Tshuaj tsis haum tshuaj

Kev phiv tshuaj yog pab pawg uas tshwm sim vim kev ua xua los ntawm kev siv tshuaj (tshuaj).

Kev fab tshuaj muaj feem cuam rau kev tiv thaiv kab mob hauv lub cev uas ua rau muaj kev fab tshuaj rau cov tshuaj.

Thawj zaug koj noj tshuaj, koj yuav tsis muaj teeb meem dab tsi. Tab sis, koj lub cev tiv thaiv kab mob hauv lub cev yuav tsim cov tshuaj (tshuaj tiv thaiv) tawm tsam cov tshuaj ntawd. Lwm zaus koj noj cov tshuaj, cov tshuaj tiv thaiv kab mob yuav qhia koj cov ntshav dawb los ua cov tshuaj hu ua histamine. Cov keeb kwm thiab lwm yam tshuaj ua rau koj cov tsos mob ua xua.

Ib qho tshuaj uas tsis haum tshuaj ua muaj:

• Tshuaj siv los kho qaug dab peg
• Cov tshuaj insulin (tshwj xeeb tshaj yog tsiaj los ntawm cov tshuaj insulin)
• Cov tshuaj uas muaj iodine, xws li cov xoo hluav taws xob uas tsis zoo (cov no tuaj yeem ua rau muaj kev tsis haum tshuaj)
• Penicillin thiab tshuaj tua kabmob ntsig txog
• Cov tshuaj Sulfa

Feem ntau cov kev mob tshwm sim ntawm cov tshuaj tsis yog vim muaj kev fab tshuaj tshwm sim los ntawm kev tsim cov tshuaj tiv thaiv IgE. Piv txwv li, cov tshuaj aspirin tuaj yeem ua rau khaus lossis ua rau mob hawb pob yam tsis muaj kev cuam tshuam nrog tiv thaiv kab mob. Coob tus neeg ua rau qhov kev tsis haum siab, tab sis tsis loj, cov kev mob tshwm sim ntawm cov tshuaj (xws li xeev siab) nrog kev siv tshuaj tsis haum.

Kev phiv tshuaj ntau tshaj ua rau cov pob khaus tawv nqaij thiab khaus. Cov tsos mob no tuaj yeem tshwm sim sai lossis sijhawm tom qab tau txais tshuaj. Ntshav mob hnyav yog ib hom tshuaj tiv thaiv qeeb uas tshwm sim rau ib asthiv lossis ntau dua tom qab koj tau txais tshuaj lossis tshuaj tiv thaiv.

Cov tsos mob tshwm sim ntawm kev phiv tshuaj muaj xws li:

• Khaus Khawb
• Khaus ntawm daim tawv lossis qhov muag (ib txwm)
• Cov tawv nqaij ua pob (nquag)
• O Cov di ncauj, nplaig, lossis lub ntsej muag
• Hawb pob

Cov tsos mob ntawm tus mob anaphylaxis suav nrog:

• Mob plab los yog mob plab
• Tsis meej pem
• Zawv plab
• Ua pa nyuaj nrog hawb pob lossis suab ntxhe
• Kiv taub hau
• Tsaus muag, pom ntsej muag
• Khaus tshaj qhov chaw ntawm lub cev
• Xeev siab, ntuav
• Cov mem tes maj ceev
• Hnov ntawm kev hnov ​​mob plawv (dhia tawm hauv siab)

Ib qho kev xeem tuaj yeem qhia:

• Tsawg ntshav siab
• Khaus Khawb
• Pob pob
• Kev o ntawm ob daim di ncauj, ntsej muag, lossis tus nplaig (angioedema)
• Hawb pob

Kev soj ntsuam daim tawv nqaij yuav pab txheeb xyuas qhov tsis haum rau cov tshuaj penicillin. Tsis muaj kev soj ntsuam cov tawv nqaij lossis ntshav zoo kom pab kuaj lwm yam tshuaj tsis haum.

Yog tias koj tau muaj kev tsis haum tshuaj zoo li tom qab noj tshuaj lossis tau txais qhov tsis sib xws (zas xim) ua ntej tau xoo hluav taws xob, koj tus kws kho mob yuav qhia rau koj feem ntau tias qhov no yog pov thawj tshuaj phiv tshuaj Koj tsis tas yuav mus kuaj ntxiv.

Lub hom phiaj ntawm txoj kev kho mob yog los daws cov tsos mob thiab tiv thaiv ib qho kev txhaum fab hnyav.

