Mi pakhatin ei tur a ei a, damdawi a ei a, rannungin wasp ang maia a seh a, rang takin an taksa pum a hnim tan a, thaw a thawk thei lo va, an hmai a lo hring chhuak a, an hlauthawng tih i hmu ngai em? Chutiang chu i chungah a thleng tawh mai thei. Mi tam tak chuan hei hi allergy pangngai niin an ngai. Mahse, a pawi zawk hle thei a, nunna atana hlauhawm pawh a ni thei. Damdawi lamah chuan hei hi anaphylaxis kan ti a ni. Vawiin hian thumal awlsam takin engkim kan sawi dawn a ni.
Anaphylaxis hi eng nge ni tak tak?
A awlsam zawngin sawi ila, anaphylaxis hi kan taksa immune system-in thil a tlangpuiin a hlauhawm lo (ei leh in emaw damdawi emaw ang chi) avanga a chhanletna nasa tak, na tak leh a tihbuai nghal mai hi a ni. Hei hi allergy pangngai ang a ni lo. Hei hi medical emergency a ni a . Enkawl loh chuan he natna hi a thihpui thei a ni.
Chutiang dinhmunah chuan tih tur pawimawh ber chu damdawi epinephrine an tih chu a rang thei ang bera pek hi a ni. Adrenaline an ti bawk. He damdawi hian minute tlemte chhungin symptom na tak tak a control thei a ni. A chang chuan minute 30 chhungin second dose a ngai thei bawk.
A pawimawh ber chu anaphylaxis a nih chuan allergy atana hman tlanglawn antihistamine tablet (Sri Lanka rama Piriton tia kan hriat) pek mai mai hian a thunun theih loh . Chuvangin chutiang thil pe a, nghah chu thil hlauhawm tak a ni.
Hetiang dinhmun hi a awm lo hle a, mahse mi thenkhat chu an hlauhawm zawk. Hetiang allergy na tak i neih tawh chuan, i chhungte zingah mi pakhatin a lo vei tawh a nih chuan, emaw, asthma i neih chuan i hlauhawm zawk bawk.
Engtin nge symptoms a na zual zauh zauh thin
Anaphylaxis hi vawi khatah a peak vek lo. A tlangpuiin stage engemaw zat kaltlangin a kal chak hle. Heng stage hrang hrangte hi kan hriat chian a pawimawh a, chutiang chuan hma kan la nghal vat thei ang.
| Dawhsan | A lan chhuah dan tlangpui |
|---|---|
| Stage 1 (a lan chhuah dan na lo) 1.1. | Taksa a na a, vunah red bumps (hives) a lo lang a, hnar a luang bawk. Hetiang dinhmunah hian mi tam tak chuan hei hi allergy pangngai mai niin an ngai. |
| Stage 2 (a lan chhuah tam ber) . | Chu vun chu taksa pum puiah a darh vek a ni. Hmai, hmui leh lei a hring. Mit atang chuan mittui a lo chhuak a. Ei harsa a lo ni ta a ni. Pum na, luak chhuak, leh luak chhuak a awm thei. Hetiang dinhmunah hian damdawi lam tanpuina zawng nghal tur a ni. |
| Stage 3 (a lan chhuah dan na tak) 1.1. | Thâwk harsa tak a lo ni ta a ni. I rilruah natna emaw, tightness emaw i nei thin. I pulse rate a chak lo ta hle mai. I lu a buai a, i muhil thei bawk. Hei hi ‘anaphylactic shock’ kan tih chu a ni. |
| Stage 4 (nunna atana hlauhawm dinhmun) . | Thisen sang chu a tlahniam hle. Pulse a chak lo hle. Thlawhna kawng a hring a, thawk a titawp vek a ni. Hetiang dinhmun hian heart attack emaw, thihna emaw pawh a thlen thei. |
Mi thenkhat chuan an reaction hma khan doom hriatna an nei tih an hre reng bawk . Tin, mi thenkhat chuan reaction hmasa ber atanga darkar 12 chhungin a vawi hnihna, na zawk an nei thei bawk. Hei hi biphasic anaphylaxis an ti a .
Anaphylaxis awm chhan berte chu engte nge ni?
Hei hi kan taksa infection dotu antibodies te hian thil hlauhawm lo (a trigger) ah an overreact vang a ni. Hei hi a thlen thei thil tam tak a awm a.
- Chaw: Naupang tê tê tân chuan a mawhphurtu ber chu ei leh in a ni. Peanut, bawnghnute, artui, soy, wheat, leh shellfish te hi a mawhphurtu ber an ni. Puitling tan chuan tuifinriat thil leh thinghnah chi hrang hrang (cashew, walnut, leh almond ang chi) te hi a mawhphurtu ber an ni.
