Allergic Reactions Pawakaberekwa
Anaphylaxis inorwara yakaipa, inokonzerwa nokusunungurwa kwemakemikari anokonzera soro sem histamine kubva kumasero anogadziriswa akadai semamiti masero . Zvinokonzera vanaphylaxis zvinosanganisira kudya, mishonga yakadai sepenicillin uye NSAIDs , latex uye zvipembenene zvinokonzera uye kurira . Zviratidzo zvevanaphylaxis zvinogona kusanganisira urticaria uye angioedema , zviratidzo zvechirwere , kusuruvara / kushambidzika uye chirwere, nekuderedza ropa.
Anaphylaxis inogonawo kuitika panguva yekudzivirira, kunyanya munguva yebasa uye kubereka, uye inogona kureva ngozi inowanikwa kumucheche, nokuti kuderera kweropa kunobatana nevanaphylaxis muamai kunogona kukanganisa kuerera kweropa kune nhengo dzinokosha mumucheche, zvakadai seuropi nemwoyo . Zvimwe zviratidzo zvevanaphylaxis panguva yekuzvitakura zvinogona kusanganisira vaginal uye vulvar itching, uterine cramps uye low back pain.
Zvinokonzera Anaphylaxis Panguva Yokudzivirira
Zvinokonzera vanaphylaxis panguva yakawanda yekuzvitakura zvakangofanana nemukadzi asina pamuviri. Zvisinei, panguva yebasa uye kutakura kune zvikonzero zvakasiyana-siyana zvevanaphylaxis izvo zvinoda kuonekwa. Mune imwe nguva yakaongorora varwere vane anaphylaxis panguva yekusununguka, 8 vaiva anaphylaxis penicillin uye mamwe maitiro anouraya maitiro, 6 aiva anaphylaxis kune latex, 1 aiva nevanaphylaxis kune nenyuchi, uye yakasara yakanga ine vanaphylaxis kune mamwe mishonga yakasiyana-siyana.
Chimwe chidzidzo chikuru kubva kuchipatara cheTexas chakarongedza 700 000 vakadzi vanopedzisira vasunungurwa mushure mekusununguka vakaratidza 19 matambudziko evanaphylaxis (0.0027% ekutengeswa), uye anopfuura hafu yezviitiko zvinokonzerwa ne penicillin uye nemishonga inorwisa mabhakitiriya.
Ruzhinji rwevakadzi vanotarisana nevanaphylaxis mukudzidza uku kwave kwakapiwa nechikamu chekusiya.
Penicillin uye mamwe maitiro anonzi antibiotics. Munguva yekubata uye kubereka, mishonga iyi inomirira chikonzero chinonyanya kukosha chevanaphylaxis. Penicillin (uye yakafanana nemishonga inorwisa mabhakitiriya) ndiyo mishonga yekusarudzwa kwekudzivirira kweboka revana neatatal B streptococcal (GBS) nedzimwe zvirwere (zvakadai seprophylaxis munguva yecarean) uye inowanzopiwa panguva yekushanda uye kuberekwa.
Kunyangwe kuongororwa kweganda ndiyo nzira yakanakisisa yekuongororwa penicillin allergy, izvi hazvikurudzirwi panguva yekuzvitakura, zvichipiwa mukana muduku wevanaphylaxis zvinogona kuitika semugumisiro wekuedzwa. Kudzivirira penicillin kunoshandiswa panguva yekudzivirira (pamwe nekushandisa imwe nzira isina anti-penicillin antibiotic), kunze kwekuti pasina imwe nzira, yakadai apo amai vane utachiona hwechirwere .
Latex allergy. Latex allergy ndeimwe chikonzero chakajairika chevanaphylaxis munguva yebasa uye kubereka. Vakadzi vane pamuviri vane nhoroondo ye latex mitezo inofanira kuongororwa mushure mekushanda uye kubhadhara nekushandiswa kwe serum IgE ELISA kuedza , panzvimbo yekuenzanisa kweganda kusvika ku latex, zvichipiwa mukana muduku wekuita anaphylaxis nekuongorora kweganda. Latex-inokonzera vakadzi vane pamuviri vanogona kupiwa nzvimbo yekusasa-isina kubhadharwa uye kubata.
Kurapa kweAnaphylaxis Panguva Yokudzivirira
Kazhinji, kurapwa kweAacute anaphylaxis panguva yekuzvitakura hakusi kwakasiyana nedzimwe kwete mune pamuviri. Epinephrine ndiwo mushonga wekusarudza, uye kuderera kwepasi kunofanira kuitirwa utsinye nemaitiro akawedzerwa e epinephrine (sezvinodiwa), mvura inopisa, uye mamwe mishonga yekuchengetedza ropa. Kuderera kweropa mukati maamai kunogona kutungamirira kudzikadzika kweropa kunopinda nhengo dzinokosha mumucheche, kunyanya uropi.
Anoxic brain injuries inogona kuitika kana ropa richiyerera richiderera kusvika kumucheche kwemaminitsi mashanu.
Iyo yakanakisisa kurapwa kwevanaphylaxis panguva yekuzvitakura ndiko kudzivirira vanaphylaxis munzvimbo yekutanga. Nokudaro, allergists inonyanya kukosha mukutarisira vakadzi vane pamuviri vane nhoroondo yevanaphylaxis kune zvekudya, mishonga, latex uye inoruma zvipembenene zvese. Kuongororwa kwehutano hwakanyanya kunofanirwa kutaridzirwa panguva yekudzivirira, kana kuitisa uchishandisa kuongororwa ropa, kuitira kuti kuderedza kubvira kwevanaphylaxis zvichiguma nekuongororwa kweganda.
Kunobva:
Simons FER, Schatz M. Anaphylaxis Panguva yekuKubata. J Allergy Chirwere Immunol. 2012; 130: 597-606.