Allergic response to local anesthetics
Nharaunda yeanesthetics, yekutanga yakagadzirwa muna 1904, inowanzoshandiswa kudzivirira marwadzo mumazino nekuvhiya. Izvo zvinoshandiswawo mujecha maitiro ekurapa nekudzivirira kusagadzikana kwepfungwa, muhutomu hwemukati kuti ufukidze ganda (zvakadai semarudzi akasiyana - siyana anopesana nemiti , seLanacane) uye muromo (akadai seOrajel), uye mumadonhwe eziso kumeso ekuvhiya.
Mienzaniso yeanesthetics yemunharaunda inosanganisira procaine (Novocaine), lidocaine (Xylocaine), benzocaine, uye mepivacaine (Carbocaine).
Ndezvipi Zviratidzo Zvinogona Kuitika Nenharaunda yeAnesthetic Reactions?
Zviratidzo zvakawanda, zvichienderana nezvinokonzera uye zvisingaiti zvinokonzerwa nezvinokonzera, zvinogona kuitika semugumisiro wekushandiswa kwekushandiswa kwemagetsi. Zviratidzo izvi zvinogona kusanganisira:
- Kufunganya
- Flushing
- Hyperventilation
- Kutsanya kwepfungwa yemwoyo kana mapirati
- Kuchengetedza, kutema, kana mikoko, zvose panzvimbo yejection uye kune imwe nzvimbo mumuviri
- Zviratidzo zvevanaphylaxis
- Bata dermatitis panzvimbo yejairo kana kushandiswa
Chii Chinokonzera Kugadziriswa Kunzvimbo Anesthetics?
Kugadziriswa kune anesthetics yekune imwe nzvimbo kunowanzoshamwaridzana, kunyange zvisingamboitiki nekuda kwechikonzero chinokonzera . Zviratidzo zvinoitika mushure mokushandiswa kweanesthetics yekunzvimbo inogona kunge yakakonzerwa nekuda kwezvikonzero zvakasiyana-siyana, zvinosanganisira kushushikana, hyperventilation, zvinosvibisa zvechirwere chacho pachavo, vaso-vagal reactions , pamwe nekugadzirisa ku epinephrine, iyo inowanzowedzerwa kune anesthetics yemo icho chinotyisa chinoguma kwenguva refu.
Zvinogonawo kuti munhu ave nehutano hwehutachiona kune zvigadziriswa zvakawedzerwa kune anesthetics yemo.
Methylparabens ndiyo inowanzochengetedzwa yakawanda yakawedzerwa kumiti yakawanda yekushandisa yeanesthetics yemo. Allergy kusvika methylparaben, asi zvisingawanzoitiki, inowanzowanzova yakawanda kudarika kuitika kwechokwadi kune anesthetics yemunzvimbo mavo pachavo.
Kunyange zvazvo kuvimba kwechokwadi kune anesthetics kunzvimbo kunogona kuitika, iyo inonyanya kushamiswa pasinei nezvidzidzo zvakawanda zvevanhu vakaona kusagadzirisa kwekushungurudza mushure mekushandisa mishonga iyi.
Kuchengetedzwa kweganda kwakaratidza kuti inenge vanhu vose ava havana kuratidza uchapupu hwekudavira kune anesthetics yepamunharaunda uye vakakwanisa kutsungirira majekiseni nemishonga iyi.
Iko kunogona kwekupedzisira kwemazuva ose kunofanirwa kutaridzirwa apo munhu ane zvaanoita kune anesthetics yemunharaunda yako, achipiwa kushandiswa kwemaawa ekupedzisira mumagetsi ekurapa uye mazino industries. Mimwe mishonga inoshandiswa mumupfupa anesthesia ine sulfites , imwe yakachengetedza iyo inogona kukonzera kugadzikana kwehutano .
Pakupedzisira, zvinokwanisika kuti uwane ruzivo rwekuita dermatitis kune anesthetics yemunharaunda. Kunhuwa, kubhururuka kunogona kuitika panzvimbo yejairo kana kushandiswa kwemaitiro anesimba.
Nzira yei Allergy ku Local Anesthetics Inozivikanwa?
