Kodi munayamba mwawonapo munthu akudya chakudya, kumwa mankhwala, kapena kulumidwa ndi nyama ngati mavu ndipo mwadzidzidzi thupi lake lonse limayamba kuyabwa, satha kupuma, nkhope yake imatupa, ndipo amachita mantha? Mwina izi zinakuchitikiranipo. Anthu ambiri amaganiza kuti izi ndi ziwengo wamba. Koma zitha kukhala vuto lalikulu kwambiri, ngakhale loika moyo pachiswe. Mu zamankhwala, timatcha izi anaphylaxis . Lero, tikambirana chilichonse mwachidule.
Kodi Anaphylaxis ndi chiyani kwenikweni?
Mwachidule, anaphylaxis ndi njira yoopsa kwambiri, yoopsa, komanso yofulumira yomwe chitetezo cha mthupi lathu chimachita ku chinthu chomwe nthawi zambiri sichivulaza (monga chakudya kapena mankhwala). Izi sizili ngati ziwengo wamba. Izi ndi zadzidzidzi zachipatala . Ngati sizikuchiritsidwa, vutoli likhoza kupha.
Chofunika kwambiri kuchita mu mkhalidwe wotere ndikupereka mankhwala otchedwa epinephrine mwachangu momwe mungathere. Amatchedwanso adrenaline. Mankhwalawa amatha kuchepetsa zizindikiro zazikulu mkati mwa mphindi zochepa. Nthawi zina mlingo wachiwiri ungafunike mkati mwa mphindi 30.
Chofunika kwambiri ndichakuti ngati munthu wadwala matenda a anaphylaxis, sangathe kulamulidwa pongopereka mapiritsi a antihistamine (omwe timawadziwa kuti Piriton ku Sri Lanka) omwe amagwiritsidwa ntchito kwambiri pa ziwengo. Chifukwa chake, ndi koopsa kupereka chinthu choterocho ndikudikira.
Matendawa ndi osowa kawirikawiri, koma anthu ena ali pachiwopsezo chachikulu. Ngati mudadwalapo ziwengo ngati izi kale, ngati wina m'banja mwanu adadwalapo, kapena ngati muli ndi mphumu, muli pachiwopsezo chachikulu.
Momwe zizindikiro zimakulirakulira pang'onopang'ono
Anaphylaxis siimafika pachimake nthawi imodzi. Nthawi zambiri imayenda mofulumira m'magawo angapo. Ndikofunikira kudziwa magawo awa kuti tithe kuchitapo kanthu mwachangu.
| Gawo | Zizindikiro zomwe zimawoneka kawirikawiri |
|---|---|
| Gawo 1 (zizindikiro zochepa) | Thupi limayabwa, ziphuphu zofiira (mabala) zimaonekera pakhungu, ndipo mphuno imatuluka madzi. Pakadali pano, anthu ambiri amaganiza kuti izi ndi vuto lachibadwa. |
| Gawo 2 (zizindikiro zofala kwambiri) | Ziphuphu zimafalikira thupi lonse. Nkhope, milomo, ndi lilime zimatupa. Misozi imatuluka m'maso. Zimakhala zovuta kumeza. Kupweteka m'mimba, kusanza, ndi kutsegula m'mimba kungachitike. Pa nthawiyi, chithandizo chamankhwala chiyenera kufunidwa nthawi yomweyo. |
| Gawo 3 (zizindikiro zoopsa) | Kupuma kumakhala kovuta kwambiri. Mumamva kupweteka kapena kupsinjika pachifuwa panu. Kugunda kwa mtima wanu kumakhala kofooka. Mumamva chizungulire ndipo mungafooke. Ichi ndi chomwe timachitcha 'anaphylactic shock' . |
| Gawo 4 (mkhalidwe woopsa) | Kuthamanga kwa magazi kumatsika kwambiri. Kugunda kwa mtima kumakhala kofooka kwambiri. Njira zopumira zimatupa, zomwe zimapangitsa kuti kupuma kusiye kwathunthu. Vutoli lingayambitse matenda a mtima kapena imfa. |
Anthu ena amakumbukiranso kuti anali ndi vuto asanachitepo kanthu . Komanso, anthu ena amatha kuchitapo kanthu kachiwiri, koopsa kwambiri mkati mwa maola 12 kuchokera pamene anachitapo kanthu koyamba. Izi zimatchedwa biphasic anaphylaxis .
Kodi zifukwa zazikulu za anaphylaxis ndi ziti?
Izi zimachitika chifukwa ma antibodies a thupi lathu omwe amalimbana ndi matenda amakhudzidwa kwambiri ndi chinthu chosavulaza (choyambitsa). Pali zinthu zambiri zomwe zingayambitse izi.
- Chakudya: Kwa ana aang'ono, vuto lalikulu ndi chakudya. Mtedza, mkaka, mazira, soya, tirigu, ndi nkhono ndizomwe zimayambitsa vutoli. Kwa akuluakulu, nsomba zam'madzi ndi mtedza wosiyanasiyana wa mitengo (monga cashews, walnuts, ndi amondi) ndi zomwe zimayambitsa vutoli.
