Ua ʻike anei ʻoe i kekahi e ʻai ana i ka meaʻai, lawe i ka lāʻau lapaʻau, a i ʻole i nahu ʻia e kahi holoholona e like me ka nalo a hoʻomaka koke ko lākou kino holoʻokoʻa e maneʻo, ʻaʻole hiki iā lākou ke hanu, pehu ko lākou maka, a hopohopo lākou? Malia paha ua loaʻa iā ʻoe kēlā mea. Manaʻo ka poʻe he nui he maʻi maʻi maʻamau kēia. Akā hiki ke lilo i mea koʻikoʻi loa, a hiki i ke ola. I ka lāʻau lapaʻau, kapa mākou i kēia he anaphylaxis . I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha maoli ka Anaphylaxis?
I ka ʻōlelo maʻalahi, ʻo ka anaphylaxis kahi pane koʻikoʻi, koʻikoʻi, a koke hoʻi e ka ʻōnaehana pale o ko mākou kino i kahi mea maʻamau ʻole (e like me ka meaʻai a lāʻau lapaʻau paha). ʻAʻole like kēia me kahi maʻi allergy maʻamau. He pilikia olakino kēia. Inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke make.
ʻO ka mea nui e hana ai i ia ʻano kūlana, ʻo ia ka hāʻawi ʻana i kahi lāʻau i kapa ʻia ʻo epinephrine i ka wā hikiwawe loa. Ua kapa ʻia hoʻi ia he adrenaline. Hiki i kēia lāʻau ke kāohi i nā hōʻailona koʻikoʻi i loko o kekahi mau minuke. I kekahi manawa, pono paha kahi mahele ʻelua i loko o 30 mau minuke.
ʻO ka mea nui loa, i ka hihia o ka anaphylaxis, ʻaʻole hiki ke kāohi ʻia ma ka hāʻawi wale ʻana i nā papa antihistamine (ka mea a mākou i ʻike ai ʻo Piriton ma Sri Lanka) i hoʻohana pinepine ʻia no nā maʻi allergies. No laila, he mea weliweli ke hāʻawi ʻana i ia mea a kali.
He mea kākaʻikahi kēia maʻi, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe. Inā ua loaʻa iā ʻoe kahi maʻi allergy koʻikoʻi e like me kēia ma mua, inā ua loaʻa i kekahi o kou ʻohana, a inā he hānō kou, ʻoi aku ka nui o kou pilikia.
Pehea e ʻoi aku ai ka ʻino o nā hōʻailona
ʻAʻole piʻi koke ka anaphylaxis i ka manawa hoʻokahi. Holo wikiwiki ia ma o kekahi mau pae. He mea nui e ʻike i kēia mau pae i hiki iā mākou ke hana koke.
| Kahua | Nā hōʻailona i ʻike pinepine ʻia |
|---|---|
| Pae 1 (nā hōʻailona liʻiliʻi) | Māʻeʻe ke kino, ʻike ʻia nā puʻupuʻu ʻulaʻula (hives) ma ka ʻili, a me ka ihu wai. I kēia manawa, manaʻo ka poʻe he nui he maʻi maʻi maʻamau wale nō kēia. |
| Pae 2 (nā hōʻailona laha loa) | Hohola ka ʻōhū ma ke kino holoʻokoʻa. Pehu ka maka, nā lehelehe, a me ke alelo. Puka mai nā waimaka mai nā maka. Lilo i mea paʻakikī ke ale. Hiki ke ʻeha ka ʻōpū, ka luaʻi, a me ka maʻi kahe. I kēia manawa, pono e ʻimi koke i ke kōkua lapaʻau. |
| Pae 3 (nā hōʻailona koʻikoʻi) | Lilo i mea paʻakikī loa ka hanu ʻana. Manaʻo ʻoe i ka ʻeha a i ʻole ka paʻa ʻana i loko o kou umauma. Lilo kou helu pulse i nāwaliwali. Manaʻo ʻoe ua poniuniu a hiki ke māʻule. ʻO kēia ka mea a mākou e kapa nei he 'anaphylactic shock' . |
| Pae 4 (kūlana hoʻoweliweli ola) | Hāʻule ke koko i nā pae haʻahaʻa loa. Ua nāwaliwali loa ka puʻuwai. Pehu nā ala ea, e hoʻōki loa ai ka hanu ʻana. Hiki i kēia kūlana ke alakaʻi i ka hōʻeha puʻuwai a i ʻole ka make. |
Hoʻomanaʻo pū kekahi poʻe i ka loaʻa ʻana o ka manaʻo o ka make ma mua o ka hopena . Eia kekahi, hiki i kekahi poʻe ke loaʻa i ka lua o ka hopena ʻoi aku ka koʻikoʻi i loko o 12 mau hola o ka hopena mua. Ua kapa ʻia kēia he anaphylaxis biphasic .
