Kev Ua xua thiab Kev Ntxeev Mob Cawv: Cov tsos mob thiab kho mob

Zoo Siab

• Xub pab rau anaphylaxis
• Kev pab tus kheej
• Thawj pab rau lwm tus
• Qhov tseem ceeb ntawm kev kho mob
• Cov tsos mob ntawm anaphylaxis
• Ua rau thiab ua kom muaj tus mob anaphylaxis
• Hauv menyuam yaus
• Hauv cov laus
• Hom mob ntawm anaphylaxis
• Uniphasic cov tshuaj tiv thaiv
• Biphasic cov tshuaj tiv thaiv
• Tawm tsam tiv thaiv
• Teeb meem ntawm anaphylaxis
• Outlook

Nkag siab txog kev fab tshuaj tsis haum thiab anaphylaxis

Thaum uas ua xua feem ntau tsis loj heev thiab tuaj yeem tswj nrog tshuaj noj, qee qhov kev fab tshuaj tuaj yeem ua rau muaj kev phom sij txog lub neej. Ib qho ntawm cov kev phom sij ntawm lub neej no hu ua anaphylaxis.

Anaphylaxis yog ib qho mob hnyav, thoob plaws lub cev uas feem ntau koom nrog lub plawv thiab ncig, mob ntsws, tawv nqaij, thiab lub plab zom mov. Nws tuaj yeem cuam tshuam lub qhov muag thiab lub paj hlwb zoo li.

Kev muaj qhov tsis haum rau lub cev yuav pib los ntawm cov khoom noj, xws li cov txiv laum huab xeeb, mis nyuj, nplej, lossis qe. Nws kuj tseem tuaj yeem cuam tshuam nrog kab plev lossis qee yam tshuaj noj.

Yuav tsum tau saib xyuas mob tam sim ntawd txhawm rau txhawm rau txhawm rau tiv thaiv kev fab loj heev txhawm rau kom tsis txhob mob ntxiv.

Xub pab rau anaphylaxis

Coob leej ntau tus uas paub txog lawv tej kev txhaum fab hnyav muaj cov tshuaj hu ua epinephrine, lossis adrenaline. Qhov no tau txhaj rau hauv cov leeg nqaij "los ntawm kev txhaj tshuaj" thiab nws yooj yim siv.

Nws ua haujlwm sai ntawm lub cev kom nce koj cov ntshav siab, txhawb koj lub siab, txo qis, thiab ua pa zoo. Nws yog kev kho mob ntawm kev xaiv rau anaphylaxis.

Kev pab tus kheej

Yog tias koj muaj kev mob siab dua (anaphylaxis), tswj kev txhaj tshuaj epinephrine sai li sai tau. Txau koj tus kheej hauv ncej puab kom pom qhov zoo tshaj plaws.

Tham nrog koj tus kws kho mob txog sijhawm sijhawm uas koj tau txhaj tshuaj. Qee cov kws tshaj lij pom zoo siv kev txhaj tshuaj epinephrine sai li sai tau thaum koj paub tias koj tau nphav raug ua xua, tsis yog tos rau cov tsos mob.

Koj yuav tsum mus rau chav khomob kub ntxhov (ER) li kev soj qab taug qab. Hauv tsev kho mob, koj yuav tau txais cov pa oxygen, antihistamines, thiab cov leeg (IV) corticosteroids - feem ntau methylprednisolone.

Tej zaum koj yuav tsum tau nyob hauv tsev kho mob txhawm rau saib xyuas koj li kev kho mob thiab saib seb puas muaj kev tsis haum ntxiv.

