Chifukwa Chomwe Zomwe Amachitira Anaphylactic Zimafunikira Ulendo Wopita Kuchipinda Chadzidzidzi

Zamkati

• Chidule
• Nthawi yogwiritsira ntchito epinephrine
• Momwe mungaperekere epinephrine
• Mukadikirira omwe akuyankha mwadzidzidzi
• Kuopsa kwa rebound anaphylaxis pambuyo pa epinephrine mwadzidzidzi
• Anaphylaxis pambuyo pa chisamaliro
• Kupewa kusintha kwamtsogolo kwa anaphylactic

Mu Marichi 2020, Food and Drug Administration (FDA) idatulutsa chenjezo kwa anthu kuti epinephrine auto-injectors (EpiPen, EpiPen Jr, ndi mitundu ya generic) itha kukhala yovuta. Izi zingakulepheretseni kulandira chithandizo chopulumutsa moyo pakagwa mwadzidzidzi. Ngati mwapatsidwa epinephrine auto-injector, onani malingaliro ochokera kwa wopanga ndikulankhula ndi omwe amakuthandizani pazakugwiritsa ntchito mosamala.

Chidule

Pali zinthu zochepa zochititsa mantha kuposa kukhala kapena kuwona kuchitapo kanthu kwa anaphylactic. Zizindikiro zimatha kukulirakulira mwachangu, ndipo mwina zimaphatikizapo:

• kuvuta kupuma
• ming'oma
• kutupa kwa nkhope
• kusanza
• kugunda kwamtima mwachangu
• kukomoka

Ngati muwona wina ali ndi zizindikiro za anaphylactic, kapena muli ndi zizindikiritso nokha, itanani azadzidzidzi nthawi yomweyo.

Ngati mwakhala mukuvutika kwambiri m'mbuyomu, dokotala wanu atha kukupatsani jakisoni wa epinephrine mwadzidzidzi. Kupeza epinephrine mwadzidzidzi mwachangu momwe zingathere kungapulumutse moyo wanu - koma chimachitika ndi chiyani pambuyo pa epinephrine?

Momwemo, zizindikiro zanu ziyamba kusintha. Nthawi zina amatha kuthetsa kwathunthu. Izi zitha kukupangitsani kukhulupirira kuti simulinso pachiwopsezo chilichonse. Komabe, sizili choncho.

Ulendo wopita kuchipinda chadzidzidzi (ER) ukufunikirabe, ziribe kanthu momwe mumamverera bwino mutatha kuchitapo kanthu kwa anaphylactic.

Nthawi yogwiritsira ntchito epinephrine

Epinephrine nthawi zambiri amathetsa zizindikiro zowopsa za anaphylaxis mwachangu - kuphatikiza kutupa pakhosi, kupuma movutikira, komanso kuthamanga magazi.

Ndiwo chithandizo chomwe mungasankhe kwa aliyense amene akukumana ndi anaphylaxis. Koma muyenera kupereka epinephrine m'mphindi zochepa pambuyo poti vutoli layamba kugwira ntchito.

Kumbukirani kuti muyenera kungopatsa epinephrine kwa munthu amene wamupatsa mankhwala. Muyeneranso kutsatira malangizo mosamala. Miyezo imasiyanasiyana, ndipo matendawa amatha kukhudza momwe munthu amachitirako.

Mwachitsanzo, epinephrine imatha kuyambitsa matenda amtima mwa munthu yemwe ali ndi matenda amtima. Izi ndichifukwa choti imathandizira kuthamanga kwa mtima ndikukweza kuthamanga kwa magazi.

Perekani jakisoni wa epinephrine ngati wina wapezeka kuti ali ndi vuto loyambitsa ndipo:

• amavutika kupuma
• ali ndi kutupa kapena kukhazikika pakhosi
• akumva chizungulire

Komanso perekani jakisoni kwa ana omwe ali ndi vuto loyambitsa matendawa:

• wadutsa
• tsanzani mobwerezabwereza mukadya chakudya chomwe sichimakupatsani mphamvu
• akutsokomola kwambiri ndipo akuvutika kupuma
• ali ndi kutupa pankhope ndi milomo
• adya chakudya chomwe amadziwika kuti sichivomerezeka

Momwe mungaperekere epinephrine

Musanagwiritse ntchito auto-injector, werengani malangizowo. Chida chilichonse ndichosiyana pang'ono.