He aha nā kumu nui o ka anaphylaxis?
Hana ʻia kēia ma muli o ka pane nui ʻana o nā antibodies pale maʻi o ko mākou kino i kahi mea ʻino ʻole (he mea hoʻoulu). Nui nā mea e hiki ke hana i kēia.
- ʻAi: No nā kamaliʻi ʻōpio, ʻo ka meaʻai ke kumu nui. ʻO nā pīnati, ka waiū, nā hua manu, ka soy, ka palaoa, a me nā pūpū paʻi nā kumu nui. No nā pākeke, ʻo nā meaʻai kai a me nā nati lāʻau like ʻole (e like me nā cashews, walnuts, a me nā ʻalemona) nā kumu nui.
- Nā lāʻau lapaʻau: ʻO nā lāʻau lapaʻau ke kumu nui o ka anaphylaxis i nā pākeke. ʻO nā antibiotics e like me ka penicillin, kekahi mau anesthetics, aspirin, a me ibuprofen.ʻO nā lāʻau hoʻomaha ʻeha (NSAID) e like me ka ibuprofen nā mea nui i waena o kēia.
- Nā ʻūpā pepeke: Ma Sri Lanka, lohe pinepine mākou e pili ana i nā maʻi ʻaleka koʻikoʻi i hoʻokumu ʻia e nā ʻūpā holoholona e like me nā nalo meli a me nā nalo meli. Hiki i nā ʻūpā pi ke kumu o kēia.
- Latex: Loaʻa i kekahi poʻe nā maʻi ʻaleka koʻikoʻi i ka latex, kahi mea i hana ʻia mai ka rubber. Loaʻa ia i nā mea e like me nā mīkina lima a me nā baluna i hoʻohana ʻia ma nā haukapila.
I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu o kēia. Kāhea mākou i kēia he idiopathic anaphylaxis .
Ka mālama ʻana a me ka hoʻokele ulia pōpilikia - ʻo kēia ka ʻāpana koʻikoʻi loa!
Inā hoʻomaka ʻoe a i ʻole kekahi mea āu i ʻike ai e ʻike i nā hōʻailona o ka anaphylaxis, pono ʻoe e hana me ka hoʻokaʻulua ʻole .
1. E hāʻawi koke i ka epinephrine: Inā ʻoe i ka pilikia, e mālama i kahi peni epinephrine auto-injector a i ʻole ka ihu pīpī i kuhikuhi ʻia e kāu kauka. E hoʻokomo i kēia i loko o ke kua o kou ʻūhā i ka wā e hoʻomaka ai nā hōʻailona. E noi i kāu kauka no nā kuhikuhi no ka hoʻohana ʻana.
2. E hele koke i ka haukapila: Inā paha ua hāʻawi ʻia ʻoe i kahi inikini epinephrine a i ʻole, pono ʻoe e kāhea koke i kahi kaʻa kaʻa a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU). ʻO kēia no ka mea hiki ke ʻike hou ʻia nā hōʻailona ke pau ka hopena o ka lāʻau. E like me ka mea i ʻōlelo ʻia ma mua, hiki ke loaʻa kahi hopena biphasic.