- Damdawi: Damdawi hi puitlingah anaphylaxis thlentu ber a ni. Antibiotics penicillin te, anesthetics thenkhat, aspirin, leh ibuprofen te.Heng zingah hian natna tidamtu (NSAID) ibuprofen ang chi te hi a pawimawh ber a ni.
- Insect stings: Sri Lanka ramah hian rannung chi hrang hrang, wasp leh hornets te avanga allergy na tak awm thu kan hre fo thin. Bee stings pawh hi a chhan a ni thei bawk.
- Latex: Mi thenkhat chuan rubber atanga siam latex hi allergy na tak an nei bawk. Damdawi ina hman thin gloves leh balloon ang chi thilah te a awm a.
A châng chuan a chhan hi hmuh theih a ni lo. Hei hi idiopathic anaphylaxis kan ti a .
Emergency treatment leh management - hei hi a pawimawh ber a ni!
Nangmah emaw, i hriat tu emaw chuan anaphylaxis symptoms i neih tan chuan, tihkhawtlai lohvin i che a ngai a ni .
1. Epinephrine pe nghal rawh: Hlauhawm i nih chuan i doctor-in epinephrine auto-injector pen emaw, hnar spray emaw a pek kha vawng reng ang che. Hei hi i kawr hnung lamah inject nghal rawh. I doctor hnenah a hman dan tur hrilh rawh.
2. Damdawi inah kal nghal rawh: Epinephrine injection pek i ni tawh emaw pek loh emaw pawh nise, ambulance ko ngei tur a ni emaw, damdawi in hnai ber emergency department (ETU) pan nghal tur a ni. Hei hi a chhan chu damdawiin a nghawng a reh chuan symptoms a lo lang leh thei a ni. Sawi tawh ang khan biphasic reaction a awm thei.
3. Damdawi In Enkawlna: ETU-ah hian oxygen, intravenous fluids (saline), a tul angin epinephrine, steroid, leh antihistamines dose dang pek belh i ni ang. Thâwk harsa i neih chuan thawkna kawng (breathing tube) dah luh a ngai mai thei.
Hetiang thil hi i chungah a lo thleng a nih chuan allergist hnenah a thlentu dik tak hriat tumin hma la la, nakin lawkah invenna atana i mamawh thurawn pawh la rawh.
Engtin nge nakin lawkah hetiang dinhmun lakah hian kan inven theih ang?
A tha ber chu eng thilin nge i trigger tih chiang taka hriat a, anmahni atanga inthiarfihlim vek hi a ni. Chu bâkah, heng thilte hi ti ngei ngei ang che.
- Emergency Kit vawng rawh: I kalna apiangah i doctor-in a pek epinephrine pen pahnih tal keng reng ang che. Tin, an expiry date pawh hre reng ang che.
- Medical Alert Bracelet bun rawh: Hetiang natna i nei tih ziakna bracelet emaw, kawrfual emaw bun hian midangte hnenah i dinhmun hriat theihna turin a pui thei a, i hriat loh pawhin.
- Mi zawng zawng hriattir rawh:I chhungte, i thiante, office staff te, leh i enkawltu doctor zawng zawng (i ha enkawltu pawh tel) te chu i allergy chungchang hriattir rawh.
- Label chhiar: Food allergy i neih chuan dawr atanga i thil lei zawng zawng label chhiar la. Restaurant-a pawn lama chaw i ei dawnin, chaw eiah hian i allergy nei thil eng emaw a awm em tih zawt thin ang che.
Heng zawng zawng karah pawh hian i allergy nei thil chu i ei palh thei tho. Chuvangin, nang leh i chhehvela mite hian chutiang a nih chuan eng nge i tih tur tih ruahmanna tha tak in neih a ngai a ni.
Take-Home Thuchah a ni
- Anaphylaxis hi allergy tlanglawn tak a ni lo va, medical emergency a ni a, nunna atana hlauhawm thei a ni.
- A lan chhuah dan na tak chu thawk harsa, hmai/ hmui/lei hring, vun rawng, leh hriatna hloh te a ni thei.
- Hei hi emergency treatment awmchhun leh hmasa ber chu epinephrine injection pek nghal hi a ni.
- Epinephrine pek ni mahse damdawi in Emergency Treatment Unit (ETU) ah i kal ngei tur a ni .
- Risk i nih chuan i triggers te chu hmuchhuak la, pumpelh rawh. I emergency kit (epinephrine) chu engtik lai pawhin i bulah dah la.
- I doctor nen inbia la, emergency-a i tih tur chungchangah action plan chiang tak siam rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh