Allergy na tak (anaphylaxis) i neih chuan engtin nge i tih ang? Hemi chungchang hi han sawi ila!

Oh my, heng `allergies` emaw allergy an tih te hi a chang chuan a ti thinrim hle thei a ni lawm ni? Vun hring leh vun sen tlem atanga tan ni mahse, allergy thenkhat chu a nasat em avangin nunna pawh a nghawng thei a ni. Chutiang allergy na tak pakhat, enkawl vat ngai chu `anaphylaxis` a ni. Hei hi i hriat chian chuan nangmah emaw, i hriat mi emaw tanpuina mamawh a nih chuan thil ropui tak i ti thei ang.

Anaphylaxis hi eng nge ni?

A awlsam zawngin, `Anaphylaxis` hi allergic reaction na tak, nunna atana hlauhawm tak a ni . Hetiang dinhmun hi kan taksa tana chhiatna thlen thei nia kan ngaih thil (hengte hi `allergens` kan ti) a, kan taksa hriselna (immune system) hian nasa takin a chhang let nghal vat a ni. Ngaihtuah teh, i thian pakhat, a hming chu Nimal ti ila. Nimal hian buh a ei hian `allergy` na tak a nei a. Ni khat chu party-ah chuan chawhmeh chi khat, buhfai awmna chu a ei palh ta ang u. Minute tlemte chhungin Nimal chuan thawk harsa a ti tan a, a taksa pum chu a sen vek a, a hring vek bawk a, a beng chu a tight hle tih a hriat. Hei hi `Anaphylaxis` an tih natna chu a ni. Hetiang `Anaphylaxis` natna hi a lo awm theih chhan lian tak tak engemaw zat a awm a:

• Chaw: Chaw thenkhat hi mi thenkhat tan chuan a tuar thei lo tak zet a ni. Entirnan, nut ang chi peanuts leh cashews, milk, eggs , fish leh seafood dang , wheat, leh soy te hi a lian ber a ni. Tlemte pawhin reaction na tak a thlen thei.
• Insect stings: Mi thenkhat chuan rannung wasp leh hornets te chil hi allergy nasa tak an nei thei a. Hetiang dinhmun hi rimtui taksa chhunga a luh hian a lo awm thin.
• Damdawi: Damdawi thenkhat, entirnan antibiotics penicillin emaw painkillers , te hian mi thenkhatah allergy a thlen thei.
• Latex: Hei hi natural rubber chi khat a ni. Medical glove leh balloon-ah hian latex a awm a. Mi thenkhat chuan he thil hi allergy na tak an nei thei bawk.

Anaphylaxis hi thil hlauhawm tak a ni. Mahse i inbuatsaih lawk chuan reaction a awm chuan i enkawl vat thei ang.

Anaphylaxis natna lan chhuah dan chu engte nge ni?

Tunah chuan `Anaphylaxis` symptoms i en ang u. Heng symptoms te hi mi tin a inang lo thei a, mi pakhat pawhin hun hrang hrangah symptom hrang hrang a lantir thei bawk. A lan chhuah dan tlangpui chu hengte hi a ni:

• Thâwk harsa : Thâwk harsa, thawk hah tih hriat. I rilru a tikhauh ang maiin a lang thei bawk.
• Throat tightness or tightness: Hnar chhung lam chu a hring chhuak thei a, thawkna kawng pawh a inkhar tih a hriat theih bawk. Miin i kawr a rawn hrual ang mai hian.
• Aw a inthlak emaw, tawng a harsat emaw: Aw chu a hrual a, thumal chu chiang taka sawi theih a ni lo.
• Thah emaw, khuh emaw: A rilru atanga "cheese-cheese" ri a lo chhuak thei a, khuh chhunzawm zel a awm thei bawk.
• Nasal congestion : Hnar atanga tui chhuak chu a chhuak lo a, mahse hnar chu a block niin a lang.
• Nausea, stomach cramps , vomiting and/or diarrhea: I pum a inher ang maia inhriatna, rilru hahna, luak chhuak thei, leh ek chhuah mai thei.
• Chaw ei harsa: Ei leh in lamah harsatna i nei mai ni lovin, hmui ei harsa i nei thei bawk.
• Drooling: I hmui atang hian tum loh takin i drool thei.
• Hypotension: Thisen sang hniam hian luak chhuak a, lu a ti eng thei a, mit a ti fiah lo thei bawk.
• Vun a hring, a sen emaw, a hring emaw: Vun chu a sen leh a hring thei a, taksa pum puiah emaw, hmun hrang hrangah emaw a awm thei. A chang chuan a hring thei bawk.
• Hives (Urticaria): Vunah hian welt sen, itchy, raised welts (hives/urticaria) a lo lang thin.
• Thil tha lo tak a thleng dawn tih hriatna: Hlauhna nasa tak, lungkhamna. "Aw, thil engemaw ka chungah a thleng dawn" tih ang chi hriatna.
• Syncope: A nasat ber lai chuan hriatna hloh leh tlu pawh a awm thei.

Miin a chunga kan sawi tawh ang chi natna khirh tak tak (e.g., thawk harsa, luak chhuak reng, hriatna hloh, rilru hah), emaw, natna langsar lo pahnih emaw a aia tam emaw (e.g., khuh leh luak chhuak, emaw khuh leh taksa na) a neih chuan `Anaphylaxis` case anga ngaih tur a ni.

Heng symptoms nei te tan hian damdawi lam enkawlna pek nghal a pawimawh a, tihkhawtlai lohvin!**

Anaphylaxis hi engtin nge enkawl a nih?

Anaphylaxis hi medical emergency a nih avangin tanpui nghal a ngai a ni.He reaction hi a na zual nghal vat thei a, chuvangin timing hi a pawimawh ber a ni. Epinephrine hi damdawi bik a ni a, doctor ten allergy na tak nei te tan an pek thin a ni.

• He damdawi, epinephrine an tih hi auto-injector (EpiPen ang chi) hmangin emaw, mi thenkhat tan chuan hnar spray angin emaw pek theih a ni.
• ``Auto-injector'' chu, a awlsam zawngin, injection ang chi thil te tak te, damdawi hmanga pre-filled, emergency-a nangmah ngeiin i hman theih tur a ni. A hman a awlsam hle.
• He epinephrine damdawi hi thisenah direct-in a lut a, chu allergic symptom na tak takte chu a control tan nghal vat thin.
• Allergy na tak nei te tan, a bik takin thalai te tan chuan sikul kal dawn te, infiamna an khelh dawn te, hnathawhna hmuna an kal dawn te, leh thil dang tih nan te epinephrine device an keng tel fo thin a pawimawh hle. Heng hmanrua te hi a te hle a, phurh a awlsam hle bawk.
• Epinephrine auto-injector pek i nih chuan i doctor chuan a hman dan tur a zirtir ang che.
• A pawimawh ber chu epinephrine kit pahnih keng reng tur a ni. Hei hi pakhatin hna a thawh that loh chuan hman tur a ni a, a nih loh leh dose hmasa ber hnua dose dang i mamawh chuan hman tur a ni.

I doctor pawhin a then phei chuan antihistamines (allergy kan ei tlangpui pill) ei turin a rawt thei bawk. Mahse, allergy na tak enkawlna atana hmanraw pawimawh ber chu epinephrine a ni tih hre reng ang che. Reaction na tak neih nan epinephrine ai chuan antihistamines chauh hmang ngai suh!

Anaphylaxis i neih chuan eng nge i tih ang?

Okay, tunah chuan `Anaphylaxis` symptoms i neih thut a nih chuan engtin nge i tih ang tih kan en ang. Heng thilte hi i hriat tan chuan i `Epinephrine` hmang nghal la, tihkhawtlai lovin:

• Thâwk harsa i neih chuan.
• I beng chu a tight emaw constricted emaw a nih chuan.
• I taksain nunna a hloh ang maia i chau tih i hriat chuan.
• Allergic symptoms na lo tak pahnih emaw a aia tam emaw a ruala a lo lan chuan (entir nan, khuh leh vun natna, emaw, vun hring nena inzawm pum na).

