IM epinephrine shine maganin layi na farko a cikin yanayin anaphylaxis

Cibiyar Nazarin Ilimin Yammacin Amurka, ya kirkiro Jagora ga likitocin yara da sauran kwararrun likitocin don amfani da sabon shirin rashin lafiyan da rashin lafiyar anaphylaxis; Don haka, ana ba da ingantaccen magani na yau da kullun game da bayyanar rashin lafiyar, wanda muka riga muka fada. Kamar yadda kuka sani, anafilaxis yana shafar gabobi da yawa a lokaci guda kuma bayyanar alamace tana da rikitarwa, ban da m (a cikin fewan mintoci hoto mai mahimmanci na iya bayyana a cikin mutumin da abin ya shafa).

Mafi mahimmancin lamura na iya zama na mutuwa; don haka daga farkon abin da aka samu lamarin ne na gaggawa na gaggawa. Yana da mahimmanci a ɗan sani game da anafilaxis da kuma hanyar sa, Domin kodayake mafi mahimmancin nuni shine kiran lambar gaggawa da sauri, duk wani malami ko mutumin da ke kula da yara bai kamata kawai ya sami cikakken bayani game da rashin lafiyan ba, har ma da yadda za a warware matsalolin da za su iya yin lahani sosai ga lafiyar ƙananan yara.

Anaphylaxis shine mafi rashin lafiyar bayyanar duk, kuma a cikin girgizar rashin ƙarfi (wanda tabbas kunji labarinsa) yana haifar da raguwar bugun jini da kuma shigar zuciya da jijiyoyin jini. Menene ya faru don haifar da dangantakar rashin lafiya? Yawancin lokaci yanayin rashin lafiyan kansa bayan kamuwa da cututtukan da ke fama da cutar zuwa kwayoyin anti-IgE, yana haifar da ƙwayoyin halitta su haifar da bayyanar cututtuka ta hanyar sakin abubuwa; ɗayansu shine histamine, yana iya samo asali daga urticaria zuwa ƙuntatawa na bronchi, ta hanyar ja, tsakanin sauran bayyanuwa. Kazalika, Lokacin da kwayoyin halitta iri biyu da ake kira ƙwayoyin mast da basophils suka saki abubuwa daban-daban ta hanyar “abubuwa masu fashewa”, zamu iya magana game da anaphylaxis.

Sanin Anaphylaxis.

Da farko, Ina so in jaddada cewa hoton alamun da za mu gani a ƙasa ba koyaushe anafilaxis ba ne, saboda ba koyaushe yake amsawa ga wani abu na rashin lafiyan ba, a wannan yanayin ana kiran shi anafilaxis mara sa rashin lafiyar, kuma daidai alamun suna nan, amma ba su da alaƙa da aikin antibody. Tare da alamomi daban daban, anafilaxis yana tasiri, kamar yadda muka faɗa, aƙalla tsarin jiki 2. Zai iya gabatarwa kamar mai tsanani, amma kuma matsakaici da taushi, a wannan yanayin fatar, ɓangaren numfashi na sama, da ƙaramin huɗi a cikin mashin za su sami rauni. Lokacin da muke magana game da bayyanar bayin, cyanosis, matsalolin zuciya don kula da kari, alamomin numfashi mai tsanani ko rashin sani (kuma wani lokacin kamawa na numfashi) sun bayyana.

Spanishungiyar Ilimin Spanishwararrun Spanishasar Spain yana faɗi cewa yawaitar "ba a rafkanuwa", tunda alamomin alamomi ko masu matsakaici ba koyaushe ake ɗauka anafilaxis ba. A cikin yawan jama'a, ƙididdigar suna magana da kashi 0,05 zuwa 2 (ƙaruwa), kuma a cikin yara ba a san yaduwar ba. An tabbatar a cikin 'yan shekarun nan cewa akwai karin shigar da yara a cikin yara na shekaru 3/4, matasa da samari. Yana da mahimmanci cewa a cikin Amurka, ana samun yanayin rashin abinci mai saurin zama anafilasisi kowane minti shida. Mutuwar ba ta da yawa, kodayake ba ta damu da wannan ba.

