Anaphylactoid reactions: symptoms,ʻike, a me ka Mea Maluna

Ka hanana o allergic (anaphylactic) reactions , kena ae la ia e exogenous konohiki, a me kona pele ano o koke type hypersensitivity. E like me ka rula, wehewehe aku ma ke kino o ka muli o hiki e ola-hooweliweli 'inikua ana o kaʻili, a me ka ÷ naehana hanu cardio-vascular hana. Ma hope o ka mea mua hui 'ana me ka antigen kaʻina kānāwai hanauna IgE nā mea'aʻaʻa ho'ākāka' ia no kona Manao iho la ia mea. Ka mea, merge me na keena kuleana no e hoʻonele keʻano o ka hanaʻana, a me he mea sensitization i ka antigen.

Pehea e holo ai ka allergic NaI?

Kekahi LIKE ka paipai 'ana i ke kala ana o ka allergen kuleana no ka ikaika'ōnaehana paleʻea keena o bioactive waiwai, o ka oi aku histamine. I ka manawa o ka hoʻololi mai Nine Inch keʻano o ka hanaʻana i ka pathological physiology ku pono loli i lewa kuhikuhi i loko o nā ipu koko, ke lymph aka wahi, bronchial ala apuupuu Muscle e ka poʻea pau i ke ana a me ka i hōʻike 'ana o kēia mau syndromes:

• ka ho'ēmiʻana o vascular leo;
• koke contraction o ala apuupuu Muscle'aʻaʻa o ka naʻau liʻiliʻi, bronchi, uterus;
• krovosvortyvaemosti aʻe ';
• aat i a me ka nani o na moku koko.

Akä naÿe i ka allergic, anaphylactoid naoh, i ua pinepine kapa feria-inikua,ʻaʻohe IgE-mediated lāʻau lapaʻau kino me basophils. I loko nō aʻo Kīwala'ō o symptoms muli o ke kaʻina hana, nā mea hoikeana o generalized hypersensitivity pane o ka meaola.

Uluwehi O allergy ma o na la anaphylactoid reactions

Anaphylactoid reactions - ia mea i ke kala o ka histamine, pinepine ua ma ka mua hui 'ana me ka irritant. Pseudoallergic Ke ho i ke 'ano laulā huahelu. Paradoxically, keia naoh o ke kino o pinepine i ka hihia i ka manawa o ka lawe i ka lāʻau, relieves allergies.

Anaphylactic a anaphylactoid reactions koke type ana loa pinepine ma hope o ka hoʻokomo 'ia' ana o Muscle relaxants, antibiotics, anesthetic lapaʻauʻia, opioids, kūloko anesthetics laau lapaau, vaccination, hōmona Inc, atropine a me B nā wikamina i allergens i nā lāʻau lapaʻau, antigens hoʻohana ma o ka 'inikua a me ka lapaʻau' ana i manao ai e huai aeʻili, venereal maʻi. Na hihia o ka allergy e latex huahana. A e like me ka kŰia ua manaoia anaphylactoid naoh i lidocaine like me ka kūloko anesthetic lāʻau i hoʻohana pinepine, akā, kona luna 'Nine Inch haku mele' hiki iʻaoʻao 'ole, a hiki i ke ola i ke meaola, kona allergy i ka lāʻau eiiiiiaiou mea ole typical.

Nemedikametoznye stimuli

Inā na hihia o ka pane mai o ke kino a hiki i stimuli o ole-pharmacological ano mākou noonoo, he mea ka hapanui "pilikia" hiki eʻai:

• strawberries;
• ka pūpū;
• ka meli;
• kukui;
• Fish;
• Kekahi mauʻano likeʻole o ka iʻa;
• hua;
• citrus.

Anaphylactoid reactions kānāwai ka wā i insect akiaki oukou a make invertebrate? Aaoa. Hoʻomanawanui iki mai i mauʻike piʻi allergic reactions ole-lāʻau lapaʻau ano, i ka nui pilikia o anaphylaxis i loko o ka hihia o keʻoki kino ma lalo mau anesthesia.

