Kutheni yonke intshukumo yeAnaphylactic ifuna uhambo oluya kwigumbi likaxakeka

Umxholo

• Ushwankathelo
• Usebenzisa nini i-epinephrine
• Ungayiphatha njani i-epinephrin
• Ngelixa ulinde abaphenduli abangxamisekileyo
• Umngcipheko we-anaphylaxis ebuyayo emva kwe-epinephrine engxamisekileyo
• Anaphylaxis emva kokukhathalela
• Ukuthintela iimpendulo ze-anaphylactic zexesha elizayo

Ngo-Matshi 2020, uLawulo lwezoKutya kunye noLawulo lweziyobisi (i-FDA) lukhuphe a ukulumkisa uluntu ukuba i-epinephrine auto-injectors (EpiPen, EpiPen Jr, kunye neefom generic) zinokungasebenzi kakuhle. Oku kunokukuthintela ekufumaneni unyango olunokusindisa ubomi ngexesha likaxakeka. Ukuba umiselwe i-epinephrine auto-injector, jonga iingcebiso ezivela kumenzi kwaye uthethe nomboneleli wakho wezempilo malunga nokusetyenziswa okukhuselekileyo.

Ushwankathelo

Kukho izinto ezimbalwa ezoyikisayo kunokubakho okanye ukungqina ukusabela kwe-anaphylactic. Iimpawu zinokuhamba zisiya ebubini ziye ngokukhawuleza ngokukhawuleza, kwaye zinokubandakanya:

• ingxaki yokuphefumla
• urhwebo
• ukudumba kobuso
• ukugabha
• ukubetha kwentliziyo ngokukhawuleza
• isiqaqa

Ukuba ungqina umntu oneempawu ze-anaphylactic, okanye uneempawu ngokwakho, tsalela umnxeba iinkonzo zongxamiseko kwangoko.

Ukuba uye waba negalelo elibukhali kwixa elidlulileyo, ugqirha wakho usenokumisela inaliti ye-epinephrine engxamisekileyo. Ukufumana i-epinephrin engxamisekileyo ngokukhawuleza kunokubusindisa ubomi bakho-kodwa kwenzeka ntoni emva kwe-epinephrine?

Ngokufanelekileyo, iimpawu zakho ziya kuqala ukuphucula. Ngamanye amaxesha banokusombulula ngokupheleleyo. Oku kunokukhokelela ekubeni ukholelwe ukuba awusekho kuyo nayiphi na ingozi. Nangona kunjalo, oku akunjalo.

Uhambo oluya kwigumbi likaxakeka (ER) lisafuneka, nokuba ungaziva njani emva kwempendulo yakho ye-anaphylactic.

Usebenzisa nini i-epinephrine

I-Epinephrine ihlala ikhulula ezona mpawu ziyingozi ze-anaphylaxis ngokukhawuleza- kubandakanya ukudumba komqala, ukukhathazeka ngokuphefumla, kunye noxinzelelo lwegazi.

Lunyango olukhethwayo kuye nakubani na ofumana i-anaphylaxis. Kodwa kufuneka ulawule i-epinephrin kwimizuzu yokuqala yokuqala emva kokuba uxabane uqala ukuba lusebenze.

Gcina ukhumbula ukuba kuya kufuneka unike kuphela i-epinephrine kumntu omiselwe iyeza. Kufuneka ulandele le miyalelo ngononophelo. Imilinganiselo iyahluka, kwaye iimeko zonyango nganye zinokuchaphazela indlela umntu asabela ngayo kuyo.

Umzekelo, i-epinephrin inokubangela isifo sentliziyo kumntu onesifo sentliziyo. Kungenxa yokuba inyusa isantya sentliziyo kwaye inyusa uxinzelelo lwegazi.

Nika inaliti ye-epinephrine ukuba umntu uye wachaphazeleka kwi-allergener trigger kwaye:

• unengxaki yokuphefumla
• ukudumba okanye ukuqina emqaleni
• Uziva unesiyezi

Nika inaliti kubantwana abaye bavezwa kukungabikho komzimba kunye:

• ndidlulile
• ukugabha okuphindaphindiweyo emva kokutya ukutya abanokugula kakhulu
• bakhohlela kakhulu kwaye banengxaki yokubamba umphefumlo wabo
• ukudumba ebusweni nasemilebeni
• batye ukutya abaziwayo ukuba bayaliwa

Ungayiphatha njani i-epinephrin

Ngaphambi kokusebenzisa isitofu sokuzenzekelayo, funda imiyalelo. Isixhobo ngasinye sahluke kancinci.

Xa ufumana iyeza lakho le-epinephrine auto-injector ekhemesti, NGAPHAMBI kokuba uyidinge, liphonononge nakuphi na ukukhubazeka. Ngokukodwa, jonga kwimeko ephetheyo kwaye uqiniseke ukuba ayigqwethekanga kwaye isitofu esizenzekelayo siyilayida ngokulula. Jonga kwakhona ikepusi yokhuseleko (ihlala iluhlaza okwesibhakabhaka) kwaye uqiniseke ukuba ayiphakanyiswanga. Kufanele ukuba igungxulwe ngamacala e-auto-injector. Ukuba nayiphi na inaliti yakho yokufaka ngokuzenzekelayo ayityibilikisi ngaphandle kwetyala okanye inekepusi yokhuseleko ephakanyiswe kancinane, buyisela kwikhemesti endaweni yayo. Oku kukhubazeka kunokubangela ukulibaziseka ekulawuleni amayeza, kwaye nakuphi na ukulibaziseka kwempendulo ye-anaphylactic kunokubusongela ubomi. Ke kwakhona, NGAPHAMBI kokuba uyidinge, nceda ujonge inaliti eyenzekelayo kwaye uqiniseke ukuba akukho zikhubekiso.

Ngokubanzi, ukunika inaliti ye-epinephrine, landela la manyathelo angezantsi:

1. Slayida isitofu esizenzekelayo ngaphandle kwetyala.
2. Ngaphambi kokusetyenziswa, umphezulu wokhuseleko (uhlala oluhlaza okwesibhakabhaka) kufuneka ususwe. Ukwenza oku ngokufanelekileyo, bamba umzimba we-auto-injector kwisandla sakho esiphambili kwaye ngesinye isandla sakho sikhuphe ikepusi yokhuseleko ngqo ngesinye isandla. SUKUZAMA ukubamba usiba ngesandla esinye uze uyisongele ikepusi ngoobhontsi wesinye isandla.
3. Bamba isitofu ngenqindi ngencam yeorenji ikhombe phantsi, nengalo yakho ecaleni kwakho.
4. Jika ingalo yakho ecaleni kwakho (ngokungathi wenza ingelosi yekhephu) emva koko ukhawuleze wehle kwicala lakho ukuze incam ye-auto-injektha iye ngqo ethangeni lakho ecaleni ngamandla athile.
5. Yigcine apho kwaye ucinezele kwaye ubambe imizuzwana emi-3.
6. Susa isitofu esizenzekelayo ethangeni lakho.
7. Beka i-auto-injector ubuyisele kwimeko yayo, kwaye KHAWUYA NGOKUKHAWULEZA kwisebe elingxamisekileyo lesibhedlele esikufutshane ukuze liqwalaselwe ngugqirha kunye nokulahlwa kwe-auto-injector yakho.

Emva kokuba unike inaliti, tsalela umnxeba ku-911 okanye iinkonzo zongxamiseko zengingqi ukuba awukenzi oko. Xelela i-dispatcher malunga neempendulo ze-anaphylactic.

Ngelixa ulinde abaphenduli abangxamisekileyo

Ngelixa ulinde uncedo lwezonyango ukuba lufike, thabatha la manyathelo ukuzigcina wena okanye umntu onempendulo ekhuselekileyo:

• Susa umthombo wokungabikho komzimba. Umzekelo, ukuba i-bee sting ibangele ukuphendula, susa i-stinger usebenzisa ikhadi lekhredithi okanye i-tweezers.
• Ukuba umntu uziva ngathi uza kufa isiqaqa okanye uyafa isiqaqa, mbeke emqolo umntu lowo aze aphakamise imilenze ukuze igazi lifike kwingqondo yakhe. Ungazogquma ngengubo ukuze uzigcine ufudumele.
• Ukuba baphosa okanye banengxaki yokuphefumla, ngakumbi ukuba bakhulelwe, hlala phezulu kwaye nokuba uye phambili kancinci ukuba kunokwenzeka, okanye uzibeke ecaleni.
• Ukuba umntu uye wangabikho zingqondweni, bambeke phantsi intloko ijonge ngasemva ukuze indlela yabo yomoya ingavali kwaye ujonge ukubetha kwentliziyo. Ukuba akukho ukubetha kwentliziyo kwaye umntu akaphefumli, nika umoya omnye ngokukhawuleza kwaye uqalise ukucinezelwa kwesifuba seCPR.
• Nika amanye amayeza, anjenge-antihistamine okanye i-inhaler, ukuba ayavutha.
• Ukuba iimpawu aziphucuki, nika umntu enye inaliti ye-epinephrine. Iidosi kufuneka zivele phakathi kwemizuzu emi-5 ukuya kweli-15.

Umngcipheko we-anaphylaxis ebuyayo emva kwe-epinephrine engxamisekileyo

Inaliti ye-epinephrin engxamisekileyo inokugcina ubomi bomntu emva kwempendulo ye-anaphylactic. Nangona kunjalo, inaliti yinxalenye enye yonyango.

Wonke umntu oye wasabela ngendlela ye-anaphylactic kufuneka ahlolwe kwaye abekwe iliso kwigumbi likaxakeka. Kungenxa yokuba i-anaphylaxis ayisoloko iyimpendulo enye. Iimpawu zinokubuyela umva, ukubuya iiyure okanye kwiintsuku emva kokuba ufumane inaliti ye-epinephrine.

Uninzi lweziganeko ze-anaphylaxis zenzeka ngokukhawuleza kwaye zisombulule ngokupheleleyo emva kokuba ziphathwe. Nangona kunjalo, ngamanye amaxesha iimpawu ziba ngcono kwaye ziqala kwakhona kwiiyure ezimbalwa kamva. Ngamanye amaxesha abaziphuculi iiyure okanye iintsuku kamva.