Thawj pab rau lwm tus

Yog tias koj xav tias lwm tus neeg tab tom muaj kev mob anaphylaxis, ua raws li hauv qab no:

• Hais kom leej twg hu rau cov kev pab kho mob. Hu 911 lossis koj qhov chaw pabcuam thaum muaj xwm txheej ceev yog tias koj ib leeg.
• Nug tus neeg ntawd seb lawv puas muaj epinephrine auto-injector. Yog tias muaj, pab lawv raws li daim ntawv qhia. Tsis txhob muab epinephrine rau ib tug neeg uas tsis tau muab tshuaj kho.
• Pab tus neeg kom nyob ntsiag to thiab pw ntsiag to nrog lawv ceg kom siab. Yog tias ntuav tshwm sim, tig lawv mus rau sab lawv kom tiv thaiv txhawm chim. Tsis txhob muab dej rau lawv haus.
• Yog tias tus neeg tsis nco qab thiab ua tsis taus pa, pib ua CPR, thiab txuas ntxiv mus kom txog thaum kev pab kho mob tuaj txog. Mus ntawm no rau cov lus qhia ib-qib-qib-txog rau ua CPR

Qhov tseem ceeb ntawm kev kho mob

Nws yog ib qho tseem ceeb uas yuav tsum tau txais kev kho mob rau kev tsis haum tshuaj, txawm tias tus neeg pib zoo mob.

Hauv ntau qhov xwm txheej, cov tsos mob tuaj yeem hloov kho thaum xub thawj tab sis tom qab ntawd zuj zus tuaj sai dua tom qab lub sijhawm. Kev saib xyuas mob yog qhov tsim nyog los tiv thaiv kom rov tshwm sim.

Cov tsos mob ntawm anaphylaxis

Qhov pib ntawm anaphylaxis yog qhov ceev ceev. Koj yuav hnov ​​cov tshuaj tiv thaiv tsis pub dhau ob peb feeb ntawm kev chwv cov tshuaj uas koj fab rau. Txij ntawm no, koj cov ntshav siab yuav poob sai thiab koj cov hlab pa yuav nruj.

Cov tsos mob ntawm tus mob anaphylaxis suav nrog:

• mob plab
• lub plawv dhia
• xeev siab thiab ntuav
• o ntawm lub ntsej muag, daim di ncauj, lossis caj pas
• daim tawv nqaij ib ce zoo li khaus, khaus, lossis tev
• teeb meem ua pa
• kiv tob hau lossis tsaus muag
• tsis muaj zog thiab cov mem tes ceev
• ntshav siab (hypotension)
• daj ntseg tawv nqaij
• flopping co lus, tshwj xeeb yog hauv cov menyuam yaus

Ua rau thiab ua kom muaj tus mob anaphylaxis

Anaphylaxis tshwm sim los ntawm kev ua xua - tab sis tsis yog txhua tus nrog ua xua muaj qhov fab hnyav no. Coob leej neeg tau ntsib cov tsos mob ntawm kev fab tshuaj, uas tuaj yeem suav nrog:

• los ntswg
• txham
• khaus lub qhov muag lossis tawv nqaij
• ua pob
• hawb pob

Kev ua xua uas tuaj yeem ua rau koj muaj zog tiv thaiv dhau ntawm:

• cov khoom noj
• paj ntoos
• plua plav mites
• puab
• dander los ntawm cov tsiaj xws li miv lossis dev
• cov kab hauv, xws li cov yoov tshaj cum, ntxaij, lossis muv
• looj
• tshuaj noj

Thaum koj tau chwv cov tshuaj tsis haum, koj lub cev kwv yees nws yog ib tus neeg txawv teb chaws thiab lub cev tso tawm cov tshuaj tawm mus tua nws. Cov tshuaj no ua rau lwm cov cell tawm cov tshuaj tawm, uas ua rau ua xua thiab hloov thoob plaws lub cev.

Hauv menyuam yaus

Raws li European Center for Allergy Research Foundation (ECARF), qhov ua rau muaj kev phiv tshuaj rau menyuam yaus yog cov ua xua rau zaub mov noj. Cov khoom noj ua xua uas nquag muaj suav nrog:

• txiv laum huab xeeb
• mis nyuj
• nplej
• ntoo txiv ntoo
• qe
• nqaij nruab deg

Cov menyuam yaus tshwj xeeb tshaj yog cov muaj kev tsis haum rau zaub mov noj thaum lawv tsis nyob hauv tsev. Nws yog ib qho tseem ceeb uas koj qhia rau txhua tus neeg saib xyuas kom paub txog koj cov menyuam kev phiv zaub mov.

