Ua ʻike anei ʻoe i ka anaphylaxis, kahi hopena alerika weliweli?

Ua ʻike anei ʻoe i kekahi e ʻai ana i kahi mea a i ʻole e nahu ʻia e kahi pepeke a laila manaʻo koke ʻoe i ka maʻi, pilikia ka hanu ʻana, a hopohopo? Malia paha he maʻi allergy iki kou. Akā i kēia lā, ʻaʻole mākou e kamaʻilio e pili ana i ia mea maʻalahi, akā e pili ana i ka hopena allergy koʻikoʻi loa e hiki ke hoʻoweliweli i ke ola. Kāhea mākou i kēia he anaphylaxis. He pilikia olakino kēia. No laila, he mea nui loa iā ʻoe a me kāu poʻe aloha e ʻike e pili ana i kēia.

I ka ʻōlelo maʻalahi, he aha ka anaphylaxis?

ʻO ka anaphylaxis, i kapa ʻia i kekahi manawa he anaphylactic shock, he hopena maʻi ʻino loa ia e hiki ke hoʻoweliweli i ke ola a pono e mālama koke ʻia. Inā loaʻa iā ʻoe kēia ʻano hopena, pono ʻoe e loaʻa i kahi mahele o ka epinephrine (i ʻike ʻia hoʻi ʻo adrenaline) i ka wā hikiwawe loa. Inā ʻaʻole mālama ʻia, hiki i kēia ʻano ke make.

Hiki i ka Epinephrine ke kāohi i kēia mau hōʻailona koʻikoʻi i loko o nā minuke. Inā ʻaʻole holo pono kēlā, hiki ke hāʻawi ʻia kahi mahele ʻelua i loko o 30 mau minuke. Loaʻa kēia lāʻau lapaʻau me ke kauoha a ke kauka. Loaʻa ia i nā peni inikini maʻalahi e hoʻohana a me nā pīpī ihu.

He ʻano laha ʻole ka anaphylaxis, akā ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. Inā he maʻi allergy kou i kahi lāʻau a i ʻole ka latex, pono ʻoe e haʻi i kāu kauka ma mua o kekahi lāʻau lapaʻau, ʻoiai he kauka niho. He manaʻo maikaʻi nō hoʻi e lawe i kahi kāleka me ka ʻike e pili ana i kou maʻi allergy a i ʻole e komo i kahi kūpeʻe lima makaʻala lapaʻau.

Inā ua loaʻa iā ʻoe ka anaphylaxis ma mua, ʻoi aku ka nui o kou pilikia o ka loaʻa hou ʻana. A inā ua loaʻa i kekahi o kou ʻohana ke ʻano a i ʻole he hānō kou, ʻoi aku ka nui o kou pilikia.

E kuhikuhi kākou i nā pae e ulu ai kēia kūlana weliweli.

ʻO ka maʻamau, holomua ka hopena anaphylactic ma o kekahi mau pae. Akā hiki nō hoʻi ke hana koke. Hoʻomaka nā hōʻailona me ka maʻalahi a lilo i mea ʻino i ka hala ʻana o ka manawa. No laila, inā ʻike mua ʻoe i nā hōʻailona, ​​​​hiki iā ʻoe ke loaʻa ke kōkua ma mua o ka lilo ʻana o ke kūlana i mea ʻino.

He aha nā hōʻailona nui o ka anaphylaxis?

ʻOiai paha e like nā hōʻailona mua me kahi hopena maʻi maʻamau (ʻulaʻula, hives), hiki ke ulu aʻe nā hōʻailona koʻikoʻi i loko o 30 mau minuke. ʻOi aku ma mua o hoʻokahi o kēia mau hōʻailona maʻamau:

• ʻUmi a me ka hanu ʻana
• ʻEha ka umauma , ka maneʻo, a i ʻole ka paʻa
• Ka nalowale o ka ʻike, ka poniuniu, ka huikau, a i ʻole ka nāwaliwali
• ʻUlu, ʻulaʻula o ka ʻili a me ka maneʻo
• Ka ihu paʻa a i ʻole ka ihu wai a me ke kunu ʻana
• Ka paʻakikī o ka hanu ʻana a me ka wikiwiki o ka puʻuwai (palpitations)
• Ka pehu ʻana a me ka ʻāʻī ʻana o nā lehelehe a i ʻole ke alelo
• ʻO ka pehu ʻana o ka puʻu, ka leo haʻalulu , ka paʻakikī i ka moni ʻana
• Ka luaʻi ʻana, ka maʻi pākī, ka ʻōpū ʻeha
• Nāwaliwali ka naʻau, ʻili keʻokeʻo
• Ke neʻe ʻana o nā huaʻōlelo i ka wā e ʻōlelo ana
• Poho piha o ka ʻike

Wahi a kekahi poʻe ma mua o ka hiki ʻana mai o kēia kūlana weliweli, ua manaʻo lākou i ka manaʻo o ka make, me he mea lā "e hiki mai ana kekahi mea weliweli."

No ke aha e hana ʻia ai kēia? He aha nā kumu?

