Amalungiselelo antishock: uhlu kanye nencazelo esebenzisa antishock isethi

Anti-ukushaqeka imithi esetshenziswa odokotela ukuba basize iziguli ezimweni ezibucayi ekuphileni kwabo. Kuye Kulezi zimo, odokotela angasebenzisa ezihlukahlukene izidakamizwa. Egunjini labagula kakhulu futhi bashise amayunithi, kusukela ambulensi nabasebenzi kanye eziphuthumayo ngempela isipho protivoshokovym amasethi. Njengoba isimo ezingalindelekile kungenzeka, ngeshwa, hhayi kuphela ebukhoneni odokotela, ebhizinisini ngalinye kufanele kube ikhithi samanje, okuzokwenza antishock izidakamizwa. uhlu zazo ezimfushane kuzoxoxwa ngakho esihlokweni sethu on.

Isidingo kits ngenxa yokushaqeka anaphylactic

Ngokwe-Ministry of izincomo Health, kuqala zosizo, ukuthi ine anti-ukushaqeka yokwelapha amalungiselelo, akufanele nje kube njalo wamazinyo nokuhlinzwa kadokotela, kodwa futhi kunoma iyiphi ibhizinisi. Have zosizo lokuqala kungaphazamisi endlini, ngakho-ke kuyadingeka ukuba okungenani sakugcina ulwazi kanjani futhi nini ukusebenzisa ekuqukethe.

Ngeshwa, izibalo kwezokwelapha kubonisa ukuthi inani amacala nesenzakalo okungazelelwe ukushaqeka anaphylactic luyanda njalo ngonyaka. Ukuze avuse beshaqekile it may umuntu ukusabela iguliswa ukudla, imithi, ukuxhumana umkhiqizo yezimonyo, noma unambithe kanye nje kuphela isinambuzane. Ukubikezela kusengaphambili ematfuba ukusabela komzimba okufana cishe kungenakwenzeka, futhi inkinga enkulu ukushaqeka anaphylactic ijubane umbani sokuthuthuka.

Lesi ngiso sizatfu sekufa phambi yimuphi omunye izidakamizwa e nekhabethe lemithi, futhi ukuqonda ukuthi ukusisebenzisa, kungase kuxhomeke endleleni ukuphila komuntu.

Anti-ukushaqeka izidakamizwa: uhlu

Ministry of Health omamukele uhlu izidakamizwa ukuthi kufanele ibe njalo nekhabethe lemithi ukusiza okuvela ukushaqeka anaphylactic. Lezi zihlanganisa:

• "Crank" (0.1%) e ampoules.
• "Diphenhydramine" e ampoules.
• Isixazululo of sodium chloride.
• "Eufillin" e ampoules.
• "Prednisolone" (ampoules).
• Antihistamine.

Ngokulandelayo, sitshelwa ngo sicabangele kafushane izenzo isimiso ngamunye izidakamizwa.

Yini edingekayo ukuze kwabathinta "Adrenaline"?

Lokhu imithi angabhekwa izidakamizwa main anti-ukushaqeka isethi. Uma ubheka isebenza ukushaqeka anaphylactic, kufanele kuqondwe ukuthi uma kwenzeka olunzima ukusabela komzimba nomzimba womuntu is bebengaphuzile hypersensitivity ukubulawa amasosha omzimba. Ngenxa yalokho, izivikeli mzimba ziyaqala ukubhubhisa ejenti hhayi kuphela angaphandle (the allergen), kodwa futhi amaseli ayo. Futhi lapho la mangqamuzana baqale ukufa, umzimba womuntu iwela beshaqekile. Zonke nezinhlelo zawo ziqale ukusebenza olunzulu, ukusebenza esiphuthumayo ukuze ahlinzeke izitho ezibaluleke kakhulu-mpilo.

Thrust "Epinephrine" (0.1%) okwesikhashana constricts imithambo yegazi, lapho kunyatheliswa eba amasosha omzimba histamine encishisiwe kakhulu. Ngaphezu kwalokho, ukwethulwa "Epinephrine" kuvimbela iconsi okusheshayo wegazi ezihambisana ukushaqeka uthi. Futhi kwabathinta "Adrenaline" kuthuthukisa inhliziyo umsebenzi futhi kuvimbele ukuhluleka kwawo ngangokunokwenzeka.

