Tauhohe Anaphylactoid: tohumate, tātaritanga, me te whakarōpū

Ko te takanga o pāwera (anaphylactic) tauhohe meinga e ngä äpiha exogenous, me ona āhuatanga rere o te momo tonu hypersensitivity. Ka rite ki te tikanga, āhuatanga e whakautu o te tinana e taea e huru hauora ora-te whakawehi o te kiri, romahā me mahi manawa-iaia. I muri i te whakapā tuatahi ki te antigen tīmata whakatupuranga IgE paturopi motuhake mo tona whakaaro e tūmanakohia ana. hanumi ratou ki te pūtau kawenga mō ngā tukanga wātea i te mate, a ki reira he sensitization ki te antigen.

Nahea te tauhohenga pāwera?

whakatairanga tētahi atu hit te tuku o te whakapāwera haepapa mo te kaha ngā pūtau ārai o matū bioactive, rawa histamine. I te wa o te whakawhiti i ngā tukanga matū ki whaiaroaro pathological huringa te ngau ke e kitea matua i roto i nga oko toto, nga taikiri, uaua maeneene arahau e whai wāhi ki te whanaketanga me te faaiteraa wawe o enei syndromes:

• whakaiti o te reo iaia;
• hukihuki ohorere o te kiko uaua maeneene o te whēkau, bronchi, kōpū;
• maumaui krovosvortyvaemosti;
• mumura me te huamo o oko toto.

I roto i te rerekē ki te mate pāwera, tauhohenga anaphylactoid, Kei te maha i huaina tupurangi-hauora, kahore antibody IgE-takawaenga ki basophils. Ahakoa te ōrite o ngā tohu Response tukanga, e rua he faaiteraa o te whakatakiruatanga o whakautu hypersensitivity o te rauropi.

Drug pāwera meinga tauhohe anaphylactoid

tauhohe Anaphylactoid - ko reira ano hoki te tuku o te histamine, maha kua i te whakapā tuatahi ki te tumu. tohu tēnei wā Pseudoallergic i te whānuitanga tika whanui. Haapapu, Ko maha tenei tauhohenga o te tinana te take i te wa o te tango i te raau taero, relieves mate pāwera.

Anaphylactic me anaphylactoid tauhohe momo tonu puta pinepine i muri i te kupu whakataki o relaxants uaua, paturopi, rongoā whakarehu, opioids, rongoā anesthetics rohe, werohanga, taiki therapy, atropine me huaora B ki allergens hoki ngā serum, antigens whakamahia i roto i nga take hauora, me te tātaritanga ki te kitea te kiri, mate paipai. Ko te take o te mate pāwera ki te taherapa hua. whakaaro te āhuatanga noa te tauhohenga anaphylactoid ki lidocaine rite te tarukino whakarehu rohe whakamahia maha, engari ka taea e tona hanganga matū matatini meinga pānga taha noa i roto i te rauropi hauora, ko tona mate pāwera ki te wae tarukino ko kore angamaheni.

whakaohooho Nemedikametoznye

Ki te whakaaro tatou ki nga take o ngā urupare o te tinana ki whakaohooho o natula kore-pharmacological, i reira he te nuinga "raruraru" taea e kai:

• rōpere;
• mātaitai;
• honi;
• nati;
• harore;
• Ētahi momo o ika;
• hua;
• citrus.

kia puta tauhohe Anaphylactoid ka he ngau pepeke kararehe hātaretare paitini ranei. Tūroro e ite tonu tauhohe mate pāwera āhua kore-rongoa, i te mōrearea nui o anaphylaxis i te take o te pokanga i raro i rehunga whānui.

whakarōpū o anaphylaxis

No reira tupu te reira me te wehewehenga o ngā tauhohenga mate pāwera. Ko te kōwae tuatahi ngā te momo o tauhohe anaphylactic e kua wehea ki takawaenga IgE, IgG takawaenga me IgE-takawaenga me tinana kawenga. tauhohe anaphylactoid Pseudoallergy takawaenga e te tukunga ohie o kaitakawaenga, aru e te karanga pōreareatanga e te mahi o taero, te rongo ki te kai, me ngā āhuatanga ā-tinana. He kāwai motuhake protrude tauhohe anaphylactoid ki mastocytosis; takawaenga complexes ārai, māpele immunoglobulin ka antisera whakahaere me te antibody takawaenga cytotoxic, matū radiopaque.

Pehea he anaphylaxis?

Rehunanu me maha barbiturates, relaxants uaua, pethidine taea pā i te pūtau ngako, meinga te tuku o te histamine. I roto i tenei pikitia haumanu tei runga i te inenga me te auau whiwhinga ki te tinana o te kai kaha. E whakaatu ana Practice e e te tauhohenga wahi nuinga mārire, iti whakaaturanga anake i runga i te kiri.

tauhohe Anaphylactoid (ICD-10 whakawhiwhia tenei syndrome pathological) te āhuatanga e te unpredictability o te whanaketanga i mua nei, me te pea he kore oti o te mōhiohio e pā ana ki te whakautu pāwera o mua ki antigens. Mai te pānga o te warou anaphylaxis kino ki te hauora me te ora, he mea nui mō te kite wawe o pōauautanga, me te mahi e tika ana. Ahakoa o te huarahi anaphylactic tohu faaitoitoraa pseudoallergic ranei e taea te rerekē tino. Mau i te āhua pono takitahi, kia ngā faaiteraa i peke iti i roto i te pēhanga toto me te hikaka te kiri ki te bronchospasm nui me te parariraa o te mahi o te pūnaha Cardiovascular.