Mukalandira mankhwala a epinephrine auto-jakisoni kuchokera ku pharmacy, Musanayifune, muwayese ngati ali ndi vuto lililonse. Makamaka, yang'anani chikwama chonyamulacho ndipo onetsetsani kuti sichili chopindika ndipo wopanga jekeseni azitha kutuluka mosavuta. Komanso, yang'anani kapu yachitetezo (nthawi zambiri yamtambo) ndipo onetsetsani kuti siyakwezedwa. Iyenera kugwedezeka ndi mbali za auto-injector. Ngati ena mwa omwe amadzipangira ma auto sakutuluka mwachangu pamlanduwo kapena alibe kapu yachitetezo yomwe yakwezedwa pang'ono, tengani ku pharmacy kuti ikalowe m'malo. Zowonongeka izi zimatha kuchedwetsa kupereka mankhwala, ndipo kuchedwa kulikonse kwa anaphylactic reaction kumatha kukhala pangozi. Chifukwa chake, musanachifune, chonde onaninso choyikapo chokha ndikuonetsetsa kuti palibe zolakwika.

Mwambiri, kuti mupatse jakisoni wa epinephrine, tsatirani izi:

1. Tulutsani jekeseni wamagalimoto pamlanduwo.
2. Musanagwiritse ntchito, pamwamba pachitetezo (nthawi zambiri pabuluu) muyenera kuchotsedwa. Kuti muchite izi moyenera, gwirani thupi la jakisoni wamagalimoto mdzanja lanu lamphamvu ndipo dzanja lanu litseke chovala chachitetezo molunjika ndi dzanja lanu. MUSAYESE kugwira cholembera ndi dzanja limodzi ndikuziwombera ndi chala chachikulu cha dzanja lomwelo.
3. Gwirani jakisoni mchibakera ndi nsonga ya lalanje ikuloza pansi, ndi dzanja lanu pambali panu.
4. Tambasulira dzanja lako kumbali yako (ngati ukupanga mngelo wa chipale chofewa) kenako mofulumira kutsikira kumbali yako kuti nsonga ya ojambulira yokha ipite mwachindunji m'chiuno mwako ndi mphamvu ina.
5. Sungani pamenepo ndikudina pansi ndikugwira masekondi atatu.
6. Chotsani jakisoni woyimitsa ntchafu yanu.
7. Ikani jakisoni wamagalimoto momwemo, ndipo PITANI NTHAWI YOMWEYO ku dipatimenti yadzidzidzi ya chipatala chapafupi kuti mukawunikenso ndi dokotala ndikuchotsani jakisoni wanu.

Mukapereka jakisoni, itanani 911 kapena othandizira akadzidzidzi kwanuko ngati simunatero kale. Uzani wotumiza za zomwe anaphylactic anachita.

Mukadikirira omwe akuyankha mwadzidzidzi

Pamene mukudikirira kuti thandizo lachipatala lifike, tengani izi kuti mudzisunge nokha kapena munthu amene akukumana ndi vutoli motetezeka:

• Chotsani gwero la ziwengo. Mwachitsanzo, ngati kulumidwa ndi njuchi kumayambitsa, chotsani mbolayo pogwiritsa ntchito kirediti kadi kapena zopalira.
• Ngati munthuyo akumva kuti watsala pang'ono kukomoka kapena akukomoka, mugoneni munthuyo chagada ndi kutukula miyendo yake kuti magazi afike kuubongo. Mutha kuwaphimba ndi bulangeti kuti awotha.
• Ngati akuponya kapena akuvutika kupuma, makamaka ngati ali ndi pakati, akhazikitseni ndipo ngakhale kutsogolo pang'ono ngati zingatheke, kapena muwaike pambali.
• Ngati munthuyo wakomoka, agone pansi ndi mutu wawo wopendekekera kumbuyo kuti njira yake yaulendo isatsekedwe ndikuyang'ana momwe zimakhalira. Ngati palibe kugunda ndipo munthuyo sakupuma, perekani mpweya kawiri mwachangu ndikuyamba kupindika pachifuwa cha CPR.
• Perekani mankhwala ena, monga antihistamine kapena inhaler, ngati akupuma.
• Ngati zizindikiro sizikukula, mupatseni munthu jakisoni wina wa epinephrine. Mlingo uyenera kuchitika mphindi 5 mpaka 15 padera.

Kuopsa kwa rebound anaphylaxis pambuyo pa epinephrine mwadzidzidzi

Jakisoni wa epinephrine mwadzidzidzi amatha kupulumutsa moyo wamunthu pambuyo poti anaphylactic reaction. Komabe, jakisoniyo ndi gawo limodzi lokha la mankhwala.

Aliyense amene ali ndi vuto la anaphylactic ayenera kupimidwa ndikuyang'aniridwa mchipinda chadzidzidzi. Izi ndichifukwa choti anaphylaxis sizomwe zimachitika kamodzi kokha. Zizindikiro zimatha kubwereranso, kubwerera maola kapena masiku mutalandira jakisoni wa epinephrine.

Matenda ambiri a anaphylaxis amapezeka mwachangu komanso mokwanira atachiritsidwa. Komabe, nthawi zina matendawa amayamba kukhala bwino kenako amayambiranso patadutsa maola ochepa. Nthawi zina samasintha maola kapena masiku pambuyo pake.

