Anaphylaxis: nws yog dab tsi, cov tsos mob tseem ceeb thiab kev kho mob
Zoo Siab
Anaphylaxis, tseem hu ua anaphylactic shock, yog ib qho kev txhaum fab hnyav, uas tuaj yeem ua rau tuag taus yog tias tsis kho sai. Qhov kev tawm tsam no tshwm sim los ntawm lub cev nws tus kheej thaum muaj kev tawm tsam qee yam ntawm allergen, uas tuaj yeem yog khoom noj, tshuaj, tshuaj tua kab, tshuaj lom lossis cov khoom siv.
Kev phiv tshuaj anaphylactic pib sai sai, thiab tuaj yeem txhim kho hauv ob peb feeb lossis ob peb teev, ua rau cov tsos mob tshwm sim xws li ntshav qis, o ntawm daim di ncauj, qhov ncauj thiab ua pa nyuaj.
Yog tias lub sijhawm ua haujlwm ntawm tus neeg mob anaphylaxis, nws raug nquahu kom maj nrawm mus rau kev kho mob sai, kom kho mob sai li sai tau. Kev kho mob feem ntau yog txhaj tshuaj adrenaline txhaj thiab saib xyuas tus neeg cov cim tseem ceeb.
Cov tsos mob tseem ceeb
Cov tsos mob ntawm tus mob anaphylaxis feem ntau tshwm sim sai thiab suav nrog:
- Liab ntawm daim tawv nqaij thiab cov qog ua kua;
- General khaus;
- Kev o ntawm daim di ncauj thiab tus nplaig;
- Zoo nkaus li cov bolus hauv caj pas.
- Ua pa nyuaj.
Ib qho ntxiv, lwm cov tsos mob uas tsis tshua nquag tshwm sim, uas kuj tuaj yeem tshwm sim yog: tus kheej tsis tuaj yeem, mob plab, ntuav thiab lub ntsej muag txawv txawv hauv lub qhov ncauj.
Ntxiv rau, hom tsos mob kuj tuaj yeem sib txawv raws hnub nyoog. Cov lus hauv qab no qhia cov tsos mob tshwm sim feem ntau hauv cov menyuam yaus thiab cov laus:
| Cov neeg laus | Cov Menyuam |
| Liab ntawm daim tawv nqaij | Liab ntawm daim tawv nqaij |
| Kev pauv ntawm tus nplaig | Mob ntsws hawb pob |
| Xeev siab, ntuav thiab / lossis raws plab | Qhuav hnoos |
| Kiv taub hau, tsaus muag lossis hypotension | Xeev siab, ntuav thiab / lossis raws plab |
| Txham thiab / lossis thaiv kev qhov ntswg | Paleness, tsaus muag thiab / lossis hypotension |
| Khaus | Kev pauv ntawm tus nplaig |
| Khaus |
Dab tsi yog cov teeb meem feem ntau ua rau
Anaphylaxis tshwm sim vim kev phiv cov tshuaj tiv thaiv, uas yog cov tshuaj uas lub cev tiv thaiv tsis tau dhau. Qee cov piv txwv ntawm cov kev tsis haum cov tshuaj muaj ntau tshaj plaws:
- Cov zaub mov noj, xws li qe, mis nyuj, kua taum, gluten, txiv laum huab xeeb thiab lwm yam txiv ntoo, ntses, molluscs thiab crustaceans, piv txwv;
- Cov tshuaj kho mob;
- Cov tshuaj lom kab, xws li muv lossis nkawj;
- Cov khoom siv, xws li latex lossis nickel;
- Cov yeeb tshuaj, xws li paj ntoos lossis plaub hau tsiaj.
Kawm txhawm rau txheeb xyuas dab tsi tuaj yeem ua kom dhau los ntawm ua xua, dhau los ntawm kev tshuaj ntsuam xyuas.
Yuav kho tus mob li cas
Kev kho tus mob anaphylaxis yuav tsum tau pib kho sai sai nyob rau hauv tsev kho mob thiab, yog li ntawd, yog tias xav tias muaj hom tshuaj tiv thaiv no, nws yog ib qho tseem ceeb heev uas yuav tsum tau mus rau hauv chav haujlwm xwm txheej ceev. Nyob rau hauv lub ntsej muag ntawm anaphylactic kev poob siab, thawj qhov uas feem ntau ua yog tswj hwm kev txhaj tshuaj adrenaline. Tom qab ntawd, tus neeg ntawd tau raug tshuaj xyuas nyob hauv tsev kho mob, qhov chaw nws tseem ceeb cov cim.
Ntxiv rau, qee qhov xwm txheej, nws yuav tsim nyog los tswj hwm oxygen thiab lwm yam tshuaj, xws li antihistamines, xws li intramuscular lossis leeg ntshav clemastine lossis hydroxyzine, qhov ncauj corticosteroids, xws li methylprednisolone lossis prednisolone thiab, yog tias tsim nyog, rov ua intramuscular adrenaline, txhua 5 feeb txog sijhawm kawg ntawm 3 lub luag haujlwm.
Yog hais tias bronchospasm tshwm sim, nws yuav tsim nyog siv tshuaj salbutamol los ntawm kev nqus tau. Rau hypotension, ua kua ntsev los yog kua tshuaj crystalloid tuaj yeem muab rau.
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