Ese uzi uburyo bwo kurwara indwara ya anaphylaxis, indwara iterwa n'ubwivumbure bw'umubiri?

Ese wigeze ubona umuntu arya ikintu cyangwa agakurumwa n'udukoko hanyuma akumva arwaye, akagira ikibazo cyo guhumeka, kandi akumva afite ubwoba? Wenda ufite allergie ntoya. Ariko uyu munsi ntabwo tuvuga ku kintu cyoroshye nk'icyo, ahubwo tuvuga ku ndwara ikomeye cyane ishobora gushyira ubuzima mu kaga. Ibi twita anaphylaxis. Iki ni ikibazo cyihutirwa cy'ubuvuzi. Kubwibyo, ni ngombwa cyane ko wowe n'abakunzi bawe mubimenya.

Mu magambo make, anaphylaxis ni iki?

Anaphylaxis, rimwe na rimwe yitwa anaphylactic shock, ni allergie ikomeye ishobora gushyira ubuzima mu kaga kandi igasaba kuvurwa vuba. Niba ufite ubwo bwoko bw'allergie, ugomba gufata dose ya epinephrine (izwi kandi nka adrenaline) vuba bishoboka. Iyo itavuwe, iyi ndwara ishobora kwica.

Epinephrine ishobora kurwanya ibi bimenyetso bikomeye mu minota mike. Iyo bitagenze neza, ushobora kongeramo indi dose mu minota 30. Uyu muti uboneka hamwe na muganga. Uboneka mu makaramu yoroshye gukoresha yo gutera inshinge no mu mazuru.

Anaphylaxis ni indwara ikunze kugaragara, ariko hari abantu bamwe bashobora kuyirwara cyane. Niba ufite ubwivumbure ku muti cyangwa latex, ugomba kubimenyesha muganga wawe mbere yo kuvurwa, ndetse no kwa muganga w'amenyo. Ni byiza kandi gutwara ikarita iriho amakuru yerekeye ubwivumbure bwawe cyangwa kwambara umukandara wo kwa muganga.

Niba warigeze kugira ikibazo cyo kubura umwuka (anaphylaxis) mbere, ibyago byo kongera kurwara biba byinshi. Kandi niba hari umuntu wo mu muryango wawe wagize icyo kibazo cyangwa urwaye asima, ibyago byawe biba byinshi kurushaho.

Reka tumenye intambwe iki kibazo giteye akaga gitera.

Indwara ya anaphylactic ikunze kunyura mu byiciro bitandukanye. Ariko ishobora no kubaho vuba cyane. Ibimenyetso bitangira byoroheje kandi bikarushaho kwiyongera uko igihe kigenda gihita. Rero iyo ubimenye hakiri kare, ushobora kubona ubufasha mbere yuko ibintu birushaho kuba bibi.

Ni ibihe bimenyetso by'ingenzi bya anaphylaxis?

Nubwo ibimenyetso bya mbere bishobora gusa nkaho ari allergie isanzwe (uduheri, imisonga), ibimenyetso bikomeye bishobora kugaragara mu minota 30. Akenshi ibimenyetso birenze kimwe muri ibi bikurikira biragaragara:

• Gukorora no guhumeka
• Kubabara mu gituza , kuribwa, cyangwa gufungana
• Gutakaza ubwenge, isereri, urujijo, cyangwa intege nke
• Uduheri, gutukura k'uruhu no kwishimagura
• Kuziba izuru cyangwa kuzura izuru no kwitsamura
• Guhumeka bigoranye no gutera umutima cyane (gutera cyane)
• Kubyimba no kwishimagura kw'iminwa cyangwa ururimi
• Kubyimba mu muhogo, gushwanyagurika , kugorwa no kumira
• Kuruka, impiswi, kuribwa mu nda
• Umutima udakomeye, uruhu rwerurutse
• Gusobanya amagambo mu gihe uvuga
• Gutakaza ubwenge burundu

Hari abantu bavuga ko mbere y'uko iki kibazo kibi kiba, bumvaga ko hari ikintu kibi cyari kigiye kubaho.

Kuki ibi bibaho? Impamvu ni izihe?

Mu magambo make, anaphylaxis ni ukwitwara nabi k’umubiri wacu ku kintu kitagize ingaruka mbi mu by’ukuri (urugero nk’ibiryo). Ibi bishobora kutabaho bwa mbere iyo bigeze mu mubiri, ariko uko igihe kigenda gihita, iyi ndwara ishobora gukomera.