Zochita za Anaphylactic zimachitika m'njira zitatu:

• Uniphasic anachita. Izi ndizofala kwambiri. Zizindikiro zimafika pachimake pasanathe mphindi 30 mpaka ola mutakhala kuti mwakumana ndi zovuta. Zizindikiro zimakhala bwino mkati mwa ola limodzi, kapena popanda chithandizo, ndipo sizibwerera.
• Biphasic anachita. Zomwe zimachitika ndi biphasic zimachitika pamene zizindikiro zimatha kwa ola limodzi kapena kupitilira apo, koma zimabweranso osakudziwitsaninso ku allergen.
• Kutetezedwa anaphylaxis. Mtundu wa anaphylaxis ndi wosowa. Zomwe zimachitika zimatha kukhala kwa maola kapena masiku angapo zisanathe.

Malangizo ochokera ku Joint Task Force (JTF) pa Practice Parameter amalangiza kuti anthu omwe adachitapo kanthu anaphylactic ayang'anitsidwe mu ER kwa maola 4 mpaka 8 pambuyo pake.

Gulu la anthu ogwira ntchitoyo lalimbikitsanso kuti atumizidwe kunyumba ndi mankhwala a epinephrine auto-injector - ndi ndondomeko ya momwe angayigwiritsire ntchito - ndi nthawi yanji - chifukwa chotheka kubwereza.

Anaphylaxis pambuyo pa chisamaliro

Kuopsa kwakubwezeretsanso kwa anaphylactic kumapangitsa kuti kuwunika koyenera kwachipatala ndi chisamaliro chofunikira, ngakhale kwa anthu omwe akumva bwino atalandira chithandizo cha epinephrine.

Mukapita ku dipatimenti yadzidzidzi kuti mukalandire anaphylaxis, adokotala amakayesani kwathunthu. Ogwira ntchito zachipatala adzawona kupuma kwanu ndikukupatsani mpweya ngati pakufunika kutero.

Ngati mupitilizabe kupuma komanso kuvutika kupuma, mutha kupatsidwa mankhwala ena pakamwa, kudzera m'mitsempha, kapena ndi inhaler kuti ikuthandizeni kupuma mosavuta.

Mankhwalawa atha kuphatikiza:

• bronchodilators
• mankhwala
• mankhwala oletsa

Mupezanso epinephrine wambiri mukafuna. Mudzawonetsedwa mosamala ndikupatsidwa chithandizo chamankhwala mwachangu ngati zizindikiro zanu zibwerera kapena zikukulirakulira.

Anthu omwe ali ndi zovuta kwambiri angafunike chubu kapena opareshoni kuti atsegule njira zawo. Iwo omwe samayankha epinephrine angafunikire kuti atenge mankhwalawa kudzera mumitsempha.

Kupewa kusintha kwamtsogolo kwa anaphylactic

Mukachiritsidwa bwino chifukwa cha anaphylactic reaction, cholinga chanu chiyenera kukhala kupewa china. Njira yabwino kwambiri yochitira izi ndikutalikirana ndi zomwe zimayambitsa ziwengo.

Ngati simukudziwa chomwe chinayambitsa zomwe mumachita, onani wotsutsana ndi khungu kuti ayese khungu kapena kuyesa magazi kuti adziwe chomwe chinayambitsa.

Ngati simukugwirizana ndi chakudya china, werengani zolemba zamagetsi kuti mutsimikizire kuti simudya chilichonse chomwe chilimo. Mukamadya kunja, lolani seva kuti izindikire za chifuwa chanu.

Ngati simugwirizana ndi tizilombo, valani mankhwala othamangitsa tizilombo mukamapita panja nthawi yotentha ndikukhala wokutidwa ndi mikono yayitali ndi mathalauza ataliatali. Ganizirani zovala zosavala panja zomwe zimakutetezani koma ozizira.

Osasunthira njuchi, mavu, kapena ma hornets. Izi zingawapangitse kuti akulumeni. M'malo mwake, pewani pang'onopang'ono.

Ngati mankhwalawa sagwirizana ndi mankhwala, uzani dokotala aliyense kuti mumamuyendera za ziwengo zanu, kuti asakupatseni mankhwalawo. Komanso dziwitsani wazamankhwala wanu. Ganizirani kuvala chibangili chachidziwitso cha zamankhwala kuti anthu omwe akuyankha mwadzidzidzi adziwe kuti muli ndi vuto la mankhwala.

Nthawi zonse nyamulani ndi epinephrine auto-injector nanu, ngati mungakumane ndi zovuta zanu mtsogolo. Ngati simunagwiritse ntchito kwakanthawi, onani tsikulo kuti muwonetsetse kuti silinathe.