Ukwelashwa okuphuthumayo algorithm ukushaqeka anaphylactic ngaphambi kokufika odokotela

Wonke umuntu azi ukuthi angasilawula kanjani ukusiza ukushaqeka anaphylactic, algorithm okuyinto ezimweni eziningi iyaphindwa. Anaphylaxis iyona nokubonakaliswa olunzima kunalo lonke ake ukuphendula nomzimba. Okwenzeka ngokushesha, kuholela i izinkinga acute kwegazi. Ngokucijile falling blood pressure. Engasenamahloni umsebenzi inhliziyo, kahle umsebenzi zokuphefumula. Kukhona ukuntuleka umoya-mpilo umncane kwezitho ezibalulekile. Ngokuyinhloko ubuchopho nenhliziyo. isimo okunjalo isisulu ngokuthi Nesifiso, t. E. Life esisongela.

Ngakho-ke, into engakusiza ukuba ukushaqeka anaphylactic, enikela algorithm ukuthi wonke umuntu kufanele azi, kubalulekile ukuba afeze ngokushesha!

Imbangela ukushaqeka anaphylactic

Anaphylaxis kwenzeka cishe ngokushesha ngemva kokuthintana into lapho isiguli ukungabekezelelani esikhona kakade. Ngamanye amazwi, kakade mbeni yalolu ketshezi noma ezifanayo isakhiwo. Futhi amasosha omzimba akwazi ukuyibona.

Ngokuvamile, ofakazi ukubona isikhashana nomuntu ngqo allergen. Ingabe isho ngokucacile abafike ucingo odokotela ezandulela ukusabela. Ngaleyo ndlela besiza ukwenza ukushaqeka anaphylactic kahle ngangokunokwenzeka. Lokhu kuzosiza ukuphila spasiti nempilo isisulu.

abasebenzi Medical yanoma yimuphi cwaningo isikhundla algorithm lokunakekela eziphuthumayo ukushaqeka anaphylactic nakanjani. Kumele bazi ke, kungakhathaliseki lunye yabo (wemithi yangaphakathi, udokotela ohlinzayo, udokotela wamazinyo, nokunye. D.) Futhi isigaba esikoleni sobudokotela bona iziqu (inyuvesi, ekolishi, esikoleni, njll).

Kodwa esimweni lapho isisulu uzodinga usizo, kungaba ngokuphelele noma yimuphi umuntu. Ngisho ingane noma umfundi. Ukuze ulahleke esimweni esibucayi, kubalulekile ukwazi ukuthi iyini imbangela, lokhu kungabangela anaphylaxis, ukushaqeka nezimpawu ukulandelana ecacile yezenzo. Qaphela ukuthi aqede anaphylaxis ukwelashwa okuphuthumayo, algorithm okumele ngokuqinile waphawula.

Into nomzimba ezingase zibangele anaphylaxis

Izinto okuyinto nabo umzimba angase athuthukise ukushaqeka anaphylactic, zihlukaniswe amaqembu amane amakhulu. Lezi zihlanganisa yasekhemisi, ukudla, ubuthi, izinambuzane okuhlabayo, amakhemikhali zasendlini kanye nezinto eziphathelene nenhlanzeko.

• Ukuthaka imithi, kungakhathaliseki indlela yabo yokuphathwa (amaphilisi, imijovo, inhalations nokunye okunjalo. D.), kungabangela liphinyiselwe komzimba, njenge-anaphylaxis. Lezi zihlanganisa ngokuyinhloko antibiotic, non-steroidal anti-inflammatory izidakamizwa imvelaphi, amavithamini kanye nabanye. Lokhu kungenzeka futhi ihlanganisa Izithako zokudla.

• ukudla ngokuvamile abangela anaphylaxis, kukhona izinhlanzi nezinye izilwane zasolwandle (kuhlanganise herbal), amantongomane, amakhowe, izithelo. Ngomqondo onabile, ukusabela iguliswa kungaba noma ikuphi ukudla equkethe isilwane noma nemifino amaprotheni.
• Ngu bite izinambuzane emzimbeni futhi ngaphakathi Ingqikithi amaprotheni nemvelo - ubuthi. Ezinye zazo abe ubuthi eliphezulu kakhulu ukuthi, kanye nohlobo ngokushesha komzimba kungaba nomphumela omubi nezinye izinhlelo (sezinzwa, zokuphefumula, kwemisipha). Lokhu okunye kungaba kubi isimo isisulu. Nakuba aid for ukushaqeka anaphylactic kumele sihambisane ngokwethula kakhudlwana futhi sinqobe ubuthi.
• Sizungezwe amakhemikhali zasendlini kanye inhlanzeko akuzona esingaphansi yingozi. Ngo izihlanzi abaningi, ukuhlanzwa ukwakhiwa kanye nezinye usizo aqukethe eziphila noma surfactants (tensides futhi Bawa). Ukuthi kungadala ukushaqeka. imikhiqizo kwenhlanzeko (yasendlini noma amagilavu yezokwelapha), kanye izindlela zokuvimbela inzalo (amakhondomu, diaphragms) aqukethe latex, okuyinto ingabagulisa anaphylaxis. Nakuba lesi samuva ngisho ngokungaqondile, nemlingani wakho.

