Wasp sting le anaphylactic shock: o lokela ho etsa eng pele ambulense e fihla?

By Cristiano Antonino On E se eka 14, 2022

Bolutu bo hlabang le ho tšoha ha anaphylactic: Pele basebetsi ba ambulense ba fihla, motho a ka etsa lintho tse peli tsa bohlokoa a le mong, ke hore, a leke ho ntša lehlaba ka ho 'ngoapa' ka bonolo ka lenala sebakeng se hlabang empa a be hlokolosi hore a se ke a robeha. 'sac' eo ho ka 'nang ha e-ba le chefo ho eona; a ka bolaea likokoana-hloko ka ho sebelisa ammonia e nyenyane ka k'hothone; a ka leka ho fokotsa ho monyeha ha chefo ka ho etsa mohlala, ho beha leqhoa holim'a tse otlang kapa ho fasa khoele ho potoloha leoto le amehileng.

Bohlokoa: ba tsebang hore ha ba lumelloe ke ho lomisoa ke bobi kapa likokoanyana tse ling tse tšoanang le tsona (tse kang linotši, li-hornets, tse tsejoang e le hymenoptera) ba lokela ho lula ba nkile "pene" ea adrenalin.

Ena ke ente e ikemetseng e lumellang ente e potlakileng, e sebetsang le e sireletsehileng ea tekanyo e nepahetseng ea adrenaline.

Adrenalin e hlile e ka pholosa bophelo maemong a joalo, empa ha feela e sebelisoa ka tekanyo e nepahetseng (1 mg e nkiloeng ho 10 ml ka tharollo ea saline).

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Ketsahalong ea ts'oaetso ea anaphylactic ho tsoa ho sting sting, kapa esita le lipelaelo tsa ho tšoha ha anaphylactic:

Se o lokelang ho se etsa:

Hlokomela thuso ea bongaka hang-hang ntle le ho senya nako, mohlomong ka ho batla boitsebiso Inthaneteng!
Le hoja phekolo ea sebele e le boikarabelo ba ngaka feela, ho molemo hore mopholosi a tloaelane le kemiso e pharaletseng ea seo a lokelang ho se etsa. Sethethefatsi se pholosang bophelo nakong ea ts'oaetso ea anaphylactic ke adrenaline (kapa epinephrine) e tsamaisoang ka methapo, haholo-holo e le tšelo e liehang, e tsoelang pele. E kopantsoe le litharollo tsa infusion ea electrolyte kapa colloidal ho lefella peripheral vasodilation, hypotension le ho lutla ha maro a methapo ea mali ka har'a lisele. Lithethefatsi tse eketsehileng li ka 'na tsa hlokahala ho itšetlehile ka ho senyeha ha mosebetsi oa litho tse amehileng.
Le ha maemong a bobebe, tsamaiso e kopaneng ea adrenaline le li-antihistamine (tseo, joalo ka corticosteroids, e thibelang ts'ebetso ea bakena-lipakeng ba vasoactive ba amehang ts'oenyehong) hangata e lekane, maemong a matla le ho feta hoa hlokahala ho netefatsa ho boloka patency ea moea, phekolo ea oksijene kapa opereishene haeba ho hlokahala.
Ha ho belaelloa hore ho na le ts'oaetso ea anaphylactic, ha a ntse a emetse thuso ea bongaka, mokuli o lokela ho behoa sebakeng se khahlanong le ho sisinyeha → supine maoto a phahamisitsoe hoo e ka bang 30 cm (mohlala, ka thuso ea setulo). Haeba ho khoneha, mokuli o lokela ho behoa e le hore hlooho e be tlas'a mangole le pelvis. Boemo bona, bo tsejoang e le Trendelenburg, e molemo ka ho khetheha hobane e khothalletsa ho khutlela ha venous lithong tsa bohlokoa (pelo le boko) ka phello e bonolo ea matla a khoheli.

Ha a ntse a emetse thuso ea bongaka, motho ea tšoeroeng ke lefu la anaphylactic o tlameha ho khothatsoa, kahohle kamoo ho ka khonehang, a tšelisehe ka boemo ba bona le ho fihla ha ambulense.

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Seo u sa lokelang ho se etsa haeba u belaela hore anaphylactic shock

Haeba ts'oaetso ea anaphylactic e bakoa ke ho otla ha linotsi, stinger ha ea lokela ho ntšoa ka li-tweezers kapa menoana ea hau, kaha ho e hatella ho ka eketsa ho lokolloa ha chefo; ho e-na le hoo, ho eletsoa hore u e hlakole ka lenala kapa ka karete ea ho reka ka mokitlane.

Leha ho le joalo, liphuputso tsa morao tjena li bontšitse hore seo e hlileng e leng sa bohlokoa ke lebelo la ho kenella; ha nako e ntse e feta pakeng tsa ho phunya le ho ntšoa ha chefo, chefo e tsoa haholoanyane; ho ea ka liphuputso tsena, ka hona, ha se mokhoa oa bohlokoa oa ho ntša, empa ke lebelo la ho kenella.

Boemo ba anti-shock ha boa lokela ho amoheloa haeba ho sithabela hloohong, molala, mokokotlo kapa maoto a belaelloa.

Haeba motho ea hlokofalitsoeng a tletleba ka bothata ba ho hema, u se ke ua beha libaka tse phahameng kapa mesamo ka tlas'a hlooho, kapa ua fana ka lipilisi, lino kapa lijo; Ts'ebetso tsena, ha e le hantle, li ipeha kotsing e kholo ea ho mpefatsa tšitiso ea moea litseleng tsa moea tseo ka tloaelo li tsamaeang le liketsahalo tsa ho tšoha ha anaphylactic.