"Diphenhydramine" - indlela, hhayi nje kuphela ngenxa ukuqwasha

Abantu abaningi abayitholi eziphathelene nokwelapha, ngephutha sikholelwe "Diphenhydramine" elele kuphela amaphilisi. Lokhu imithi inakho nomphumela soporific, kodwa ngaphandle ukuthi, "Diphenhydramine" - ngisho izidakamizwa antishock senzo. Ngemva isingeniso ke dilates imithambo yegazi, ngaleyo ndlela lisuse bronchospasm. Ngaphezu kwalokho, kuyinto antihistamine. It amabhlogo ukukhiqizwa kwe histamine futhi suppresses ngokweqile asebenzayo isimiso sezinzwa esiyinhloko.

Yini edingekayo isixazululo sodium chloride nekhabethe lemithi antishock

Lokhu Isixazululo ngokuvamile sisetshenziswa zokwelapha e-Ukususwa ngoba ngemva emthanjeni ireferensi ke uyakwazi ukulungisa ukusebenza kwe-izinhlelo ezihlukahlukene zomzimba. "Sodium chloride" lisetshenziswa njengendlela izidakamizwa detoxifying. Futhi, lapho esindayo ukopha lokhu isixazululo uyakwazi ukuvezela wegazi. Lapho edema cerebral isetshenziswa njengoba i isisu osmotic.

"Eufillin" - usizo ezisheshayo spasm bronchial

Lesi sidakamizwa ngokwanele bronchodilator ezinamandla. Lapho beshaqekile, uyasisiza ukuba kusebenze ezengeziwe izindlela yini nokusekela ukuphila kwakhe emzimbeni. "Eufillin" uyakwazi ukunweba bronchi kanye ukudalula capillary reserve, okuyinto kusiza kakhulu futhi kuzole ukuphefumula nge beshaqekile.

"Prednisolone" - analogu abaseduze we-hormone ekhiqizwa umzimba

"Prednisolone" kuyinto ngempela umuthi obalulekile ekusizeni abagulayo abaphila beshaqekile. isenzo sayo ke uyakwazi yokuvimbela umsebenzi ukubulawa amasosha omzimba ukuthi kumkhathaze yokumelwa yinhliziyo.

Lokhu i-hormone zokwenziwa ngempela esiseduzane Analogue protivoshokovogo hormone ikhishwe umzimba emphilweni izimo zabo ezibucayi. Ngemva yethula, ukwethusa umzimba incipha ngesikhathi esifushane kakhulu. Kufanele kuqashelwe ukuthi izidakamizwa anti-shock isetshenziswe kuphela ukushaqeka anaphylactic. Odokotela zisebenzisa awushise, cardiogenic, ukudakwa, uthuthumele kuhlasimulise kanye namasistimu okusebenza.

Kwezinye izimo kubalulekile ukusebenzisa izidakamizwa anti-ukushaqeka?

Ngashaqeka zomzimba womuntu kungabangela anaphylaxis, hhayi kuphela ngesisekelo ukusabela nomzimba. antishock iqoqo izidakamizwa ezisetshenziselwa usizo lokuqala kanye nezinye izimo, ikakhulukazi olufanele bakuphi, nini ngokushesha khulula abalimele esibhedlela ukungakwazi zokuthutha yayo yesikhathi eside.

Avuse isimo esibucayi of umzimba womuntu, ngaphandle ukushaqeka anaphylactic, kungenzeka ezimweni ezilandelayo:

• ngezikhalo ubuhlungu;
• kungadaleka ingozi embi kakhulu;
• ukushaqeka anobuthi;
• bite izinambuzane ezinobuthi izinyoka izilwane;
• kokulimala;
• aminzisa.