Uma umtshela ukuthi isisulu nabo esinye salezi ejenti ngaphambi kuhlasela, ngisize nge ukushaqeka anaphylactic futhi algorithm yayo zizosebenza okuningi.

Izinga yentuthuko ukushaqeka anaphylactic

ukushaqeka Anaphylactic - isimo omshoshaphansi kakhulu. Izimpawu zayo zingavela imizuzwana embalwa noma imizuzu futhi emuva kwamahora ambalwa kusanda ukuchayeka allergen. It kuncike uhlobo ketshezi ngokuyenga anaphylaxis indlela ingress ku umzimba kanye ezingeni sensitization of amasosha omzimba womuntu okuyinto ebucayi kulelo izidakamizwa.

Okunye futhi okubaluleke ngokufanayo lemali bangeniswa umzimba futhi allergen reactivity kwesimiso somzimba sokuzivikela ezifweni. Lapho uthuthukisa ukusabela, zombili lezi zici ukucacisa ukuthi ukugeleza amandla adonsela phansi ukushaqeka anaphylactic.

ifomu omnene

Kungaba ukuzibonakalisa e isiyezi, uzizwa fever, ubuthakathaka. Kwangathi izwakale enkeneneza ezindlebeni. Isiguli ezazi kodwa kungenzeka neliphithene. Kungase ziphazamisa babenakho ukwesaba. Lapho umfutho wegazi nesilinganiso izibalo etholwe kancane ngezansi evamile "ukusebenza" Inani umuntu unikezwa.

Izinga isilinganiso

Libhekene izimpawu ezinamandla kakhudlwana. Ngesikhathi esifanayo kunqunywa ukudideka. Isisulu ucobekile, neliphithene. Kodwa lapho baxhumane unawo amandla izimpendulo ezicacile ngokuphelele. Amazinga umfutho wegazi uncipha ingxenye eyodwa noma ngaphezulu "ukusebenza".

Yiqiniso ezinzima

Kuleli fomu ukushaqeka anaphylactic e ukwazi isisulu kulahleka. Isikhumba eliphaphathekile, embozwe umjuluko, cyanosis kunqunywa (cyanosis) ngenhla udebe eliphezulu. Tonometer ukufundwa noma ezincane noma lumane. Palpitations ethule, kancane. Ukuphefumula kunqunywa nge nobunzima.

Uma eduze izisulu ukwazi ezinye zalezi zimpawu, ke ungase unikezwe khona usizo zangaphambi wezokwelapha e ukushaqeka anaphylactic ngokugcwele. Futhi ukusindisa ukuphila komuntu kanye uyigcine enempilo.

Atypical ngoba anaphylaxis

Cishe ingxenye eyodwa kwezintathu yazo zonke amacala anaphylaxis sidlula isinyathelo "ngengqondo inhlalakahle". Kubonisa ekwenteni ncono isimo jikelele emva ukusabela okuncane noma okusesilinganisweni. In the ukungabikho Ngokwelashwa okufanele, ngemuva kwamahora ambalwa futhi kuze kube usuku olulodwa, mhlawumbe ziwohloke abukhali. Lokhu kungaholela kona kuletha imiphumela emibi kakhulu. Ngakho-ke, kuphela ngokwenza kahle lonke algorithm of oluphuthumayo ukushaqeka anaphylactic, akakwazi esabe ukweqa le ndlela.

ukulandelana izenzo

Uma isisulu iyazi futhi yini kudliwa engaphuzanga, ungakwazi azame ukusiyenga ukuhlanza. Uma ukuhlasela okwenzeke ekuphenduleni amakhemikhali yasendlini, kufanele kususwe (ukwenza) ka ezindaweni ezithintekile, ukuhlinzeka umoya ohlanzekile. Ukulunywa yizinambuzane, uma Stinger ishiywa esikhumbeni, ungazami ukudonsa it out - kunobungozi yokuchitha capsule nge kwakhona kunoshevu.

