Chirwere chepinephrine chakasarudzwa kuti chirape anaphylaxis nekukurumidza kunetseka
Anaphylaxis inotyisa zvikuru, inopisa upenyu hwehutachiona hwehutachiona hunogona kukura mumaminitsi ekuonekwa kwechirwere. Pane dzimwe nguva mutambo unozivikanwa (somuenzaniso, kuiswa kwezvimwe zvokudya kana mishonga, zvipembenene zvinokonzerwa nezvipembenene kana kutumidzwa, kana kurovedza muviri-kunokonzerwa nevanaphylaxis ), uye dzimwe nguva kukanganisa kwakarurama hakuzivikanwi.
Kurapa kwechiitiko ichi chinouraya kunoda kuvharwa nokukurumidza kwepinephrine mumutsipa wemunhu, kunyanya pakati pechitsiko chavo chekunze.
Nenzira, epinephrine auto-injectors (inonzi EAI), kufanana neEpiPen, yakarongerwa navanachiremba kune varwere vari pangozi yeanaphylactic reactions.
Asi imwe motokari epinephrine yakatanga. Muna June 2017, US Food and Drug Administration yakabvumira chirwere chepinephrine chinoshandiswa chine imwe chete chinonzi Symjepi nokuda kwekurapa kwevanaphylaxis.
Kunyange zvazvo isina ruzivo rwakakwana kana kuti kurapa kwakasiyana-siyana-iyo ichiri epinephrine-Symjepi inopa imwe nzira inoshandiswa kune tsika dzeEpiPen, uye inogona kuva yakatsiva inotsiva.
Chimwe chikonzero ndechekuti chiduku pane Epipen, saka inogona kutakurwa muhomwe yejasi kana muhomwe. Asi zvakatonyanya kukosha, ndeyekuti nyanzvi dzinopokana kuti Symjepi inenge iri shoma, pfungwa inofadza kune avo vanopedza mari yakawanda gore negore paEpiPens yavo.
Iyo Symjepi (Epinephrine) Inobata Anaphylaxis
Anaphylaxis inogona kuchinja nhengo dzakawanda mumuviri, kusanganisira ganda, mapapu, mwoyo, uye gumbo.
Izvi zvinogona kutungamirira kune zviratidzo zvakasiyana-siyana zvakadai se:
- Kuchenesa kwakanyanya uye kuputika kweganda (somuenzaniso, mikoko )
- Kutamba kwechiso, miromo, muromo, kana rurimi
- Wheezing
- Trouble breathing
- Hoarseness
- Marwadzo emudumbu
- Dharare uye kurutsa
- Kutsanya mwoyo kutsva
- Lightheadedness uye / kana kupera (kubva pakuderera kweropa)
Izvo zvinogona kuuraya rufu rwevanaphylaxis ndezvokuti zvinogona kutungamirira kumusungo wemwoyo, apo mwoyo unorega kurova.
Chinangwa cheSyjepi (epinephrine) seyakatanga kurapwa kwevanaphylaxis ndechokudzivirira migumisiro yeiyi inogadziriswa. Kuti uite izvi, epinephrine inosunga kune maviri emakona anenge ari mumatumbu mumuviri wose, anonzi alpha-1 receptors uye beta-2 receptors.
Nokuita izvi izvi, epinephrine inonyanya kuderedza midzi yeropa mumuviri, uye izvi zvichaita kuti munhu awedzere ropa. Iyo inodzikisawo kukurira mumutsipa, muromo, uye kugadzikana kwekudya uye inowedzera mumhepo yevanhu, saka anogona kufema nyore nyore. Pakupedzisira, epinephrine inoderedza kusunungurwa kwezvinhu zvinopisa sezvinonzi histamine kubva kumasero ari mumuviri wako, anonzi mast cells.
