Koj puas tau raug tom ob peb lub taum pauv, ib qho cw curry, lossis ib qho kab ntsaum tom thiab tam sim ntawd koj lub cev tag nrho khaus, koj ua pa nyuaj, koj ob lub qhov muag thiab daim di ncauj o? Los yog qhov no puas tau tshwm sim rau ib tus neeg koj paub? Txawm hais tias koj yuav xav tias qhov no yog kev ua xua ib txwm muaj, qee zaum nws tuaj yeem txaus ntshai dua. Niaj hnub no peb tab tom tham txog qhov mob ua xua hnyav no, txawm tias muaj kev phom sij rau lub neej, uas hu ua anaphylaxis . Kev paub txog qhov no yuav pab cawm koj txoj sia thiab lub neej ntawm koj cov neeg hlub.
Anaphylaxis yog dab tsi?
Hais yooj yim xwb, anaphylaxis yog ib qho kev ua xua loj heev, tam sim ntawd, thiab muaj peev xwm ua rau tuag taus uas cuam tshuam rau tag nrho lub cev. Nws tsis zoo li cov pob khaus ib txwm lossis cov pob liab. Qhov tshwm sim ntawm no yog tias peb lub cev tiv thaiv kab mob mus deb dhau me ntsis.
Xav txog, thaum ib yam dab tsi uas feem ntau tsis muaj teeb meem rau peb lub cev, piv txwv li zaub mov, tshuaj, lossis tshuaj lom kab, nkag mus rau hauv peb lub cev, peb lub cev tiv thaiv kab mob yuam kev tias nws yog tus yeeb ncuab loj. Tom qab ntawd, los tawm tsam "tus yeeb ncuab", peb lub cev tsim cov protein tshwj xeeb (antibody) hu ua 'Immunoglobulin E' lossis 'IgE'. Lub sijhawm tom ntej uas tib yam allergen nkag mus rau hauv lub cev, nws khi rau 'IgE' uas tau ua yav dhau los, thiab tam sim ntawd muaj ntau cov tshuaj lom neeg muaj zog hu ua 'histamines' raug tso tawm rau hauv lub cev. Cov tshuaj lom neeg ntawd yog qhov ua rau tag nrho cov tsos mob txaus ntshai no.
Qhov no ua rau cov hlab ntsha nthuav dav sai sai, ua rau cov ntshav siab poob qis heev. Yog tias qhov mob no hnyav zuj zus, nws tuaj yeem ua rau muaj kev poob siab anaphylactic , thiab txawm tias tuag yog tias tsis kho tam sim ntawd.
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob no feem ntau tshwm sim li ntawm ob peb feeb mus rau ob peb teev tom qab raug cov allergen, thiab lawv tuaj yeem hnyav sai heev.
Nws yuav pib nrog kev khaus khaus ntawm lub qhov muag lossis lub ntsej muag. Hauv ob peb feeb xwb, tus mob yuav hnyav zuj zus. Ib tug neeg yuav muaj teeb meem nqos thiab ua pa nyuaj. Cov tsos mob ntawm txoj hnyuv xws li mob plab, ntuav, thiab raws plab kuj tseem yuav tshwm sim.
Cia peb kawm ntxiv txog cov tsos mob no los ntawm lub rooj hauv qab no.
| Lub cev ib feem | Cov tsos mob uas yuav tshwm sim |
|---|---|
| Tawv nqaij | Khaus khaus liab thoob plaws lub cev (mob ua pob khaus), o ntawm lub qhov muag, daim di ncauj, tus nplaig, thiab lub ntsej muag (qhov no hu ua 'angioedema'), thiab liab ntawm daim tawv nqaij. |
| Kev Ua Pa | Ua pa nyuaj, hauv siab nruj, ua pa nrov nrov, zoo li koj lub caj pas raug txhaws, thiab hnoos ntau zaus. |
| Kev zom zaub mov | Mob plab heev, xeev siab, ntuav, raws plab. |
| Lub Plawv & Kev Ntshav | Kiv taub hau (vertigo), lub plawv dhia ceev ceev, ntshav siab poob qis tam sim ntawd, txias, tsis nco qab (shock). |
Dab tsi ua rau muaj anaphylaxis?
