Kodi mungayambe kuchepetsa mankhwalawa?
Latex ndizofunikira kwambiri pa zinthu zambiri za mphira ndipo zimapangidwa kuchokera ku mtengo wa Hevea brasiliensis . Zakudya zambirimbiri zapakhomo ndi zapakhomo zili ndi latex, kuchokera ku nsapato kupita ku magulu a mpira. Nkhanizi ndizofala makamaka m'makampani azachipatala, komwe angapezeke m'magetsi opanga opaleshoni ndi zipangizo zosiyanasiyana zamagetsi.
Pali chisokonezo chokwanira pa mutu wa latex chiwopsezo ndipo pali mitundu iwiri yosiyana yowonongeka.
Choyamba, latex si ofanana ndi zinthu zambiri zopangira zitsulo zamatabwa, monga zojambulajambula kapena zopangidwa ndi mafuta. Zithunzi zomwe zimatchedwa "latex-based" zili ndi mankhwala omwe sanawonetsedwe kuti amachititsa mavuto kwa anthu omwe ali ndi matendawa.
Mwachidule
Chizoloŵezi chokhala ndi chifuwa chokwanira ndi cholowa. Mofanana ndi zowawa zina, kuwonjezeka kwambiri komanso nthawi zambiri kuwonetseredwa ndi latex, zimakhala zovuta kuti munthu ayambe kudwala. Pakati pa asanu ndi 10 peresenti ya ogwira ntchito zaumoyo amapanga tizilombo toyambitsa matenda a latex chifukwa cha kubwereza mobwerezabwereza kwa mankhwala okhala ndi latex. Kugwiritsidwa ntchito kotsika kwa magulu a latex (mapulogalamu ambiri a latex tsopano alibe powdered) zikuwoneka kuti zachepetsa kuchitika kwa matenda a latex mu akatswiri azaumoyo.
Magulu ena omwe ali pangozi ya latex mankhwala ndi awa omwe apanga opaleshoni zosiyanasiyana, makamaka zomwe zimakhudzana ndi dongosolo la mitsempha ndi njira yotchedwa genitourinary tract system.
Ana omwe ali ndi spina bifida amawoneka kuti ali ndi zochitika zapamwamba zowonjezereka.
Zizindikiro
Mwachidziwikire, pali mitundu iwiri ya zotsatira zowonongeka ku latex: Posachedwa ndi kuchedwa.
Kuchita kuchepetsedwa kwa latex kumaphatikizapo ziphuphu zowopsya, zofiira ndi zochepa zomwe zimawoneka pamalo omwe amapezeka ndi mankhwala a latex.
Ziphuphu izi zimawoneka mkati mwa maola 12 mpaka 24 mutatha kuwonekera ndipo sizikuwopsya moyo. Izi zimakhala zofanana ndi zomwe zimayambitsa poizoni (kukhudzana ndi dermatitis) ndipo zimachokera ku mankhwala ena opangidwa ndi latex, osati puloteni yokha.
Kuchitapo kanthu mwamsanga nthawi yozizira, pamtundu wina, ndizovuta kwambiri zomwe zimachitika mkati mwa mphindi zochepa zowonekera ndipo zimayambitsa ming†™ oma, kuyabwa pa malo olankhulira kapena kupitilira, kupweteka kwa mmero, kupuma, kuvutika kupuma, anaphylaxis , ngakhale imfa. Anthu ambiri amatha kuona zotsatirazi pokhapokha atagwirizana ndi mankhwala a latex. Ena amaganiza kuti akhoza kuchitapo kanthu atapatsidwa mankhwala osungiramo mankhwala omwe amapezeka mu botolo ndi malo ochedwa latex kapena atapuma mpweya umene umachokera ku magetsi opangira mavitamini.
Kudziwa
Anthu omwe amachedwa kuchepetsa nthawi yochedwa latex nthawi zambiri alibe antigenic (IgE) motsutsana ndi latex, koma akhoza kupezeka pogwiritsa ntchito patch test. Izi zimaphatikizapo kuyika zigawo zina za latex (osati mapuloteni okhaokha) pakhungu kwa maola pafupifupi 48 ndikumasulira zotsatira za mayeso pa maola 48 mpaka 96. Chiyesochi chiyenera kuchitidwa ndi dokotala yemwe ali ndi matenda a chifuwa.
Komabe, nthawi yomweyo kuchepetsa matendawa ndi chifukwa cha kukhalapo kwa IgE motsutsana ndi latex ndipo amapezeka ndi kugwiritsidwa ntchito kwa khungu kapena RAST . Kuyezetsa khungu kwa latex kungakhale kovuta popeza palibe malonda a malonda omwe amapezeka ku khungu ku United States. Ena amatsenga amachokera, ndipo ena ambiri amadalira RAST kuti adziŵe matenda a latex. Mayeserowa ayenera kokha kuchitidwa ndi dokotala yemwe akudziwa kuti akudwala matendawa.
