MunaMarch 2013, mumwe mudzidzi wekoroji wekuyaruka ane chirwere chakakura chinokonzerwa nekushaya njodzi akadya chiki chine marimu. Akabva atanga zvakanyanya anaphylaxis , asi mhuri yake haina kushandisa Epi-Pen yake nokuti zuva rokupera rainge rapfuura, uye mutori 911 akavaudza pamusoro pefoni kuti vasashandise. Apo mwana wechidiki akazopedzisira agamuchira Epi-Pen injection kubva pachigadzirwa chemuvakidzani, zvakanga zvanyanyisa kucheka: mudzidzi akafa pakarepo manheru iwayo kuchipatara chemo.
(Zvinokosha kuziva kuti hazvisi pachena kana kushandisa EpiPen yakapera ingadai yakashandura mugumisiro wechiitiko ichi chinotyisa.)
Zvokudya Zvirwere: Chinetso Chichikura
Kuwandisa kwezvokudya zvekudya, kunyanya kumapanga nemiti yemiti , iri kuwedzera, nehuwandu hwepamusoro huviri kusvika kune katatu munyika dzakawanda pamusoro pemakore 10 kusvika ku15 apfuura. Zvokudya zvekudya, kunyanya kumiti uye marwizi, zvinogona kuva zvakanyanya uye kutyisa upenyu, uye mamwe maitiro ezvokudya zvinokonzera kushaya zvirwere zvinoparidzirwa gore negore. Kune chikamu chikuru, hapana mushonga wezvokudya zvekudya, kunyange zvazvo nhamba shomanana yezvikwata zvekutsvakurudza iri kuita zvidzidzo zvema immunotherapy kune zvimwe zvirwere zvekudya , zvakadai semarangi, mukaka, uye mazai. Kurapa kwakakwana kwezvokudya zvekudya ndiko kuzvidzivirira kwezvokudya zvinokonzera , pamwe nekurapwa kwezvigadziriswa zvinogona kuitika zvichibva pakukurumidza kwekudya kwezvokudya.
Epinephrine seMushonga weKutsvaga Kwezvokudya Zvirwere
Kurapa kwekusarudzwa kwevanaphylaxis kubva kune zvinokonzera, kusanganisira semugumisiro wezvokudya zvinokonzera, zvinokonzerwa epinephrine.
Ichokwadi, maitiro akawanda ekuuraya anaphylaxis akabatanidzwa nekushaya, kana kunonoka, kutungamirirwa kwe epinephrine. Injectable epinephrine kits inouya mumhando dzakasiyana-siyana, kusanganisira EpiPen, Twinject, uye Avi-Q . Zvose izvi zvishandiso zvine upenyu hushoma hwemafuro nekuda kwekusagadzikana kwe epinephrine: inenge gore rimwe kubva pazuva rokugadzirwa.
Epinephrine inoputsika nekusvika kune chiedza, mhepo, uye kutonhora kwakakwirira. Nokudaro, vakugadziri vanorayira kuti epinephrine ichengeterwe munzvimbo ine rima panzvimbo yekupisa kwemahombekombe, asi kwete firiji. Zvinosuruvarisa, nokuti injectable epinephrine kits haisati yashandiswa uye inodhura, inowanzoita kuti vanhu (vachiziva kana vasingazivi) varambe vachifa epinephrine kits.
Yakapedzwa Epinephrine Zvine Wakakodzera Kuti Uishandise?
Saka kana zvakajairika kuti vanhu vapedzisire vachipindwa mujinga epinephrine kits, zvingava zvakanaka here kuvashandisa mukurapa vanaphylaxis ? Uyu mubvunzo chaiwo wakadzidzwa neboka revanotsvakurudza muCanada uye rakabudiswa mugore ra2000. Boka rakaunganidza rakapera EpiPens uye rakagadzirisa simba re epinephrin raiva mukati mavo. Izwi reEpinephrine rakagadzirirwa nenzira mbiri: Kutora sampuli yeropa kubva kumarabhi mushure mekunge vayirwe neEpiPens yakapera, pamwe nekuita maitiro emakemikari pane zvakasara zvingagadziriswa muEpiPens mushure mekushandiswa. Izvo zviyero zvinowanikwa muEpiPens dzakapera zvakafananidzwa nezviyero kubva kune EpiPens isati yapera.
Kunyange zvazvo nzira mbiri idzi dzichiratidza kuti EpiPens yakapera yaiva nechepinephrine shoma kana ichienzaniswa neEpiPens isati yambopera, pakanga paine chiitiko chakashamisa kwazvo che epinephrine muEpiPens yapera.
Kunyange EpiPens iyo yaive makore mashanu kusvika kune makumi manomwe apera zuva rakapera raive rine makumi manomwe ezana yezana remutengo wepakutanga wakaramba uri muchigadzirwa. EpiPens dzakawanda dzaive makore 2 kusvika ku3 apfuura zuva razvo rokupera kwaive nemapfumbamwe makumi mapfumbamwe emazana emurairo wepakutanga uripo.
Mhedziso: Old Epinephrine Zvichida Zvakanaka Kupfuura Epinephrine
Vanyori vekutsvakurudzwa kwataurwa pamusoro apa vakaona kuti zvakakosha kuchengetedza chirwere chepinephrine chisina nguva chaipo chinowanikwa pakurapa kwemaitiro akakomba anokonzera, zvakadai seavo akonzerwa nekurapa kwezvokudya. Pane humwe uchapupu hwakajeka hwokuti nguva yakareba injectable epinephrine kits ine zvishoma epinephrine kupfuura kate dzisina nguva.
Zvisinei, kubvira pakupera kwejekiti epinephrine kits - kunyange iyo yakawanda yemakore - inenge yakawanda yezvikamu zvepinephrine yakatanga kurongwa, inofanira kushandiswa kurapa anaphylaxis kana pasina imwe epinephrine inowanikwa. Izvo zvingave zvakakunakira kugamuchira chirwere chiduku-kudarika-chakanaka che epinephrine chingangove chakanyanyisa njodzi yezvokushandisa yekushandisa inopera yakagadzirwa epinephrine kititi. (Vanyori vakarayira kuti vasati vashandise chero chirwere chepinephrine chinopera, chakapera kana kwete, chine discolored epinephrine kana zvikamu mukati me epinephrine, nokuda kwezvikonzero zvisingatsananguri mukudzidza kwavo).
> Kwakabva:
> Simons FER, Gu X, Simons KJ. Zvakapedzisira kuitika EpiPen uye EpiPen Jr Autoinjectors: Kare Vakuru Vadzo? J Allergy Clin Immunol. 2000; 105: 1025-30.