Muaj ntau yam ua rau qhov no. Feem ntau yog vim zaub mov thiab kab tom.
- Cov Khoom Noj: Cov txiv ntoo xws li txiv laum huab xeeb thiab txiv laum huab xeeb, cov khoom noj hiav txwv xws li cw, ntses qav, thiab ntses qav, mis nyuj, qe (tshwj xeeb tshaj yog qe dawb), thiab noob hnav yog cov tseem ceeb.
- Kab tom : Qhov mob no kuj tseem tuaj yeem tshwm sim los ntawm kab ntsaum thiab kab laug sab tom.
- Cov Tshuaj: Qee cov tshuaj tua kab mob thiab cov tshuaj tua kab mob kuj tuaj yeem ua rau muaj cov tshuaj tiv thaiv zoo sib xws.
- Kev Ua Si: Qee tus neeg muaj feem yuav mob no yog tias lawv ua si tsis ntev tom qab noj zaub mov ua xua.
Tsis tas li ntawd xwb, kuj muaj tej yam uas tsis muaj IgE antibodies, tab sis ua rau muaj kev tsis haum tshuaj loj zoo ib yam li anaphylaxis (anaphylactoid reactions).
- Cov xim iodine uas muaj cov tshuaj dyes siv rau hauv kev kuaj xws li X-rays.
- Tshuaj Aspirin thiab lwm yam tshuaj tua kab mob los ntawm pawg 'Nonsteroidal anti-inflammatory drugs (NSAIDs)'.
- Qee cov tshuaj tua kab mob muaj zog (cov tshuaj 'Opioid').
- Kev hloov ntshav.
- Qee zaum nws tuaj yeem tshwm sim los ntawm kev tawm dag zog yam tsis muaj laj thawj pom tseeb.
Kev kho mob thaum muaj xwm txheej ceev yog dab tsi? Qhov no yog qhov tseem ceeb tshaj plaws!
Ntu no tseem ceeb heev vim tias anaphylaxis yog ib qho xwm txheej ceev hauv kev kho mob. Kev kho mob kom raug rau lub sijhawm zoo tuaj yeem cawm tau ib tug neeg txoj sia.
Tib txoj kev kho mob sai tshaj plaws rau anaphylaxis yog kev txhaj tshuaj adrenaline (epinephrine).
Thaum twg txhaj tshuaj tiv thaiv kab mob lawm, cov tsos mob yuav pib ploj mus. Cov kws kho mob qhia cov neeg uas muaj feem yuav ua xua hnyav kom khaws cov tshuaj tiv thaiv kab mob no nrog lawv txhua lub sijhawm. Nws los nrog lub cuab yeej yooj yim siv hu ua "auto-injector." Koj tuaj yeem txhaj tshuaj rau koj tus kheej rau tom qab ntawm koj lub duav thaum muaj xwm txheej ceev.
Koj yuav tsum ua li cas?
1. Ua tam sim ntawd yog tias koj tsis paub meej: Yog tias koj muaj kev xav tias koj muaj kev tsis haum tshuaj hnyav zoo li no, tsis txhob xav ob zaug txog kev txhaj tshuaj tiv thaiv kab mob. Txawm tias koj tsis paub meej tias nws yog kev tsis haum tshuaj lossis tsis yog, mus txhaj tshuaj tiv thaiv kab mob kom muaj kev nyab xeeb. Nws yuav tsis ua teeb meem dab tsi.
2. Pab lwm tus: Yog tias koj pom ib tug neeg nyob ze koj muaj tus mob no, thiab lawv muaj lub tshuab txhaj tshuaj tsis siv neeg thiab siv tsis tau, koj tuaj yeem pab lawv txhaj tshuaj rau.
