Anaphylaxis ndizochitika mwadzidzidzi komanso zoopsa zomwe zimaphatikizapo zambiri kuposa thupi limodzi. Ndiwowopsa kwachipatala choopsa. Nthawi zambiri mumakhala ndi zotsatira za khungu ndi mpweya wochepa, umene ungakhale wovuta wa anaphylactic ndi kuchepa kwa magazi. Phunzirani momwe mungadziwire kuti anaphylactic amachita bwanji kuti muthe kupeza chithandizo chamankhwala mwamsanga.
Zizindikiro Zowonjezereka
Anaphylaxis ndizovuta kwambiri. Kusokonezeka kwa mankhwala amayamba kukhala anaphylaxis kamodzi kowopsa kumayamba kukhudza thupi limodzi, monga khungu ndi kupuma. Anaphylaxis imabwera mwadzidzidzi ndipo zizindikiro zikuyenda mofulumira.
Pozindikira kuti anaphylactic isokonezeka, choyamba yang'anani zizindikiro za matenda:
- Kuyabwa
- Khungu lofiira, lokwezeka, lopweteka limapezeka m'magawo 90 peresenti
- Kupuma kapena kupuma pang'ono kumawonekera mu 70 peresenti ya milandu
Zizindikiro zikhoza kuoneka m'magulu ambiri a thupi:
- Khungu: Mwinamwake mukhoza kuyabwa ndi kuyabwa. Ming'oma ikhoza kukula, yomwe imabweretsa mavuto omwe amachititsa kuti blanch (kutembenuka woyera) mukamawakakamiza. Angioedemia ikhoza kukula, yomwe ikuphulika pansi pa khungu.
- Maso: Mukhoza kukhala ndi zizindikiro za kukwiya kuphatikizapo kuyabwa, kufiira, kupanga misonzi, ndi khungu lingayambe kuzungulira maso.
- Pamwamba kupuma: Kusakanikirana, mphuno yamphongo, ndi kunjenjemera kungapangitse. Mutha kumverera kupweteka, kupweteka, kapena kupweteka.
- Lankhulani: Mutha kukhala ndi lilime, milomo, kapena mmero, kutentha, kapena zovuta zachilendo.
- Kupuma kwapansi: Mukhoza kupuma movutikira, kupuma, ndi chifuwa cholimba
- Circulatory: Mukhoza kukhala ndi mtima wofulumira kapena wopepuka komanso kutsika kwa magazi. Mwinamwake mungamve kuti ndinu wamisala, wokomoka, kapena mutha kupita.
- Nervous system: Mungathe kukhala osokonezeka kapena osokonezeka, osalankhulidwa, ndipo mwina mukumva kuti chiwonongeko chili pafupi.
- Dongosolo lakumimba: Kusuta, kusanza, kutsekula m'mimba, kapena ululu wamimba kungakhalepo.
Anaphylactic Shock
Anaphylaxis imakhala yotopetsa anaphylactic pamene wodwalayo amasonyeza zizindikiro za kuthamanga kwa magazi :
- Kusokonezeka
- Kufooka
- Mtundu wambiri
- Kusadziŵa
Kusokonezeka kwa anaphylactic kawirikawiri kumakhala ndi zizindikiro za kupuma pang'ono . Wodwala samakhala ndi vuto nthawi zonse kupuma, koma ngati atero, ndi chisonyezero chabwino chomwe amachititsa kuti ayambe kudwala akukhala anaphylaxis. Izi ndizizindikiro zowoneka:
- Simungathe kulankhula mawu oposa awiri kapena awiri
- Kukhala pansi molunjika kapena manja pa mawondo
- Kupuma kwa mpweya
- Kutsutsa milomo kupuma
- Kugwiritsira ntchito minofu ya khosi kutenga mpweya
Chizindikiro cha Allergen monga Chizindikiro
Zimakhala zosavuta kudziwa zizindikiro za anaphylactic chodabwitsa ngati pali chidziwitso chodziwika bwino. Mwachitsanzo, anthu omwe ali ndi chifuwa cha njuchi amadziwa kuti akhala akugunda. Aliyense amene ali ndi vuto loyambitsa matenda ayenera kudziŵa zizindikiro zilizonse ngakhale atakhala kuti alibe chidziwitso. Mwachitsanzo, anthu omwe ali ndi chifuwa cha zakudya amakhala ndi anaphylaxis pamene akudya ngakhale asaganize kuti akudya chakudya chomwe sichikudya. Kwa munthu wina, zingathandize kudziwa chomwe chimayambitsa zizindikiro ngati akuvala zodzikongoletsera zamankhwala zomwe zimasonyeza zovuta.
Zizindikiro Zambiri
Nthawi ina ya anaphylaxis imakhala ikukula ndikupita mwamsanga, kufika pachimake pamphindi 30 mpaka 60, ndikutsatiratu nthawi yotsatira. Komabe, pali njira zamatsenga.