Kungcono bite kowamanqamu ukubeka tourniquet ngenhla isayithi ukulimala, futhi ukwenza abandayo endaweni. Ungasebenzisa abandayo kanye bite kwezinye izingxenye zomzimba.

ukushaqeka Anaphylactic. Umtholampilo. eziphuthumayo

Ngakho, yini okudingeka ukuba ukwazi? Uma umuntu ngesizathu efakwe ohlwini esolwa ukushaqeka anaphylactic, usizo lokuqala, i-algorithm esihlinzeka ukulandelana ecacile izinyathelo, eziqala isinyathelo ngokushesha ukuqeda allergen.

Okulandelayo, kufanele ushayele inombolo "eziphuthumayo". For Amadivayisi fixed, namanje inombolo ezifanele ambulensi - 03. Uma Ukushayela inombolo ingase yehluke kuye ngesistimu wesevisi umakhalekhukhwini. Kuyinto efiselekayo ukucacisa lwemibhalo isevisi yenethiwekhi izinombolo eziphuthumayo bese wengeza ukuba imemori yefoni ngoba "okhiye ashisayo".

Have eside futhi ngempumelelo eRussia isikhungo isevisi olulodwa wokutakula. Shayela inombolo 112 iyatholakala umsebenzisi nanoma yimuphi opharetha nge-akhawunti imali esele.

Isinyathelo esilandelayo, kwenziwe kanyekanye ne insimbi - ukuhlolwa kobukhulu isimo isisulu bese kunqunywa ukuthi ngabe lokhu state ukushaqeka anaphylactic noma cha. Uma impendulo ngoyebo, khona-ke isenzo uyaqhubeka njengoba algorithm kudinga ukwelashwa okuphuthumayo ukushaqeka anaphylactic.

Linganisela abalazi isisulu - ukuthi ukuphendula le mibuzo: Iyiphi ekhononda futhi kwenzekani (liyini lebangela lesimo). Ngo isisulu mnene futhi ezinzima ngokuvamile ezingabonakala ngokucacile ngokuthi isizathu.

Ezinye izinyathelo ukuphefumula kanjani khulula. Ukuze patency kangcono umgudu elingenhla kufanele kuthinteke ukuba unbutton collar (athambise uthayi), ukususa isikhafu nokunye. D. Uma ungazi lutho, ngezinye izikhathi ulimi lwakhe. Lokhu isithiyo mechanical kuya komoya angasuswa ngokudonsa umhlathi ongezansi, yathatha emagumbini ngesandla esisodwa phambili.

Yini engasisiza inkonzo opharetha ukunakekelwa okuphuthumayo noma MOE

Ukwenza ucingo bememezana lamabutho ka "kuqala", ngisiza abantu ayisekho ngeke uzizwe unesizungu phambi nkinga. Lokhu kuzokwenza asebemazi futhi odokotela egijimela ukutakulwa, futhi umphathi-ambulensi noma MOE. Ilinde umphathi ithimba kuyosiza umuntu ukuba uphumule, ukugxila futhi uchaza isimo isisulu.

Njalo umphathi emaphepheni ukusebenza nakanjani abe isikhumbuzo "Indlela ukuqaphela ukushaqeka anaphylactic? ezosizo oluphuthumayo, ukuhumusha kwayo algorithm. " Ngokusho umphathi wakhe futhi Uzoqondisa isenzo elifanele ifuna isimo. Ezimweni ezimbi kakhulu, e ezinzima ukushaqeka anaphylactic, ukutshela inqubo yokusiza umuntu ukuba aphefumule cardiopulmonary. Hlola ngokunemba ekwenzeni lokho okuhleliwe.

Izingane ikakhulukazi anaphylaxis

Ezinganeni, ukushaqeka anaphylactic, usizo lokuqala, ukuhumusha kwayo algorithm benezingane eziningi umehluko. Ezinganeni, wokuqukethwe ephakeme isihlobo okusamanzi, izicubu esinophawu lwesehluleki, ukuzithiba izindlela azikakabi avuthiwe ngokugcwele. Konke lokhu kuholela ukuthuthukiswa ngokushesha ngaphezulu edema.