3. Ka Lapaʻau ma ka Halemai: Ma ka ETU, e hāʻawi ʻia ʻoe i ka oxygen, nā wai intravenous (saline), nā mahele hou o ka epinephrine, steroids, a me nā antihistamines e like me ka mea e pono ai. Inā pilikia ʻoe i ka hanu ʻana, pono paha ʻoe e hoʻokomo i kahi ʻōmole hanu.
Inā loaʻa kekahi mea e like me kēia iā ʻoe, e ʻike pono i kahi kauka allergist e ʻike pono i ke kumu o ia mea a e kiʻi i ka ʻōlelo aʻoaʻo āu e pono ai e pale iā ʻoe iho i ka wā e hiki mai ana.
Pehea lā e hiki ai iā kākou ke pale iā kākou iho mai kēia kūlana i ka wā e hiki mai ana?
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ka ʻike pono i ka mea e hoʻonāukiuki ai iā ʻoe a e noho mamao loa mai iā lākou. Eia kekahi, e hōʻoia e hana i kēia mau mea.
- E mālama i kahi pahu pilikia: E lawe mau i ʻelua mau peni epinephrine i kuhikuhi ʻia e kāu kauka me ʻoe ma nā wahi āpau āu e hele ai. Eia kekahi, e makaʻala i ko lākou mau lā palena pau.
- E komo i kahi kūpeʻe lima makaʻala lapaʻau: ʻO ke komo ʻana i kahi kūpeʻe lima a lei paha e haʻi ana he maʻi kou e hiki ke kōkua i nā poʻe ʻē aʻe e ʻike e pili ana i kou maʻi, ʻoiai inā ʻaʻole ʻoe i ʻike.
- E hoʻomaopopo i nā mea a pau:E hoʻomaopopo i kou ʻohana, nā hoaaloha, nā limahana o ke keʻena, a me nā kauka āpau e mālama iā ʻoe (me kou kauka niho) i kou maʻi allergy.
- E heluhelu i nā lepili: Inā he maʻi ʻaleka meaʻai kou, e heluhelu i nā lepili o nā mea āpau āu e kūʻai ai ma ka hale kūʻai. Ke ʻai ʻoe ma waho ma kahi hale ʻaina, e nīnau inā loaʻa i ka meaʻai kekahi mau mea āu e maʻi ai.
ʻOiai me kēia mau mea a pau, hiki nō iā ʻoe ke ʻai hewa i kahi mea āu e maʻi ai. No laila, pono ʻoe a me ka poʻe a puni ʻoe e loaʻa kahi hoʻolālā maikaʻi no ka mea e hana ai inā hana ʻia kēlā.
Leka Lawe-Home
- ʻAʻole ka anaphylaxis kahi maʻi maʻi maʻamau, he pilikia olakino ia e hiki ke hoʻoweliweli i ke ola.
- ʻO nā hōʻailona koʻikoʻi e pili ana i ka paʻakikī o ka hanu ʻana, ka pehu ʻana o ka maka/lehelehe/alelo, ka ʻulaʻula, a me ka nalowale o ka ʻike.
- ʻO ka lāʻau lapaʻau ulia pōpilikia wale nō a me ka mua no kēia, ʻo ia ka hoʻokomo koke ʻana i kahi inikini epinephrine.
- ʻOiai inā hāʻawi ʻia ka epinephrine, pono ʻoe e hele i ka Emergency Treatment Unit (ETU) o ka haukapila .
- Inā ʻoe i ka pilikia, e ʻike a pale i nā mea hoʻonāukiuki iā ʻoe. E mālama mau i kāu pahu hana pilikia (epinephrine) me ʻoe i nā manawa a pau.
- E kamaʻilio me kāu kauka a hoʻomohala i kahi hoʻolālā hana maopopo no ka mea e hana ai i kahi pilikia.
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