Reactions Anaphylactoid: calaamadaha, ogaanshaha iyo dirka

dhacdo ee xasaasiyadda falcelin (anaphylactic) ay keento wakiilada exogenous, iyo dabeecad u socodka ay of diidmo nooca degdeg ah. Sida caadiga ah, lagu gartaa jawaabta jirka ee waxay noqon kartaa xaalad caafimaad oo naf-gooyada ah ee maqaarka, neefsashada iyo hawlaha wadnaha-vascular. Ka dib markii xiriir hore antigen bilaabo qarniga antibodies IgE gaar ah ay ujeedada looga danleeyahay. Waxay isku darsamaan unugyada mas'uulka ka ah geedi socodka difaaca, oo waxaa jira wacyigelin si antigen ah.

Sidee dareen xaasaasi ah?

hit kale oo kor u sii daayo xasaasiyada ka masuul ah, xoog unugyada difaaca jirka ee walxaha bioactive, gaar ahaan histamine. Waqtiga kala guurka ka hababka kiimikada si jirka bahal isbedel adaanaha ayaa ka muuqda ugu horayn in xididdada dhiigga, qanjidhada, muruqyada siman bronki oo wax ka tarta horumarinta iyo muujinta hore ee syndromes kuwan:

• hoos ka mid ah midab vascular,
• foosha lama filaan ah unugyada muruqa siman of xiidmaha, hawomareenno, ilmo-galeenka,
• xadgudubyada krovosvortyvaemosti;
• barar iyo bararka marinnada dhiigga.

Marka la barbardhigo xasaasiyad, dareen-celinta anaphylactoid, kaas oo inta badan loo yaqaan dacayadeed-caafimaad, ma antibody IgE-dhexaadin la basophils. In kasta oo isku mid ah oo calaamadaha qaabilaada habka, labaduba waa daliilka jawaab diidmo guud ee u shaqeeyo.

xasaasiyadda Drug keenaya reactions anaphylactoid

reactions Anaphylactoid - sidoo kale waa la sii daayo histamine, inta badan horay ugu xidhiidh hore irritant ah. Pseudoallergic haatan wakiil kala duwan oo si caddaalad ah u ballaaran. Habka, dareen-celinta ah ee jidhka inta badan waa kiiska waqtiga qaadashada daroogada, oo Fayda Xumaanta xasaasiyad.

Anaphylactic iyo anaphylactoid reactions nooca degdeg ah dhacaan marar badan ka dib hordhaca ah ee dabcineyso muruqa, antibiotics, daawooyinka suuxinta, opioids, daawooyinka suuxinta degaanka, tallaalka, therapy hormone, atropine iyo fitamiino B xasaasiyadda ayaa sidoo kale waxaa ka mid ah serum, cudur loo isticmaalo ujeeddooyinka caafimaadka iyo ogaanshaha in la ogaado maqaarka, cudurrada xubnaha galmada. The xaaladaha xasaasiyadda cinjirka alaabta. arrin A caadiga ah waxaa loo arkaa falcelin anaphylactoid in lidocaine sida daroogada degaanka suuxinta inta badan loo isticmaalaa, laakiin ay Halabuurka kiimikada adag oo keeni kartaa waxyeelo xitaa shaqeeyo caafimaad, kuwaas oo xasaasiyad in qaybaha daroogada ma aha caadiga ah.

meersan Nemedikametoznye

Haddii aan ka fiirsan kiisaska jawaabaha ee jirka ku meersan ee dabeecadda non-pharmacological, waxaa inta badan waa "dhibaato" cuntada wuxuu noqon karaa:

• strawberries,
• shellfish,
• malab la barwaaqaysan;
• nuts,
• likaha,
• Noocyo Qaar ka mid ah kalluunka,
• ukunta,
• liinta.

reactions Anaphylactoid dhici kara marka cayayaan qaniinay ama dubato invertebrate sun ah. Bukaan-socodka waxaa si joogto ah la kulma cadaanyo dabeecadda non-daawooyinka, waxay leeyihiin khatar weyn ee anaphylaxis in ay dhacdo qaliin hoos suuxinta guud.

dirka anaphylaxis

Sidaa waxa dhacaya iyo dirka dareen diidmo oo xasaasiyadeed. unit ugu horeysay ee ka mid ah noocyo kala duwan oo ficil-celintan jirka oo kala qaybsan yihiin dhexdhexaadiya IgE, IgG dhex dhexaadin iyo IgE-dhexaadin iyo jirka load. reactions anaphylactoid Pseudoallergy dhexdhexaadintii ay sii daayo fudud dhexdhexaadiyayaasha, raaceen by call a ka dhashay tallaabo daroogada, gaadhista cunto iyo waxyaabo jirka. category A gooni ah taag reactions anaphylactoid la mastocytosis; kaxeynayo dhex dhexaadin difaaca, isku celceliyo immunoglobulin markii antisera maamulo iyo antibody dhex dhexaadin cytotoxic, walxaha gale.

