Yini i-anaphylaxis?

I-Anaphylaxis iwukungezwani okunzima, okungase kube yingozi empilweni. Kungenzeka emasekhondini noma emizuzwini yokuchayeka kokuthile ongakuphathi kahle. Ukusabela okuvame kakhulu kwe-anaphylactic kungukuthi ukudla, ukulunywa yizinambuzane futhi kunemithi noma amaphilisi.

Uma ungezwani nento ethile, amasosha akho omzimba asabela ngokweqile kulokhu kungezwani komzimba ngokukhipha amakhemikhali abangela izimpawu zokungezwani komzimba nezinto ezithile. Ngokuvamile, lezi zimpawu ezikhathazayo zenzeka endaweni eyodwa yomzimba. Kodwa-ke, abanye abantu basengozini enkulu yokusabela kwe-anaphylactic. Lokhu kusabela ngokuvamile kuthinta ingxenye yomzimba engaphezu kweyodwa ngesikhathi esisodwa. Izikhukhula zamakhemikhali akhishwe amasosha akho omzimba ngesikhathi se-anaphylaxis zingabangela ukuthi uthuke; umfutho wegazi wakho wehla ngokuzumayo futhi imigudu yakho yokuphefumula ibe mincane, ivimbe ukuphefumula okuvamile.

Izimpawu

Izimpawu nezimpawu ze-anaphylaxis zingenzeka phakathi nemizuzwana noma imizuzu yokuchayeka kokuthile ongakuphathi kahle:

Ukusabela kwesikhumba, okuhlanganisa ukuqunjelwa kanye nokuluma
Isikhumba esikhanyayo noma esiphaphathekile
Umuzwa wokufudumala
Ukuzwa kwesigaxa emphinjeni wakho
Ukuhefuzela, ukuphelelwa umoya, ukucinana komphimbo, ukukhwehlela, izwi eliyisihosha, ubuhlungu besifuba/ukuqina, inkinga yokugwinya, umlomo/umphimbo olumelayo, ukugcwala emakhaleni/ukuminyana
I-pulse ebuthakathaka futhi esheshayo
Isicanucanu, ukuhlanza noma isifo sohudo
isiyezi
bekhanda
ukukhathazeka
Umfutho wegazi ophansi
Ukulahlekelwa kokwazi

Izimpawu eziyingozi kakhulu ukwehla komfutho wegazi, ukuphefumula kanzima kanye nokulahlekelwa ukwazi, konke okungabulala. Uma unanoma iyiphi yalezi zimpawu, ikakhulukazi ngemva kokudla, ukuphuza imithi noma ukuhlatshwa isinambuzane, funa usizo lwezokwelapha ngokushesha. UNGALINDI!!!!!

I-anaphylaxis idinga ukwelashwa ngokushesha, okuhlanganisa umjovo we-adrenalin nokulandelela ukuhlolwa kwezokwelapha ekamelweni lezimo eziphuthumayo esibhedlela.

Izimbangela

Ukudla

Noma yikuphi ukudla kungabangela ukungezwani komzimba. Ukudla okubangela iningi le-anaphylaxis kukhona namantongomane, amantongomane esihlahla (njenge-walnut, i-cashew, i-Brazil nut), i-shellfish, inhlanzi, ubisi, amaqanda nezivimbelakuvunda.

Izinambuzane ezihlabayo

Ubuhlungu bezinambuzane obuvela, izinyosi, iminyovu noma amabhantshi aphuzi, ama-hornets nezintuthwane zomlilo zingabangela ukusabela okubi kakhulu noma okubulalayo kwabanye abantu.

Imithi

Imithi evamile ebangela i-anaphylaxis ama-antibiotics (njenge-penicillin) kanye nemithi elwa nokuthunjwa. Imikhiqizo ethile yegazi negazi, odayi be-radiocontrast, imithi yezinhlungu nezinye izidakamizwa kungase kubangele ukusabela okubi kakhulu.

Izimbangela ezivamile

Latex

Natural I-latex imikhiqizo iqukethe izinto ezingezwani nezifo ezingadala ukusabela kubantu abazwelayo.

Ukuzivocavoca

Okungavamile kakhulu, ukuzivocavoca kungabangela i-anaphylaxis. Kwezinye izimo kubonakala ngemva kokudla ukudla okuthile ngaphambi kokuzivocavoca.

Uma unokungezwani komzimba noma isifuba somoya futhi unomlando womndeni we-anaphylaxis, ingozi yakho iphezulu. Ngisho noma wena noma ingane yakho nibe nokusabela okuncane kwe-anaphylactic esikhathini esidlule, kusenengozi ye-anaphylaxis enzima kakhulu.