Ukuphendula kwe-Anaphylactic kwenzeka kwiipateni ezintathu ezahlukeneyo:

• Ukuphendula kwe-Uniphasic. Olu hlobo lokuphendula lolona luqhelekileyo. Iimpawu ziphakamile ngaphakathi kwemizuzu engama-30 ukuya kweyure emva kokuba uvezwe kwi-allergen. Iimpawu ziba ngcono ngaphakathi kweyure, kunye okanye ngaphandle kwonyango, kwaye azibuyi.
• Ukuphendula kweBiphasic. Ukuphendula kwe-Biphasic kwenzeka xa iimpawu zihamba iyure okanye nangaphezulu, kodwa emva koko zibuye ngaphandle kokuba uphinde ubonakaliswe kwi-allergen.
• I-anaphylaxis ekhuselweyo. Olu hlobo lwe-anaphylaxis lunqabile. Impendulo inokuhlala iiyure okanye iintsuku ngaphandle kokusombulula ngokupheleleyo.

Iingcebiso ezivela kwiQela eliDibeneyo loMsebenzi (i-JTF) kwiiParameter zokuziQhelanisa zicebisa ukuba abantu abane-anaphylactic reaction mabajongwe kwi-ER kangangeeyure ezi-4 ukuya kwezi-8 emva koko.

Iqela elisebenzayo likwacebisa ukuba bathunyelwe ekhaya benommiselo we-epinephrine auto-injector- kunye nesicwangciso sokusebenza malunga nokuba uza kuyenza nini kwaye nini- ngenxa yokwenzeka kokuphindeka.

Anaphylaxis emva kokukhathalela

Umngcipheko wempendulo ye-anaphylactic yenza uvavanyo olufanelekileyo lonyango kunye nokhathalelo lwasemva kubalulekile, nakubantu abazive belungile emva konyango nge-epinephrine.

Xa usiya kwisebe likaxakeka ukuya kunyangwa i-anaphylaxis, ugqirha uya kwenza uviwo olupheleleyo. Abasebenzi bezonyango baya kujonga ukuphefumla kwakho kwaye bakunike ioksijini xa kufuneka njalo.

Ukuba uqhubeka nokuvutha kwaye unengxaki yokuphefumla, unokunikwa amanye amayeza ngomlomo, ngaphakathi, okanye nge-inhaler ukukunceda uphefumle ngokulula.

La mayeza angabandakanya:

• bronchodilators
• ii-steroids
• antihistamines

Uya kufumana kwakhona i-epinephrine ngakumbi ukuba uyayifuna. Uya kujongwa ngononophelo kwaye unikwe unyango kwangoko ukuba iimpawu zakho zibuya okanye ziba mandundu.

Abantu abaneempendulo ezibi kakhulu banokufuna ityhubhu yokuphefumla okanye utyando ukuvula umoya wabo. Abo bangaphenduliyo kwi-epinephrin banokufuna ukufumana eli chiza ngomthambo.

Ukuthintela iimpendulo ze-anaphylactic zexesha elizayo

Nje ukuba unyangwe ngempumelelo ngempendulo ye-anaphylactic, injongo yakho kufuneka ibe kukuphepha enye. Indlela efanelekileyo yokwenza oko kukuhlala kude ne-allergies.

Ukuba awuqinisekanga ukuba yintoni ebangele impendulo yakho, jonga i-allergist yesikhumba okanye uvavanyo lwegazi ukuze uchonge i-trigger yakho.

Ukuba uxabana nokutya okuthile, funda iilebheli zemveliso ukuqinisekisa ukuba awutyi nantoni na enako. Xa usitya ngaphandle, yenza iseva yazi malunga neempawu zakho zokwaliwa komzimba.

Ukuba uxabisa izinambuzane, nxiba into yokugxotha izinambuzane nanini na xa usiya ngaphandle ehlotyeni kwaye uhlale ugqunywe yimikhono emide kunye neebhulukhwe ezinde. Cinga ngeendlela zokunxiba ezilula ngaphandle ezigcina ukogqunywe kodwa zipholile.

Ungaze ujikeleze iinyosi, oonomeva, okanye oonomeva. Oku kunokubangela ukuba bakuhlabe. Endaweni yoko, cotha kude kubo.

Ukuba uxabisa amayeza, xelela wonke ugqirha ukuba undwendwela malunga nokwaliwa kwakho, ukuze bangakumiseli elo chiza. Yazisa ikhemesti yakho. Cinga ukunxiba isacholo sokulumkisa kwezonyango ukwazisa abaphenduli abangxamisekileyo ukuba uneyeza elithile lokungabikho komzimba.

Soloko uphethe i-epinephrine auto-injector kunye nawe, ukuba kunokwenzeka ukuba uhlangane ne-allergies yakho kwixa elizayo. Ukuba awukhange uyisebenzise okwethutyana, jonga umhla ukuze uqiniseke ukuba awuphelanga.