Sidee anaphylaxis?

Morphine iyo barbiturates badan, dabcineyso muruqa, pethidine saamayn kartaa unugyada baruurta, taasoo keenta in la sii daayo histamine. In sawirka caafimaad oo ku xiran tahay qiyaasta iyo heerka loogasoo galay jidhka ka mid ah maaddooyinka firfircoon. Practice muujinaysaa in falcelinta qaadataa meel inta badan benign, qaab oo kaliya ku koobnayn on maqaarka.

reactions Anaphylactoid (ICD-10 abaal this syndrome bahal) waxa lagu gartaa saadaalin Karin ee horumarinta mustaqbalka iyo suurto gal la'aan buuxda oo ku saabsan wax ka qabashada xasaasiyad hore ka dhanka ah cudur. Tan iyo saamaynta wiish anaphylaxis khatar ku ah caafimaadka iyo nolosha, waxa muhiim ah in goor hore la ogaado dhibaatooyinka iyo qaadaan tallaabo ku haboon. Marka laga farsamo ama calaamadaha ku heshaa pseudoallergic anaphylactic si weyn u kala duwanaan karaan. Xirashada dabiiciga ah Gaarna shakhsi, daliilka u dhaxayn kartaa boodi yar ee cadaadiska dhiigga iyo finan maqaarka ah in bronchospasm daran iyo burburkii hawlaha nidaamka wadnaha.

Marka marxaladdan, waa ay fududahay in la ogaado talaabo kale psevdoallergenov farqiga on jidhka. Dhanka kale, reactions anaphylactoid, calaamadaha taas oo lagu ogaan karaa shaqsi ahaan ama ficil kala duwan oo ka mid ah isu-gaynta, waxaa jiro khatar yar.

Symptomatology reaction anaphylactoid

Calaamadaha dareen xaasaasi ah ee bukaanka ah waxaa loo arkaa in gobolka jeedisay ah:

• wareer;
• total tabar jidhka;
• xanuunada garaaca wadnaha (tachycardia, aamba);
• hoos u cadaadiska dhiigga;
• neefta oo ku qabata, cudurka neefta, iyo broncho-laryngospasm, barar sambabada iyo cunaha,
• gubashadii maqaarka, finan cuncun, finan, integuments guduudasho, anjioedema ;
• casiraad caloosha, yaqyaqsi, shuban, matag,
• Maqnaanshaha of garaaca wadnaha ah,
• burburkii wadnaha;
• deceleration iyo joojinta waxyaalaha qalbiga ku jira.

Dhibaatooyinka dhici kara ka dib markii reactions anaphylactoid

halista ugu weyn ee iniinahoodu ku dhex jiraan oo sawirka lama filaan ah, oo ay weheliso bronchospasm. Ka dib markii muddo waqti go'an (30 seconds in saacad, mararka qaarkood 2-3 saacadood) antigen galay jidhka kor u geedi socodka bahal xasaasiyad jidhka ku. Inta badan for falcelinta ku xiran tahay qaabka wax lays ku heshaa (af ahaan ama parenterally) ah. horumarinta Rapid inta badan waa sababta dhimashada, keenaya la'aan lama filaan ah ba'an ee neef-mareenka, muhiim dhibic cadaadis perfusion, taas oo dhacda sabab u failure si kadis ah wareegga dhiigga, dhiig baxa maskaxda ama barar, shaqo oo yaraada of stem, thrombosis halbowlaha.

Oo maalintii labaadna waxaa ka dib markii ay khatar lama filaan ah nolosha iyo soo kabashada waa faafidda cudurka saameen sababa dareen xaasaasi ah ka dhanka ah asalka ah. Xitaa laba todobaad ka dib, halista jahawareerka weli waa heer sare ah. Inta badan, ka dib markii anaphylaxis , dhakhaatiirta ogaado cudurada sida iyo cillad:

• pneumonia,
• vaskulitis;
• renal failure iyo cagaarshowga, hepatitis, glomerulonephritis;
• necrolysis epidermal;
• myocarditis;
• arthritis.

