Anaphylaxis inzira yakakomba yezvinokanganisa zvinowanzokonzerwa nekudya , mishonga , uye zvipembenene . Inotanga kuitika kamwe kamwe, kufambira mberi nokukurumidza, uye kunogona kutyisa upenyu. Iwe uchada kushandiswa nekukurumidza kwe epinephrine (adrenaline) kumisa kupindura uye kunoda kuchengetedzwa kwekukurumidzira kuchipatara. Mushure mechiitiko chevanaphylaxis yako yose inoratidzirwa ichave yakanyanya kuonekwa kuti iwe unogona kuidzivisa uye iwe unofanira kutakura epinephrine autoinjector kana uchidzoka.
Kutanga Kubatsira uye Kutarisirwa Kwemhirizhonga
Nemhaka yokuti anaphylaxis inogona kutyisidzira upenyu, unofanirwa kuona zviratidzo uye unorapa sechirwere chekukurumidzira. Hives, kudzima, uye magumbo ndiyo zviratidzo zvinowanzoonekwa.
Dana 911 uye Mutungamirire Epinephrine
Dana 911 nokuda kwekudavira kwechiremba. Kana iwe uine epinephrine injector, unofanirwa kuishandisa pakutanga kwezviratidzo, vasati vava vakaoma. Maviri echipiri anogona kuverenga mukuponesa hupenyu panguva yevanaphylaxis.
Kana uri kubatsira munhu ane zvaanoita, bvunza ivo epinephrine autoinjector. Kana iwe usina chirwere, vaparidzi vanokurumidza vanogona kugovera epinephrine. Iko kune mavara maviri akafanana e autoinjectors-EpiPen neAva-Q.
Kuti ushandise EpiPen kune munhu asina kukwanisa, tevera matanho aya.
- Kuchengetedza kunofanira kutorwa kuti urege kuibata kumashure, iyo inowanzokanganisa uye iwe unopedzisira uvhara muhudyu mako panzvimbo yehudyu.
- Dhonza hutete bvudzi kubva shure kwechigadzirwa
- Shingairira mugumo wekupedzisira zvakasimba muhudyu wemunhu uye mubatisise kwemaminitsi gumi. Zviri nani kuzvipa zvakananga paganda, asi iwe unogona kuvhara kuburikidza nenguvo kana zvichidiwa.
- Ikoko pachava nesimbi yakasimbiswa inonamatira kunze kwegomba rakasviba mushure mejojo. Shandisai kuchengeta kuti musanamatira. Ramba rakachengeteka mubhodhoro rinosungirirwa mushure mekunge (avo vanokurumidza kupindura vanofanira kunge vane imwe).
An Auvi-Q iyi yakagadzirwa nemakona akafanana nemakona akaenzana nehukuru hwekadhi rechikwereti. Inoshandisa izwi rinokurudzira hurongwa kuti ipe nhanho-nhanho mirayiridzo yekuti ingashandise sei zvakanaka uye kudzivirira njodzi dzengano tsvimbo.
Injodzi imwe chete kubva kune autoinjector inogona kunge isina kukwana kumira vanaphylaxis. Iwe unofanirwa kutungamirira chirwere chinotevera pashure pemaminitsi mashanu kana gumi kana zviratidzo zvakasimba zvichienderera mberi, uye iwe unokwanisa kuzvipa nokukurumidza kana zvichidikanwa.
Epinephrine (adrenaline) ndiyo chete inoshanda mushonga wevanaphylaxis. Antihistamines inonyanya kubvisa zviratidzo zvakadai semingano uye kuchenesa, uye mweya inhalers ichavandudza zviratidzo zvekuporesa, asiwo hazvizoiti nevana anaphylaxis.
Paanenge achimirira vanopikisa vanenge vachikurumidza, munhu ane zvaanoita anofanira kurara pasi nekusimudzira makumbo. Izvi zvinobatsira kuchengetedza ropa richiyerera kusvika pamwoyo panguva yevanaphylactic shock. Munhu wacho angada kuramba akagara apo iye ane dambudziko rokufema kana kurutsa uye iwe unofanira kumurega ave munzvimbo yakanaka, ane makumbo akakwirira kana zvichikwanisika. Shamwari inofanira kuongorora kutora kwemunhu uye kufema uye kutungamirira CPR kana ichidiwa.
Bvisa Allergen
Chinokosha chinotevera chekutanga rubatsiro rwekurapa ndechekubvisa zvinokonzera. Izvozvo zvinogona kuenderera mberi chero bedzi iyo yose inenge iri mumuviri.
Kuti zvipembenene zvive, chiyi ndicho kubvisa stinger nekukurumidza. Izvo zvakanyanya kuti stinger iri mumuviri, chikuru chichaita. Kana iyo yakagadzirwa nehutachiona, yakadai sehuputi yehui kana chechi yehuni, iwe unoda kushambidza ganda nekukurumidza. Munyaya yezvokudya kana zvinodhaka zvinonwa, hapana zvakawanda zvaunogona kuita kunze kwekusaenderera mberi kutora mutadzi anogumbura.
Endai kuMudhipatimendi
Mushure mekudzivirira epinephrine, zvinokosha kuenda kuchipatara chinoshamwaridzana nehurumende kuti chiongorore. Pano vanachiremba uye vanamukoti vanogona kukuona zvakakodzera uye kupa mishonga inenge ichidiwa.
Kunze kwepinephrine, unogona kupiwa oksijeni, zvirwere zve IV, IV antihistamine uye cortisone, uye beta-agonist yakafanana ne-albuterol kubatsira mukufema uye kumisa kugadzirisa. Muzviitiko zvakakomba, unogona kuvharwa kana kuti une chirwere chekukurumidzira cricothyroidotomy yakaitwa kuti uwane mweya kumapapu ako.
Iwe uchachengetwa kwekucherechedza kwemaawa akawanda nokuti zvinoita kuti anaphylaxis idzoke. Iko kune mikana yezvinetso zvemoyo, kunyanya kune vanhu vanopfuura makore makumi mashanu uye avo vane chirwere chemwoyo.
Kunewo mamwe matambudziko anogona kutevedzera anaphylaxis. Somuenzaniso, chirwere chinokonzera kuputika, panic attack, kana kuora mwoyo kunogona kuita kuti iwe uve nezviratidzo zvakafanana neanaphylactic reaction. Zvichienderana nehupenyu hwako, kuongorora muviri, uye kliniki, chiremba angada kutora zvimwe zvezviitiko izvi.
Zvinyorwa
Iwe uchapiwa chirongwa chehutano hwevana personlaxlaxis chirongwa chisati chaitika usati wasunungurwa kubva kuchipatara mushure mechikamu chevanaphylaxis. Izvi zvichakutungamirira maitiro ekuziva zviratidzo uye matanho aunofanira kutora paunovaona.
Epinephrine Autoinjector
Iwe uchapiwa chirongwa che epinephrine autoinjector (EpiPen kana Auvi-Q) kutakura newe nguva dzose. Zvakakosha kuzadza chirairo pakarepo. Inowanzokurudzirwa kuti une ma autoinjector maviri nekuti kusvika 20 kubva muzana yevanhu vanoda jekiseni rinopfuura rimwe kumisa vanaphylaxis. Kune mwana, iwe unofanirwa kushanda pamwe nechikoro pane chirongwa chekuita kuti usvike kune autoinjector kana zvichidiwa. Injector inofanira kuchengetedzwa kubva pachiedza uye yakachengetwa mukati mechigadziko chayo chekunze. Hazvifanirwi kuva firiji. Iwe unofanirwa kuichengeta nguva dzose kuti uone kuti mhinduro yacho yakajeka uye isina ruvara uye inotsiva iyo iyo inoshanduka bhuru kana kuti yakanyatsogadzirwa kana kuti isina kusimba.