"Aw, kan en ang, hei hi a dik mai thei. Inhaler ka hmang ang a, a nih loh leh antihistamine ka hmang ang," tih ngaihtuahin hun khawhral suh . Second tin hi anaphylaxis-ah hian a chhiar tel vek. Epinephrine hi hmang nghal rawh!

Allergy na tak symptom i neih chuan hengte hi zawm tur a ni: 1. Epinephrine hmang nghal rawh.I auto-injector hman dan tur chu a hmain zir la, practice rawh. 2. Tichuan, 1990 (Sri Lanka emergency ambulance service) chu call nghal rawh, a nih loh leh i bula mi pakhat hnenah number call turin hrilh rawh. Ram danga i awm chuan chu ram tana emergency number hmang la. 3. Ambulance a lo thlen hma chu i ke sang deuhin mu rawh. I ke chu chair emaw, wall emaw-ah i prop up thei bawk. Hei hian i thisen sang chu a nghet reng thei ang. 4. Epinephrine i hman hnua i natna lan chhuah dan a reh a nih pawhin, a nih loh leh i rilru a hahdam a nih pawhin damdawi in emergency department-ah kal ngei ngei tur a ni.

• Hei hian eng nge a awmzia? A châng chuan a tir lama a natna a reh hnuah darkar tlemte chhungin natna khirh tak takte chu a lo lang leh thei ṭhin. Hei hi ``biphasic reaction'' an ti a, hei hian hun engemaw chen hnuah a harsa leh thei tihna a ni. Chuvangin darkar tlemte chhung chu doctor enkawlna hnuaia awm reng a pawimawh hle.
• A tul chuan damdawi inah enkawl belh theih a ni.

Eng dang nge i hriat duh?

Anaphylaxis nena i khawsak hian i himna tur atan inbuatsaih lawk a tha ber.

• I kalna apiangah Epinephrine device pahnih keng reng ang che. Hei hian i nunna a chhanhim thei a, chuvangin theihnghilh suh. Pakhat chu i bag-ah i dah thei a, pakhat chu i pocket-ah i dah thei bawk.
• Allergy i neih nia i hriat ei tur chu pumpelh vek rawh. Hei hi a pawimawh ber a ni. Chaw i ei dawnin a thil telte uluk takin enfiah thin ang che. Hmun thar atanga chaw i ei dawnin a buatsaihtu hnenah chiang takin zawt thin ang che.
• I ṭhiante, chhungte, zirtirtu, thawhpui leh coach-te hnenah i allergy chungchang hrilh rawh. Tin, emergency i neih chuan tanpuina dawn dan tur hriattir bawk ang che (e.g., epinephrine hman dan tur, 911 call). An hriattir hi a tha khawp mai.

A tawp berah chuan take-home message:

Anaphylaxis hi natna khirh tak a ni a, rinhlelh rual a ni lo. Amaherawhchu, hlauh ai chuan a chungchang hriat chian a pawimawh a, a tul anga hma la tura inpeih reng a pawimawh.

• Symptoms te chu uluk takin hriatchhuah tir rawh.
• Epinephrine hi i bulah dah reng la, pahnih pawh nise!
• Symptoms a lan veleh epinephrine hi hman thuai tur a ni.
• Tichuan damdawi inah kal nghal tur a ni a, a natna lanchhuahna a reh pawhin.
• I allergy nei thil atang hian a hla thei ang bera awm rawh.

Heng thilte hi i enkawl chuan `Anaphylaxis` nei pawhin nun him, pangngai takin i nung thei ang. Nangmah chauh i ni lo va, i doctor pawh he thu hi sawipui tur leh tanpuina dawng turin a awm reng a ni.

---

Anaphylaxis, allergy na tak, epinephrine, allergy symptoms, emergency treatment, allergens te