Nei Maitiro Ese Anaphylactic Anoda Rwendo kuenda kuEmergency Kamuri

Zvemukati

• Mhedziso
• Nguva yekushandisa epinephrine
• Maitiro ekupa epinephrine
• Paunenge wakamirira vanopindura zvechimbichimbi
• Ngozi yekudzokazve anaphylaxis mushure mekukurumidza epinephrine
• Anaphylaxis mushure mekuchengetwa
• Kudzivirira ramangwana anaphylactic maitiro

Muna Kurume 2020, Chikafu neDrug Administration (FDA) yakaburitsa a yekuyambira ruzhinji kuti epinephrine auto-injectors (EpiPen, EpiPen Jr, uye generic mafomu) anogona kusashanda. Izvi zvinogona kukutadzisa kubva pakurapwa kunogona kuponesa panguva yekukurumidzira. Kana iwe ukarairwa epinephrine auto-injakisi, ona zvinokurudzirwa kubva kumugadziri uye taura nemupi wako wezvehutano nezve kushandiswa kwakachengeteka.

Mhedziso

Pane zvinhu zvishoma zvinotyisa pane kuve kana kupupurira anaphylactic reaction. Zviratidzo zvinogona kubva pakuipa kusvika pakuipisisa nekukurumidza, uye zvinogona kusanganisira:

• kunetseka kufema
• mikoko
• kuzvimba kwechiso
• kurutsa
• kukurumidza kurova kwemoyo
• kufenda

Kana iwe ukaona mumwe munhu aine anaphylactic zviratidzo, kana iwe uine zviratidzo iwe pachako, fonera emergency emergency services nekukasira.

Kana iwe wakambove neakanyanya allergic reaction munguva yakapfuura, chiremba wako anogona kunge akaraira emergency epinephrine jekiseni. Kuwana pfuti ye emergency epinephrine nekukurumidza sezvazvinogona kuchengetedza hupenyu hwako - asi chii chinoitika mushure meepinephrine?

Sezvineiwo, zviratidzo zvako zvinotanga kuvandudza. Dzimwe nguva vanogona kutogadzirisa zvakakwana. Izvi zvinogona kukutungamira kuti utende kuti hauchisiri munjodzi ipi neipi. Zvisinei, izvi hazvisizvo.

Rwendo kuenda kuimba yekukurumidzira (ER) ichiri kudikanwa, zvisinei kuti unonzwa sei mushe mushure mekuita kwako anaphylactic.

Nguva yekushandisa epinephrine

Epinephrine inowanzo bvisa zviratidzo zvine njodzi zveanaphylaxis nekukurumidza - kusanganisira kuzvimba kwehuro, kunetseka kufema, uye kuderera kweropa.

Iko kurapwa kwesarudzo kune chero munhu ane anaphylaxis. Asi iwe unofanirwa kupa epinephrine mumaminetsi mashoma ekutanga mushure mekurwisa kwazvinoita kuti inyatso shanda.

Ramba uchifunga kuti iwe unofanirwa kupa epinephrine chete kune munhu akapihwa mushonga. Iwe unofanirwa zvakare kuteedzera rairo zvakanyatsonaka. Dosi dzinosiyana, uye marapirwo emunhu anogona kukanganisa maitiro emunhu pazviri.

Semuenzaniso, epinephrine inogona kukonzera chirwere chemwoyo mune mumwe munhu ane chirwere chemwoyo. Izvi zvinodaro nekuti inomhanyisa kurova kwemoyo uye inokwidza BP.

Ipa jekiseni reepinephrine kana mumwe munhu akaoneswa chirwere chinokonzeresa uye:

• anonetseka kufema
• ane kuzvimba kana kuomesa pahuro
• anonzwa dzungu

Ipa zvakare jekiseni kuvana vakafumurwa neergergic trigger uye:

• ndapfuura
• kurutsa kakawanda mushure mekudya chikafu chavanorwara zvakanyanya nacho
• vari kukosora zvakanyanya uye vachinetseka kubata mweya wavo
• vane kuzvimba kumeso nemiromo
• vakadya chikafu chavanozivikanwa kuti hachigariki

Maitiro ekupa epinephrine

Usati washandisa iyo auto-injector, verenga iwo mirairo. Chigadzirwa chega chega chakasiyana zvishoma.

Paunogamuchira epinephrine auto-injector tsamba yako kubva kukhemisi, URI usati waida, iongorore kuti iite chero hurema. Kunyanya, tarisa kune yakatakura kesi uye uve nechokwadi chekuti haina kumonyaniswa uye iyo auto-injekisheni inotsvedza kunze nyore. Zvakare, ongorora chengetedzo chivharo (kazhinji bhuruu) uye uve nechokwadi kuti haina kumutswa. Inofanira kunge ichimhanya nemativi e auto-injector. Kana chero ewaako auto-majekiseni asingatsvedza kunze kwenyaya zviri nyore kana kuva nechengetedzo kapu iyo yakasimudzwa zvishoma, dzosera nayo ku pharmacy kuti utsive. Uku kukanganisa kunogona kukonzera kunonoka kupa mushonga, uye chero kunonoka mune anaphylactic reaction kunogona kutyisidzira hupenyu. Saka zvekare, usati waida, ndokumbira utarise iyo auto-injekisheni uye uone kuti hapana chakaremara.

Kazhinji, kupa jekiseni repinephrine, tevera nhanho dziri pazasi:

1. Svetera iyo auto-injector kunze kweiyo inotakura kesi.
2. Usati washandisa, iyo yepamusoro yekuchengetedza (kazhinji yebhuruu) inofanira kubviswa. Kuti uite izvi nemazvo, bata muviri we auto-injector muruoko rwako rune simba uye nerumwe ruoko rwako dhonza chivharo chekuchengetedza wakasimudza nerumwe ruoko. USAedze kubata chinyoreso muruoko rumwe uye wobhenekera chivharo nechigunwe cheruoko rumwe chete.
3. Bata jekiseni muchibhakera chako netipi yeorenji ichinongedzera pasi, uye ruoko rwako parutivi rwako.
4. Svetera ruoko rwako uende parutivi rwako (kunge urikugadzira ngirozi yechando) wobva wakurumidza kudzikira kudivi rako kuitira kuti tip yeiyo auto-injector iende yakananga muchiuno chako padivi nechimwe simba.
5. Zvichengete ipapo uye dzvanya pasi ubatirire kwemasekondi matatu.
6. Bvisa iyo auto-injector kubva pachidya chako.
7. Isa iyo auto-injector kumashure kwayo, uye Enda ZVINOKOSHA kudhipatimendi rekukurumidzira rechipatara chiri padyo kuti riongororwe nachiremba uye nekurasa yako auto-injekiseni.

Mushure mekupa iyo jekiseni, fonera 911 kana yako yemuno emergency emergency kana usati watoita saizvozvo. Udza anotumira nezve iyo anaphylactic reaction.

Paunenge wakamirira vanopindura zvechimbichimbi

Paunenge wakamirira rubatsiro rwechiremba kuti usvike, tora matanho aya kuti uzvichengete iwe kana munhu arikudaira zvakachengeteka:

• Bvisa sosi yezvirwere. Semuenzaniso, kana nyuchi ikakonzera kuitika, bvisa stinger uchishandisa kiredhiti kadhi kana tweezers.
• Kana munhu wacho achinzwa senge ave kuda kufenda kana kuti ari kufenda, radzika munhu akati sandara kumusana uye simudza makumbo ake kuti ropa risvike kuhuropi hwavo. Unogona kuvafukidza negumbeze kuti vagare vachidziya.
• Kana vari kukanda kumusoro kana kunetseka kufema, kunyanya kana vaine pamuviri, vagare kumusoro uye kunyangwe kumberi kumberi kana zvichibvira, kana kuvaradzika padivi pavo.
• Kana munhu wacho asina chaanoziva, muise pasi nemusoro wakatsendekera kumashure kuitira kuti nzira yemhepo yake isavharwe uye ongorora kupomba. Kana pasina kupomba uye munhu wacho asiri kufema, ipa mweya miviri nekukurumidza uye utange kumanikidza kweCPR pachipfuva.
• Ipa mimwe mishonga, senge antihistamine kana inhaler, kana vari kufema.
• Kana zviratidzo zvikasavandudzika, ipa munhu imwe jekiseni reepinephrine. Maitiro anofanira kuitika maminetsi mashanu kusvika gumi nemashanu akaparadzaniswa.

Ngozi yekudzokazve anaphylaxis mushure mekukurumidza epinephrine

Jekiseni yeepinephrine yechimbichimbi inogona kuponesa hupenyu hwemunhu mushure meanaphylactic reaction. Nekudaro, iyo jekiseni inongova chikamu chimwe chete chekurapa.

Wese munhu ane anaphylactic reaction anoda kuongororwa uye kuongororwa mune yekukurumidzira kamuri. Izvi zvinodaro nekuti anaphylaxis haisi nguva dzose kuita kumwe chete. Zviratidzo zvinogona kudzoka, kudzoka maawa kana kunyangwe mazuva mushure mekuwana jekiseni repepinephrine.