Saamaynta la mid ah ay halis gelin karto anaphylactic iyo jawaab anaphylactoid labadaba. Si ka duwan lama filaan ah anaphylactic heley waa in dambe waxay u baahan tahay wacyigelin ka hor iyo ma awoodo si ay u horumariyaan in kulankii ugu horeeyey la walax-xasaasiyada.

daaweynta anaphylaxis

Xuquuqda si ay u sameeyaan daawada degdegga ah sida uu cudurka taariikhda keliya doono, sidaas darteed waa muhiim si ay u soo ururiyaan. symptomatology xasaasiyadda, ie. E. Sawirka clinical, sidoo kale kaalin muhiim ah in go'aan degdeg ah. Si kastaba ha ahaatee, jawaabta ugu kalsoonaan karo oo dhamaystiran su'aasha ku saabsan cudurka laga heli karaa oo kaliya ka dib markii cilmi xasaasiyadda iyo immunology shaybaarka. Isla mar ahaantaana, ku salaysan gobolka muhiimka ah ee bukaanka, gaar ahaan uu gargaar caafimaad oo deg-deg ah waa in la siiyaa, sida kiiska ee wadnaha ama la xiro neefsashada - nooleeyo tallaabada.

Marka marxaladdan ee aqoonsiga sababaha jawaabta xasaasiyad, hawl jirka ee waa in ay fuliyaan-buuxa cudurka kala duwan ee caafimaadka. Noocan sahanka waxaa loogu tala galay in laga saaro saamaynta ay suurto gal ah arrimo aan la xidhiidha sii daayo histamine.

reaction noocan oo kale ah ee u shaqeeyo in ay sababo kale oo aan xasaasiyad

Inta badan, anaphylactic iyo anaphylactoid reactions (waxa ay tahay iyo cudurka khatar badan, waxaa muhiim ah in dadka u nugul xitaa ugu buuga at jaleecada hore, dareen diidmo oo xasaasiyadeed oo ah qaab rhinitt ogaan) waxay leeyihiin egyihiin leh arrimo kale, laga yaabo inay keeni karaan bronchospasm, hypotension:

• xad dhaafka ah ee suuxinta;
• thrombosis ay sabab u tahay in lagu go'doomo hawada ama atherosclerosis,
• Doonidba culus ee gastric waxyaabaha syndrome,
• Wadnaxanuun myocardial, tamponade pericardial;
• lama filaan ah septic;
• barar sambabada iyo calaamado kale oo aan xiriir la leh xasaasiyad.

daryeelka degdegga ah marka si degdeg ah horumarinta sida dareen-celin ah anaphylactic ama anaphylactoid ficil ahaan kama duwana adag ee falalka loola jeedo in lagu reebay iyo daweynta shoogga anaphylactic.

Habka in tallaabo deg-deg ah

Iyada oo horumar ah ee xasaasiyadda aqooneed ee dhakhaatiirta iyo waxay bixiyaan daryeel mustaqbalka ugu dhow waa furaha guul laga gaaro daawayntaada. Si Sahlan ee gargaarka anaphylaxis nooca degdeg ah waa marinka khasab ah dhowr marxaladood:

