I-wasp sting kunye ne-anaphylactic shock: yintoni omawuyenze ngaphambi kokuba i-ambulensi ifike?

By UCristiano Antonino On Ngamana 14, 2022

Ukulunywa ngoonomeva kunye nomothuko we-anaphylactic: Phambi kokuba abasebenzi be-ambulensi bafike, umntu unokwenza izinto ezimbini ezibalulekileyo eyedwa, oko kukuthi, azame ukukhupha ulwamvila 'ngokukrwela' ngobunono ngozipho kwindawo ehlabayo kodwa ulumkele ukuba angalophuli. 'ingxowa' apho kusenokuba kusekho ubuthi; unokubulala iintsholongwane ngokufaka i-ammonia encinci ngekotoni; angazama ukucothisa ukufunxwa kwetyhefu ngokuthi, umzekelo, abeke umkhenkce kwindawo ehlabayo okanye abophe umtya kwilungu elichaphazelekayo.

Kubalulekile: abo bazaziyo ukuba balaliswa kukuhlatywa ngoonomeva okanye ezinye izinambuzane ezifanayo (ezifana neenyosi, iihornets, ezaziwa ngokuba yihymenoptera) kufuneka bahlale bephethe iadrenalin 'pen'.

Le yi-self-injector evumela inaliti ekhawulezayo, esebenzayo kwaye ekhuselekileyo yedosi efanelekileyo ye-adrenaline.

I-Adrenalin ngokwenene inokusindisa ubomi kwiimeko ezinjalo, kodwa kuphela xa ilawulwa kwisixa esifanelekileyo (i-1 mg ithathwe kwi-10 ml kunye nesisombululo se-saline).

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Kwimeko yomothuko we-anaphylactic evela kwi-wasp sting, okanye nokukrokrela nje ukothuka kwe-anaphylactic:

Kwenziwe ntoni:

Yazisa uncedo lwezonyango ngokukhawuleza ngaphandle kokuchitha ixesha, mhlawumbi ngokukhangela ulwazi kwi-Intanethi!
Nangona unyango lwangempela luxanduva lukagqirha kuphela, kulungile ukuba umhlanguli aqhelane noluhlu olubanzi lwento yokwenza. Ichiza elisindisa ubomi ngexesha lokutshatyalaliswa kwe-anaphylactic yi-adrenaline (okanye i-epinephrine) elawulwa nge-intravenously, ekhethwayo njenge-infusion ecothayo, eqhubekayo. Idibaniswe ne-electrolyte okanye i-colloidal infusion solutions ukuhlawulela i-vasodilation ye-peripheral, i-hypotension kunye nokuvuza kwe-intravascular fluids kwi-tissue. Iziyobisi ezongezelelweyo zingaba yimfuneko kuxhomekeke kukukhubazeka kokusebenza kwamalungu achaphazelekayo.
Ngelixa kwiimeko ezinzima, ukulawulwa okudibeneyo kwe-adrenaline kunye ne-antihistamines (efana ne-corticosteroids, inqanda umsebenzi wabalamli be-vasoactive ababandakanyekayo ekothusweni) ngokuqhelekileyo ngokwaneleyo, kwiimeko ezinzima kakhulu kufuneka kuqinisekiswe ukugcinwa kwe-patency yomoya, ubhenela unyango lweoksijini okanye utyando ukuba kuyimfuneko.
Xa kukrokrelwa umothuko we-anaphylactic, ngelixa ulinde uncedo lwezonyango, isigulana kufuneka sibekwe kwindawo yokunqanda ukothuka → imilenze iphakame malunga ne-30 cm (umz. isitulo). Ukuba kunokwenzeka, isigulane kufuneka sibekwe ukuze intloko ibe ngaphantsi kweedolo kunye ne-pelvis. Esi sikhundla, eyaziwa ngokuba Trendelenburg, iluncedo ngokukhethekileyo kuba ikhuthaza ukubuyela kwe-venous kumalungu abalulekileyo (intliziyo kunye nengqondo) ngesiphumo esilula somxhuzulane.

Ngelixa ulinde uncedo lwezonyango, umntu ophethwe kukothuka kwe-anaphylactic kufuneka aqinisekiswe kwaye, kangangoko kunokwenzeka, athuthuzeleke malunga nemeko yabo kunye nokufika konyango. iigulane.

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YINTONI ONGAWUKWENZA ukuba ukrokrela ukothuka kwe-anaphylactic

Ukuba ukutshitshiswa kwe-anaphylactic kubangelwa yinyosi yenyosi, i-stinger ayifanele ikhutshwe nge-tweezers okanye iminwe yakho, ekubeni ukucinezela kuya kwandisa ukukhululwa kwetyhefu; kunoko, kuyacetyiswa ukuba uyikrwele ngozipho lomnwe okanye ngekhadi letyala.

Noko ke, uhlolisiso lwakutshanje lubonise ukuba eyona nto ibalulekileyo sisantya songenelelo; ixesha elininzi lidlulayo phakathi kokugqobhoza kunye nokutsalwa kwetyhefu, kokukhona ukukhululwa okukhulu kwetyhefu; ngokwezi zifundo, ngoko ke ayisiyonto ibaluleke kakhulu ubuchule bokukhupha, kodwa kunoko isantya songenelelo.

Indawo yokulwa nomothuko akufanelekanga ukuba yamkelwe ukuba ukwenzakala entloko, entanyeni, umqolo okanye imilenze irhanelwa.

Ukuba ixhoba likhalaza ngobunzima bokuphefumla, musa ukubeka iindawo eziphakamileyo okanye imithwalo phantsi kwentloko, okanye unikeze iipilisi, ulwelo okanye ukutya; Le misebenzi, eneneni, ibeka emngciphekweni omkhulu wokwandisa uthintelo lokuhamba komoya kwimizila yomoya edla ngokukhapha iziqendu zomothuko we-anaphylactic.