Kuyanjana ndi Mthendayi Yopsereza Mthupi
Anthu ambiri omwe ali ndi mapuloteni am'derali amakhalanso ndi vuto lotchedwa oral allergies syndrome.
Izi ndizimene munthu wodwalayo amatha kuona kuyamwa ndi kutupa pakamwa atadya zakudya zina, makamaka nthochi, mavwende, avocado, kiwi, ndi chestnuts. Izi zimakhalapo chifukwa cha kukhalapo kwa mapuloteni m'makudya omwe ali ofanana ndi omwe amapezeka mu latex. Osati anthu onse omwe ali ndi latex zovuta kuti achite ndi zakudya kapena zakudya zonsezi.
Ngakhale kuti zizindikiro zowononga zowonjezereka zimakhala zochepa ndipo zimatha mphindi zingapo, anthu ena amatha kuchitapo kanthu kwambiri pa zakudya izi. Ndi bwino kuti munthu amene ali ndi zakudya zotchedwa latex azipewa zakudya zomwe zimayambitsa matenda odwala matenda odwala matenda.
Kupewa ndi Kuchiza
Njira yabwino yothetsera vutoli ndi kupewa kupezeka kwa latex. Komabe, mochedwa ndi wamba kwambiri, kotero zidzakhala zovuta kupeŵa kwathunthu. Adziwitse dokotala ndi dokotala kuti madokotala amatha kuchepetsa, choncho amagwiritsa ntchito magolovesi osagwiritsira ntchito latex ndi zina zamalonda zaulere panthawi ya maofesi.
Mankhwala a latex angapezeke m'mabuloni a latex, magolovesi oyambirira, ndi makondomu a latex. Zinthu izi zimadziwika kuti zimayambitsa zomwe zimachitika mu latex-anthu osokonezeka. Zochepa zochepa (koma komabe n'zotheka) zomwe zimayambitsa zotsatira zimaphatikizapo magulu a mphira, erasers, toyilesi ya mpira, kutsekedwa mu zovala ndi ana opera ndi amodzi. Werengani malemba pamtengo uliwonse wa mphira musanagule, ndipo pewani kugwiritsa ntchito iliyonse mwa zinthu zomwe zili ndi latex.
Munthu aliyense amene ali ndi matenda ochedwa latex akuchitidwa opaleshoni amafunika kuyendetsa mosamala ndondomekoyi ndi chipatala, madokotala opaleshoni, anesthesiologists, ndi anthu ena ogwira ntchito zachipatala kuti asagwiritsidwe ntchito mochedwa nthawiyi. Izi nthawi zambiri zimatanthawuza kuti munthu wotsekedwa ndi latex ndiye opaleshoni yoyamba ya tsikulo, kuonetsetsa kuti chipinda chogwiritsira ntchito chikuyeretsedwa usiku wonse, komanso kuti palibe mankhwala ochedwa latex opaleshoni poyamba.
Kuwombera , kapena kuti immunotherapy, mpaka ku latex wayesedwa kuti asamayesedwe ndi latex, ngakhale ndi zotsatira zosiyana. Mankhwala ena, omalizumab (Xolair®), omwe amagwiritsa ntchito mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochizira mphumu yambiri, ayesedwa kuti athetseretu anthu omwe akudwala kwambiri.
Kuchiza Zotsatira Zokwanira
Chithandizo cha zomwe zimachitika mwamsanga pambuyo pofika ku latex ndizofanana ndi mankhwala a anaphylaxis. Izi zingaphatikizepo kugwiritsa ntchito jekeseni epinephrine, corticosteroids, ndi antihistamines. Kuchiza kachitidwe kachedwa kuchepa kumafuna mapepala a corticosteroid, kapena odwala kwambiri, mapiritsi a corticosteroid kapena madzi.
Odwala onse omwe ali ndi latex mankhwala ayenera kutenga jekeseni epinephrine, mwina mawonekedwe a Epi-pen® kapena Twinject®, kuti agwiritsidwe ntchito ngati kuyenera kuchitika.
Anthu omwe ali ndi mapulogalamu a latex ayenera kuganizira kuvala chibangili chamankhwala chomwe chili ndi zizindikiro zowopsa, kuphatikizapo kuchepetsa kuchepetsa matenda, pakakhala zovuta zomwe munthu sangathe kuyankhulana. Izi ndizofunikira kwambiri kuti ogwira ntchito zamankhwala azadzidzidzi asagwiritse ntchito zipangizo zamakono poyang'anira munthuyo.
Chithandizo chothandizira odwala omwe ali ndi vuto la latex ndi American Latex Allergy Association, yomwe imapereka chidziwitso chothandiza ndi chithandizo.
Zotsatira:
American Academy of Allergy, Nthenda Yachimake ndi Immunology ndi American College of Zozizira, Khunyu ndi Immunology.