Ntau tus neeg ntseeg tias kev ua xua tsis txaus ntshai. Rau qee qhov, qhov no yog qhov tseeb. Txawm li cas los xij, qee yam ntawm nws cov hom yog tuag taus. Ib qho piv txwv yog anaphylactic shock. Txoj sia yuav cawm tau tsuas yog nrog txoj kev pab thawj zaug xwb. Tias yog vim li cas txhua tus neeg yuav tsum paub cov tsos mob, ua rau, thiab cov txheej txheem.
Qhov no yog dab tsi?
Shock yog cov tshuaj tiv thaiv ntawm lub cev, uas tuaj yeem tshwm sim rau ntau yam ua xua. Feem ntau, nws tshwm sim los ntawm kev noj zaub mov, tshuaj, txhaj tshuaj, tom. Qee zaum hom kev poob siab tuaj yeem tshwm sim hauv feeb, qee zaum tom qab teev.
Lub tshuab ntawm kev tsis haum tshuaj muaj ob txheej txheem ib zaug. Thawj yog rhiab heev. Ntawd yog, thaum xub thawj lub cev kuaj pom muaj qhov ua xua, feem, nws pib tsim cov proteins hu ua immunoglobulins. Cov txheej txheem thib ob yog kev ua xua rau nws tus kheej. Yog hais tias allergens nkag mus rau hauv lub cev dua, ib qho mob tshwm sim. Qee zaum nws ua tauxaus nrog kev tuag ntawm tus neeg mob. Thaum muaj kev ua xua tshwm sim, lub cev pib tso cov tshuaj histamines. Cov tshuaj no ua rau khaus, kub hnyiab, nthuav cov hlab ntsha, yog li lawv txaus ntshai heev. Thaum pab nrog kev poob siab anaphylactic, koj yuav tsum nkag siab tias qhov ua ntej thiab qhov tseem ceeb tshaj plaws yuav tsum yog qhov nruab nrab ntawm qhov tsis haum. Yog tias koj paub cov tsos mob ntawm tus mob no, koj tuaj yeem pab tus neeg.
Symptomatics
Nws yuav tsum tau muab sau tseg tias qhov kev tsis haum tshuaj no tuaj yeem tshwm sim nws tus kheej hauv ntau txoj kev. Ntxiv rau cov pob liab liab li niaj zaus thaum poob siab, tej zaum yuav ua npaws, khaus, o, ntshav siab, tsis nco qab, tsaus muag, convulsions, teeb meem ua pa thiab ua haujlwm ntawm lub cev tag nrho, thiab lwm yam. Cov ko taw, ncej puab, nraub qaum, xib teg, thiab lub plab feem ntau cuam tshuam. Qee lub sij hawm txoj kev loj hlob ntawm anaphylactic poob siab yog pom tau tias yog cov tsos mob ntawm lwm yam kab mob, yog li nws tuaj yeem nyuaj heev los muab kev pab thawj zaug. Yog li ntawd, tej zaum yuav muaj teeb meem loj.
Koj yuav tsum nkag siab tias qhov ntsuas tseem ceeb tshaj plaws ntawm kev txhim kho ntawm kev ua xua yog pob khaus, ua npaws, convulsions thiab txo qis hauv siab. Yog tias koj tsis cuam tshuam tam sim no cov tsos mob thiab tsis pab tus neeg, qhov no tej zaum yuav ua rau nws tuag.
Dab tsi ua rau muaj qhov tshwm sim anaphylactic?
Feem ntau tus mob no cuam tshuam rau cov neeg uas muaj kev fab tshuaj. Cov npe no yuav tsum suav nrog cov tsos mob ntawm qhov ntswg los ntawm ntau yam laj thawj, dermatitis, thiab lwm yam. Yog tias koj nquag ua xua, koj yuav tsum tsis txhob sib cuag nrog cov tshuaj uas ua rau tsis zoolub cev tiv thaiv.
