Anaphylactic poob siab, los yog, ua lwm yam lus, anaphylaxis yog ib qho ua rau muaj kev tsis haum ntawm kev ua rau tsis haum tshav ntuj uas yog tsim hluav taws xob, thiab tuaj yeem ua rau tuag taus. Yog hais tias ib tug neeg dheev ua mob, yuav ua li cas to taub - yog nws anaphylaxis los yog tsis? Yuav ua li cas muab kev pabcuam rau cov anaphylactic shock? Nyeem ntxiv txog qhov no thiab ntau ntxiv.
Cov tsos mob thiab cov ntaub ntawv ntawm anaphylactic poob siab
Lees paub qhov anaphylactic shock yog tsis yoojyim vim qhov polymorphism ntawm cov tshuaj tiv thaiv no. Hauv txhua kis, cov tsos mob muaj ntau yam thiab muaj feem xyuam nrog lub cev "rog".
Nws muaj peb hom kev ua kom pom tseeb:
- Xob ceev ceev . Feem ntau tus neeg mob tsis muaj sij hawm los paub txog qhov teeb meem rau nws. Tom qab qhov allergen tau txais rau hauv cov ntshav, tus kab mob sai sai (1-2 min). Cov tsos mob thawj zaug yog ntse ntse ntawm daim tawv nqaij thiab qhov ua tsis taus pa, qhov tshwm sim ntawm qhov kev tuag raug mob. Tsis ntev los no muaj cov kab mob ntsws tsis txaus thiab, vim li ntawd, kev tuag.
- Hnyav . Tom qab 5-10 feeb tom qab tus allergen nkag cov ntshav, cov kev qhia ntawm anaphylactic poob siab pib tshwm. Tus txiv neej tsis muaj cua, mob siab nyob hauv plawv. Yog tias qhov kev pabcuam uas tsis tsim nyog yuav tsum tau muab tam sim ntawd tom qab pib qhov kev mob tshwm sim thawj zaug, kev tuag yuav tshwm sim tau.
- Nruab Nrab . Tom qab 30 nas this tom qab tus allergen nkag rau hauv cov ntshav, tus neeg mob pib pib kub cev , mob taub hau, mob siab tsis xis nyob hauv plawv cheeb tsam. Tsis tshua muaj tshwm sim, ua kom muaj kev tuag ntau dua.
Ntawm cov tau tshwm sim ntawm anaphylaxis yog:
- Cutaneous - khaus, liab, ua kom voos, tawm pob, vam ntawm Quincke.
- Ua pa nyuab - ua tsis taus pa, ua pa nrov nrov, o ntawm lub siab ntsws txoj hlab ntsws, mob hawb pob, mob khaus ntawm lub qhov ntswg, mob rhinitis.
- Kab mob - plawv dhia ceev ceev, zoo nkaus tias nws "tig", "so tawm ntawm lub hauv siab," tsis nco, mob hnyav tom qab lub ntsws.
- Kev mob plab - hnyav heev hauv plab, xeev siab, ntuav, quav nrog cov ntshav, mob taub hau.
- Neurological - convulsive syndrome, arousal, lub siab ntawm kev ntxhov siab, ceeb.
Ua rau anaphylactic poob siab
Anaphylactic poob siab muaj ntau yam ua rau. Feem ntau, anaphylaxis tshwm sim nyob rau hauv kev tsis haum tshuaj. Tab sis kuj muaj kev ua xua txawv. Dab tsi tshwm sim hauv lub cev hauv kev poob siab?
Yog thaum muaj kev tsis haum ntawm lub cev, cov protein "txawv teb chaws", nkag mus rau hauv lub cev, yuav ua rau lub qe loj heev ntawm cov tshuaj keeb kwm, uas, tig mus, ua kom cov hlab ntsha loj, ua rau lub cev nqus tau, thiab poob qis hauv ntshav siab.
Yog tias tsis muaj kev tsis haum tshuaj anaphylaxis, qhov ua rau cov tshuaj tso tawm keeb mus yuav yog ntau hom tshuaj uas ua rau "mast cells" thiab ua rau tib cov tsos mob.
Feem ntau, qhov tshwm sim tshwm sim nyob rau theem ntawm daim tawv nqaij thiab cov hnyuv membranes. Cov kev tshwm sim yog pom tau sai tom qab kev sib cuag nrog qhov ua rau ntawm kev poob siab (hauv feeb).
Feem ntau, qhov ua rau muaj anaphylactic poob siab ntawm kev tsis haum tshuaj yog:
- tshuaj (penicillin, tetracycline, cephalosporin, streptomycin);
- hormonal tshuaj (insulin, parathyroid hormone, progesterone);
- enzymes (streptokinase, trypsin, hemotrepsin);
- serum (tetanus, antidiphtheria, antilymphocytic globulin);
- tshuaj lom (bees, snakes, ntsaum);
- Inoculations (tsuas yog cov uas tau ua raws ntawm qe dawb - ovalbumin);
- khoom noj khoom haus (ceev, zib ntab, ntses, nqaij nruab deg);
- lwm tus (latex, seminal fluid, dextrans).
Teeb meem ntawm anaphylactic poob siab
Hmoov tsis, anaphylaxis cuam tshuam tag nrho lub cev. Qee zaum, qhov poob siab yuav kis tsis tau rau txim, thiab lwm tus - kev ntxhov siab thaum muaj kev sim neej.
Qhov kev tsim txiaj tshaj plaws yog qhov ua rau neeg tuag taus. Yuav kom tiv thaiv tau nws, nrog thawj cov tsos mob ntawm anaphylaxis, hu rau lub tsheb thauj neeg mob.
Kev pabcuam thawj zaug rau anaphylactic poob siab
Hloov cov neeg mob hu nrog allergen, yog tias ua tau. Piv txwv, yog hais tias nws yog ib qho kab tom kab, tshem tawm cov sting thiab thov txias. Tom qab ntawd qhib lub qhov rais, muab cua tshiab rau hauv chav. Tso sab laug rau ntawm nws sab. Yog tias hauv tsev muaj tshuaj antihistamine, thiab koj tuaj yeem ua tau kom txhaj tshuaj - ua haujlwm. Yog tsis yog, ces tos rau cov kws kho mob. Nyob rau hauv xws li mob, lub brigade tuaj sai heev.
Cov neeg mob uas paub txog lawv lub cev rau cov anaphylactic shock yuav tsum tau nqa ib koob tshuaj epinephrine (nyob rau sab hnub poob nws yog muag Epi-Pen). Nws yuav tsum tau nkag rau hauv ib feem ntawm lub cev ntawm thawj lub npe ntawm anaphylaxis. Epinephrine txhawb zog ntawm lub cev ua ntej tuaj txog ntawm cov kws kho mob thiab txuag txhiab lub neej txhua xyoo.