Kev kho mob yuav suav nrog:

• Cov tshuaj antihistamines kom txo cov tsos mob me me xws li ua pob khaus, ua xua thiab khaus
• Bronchodilators xws li albuterol los txo cov tsos mob zoo li hawb pob (ua pa hawb lossis hnoos)
• Corticosteroids thov rau ntawm daim tawv nqaij, muab los ntawm qhov ncauj, lossis muab los ntawm cov leeg ntshav (leeg ntshav)
• Epinephrine los ntawm kev txhaj tshuaj los kho tus mob anaphylaxis

Cov tshuaj txhaum cai thiab cov tshuaj zoo sib xws yuav tsum zam. Nco ntsoov tias tag nrho koj cov kws khomob - suav nrog kws kho hniav thiab cov neeg ua haujlwm hauv tsev kho mob - paub txog kev phiv tshuaj uas koj lossis koj cov menyuam muaj.

Muaj qee kis, cov tshuaj tiv thaiv penicillin (lossis lwm yam tshuaj) cuam tshuam rau txoj kev desensitization. Qhov kev kho no suav nrog kev muab tshuaj rau me me thaum xub thawj, tom qab ntawd tau txais qhov ntau dua thiab ntau dua ntawm qhov tshuaj noj tshuaj kom koj lub siab tsis haum cov tshuaj. Tus txheej txheem no yuav tsum tau ua los ntawm kev tsis haum tshuaj nkaus xwb, thaum tsis muaj lwm txoj tshuaj rau koj txais.

Kev phiv tshuaj ntau rau kev kho mob. Tab sis qee zaum, lawv tuaj yeem ua rau mob hawb pob, anaphylaxis, lossis ua rau tuag taus.

Hu rau koj tus kws kho mob yog tias koj noj tshuaj thiab zoo li muaj kev fab tshuaj rau nws.

Mus rau chav kho mob maj nrawm lossis hu rau tus npawb xov tooj xwm ceev hauv nroog (xws li 911) yog tias koj ua pa nyuaj lossis ua rau lwm cov tsos mob ntawm tus mob hawb pob lossis mob anaphylaxis. Cov no yog cov mob kub ceev.

Feem ntau tsis muaj txoj hauv kev los tiv thaiv kev fab tshuaj.

Yog tias koj muaj kev paub txog kev fab tshuaj tiv thaiv kab mob, kom tsis txhob noj cov tshuaj yog txoj kev zoo tshaj plaws los tiv thaiv kev fab tshuaj. Lawv tseem yuav qhia koj kom tsis txhob siv cov tshuaj zoo sib xws.

Muaj qee kis, tus kws kho mob yuav pom zoo siv cov tshuaj uas ua rau ua xua yog tias koj tau txais kev kho mob ua ntej nrog cov tshuaj uas ua rau qeeb los yog thaiv kev tawm. Cov no suav nrog corticosteroids (xws li prednisone) thiab antihistamines. Tsis txhob sim qhov no yam tsis muaj tus thawj saib xyuas mob. Pretreatment nrog corticosteroids thiab antihistamines tau pom tias tiv thaiv kev fab tshuaj rau tib neeg uas xav tau xoo hluav taws xob ua xoo xim.

Koj tus kws khomob tseem yuav pom zoo kom desensitization.

Kev tsis haum tshuaj - siv yeeb siv tshuaj (noj tshuaj); Tshuaj qaug tshuaj kho mob siab; Tshuaj kho qhov muag tsis zoo

• Anaphylaxis
• Khaus Khawb
• Kev ua xua rau kev siv tshuaj
• Dermatitis - hu rau
• Dermatitis - sib kis dua
• Tshuaj pob khaus - Tegretol
• Taag yeeb tshuaj tawg
• Tsau tshuaj tiv thaiv tawg - thab plaub
• Kev siv yeeb tshuaj uas sib txawv ntawm sab plhu
• Tshuaj mob pob tw rau sab nraub qaum
• Tshuaj tua kabmob

Barksdale AN, Muelleman RL. Kev fab tshuaj tiv thaiv, kev tsis haum tus kheej, thiab anaphylaxis. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 109.

Grammer LC. Kev fab tshuaj tsis haum xeeb. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 239.

Solensky R, Phillips EJ. Kev fab tshuaj tsis haum xeeb. Hauv: Burks AW, Holgate ST, O'Hehir RE, li al, eds. Middleton Allergy: Cov Hauv Paus Ntsiab Lus thiab Kev Coj UaCov. 9le ed. Philadelphia, PA: Elsevier; 2020: tshooj 77.