1. Hordhac la xaqiijin laakiin aadka u halista ah antigen waa in la joojiyo.
2. ficil-celintan jirka ama anaphylactoid (photo maqaalka muujiyaan calaamadaha ugu caansan iyo calaamadaha cudurka), taas oo uu yeesho inta lagu jiro suuxinta ama inta lagu jiro hawlgalka, waxay u baahan tahay ka joojinta deg-deg ah. Waa in la sameeyo baaritaan tayo leh oo ku saabsan xaqiiqada ah ee xasaasiyadda hordhaca ah ee a. Iyada oo boodi af badan ee dhiig karka hoos in ay kala go'do bixinta ee daawada suuxinta. In case of bronchospasm isticmaalka khasab ah suuxinta neefsado.
3. Hawo iyo marin-haweedka waa in la hubiyaa xitaa marxalad in, marka bukaanka waxaa si weyn ma sii dartay. sambabada intubation The u baahan tahay si joogto ah, ilaa iyo markaas, ilaa ay gebi ahaanba cad in marinka hawada ay bixiyaan jirka laftiisa.
4. reactions Anaphylactoid, taas oo daaweyn u baahan tahay maamulka xididka of adrenaline, khatar ah in bukaanka, xitaa dhowr saacadood ka dib ka kaxayntu ay of bronchospasm. Qiyaasta dul maamulka noqnoqda ee epinephrine waa la kordhin karaa, sababtoo ah walaxda leedahay saamayn togan ku saabsan xasilinta ee unugyada waaweyn, hoos u permeability vascular of endothelium, taas oo lagama maarmaan ah in daaweyn jiray anaphylaxis.
5. In baahida loo qabo in si degdeg ah loogu soo kicinta kale oo muhiim ah in la kordhiyo mugga dareeraha wareegaya ee jirka. Ujeedada this, dhakhaatiirta geliyey tuubo dhexroor weyn intravenously (Vienna laga yaabaa in aysan mar kasta noqon xarunta isticmaalo - waqtiga ay search ciyaari karo xaaladda bukaanka) iyo ku shub dhowr litir oo crystalloid.
6. Marka ay tahay wax aan macquul aheyn in lagu ogaado xajiinta, kaas oo ka dhacay iyadoo ay sabab u reaction anaphylactoid, waa in fiiro gaar ah u isticmaalaan inta lagu jiro waxyaabaha la xiriir latex bukaanka. gacmo gashi Qalliinka, daroogada, la gudagelin a fijaan latex cap, tuubooyin kaadi - waxan oo dhan ayaa keeni kara anaphylaxis.

daaweynta degdegga ah ee reactions anaphylactoid (iyo sidoo kale anaphylactic) Ka dib markii ay u baahan tahay koorso dheer daaweynta si looga hortago soo noq cudurka. dayacaad ka mid ah tilmaamaha dhakhaatiir kordhiyaa halista ah ee ballaarinta kala duwan ee xasaasiyadda ka iman kara.

Kantaroolka Dawaynta

Ka mid ah therapy daroogada barnaamijka bronchospasm door muhiim iska leh daroogada "Salbutomol" bedeli karaan, "aminophylline". Haddii ay suurtagal tahay, miciinka oo dheeraad ah si ay u neefsasho oo isticmaalaya isoproterenol ama ortsiprenalina. Tan iyo reactions anaphylactoid - waa muujin caafimaad ee systemic, kaas oo calaamadaha laga yaabaa in adag, waxaa lagama maarmaan ah in la isticmaalo glucocorticoids (tus, "Dexamethasone" "hydrokortisoni") caqabad nidaamka wadnaha iyo burburkii.

Sida caadiga ah cupping lama filaan ah anaphylactic Ulasocto dhakhtarro feejignaan joogto ah ku xiga. Xaqiiqada ah in horumarinta cillad dabayaaqadii had iyo jeer waxay yeelan karaan meel, sidaa darteed la darajo kasta oo ah adkaanta isbitaal bukaan socodka waa xal cad. Qasab iyo dhakhtarradu ka qabaan inuu u Yimaaddo cilmi maqaarka on ogaanshaha ee antibodies gaar ah.

Prophylaxis ee anaphylactic reaction oo anaphylactoid

taariikhdaada caafimaad dhamaystiran - qiyaastii ugu wanaagsan ee ka hortaga iyo ka hortagga dib-u-anaphylaxis. Ka dib markii ururinta dhammaan xogta muhiimka ah oo ku saabsan koorsada cudurka, waxaa lagu ogaan karaa bukaan halis iyo si loo ogaado waxa uu wajihi lahaa reactions dib-u-anaphylactoid. Maxay ka dhigan tahay?

Tan iyo markii ay weerar kasta xiga dhici kartaa bukaan badan ka culus u baahan tahay xulashada dhaafin daroogada iyo suuxinta, iyo inta lagu jiro daryeelka degdegga ah. Ka hor inta lagugu shubo dhiig loogu talagalay dadka u nugul anaphylaxis ah, fuliyaan baaritaanka tijaabada waayo waafaqsan yahay waxyaabaha dhiigga qaarkood ah.

Xasaasiyadda in waxyaabaha latex predetermines dhaqanka manipulations kala duwan mustaqbalka aan loo isticmaalin lacagaha sida.