Biphasic anaphylaxis imawoneka mwa oposa 20 peresenti ya odwala, omwe amapezeka mwa ana ndi akulu. Nthaŵiyomwe ankaganiza kuti ndi yovuta. Phunziroli, mutha kukhala ndi anaphylactic yoyamba ndipo ingathetsere. Koma ndiye muli ndi mayendedwe obwereranso masiku angapo pambuyo pake. Ichi ndichifukwa chake mungaloledwe kupita kuchipatala kuti mukawone zotsatira za anaphylactic reaction. Nthaŵi zina, anthu sangakhale ndi zizindikiro zoopsa kwambiri za anaphylaxis, monga kupuma kovuta, ndi kusankha kusamalidwa.
Komabe, amaika chiopsezo cha biphasic, chomwe chingabweretse mavuto aakulu. Kafukufuku amene anafalitsidwa mu 2015 pa milandu ya ana anapeza chiwerengero chapamwamba kwa ana a zaka zapakati pa 6 mpaka 9. Iwo anali oyenera kuti anachiritsidwa ndi mlingo umodzi wa epinephrine, posonyeza kuti anali ndi vuto lalikulu. Iwo amakhalanso ochedwa kuchepetsa chithandizo ndi epinephrine kapena kufika ku dipatimenti yosautsa.
Kutha msana anaphylaxis kumawoneka kawirikawiri. Pankhaniyi, zizindikiro zimatha masiku angapo kupita patatha sabata popanda kuthetsa bwinobwino.
Zovuta / Zisonyezo Zogonjera
Anaphylaxis ikhoza kufa ngati sichikuchitiridwa. Matenda a myocardial kapena fibrillation ya atrial angapangidwe pa anaphylaxis, ndipo ngozi za mtimazi ndi zazikulu kwa odwala opitirira zaka 50.
Epinephrine ndi mankhwala osankhidwa kuti asamalire anaphylaxis, koma amakhala ndi chiopsezo cha kuwonjezera pa matenda komanso kuyambitsa mavuto a mtima. Kwa okalamba okalamba, kafukufuku wina amasonyeza kuti ndibwino kuti apereke jekeseni m'malo mwake m'malo mwa epinephrine.
Nthawi Yomwe Muwone Dokotala / Pitani kuchipatala
Ngati muli ndi zizindikiro za anaphylaxis, pitani kuchipatala mwamsanga. Ndikoyenera kuitanitsa 911 kuti azitha kuchipatala mwamsanga. Nthawi zambili mumakhala ndi zizindikiro pambuyo mutadya, kugwidwa ndi tizilombo, kapena kumwa mankhwala.
Musati dikirani kuti muitanitse chisamaliro chapadera. Zimene zimachitika zimatha kupita mofulumira. Ming'oma ikhoza kusokoneza anaphylactic maminiti. Ngati muli nokha, mumakhala osadziŵa kanthu musanayambe kuitanitsa chisamaliro.
Ngati mukudziwa kuti muli pachiopsezo cha anaphylaxis kuchokera ku zovuta, funsani chithandizo chamankhwala mwamsanga mukangodziwa kuti mwakhala mukuwonekera. Ngakhale mutagwiritsa ntchito epinephrine self-injection mudzafunikira chithandizo chamwadzidzidzi.
Zotsatira:
> Alqurashi W, Stiell I, Chan K, Neto G, Alsadoon A, Wells G. Epidemiology ndi Opaleshoni Zachidziwitso za Kuchita Biphasic kwa Ana ndi Anaphylaxis. Zambiri za zozizira, chifuwa chachikulu ndi chithumwa . 2015; 115 (3). lembani: 10.1016 / j.anai.2015.05.013.
> Anaphylaxis. American Academy of Allergy Chifuwa ndi Immunology. http://www.aaaai.org/conditions-and-treatments/library/allergy-library/anaphylaxis.
> Campbell RL, Bellolio MF, Knutson BD, et al. Epinephrine mu Anaphylaxis: Kuopsa Kwambiri kwa Mavuto Amtima ndi Kuwonongeka Kwambiri Pambuyo pa Ulamuliro wa Intravenous Bolus Epinephrine Poyerekeza ndi Intramuscular Epinephrine. Journal of Allergy and Clinical Immunology: Muzochita . 2015; 3 (1): 76-80. lembani: 10.1016 / j.jaip.2014.06.007.
> Campbell RL, Hagan JB, Li JT, et al. Anaphylaxis mu Dipatimenti Yovuta Yachipatala Odwala 50 kapena 65 Zakale kapena Okalamba. Zambiri za zozizira, chifuwa chachikulu ndi chithumwa . 2011; 106 (5): 401-406. lembani: 10.1016 / j.anai.2011.01.011.
> Oya S, Nakamori T, Kinoshita H. Zochitika ndi Zochitika za Biphasic ndi Protracted Anaphylaxis: Kuunika kwa odwala 114. Zovuta Mankhwala ndi Opaleshoni . 2014; 1 (4): 228-233. lembani: 10.1002 / ams2.48.