Ib qho ntxiv, qhia koj tus menyuam kom tsis txhob txais cov ncuav ci hauv tsev lossis lwm yam khoom noj uas muaj cov khoom tsis paub.

Hauv cov laus

Hauv cov neeg laus, cov teeb meem feem ntau ntawm anaphylaxis yog zaub mov, tshuaj noj, thiab lom los ntawm kab tom.

Koj yuav muaj kev pheej hmoo rau mob anaphylaxis yog tias koj muaj qhov tsis haum rau ib qho tshuaj noj, xws li tshuaj aspirin, penicillin, thiab lwm yam tshuaj tua kab mob.

Hom mob ntawm anaphylaxis

Anaphylaxis yog ib qho lus siv rau kev fab tshuaj tiv thaiv kev ua xua no. Qhov tseeb, nws tuaj yeem tawg rau hauv subtypes. Cov kev sib txawv nyob ntawm seb ua li cas thiab cov tsos mob tshwm sim.

Uniphasic cov tshuaj tiv thaiv

Nov yog feem ntau ntawm anaphylaxis. Qhov pib ntawm kev tawm tsam yog sai dua, nrog cov tsos mob tawm li 30 feeb tom qab kis tau rau ntawm lub cev tsis haum.

Nws tau kwv yees tias 80 txog 90 feem pua ​​ntawm tag nrho cov teeb meem tshwm sim mus rau kev xav tsis thoob.

Biphasic cov tshuaj tiv thaiv

Qhov kev tawm tsam biphasic tshwm sim tom qab tau paub thawj zaug ntawm anaphylaxis, feem ntau nyob ntawm 1 mus rau 72 teev tom qab kev tawm tsam thawj zaug. Feem ntau nws tshwm sim li ntawm 8 mus rau 10 teev tom qab koj qhov tshwm sim thawj zaug.

Tawm tsam tiv thaiv

Qhov no yog hom tshuaj tiv thaiv ntev tshaj plaws. Hauv cov tshuaj tiv thaiv no, cov tsos mob ntawm tus mob anaphylaxis tseem pheej mob siab thiab kho tau yooj yim, qee zaum kav ntev 24 teev los yog ntau dua yam tsis muaj kev daws teeb meem kiag li.

Qhov kev tawm tsam no ib txwm tsis tshua muaj tshwm sim. Kev mob ntshav siab uas pheej rov qab tshwm sim tuaj yeem tsim nyog thiab ncua ntev mus pw hauv tsev kho mob.

Teeb meem ntawm anaphylaxis

Thaum tsis kho, anaphylaxis tuaj yeem ua rau anaphylactic poob siab. Nov yog qhov xwm txheej txaus ntshai uas koj cov ntshav siab poob thiab koj txoj hlab pa nqaim thiab o tuaj, txwv koj kev ua pa. Koj lub siab kuj tuaj yeem nres lub sijhawm poob siab vim yog cov ntshav khiav tsis zoo.

Hauv cov xwm txheej loj tshaj plaws, anaphylaxis tuaj yeem ua rau tuag taus. Kev kho mob sai nrog epinephrine tuaj yeem tiv thaiv kev phom sij ntawm txoj sia ntawm anaphylaxis. Kawm paub ntau ntxiv txog cov teebmeem ntawm anaphylaxis.

Outlook

Qhov tshwm sim rau anaphylaxis yog qhov zoo thaum ntsuas kev kho mob tam sim ntawd. Sij hawm no yog tus yuam sij. Anaphylaxis yuav ua tau neeg tuag taus yog tias nws tsis kho.

Yog tias koj muaj qhov tsis haum, koj yuav tsum nco ntsoov muab epinephrine auto-injector ntawm tes yog tias raug thiab anaphylaxis ib txwm. Cov kev tswj kom tsis tu ncua nrog kev pab ntawm cov tshuaj phiv tshuaj tuaj yeem pab tau.

Zam kev paub kev ua xua thaum twg ua tau. Thiab, nrog koj tus kws kho mob tham yog tias koj xav tias tsam lwm tus neeg cov tshuaj tsis haum.