Iko Epi-Pen kana kuti kambani yeAvi-Q yakasarudza here?
Anaphylaxis chirwere chakakomba chinokonzerwa nekusunungurwa kwe histamine uye zvimwe zvinokonzera zvirwere nekuda kwekubatanidza kuwirirana kwezvirwere zvinokonzerwa nemagetsi nemasophils zvakasiyana-siyana.
Zvimwe zvirwere zvakasiyana zvakasiyana zvakave zvichinzi zvinokonzera vanaphylaxis, kusanganisira kudya , uturu hwehupembenene , latex , nemishonga . Zviratidzo zvevanaphylaxis zvinosanganisira urticaria / angioedema , zviratidzo zvechirwere , kugadzikana kwepamuviri, kushamiswa uye kunyange rufu.
Chirongwa chinosarudzwa nevanaphylaxis epinephrine, iyo inopiwa sejovhesi yepramuscular. Epinephrine ndiyo chete inorapwa nevanaphylaxis yakaratidzwa kuderedza mukana wekufa, kunyanya kana inotungamirirwa kare.
Kune vanhu vari mungozi yevanaphylaxis kubva pamakemikari akaoma, epinephrine inofanirwa kuwanikwa nyore nyore kutarisa chirwere chakanyanya kuitika. Epinephrine auto-injectors ave akawanikwa kwemakore anoverengeka, ane fomu yakakurumbira kuva Epi-Pen . IEpi-Pen iyi yakagadziriswa yakafanana nepeni yekunyora, ine hovha yepamusoro kune imwe mugumo uye nheyo yakasimwa mumhepo pane imwe mugumo. Kuti uratidze Epi-Pen, chigadziro chekuchengetedza chinofanira kubviswa uye kuguma nemusana unochera mutsipa wakamanikidzwa pahudyu. Zvinosuruvarisa, zvakajairika vanhu vachiedza kushandisa Epi-Pen kuti vadzorere shure, zvichiita kuti majekesiti asingaiti nemaune mukati mechigunwe - izvo zvose zvinorwadza uye hazvibvumi kuti kuwedzerwa kwakakodzera kwepinephrine mumuviri kuitira kuti zvirwe zviratidzo zve anaphylaxis.
Munguva pfupi yapfuura, rudzi rutsva rwepinephrine auto-injector rwakagadzirwa, rinonzi Auvi-Q . Auvi-Q inosanganisira kuchengetedzwa kwetabhenji pamagetsi ekupedzisira kwechigadziro uye inoshandisa izwi rinokurudzira nzira inopa mirairo-nhanho-nhanho mirayiridzo yekuti ungashandisa sei chigadziro kuitira kuti udzivirire njodzi dzesinga tsitsi.
Kusiyana neEpi-Pen, Auvi-Q ibato duku rakagadzirwa nemakona akaenzana, anenge akaenzana nekadhi kadhi.
Kutsvakurudzwa kwechangobva kutsvaga kutsvaga kutsvaga chigadzirwa chipi, Epi-Pen kana Auvi-Q, inosarudzwa nevanhu vanoda kutakura epinephrine auto-injector yekurapa anaphylaxis. Vanenge mazana manomwe vanhu vemakore akasiyana-siyana uye mazera akasiyana-siyana vakabatanidzwa mukudzidza, yakabudiswa muna 2013. Vaparidzi vakapiwa mamiriro ezvinhu mavaiita sokuti vane vanaphylaxis inoda kushandiswa kwe epinephrine auto-injector . Vaizopiwa maitiro ekudzidzira ejecha rimwe nerimwe (iro risina nheyo kana kuti chaiyo epinephrine) uye yakabvunzwa kuti ione kuti ingashandisa sei chigadzirwa. Mushure mekunge mamiriro acho akazadziswa, vatori vechikamu vakabvunzwa pamusoro pekuda kwavo kwechimwe chigadzirwa kuno rumwe.
Zvinotoshamisa kuti vaAni-Q vaifarira, inenge 4 kusvika ku1, pamusoro peEpi-Pen mune zvinenge zvose zvekuenzanisa. Izvo zvaidiwa zvaisanganisira nzira yekurayiridza, zvaidiwa zvechimbo chekutakura, uye ukuru uye chimiro chechigadzirwa. Vatori vechikamu vakawanawo kuti Auvi-Q yakawanda zvikuru kushandisa, nyore nyore kutakura, nyore nyore kutevera mirayiridzo, uye yakasarudzwa zvachose kana ichienzaniswa neEpi-Pen.
Chinonyanya kukosha, vatori vechikamu vaiwanzoshandisa kushandisa Auvi-Q zvakarurama (81%) vachienzaniswa neEpi-Pen (61%).
Sekuita zveanoristorist , ndinoona migumisiro yenyaya iyi isingatenderwi. Chokutanga pane zvose, kambani inogadzira chipanisi cheArivi-Q chakabhadhara chidzidzo - izvi zvinenge zvisingabvumirwi zvidzidzo mumaonero angu. Izvi hazvisi kungoita kuti vanyori vekudzidza vave nehanya neAva-Q, zvinogona kuita kuti vatori vechikamu vave nehanya neAvi-Q zvakare (sezvo vatori vechikamu vanowanzobhadharwa maonero avo, uye vangave vakaziva kuti vari kubhadharwa ne chigadzirwa chechigadzirwa chitsva). Zvadaro, ndakaongorora zvose zvishandiso ini uye ndaifunga kuti Epi-Pen yaizove yakanakisisa pamusoro peAvi-Q inobva pane zvakaitika kwandiri semanzwiro ose ekurapisa anaphylaxis.
Pakupedzisira, pose apo chidzidzo chakadai seichi chinoratidza kusiyana kukuru kwakadaro pakati pemapoka maviri, ndinofunga kuti chidzidzo chacho hachina kutendwa.
Saka, apo pangava nenguva yandichapa Auvi-Q, ndinosarudza kupa Epi-Pen kuvarwere vangu vari pangozi yevanaphylaxis. Nyaya, ini handisi kubhadharwa nekambani inogadzira vaiti kana chigadzirwa.
Kunobva:
Camargo CA, Guana A, Wang S, Simons FER. Auvi-Q Inoshandiswa Epi-Pen: Zvaunofarira zveVakuru, Vatarisi, uye Vana. J Allergy Clin Immunol: In Practice. 2013; 1: 266-72.