Nzira Yokushandisa Symjepi (Epinephrine) Panguva yaAnaphylaxis
Kusiyana neEpiPen, iyo inonzi auto-injector, Symjepi isirin'i-cylinder yakazara 0.3mg ye epinephrine ine nheyo yakaiswa pairi. Pachirongwa chinoshandiswa pane zviyero zviviri zviri nyore kuverenga nzira yekupa mishonga mumamiriro ezvinhu akaoma.
Munhu anogona kuzvitungamirira kana mumwe munhu semutarisiri kana nhengo yemhuri anogona kuitungamirira (somuenzaniso, mubereki kumwana). Pasinei, kudzidziswa kwakakodzera nemupi wehutano wehutano iyeye kunokosha.
Kurovedza zvakakosha kuti kwete kungovimbisa nzira yakakodzera yokujoya pasina kukuvadza, asi kugadzirisawo mibvunzo ipi zvayo, zvikonzero zvekuvhiringidzika, kana kunetseka nezvekupa pfuti.
Idziviri idzi dzinonyatsotsanangurwa zvakanyorwa pamutsara dzinosanganisira:
- Danho Rokutanga: Bvisai Cap (izvi zvinoratidzira tsono)
- Nhanho yechipiri: Isa Nheyo muTegh-Mushure mekushandisa Tora 911 (kana zvichidikanwa, inogona kujowa kuburikidza nenguvo)
Cherechedza kuti mirayiridzo inoti kudana 911, sezvo Symjepi haafaniri kutora matanho ekurumidza kurapwa-inongova yekutanga (yenguva) danho, uye izvi zvakafanana kune EpiPen.
Kana iripo, Symjepi inotengeswa mumutambo wezviviri, izvo zvakafanana nezvino zvakatengeswa epinephrine auto-injectors.
Chinangwa chokugovera munhu ane maviri ndechekuti munhu anogona kutorwa nguva dzose, uye mumwe anogona kusiyiwa kuchikoro, kumba, kana basa, sekudzokera shure, kana kuti chiitiko chechipiri chinodiwa.
Zvinonakidza kuziva kuti nhamba yemishonga kana inject-self inogadzirirwa nachiremba yakasiyana-siyana, sezvo pasina mutemo wakaoma uye wakakurumidza kana mutungamiri wekuti vashandi vehutano vanofanira kutevera.
Izvo zvataurwa, rimwe chete mutemo wakanaka wechigunwe, maererano neWorld Hearth Organisation, ndeyekuti munhu anofanira kuva nehana imwe epinephrine inowanikwa kwemaminitsi gumi kusvika kumakumi maviri ekufamba kwenguva kune imwe nzvimbo yekukurumidzira.
Yeuka, zvisinei, haufaniri kuisa mukana wepinephrine kupfuura mairi maviri kune imwechete anaphylactic episode-chete chiremba anofanira kupa mamwe maitiro.
Pakupedzisira, Symjepi inongowanikwa (uye inotengeswa) mu 0.3mg doses, yakachengeteka kune vanhu vanoyera mapaundi 66 kana kupfuura. A junior version yeSyjepi (yakafanana neEpiPen) inotarisirwa kupa chirwere chepinephrine chisinganyanyi kune vana.
Pane Mhinduro Dzakashamwaridzana Neshamwari NaSimjepi?
Apo Symjepi inorohwa, munhu angava nemimwe migumisiro. Kunyange zvakadaro, tapota cherechedza kuti izvi zvinowanzotora nguva pfupi uye kubatsirwa kwejojo epinephrine kunopfuura zvakanyanya izvi zvinetso. Zvimwe zvinogona kuitika zvinosanganisira:
- Kupopota
- Chizutu
- Paleness
- Sweating
- Nausea uye kurutsa
- Kutsanya uye / kana kusagadzikana kwepfungwa (kunonzi palpitations)
- Kunzwa kwokusazorora, kutya, uye / kana kuzvidya mwoyo
- Kuporesa zvinetso
- Musoro
Kazhinji, matambudziko emwoyo akaita seanouraya asina kuchena mwoyo rhythm inogona kuitika. Zvimwe zvisingawanzoitika zvinogona kuipa zvinokonzerwa ne epinephrine kukurumidza kukurumidza kweropa rinogona kukonzera kubuda ropa muuropi, uye mvura inoputika mumapapu-ino inonzi pulmonary edema .