Yog tias ib tug neeg twb tau ntsib kev poob siab anaphylactic ib zaug, ces nws yuav tsum tau khaws cov khoom pab thawj zaug nrog nws. Cov tshuaj allergens feem ntau muaj xws li kab, tsiaj txhu, qee yam tshuaj tiv thaiv (mis nyuj, zib ntab, qe thiab ntses, tshuaj), phytoallergens (cov paj ntoo lossis paj ntoos), nrog rau cov khoom siv hluavtaws lossis ntuj tsim.
Suab ntawm kev poob siab
Vim tias qhov tshuaj tiv thaiv no tshwm sim nws tus kheej hauv ntau txoj hauv kev, ob peb daim ntawv tau txawv ib zaug.
- Tswj. Hauv qhov no, cov tshuaj histamines raug tso rau hauv cov ntshav. Yog li ntawd, ib tug neeg pib kiv taub hau, o, ua npaws, khaus thiab pob khaus tshwm ncaj qha, thiab siab kuj txo. Tej zaum yuav muaj qaug zog, nrog rau kev ntshai ntshai tuag.
- Cerebral form. Nws mob hnyav heev. Nrog nws, lub hlwb o, convulsions tshwm sim, tus neeg tsis nco qab.
- daim ntawv zaub mov txuas rau cov teeb meem digestive. Cov tsos mob muaj xws li o, tshwj xeeb tshaj yog ntawm daim di ncauj thiab tus nplaig. xeev siab, raws plab, ntuav, thiab mob plab kuj tshwm sim.
- Txoj kev poob siab, uas yog provoked los ntawm kev tawm dag zog lub cev. Hauv qhov no, cov tsos mob tau piav qhia saum toj no tshwm sim.
- Daim ntawv kawg ntawm kev poob siab anaphylactic yog ib qho kev ua xua uas ua rau lub cev ua pa nyuaj. Raws li, ib tug neeg pib thaiv nws lub qhov ntswg, hnoos tshwm, nws caj pas o, nws nyuaj rau nws ua pa. Yog tias koj tsis muab kev pab thawj zaug tam sim ntawd thaum muaj kev fab tshuaj, ces tus neeg mob yuav tuagua pa nyuaj.
Lwm qhov kev poob siab yog muab faib ua 4 degrees. Qhov txaus ntshai tshaj plaws yog 3 thiab 4. Nrog rau lawv, tus neeg tsis nco qab, thiab kev kho mob tsis zoo. Tsis tshua muaj, cov qib no tshwm sim tam sim ntawd thaum muaj kev fab tshuaj. Lawv yog qhov tshwm sim ntawm kev pab cuam tsis raug lossis tsis ua txhua qhov ntawm 1-2 degrees.
theem kev poob siab
Cov tsos mob ntawm kev poob siab anaphylactic sib txawv vim cov theem ib tus neeg yuav nyob hauv.
- Lub sij hawm ntawm precursors manifests nws tus kheej nyob rau hauv no txoj kev: ib tug neeg tsim xeev siab, kiv taub hau, tsis muaj zog, fainting, pob khaus ntawm daim tawv nqaij thiab mucous daim nyias nyias. Kuj tseem muaj kev ntxhov siab, loog ntawm cov ceg, lub ntsej muag, ua tsis taus pa. Ib tug neeg qhov muag tsis pom kev thiab hnov lus yuav ua tsis taus.
- Lub sijhawm ncov yog qhov tshwm sim los ntawm kev poob siab, qhov tsos ntawm pallor, tachycardia, ua pa nrov nrov, hws nplaum, khaus. Tsis tas li ntawd, ib tug neeg tuaj yeem tso tseg tso zis, lossis rov ua dua, qhov tsis tuaj yeem tshwm sim.
Nrog kev kho mob zoo, tus neeg mob rov zoo los ntawm kev poob siab hauv ob peb hnub. Tej zaum nws yuav tsis qab los noj mov, kiv taub hau, thiab qaug zog.
Degrees ntawm qhov hnyav
Nws yuav tsum tau muab sau tseg tias lub algorithm rau kev pab nrog anaphylactic shock yog nyob ntawm qhov hnyav ntawm tus kab mob.
- Nrog lub teeb tam sim no, lub siab poob rau 90/60. Thawj lub sij hawm kav ntev txog 15 feeb. Ib tug neeg tuaj yeem tsis nco qab ib pliag, tab sis tsuas yog ob peb feeb xwb, qhov kev kawm no kuj qiv nws tus kheej zookev kho mob.