3. Mus rau tsev kho mob tam sim ntawd: Txawm tias koj tau txhaj tshuaj tiv thaiv kab mob los xij, nws ib leeg yuav tsis kho tau tus kab mob. Cov tsos mob yuav rov tshwm sim dua. Yog li ntawd, tam sim ntawd tom qab tau txhaj tshuaj tiv thaiv kab mob, koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob ze tshaj plaws. Nyob ntawd, koj yuav tau txais kev kho mob ntxiv, xws li kev txhaj tshuaj rau hauv cov hlab ntsha, cov tshuaj los pab koj lub plawv thiab cov ntshav ncig, thiab cov tshuaj ntxiv xws li cov tshuaj antihistamines thiab steroids.
Anaphylaxis yog ib qho mob ceev heev. Txawm tias koj tau txhaj tshuaj tiv thaiv kab mob lawm los xij, koj yuav tsum mus rau tsev kho mob, tshwj xeeb tshaj yog Chav Kho Mob Thaum Muaj Xwm Ceev (ETU).
Kuv npaj li cas rau qhov no?
Yog tias koj muaj keeb kwm ntawm kev ua xua hnyav, nws yog qhov zoo tshaj plaws kom npaj thiab tsis txhob ntshai.
- Tham nrog koj tus kws kho mob: Yog tias koj muaj kev tsis haum tshuaj hnyav rau ib yam dab tsi zoo li kab ntsaum tom, tham nrog koj tus kws kho mob txog kev yuav cov khoom siv txhaj tshuaj epinephrine. Nug lawv seb yuav siv nws li cas.
- Khaws ob lub tshuaj tiv thaiv kab mob kom zoo: Nws yog ib qho zoo kom khaws ob lub tshuaj tiv thaiv kab mob kom zoo. Qee zaum, tej zaum yuav xav tau lub thib ob yog tias thawj lub tsis tswj tau tus kab mob.
- Tsis txhob noj cov khoom uas ua xua rau: Nyob deb ntawm cov khoom noj, dej haus, thiab tshuaj uas koj paub tias koj ua xua rau. Thaum yuav khoom noj hauv khw, nug txog cov khoom xyaw.
- Qhia rau txhua tus:Qhia rau koj tsev neeg, cov phooj ywg, thiab cov neeg ua haujlwm paub txog koj tus mob thiab yuav siv tshuaj tiv thaiv li cas thaum muaj xwm txheej ceev.
- Qhia rau koj cov kws kho mob ua ntej: Txawm tias koj yuav mus ntsib kws kho hniav los xij, qhia rau koj tus kws kho mob txog txhua yam kev ua xua rau tshuaj uas koj muaj ua ntej koj mus kho mob.
- Hnav Daim Ntawv Ceeb Toom Txog Kev Kho Mob: Nws yog ib qho tseem ceeb uas yuav tsum khaws ib txoj hlua tes, txoj hlua caj dab, lossis daim npav ceeb toom txog kev kho mob uas hais txog koj qhov kev ua xua. Nws tuaj yeem cawm koj txoj sia yog tias koj tsis tuaj yeem sib txuas lus thaum muaj xwm txheej ceev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anaphylaxis yog ib qho kev ua xua hnyav heev uas tuaj yeem ua rau tuag taus.
- Txhawj xeeb yog tias koj muaj ntau tshaj ib yam tsos mob ib zaug, xws li ua tsis taus pa sai sai, o, ua pob khaus, lossis kiv taub hau.
- Txoj kev kho mob tseem ceeb thiab tam sim ntawd yog kev txhaj tshuaj epinephrine (adrenaline). Yog tias koj tsis paub meej, mus txhaj tshuaj tam sim ntawd.
- Txawm tias koj tau txhaj tshuaj tiv thaiv kab mob lawm los xij, nws yog ib qho tseem ceeb uas yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob.
- Yog koj muaj kev ua xua hnyav, ib txwm nqa ob lub tshuaj epinephrine auto-injectors thiab daim npav ceeb toom kho mob. Tham nrog koj tus kws kho mob txog qhov no.
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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