Anaphylaxis: chimene chiri, zizindikiro zazikulu ndi chithandizo
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:
Akuluakulu | Ana |
Kufiira pakhungu | Kufiira pakhungu |
Kutupa kwa lilime | Kupuma kwamphamvu |
Nseru, kusanza ndi / kapena kutsegula m'mimba | Chifuwa chowuma |
Chizungulire, kukomoka kapena hypotension | Nseru, kusanza ndi / kapena kutsegula m'mimba |
Kupumira ndi / kapena kutsekeka kwammphuno | Khungu, kukomoka ndi / kapena hypotension |
Itch | Kutupa 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.