- Raws li qhov hnyav me ntsis, lub siab poob rau 60/40. Lub sijhawm ceeb toom yuav siv sijhawm li 5 feeb. Tus neeg yuav tsis nco qab li 10 mus rau 20 feeb. Cov nyhuv ntawm kev kho mob qeeb heev, tus neeg mob yuav tsum tau soj ntsuam ntev heev.
- Thaum mob hnyav, lub siab tsis tuaj yeem txiav txim siab, thawj lub sijhawm siv sijhawm li ob peb feeb, tus neeg mob tsis nco qab ntau tshaj li ib nrab teev, thiab cov txiaj ntsig ntawm kev kho mob tsis pom zoo.
Cov tsos mob me
Nws yog ib qho tseem ceeb kom muaj peev xwm muab kev kho mob xwm txheej ceev rau kev poob siab anaphylactic. Qhov yooj yim tshaj plaws nws yuav yog nrog chav kawm teeb. Nws yog ib qho tsim nyog yuav tau tshem tawm cov allergen thiab suppress cov tsos mob. Hauv kev poob siab me ntsis, cov tsos mob pib tshwm sim hauv thawj 15 feeb. Ib tug neeg muaj o, thiab localization yog loj. Kev hnov mob yog hnov thoob plaws hauv lub cev, pob khaus thiab khaus tuaj yeem tshwm sim. Lub larynx swells, raws li, lub suab ua hoarse.
Tib lub sijhawm, tus neeg mob tuaj yeem muaj sijhawm los qhia rau nws cov txheeb ze tias nws muaj tachycardia, zoo li txo qis, mob plab, raws plab, tso zis. Qee tus neeg mob txawm tias muaj bronchospasm, uas tshwm sim los ntawm kev ua pa nyuaj thiab hawb pob. Cov tawv nqaij ua daj ntseg, muaj mob nyob rau hauv qis qis, lub taub hau, daim di ncauj thiab tus nplaig yuav loog, kiv taub hau pib, tsis pom kev. Ib tug neeg yuav yws tias nws dheev tsim kev ntshai tuag.
theem nrab
Yog tus neeg mob twb muaj theem nrab, ces nws tseem ceeb heev kom pib muab kev pab. NtawmNyob rau hauv anaphylactic poob siab ntawm qhov hnyav no, convulsions raug pom, tom qab uas tus neeg mob tsis nco qab, lub siab yuav qis heev, bradycardia los yog tachycardia tau pom, los ntshav tuaj yeem pib, ob qho tib si sab hauv lossis los ntawm lub qhov ntswg, nrog rau kev tso zis lossis tso quav. Cov menyuam kawm ntawv dilate, puffiness, tsis muaj zog tshwm, nplaum hws tshwm, pom pob liab liab.
Siab
Kev kho mob rau qhov hnyav anaphylactic shock muaj, hauv paus ntsiab lus, tsis muaj lub luag haujlwm. Qhov tseeb yog tias daim ntawv no tsim yuav luag tam sim ntawd, tus neeg mob tsis muaj sijhawm los qhia nws cov lus tsis txaus siab, vim nws tsis nco qab hauv ob peb feeb xwb. Nws yog tsim nyog los muab kev pab tsuas yog thaum thawj feeb. Txwv tsis pub, kev tuag ntxiv tos tus neeg mob.
Tus neeg mob tsim cov tsos mob xws li cov menyuam yaus dilated, pallor, cyanosis ntawm daim tawv nqaij, convulsions, hawb pob thaum ua pa, tsis muaj mem tes thiab ntshav siab poob. Nws tsis tuaj yeem ntsuas nws.
