Emergency Care uthuke anaphylactic

Le engaginyisi mathe ye umzimba ukuba kwenzeka xa usethubeni lokuba allergen kwaye lukhatshwa ukuphazamiseka iinkqubo ebalulekileyo lomzimba, ebizwa umothuko anaphylactic. Le ukusabela yondele okanye ngumbane ukuya allergen iboniswa iyawa uxinzelelo lwegazi, ukwazi kakuhle, kukho ukusilela kwinkqubo luvo, DIC kunye spasm zezihlunu agudileyo nezibilini. Ngoko kubalulekile ukwazi ukuba iqula ukunika uncedo olungxamisekileyo ndimangalisekile anaphylactic unako ukusindisa ubomi babantu. Ukuze wenze le algorithm unyango, kuyimfuneko ukwazi unobangela kwaye Pathogenesis bothukile.

Ezibangela isifo

Ukusabela ezibukhali ezifana ephilayo kubangela kokusebenzisa amayeza, umthamo kwezinambuzane iinyoka ezinobuhlungu okanye ukubambana iinkqubo zonyango zokuxilonga kunye nokuqaliswa kwe-arhente umahluko. Kakhulu ngaphantsi ukusabela anaphylactic iphuhlise ukutya. Obaluleke phakathi imiba causative iziyobisi. Oku, ngaphezu kwabo bonke, imithi, amachiza, iimveliso zegazi, iziyobisi iiproteins, immunoglobulins, iihomoni. Ingakumbi anaphylaxis ngokukhawuleza kwenzeka xa ulawulo parenteral beziyobisi, kunokuba xa kuthathwa ngomlomo. Indlela fastest (ngoko nangoko) reactions kukothuka kwenzeka xa alawulwa yegazi. Kwezinye iimeko, impendulo umzimba ukuba i allergen iyakhula ngeyure enye. Nobukhali ephilayo kuxhomekeke kwisantya basabela njani. Ngoko ke, lezoncedo ndimangalisekile anaphylactic kufuneka kunikwa ngoko nangoko, kungenjalo kungenzeka ukufa. I omdala umntu, kokukhona esichengeni komzimba asakhasayo, nangona imeko anaphylactic kwakhona kwenzeke ebantwaneni.

ezibonisa kwezonyango sifo

Iimpawu zokuqala zezi ixhala, ukuba intloko ebuhlungu okanye isiyezi, ikhalisa ezindlebeni, yimbonakalo umbilo ebandayo kunye ancamathelayo. Kwakhona kuyo inaliti okanye kukulunywa rhoqo wabona ukurhawuzelela kakhulu kunye iimpawu urticaria (ukudumba kunye irhashalala). Ngaphezu koko ijoyina ukuphelelwa umoya, iintlungu esifubeni, ukhohlokhohlo owomileyo paroxysmal, olwenzeka ngenxa spasm kwemisipha zifo. Kudla ephawulwe ukuqunjelwa njengoko ukugabha kunye ilindle anzongonzongo, cramping iintlungu esiswini. Kwiingozi ezimasikizi, uxinzelelo lwegazi uyawa, umntu ulahlekelwa ezingqondweni, unditsho esinokubakho.

Emergency Care yokothuka anaphylactic kukuthi, kuqala kwiinto zonke, ukuba ukuhlola ngokuchanekileyo ubungqongqo kwisimo, ukuchonga oonobangela negazi , kwaye inyathelo efanelekileyo unyango step. Xa usibona ingqalelo yabantu ingqalelo isixa nengqele nolusu, akrozianoz, ukwazi ukuchukumisa kakuhle. Ukubetha kwentliziyo rhoqo amandla. Le xi kabukhali kwehlisa. Uxilongo kunzima xa ilahleko Njengokungeniswa ezingqondweni, yaye akukho ezinye iimpawu uyaliwa. uhlobo bokubekwa akukho uncedo olufanelekileyo, baqala utshintsho ayibuyiseki umva ezi zivamvo, ukufa kwenzeka phakathi kweyure yokuqala. Kwakhona kuvela iingxaki emva kwexesha kukhokelela iinkqubo zophendlo lwezifo kwi izintso, intliziyo, ingqondo kunye nezinye izigqeba. Ngenxa yoko, izigulane ziye basabela anaphylactic kufuneka ahlale phantsi kweliso likagqirha iiveki ezimbini ubuncinane.

Unyango ethukile anaphylactic

Nangona ukuphuhliswa ezinqabileyo reactions anaphylactic, abasebenzi bezempilo kufuneka sizazi izinto ezisisiseko ezifunekayo isiqabu uxabane nokugcina imisebenzi ebalulekileyo zomzimba. Kulo naliphi na iziko lonyango okanye iiyunithi yokubelekisa yokuba neseti ye uncedo lokuqala kunye amachiza eziyimfuneko kulo meko. uncedo Emergency uthuke anaphylactic yi kumiwe olukhawulezileyo ulawulo ichiza yimiqondiso sokuqala uxabane nawo. Ukuba kubangelwa ngabaphethe parenteral ukwimo okanye unomntana, inaliti kufuneka wawanyusela isisombululo epinephrine xa isixa-mali ka-0.5 ml. Isixa elinye ichiza ezilawulwa kwesikhumba. Ukuba kukho ilahleko sezingqondweni zokuma, epinephrine ilawulwa yegazi, esasaza isisombululo sakhe iswekile. Ukubuyisela umthamo wegazi yesiqhelo ngaxeshanye kwenziwe unyango nokubandakanywa kunye nolawulo izisombululo saline, poly- kunye reopoliglyukina glucose ezikhatshwa glucocorticosteroids. Further antihistamine ngokuyimfuneko ilawulwa (Tavegilum, Suprastinum et al.), Calcium amalungiselelo. Enyulwe, sine kunye namayeza anticonvulsant, lweeHedfowuni. Zikhala spasm ye izihlunu zemiphunga kunilungele ukuba ukuqesha eufillin. Uxinzelelo kufanele ukuba zigcinwe kwi kungekho ngaphantsi kwe 110/70 mm. HG. v. ukugcina igazi kuqukuqela amalungu abalulekileyo. Ngokuba lo iimela iihomoni alawulwa, caffeine, kordiamin kunye iswekile kunye insulin. Emergency Care uthuke anaphylactic kubantwana ibandakanya imisebenzi efanayo unyango, kodwa kukho yedosi ubudala-efanelekileyo iziyobisi.

Xa uyeka ukuphefumla izinga intliziyo isigulane utshintshela umoya zasesekondari pulmonary nokunika yokurhaxwa.

Kufuneka sikhumbule ukuba ayaphumelela kuxhomekeke unyango ngexesha elifanelekileyo.