Saboda haka cuta ce mai saurin faɗuwa, kodayake ƙananan ƙananan ƙananan lamura suna da sakamako mai mutuwa. A bayyane yake, dalilin koyaushe abu ne mai illa, kuma a cikin wannan tsari: magunguna, abinci da ƙaiƙayi (ƙudan zuma / wasps). A cikin yara masu haifar yawanci furotin madara ne, kwayoyi, kifi ko kifin kwai da kwai.

Ba sai an fada ba (kuma an yi sharhi akan fiye da lokuta guda, cewa mutanen da ke da alaƙar abinci, da danginsu (game da marasa lafiya ƙanana), dole ne su ɓatar da lokaci mai yawa wajen zaɓar abinci da aka kunshe, tunda wani lokacin fassarar lambobi suna zama kasada); Y Tabbas fifita abinci na asali da sauƙin ganewa; koyaushe banda waɗanda suke da abubuwan alerji.

Ta yaya zan gane wani ɓangaren anafilaxis?

Za a yi la'akari da alamun alamun gabaɗaya, tun da suna abubuwa da yawa; kuma a gefe guda suna iya canzawa a cikin mutane daban-daban. Yanayin yana farawa cikin 'yan mintuna kuma zai iya ɗaukar awanni; amma bayan sun bace, zasu iya sake bayyana (biphasic anaphylaxis). An kiyasta cewa kashi 80 cikin XNUMX na anafilaxis fata na shafa (zafi, redness, itching, kumburin al'aura / leɓo / fatar ido, amya tare da amya). Sauran cututtuka sune:

  • Matsaloli a cikin hanyoyin numfashi: cunkoso, atishawa, tari, shaƙewa, glottis edema, ...
  • Ciwo na cikin gida a ciki, amai ko gudawa (ko duka biyun), ciwon mara, ciwo.
  • Rage na TA har sai ya kai ga bugawa; kuma sakamakon larura, rashin sani ko hangen nesa.
  • Hannun zuciya.


Kusanci da rigakafin anafilaxis.

La IM epinephrine shine maganin zaɓin farko kuma babu masu nuna adawa, saboda tsananin wannan yanayin. A cewar AEPaP, ya kamata a kafa bisa zato game da haɗuwa da ka'idodin bincike ko a cikin yara tare da tarihin baya na anaphylaxis (koda ba tare da ka'idojin bincike ba) Kamar yadda aka sake ba da labari a cikin bidiyo mai zuwa, ana amfani da injector a cikin babban gefen ciki (waje na waje). Ya kamata a gudanar da gwamnati a farkon lokacin, la'akari da cewa masu fama da rashin lafiyan galibi suna ɗauke da allurar atomatik a cikin jakunkuna ko jaka, kuma suma suna da su a makarantu.

Hankali! Duk wanda ya kamu da rashin lafiya kuma yake da matsalar numfashi ko amai ya kamata ya zauna a kwance, amma ya zama a tsaye kadan.

Amma a daidai lokacin da mutumin da abin ya shafa yake kwance (tare da daga kafafuwa), an bada shawarar (kuma dole ne a bi shi) kiran lambar gaggawa ta 112, ko 061 don gaggawa na lafiya, kazalika da bin matakan da aka nuna daidai, sauƙaƙe ƙwararren masanin kiwon lafiya a wani gefen layin, duk bayanan da kuka nema. Da zarar an yi mata magani a wurin da abin ya faru, kuma aka koma da ita asibiti, za ta ci gaba da kasancewa cikin kulawa

Masanin alerji yana zargin anafilaxis kafin alamun alamun rashin lafiyan da ya shafi gabobi 2 ko sama da haka; Y yana ɗaukar cikakken tarihin likita don gano dalilin da saukaka rigakafin.

Hotuna - Georges hodan, jibrin104,


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