Diagnosis
Yuav kom cov lus pom zoo rau kev poob siab anaphylactic ua haujlwm, nws yog qhov yuav tsum tau ua qhov kev kuaj mob tam sim. Nws yuav tsum raug sau tseg tias cov tsos mob ntawm kev poob siab yog yooj yim heev rau confuse nrog lwm yam kab mob. Cov xwm txheej tseem ceeb rau kev kuaj mob kom raug yog keeb kwm raug. Nws yog ib qho tsim nyog los nqa tawm cov enzyme immunoassay. Koj yuav tsum tau kuaj ntshav dav dav, uas yuav ua rau koj pom tias muaj pes tsawg cov qe ntshav liab thiab cov qe ntshav dawb nyob hauv lub cev. Nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau cov ntsuas ntawm eosinophils. Kev kuaj ntshav biochemical kuj tau ua. Ua tsaug rau nws, koj tuaj yeem paub qhov xwm txheejlub siab thiab lub raum enzymes. Nco ntsoov ua lub hauv siab x-ray kom nkag siab yog tias muaj pulmonary edema. Yog tias tus neeg mob tsis tuaj yeem sau npe qhov ua rau poob siab, tom qab ntawd kev ntsuas kev tsis haum yog qhov yuav tsum tau ua, thiab tus kws kho mob qhov kev sab laj kuj tseem tsim nyog.
Kev pab ib zaug
Yog tias ib tug neeg muaj qhov xav tias nws lossis nws tus hlub yuav pib tshwm sim sai sai, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd. Feem ntau, nws yog kev ua haujlwm ntawm cov kws kho mob uas pab cawm tib neeg txoj sia. Xav txog cov algorithm ntawm kev ntsuas rau anaphylactic shock.
- Cov tshuaj tsis haum yuav tsum tau muab tshem tawm. Nco ntsoov ua qhov no tam sim ntawd. Yog li ntawd, nws yog ib qho tseem ceeb kom paub tias nws nkag mus rau hauv lub cev li cas. Yog muaj tshuaj lom, yuav tsum tau ntxuav lub plab, tab sis yog hais tias ib tug neeg raug muv tom, ces rub tawm lub sting.
- Tom ntej no, tus neeg mob yuav tsum muab tso rau ntawm nws nraub qaum. Nws ob txhais ceg yuav tsum tsa.
- Yog ib tug neeg ntuav lossis nqos, koj yuav tsum tig nws lub taub hau mus rau ib sab. Qhov no yuav ua rau nws tsis nqos nws tus nplaig, thiab tsis txhob ntuav.
- Koj yuav tsum qhib qhov rais lossis qhov rooj kom muaj huab cua ntshiab.
- Yog tsis ua pa thiab mem tes, ces yuav tsum tau ua lub plawv massage.
- Yog tias ib tug neeg muaj anaphylactic shock nyob rau hauv teb rau cov kab tom, ces nws yuav tsum tau ntaub qhwv nws lub qhov txhab saum qhov chaw ntawm qhov txhab. Qhov no yuav tiv thaiv cov tshuaj lom kom tsis txhob kis mus ntxiv thoob plaws lub cev. Nws yuav tsum tau muab sau tseg tias ntawmNyob rau hauv kev sib cuag nrog xws li ib tug allergen, nws yog tsim nyog los txiav qhov chaw nyob rau hauv lub voj voog nrog adrenaline. Nrog anaphylactic shock, qhov no yuav pab kom tsis txhob muaj ntau yam txaus ntshai tshwm sim. Nws yog ib qho tsim nyog yuav tau ua li 5-6 txhaj tshuaj, txhaj tshuaj 0.3 ml txhua zaus. Cov koob tshuaj zoo sib xws ntawm adrenaline raug muag hauv cov khw muag tshuaj npaj ua.
- Yog tias tsis tuaj yeem txhaj tshuaj adrenaline, koj tuaj yeem siv tshuaj tiv thaiv kab mob lossis tshuaj hormones.
Koj yuav tsum muaj peev xwm muab kev pab thawj zaug rau kev poob siab thiab paub txog nws cov tsos mob. Qhov no yuav cawm tus neeg mob txoj sia thaum muaj xwm txheej ceev.
Kev Kho Mob Kub Ceev
Cia peb xav txog lub algorithm ntawm kev saib xyuas xwm txheej ceev rau kev poob siab anaphylactic.
- Nws yog ib qho tseem ceeb los xyuas cov haujlwm tseem ceeb. Qhov ntawd yog, siab, mem tes yuav tsum ntsuas.
