Kuluma kwa mavu ndi kugwedezeka kwa anaphylactic: zoyenera kuchita ambulansi isanafike?

By Cristiano Antonino On Mwina 14, 2022

Kuluma kwa mavu ndi kugwedezeka kwa anaphylactic: Ogwira ntchito pa ambulansi asanafike, munthuyo amatha kuchita zinthu ziwiri zofunika payekha, mwachitsanzo kuyesa kuchotsa mbolayo mwa 'kukanda' pang'onopang'ono ndi chikhadabo chomwe chili pamalo oluma koma kusamala kuti asathyole. 'thumba' momwe mungakhalebe poizoni; amatha kupha tizilombo popaka ammonia pang'ono ndi thonje; atha kuyesa kuchedwetsa kuyamwa kwa poizoniyo mwa, mwachitsanzo, kuika ayezi pa mbola kapena kumanga chingwe kuzungulira nthambi yomwe yakhudzidwa.

Zofunika: amene akudziwa kuti sagwirizana ndi mbola za mavu kapena tizilombo tofanana (monga njuchi, mavu, otchedwa hymenoptera) ayenera kukhala ndi adrenalin 'cholembera'.

Izi ndi jekeseni wodzipangira okha omwe amalola jakisoni wachangu, wogwira mtima komanso wotetezeka wa mlingo woyenera wa adrenaline.

Adrenalin imatha kupulumutsa miyoyo pazifukwa zotere, koma pokhapokha ngati itaperekedwa mulingo woyenera (1 mg wotengedwa mpaka 10 ml ndi saline solution).

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Pakakhala kugwedezeka kwa anaphylactic kuchokera ku mbola ya mavu, kapena kungokayikira kugwedezeka kwa anaphylactic:

Zoyenera kuchita:

Chenjezani chithandizo chamankhwala mwachangu osataya nthawi, mwina pofufuza zambiri pa intaneti!
Ngakhale kuti chithandizo chenichenicho ndi udindo wa dokotala yekha, ndi bwino kuti wopulumutsayo adziwe zambiri zazomwe angachite. The kupulumutsa moyo mankhwala pa anaphylactic mantha ndi adrenaline (kapena epinephrine) kutumikiridwa m`nsinga, makamaka ngati pang`onopang`ono, mosalekeza kulowetsedwa. Iwo pamodzi electrolyte kapena colloidal kulowetsedwa njira kubweza zotumphukira vasodilation, hypotension ndi kutayikira kwa intravascular madzimadzi mu zimakhala. Mankhwala owonjezera angakhale ofunikira kutengera kuwonongeka kwa ziwalo zomwe zakhudzidwa.
Ngakhale kuti milandu yocheperako, kuphatikiza ma adrenaline ndi antihistamines (omwe, monga corticosteroids, amalepheretsa ntchito ya oyimira pakati pa vasoactive omwe amakhudzidwa ndi mantha) nthawi zambiri amakhala okwanira, muzovuta kwambiri ndikofunikira kuonetsetsa kuti patency ya airway ikusungidwa, kugwiritsa ntchito. oxygen therapy kapena opaleshoni ngati kuli kofunikira.
Ngati akukayikira kuti anaphylactic mantha, akudikirira thandizo lachipatala, wodwalayo ayenera kuikidwa pamalo odana ndi kugwedezeka → kumtunda ndi miyendo yokwezeka pafupifupi 30 cm (mwachitsanzo, mothandizidwa ndi mpando). Ngati n'kotheka, wodwalayo ayenera kuikidwa kuti mutu ukhale pansi pa mawondo ndi pelvis. Udindo uwu, wotchedwa Zithunzi za Trendelenburg, ndizothandiza makamaka chifukwa zimalimbikitsa kubwerera kwa venous ku ziwalo zofunika kwambiri (mtima ndi ubongo) ndi zotsatira zosavuta za mphamvu yokoka.

Poyembekezera chithandizo chamankhwala, munthu amene akudwala anaphylactic shock ayenera kutsimikiziridwa, momwe angathere, atonthozedwe za momwe alili komanso kubwera kwa wodwalayo. ambulansi.

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Zomwe simuyenera kuchita ngati mukukayikira kuti anaphylactic shock

Ngati kugwedezeka kwa anaphylactic kumayambitsidwa ndi mbola ya njuchi, mbola sayenera kuchotsedwa ndi tweezers kapena zala zanu, chifukwa kukanikiza kumawonjezera kutuluka kwa poizoni; m'malo mwake, ndi bwino kuchipala ndi chala kapena khadi la ngongole.

Komabe, kafukufuku waposachedwapa wasonyeza kuti chofunika kwambiri ndi liwiro la kuchitapo kanthu; nthawi yochuluka yomwe imadutsa pakati pa puncture ndi kuchotsa poizoni, kutulutsa kwakukulu kwa poizoni; malinga ndi maphunzirowa, ndiye kuti si njira yotulutsira yomwe ndiyofunikira, koma kuthamanga kwakuchitapo kanthu.

Malo odana ndi mantha sayenera kutengedwa ngati kupwetekedwa mutu kumutu, khosi, msana kapena miyendo amaganiziridwa.

Ngati wovulalayo akudandaula kuti akuvutika kupuma, musaike mapilo okwera kapena mapilo pansi pamutu, kapena kupereka mapiritsi, zakumwa kapena chakudya; maopareshoni awa, makamaka, ali pachiwopsezo chachikulu chokulitsa kutsekeka kwa mpweya wodutsa mumayendedwe apamlengalenga omwe nthawi zambiri amatsagana ndi kugwedezeka kwa anaphylactic.