I tenei wā, e mea ohie ki te mōhio tetahi mahi psevdoallergenov rerekētanga i runga i te tinana. Na, tauhohe anaphylactoid, e taea te kitea nga tohu o e takitahi mahi ranei i roto i te momo o ngā, he reira kahore iti mōrearea.

Tohutanga tauhohenga anaphylactoid

Tohu o te tauhohenga pāwera i roto i te manawanui whakaaro te i roto i te āhua kia mataara:

• whanoke;
• katoa ngoikore te tinana;
• disorders manawataki ngakau (tachycardia, fibrillation);
• tukupu pēhanga toto;
• hāhā o te manawa, patua huangō, me broncho-laryngospasm, edema pūkahukahu me te korokoro;
• tahunga kiri, minamina hikaka, pununga honé, integuments whero, angioedema ;
• cramps intestinal, whakapairuaki, korere, ruaki;
• ngaro o te pini;
• tiango Cardiovascular;
• whakapōturinga me whakatū o te ngakau.

pōauautanga pea i muri i tauhohe anaphylactoid

Ko te riri nui i roto ano, notemea he ru, ngā ki bronchospasm. I muri i te tetahi wā o te wā (i te 30 hēkona ki te haora, i ētahi wā 2-3 haora) tomo te antigen whakatairanga te tinana tukanga pathological pāwera i roto i te tinana. Te nuinga hoki tei te tauhohenga i runga i te āhua o te kătahi whakahihiko (waha parenterally ranei). Ko maha whanaketanga tere te take o te mate, meinga ohorere iti hoki romahā whakapeka, tino te maturuturunga iho pēhanga perfusion, e puta tika ki te kore ohorere o reretoto, toto kaka ranei edema, mahi waimaero o te kakau, Thrombosis matua.

I te rua o nga ra i muri i te mamae i te riri ru ki te ora, me te ora, ko te haereraa mate rere meinga e te tauhohenga pāwera ki te papamuri. Ahakoa i muri o wiki te tokorua, he tiketike tonu te mōrea o pōauautanga. Auau, i muri i anaphylaxis , tākuta whakatau taua mate me te pōrearea:

• kakā;
• vasculitis;
• täkihi me te ate, kakā, glomerulonephritis;
• epidermal necrolysis;
• myocarditis;
• rumati.

Ka taea e ngā pānga e rite whakawehi e rua anaphylactic me tauhohe anaphylactoid. Haunga te ru anaphylactic enei pathologies ko e titau te muri sensitization mua, me te he kore e taea ki te whakawhanake i roto i te hui tuatahi ki te taonga-whakapāwera.

maimoatanga anaphylaxis

Matau ki te hanga maimoatanga whawhati tata talena rite ki te tātaritanga ka hītori anake, na ko te mea nui ki te kohikohi i te reira. Mate pāwera tohutanga, ie. E. Ko te pikitia haumanu, hoki e whai wāhi nui i roto i te hanga i te whakatau hohoro. Heoi, anake e taea te whiwhi te whakahoki tino pono, me te oti ki te pātai e pā ana ki te tātaritanga i muri i te rangahau mate pāwera, me te immunology taiwhanga. I te wa ano, i runga i te pūtake o te āhua tino o te manawanui, rawa kia kia whakaratohia tona āwhina hauora tonu, rite i roto i te take o te puke cardiac hopu romahā ranei - revives te mahi.

I te wā o te mana o nga take waiwai o whakautu mate pāwera, mahi o te tinana, ko te ki te kawe i te tauine-tonu pārōnaki hauora tātaritanga. tikanga tenei momo o te rangahau te ki tutakina te mana taea o ngā āhuatanga e kore e pā ana ki tuku histamine.

he tauhohenga pērā o te kaiao ki ētahi atu take kore-mate pāwera

Nuinga o ngā wā, anaphylactic me anaphylactoid tauhohe (he aha te mea reira me te mate atu kino, he mea nui ki te mohio te iwi ko wai e pängia ana ki ara te innocuous tino i mawhiti tuatahi, tauhohe mate pāwera i roto i te puka o Rhinitis) whai ritenga ki ētahi atu āhuatanga, e taea pea ki te meinga bronchospasm, hypotension:

• tuwhena rawa o anesthetics;
• Thrombosis rite ki te hua o te rangi entrapment atherosclerosis ranei;
• wawata taimaha o pekitīlia tirotiro syndrome;
• infarction myocardial, tamponade pericardial;
• ru ero;
• edema pūkahukahu, me te tahi atu tohu e kore e pā ana ki te mate pāwera.