- Yog tus neeg mob nyob hauv tsev kho mob, ces nws yuav tsum tau muab electrocardiogram sai sai, oxygen saturation yog nqa tawm.
- Nws yog ib qho tsim nyog yuav tsum kuaj xyuas qhov mob ntawm txoj hlab pa thiab tshem tawm tag nrho cov ntuav tawm ntawm qhov ncauj. Qhov no ua kom huab cua permeability.
- Nws tseem yuav tsum tau kho lub puab tsaig qis txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau.
- Yog tias muaj Quincke's edema lossis spasm hauv lub caj pas, nws yuav tsum tau ua cov txheej txheem tshwj xeeb, qhov tseem ceeb ntawm kev txiav lub larynx ntawm pob txha mos tshwj xeeb kom tso cua ntshiab.
- Ib tracheotomy tseem ua tiav.
- Tom ntej no, adrenaline yuav tsum tau txhaj tshuaj yog tias muaj qhov cim qhia meej tias qhov ua xua tau nkag mus. Yog tias qhov no yog kab tom, ces nws yuav tsum tau pricked ntawm txhua sab nrog ib tug dilute daws ntawm adrenaline. Ntxiv musNws yog ib qho tsim nyog los qhia txog li 5 ml ntawm tib qhov sib tov nyob rau hauv lub hauv paus ntawm tus nplaig. Yog tias ua tsis tau, ces koj tuaj yeem ua nws intravenously. Tus so ntawm cov tshuaj yuav tsum tau diluted nrog physiological thiab muab tso rau ib tug dropper nrog nws. Hauv qhov no, qib siab yuav tsum tswj tau.
- Nco ntsoov txhaj tshuaj steroids. Tus kws kho mob yuav tsum siv cov tshuaj hormones adrenal.
- Antihistamines kuj raug tswj hwm. Thaum lub sij hawm, thaum ib tug neeg pib zoo, lawv hloov mus rau tshuaj.
- Nws yog qhov yuav tsum tau nqus pa nrog cov pa oxygen. Qhov ceev yuav tsum tsis pub tshaj 7 litres ib feeb.
- Txuas ntxiv muab kev saib xyuas xwm txheej ceev rau kev poob siab anaphylactic, nws yuav tsum tau txhaj "Eufillin" txog 10 mg. Qhov no yuav tshem tawm ntawm kev ua pa tsis ua haujlwm, yog tias muaj.
- Yog tias mob vascular insufficiency tshwm sim, uas yog ua rau ntshav rov faib dua, yuav tsum tau muab cov kev daws teeb meem tshwj xeeb. Peb tab tom tham txog colloid thiab crystalloid.
- txhawm rau tiv thaiv kom tsis txhob mob ntsws thiab lub hlwb, nws yuav tsum tau noj cov tshuaj diuretics. Yog tias muaj cov tsos mob ntawm lub paj hlwb ntawm kev poob siab, ces cov kws kho mob tau sau tshuaj tranquilizers, nrog rau cov tshuaj tiv thaiv kab mob.
Cov txheej txheem pab thaum muaj xwm txheej ceev rau kev poob siab anaphylactic yuav pab cawm tib neeg.
Txoj kev kho mob
kev pab thawj zaug yuav tsum muab tam sim ntawd. Yog tias tus neeg mob muaj tus mob zoo sib xws, ces nws yuav tsum tau saib xyuas hauv tsev kho mob. Cov kws kho mob yuav tsum rov ua kom muaj peev xwm ua haujlwm ntawm txhua yam kabmob uas tau raug puas tsuaj. Tej zaum yuav raug kev txom nyemCov kab mob ua pa, ntxhov siab lossis digestive.
Ua ntej koj yuav tsum tau tso tseg cov tshuaj xws li histamine. Tom qab tag nrho, lawv lom lub cev. Ua li no, cov kws kho mob yuav tsum siv cov tshuaj tiv thaiv kab mob. Yog tias muaj cov tsos mob, ces yuav tsum tau siv cov tshuaj antispasmodics lossis anticonvulsants.