Zvinofanira kuonekwa kuti izvi zvinowanzovhiringidza zvinowanzoitika kana zvichiitika kudarika kwe epinephrine, uye kunyanya kana ichipiwa kuburikidza nemuviri (intravenously). Kamwe zvakare, kubatsirwa nekukurumidza kupinza epinephrine nokuda kwevanaphylaxis kunopfuura zvakanyanya izvo zvinogona kuisa njodzi.
Imwe njodzi inobatanidza naSymjepi ndiyo inogona kugadziriswa nesinono kana kuvhara. Izvi zvinowanzoitika mumunwe kana paruoko uye zvinogona kukonzera kusakanganiswa kweropa kuderera, izvo zvingave zvakakomba. Iyo jekeseni mumashure inonzi yakatungamirirwa kunotungamirira kune gesi rinokonzera chirwere, chirwere chakakomba chebhakitiriya.
Kana chirwere chinokonzerwa nechiitiko chikaitika, iva nechokwadi chekuenda kuimba yako yepamhanho yepamhanho. Pasi pose, nzira yakanakisisa yekudzivirira nenyuchi tsvimbo ndeyokusazombobvisa shandi yejoko pajinga kusvikira yakagadzirirwa kushandiswa.
Pakupedzisira, utachiona hunogona kuitika-kunyange izvi zvisingawanzovi-panzvimbo yejairo. Utachiona hunogona kuita kuti ganda rikomberedza nzvimbo yejojo kuti ive inodziya, nyoro, yakwimba, uye / kana tsvuku. Kana izvi zviri izvo, iva nechokwadi chekushevedza chiremba wako pakarepo, sezvaunogona kudikanwa nemishonga inorwisa mabhakitiriya.
Shoko Rinobva
Kugamuchirwa kweimwe nzira yekuisa jira rinoponesa upenyu nekurapa vanaphylaxis rinocherechedza, uye pamwe nemari yakaderera, inogona kusunungura pfungwa dzevanhu vazhinji vanobhadhara mazana nemazana emadhora gore kuti vatsive epinephrine auto- injectors.
Pasinei nokuti iwe unorayirwa epinephrine autoinjector, kufanana neEpiPen, kana kuti isati yazadzwa-dose epinephrine seringe seSyjepi (mune ramangwana), iva nechokwadi chokuti iwe unobata mavoko kubva kune mumwe mutarisiri wehutano kuti ungashandisa sei chikwata chako . Dzorerai kurovedzwa nachiremba wenyu gore rega rega, pamwe nekuvandudza mushonga wenyu wepa epinephrine.
Kungotaura, upenyu hwako hunogona kuvimba nekudzidziswa uku rimwe zuva.
> Sources:
> Pepper AN, Westermann-Clark E, Lockey RF. The High Cose of Epinephrine Autoinjectors uye Zvimwe Zvimwe Zvimwe. J Allergy Clin Immunol Pract. 2017 May-Jun; 5 (3): 665-68.
> Posner LS, Camargo Ca Jr. Kuvandudzwa pamusoro pekushandiswa uye kuchengetedzwa kwe epinephrine auto-injectors, 2017. Drug Healthc Patient Saf . 2017 Mar 21; 9: 9-18.
> Sherehere SH. (2017). Kunyora epinephrine for anaphylaxis kuzviraramisa. Mu: UpToDate, Kelso JM (Ed), UpToDate, Waltham, MA.
> US Food and Drug Administration. (June 2017). Symjepi (epinephrine) injection inorondedzera mashoko .