Kuwedzera Ongororo nekuedzwa
Pashure pechiitiko chevanaphylaxis, chiremba wako anogona kukugadzirira iwe zvimwe zvekuedzwa kana kuongororwa. Iwe unogona kutaurirwa kune anoristorist. iyo inyanzvi yezvechiremba mune zvechirwere uye anaphylaxis. Anenge achida kugadziriswa kweganda uye kuongororwa kweropa kuti aone kana iwe uine chokwadi chechokwadi uye kuti chii chakanakirwa kuti iwe uwane chirwere chekuchengetedza zvikamu zvekupedzisira zvevanaphylaxis. Your allergist inogona kukurudzira antihistamines kana corticosteroids sezvirapa zvezviitiko zvenguva yemberi. Kana iwe uine chirwere chepamu, zvirwere zvisingaperi zvepemmonari, kana chirwere chemwoyo chiremba wako achashanda newe kuti uve nehutano hwakanaka sezvo izvi zvinokonzera njodzi yekufa panguva yavanaphylaxis.
Immunotherapy
Your allergist inogona kukurudzira immunotherapy (allergy shots) kuti ibatsire kudzivisa kusangana kwemashure. Izvi zvinongowanikwa chete kune zvipembenene zvinokonzera zvipembenene uye kwete kune zvimwe zvinokonzera. Kirasi yemakore mashanu ekuzivikanwa kwezvipembenene zvinogona kuderedza zvakanyanya ngozi yako yeramangwana yezvakaitika zvevanaphylaxis.
Lifestyle
Kudzivisa zvirwere zvinokonzera vanaphylaxis chikamu cherongwa hwekurapa. Zvisinei, zvimwe zvinokonzera, zvakadai semamwe mapoka ezvokudya, zvinogona kuva zvakaoma kudzivisa.
- Zvokudya: chero nguva iyo zvokudya zvinotungamirira kuanaphylaxis, inoda kubviswa kubva pakudya. Iwe unogona kunge uchida kuverenga kuverenga mavara ezvokudya uye kuva hypervigilant pamusoro pokukumbira nezvekugadzirira nekuita zvekudya kure nemusha wako.
- Insect bits / stings: Kupfeka zvipfeko zvinodzivirira chinhu chinokosha kudzivirira rudzi urwu rwevanaphylaxis. Izvi zvinosanganisira kupfeka shangu dzakapfigwa, shangu refu-refu, hove, uye kwete kunwa kubva pamadziro akazaruka panze.
- Mishonga: Unofanirwa kuziva kuti mishonga ine mazita akasiyana uye inogadzirwa nevatengi vakasiyana-siyana. Somugumisiro, zvakakosha kuti iwe udzidze kwete chete mishonga yawakanga uine mhinduro chaiyo asiwo mishonga yakafanana nemazita avo uye mazita evanhu.
Iwe unofanirwawo kufunga nezvekupfeka chirwere chekuzivikanwa kwechiremba. Kana iwe ukawanikwa usingabvumi, vaparidzi vekukurumidzira vanogona kuziva kuti iwe wakatambura kuti unganise vanaphylactic uye vanogona kukupa zvakakodzera nekukurumidza kutarisira.
> Sources:
> Boyce JA, Assaad A, Burks AW, et al. Nhungamiro Yekuziva uye Kutarisira Kwezvokudya Zvokudya MuUnited States: Mushumo weNIAID-Panowanikwa Nemazano Anyanzvi. The Journal of Allergy and Clinical Immunology . 2010; 126 (6 0): S1-58. doi: 10.1016 / j.jaci.2010.10.007.
> Campbell RL, Kelso JM. Anaphylaxis: Emergency Treatment. Kusvika pari zvino. https://www.uptodate.com/contents/anaphylaxis-emergency-treatment.
> Simons FE, Ardusso LR, Dimov V, et al. World Allergy Organization Anaphylaxis Mirayiridzo: 2013 Kuvandudzwa kweEvidence Base. Int Arch Allergy Immunol 2013; 162: 193-204.