Kev kho mob anaphylactic poob siab feem ntau siv sijhawm ob peb hnub. Txawm li cas los xij, nws yuav tsum tau muab sau tseg tias tom qab tshem tawm cov tsos mob thiab tus mob nws tus kheej, koj yuav tsum mus ntsib kws kho mob li ib hlis.
Nws yuav tsum nco ntsoov tias yog tias cov tsos mob raug tshem tawm, qhov no tsis txhais hais tias tus neeg ntawd kho tau zoo. Qee zaum qhov poob siab tuaj yeem rov qab los tom qab ib lub lim tiam. Yog li ntawd, yog tias tus neeg mob pom tias muaj kev poob siab, nws yuav tsum mus rau hauv tsev kho mob.
Txhais tau
Yog tias nws tsis yog los muab kev pab thawj zaug rau kev poob siab anaphylactic, ces tus neeg yuav ntsib qee yam teeb meem. Tom qab tus neeg mob lub plawv thiab ua pa tsis ua haujlwm raug daws, qee cov tsos mob tseem yuav tshwm sim. Piv txwv li, kev txawj ntse kev ua haujlwm tuaj yeem ua rau tsis zoo, txij li tus neeg tau ntev hypoxia, uas yog, kev tshaib plab, ntawm lub hlwb. Yog li ntawd, mob taub hau yuav tshwm sim. Hauv qhov no, cov tshuaj nootropic tau sau tseg. Koj yuav tsum nkag siab tias kev pab cuam anaphylactic shock yog qhov tseem ceeb heev.
Ib hematoma thiab o tuaj yeem tshwm sim ntawm qhov chaw txhaj tshuaj lossis tom, yog li nws yuav tsum siv cov tshuaj pleev tshwj xeeb thiab cov gels kom tshem tau lawv. Heparin tshuaj pleev yog zoo heev. Vim yogkev poob siab cuam tshuam lub plawv, yog li mob hauv siab tuaj yeem tshwm sim.
Cov ntshav siab qis tuaj yeem nyob mus ntev tom qab thawj cov tsos mob zoo li qub. Tsis xis nyob hauv plab, mob plawv, kub taub hau, qaug zog, qaug zog, qaug zog, thiab lethargy kuj tseem muaj. Qee zaum, cov teeb meem lig tuaj yeem tshwm sim tom qab kwv yees li 2 lub lis piam.
Quincke's edema, liab, pob liab liab, glomerulonephritis, myocarditis, kab mob siab thiab lwm yam yuav tshwm sim. Ntxiv mus, nws yuav tsum tau muab sau tseg tias cov teeb meem no feem ntau ua rau tuag. Koj kuj yuav tsum tau xyuam xim hais tias yog tias ib tug neeg tau rov sib cuag nrog cov tshuaj tsis haum uas ua rau tus mob no nyob rau hauv nws lub sijhawm dhau los, ces cov kab mob xws li lupus, periarthritis, thiab lwm yam tuaj yeem txhim kho.
ntsuas kev tiv thaiv
Lub algorithm ntawm kev ua rau anaphylactic shock twb tau piav saum toj no. Tam sim no koj yuav tsum piav qhia txog cov kev ntsuas coj los zam lub xeev zoo li no.
- Yuav kom tsis txhob nkag mus rau qhov xwm txheej tsis zoo, koj yuav tsum nqa ib koob tshuaj adrenaline nrog koj.
- Txhua qhov chaw uas yuav muaj cov tshuaj tsis haum yuav tsum zam. Tshwj xeeb tshaj yog thaum nws los txog rau tsiaj los yog nroj tsuag.
- Koj yuav tsum noj nrog saib xyuas. Txawm tias ib qho me me ntawm cov tshuaj tsis haum tuaj yeem ua rau poob siab.
- Koj cov neeg paub thiab cov phooj ywg yuav tsum tau ceeb toom txog tus kab mob. Lawv yuav tsum muaj peev xwm muab kev pab thawj zaug thaum muaj ib yam dab tsiyuav tshwm sim. Tshwj xeeb tshaj yog lawv yuav tsum muaj peev xwm txwv tsis pub lawv ntshai.