Ezimweni ezinjalo, uhlu izidakamizwa ikhithi antishock kungenziwa kulekelelwa imithi ezilandelayo:

1. "Ketanov" (ketorolac tromethamine isixazululo) - a analgesic ezinamandla. Kuyasiza ayeke ubuhlungu ukuhlukumezeka okukhulu.
2. "Dexamethasone" - umuthi, okuyinto hormone glucocorticoid. It has an asebenzayo antishock umphumela, futhi kunomphumela evelele eqeda ukuvuvukala.
3. "Kordiamin" - 25% ingxube nicotinic acid. Libhekisela eqenjini kwemithi ye evuselela zokuphefumula. Futhi-ke kumqhubezela phezu isikhungo vasomotor zobuchopho.

Kuye isimo kanye nezinga criticality esiguli, odokotela angasebenzisa lokhu ukwakhiwa kokubili ngokuhlanganyela futhi eceleni.

Izidakamizwa ezisetshenziswa ezimweni ezibucayi ngo-Intensive Care

Ngo izimo kwesibhedlela kusizakale iziguli isesimweni esibucayi, ngaphandle sekuxoxiwe ngaphambili, ukusetshenziswa nezinye izidakamizwa eqeda ukushaqeka - izixazululo ukuphatha:

1. "Poliglyukin" - umuthi has a antishock nethonya elinamandla. Isetshenziselwa odokotela njengoba imithi eqeda ukushaqeka amanxeba, ukusha, ukulimala kabi futhi sina ukopha. Ngemva \ ekuphathweni "Poliglyukin" Kuvuselela futhi kuthuthukisa yenhliziyo zamanje futhi ubuyisela umthamo isamba igazi afundwa kakhulu emzimbeni. Futhi, izidakamizwa normalizes blood pressure kanye HP. Kuyaphawuleka ukuthi enkulu antishock kahle kwakhe kubonakala lapho co-iqondiswa ngegazi okusemathinini.
2. "Gemovinil" - isixazululo izidakamizwa esetshenziswa ukudakwa ezinzima, ukusha kanye ukushaqeka esibuhlungu. Livame ukusetshenziswa ukususa ubuthi emzimbeni, njengoba iyona adsorbent eqinile. Yehlisa astsista futhi aqede Molasses ingqondo. Sici sici yokuthi emva kusungulwa "Gemovinila" ngokuvamile kukhona ukwanda izinga lokushisa lomzimba.
3. "Polivinol" - isixazululo, okuyinto kwetfulwa \ esimweni ukopha oluqinile, ukuhlukumezeka okukhulu, ukusha kanye ukushaqeka kuhlinzwa, izimpawu iconsi elibukhali blood pressure ezingeni. I umuthi ngokushesha kwandisa ingcindezi, ngokugcina plasma afundwa kakhulu umzimba, futhi uma kudingeka, sivuselela umthamo yayo (ukuthi usetshenziswa njengesibonelo olwandisa plasma). Nge zonke izinzuzo, lokhu izidakamizwa asifanele ngempumuzo uthi ukushaqeka, ephelezelwa ukuhlukumezeka cranial futhi ukopha ebuchosheni.
4. "Zhelatinol" - 8% isixazululo of gelatin hydrolysed okuyinto kwetfulwa \ e uthuthumele kuhlasimulise kanye ukusha. Libonisa emzimbeni izinto eziyingozi futhi anobuthi, enza umsebenzi ngokukhishwa kobuthi egazini.
5. "Droperidol" - neuroleptic, antiemetic futhi izidakamizwa protovoshokovy. Libhekisela antispasmodics iqembu myotropic. Iphathwe ngemithambo yegazi ngesikhathi ubuhlungu ukushaqeka eqinile.
6. "Deksaven" - libhekisela eqenjini kwemithi ye glucocorticoids. Ngemithambo yegazi kwenzeka ukushaqeka tekusebenta nobe nasezinkingeni ezilandela ngemva kokuhlinzwa. Futhi esetshenziswa ukushaqeka anaphylactic futhi edema kuhlasimulise futhi angeonevroticheskom. It has a liphinyiselwe umsebenzi oqinile antiallergic futhi izakhiwo eqeda ukuvuvukala.