I ka ʻōlelo maʻalahi, ʻo ka anaphylaxis kahi pane nui o ka ʻōnaehana pale o ko mākou kino i kahi mea ʻino ʻole (e.g. meaʻai). ʻAʻole paha kēia e hana i ka manawa mua e komo ai ka mea i loko o ke kino, akā i ka hala ʻana o ka manawa, hiki i kēia pane ke lilo i mea koʻikoʻi.

Nā kumu maʻamau i waena o nā keiki

ʻO ka meaʻai ke kumu nui o ka anaphylaxis i nā keiki.

• Pīnati
• Nā Meaʻai Kai (Nā Pūpū - e like me ka ʻōpae, pāpaʻi, heʻe)
• Iʻa
• Waiū
• Nā hua manu
• Soy
• Palaoa

Nā kumu maʻamau i waena o nā pākeke

I nā pākeke, hiki ke hana pinepine ʻia kēia ʻano e nā lāʻau lapaʻau .

• Nā Meaʻai Kai (Nā Pūpū)
• Nā nati lāʻau e like me nā cashews, almonds, a me pecans
• Pīnati

Nā kumu maʻamau ʻē aʻe

• Nā lāʻau lapaʻau: Penicillin (injectable ma mua o ke ʻano pila), kekahi mau anesthetics, nā ʻehaʻeha e like me ka aspirin a me ka ibuprofen, a me nā anticonvulsants.
• Nā ʻaki pepeke: Nā ʻaki mai nā holoholona e like me nā pi, nā nalo meli, a me nā nalo meli.
• Latex: Loaʻa i loko o nā mīkina lima haukapila, nā pōpō, a me nā mea ʻē aʻe. Loaʻa paha i kekahi poʻe kahi hopena i ka honi wale ʻana i kēia mau mea.

I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu. Kāhea mākou i kēia he idiopathic anaphylaxis.

Pehea e ʻike ai ke kauka inā he anaphylaxis kēia?

Inā manaʻo ʻoe he maʻi ʻaleka koʻikoʻi kou a i ʻole he pilikia paha ʻoe i ka anaphylaxis, e ʻike pono i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i kou mau maʻi ʻaleka a hiki paha ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Nā hoʻāʻo koko: Ke ana kēia i ka pae o kahi enzyme i kapa ʻia ʻo tryptase. Hiki ke hoʻokiʻekiʻe ʻia kēia pae i loko o ke koko a hiki i 3 mau hola ma hope o ka anaphylaxis.
• Nā hoʻāʻo ʻili: Hana ʻia kēia mau hoʻāʻo e ʻike inā he maʻi ʻoe i nā meaʻai a me nā kemika like ʻole.

Ka mālama ulia pōpilikia a me ka mālama ʻana i ka haukapila

ʻO ka lāʻau lapaʻau kūpono loa a koke hoʻi no ka anaphylaxis ʻo ia ka epinephrine . Inā pilikia ʻoe, pono ʻoe e lawe mau i ʻelua mau mahele o ka epinephrine i kuhikuhi ʻia e kāu kauka.

Ma ka haukapila, pono paha ʻoe i ka lāʻau lapaʻau hou aʻe:

• ʻO ka hāʻawi ʻana i ka oxygen e kōkua i ka hanu ʻana.
• E hoʻokomo i nā wai i loko o ka intravenous a me nā steroids a i ʻole antihistamines.
• Ke hanu ʻana i nā mahu o nā lāʻau lapaʻau e like me Albuterol e maʻalahi ai ka hanu ʻana.

Hiki ke mālama ʻia ʻoe ma ka haukapila no kekahi mau hola e ʻike ai inā loaʻa kahi hopena ʻelua.

Pehea e pale ai i ka hoʻi hou ʻana?

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike pono i ka mea āu e maʻi ai a pale loa iā ia.

• Pahu pilikia: E mālama mau i ka mea hoʻokomo epinephrine a i ʻole ka ʻaila ihu i kuhikuhi ʻia e kāu kauka ma kahi kokoke. E hoʻohou i ka lāʻau lapaʻau ma mua o kona pau ʻana.
• E hoʻomaopopo i kāu mau kauka: E haʻi i kāu mau kauka a pau (me kāu kauka niho) e pili ana i kāu mau maʻi allergies.
• E nānā i nā lepili meaʻai: Inā he maʻi ʻaleka meaʻai kou, e heluhelu pono i nā lepili ma nā mea āu e kūʻai ai ma ka hale kūʻai. E nīnau e pili ana iā lākou ma mua o ke kauoha ʻana i ka meaʻai ma kahi hale ʻaina.
• E komo i kahi kūpeʻe lima makaʻala lapaʻau: Hōʻike kēia i nā poʻe ʻē aʻe e pili ana i kou kūlana a kōkua i kahi pilikia.

ʻOiai me kēia mau mea a pau, hiki nō iā ʻoe ke hoʻopilikia ʻia e kahi mea āu e maʻi ai me ka ʻike ʻole. No laila, he mea nui iā ʻoe, kou ʻohana, a me kou mau hoaaloha e ʻike i ka mea e hana ai inā hana ʻia kēlā.