Xav txog koj mus rau lub khw muag khoom noj nrog ib tug phooj ywg thiab noj ib yam dab tsi zoo li txiv laum huab xeeb, lossis koj raug ib tug ntsaum tom thaum ua haujlwm hauv lub vaj. Yuav ua li cas yog tias koj lub cev hloov liab, khaus, koj ua tsis taus pa, thiab koj daim di ncauj pib o? Qhov no tsis yog kev ua xua ib txwm muaj. Qhov no yog qhov xwm txheej ceev uas hem txoj sia. Peb hu qhov no ua anaphylaxis . Yog tias koj paub txog qhov no, koj tuaj yeem cawm koj txoj sia lossis lwm tus neeg txoj sia.
Anaphylaxis thiab Anaphylactic Shock yog dab tsi?
Hais yooj yim xwb, anaphylaxis yog ib qho kev tiv thaiv kab mob hnyav heev uas peb lub cev tiv thaiv kab mob ua rau muaj tej yam uas feem ntau tsis ua rau muaj teeb meem (piv txwv li, zaub mov, tshuaj). Peb lub cev xav tias nws muaj ib tug yeeb ncuab loj nkag mus rau hauv peb lub cev, thiab nws cia li tso tawm ntau yam tshuaj lom neeg los tawm tsam nws. Qhov no yog qhov ua rau muaj tag nrho cov tsos mob hnyav no.
"Anaphylactic Shock" yog qhov txaus ntshai tshaj plaws ntawm cov mob no. Cov tshuaj no ua rau peb cov ntshav siab poob qis sai sai thiab txaus ntshai. Peb hu qhov no tias "Hypotension". Tom qab ntawd lub hlwb thiab lwm yam kab mob tseem ceeb tsis tau txais cov pa oxygen thiab ntshav uas lawv xav tau. Qhov no yog qhov ua rau muaj kev phom sij rau lub neej.
Qhov tseem ceeb tshaj plaws yog thaum qhov no tshwm sim, lub sijhawm yog qhov tseem ceeb. Txhua ob feeb uas raug ncua hauv kev kho mob yog qhov muaj nqis heev.
Qhov no yuav tshwm sim sai npaum li cas?
Nws ceev heev. Qhov kev tsis haum tshuaj loj no tuaj yeem pib ua tsis pub dhau ob peb feeb tom qab cov tshuaj lom nkag mus rau hauv lub cev. Nws tuaj yeem siv sijhawm li ib nrab teev xwb. Kev tsis haum tshuaj, tshwj xeeb tshaj yog los ntawm cov kab tom (nkawj, ntsaum) lossis qee yam khoom noj, tuaj yeem nce siab tshaj plaws hauv 5 txog 10 feeb xwb. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum ua sai sai.
Peb yuav tsum tau ceev faj txog cov tsos mob twg?
Ib lossis ntau yam ntawm cov tsos mob no yuav tshwm sim sai sai. Qee zaum, lawv yuav pib ua qhov ntswg me me, ntswg ntws lossis xav tias tsis xis nyob, thiab tom qab ntawd maj mam hnyav zuj zus.
| Cov tsos mob | Muaj dab tsi tshwm sim? |
|---|---|
| Kev hloov pauv ntawm daim tawv nqaij | Mob pob khaus, tawv nqaij liab, khaus heev. |
| Kev o (Angioedema) | O ntawm daim di ncauj, tus nplaig, nyob ib ncig ntawm lub qhov muag, lub ntsej muag, lossis caj pas. |
| Ua pa nyuaj | Zoo li caj pas nruj, ua pa nyuaj, ua pa nrov nrov, thiab hnoos. |
| Lub plawv dhia | Lub plawv dhia tsis xwm yeem. |
| Mob plab | Mob plab, xeev siab, ntuav. |
| Lwm yam nta | Kiv taub hau , tsaus muag, zoo li koj tab tom tuag. |
Kev kho mob thaum muaj xwm txheej ceev uas cawm tau neeg txoj sia: Epinephrine
Hauv kev poob siab anaphylactic, thawj qhov kev kho mob tseem ceeb tshaj plaws yog kev txhaj tshuaj hormone epinephrine . Qhov no kuj hu ua adrenaline. Rau cov neeg uas muaj kev ua xua hnyav, cov kws kho mob pom zoo kom koj khaws qhov no rau hauv tus cwj mem txhaj tshuaj (zoo li EpiPen) txhua lub sijhawm.
Vim li cas epinephrine thiaj li tseem ceeb?