Kuongorora kweganda kunogona kubatsira mukuongorora kwekusarudzwa kwakaipisisa kwemishonga iyi. Allergists vane nzira dzakasiyana dzokuswedera kune munhu ane nhoroondo yekushungurudzwa kwakaipa kune anesthetics yemo. Asi vazhinji vanozoita kuongororwa kweganda nechinangwa chikuru chekupa munhu chimwe chinhu chinowanikwa munharaunda iyo inogona kushandiswa munguva yemberi.
Vose allergist skin test nechekuchengetedza-isina (methylparaben-isina), epinephrine-isina nzvimbo yeanesthetics. Kana kuongorora kweganda kusina kunaka, ipapo kuisa pasi (pasi peganda) majekiseni achaitwa neanoristor akashandisa iyo yakananga yekunyepedzera.
Izvi zvinonzi "dambudziko", izvo zvinenge zvichipa munhu chiyero chaiyo chemishonga inogona kuonana nachiremba wemazino kana painovhiyiwa maduku. Kana munhu achitsungirira chirwere chinotarisana nemishonga chinoshandisa imwe nzvimbo yemajoka emunharaunda, inofungidzirwa kuti munhu anogona kushandisa chirongwa ichi munguva yemberi.
Zvimwe zvinonzi allergists zvichagadzira ganda rinoshandisa shanduko inowanikwa munharaunda yeanesthetic iripo - lidocaine ne methylparabens. Ruzhinji rwevanhu rucharamba ruchinyanya kushandisa dambudziko iri rekushaya maitiro, uye nenzira iyo ndiyo nzira iri nyore kuti munhu akunde mazita ekuti "anogamuchirwa kune anesthetics yemo."
Munzvimbo isina kujairika iyo kuongorora kweganda kunobatsira kune imwe nzvimbo yekunetseka kwepanyika, kudzokorora kuongorora kweganda uchishandisa mushylparaben-kusununguka kusununguka kana imwe yemaitiro anesthetic inogona kuitwa. Kazhinji mamwe anesthetics emunharaunda yequidocaine anosanganisira bupivacaine (marcaine), mepivacaine, prilocaine, uye etidocaine. Zvakakosha kugara uchishandisa anesthetics yechipfupa iyo isina epinephrine yekuenzaniswa kweganda sezvo kuvapo kwe epinephrine kunogona kutungamirira kune imwe nhema yakaipa yechiratidzo chekuongorora ganda.
Vamwe vanhu vachabva vaona kuitika panzvimbo yejection maawa nemazuva mushure mekuedzwa kana kupikisana nehutachiona hwepanyika. Izvi zvinogona kuratidza kuvapo kwekubatana dermatitis kune anesthetics yemo, iyo inonyanya kuongororwa ine kushandiswa kwepatch test . Kazhinji, vanhu vane ruzivo rwehutano kune rumwe ruzivo rwemunharaunda rwemunharaunda vanozoremesa rimwe dambudziko remunharaunda.
Nzira yei Allergy ku Local Anesthetics Inotariswa?
Kurapa kwemaitiro akakomba kune anesthetic yemunharaunda yakangofanana neyekupindura kubva kune chimwe chikonzero. Kana vanaphylaxis ichiitika, kurapwa kunogona kusanganisira injectable epinephrine uye antihistamines , pamwe nekushandiswa kwemvura inoputika nekuderera kweropa uye kushamiswa.
Kuchengetedzwa kwezvinoitika mune ramangwana chimwe chinhu chinokosha pakurapa. Kuyera kweganda kune anesthetics yekune imwe nzvimbo kunofanira kunge iri pasi pekutungamirirwa kweanoristorist. Pane imwe nzira inonzwisisika yeimwe nzvimbo yemainesthetic yemunharaunda yakawanikwa ichiremerwa nemunhu, chete ichi chinonyanya kushandiswa kwemasimba chinoshandiswa kunofanira kushandiswa munguva yemberi. Izvo zvinenge zvichigoneka kuti munhu wacho aigona kutaridzirwa kune imwe nzvimbo yeanesthetic yemunharaunda.
> Sources:
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> Macy E. Local Anesthetic Zvakaipa Reaction Kuongorora: Basa reAllergist. Ann Allergy Chirwere Immunol. 2003; 91: 319-20 ..
> Gall H, Kaufmann R, Kalveram CM. Kugadzikana Kusina Kunaka Kumunharaunda Anesthetics: Kuongorora kwe1999 Mhosva. J Allergy Clin Immunol. 1996; 97: 933-7.
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