Impamvu zikunze kugaragara mu bana

Ibiryo ni byo bitera indwara yo kubura umwuka mu bana.

• Ubunyobwa
• Ibiryo byo mu nyanja (Ibinyamisogwe - nk'isambaza, inkeri, squid)
• Ifi
• Amata
• Amagi
• Soya
• Ingano

Impamvu zikunze kugaragara mu bantu bakuru

Ku bantu bakuru, iyi ndwara ishobora guterwa n'imiti .

• Ibiryo byo mu nyanja (Ibinyamisogwe)
• Imbuto z'ibiti nk'amakashe, amande, na pecan
• Ubunyobwa

Izindi mpamvu zisanzwe

• Imiti: Penicillin (iterwa mu nshinge aho kuba iy'ibinini), imiti imwe n'imwe igabanya ububabare, imiti igabanya ububabare nka aspirine na ibuprofen, hamwe n'imiti igabanya ububabare.
• Udukoko dutera: Udukoko duterwa n'inyamaswa nk'inzuki, ivu, n'ihornets.
• Latex: Iboneka mu turindantoki two mu bitaro, mu mipira, no mu bindi bintu. Hari abantu bashobora kugira ikibazo cyo kumva impumuro yabyo.

Hari igihe impamvu idashobora kuboneka. Ibi tubyita idiopathic anaphylaxis.

Ni gute muganga amenya ko ibi ari ikibazo cyo kubura umwuka (anaphylaxis)?

Niba ubona ko ufite ubwivumbure bukomeye cyangwa uri mu kaga ko kugira ikibazo cyo kubura umwuka, menya neza ko wagiye kwa muganga. Azakubaza ibyerekeye ubwivumbure bwawe kandi ashobora no kugukorera ibizamini kugira ngo byemezwe ko ari indwara.

• Ibipimo by'amaraso: Ibi bipima urugero rwa enzyme yitwa tryptase. Uru rugero rushobora kwiyongera mu maraso mu gihe cy'amasaha 3 nyuma yo kugira ikibazo cyo kubura amaraso.
• Ibizamini by'uruhu: Ibi bizamini bikorwa kugira ngo harebwe niba ufite ubwivumbure ku biribwa bitandukanye n'imiti.

Ubuvuzi bwihutirwa n'ubuvuzi bwo mu bitaro

Uburyo bwiza kandi bwihuse bwo kuvura anaphylaxis ni epinephrine . Niba uri mu kaga, ugomba guhora ufite nibura doze ebyiri za epinephrine wahawe na muganga wawe.

Mu bitaro, ushobora gukenera ubundi buvuzi:

• Gutanga umwuka wa ogisijeni kugira ngo bifashe mu guhumeka.
• Tanga imiti ikoreshwa mu mitsi na steroid cyangwa antihistamine.
• Guhumeka umwuka w'imiti nka Albuterol kugira ngo byoroshye guhumeka.

Ushobora gukorerwa isuzuma mu bitaro mu gihe cy'amasaha make kugira ngo barebe niba hari ikindi kibazo cyabayeho.

Ni gute wakwirinda ko indwara yongera kugaruka?

Ikintu cyiza cyo gukora ni ukumenya neza icyo urwaye ubwivumbure hanyuma ukirinde burundu.

• Ibikoresho byihutirwa: Buri gihe shyira umuti wo gutera inshinge za epinephrine cyangwa spray yo mu mazuru wanditswe na muganga wawe hafi aho. Vugurura umuti mbere yuko urangira.
• Menyesha abaganga bawe: Bwira abaganga bawe bose (harimo n'umuganga w'amenyo) ibyerekeye ubwivumbure bwawe.
• Reba ibyapa by'ibiribwa: Niba ufite ubwivumbure ku biribwa, soma neza ibyapa biri ku bintu uguze mu iduka. Bibaze mbere yo gutumiza ibiryo muri resitora.
• Ambara umukufi wo kumenyesha kwa muganga: Ibi bimenyesha abandi uko umerewe kandi bikanagufasha mu gihe cy’impanuka.

Nubwo bimeze gutyo, ushobora kuba ugifite ikibazo cy’ubwivumbure bw’umubiri utabizi. Bityo rero, ni ngombwa ko wowe, umuryango wawe n’inshuti zawe mumenya icyo wakora mu gihe ibyo bibaye.