Ngaphezu kwalokho, izingane besaba kakhulu isimo esinjalo. Lokhu, kube sekwandisa emakamu igazi lama-hormone okucindezeleka, okuyinto unciphise yomoya kakade uquleke imithambo yegazi. Ngakho, ukunakekela izingane ngenxa yokushaqeka anaphylactic zehluke ukunakekela abantu abadala. Ingane kumele ngempela odokotela ukuze athobe maduze kancane ukubuyisela, ukusebenza evamile umgudu wokuphefumula.

ukubonakaliswa Clinical ezinganeni usashaqekile usizo lokuqala

Ngokuvamile ayiboni yinkimbinkimbi izingane ukushaqeka anaphylactic. Usizo lokuqala izingane futhi akunzima. Ingane uphendukela isikhumba ugodo, uba izithukuthuku abandayo, selitholakala ishayela okusheshayo ukugcwaliswa ababuthakathaka nezingxabano.

Isizathu sisobala. Ngo beshaqekile kwenzeka yinye kwegazi, lapho igazi kuphindwe ezithweni ezibaluleke kakhudlwana - ubuchopho, inhliziyo, amaphaphu, izinso. Kuyinto uhlobo "yini nokusekela ukuphila kwakhe Quartet", okuyinto ihlose ukugcina Komuntu ayinikezi umzimba ukuba afe.

Izimiso usizo lokuqala izingane ziyancipha ukuze imithetho ezintathu ezilula: ukubeka kwesokudla, efudumele futhi baduduze. Izingane musa bathambekele ukugeleza osindayo anaphylaxis, ngoba bayazi, nakuba kancane engasenamahloni.

Kuyinto kudingekile ukuba akunike isikhundla ingane lemilenze ephakanyiswe igazi ngaphezulu ukuba kugeleze esifubeni kanye nobuchopho. Lokhu kuzoqinisekisa liningi igazi izitsha ezanele ubuchopho, inhliziyo namaphaphu. Loku kutawufaka sandla kakhulu elilungile ukugeleza kwegazi futhi kuvimbele yokuthola izifo ezifana no ukulimala sitho izicubu amaseli i-ukuntula mpilo (hypoxic), kumiswa thrombi ngaphakathi inesikhala isitsha.

Kufanele kuphawulwe ukuthi ngokuvamile kukhona ukwehla elibukhali blood pressure obuhambisana shock anaphylactic. Algorithm ukusiza Kulokhu kudinga ukulondolozwa ukufinyelela neuropathy. Lokhu kusho ukuthi uma ethuthukisa anaphylaxis kusukela ngokulinganisela nangaphezulu kukhona ukubola emithanjeni neuropathy, futhi odokotela ke ngempela nzima ukuze akuthwale ukumnika. Okubekwe ehlombe nge okuncane ukungezwani tourniquet kuvimbela incithakalo emithanjeni, wafaka isikhuni weThrojani kuyoba lula kakhulu.

Ingane washaqeka embozwe obondayo. Kule ukushisa ukulahlekelwa ezinkulu kwenzeka. Ukugoqa imvuthuluka, ukudala kuye lokushisa ukhululekile. Ukulondoloza i lokushisa elikhulu kwesikhumba sizonikeza ukunyakaza evamile uketshezi kusukela egazini ku imvelo interstitial, noHezekeli. Lokhu, kunciphisa ukuvuvukala kokubili jikelele kanye lendawo.

Awukwazi ukushiya ingane wedwa! ingane Uthukile kakade ngaphansi kokucindezeleka, futhi lapho ukuphefumula kunzima isimo futhi esiyindida kuye, naye uyokwenza eminye babhebhethekise isimo.

Kunoma ukubonakaliswa okungenani omunye izimpawu kufanele ngokushesha shayela i-ambulense. inkomba Ingabe Ohulumeni Banalo Lonke ngoba esibhedlela sitholakale udokotela "fast" ukushaqeka anaphylactic. usizo oluphuthumayo izingane, wethula ucingo uyaqhubeka e labagula. Kubalulekile zokuqapha ashukumisayo kanye therapy ezanele. Ikakhulukazi kucatshangelwe ukuthi kungenzeka Yiqiniso atypical of anaphylaxis.

Babazi okwenzeka isimo lapho kunosongo hhayi kuphela empilweni, kodwa futhi isisulu zokuphila, ngokuvamile kubangela netwetwe kubantu eduze izisulu. Lokhu kudinga ukwenza iphuzu elilodwa elengeziwe lokuphendula algorithm of oluphuthumayo ukushaqeka anaphylactic. Udinga ukuzola, ukubamba umoya, ngokuhlakanipha futhi uqhubeke kahle wangisiza amadoda ekucindezelekeni.