Mea Maluna o ka anaphylaxis

Nolaila e ka hana a me ka Mea Maluna o allergic reactions. Ka mokuna mua ka loaʻa o keʻano o ka anaphylactic reactions i i maheleia i loko o mediated IgE, IgG mediated a me IgE-mediated a physical haawe ana. Pseudoallergy anaphylactoid reactions mediated ia e kekahi mea hookuu o ka uao, i ukali ia e ke kahea triggered ma ka hana o ka ai ', waiū i kaʻai a me ka physical aʻe. A hoʻokaʻawale waeʻano nei iluna anaphylactoid reactions me ka mastocytosis; mediated'ōnaehana paleʻea eiiieaenu, immunoglobulin 'Ohi ka wā lawelawe antisera a me ka lāʻau lapaʻau kino mediated cytotoxic, radiopaque waiwai.

Pehea ka anaphylaxis?

Morphine a me na mea he nui barbiturates, Muscle relaxants, pethidine mea e loli i ka momona keena, e kauoha ana i ke kala o ka histamine. Ma keia lapaʻau kiʻi hilinaʻi nui ma luna o ka laʻau heluna, a me ka inflow ana i loko o ke kino o ka mea hana nā mea hoʻohui. Mea hōʻike i ka naoh i wahi puleʻAmelika, benign, kaupalena 'wale nō ka hōʻike' ana ma luna o kaʻili.

Anaphylactoid reactions (ICD-10 i hookoia keia pathological maʻi pale) ua wehewehe aku ma ka unpredictability o ka wā e hiki mai ana, a hiki i ka piha nele i ka 'ike e pili ana i mua allergic pane e ku e antigens. Mai na waiwai o ka anaphylaxis manu'ū, pilikia i ke ola kino a me ke ola, ia mea pono no kakahiaka ka loaʻaʻana o nā complications, a lawe hana kūpono. Nānā 'ole o keʻano papa hana paha anaphylactic pseudoallergic stimulus symptoms ke oko a me ka nui loa. Ua hoʻokomoʻia he hoʻokahi wale nō kanaka maoli, hoike ana i ka ÷ hōʻemi iki Lele i loko o ke koko, a me ka ili poʻe noʻonoʻoʻole i ka loa bronchospasm a me ka'opi o ka functioning o ka mea'ōnaehana mānowai koko nenoaiu.

Ma keia kahua, ka mea, he mama, e hoailona oukou i kekahi koena unuhi psevdoallergenov hana ma luna o ke kino. Ia manawa, anaphylactoid reactions, na symptoms o i hiki ke 'akomi i pākahi a hana i loko o ka likeʻole ma o ka pu malu ana, ia mea i emi pilikia loa.

Symptomatology anaphylactoid naoh

Na hoailona o ka allergic naoh i loko o ka hoomanawanui ua noʻonoʻo i loko o ka Pa moku'āina:

• pōniuniu;
• huina kino nawaliwali;
• naau pāpana kāna hana (tachycardia, fibrillation);
• hakumakuma ke koko;
• pokole o ka hanu, asthma ho'āhewa wale, a me ka broncho-laryngospasm, pulmonary edema a me ka puʻu;
• ili ahi, maneo poʻe noʻonoʻoʻole, hives, redness integuments, angioedema ;
• intestinal cramps, nausea, diarrhea, ka luaʻi;
• wa e kaawale aku o ka lāʻau ikiʻai wale;
• mea'ōnaehana mānowai koko'opi;
• deceleration a papani iho la o ka naau.

Paha complications ma hope anaphylactoid reactions

Ka nui hoʻoweliweli 'i loko iho poses ka kŰia, hui me ka bronchospasm. Ma hope o kekahi kōā o ka manawa (mai 30 kekona a hiki i ka hora, i kekahi manawa, 2-3 hola) ka antigen komo i ke kino paipai 'ia ka allergic pathological keʻano o ka hanaʻana i loko o ke kino. Pili kēia no ka naoh hilinaʻi nui ma luna o ke kinona o ka stimulus anal (hōʻike waha 'ole parenterally). Rapid ulu He pinepine ke kumu o ka make, ma o na la ulia huʻi naehana insufficiency, noho pilikia perfusion puʻe kulu, a ia lŘlŘ aie a hiki i ka manawa e holo pono o ka circulatory, cerebral hemorrhage a edema, hoʻopōʻino hana o ke kumu, arterial thrombosis.

