Tlhokomelo ea Emergency makala anaphylactic

Puso e mahlonoko tseo ho leng ea 'mele seo se etsahala ha a pepesa ho allergen e le e tsamaea le ho qhala ea litsamaiso ea bohlokoa ea' mele, e bitswang anaphylactic makala. Sena ke e hlobaetsang kapa esita le lehalima itsoara joang ho allergen e bontša ho oa ka khatello ea mali, phytoteratology kelo-hloko, e le ho hlōleha ha tsamaiso ea bohareng tšohile, DIC le spasm ea mesifa le boreleli la litho tse ka hare. Ka lebaka leo, ho ke ke ho hlokahala hore ho tseba hore hantle ho fana ka thuso boemong ba tšohanyetso ba makala anaphylactic ka boloka bophelo ba motho. E le hore ho etsa ho fihlela ho phekola-tharabololo, ho ke ho hlokahala hore ho tseba lisosa le pathogenesis tsa makala.

Lisosa tsa lefu lena

Ke itšoare joalo haholo phelang isang taolo meriana, likokoanyana longoa linoha tse chefo kapa tšoere tekotshupo mekgwa ya tshebetso ya kalafi ha ho qaloa ho mahlahana a lehlakoreng le leng. Haholo ka tlaase ho moo e itsoara joang anaphylactic develops lijo. Ka pele-pele har'a mabaka a causative ke lithethefatsi. Ena, ka holim'a tsohle, lithibela-mafu, ente e, lihlahisoa tsa mali, lithethefatsi protheine, immunoglobulins, li-hormone. Haholo-holo ka potlako anaphylaxis e etsahalang ha parenteral tsamaiso ya moriana, ho ena le ha e se e nkiloe ka molomo. Tsela e lebelo ka ho fetisisa (hang-hang) liphetoho makala etsahala'ng ha tsamaisoa entoe. Maemong a mang, e le karabelo ea 'mele ea ho allergen e e tsoelang pele bakeng sa hora e le nngwe. Tiea ea phelang bo itšetlehile ka lebelo la itšoara joang ho. Ka hona, le tlhokomelo ea boemo ba tšohanyetso ba makala anaphylactic lokela ho fana ka hang-hang, ho seng joalo lefu ka etsahala. Ba baholo le motho, e khōlō kotsi ea ho tšoaroa ke kulisoa, le hoja boemo ba anaphylactic ka boela la hlaha ka bana.

Clinical liponahatso tsa lefu lena

Matšoao qalong ke ho tšoenyeha, sesosa hlooho kapa ho tsekela, ringing litsebeng ea, ponahalo ea bata 'me theipi mofufutso. Hape sebakeng seo ente kapa loma hangata a hlokomela ho hlohlona matla le matšoao a urticaria (ho ruruha le rashes). Ho ekelletsa moo oona o kopanela bokhutšoanyane phefumoloho, bohloko sefubeng, e omeletseng paroxysmal khohlela, eo e hlaha ka lebaka la ho spasm ea mesifa ea matšoafo. Hangata e tšoauoa dyspepsia ka ho hlatsa le litulo metsi, cramping bohloko mpeng. Maemong a matla, khatello ea mali oa, motho eo ea lahleheloang kelo-hloko, tsitsipana ka 'na etsahala.

tlhokomelo ea Emergency makala anaphylactic ke, pele ho tsohle, ho ka nepo hlahloba ho tiea tsa boemo ba, tseba lisosa tsa kulisa , le mohato o nepahetseng ke mohato kalafo. Ha ba ne ba nka ho tswa ho tlhokomelo ea batho e haufi le ho lerootho le ho batang ho thetsana letlalo, akrozianoz, phytoteratology akheha. Pulse length khafetsa le ilibana. Khatello e sharply theolela. Tepelletse maikutlong ke ho le thata ha ho lahleheloa ke makala tsa kelo-hloko, 'me ha ho na tse ling tse matshwao a allergy. Atileng mofuta na thuso e loketseng, qala liphetoho etsolloa ka makala, 'me lefu le hlaha ka hare ho hora ea pele. Ba ka boela ba hlaha mathata a morao lebisa dithulaganyo pathological ka liphio, pelo, boko le litho tsa ka hare tse ling. Ka lebaka la sena, bakuli ba ileng ba tlameha ho itšoara joang anaphylactic lokela ho lula tlas'a tlhokomelo ea meriana ho bonyane libeke tse peli.

Phekolo ea makala anaphylactic

Le hoja tsoelo-pele ea ka seoelo liphetoho anaphylactic, basebetsi ya kalafi lokela ho tseba mesebetsi ea mantlha e hlokehang bakeng sa ho imoloha tsa alejiki itšoara joang le ho boloka mesebetsi ea bohlokoa ea 'mele ea. Ka mokgatlo ofe kapa ofe ya kalafi kapa diyuniti obstetric na le sete ya thuso ea pele ka lithethefatsi tse hlokahalang boemong bona. Emergency thuso makala anaphylactic ke cessation hang-hang ya tsamaiso ya moriana ka matšoao pele e itsoara joang alejiki. Ha karabelong e bakoang ke tsamaiso parenteral ba ntho kapa loma, setšeng sa ente e lokela ho thunngoa ho fihlela epinephrine tharollo ka palo ya 0.5 di ml. Ka tsela e lekanang tsa moriana laolwa subcutaneously. Haeba ho na le tahlehelo ea kelo-hloko le ho tshwarwa cardiac, epinephrine e laolwa entoe, jala tsoekere hae tharollo. Ho khutlisetsa mali e tloaelehileng bophahamo ba modumo ka nako etsoa Infusion phekolo le tsamaiso ea ditharollo letsoai, poly- le reopoliglyukina tsoekere eketswa le glucocorticosteroids. Ho feta moo hakaalo laolwa antihistamine (Tavegilum, Suprastinum et al a.), Litokisetso k'halsiamo. Khethiloeng ke sedative le meriana anticonvulsant, heparin. Le matšoao a spasm ea mesifa ea matšoafo e expedient hore a khethe eufillin. Khatello ea lokela ho lula a ka ha ho na e ka tlaase ho 110/70 limilimithara. Hg. v. ho boloka phallo ea mali ho makala tsa bohlokoa. Etsoe sena Infusion laolwa hormone, caffeine, kordiamin le tsoekere le insulin. tlhokomelo ea Emergency makala anaphylactic ka bana ba akarelletsa tšoanang mesebetsi phekola, empa ka lethal dose lilemo-loketseng lithethefatsi.

Ha u thibela ho hema le ho otla ha pelo ea mokuli e isoa se mahareng methapo ventilation le ho fana ka resuscitation.

Re lokela ho lula ba hopola hore le phello e ntle ke e itšetlehileng ka tlhokomelo ea meriana e nakong.