Sifo

Udokotela wakho uzokubuza imibuzo mayelana ne-allergies yakho noma noma yikuphi ukusabela okwedlulele okwedlulele oke waba nakho:

Ukuthi noma yikuphi ukudla okuthile okubonakala kubangela ukusabela
Ukuthi ukuhlaba kwanoma yiluphi uhlobo oluthile lwesinambuzane kubonakala kubangela izimpawu zakho
Noma yimiphi imithi oyiphuzayo, futhi uma imithi ethile ibonakala ixhumene nezimpawu zakho
Ukuthi uke waba nezimpawu zokungezwani komzimba lapho isikhumba sakho sichayeke ku-latex

Khona-ke ungase uhlolelwe i-allergies ngokuhlolwa kwesikhumba noma ukuhlolwa kwegazi futhi udokotela wakho angase akucele ukuba ugcine uhlu oluningiliziwe lwalokho okudlayo noma uyeke ukudla ukudla okuthile okwesikhashana.

Ezinye izimo ezingaba imbangela yezimpawu zakho kufanele zingafakwa, njenge:

Izinkinga zokubamba
I-Mastocytosis, ukuphazamiseka kwamasosha omzimba
Izimo ezingaguquki ezidala izimpawu zesikhumba
Izinkinga zengqondo
Izinkinga zenhliziyo noma zamaphaphu

Ukwelashwa

Ngesikhathi sokusabela okunamandla kwe-anaphylactic, ithimba lezokwelapha eziphuthumayo lingase lenze ukuvuselela i-cardiopulmonary uma uyeka ukuphefumula noma inhliziyo yakho iyeka ukushaya. Bazokunikeza imithi:

I-Epinephrine (i-adrenaline) ukunciphisa ukungezwani komzimba wakho
Ama-Antihistamine kanye ne-cortisone (i-intravenous) ukunciphisa ukuvuvukala kwamavesi akho omoya futhi uthuthukise ukuphefumula.
I-beta-agonist (isb. i-albuterol/salbutomol) yokukhulula izimpawu zokuphefumula
Umoya-mpilo

Uma usengozini ye-anaphylaxis udokotela wakho angase akunikeze i-autoinjectable epinephrine/adrenaline. Le divayisi (“Ipeni”) iyisirinji ehlanganisiwe nenaliti efihliwe ejova umthamo owodwa we-epinephrine/adrenaline lapho icindezelwa ethangeni lakho. Qiniseka ukuthi uyaqonda ukuthi usetshenziswa kanjani futhi nini. Futhi, qiniseka ukuthi abantu osondelene nabo (umndeni, osebenza nabo, abaqashi nabasebenzi besikole) bayakwazi ukusebenzisa ipeni le-adrenaline, mhlawumbe omunye wabo angasindisa ukuphila kwakho. Gcwalisa njalo incwadi kadokotela lapho isiphelelwe yisikhathi. Azikho izimo ezikhethekile zokulondoloza. Ungakuvumeli ukuba yiqhwa (0°C). Uma undiza: Ungaphatha ipeni emthwalweni wakho wesandla. Ezokuphepha kanye nabasebenzi basendizeni bangase bangakwazi lokhu, ngakho-ke cela udokotela wakho ukuthi akunikeze isitifiketi sokuhamba esisayiniwe. Lo muthi (“Ipeni”) kufanele uthathwe nawe ngaso sonke isikhathi.

immunotherapy

Kwezinye izimo, i-allergist yakho ingase iphakamise ukwelashwa okuqondile, okufana ne-immunotherapy (isibhamu sokungezwani komzimba), ukunciphisa impendulo yomzimba wakho yokungezwani nezinambuzane. I-Immunotherapy, eyaziwa nangokuthi i-desensitization noma i-hypo-sensitization, iyindlela yokwelapha engcono kakhulu kubantu abangazwani nezinambuzane ezilumayo njengoba inganciphisa ingozi yokusabela okunamandla esikhathini esizayo ibe ngaphansi kuka-5%. I-Venom immunotherapy inikezwa ngendlela yokudutshulwa, futhi cishe i-80 kuya ku-90% yeziguli eziyithola iminyaka emi-3 kuya kwemi-5 ayinakho ukusabela okunzima ekulumeleni kwesikhathi esizayo.

Yini ongayenza ukuze uvimbele ukuhlasela okuzayo?

Kwezinye izimo eziningi ayikho indlela yokwelapha isimo esingaphansi sokuzivikela komzimba esingaholela ku-anaphylaxis.

Gwema izimbangela zakho zokungezwani komzimba ezaziwayo ngokusemandleni akho
Uma uyalelwe udokotela wakho, hlala uphatha i-epinephrine/adrenaline Pen ozilawulayo. Ngesikhathi sokuhlasela kwe-anaphylactic, ungazinika umuthi usebenzisa iPeni (isb. EpiPen, Jext, Emerade).