Ma ka lua o ka lā ma hope e loaa ana i kekahi kŰia hoʻoweliweli 'ana i ke ola a me ke ola mea concomitant maʻi Holomua, kena ae la ia e ka allergic naoh e ku e ia i ke kāʻei kua. Oia hoi, ma hope o kekahi mau o ka pule, i ka pilikia o ka complications mea nō kiʻekiʻe. Pinepine, ma hope o anaphylaxis , kauka diagnose i na maʻi a me ka dysfunction:

• pneumonia;
• vasculitis;
• ʻaʻa puʻuwai a me ka hoʻokō 'ole' hepatic, hepatitis, glomerulonephritis;
• epidermal necrolysis;
• myocarditis;
• arthritis.

Similar 'ole e olelo hooweliweli aku nā anaphylactic a me anaphylactoid reactions. Haʻalele anaphylactic kŰia mau pathologies mea i ka la mahope pono ma mua o sensitization a me ka mea i hiki ke hoʻomōhala i loko o ka mua halawai ana me ka waiwai-allergen.

anaphylaxis lapaʻau

Pono e e pilikia lapaʻau regimen e like me kaʻike, e wale mōʻaukala, no laila ia mea nui, e ohi ia. Allergy symptomatology, oa. E. ka lapaʻau kiʻi, Radio i nui ka kūlana ma ka hana ana i ka māmā olelo hooholo. Eia naʻe, hiki wale ke loaa ma hope o ka allergy a me ka immunology keʻena hoʻokolohua noiʻi ka loa ike loea a me ka piha pane ana i ka ninau e pili ana i kaʻike,. I ka mea ia manawa, ma ke kumu o ka pilikia ana o ke hoomanawanui, o ka oi aku o kona koke 'inikua kōkua E e hoʻolako, e like me ia ma ka hihia o cardiac hopu ole naehana hopu - hoala anei lakou i ka hana.

Ma ke kahua o ke kūʻokoʻa o ka hp'pnphp kumu o allergic muli o, ke kino o ka hana mea e lawe mai i ka piha-unahiʻole, i 'inikua palena pauʻike. Kēiaʻano o ka anamanaʻo ua manaoia e hookaawale ia i ka hiki ole o kumumea i pili me ka histamine kala.

Oia ka naoh o ka meaola i kekahi hale-allergic kumu

Loa pinepine, anaphylactic a me anaphylactoid reactions (mea ia mea, a me ka nui weliweli maʻi, ia mea pono e ike na kanaka, ka poe i prone i ke ahiahi, i ka loa innocuous ma mua kilohi, allergic reactions i loko o ka palapala o rhinitis) i mea like me nā aʻe, palena papaha hiki ia i bronchospasm, hypotension:

• overdose o anesthetics;
• thrombosis like me ka hopena o ka lewa entrapment paha atherosclerosis;
• kaumaha wehena o gastric Contents maʻi pale;
• myocardial infarction, pericardial tamponade;
• septic kŰia;
• pulmonary edema a me nā symptoms ole me allergies pili.

Pilikia mālama ka wā o ka hoʻomaka koke ka ulu 'me he anaphylactic paha anaphylactoid naoh kokoke aʻole oko mai o ka luna' o ka hana nona hoʻopau a me ka hana ana o anaphylactic kŰia.

Ke Kaʻina Hana no ka manaʻo 'ana

Me ka Holomua o allergies makahiki paha no ka lapaau, a i malama ma ka loa kokoke wā e hiki mai o ke ki i ka holomua lapaau. Highlights o anaphylaxis kokua o ke 'ano koke i OAXA e hooholo ia ana o kekahi mau kahua o ka hoʻonaʻauao.

