Isifo Serum: izimbangela, onalesi sifo

ukugula Serum kuyindlela yemvelo yokusabela lapho letindzala ukwethulwa emzimbeni futhi amaprotheni izidakamizwa womuntu ukuthi ukwelapha izifo izivikeli mzimba. Ukwenqabela kungenzeka kokubili ngesikhathi eyinhloko futhi ngesikhathi kabusha isethulo amaprotheni isilwane angaphandle. Ngezinye izikhathi lesi sifo kuphakamisa antiserum engena emzimbeni, isb ingxenye ewuketshezi yegazi equkethe amasosha omzimba.

Lesi sifo kwenzeka 5-10% eziguli ababenolwazi serum ekwelapheni yethulwa.

Uma udle amaprotheni angaphandle iqala aluka egazini, okubangela synthesis amasosha omzimba futhi yakha izakhiwo mzimba zazo imali kwi izindwangu, futhi kokulimaza yokugcina idedela izidakamizwa eziphila abakhuthele.

Izimbangela zesifo

ngezinye izikhathi ukugula Serum eba lapho zaphathwa serum ngokumelene idiphtheria, ngqi, amarabi, botulinum, inyoka Ukulunywa , noma igesi esibhibhayo. A syndrome efanayo siyenzeka kwezinye izimo ngemva ekuphathweni ye-gamma globulin kanye ukulunywa yizinambuzane.

Isikhathi bayashintshana ekufukameleni amasonto 1-2. Kukhona amacala lapho isithombe basemtholampilo ukugula serum eba ezinsukwini 5 kuqala emva kokwelashwa, kulesi simo, ukusabela iguliswa kuyinto uhlobo anaphylactic.

izimpawu

Lesi sifo libhekene ubuhlungu nokuvuvuka endaweni umjovo izinsuku 7-10 emva nokuphathwa serum. Isiguli sinelungelo enomkhuhlane, kukhuphuke lesifunda lymph node, futhi ngezinye izikhathi sithinta emalungeni (arthralgia, edema), ukuqubuka kwenzeka ngesimo papular erythematous noma ukuqubuka silume, iso lwamafinyila iyaphendula conjunctivitis. Ukunqotshwa kwe-uhlelo senhliziyo nemithambo yegazi sivezwe tachycardia, amathoni kuphelelwa umfutho, ukunwetshwa imingcele inhliziyo, ephansi blood pressure. Ezinganeni, kungaholela ipheshana wokugaya ukudla, kungase kube ukuhlanza, izigqiki njalo izimbici, "colic emathunjini." Ngezinye izikhathi amaprotheni umchamo kanye ukubona iminonjana igazi. ukugula Serum kuhambisana ne ukuvuvukala okunzima amalaka nge asphyxia, oluhambisana syndrome. Esikhathini sibi isifo izimpawu zokwelashwa kuyagcinwa mayelana 5 izinsuku ukusuka ekuthomeni lesi sifo, ifomu ezinzima - mayelana 3 amaviki.

Qedela yokutakula nzima uma eshiwo izilonda inhliziyo, izinso, sezinzwa izifo uhlelo, laryngeal edema, kanye nokuthuthukisa a syndrome oluhambisana.

ukwelashwa

Lapho ekwelapheni serum ukugula isicelo yokugcoba ngama-corticosteroid kanye okhilimu ukusiza ukususa noma ukunciphisa lokujabulela ukulunywa nesimungumungwane.

Nciphisa isikhathi lokugula antihistamine, nayo yakhelwe ulwe silume ukuqubuka.

Ukuze wehlise ubuhlungu bamalunga sibonisa ukusetshenziswa kwezidakamizwa nonsteroidal eqeda ukuvuvukala ezifana "naproxen" futhi "ibuprofen". Ezimweni ezimbi kakhulu, corticosteroids temlomo kuthathwe lokuqoka (kakhulukazi, okusho "Prednisolone").

Ukwemukelwa lezi izidakamizwa ukusetshenziswa antiserum, ngenxa lapho sobala serum ukugula esikhathini esizayo kufanele kugwenywe ukuze kuvinjelwe.

Onalesi sifo ngokuvamile ezinhle, kodwa ngezinye izikhathi ngoba kunikeza inkinga ku izinso.

Ukuvimbela lesi sifo.

Ngaphambi ukwethulwa sera - idiphtheria, ngqi, antitoxin botulinum, ngamarabi serum - afeze Inombolo yezenzo kwangaphambilini:

- ukwenza ekuqaleni, wokubhoboza noma kwabathinta kuya ibhodi lemisindo futhi phezulu lehliselwa iconsi serum buhlanjululwe (1: 100);

- erythema ukuphendula ububanzi mkhulu kunezinhliziyo 3 mm kubhekwa omuhle;

- uma iqondiswa backlash serum intramuscularly umthamo ingqikithi.

Kufanele kuqashelwe ukuthi waze wenza isivivinyo intradermal, futhi ongama ikakhulukazi futhi emthanjeni kungabangela ukushaqeka anaphylactic. Kusolwa ukuthi ukwethulwa serum ngemithambo yegazi ephephile njengoba ukusabela is more elawulwa. Ukuhlolwa omubi akusho ngaso sonke isikhathi ngokungabi bikho anaphylaxis ngemva nokuphathwa lonke umthamo, ngakho-ke, inikeza iqoqo anti-ukushaqeka imithi ngesikhathi manipulations ezinjalo.

Medicine akazi ukuthi ukuvimbela serum ukugula.