Emergency tiaki ina te tere whakawhanake hei tauhohenga anaphylactic anaphylactoid ranei ngā kore e rere ke i te matatini o ngā mahi e hāngai ana i te whakakorenga me te maimoatanga o te ru anaphylactic.

Hātepe mō te mahi akiaki

Ki te ahunga whakamua o mate pāwera tohu o rata, me te whakarato i te atawhai i roto i te heke mai tino tata ko te kī ki te maimoatanga angitu. Highlights o anaphylaxis te tauturu o te momo tonu he irava whakahauanga o te maha ngā wāhanga:

1. kia mutu Whakataki antigen i hopukina engari pea mōrearea.
2. tauhohe Anaphylactic anaphylactoid ranei (whakaahua i roto i te tuhinga whakaatu i te tohu tino noa, me nga tohu o te mate), e whanake i roto i rehunga ranei i roto i te mahi, titau te whakatārewatanga tonu. kia hanga te reira i te haki kounga i runga i te meka o te whakataki o allergens. Ki te peke koi i roto i te pēhanga toto ki raro, ki te aruaru i te supply o whakarehu. I roto i te take o te bronchospasm whakamahi whakahauanga o anesthetics hau.
3. Me whakarite hā me te airway noa i taua wā, ka kore te tino tupuheke te manawanui. Me nga pūkahukahu intubation tonu, tae noa ki reira, tae noa ki te mea tino mārama e te airway whakaratohia e te tinana ano.
4. tauhohe Anaphylactoid, e titau maimoatanga whakahaere rō-uaua o te Adrenaline, notemea he tūpono ki te manawanui, ara e rave rahi haora i muri i te whakahekenga atu o bronchospasm. Ka taea te nui haere inenga ki runga ki whakahaere toutou o epinephrine no te taonga he pānga pai i runga i te stabilization o ngā pūtau rewa, whakaiti uruhanga iaia o endothelium, i te mea faufaa i roto i te maimoatanga o te anaphylaxis.
5. I roto i te hiahia koi mō te whakaora , ko te hoki nui ki te whakapiki ake i te rōrahi o te wai komuhumuhu i roto i te tinana. Hoki tenei whakaaro, hoatu tākuta he pū tōngāmimi diameter nui pâmuhia (Vienna kore ai e tonu te pokapū whakamahia - i te wa o tona rapu taea tākaro ki huru o te manawanui) ka ringihia i roto i te torutoru rita o crystalloid.
6. A, no te e kore e taea ki te kitea allergens, i puta rite ki te hua o te tauhohenga anaphylactoid, kia whakarongo ki te whakamahi i roto i manawanui tūemi whakapā te taherapa. karapu hāparapara, taero, tīkina i roto i te oko taherapa pōtae, catheters mimi - tenei katoa i taea tīmata anaphylaxis.

I muri i te maimoatanga whawhati tata o tauhohe anaphylactoid (me te anaphylactic) titau te akoranga roa o te therapy i roto i te tikanga ki te ārai i hohokitanga o mate. Ko te tau'a ore o te tohutohu o kaiwhakaako faarahi te mōrea o whakawhänui te whānuitanga o allergens pea.

A pee i-ake maimoatanga

I roto i raau therapy bronchospasm hōtaka wāhi nui no ki te tarukino "Salbutomol" Ka taea e whakakapi i te reira, "aminophylline". Ki te taea, ki te huihui atu inhalation whakamahi isoproterenol ortsiprenalina ranei. Mai tauhohe anaphylactoid - ko te faaiteraa haumanu o nahanaha, i roto i nei kia te tohu matatini, he mea e tika ana ki te whakamahi i glucocorticoids (hei tauira, "Dexamethasone" "hydrocortisone") constraining tukanga tiango Cardiovascular.

Tikanga kapu ru anaphylactic tahi e muri rata ara maiteraa tonu. Ko te meka e taea whai tonu te whanaketanga o te mutunga o pōrearea te wahi, na ki tetahi tohu o te pakeke o te hohipera manawanui ko te otinga mārama. Whakahauanga me kaiwhakaako whakapono te haere mai o te rangahau kiri i runga i te rapunga o paturopi motuhake.

Prophylaxis o anaphylactic me te tauhohe anaphylactoid

hītori hauora tino - te mehua pai o te ārai, me te ārai o te re-anaphylaxis. I muri kohikohi i te mōhiohio e tika ana katoa e pā ana ki te akoranga o te mate, e taea te tāutuhia tūroro i tūpono me te ki te whakatau he aha e fehangahangai ia tauhohe anō-anaphylactoid. Eaha te auraa?

Mai whakaeke muri ia taea te tango i te wahi rapu tūroro nui taimaha kōwhiringa hu'ahu'a o taero me rehunga, a i roto i te tiaki kaha. I mua i te huhu toto mo te iwi e pängia ana ki te anaphylaxis, te kawe i te whakamātautau whakamātautau mō te hototahi ki etahi hua toto.

Mate pāwera ki ngā hua taherapa predetermines te whakahaere ngā whawhe heke mai i waho te whakamahi o taua moni.