- Mankhwala: Mankhwala ndi omwe amachititsa kuti munthu wamkulu asamavutike ndi mankhwala opha tizilombo toyambitsa matenda. Mankhwala opha tizilombo monga penicillin, mankhwala ena oletsa ululu, aspirin, ndi ibuprofen.Mankhwala ochepetsa ululu (NSAIDs) monga ibuprofen ndi ofunikira kwambiri mwa awa.
- Kuluma kwa tizilombo: Ku Sri Lanka, nthawi zambiri timamva za ziwengo zoopsa zomwe zimayambitsidwa ndi kuluma kwa nyama monga mavu ndi mavu. Kuluma kwa njuchi kungakhalenso chifukwa cha izi.
- Latex: Anthu ena alinso ndi vuto lalikulu la latex, chinthu chopangidwa ndi rabala. Chimapezeka m'zinthu monga magolovesi ndi mabaluni omwe amagwiritsidwa ntchito m'zipatala.
Nthawi zina chomwe chimayambitsa izi sichingapezeke. Timachitcha kuti idiopathic anaphylaxis .
Chithandizo chadzidzidzi ndi kasamalidwe - iyi ndiye gawo lofunika kwambiri!
Ngati inu kapena munthu amene mumamudziwa ayamba kuona zizindikiro za anaphylaxis, muyenera kuchitapo kanthu mwamsanga .
1. Perekani epinephrine nthawi yomweyo: Ngati muli pachiopsezo, sungani cholembera cha epinephrine auto-injector kapena spray ya m'mphuno yomwe dokotala wanu wakupatsani. Ikani jekeseni iyi kumbuyo kwa ntchafu yanu zizindikiro zikayamba. Funsani dokotala wanu kuti akupatseni malangizo amomwe mungagwiritsire ntchito.
2. Pitani kuchipatala nthawi yomweyo: Kaya mwapatsidwa jakisoni wa epinephrine kapena ayi, muyenera kuyimbira ambulansi kapena kupita ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU) nthawi yomweyo. Izi zili choncho chifukwa zizindikiro zimatha kubwereranso mphamvu ya mankhwala ikatha. Monga tanenera kale, kusintha kwa biphasic ndikotheka.
3. Chithandizo cha Chipatala: Mu ETU, mudzapatsidwa mpweya, madzi amchere m'mitsempha, mlingo wowonjezera wa epinephrine, ma steroids, ndi ma antihistamines ngati pakufunika kutero. Ngati mukuvutika kupuma, mungafunike kuyikidwa chubu chopumira.
Ngati chinthu chonga ichi chikukuchitikirani, onetsetsani kuti mwaonana ndi dokotala wa ziwengo kuti mudziwe chomwe chinayambitsa vutoli ndikupeza upangiri womwe mukufuna kuti mudziteteze mtsogolo.
Kodi tingadziteteze bwanji ku vutoli mtsogolomu?
Chinthu chabwino kwambiri choti muchite ndikudziwa bwino zomwe zimakuyambitsani ndikupewa kuzipewa. Kuphatikiza apo, onetsetsani kuti mwachita izi.
- Sungani Chida Chothandizira Pangozi: Nthawi zonse nyamulani ma epinephrine pen osachepera awiri omwe dokotala wanu wakupatsani kulikonse komwe mukupita. Komanso, dziwani masiku omwe amatha ntchito.
- Valani Chibangili cha Chidziwitso cha Zachipatala: Kuvala chibangili kapena mkanda wosonyeza kuti muli ndi vutoli kungathandize ena kudziwa za vuto lanu, ngakhale mutakomoka.
- Dziwitsani aliyense:Uzani banja lanu, anzanu, ogwira ntchito ku ofesi, ndi dokotala aliyense amene amakuthandizani (kuphatikizapo dokotala wanu wa mano) za ziwengo zanu.
- Werengani zilembo: Ngati muli ndi vuto la zakudya, werengani zilembo za chilichonse chomwe mumagula kusitolo. Mukadya kunja ku lesitilanti, funsani ngati chakudyacho chili ndi zosakaniza zilizonse zomwe zimakupangitsani kuti mukhale ndi vuto la zakudya.
Ngakhale mutamwa zonsezi, mwangozi mutha kumwa chinthu chomwe chimayambitsa ziwengo. Chifukwa chake, inu ndi anthu omwe muli nawo pafupi muyenera kukhala ndi dongosolo labwino la zomwe mungachite ngati zitachitika.
Uthenga Wopita Nawo Kunyumba
- Anaphylaxis si vuto lofala la ziwengo, ndi vuto lachipatala lomwe lingakhale pachiwopsezo.
- Zizindikiro zazikulu zingaphatikizepo kuvutika kupuma, kutupa kwa nkhope/milomo/lilime, ziphuphu, komanso kutaya chidziwitso.
- Chithandizo chokhacho komanso choyamba chadzidzidzi cha izi ndikupereka jakisoni wa epinephrine nthawi yomweyo.
- Ngakhale mutapatsidwa epinephrine, muyenera kupita ku chipatala cha Emergency Treatment Unit (ETU) .
- Ngati muli pachiopsezo, dziwani ndikupewa zomwe zimayambitsa vutoli. Sungani zida zanu zadzidzidzi (epinephrine) nthawi zonse.
- Lankhulani ndi dokotala wanu ndipo pangani ndondomeko yomveka bwino ya zomwe mungachite pakagwa ngozi.











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