- Ua haujlwm sai: Cov tshuaj tiv thaiv kab mob pib ua haujlwm hauv ob peb feeb tom qab txhaj tshuaj.
- Kev thim rov qab cov teebmeem: thim rov qab cov yam txaus ntshai uas tshwm sim hauv lub cev. Piv txwv li, qhib cov hlab pa uas raug thaiv, rov qab kho cov ntshav siab qis.
Yog koj lossis ib tug neeg koj paub muaj kev ua xua hnyav, nws yog ib qho tseem ceeb uas yuav tsum nqa tshuaj txhaj epinephrine thiab paub siv nws tas li.
Thaum twg koj yuav tsum mus rau tsev kho mob tam sim ntawd?
Txawm tias muaj kev txhaj tshuaj epinephrine los xij, qee zaum yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd.
- Yog tias qhov kev teb hnyav heev: Yog tias cov tsos mob hnyav heev.
- Yog tias cov tsos mob tsis zoo dua: Yog tias cov tsos mob tsis zoo dua tag nrho lossis tsis zoo dua li ob peb feeb tom qab txhaj tshuaj tiv thaiv kab mob.
- Yog tias cov tsos mob rov tshwm sim dua: Cov tsos mob yuav ploj mus thiab tom qab ntawd rov tshwm sim ob peb teev tom qab. Qhov no hu ua 'Biphasic reaction' .
Yog tias muaj tej yam no, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd. Ntawm ETU, cov kws kho mob yuav saib xyuas koj thiab, yog tias tsim nyog, muab epinephrine ntxiv rau koj, cov kua dej hauv cov hlab ntsha, thiab lwm yam tshuaj (xws li cov tshuaj antihistamines thiab corticosteroids).
Cov laj thawj tseem ceeb rau qhov xwm txheej no yog dab tsi?
Anaphylaxis feem ntau yog tshwm sim los ntawm:
| Vim li cas | Piv txwv |
|---|---|
| Khoom noj | Cov txiv ntoo xws li txiv laum huab xeeb thiab txiv laum huab xeeb, cov khoom noj hiav txwv xws li cw thiab roob ris, mis nyuj, thiab qe. |
| Kab tom | Kab ntsaum, ntsaum daj, thiab kab ntsig tom. |
| Cov tshuaj kho mob | Cov tshuaj tua kab mob xws li Penicillin, cov tshuaj tua kab mob xws li Aspirin. |
| Cov roj hmab | Qee cov hnab looj tes roj hmab muaj nyob rau hauv cov thom khwm, cov npas, thiab lwm yam. |
Kev tiv thaiv thiab kev npaj
Qhov zoo tshaj plaws uas yuav tsum ua yog zam tej yam uas koj ua xua rau. Tab sis qhov ntawd yuav tsis ua tau txhua lub sijhawm. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum npaj rau tej xwm txheej ceev.
- Tham nrog koj tus kws kho mob: Yog tias koj muaj keeb kwm ntawm kev ua xua hnyav, tham nrog koj tus kws kho mob txog kev tsim ib txoj kev npaj ua haujlwm thaum muaj xwm txheej ceev. Nug seb koj puas xav tau kev txhaj tshuaj epinephrine kom npaj txhij.
- Hnav Lub Hlua Tes Ceeb Toom Txog Kev Kho Mob: Qhov no yuav pab lwm tus paub txog koj qhov kev ua xua yog tias koj tsis tuaj yeem sib txuas lus tau.
- Qhia rau tsev neeg thiab cov phooj ywg: Qhov no tseem ceeb heev. Lawv yuav tsum paub txog cov no:
- Koj ua xua rau dab tsi?
- Cov tsos mob ntawm anaphylaxis yog dab tsi?
- Koj khaws koj cov tshuaj txhaj epinephrine qhov twg thiab yuav siv nws li cas.
- Thaum twg mus rau ETU tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anaphylaxis yog ib qho kev ua xua hnyav heev uas tshwm sim sai sai thiab tuaj yeem ua rau tuag taus.
- Lub sijhawm yog qhov tseem ceeb hauv qhov no. Ua sai li sai tau thaum cov tsos mob tshwm sim.
- Txoj kev kho mob tseem ceeb thiab kev kho mob thawj zaug yog kev txhaj tshuaj epinephrine. Yog tias koj muaj kev tsis haum tshuaj hnyav, khaws cia nrog koj txhua lub sijhawm.
- Txheeb xyuas seb koj ua xua rau dab tsi thiab zam kom ntau li ntau tau.
- Yog koj xav tias koj lossis lwm tus neeg muaj teeb meem anaphylactic, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus