Koj puas tau pom ib tug neeg noj ib yam dab tsi lossis raug kab tom thiab tom qab ntawd mam li mob, ua pa nyuaj, thiab ntxhov siab? Tej zaum koj muaj kev ua xua me ntsis. Tab sis hnub no peb tsis tham txog ib yam yooj yim li no, tab sis txog kev ua xua hnyav tshaj plaws uas tuaj yeem ua rau tuag taus. Peb hu qhov no ua anaphylaxis. Qhov no yog xwm txheej ceev hauv kev kho mob. Yog li ntawd, nws yog ib qho tseem ceeb heev rau koj thiab koj cov neeg hlub kom paub txog qhov no.
Hais yooj yim xwb, anaphylaxis yog dab tsi?
Kab mob Anaphylaxis, qee zaum hu ua anaphylactic shock, yog ib qho kev ua xua hnyav heev uas tuaj yeem ua rau tuag taus thiab yuav tsum tau kho tam sim ntawd. Yog tias koj muaj hom kev ua xua no, koj yuav tsum tau noj tshuaj epinephrine (tseem hu ua adrenaline) sai li sai tau. Yog tias tsis kho, qhov mob no tuaj yeem ua rau tuag taus.
Epinephrine tuaj yeem tswj cov tsos mob hnyav no hauv ob peb feeb xwb. Yog tias qhov ntawd tsis ua haujlwm, koj tuaj yeem muab koob tshuaj thib ob hauv 30 feeb. Cov tshuaj no muaj nrog daim ntawv yuav tshuaj los ntawm kws kho mob. Nws muaj cov cwj mem txhaj tshuaj thiab cov tshuaj tsuag ntswg uas yooj yim siv.
Tseem ceeb heev: Tsis txhob noj cov tshuaj antihistamine (piv txwv li, Pyridoxine) ib leeg rau qhov teeb meem anaphylactic zoo li no. Nws tsis txaus.
Anaphylaxis yog ib qho mob uas tsis tshua muaj, tab sis qee tus neeg yuav muaj feem ntau dua. Yog tias koj ua xua rau tshuaj lossis latex, koj yuav tsum qhia rau koj tus kws kho mob ua ntej kev kho mob, txawm tias yog kws kho hniav. Nws tseem yog ib lub tswv yim zoo kom nqa daim npav nrog cov ntaub ntawv hais txog koj qhov ua xua lossis hnav lub kauj tes ceeb toom kho mob.
Yog tias koj tau muaj mob anaphylaxis ua ntej lawm, koj yuav muaj feem yuav rov qab muaj mob dua. Thiab yog tias ib tug neeg hauv koj tsev neeg tau muaj mob no lossis koj muaj mob hawb pob, koj yuav muaj feem yuav mob ntau dua.
Cia peb txheeb xyuas cov theem uas qhov xwm txheej txaus ntshai no tshwm sim.
Feem ntau cov tshuaj anaphylactic reaction yuav dhau mus ua ntau theem. Tiam sis nws kuj tshwm sim tau sai heev. Cov tsos mob pib tsis hnyav heev thiab zuj zus tuaj. Yog li ntawd, yog tias koj paub cov tsos mob thaum ntxov, koj tuaj yeem tau kev pab ua ntej qhov xwm txheej hnyav zuj zus.
| Theem | Cov tsos mob uas koj tab tom ntsib |
|---|---|
| Theem 1 (cov tsos mob me me) | Nws yuav nyuaj rau qhia seb qhov no yog anaphylaxis lossis tsuas yog kev ua xua ib txwm muaj. Tej zaum koj yuav khaus, ua pob khaus, thiab ntswg ntws. Yog tias koj paub tias koj muaj feem yuav muaj kev pheej hmoo, ceev faj txog cov tsos mob no. |
| Theem 2 (cov tsos mob feem ntau) | Cov tsos mob tam sim no hnyav dua me ntsis, nthuav dav mus rau ntau qhov chaw ntawm lub cev. Cov qhov txhab tuaj yeem tshwm sim thoob plaws lub cev. Lub ntsej muag, daim di ncauj, thiab tus nplaig o. Lub qhov muag ntws dej. Nws nyuaj rau nqos. Mob plab, ntuav, lossis raws plab kuj tseem yuav tshwm sim. Thaum lub sijhawm no, koj yuav tsum nrhiav kev pab kho mob. |
| Theem 3 (cov tsos mob hnyav) | Nws ua rau ua pa nyuaj heev. Tej zaum koj yuav mob hauv koj lub hauv siab. Koj lub plawv dhia qeeb qeeb (lub plawv dhia tsis muaj zog). Tej zaum koj yuav kiv taub hau, tsaus muag, lossis txawm tias tsis nco qab. Qhov no yog qhov peb hu ua anaphylactic shock. |
| Theem 4 (ua rau muaj kev phom sij rau lub neej) | Qhov no yog theem txaus ntshai tshaj plaws. Ntshav siab poob qis heev. Lub plawv dhia tsis muaj zog heev. Cov hlab pa o, ua rau nyuaj rau ua pa kom zoo, thiab cov ntshav ncig tsis zoo. Qhov mob no tuaj yeem ua rau mob plawv lossis tuag taus. |
Cov tsos mob tseem ceeb ntawm anaphylaxis yog dab tsi?
Txawm hais tias cov tsos mob thawj zaug yuav zoo li yog kev ua xua ib txwm muaj (mob pob khaus, ua pob liab), cov tsos mob hnyav dua tuaj yeem tshwm sim hauv li 30 feeb. Feem ntau muaj ntau tshaj ib qho ntawm cov tsos mob hauv qab no:
- Hnoos thiab ua pa nrov nrov
- Mob hauv siab , khaus, lossis nruj
- Tsis nco qab, kiv taub hau, tsis meej pem, lossis tsis muaj zog
- Mob pob khaus, tawv nqaij liab thiab khaus
- Qhov ntswg txhaws los yog ntswg ntws thiab txham
- Ua pa nyuaj thiab lub plawv dhia ceev (palpitations)
- O thiab khaus ntawm daim di ncauj lossis tus nplaig
- Qog caj pas o, suab nrov , nqos nyuaj
- Ntuav, raws plab, mob plab
- Lub plawv dhia tsis muaj zog, daim tawv nqaij dawb paug
- Kev hais lus tsis meej thaum hais lus
- Kev poob siab tag nrho
Muaj ib txhia neeg hais tias ua ntej qhov xwm txheej phem no tshwm sim, lawv xav tias muaj kev puas tsuaj, zoo li "muaj qee yam phem yuav tshwm sim."
Qee zaum, qhov kev tsis haum tshuaj zaum ob yuav tshwm sim tsis pub dhau 12 teev ntawm qhov kev tsis haum tshuaj thawj zaug. Qhov no hu ua biphasic anaphylaxis.
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Hais yooj yim xwb, anaphylaxis yog ib qho kev ua xua ntau dhau ntawm peb lub cev tiv thaiv kab mob rau ib yam dab tsi uas tsis muaj teeb meem (piv txwv li zaub mov). Qhov no yuav tsis tshwm sim thawj zaug uas cov tshuaj nkag mus rau hauv lub cev, tab sis dhau sijhawm, qhov kev ua xua no tuaj yeem ua rau hnyav dua.
Cov ua rau menyuam yaus feem ntau
Khoom noj yog qhov ua rau muaj anaphylaxis tseem ceeb rau menyuam yaus.
- Txiv laum huab xeeb
- Cov khoom noj hiav txwv (Cov ntses shellfish - xws li cw, crab, squid)
- Ntses
- Mis nyuj
- Qe
- Taum pauv
- Nplej
Cov ua rau cov neeg laus feem ntau
Rau cov neeg laus, qhov mob no feem ntau tuaj yeem tshwm sim los ntawm cov tshuaj .
- Cov Khoom Noj Hiav Txwv (Cov Ntses Qwj)
- Cov txiv ntoo xws li cashews, almonds, thiab pecans
- Txiv laum huab xeeb
Lwm yam ua rau muaj ntau yam
- Cov Tshuaj: Penicillin (hno tshuaj es tsis yog tshuaj ntsiav), qee cov tshuaj loog, tshuaj tua kab mob xws li aspirin thiab ibuprofen, thiab cov tshuaj anticonvulsants.
- Kab tom: Cov tom los ntawm cov tsiaj xws li muv, ntsaum, thiab hornets.
- Cov roj hmab Latex: Pom muaj nyob rau hauv cov hnab looj tes hauv tsev kho mob, cov npas, thiab lwm yam khoom. Tej zaum ib txhia neeg yuav muaj kev tsis haum txawm tias tsuas yog hnov cov no xwb.
Qee zaum nrhiav tsis tau qhov ua rau muaj qhov teeb meem no. Peb hu qhov no ua idiopathic anaphylaxis.
Tus kws kho mob paub li cas tias qhov no yog anaphylaxis?
Yog koj xav tias koj muaj kev ua xua hnyav lossis muaj feem yuav ua rau muaj anaphylaxis, nco ntsoov mus ntsib kws kho mob. Nws yuav nug koj txog koj cov kev ua xua thiab tej zaum yuav kuaj qee yam kom paub tseeb tias koj tau kuaj pom.
- Kev kuaj ntshav: Cov no ntsuas qib ntawm ib qho enzyme hu ua tryptase. Qib no tuaj yeem nce siab hauv cov ntshav txog li 3 teev tom qab anaphylaxis.
- Kev kuaj tawv nqaij: Cov kev kuaj no yog ua los saib seb koj puas ua xua rau ntau yam khoom noj thiab tshuaj lom neeg.
Kev kho mob thaum muaj xwm txheej ceev thiab kev kho mob hauv tsev kho mob
Kev kho mob zoo tshaj plaws thiab tam sim ntawd rau anaphylaxis yog epinephrine . Yog tias koj muaj kev pheej hmoo, koj yuav tsum nqa tsawg kawg yog ob koob tshuaj epinephrine uas koj tus kws kho mob tau sau tseg.
Yuav ua li cas thaum muaj xwm txheej ceev?
Yog koj lossis lwm tus neeg muaj cov tsos mob ntawm anaphylaxis, muab epinephrine tam sim ntawd . Tom qab ntawd, txawm tias cov tsos mob ploj mus tag thiab sai sai los xij, mus rau chav kho mob ceev hauv tsev kho mob (ETU) lossis hu rau lub tsheb thauj neeg mob tam sim ntawd . Muaj kev pheej hmoo ntawm kev ua xua biphasic.
Hauv tsev kho mob, tej zaum koj yuav xav tau kev kho mob ntxiv:
- Muab oxygen los pab ua pa.
- Muab cov kua dej rau hauv cov hlab ntsha thiab cov tshuaj steroids lossis antihistamines.
- Ua pa cov pa tshuaj xws li Albuterol kom ua pa tau yooj yim dua.
Tej zaum yuav muaj neeg saib xyuas koj hauv tsev kho mob ob peb teev kom paub seb puas muaj teeb meem zaum ob.
Yuav ua li cas thiaj tiv thaiv tau qhov rov tshwm sim dua?
Qhov zoo tshaj plaws ua yog nrhiav kom paub meej tias koj ua xua rau dab tsi thiab zam nws kiag li.
- Lub thawv khoom siv thaum muaj xwm txheej ceev: Khaws lub tshuaj txhaj epinephrine lossis tshuaj tsuag ntswg uas koj tus kws kho mob tau sau tseg cia ze ntawm koj. Hloov tshuaj dua tshiab ua ntej nws tas sij hawm.
- Qhia rau koj cov kws kho mob: Qhia rau tag nrho koj cov kws kho mob (xws li koj tus kws kho hniav) txog koj cov kev ua xua.
- Saib cov ntawv lo rau khoom noj: Yog tias koj muaj kev ua xua rau khoom noj, nyeem cov ntawv lo rau ntawm cov khoom koj yuav hauv khw kom zoo. Nug txog nws ua ntej yuav khoom noj hauv tsev noj mov.
- Hnav ib txoj hlua tes ceeb toom kev kho mob: Qhov no qhia rau lwm tus paub txog koj tus mob thiab pab thaum muaj xwm txheej ceev.
Txawm tias muaj txhua yam no los xij, koj tseem yuav raug rau qee yam uas koj ua xua rau yam tsis paub txog. Yog li ntawd, nws yog ib qho tseem ceeb rau koj, koj tsev neeg, thiab koj cov phooj ywg kom paub tias yuav ua li cas yog tias qhov ntawd tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anaphylaxis yog ib qho xwm txheej ceev uas yuav ua rau tuag taus thiab yuav tsum tau kho tam sim ntawd.
- Txheeb xyuas seb yam dab tsi ua rau koj ua xua thiab zam lawv.
- Yog tias koj muaj feem yuav mob anaphylaxis, nqa tsawg kawg yog ob koob tshuaj epinephrine uas koj tus kws kho mob tau sau tseg.
- Siv tshuaj epinephrine sai li sai tau thaum cov tsos mob tshwm sim thiab mus rau chav kho mob ceev (ETU) tam sim ntawd.
- Qhia rau tsev neeg, cov phooj ywg, thiab cov neeg ua haujlwm txog koj tus mob thiab piav qhia rau lawv paub tias yuav ua li cas thaum muaj xwm txheej ceev.
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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