- Thaum mus ntsib kws kho mob, kho lwm yam kab mob, nws yog ib qho tsim nyog los tham txog koj cov kev ua xua. Txwv tsis pub, koj tuaj yeem tau txais tus kws kho mob sau tshuaj uas yog contraindicated hauv kev poob siab.
- Yuav txwv tsis pub coj tus kheej noj tshuaj.
Shock yog ib qho mob hnyav heev. Piv nrog rau lwm hom, daim ntawv no yog qhov txaus ntshai tshaj plaws, thiab cov neeg tuag yog siab.
kev tiv thaiv thib ob
Koj yuav tsum paub yuav ua li cas nrog anaphylactic shock. Qhov no tseem ceeb heev. Nws tseem yuav tsum nkag siab tias yuav tsum tau ua li cas tiv thaiv kev ntsuas.
- Yuav kom tsis txhob muaj kev tawm tsam, nws yuav tsum tau mus kuaj tsis tu ncua nrog tus kws kho mob.
- Yuav tsum tau kho dermatitis, allergic rhinitis, eczema thiab lwm yam raws sijhawm.
- Nws yog ib qho tsim nyog yuav tsum tau sau koj tus kheej kev kuaj mob hauv tus cwj mem liab ntawm koj cov ntaub ntawv kho mob txhawm rau ua kom pom qhov no. Koj yuav tsum tau sau cov tshuaj uas tuaj yeem ua rau anaphylactic shock rau tus neeg mob.
- Koj yuav tsum tau ua tib zoo saib keeb kwm thaum nws tuaj yeem ua xua.
- Tom qab txhaj tshuaj, tus kws kho mob yuav tsum saib xyuas tus neeg mob tsawg kawg ib teev.
- Nws tseem yuav tsum tau ua qhov kev ntsuam xyuas rhiab heev ua ntej noj tshuaj. Qhov no yuav tiv thaiv kev txhim kho ntawm kev poob siab hauv lub sijhawm.
Tertiary Prevention
- Txhawm rau tiv thaiv kev rov qab losCov kab mob, qhov ncauj qhov ntswg thiab looj tsom iav dub yuav tsum hnav thaum cov nroj tsuag tawg.
- Nco ntsoov tswj cov zaub mov uas tus neeg noj.
- Cov rooj tog tsis tsim nyog thiab cov khoom ua si yuav tsum raug tshem tawm ntawm chav tsev.
- Yuav tsum muaj qhov cua tsis tu ncua.
- Yuav tsum tau ntxuav cov chav kom tshem tau kab, plua plav thiab mites.
- Nco ntsoov ua raws li cov cai ntawm kev tu tus kheej. Qhov no yuav zam tsis tau tsuas yog anaphylactic poob siab rau cov menyuam yaus, tab sis kuj rau cov neeg laus.
Cov kws kho mob tuaj yeem ua dab tsi los tiv thaiv tus mob hnyav?
Txhawm rau tiv thaiv kab mob, nws yog ib qho tsim nyog yuav tsum sau cov anamnesis kom raug thiab saib xyuas tus neeg mob lub neej tas li. Txhawm rau txo qhov kev pheej hmoo ntawm kev poob siab, koj yuav tsum tau xyuam xim rau qee yam.
Qee zaum cov kws kho mob tau sau cov tshuaj tsis raug uas ua rau mob. Qhov no yog raws nraim li cov hauv qab no yog hais txog.
- Nco ntsoov sau txhua yam tshuaj nruj me ntsis raws li anamnesis.
- Koj yuav tsum xaiv qhov kev noj zaub mov kom zoo nrog kev nkag siab txog qhov sib haum ntawm cov tshuaj uas tau muab rau ib leeg.
- Nws yog qhov yuav tsum tau coj mus rau hauv tus account lub hnub nyoog ntawm tus neeg mob. Qhov no yog tshwj xeeb tshaj yog muaj tseeb rau plawv, sedative, thiab antihypertensive tebchaw. Cov koob tshuaj tom kawg rau cov neeg mob laus yuav tsum tsawg kawg yog ib nrab thaum muab piv nrog cov qauv rau ib tug hluas.
- Koj txhaj tsis tau ntau yam tshuaj tib lub sijhawm.
- Teem kom tau txais kev kho tshiab tuaj yeem tsuas yog tom qabnws cov txiaj ntsig ntawm lub cev yuav raug ntsuas.
Hauv qhov no, kev pab thawj zaug rau kev poob siab anaphylactic tuaj yeem muab tau yooj yim.
Yog tias ib tug neeg muaj kab mob fungal, nws yog qhov zoo tshaj kom tsis txhob muab tshuaj tua kab mob penicillin. Qhov no yog vim qhov tseeb tias ob yam khoom no muaj cov tshuaj tiv thaiv kab mob sib txawv.
- Koj tsis tuaj yeem sau ntau yam tshuaj uas zoo ib yam hauv tshuaj muaj pes tsawg leeg ib zaug, tshwj xeeb tshaj yog thaum nws los txog rau cov teebmeem tshwm sim.
- Ua tib zoo xav txog txhua yam kev txwv tsis pub noj tshuaj kom coj mus rau hauv tus account qhov kev pheej hmoo ntawm kev ua xua.
- Nws yog qhov zoo tshaj los muab tshuaj tua kab mob tsuas yog tias cov kev tshawb fawb microbiological twb tau txais lawm, thiab lub cev rhiab heev rau cov kab mob tau raug txiav txim siab.
- Tsis tas li, yog tias cov tshuaj tua kab mob yuav tsum tau yaj, nws yog qhov zoo tshaj yog siv cov ntsev los yog dej distilled. Qhov no yog vim qhov tseeb tias qee zaum kev siv cov tshuaj procaine ua rau muaj kev fab tshuaj hnyav heev.
- Nws yog ib qho tsim nyog yuav tsum kuaj xyuas lub raum thiab lub siab tsis tu ncua. Yog tias muaj kab mob, ces yuav tsum muaj kev kho mob.
- Koj yuav tsum tswj cov ntsiab lus ntawm leukocytes hauv cov ntshav. Ua ntej ua cov tshuaj kho mob, nws yuav tsum tau sau cov tshuaj tiv thaiv kab mob tsawg kawg ob peb hnub ua ntej kev tswj hwm cov tshuaj thiab tom qab ntawd 30 feeb ua ntej.
- Yog tias muaj cov ntsuas tsim nyog, ces koj yuav tsum txhaj tshuaj calcium thiab steroids.
Yuav tsum tau ua hauv cov txheej txheemyuav tsum muaj cov khoom siv tiv thaiv kev poob siab thawj zaug. Ib qho tseem ceeb yuav tsum tau sau tseg. Nws yog tsis yooj yim sua kom muaj nyob rau hauv tib chav tsev cov neeg mob uas tau ntsib nrog ib tug relapse ntawm poob siab, nrog rau cov neeg mob uas tau txhaj tshuaj uas ua rau ua xua nyob rau hauv thawj zaug. Nws tseem yuav tsum raug sau tseg tias thaum tus neeg mob tawm hauv tsev kho mob, tus kws kho mob yuav tsum tau sau tseg tias tus neeg mob tsis haum tshuaj. Ua tsaug rau nws, txhua tus kws tshaj lij yuav nkag siab tias yuav tsum ua li cas thaum muaj kev poob siab anaphylactic.
Zoo kawg
Tam sim no, qhov xwm txheej hauv ntiaj teb thiab ncaj qha txoj hauv kev ntawm tib neeg tawm ntau yam xav tau. Yog vim li cas thiaj li muaj coob tus neeg muaj kev fab tshuaj. Txhua 10 tus neeg nyob hauv peb lub ntiaj teb muaj cov tshuaj tiv thaiv zoo ib yam rau kev ua xua. Cov tub ntxhais hluas raug cuam tshuam tshwj xeeb. Tias yog vim li cas txhua tus neeg yuav tsum nkag siab thiab paub txog thawj pab algorithms rau anaphylactic shock. Nws yog nws leej twg, dua, cawm ib tug neeg txoj sia. Nws tseem yog qhov zoo tshaj plaws kom muaj cov khoom siv tshuaj tiv thaiv kab mob ua ntej hauv tsev kom npaj txhij txhua. Tom qab tag nrho, kev poob siab tuaj yeem ntaus leej twg.
