Ukubhekana Nezifo Lapho Ukhulelwe
I-Anaphylaxis iyisabela esibi kakhulu, esabangelwa ukukhululwa kwamakhemikhali ahlaselwa njenge- histamine kusuka kwamangqamuzana aphikisayo njengama- mast cells . Izimbangela ze-anaphylaxis zibandakanya ukudla, imithi efana ne- penicillin ne- NSAID , i- latex nezinyosi zezinambuzane nokulunywa . Izimpawu ze-anaphylaxis zingabandakanya i- urticaria ne-angioedema , izimpawu zesifo sofuba , isicashu / ukuhlanza nokuhuda, nokucindezela kwegazi okuphansi.
I-Anaphylaxis nayo ingenzeka ngesikhathi sokukhulelwa, ikakhulukazi ngesikhathi sokubeletha nokubeletha, futhi ingabonakalisa ingozi ekhethekile emntwaneni, ngoba ukucindezeleka kwegazi okuhlobene ne-anaphylaxis kumama kungathinta ukugeleza kwegazi kuya ezingxenyeni ezibalulekile emntwaneni, njengengqondo nobuchopho . Izimpawu ezingeziwe ze-anaphylaxis ngesikhathi sokukhulelwa zingase zibandakanye uketshezi lwe-vaginal kanye ne-vulvar, ama-cramps nobuhlungu obuphansi emuva.
Izimbangela ze-Anaphylaxis Ngesikhathi sokukhulelwa
Izimbangela ze-anaphylaxis ngenkathi iningi lokukhulelwa zifana nongowesifazane ongakhulelwe. Nokho, ngesikhathi sokubeletha nokubeletha kunezimbangela eziyingqayizivele ze-anaphylaxis ezidinga ukucatshangelwa. Esikhathini esidlule ukubuyekezwa kweziguli ezingu-23 ezine-anaphylaxis ngesikhathi sokukhulelwa, 8 zine-anaphylaxis ipenicillin nemithi elwa nemithi ehlobene nayo, 6 yayine-anaphylaxis i-latex, i-anaphylaxis i-bee sting, kanti okusele yayine-anaphylaxis kwenye imithi ehlukahlukene.
Esinye isifundo esikhulu esivela esibhedlela saseTexas sahlola abesifazane abangu-700,000 abakwa-post-partum bakhululwa ngemva kokubeletha babonisa amacala angu-19 e-anaphylaxis (0.0027% wokudiliva), enezingxenye ezingaphezu kwesigamu ezibangelwa i-penicillin nemithi elwa nemithi ehlobene nayo.
Iningi labesifazane ababhekene ne-anaphylaxis kulolu cwaningo lunikezwe isigaba se-cearean.
I-penicillin nama-antibiotic ahlobene. Ngesikhathi sokubeletha nokubeletha, le mithi ibonisa imbangela evame kakhulu ye-anaphylaxis. I-penicillin (kanye nemithi elwa namagciwane ehlobene) iyisidakamizwa esizikhethela ekuvimbeleni iqembu le-neonatal B streptococcal (GBS) nezinye izifo (njenge-prophylaxis phakathi nesigaba se-cearean) futhi kuvame ukunikezwa ngesikhathi sokusebenza nokubeletha.
Ngenkathi ukuhlolwa kwesikhumba kuyindlela engcono kakhulu yokuthola i-penicillin yokungezwani komzimba, lokhu akunconywa ngesikhathi sokukhulelwa, kunikezwa ithuba elincane le-anaphylaxis elingase lenzeke ngenxa yokuhlolwa. Ukugwema i-penicillin kungcono ngesikhathi sokukhulelwa (ngokusebenzisa amanye ama-anti-penicillin antibiotic), ngaphandle uma kungekho okunye okunye, njengokungathi uma umama enesifo sofuba .
I-Latex yokungezwani. I-Latex yokungezwani komzimba yimbangela evamile ye-anaphylaxis ngesikhathi sokubeletha nokubeletha. Abesifazane abakhulelwe abanomlando we-latex yokungezwani kufanele bahlolwe ngaphambi kokusebenza kanye nokulethwa kanye nokusetshenziswa kwesifo se- serum IgE ELISA , kunokuba kuhlolwe isikhumba kuze kube se-latex, kunikezwe ithuba elincane lokubangela i-anaphylaxis ngokuhlolwa kwesikhumba. Abesifazane abakhulelwe be-Latex-ke banganikezwa indawo yokungena kwe-latex yokusebenza nokudiliva.
Ukwelashwa kwe-Anaphylaxis Ngesikhathi sokukhulelwa
Ngokuvamile, ukwelashwa kwe-acute anaphylaxis ngesikhathi sokukhulelwa akufani nalokho ekukhulelweni. I-Epinephrine iyindlela yokwelapha, futhi ukucindezeleka kwegazi okuphansi kufanele kuphathwa ngokuhlukumeza ngokuphindaphindiwe kwe-epinephrine (njengoba kudingekile), uketshezi olunamanzi, neminye imithi yokugcina ukucindezelwa kwegazi. Umfutho wegazi ophansi kumama ungabangela ukugeleza kwegazi okuphansi kuya ezingxenyeni ezibalulekile emntwaneni, ikakhulukazi ebuchosheni.
Ukulimala kwe-anoxic engozini kungenzeka uma ukugeleza kwegazi kuncipha kuya emntwaneni iminyaka emihlanu.
Ukwelashwa okungcono kakhulu kwe-anaphylaxis ngesikhathi ukhulelwe ukuvimbela i-anaphylaxis endaweni yokuqala. Ngakho-ke, i-allergists ibaluleke kakhulu ekunakekeleni abesifazane abakhulelwe abanomlando we-anaphylaxis ekudleni, imithi, i-latex kanye ne-stinging insect allergies. Ukuvivinya izifo eziningi kufanele kulandelwe ngesikhathi sokukhulelwa, noma kwenziwe ngokusebenzisa ukuhlolwa kwegazi, ukuze unciphise amandla okuba ne-anaphylaxis ngenxa yokuhlolwa kwesikhumba.
Umthombo:
Simons FER, Schatz M. Anaphylaxis Ngesikhathi sokukhulelwa. J Ukuzivocavoca Isifo Somoya Immunol. 2012; 130: 597-606.