Mu March 2013, wophunzira wina wa ku koleji wachinyamata yemwe ali ndi nthenda yaikulu ya mtedza anadya cookie okhala ndi mtedza. Kenaka anadwala kwambiri anaphylaxis , koma banja lake silinagwiritse ntchito Epi-Pen yake chifukwa tsiku lomalizira linali litadutsa, ndipo opa 911 anawauza foni kuti asagwiritse ntchito. Pamene mtsikanayo adalandira jekeseni wa Epi-Pen ku chipangizo choyandikana naye, kunali kochedwa kwambiri: wophunzirayo adamwalira madzulo madzulo kuchipatala chapafupi.
(Ndikofunika kuzindikira kuti sizikuwoneka ngati kugwiritsa ntchito EpiPen yomalizirayo kungasinthe zotsatira za zochitika zowopsyazi.)
Chakudya Chakudya: Vuto Limakula
Kufalikira kwa zakudya zowonjezera, makamaka kwa nthikiti ndi mtedza wa mitengo , zikukula, ndi mitengo yomwe ilipo kaŵirikaŵiri ku katatu m'mayiko ambiri pazaka 10 mpaka 15 zapitazo. Kuwopsa kwa zakudya, makamaka kwa mtedza ndi nsomba, kungakhale koopsa komanso kuopseza moyo, ndi zochitika zambiri zowonongeka zowonongeka zimachitika chaka chilichonse. Kwachidule, palibe mankhwala ochiritsira zakudya, ngakhale kuti malo ochepa ochita kafufuzidwe akupanga maphunziro a chitetezo chamthupi kwa zakudya zowonjezera , monga nthanga, mkaka, ndi mazira. Chithandizo choyenera cha chakudya chokwanira ndicho kupeŵa zakudya zopweteka , komanso mankhwala omwe amatha kuchitika chifukwa chowopsa kwa chakudya.
Epinephrine ngati Chithandizo cha Kusankha Chakudya Chakumwa
Mankhwala opangira anaphylaxis ku zifukwa zonse, kuphatikizapo chifukwa cha zakudya zowonjezera, ndi jekeseni wa epinephrine.
Ndipotu, mafupipafupi ambiri omwe amafa ndi anaphylaxis amagwirizana ndi kusowa, kapena kuchedwa, kuyang'anira epinephrine. Makina ojambulidwa ndi epinephrine amabwera mumitundu yosiyanasiyana, kuphatikizapo EpiPen, Twinject, ndi Avi-Q . Zida zonsezi zili ndifupipafupi chifukwa cha kusakhazikika kwa epinephrine: pafupifupi chaka chimodzi kuyambira tsiku lopangidwa.
Epinephrine imatsitsa ndi kuwala, mpweya, ndi kutentha. Choncho, opanga amalimbikitsa epinephrine kusungidwa pamalo amdima kutentha, koma osati firiji. Mwatsoka, chifukwa kitsulo ya epinephrine yojambulidwa sichitha kugwiritsidwa ntchito ndipo ndi yokwera mtengo, zimakhala zachilendo kuti anthu (mozindikira kapena osadziwa) asunge kitsulo ya epinephrine.
Zatha Nthawi Epinephrine Ndibwino Kuti Mugwiritse Ntchito?
Choncho ngati zimakhala zachilendo kuti anthu athe kufafanizidwa ndi makina a epinephrine, kodi ndibwino kuti muziwagwiritsa ntchito pochiza anaphylaxis ? Funso lomweli linaphunzitsidwa ndi gulu la akatswiri ku Canada ndipo linafalitsidwa m'chaka cha 2000. Gululo linasonkhanitsa EpiPens ndipo linatsimikizira kuti epinephrine ili ndi mphamvu yotani. Mphamvu ya epinephrine inatsimikiziridwa ndi njira ziwiri: Kutenga zitsanzo za magazi kuchokera kwa akalulu atapatsidwa jekeseni ndi EpiPens, komanso kupanga mayesero amachimake pa zotsalira zomwe zatsala mu EpiPens zitagwiritsidwa ntchito. Miyeso yomwe imapezeka mu EpiPens yomwe inathera inafanizidwa ndi miyeso kuchokera ku EpiPens yomwe siidatha.
Ngakhale njira ziwiri zomwe anaziwonetsera zimasonyeza kuti EpiPens yomwe ili ndi nthawi yochepa yomwe ili ndi epinephrine yochepa poyerekeza ndi EpiPens yomwe siidatha, panalibe kuchuluka kwapadera kwa epinephrine mu EpiPens.
Ngakhale EpiPens zomwe zinali zaka zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu (7) zapitazo zapitazo zinali zowonjezera 70% ya mlingo woyambirira wotsala mu chipangizochi. Ma EpiPens ambiri omwe anali zaka 2 mpaka 3 kudutsa tsiku lawo lomalizira anali ndi zoposa 90% za mlingo woyambirira.
Kutsiliza: Old Epinephrine N'kutheka Kuti N'kosavuta Kuposa Epinephrine
Olemba afukufuku amene tawatchula uja adatsimikiza kuti ndikofunika kusunga epinephrine yosataya nthawi yomwe ilipo kuti athe kuchiritsidwa kwambiri, monga zomwe zimayambitsa chifuwa cha zakudya. Pali umboni woonekeratu wakuti kitsulo ya epinephrine yomwe yataya nthawi yayitali ili ndi epinephrine yochepa kuposa makina osapitilira.
Komabe, popeza kitsulo ya epinephrine yomwe imatayika, yomwe ili ndi zaka zambiri, ili ndi chiwerengero chofunika kwambiri cha epinephrine, ayenera kugwiritsidwa ntchito pochiza anaphylaxis ngati palibe epinephrine. Phindu la kulandira tsamba laling'ono la epinephrine lingakhale lopindulitsa kwambiri kuposa chidziwitso choopsa chogwiritsa ntchito chida cha epinephrine chojambulidwa. (Olembawo analimbikitsa kuti musagwiritse ntchito chida chilichonse cha jekeseni cha epinephrine, chitatha kapena ayi, chomwe chiri ndi epinephrine yotumbulutsidwa kapena zinthu zina zomwe zili mkati mwa epinephrine, chifukwa chomwe sichinafotokozedwe mu phunziro lawo).
> Chitsime:
> Simons FER, Gu X, Simons KJ. EpiPen ndi EpiPen Jr Autoinjectors Zakale: Zakale Zazikulu Zawo? J Zachilombo Zamtundu wa Immunol. 2000; 105: 1025-30.