1. Introduction unconfirmed akā palena papaha mea pepehi antigen E e hele aku.
2. Anaphylactic ole anaphylactoid reactions (Hawaii photo i loko o ka 'atikala h ÷ ike i ka loa, he pono ole symptoms a me na hoailona o ka maʻi), a hoʻomōhala i ka i anesthesia paha i ana, pono ke wehe koke. It E e i kekahi mea e like ai kaha ma ka oiaio o ka hoike ana o allergens. Me ka oi Lele i loko o ke koko, i lalo, e alalai mai i ka lako o ka anesthetic. I Ina o ka bronchospasm OAXA pono o ana anesthetics.
3. pono e lako pono hoʻokomo ea a me ka airway a hiki ma i ke kahua, ka wā o ka hoʻomanawanui ua ole me ka nui loa deteriorated. Ke intubation maʻiʻaʻai pono mau, a laila, a ia mea pono akaka i ka airway i hoakaka ia ma ke kino iho.
4. Anaphylactoid reactions, a lapaau pono ai intravenous hooponopono o ka adrenaline, poses i ka pilikia a hiki i ka hoomanawanui, a me kekahi mau hola ma hope o ka wehe 'ana o bronchospasm. hiki e mahuahua laʻau heluna maluna o hai mau hoʻoponopono o epinephrine no ka mea, o ka waiwai ka mea, he maikaʻi ia ma luna o ka noaaeeecaoee o ke kia keena, ke emi vascular permeability o endothelium, i mea nui i loko o ka iapaau ana o ka anaphylaxis.
5. Ma ka huʻi nele no ka resuscitation mea i nui, e hoomahuahua i ka buke o ka hoʻolahaʻia loli i loko o ke kino. No keia mea, kauka i ka nui anawaena catheter intravenously (Vienna,ʻaʻole e mau ia i ke kikowaena hoʻohana - i ka manawa o kona huli ke pāʻani ma luna o ka hoʻomanawanui ka ana), a ninini i loko o kekahi mau nā lika o crystalloid.
6. I ka wa he mea hiki ole ke huai ae allergens, a ulu aʻe like me ka hopena o anaphylactoid naoh, e hoʻolohe, e hoʻohana iloko hoʻomanawanui hui 'latex mau. ʻoki lāʻau lapaʻau Loan, ai ', pūʻali koa i mea ma ka latex chap hue, urinary catheters - a pau i kēia hiki ke kāhea anaphylaxis.

Ma hope o pilikia lapaʻau o anaphylactoid reactions (e like me anaphylactic) pono i ka papa lōʻihi o ka Inc i mea e pale aku recurrence o ka maʻi. Ke ana o na olelo ao a kauka maoli i ka pilikia o ka hoʻonui i ka laulā o Loaʻaʻia allergens.

E hahai mai-i lapaau

I waena o ka lāʻau 'Inc nui kūlana polokalamu bronchospasm e pili ana i ka lāʻau "Salbutomol" hiki puku ia, "aminophylline". Inā hiki, he hou e akoakoa ai e inhalation hoʻohana isoproterenol paha ortsiprenalina. No anaphylactoid reactions - mea he lapaʻau kīnā o systemic, ma a na symptoms i e eiiieaen, ia mea pono e hoʻohana glucocorticoids (e laʻa me, "Dexamethasone" "hydrocortisone") Koi kaʻina mea'ōnaehana mānowai koko'opi.

Nō kāu cupping anaphylactic kŰia pu ma hope ana makaʻala kahuna lapaau. Ka nui, e hoike ana i ka ulu ana o ka hopena o dysfunction hiki mau ai ia lakou i ka wahi, no laila, me kekahi degere o ka oolea o ka hoʻomanawanui hospitalization mea he maopopo pāʻoihana. OAXA a me na kumu manaoio o ka hiki ana mai o ka ili noiʻi ma ka ka loaʻaʻana o ka ho'ākāka 'ia i nā mea'aʻaʻa.

Prophylaxis o anaphylactic a me ka anaphylactoid naoh

Hoʻokolokolo pono 'inikua mōʻaukala - i ka mea maikai ana o Kāohiʻana a me ka Kāohiʻana o ka hou-anaphylaxis. Ma hope oʻohi i ka mea e pono 'ike e pili ana i ka papa o ka maʻi, hiki ke hōʻike' nā mea maʻi i kamepiula, a e hooholo i ka mea, e maka hou-anaphylactoid reactions. He aha aʻole ia ke ano o?

No kēlā me kēia hope hoouka hiki ke lawe wahi he nui kaumaha nā mea maʻi i kauoha mai meticulous koho ana ai 'a me ka anesthesia, a me ka manawa mālama nui malama. Mamua o ke koko transfusion na kanaka prone i anaphylaxis, lawe mai i ka hōʻike keia hookolokolo ana no ka hoʻokaulike me kekahi koko huahana.

Allergy e latex huahana predetermines i ka wā e hiki mai hana likeʻole manipulations me ka hoʻohana 'ana o ia mau dala.