Kazhinji zviitiko zveanaphylaxis zvinoitika nekukurumidza uye kugadzirisa zvizere mushure mekurapwa. Nekudaro, dzimwe nguva zviratidzo zvinova nani uyezve kutanga zvakare maawa mashoma gare gare. Dzimwe nguva havagadzirise maawa kana mazuva anotevera.

Anaphylactic maitiro anoitika mumatatu akasiyana maitiro:

• Uniphasic reaction. Iyi mhando yekuita ndiyo yakajairika. Zviratidzo zvinokwira mukati memaminitsi makumi matatu kusvika paawa mushure mekunge waoneswa kune allergen. Zviratidzo zvinova nani mukati meawa, uine kana pasina kurapwa, uye hazvidzoke.
• Biphasic reaction. Biphasic reaction inoitika kana zviratidzo zvikaenda kweawa kana kupfuura, asi zvozodzoka iwe usati waiswa patsva kune allergen.
• Yakadzivirirwa anaphylaxis. Rudzi urwu rweanaphylaxis haruwanzoitika. Mhinduro yacho inogona kugara kwemaawa kana kana mazuva pasina kugadzirisa zvachose.

Kurudziro kubva kuJoint Task Force (JTF) paPrice Practice Parameter inopa zano kuti vanhu vanga vaine anaphylactic reaction vatariswe muEER kwemaawa mana kusvika masere mushure.

Boka rebasa rinokurudzirawo kuti vaendeswe kumba nemushonga we epinephrine auto-injekisheni - uye chirongwa chezvekuitisa kuti unoitisa sei uye riini - nekuda kwekugona kwekudzokorora.

Anaphylaxis mushure mekuchengetwa

Ngozi yekudzokazve anaphylactic reaction inoita yakakodzera kurapwa kuongororwa uye mushure mekuchengetedza kwakakosha, kunyangwe kune vanhu vanonzwa zvakanaka mushure mekurapwa neepinephrine.

Paunoenda kune dhipatimendi rekukurumidzira kunorapwa anaphylaxis, chiremba anozoongorora zvizere. Vashandi vanoongorora kufema kwako uye ndokupa oxygen kana zvichidikanwa.

Kana iwe uchiramba uchikwenya uye uchinetseka kufema, unogona kupihwa mimwe mishonga nemuromo, mukati, kana neinhaler kuti ikubatsire kufema zviri nyore.

Iyi mishonga inogona kusanganisira:

• bronchodilators
• steroids
• antihistamines

Iwe zvakare uchawana epinephrine yakawanda kana uchiida. Iwe unozotariswa nekucherechedzwa nekupihwa kurapwa nekukasira kana zviratidzo zvako zvikadzoka kana kuwedzera kuipa

Vanhu vane maitiro akasimba kwazvo vangangoda pombi yekufema kana kuvhiyiwa kuti vavhure mafambiro avo. Avo vasingapindure epinephrine vangangoda kuwana mushonga uyu kuburikidza nemutsinga.

Kudzivirira ramangwana anaphylactic maitiro

Paunenge uchinge wabudirira kurapwa kweanaphylactic reaction, chinangwa chako chinofanirwa kunge chiri chekudzivisa imwe. Nzira yakanakisa yekuita izvozvo ndeyekugara kure neako allergy trigger.

Kana iwe usina chokwadi kuti chii chakakonzera maitiro ako, ona allergist yeganda rekubaya kana kuongororwa kweropa kuti uone chinokonzera.

Kana iwe uri weergoria kune chimwe chikafu, verenga zvigadzirwa zvinyorwa kuti uve nechokwadi chekuti haudye chero chinhu chine icho. Paunodya kunze, rega sevha izive nezve ako allergies.

Kana iwe uri weergorgia kune zvipembenene, pfeka chipembenene chinodzinga pese paunoenda kunze muzhizha uye ugare wakazara wakavharwa nemaoko marefu uye bhurugwa refu. Funga zvisarudzo zvisina kureruka zvekupfeka zvekunze izvo zvinokuchengetedza iwe wakafukidzwa asi uchitonhorera.

Usambofa wakakwesha pamusoro penyuchi, mavu, kana mahoneti. Izvi zvinogona kuita kuti vakubaye. Pane kudaro, zvishoma nezvishoma enda kure navo.

Kana iwe uri weergergic kumushonga, udza chiremba wese waunoshanyira nezvezvinhu zvausingafarire, kuti varege kukunyorera mushonga iwoyo. Zvakare ita kuti wemishonga wako azive. Funga kupfeka bhandi rekurapa rekurapa kuti varegerere vanopindura vazive kuti une chirwere chemushonga.

Gara uchitakura epinephrine auto-injector newe, kana ukasangana neako allergy trigger mune ramangwana. Kana usati waishandisa kwenguva yakati, tarisa musi wacho kuti uve nechokwadi chekuti hauna kupera.