chithandizo cha anaphylaxis chikuyenera kuyambika mwachangu kuchipatala ndipo, chifukwa chake, ngati akukayikira mtundu uwu, ndikofunikira kupita kuchipinda chadzidzidzi. Poyang'anizana ndi mantha a anaphylactic, chinthu choyamba chomwe chimachitika nthawi zambiri ndi kuperekera jakisoni adrenaline. Pambuyo pake, munthuyo akuyang'aniridwa mchipatala, momwe zizindikilo zake zofunikira zimayang'aniridwa.

Kuphatikiza apo, nthawi zina, pangafunike kupatsa oxygen ndi mankhwala ena, monga antihistamines, monga intramuscular kapena intravenous clemastine kapena hydroxyzine, oral corticosteroids, monga methylprednisolone kapena prednisolone ndipo, ngati kuli kofunikira, kubwereza intramuscular adrenaline, 5 iliyonse mphindi mpaka pazowonjezera za 3.


Ngati bronchospasm imachitika, pangafunike kugwiritsa ntchito salbutamol mwa kupuma. Kwa hypotension, saline kapena crystalloid solution imatha kuperekedwa.

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