Emergency hanya anaphylactic kuvhunduka

The akaoma mamiriro muviri kunoitika apo pachena kuti allergen uye aine nokuvhiringidzirwa zvinokosha mugadziriro muviri, inonzi anaphylactic kuvhunduka. Ichi chinhu chakasimba kana kunyange mheni pavakanzwa allergen anoratidzwa kuwa BP, havachanyatsogoni kuziva, kukundikana ari nechepakati tsinga, DIC uye spasm pakati anotsvedzerera tsandanyama ose nhengo dzomukati. Naizvozvo zvakafanira kuziva kuti tsime kupa zvashata rubatsiro mu anaphylactic kuvhunduka anogona kuponesa upenyu hwevanhu. Kuti vanoumba kurapwa algorithm, zvinokosha kuziva zvinokonzera uye pathogenesis nehana.

Zvinokonzera chirwere

By akadaro kwazvo siyana muviri kunotungamirira kutungamirira mishonga, zvipembenene kuruma dzine uturu kana akabata chirwere kurapwa pakatanga kusiyana nevamiririri. Ndoda ane anaphylactic maitiro hwapedyo chikafu. pakati causative zvikonzero Wokuramba vari zvinodhaka. Izvi, kupfuura zvose, nemishonga, yokudzivirira, zvinogadzirwa neropa, mapuroteni zvinodhaka, immunoglobulins, mahormone. Zvikurukuru nokukurumidza anaphylaxis rikauya apo parenteral kwokubatsira zvinodhaka, pane kana rakundwa nomuromo. The uchitsanya nzira (pakarepo) kuvhunduka kuitike kana raitongwa nomutsinga. Mune zvimwe zviitiko, muviri apindura kuti allergen ari kutanga kuti awa rimwe. Kwokuomerwa muviri kunoenderana kumhanya nemapinduriro. Naizvozvo, nechimbichimbi hanya anaphylactic kuvhunduka zvinofanira akapa pakarepo, zvikasadaro rufu zvinogona kuitika. Mukuru wacho, zvikuru mukana dzichiri Kurwara, kunyange anaphylactic ezvinhu kunogona kuitika kuvana.

Clinical zvinoratidza chirwere

The kutanga zviratidzo vari kufunganya, chikonzero nomusoro kana dzungu, achirira munzeve, chitarisiko chando uye Sticky ziya. Uyewo panguva jekiseni nzvimbo kana nokuruma kakawanda akacherechedza zvikuru kuvaviwa uye zviratidzo urticaria (kuzvimba uye rashes). Uyezve anobatana kupfupika mweya, muchipfuva marwadzo, yakaoma paroxysmal chikosoro, kunoitika nokuda spasm ari kufema netsandanyama. Kazhinji akacherekedza dyspepsia sezvo kurutsa uye mvura zvituru, cramping abdominal marwadzo. In Muzviitiko zvakaipisisa, BP Falls, munhu anorasikirwa kuziva, nokugwinha kunogona kuitika.

Emergency hanya anaphylactic kuvhunduka ndiko kutanga zvose, kuti zvakarurama kuongorora kwokuomerwa mamiriro, kuziva zvinokonzera neutachiona , uye yakarurama danho nedanho kurapwa. Kana ukatarira yevanhu pfungwa wavhomorwa kuti rakacheneruka uye kuchitonhora kune kubatwa ganda, akrozianoz, havachanyatsogoni kuziva. Pulse kakawanda uye simba. The kumanikidzwa iri zvikuru kutura. Chirwere kwakaoma kana kuvhunduka kurasikirwa pfungwa, uye hapana zvimwe zviratidzo chisimbwa. Mazara hunhu hapana rubatsiro zvakakodzera, kutanga kusingarapiki kuchinja nhengo, uye rufu kunoitika mukati awa yokutanga. Vanogonawo kuzviratidza mukupera yematambudziko kukonzera pathological pezvakaitwa ari itsvo, mwoyo, pfungwa uye nedzimwe nhengo. Nokuda kwaizvozvi, varwere vanenge aiva anaphylactic maitiro anofanira kuramba pasi zvokurapa pokudzora kwevhiki dzinenge mbiri.

Mabatirwo anaphylactic kuvhunduka

Kunyange zvazvo kukura zvisingawanzoitiki anaphylactic siyana, navanachiremba vanofanira kuziva zvinokosha mabasa hunodiwa zvakazorodza sema maitiro uye tiine muviri anokosha. In sangano mishonga ipi kana obstetric dzakabatana vane yakarongwa kuti rwekutanga pamwe zvinodhaka zvakafanira mumamiriro ezvinhu. Emergency kubatsirwa anaphylactic kuvhunduka chinhu pakarepo kumbomira chourongwa zvinodhaka nezviratidzo ane sema pakutanga. Kana kuita kunokonzerwa parenteral kwokubatsira pafuma kana kuruma, kuti jekiseni nzvimbo inofanira kupfurwa kumusoro epinephrine mhinduro mune imwe mari 0.5 Rine mamiririta. Zvakafanana mushonga wakawanda subcutaneously. Kana paine kurasikirwa kuziva cardiac kusungwa, epinephrine chinotarisirwa nomutsinga, achiparadzira ake shuga mhinduro. Kudzorera chakaipa ropa vhoriyamu panguva vakatakura aizomupa kurapa pamwe kwokubatsira sesaline zvinogadzirisa, poly- uye reopoliglyukina shuga vaisanganisa pamwe glucocorticosteroids. Uyezve hako raitongwa antihistamine (Tavegilum, Suprastinum, et unto.), Karusiyamu gadziriro. Yakatarwa kunyaradza uye anticonvulsant mishonga, heparin. With Zviratidzo spasm ari kufema tsandanyama Zvakakunakirai kugadza eufillin. The kumanikidzwa zvinofanira kuramba chero zvishoma pane 110/70 mm. HG. ndima. kuramba ropa riyerere perimwe nhengo. Nokuti ichi aizomupa raitongwa mahormone, caffeine, kordiamin uye shuga pamwe jekiseni. Emergency hanya anaphylactic kuvhunduka mune vana unosanganisira kuchirapa mabasa akafanana, asi zera rakakodzera dose zvinodhaka.

Kana ukasiya kufema uye mwoyo yevanhu murwere zvaitambidzwa yechipiri pulmonary kufefetedza uye zvinopa nokumutswa.

Tinofanira nguva dzose yeuka kuti yakanaka Mugumisiro novimba nenguva kurapwa.