Ngomhla ka-Matshi 2013, umfundi osekholejini onomdla we- nut nutrient allergies wadla i-cookie equkethe i-nut. Emva koko waba ne- anaphylaxis enamandla, kodwa intsapho yakhe ayizange isebenzise i-Epi-Pen yayo kuba umhla wokuphelelwa yisikhathi sele udlulile, kwaye u-911 wabatshengisa kwifowuni ukuba angayisebenzisi. Ngoxa umfana ekugqibeleni wathola i-Epi-Pen injection kwisixhobo sommelwane, kwakusesikhatywe kakhulu: umfundi wafa kamva kusihlwa esibhedlele sendawo.
(Kubalulekile ukuqaphela ukuba akucaci ukuba ukusebenzisa i-EpiPen ephelelwe lixesha kwakuya kutshintsha isiphumo sesi siganeko esibuhlungu.)
Ukutya kokutya: Ingxaki ekhulayo
Ubuninzi bokutya kokutya, ngokukodwa kumanqwanqwa kunye namantongomthi emithi , kuya kunyuka, kunye namazinga aphindwe kabini ukuya kwi-kathathu emazweni amaninzi kwiminyaka eyi-10 ukuya kwe-15 edluleyo. Ukutya okudliwayo, ngokukodwa kwintlanzi kunye neentlanzi zasemanzini, kunokuba nzima kwaye kusongela ubomi, kunye neemeko ezingakumbi zokutya ezibulalayo ezichazwa rhoqo ngonyaka. Ngokona nxalenye, akukho nonyango yokutya okudliwayo, nangona inani elincinci lamaziko ophando lenza izifundo kwi- immunotherapy zokutya ezithile zokutya , ezinjengeebhokhwe, ubisi kunye namaqanda. Ukunyanga okusemgangathweni kokutya kokutya kukuphephe ukutya kokugweba , kwakunye nokunyangwa kweempembelelo ezinokuthi zenzeke ngokungena ngokukhawuleza kokutya.
U-Epinephrine njengoTyango loKhetho lweZilwanyana zokutya
Unyango olukhethiweyo lwe-anaphylaxis kuzo zonke izizathu, kubandakanywa njengesiphumo sokutya, i-epinephrine engenayo.
Enyanisweni, amaninzi amaxesha e-anaphylaxis abulalayo ahlanganiswe nokungabikho, okanye ukulibaziseka, ukulawulwa kwe-epinephrine. Iikiti ze-epinephrine ezingenayo ziza kwiimpawu ezahlukeneyo, kuquka i- EpiPen, iTwinject kunye ne-Avi-Q . Zonke ezi zixhobo zinexesha elincinci elincinci ngenxa yokungazinzi kwe-epinephrine: malunga nonyaka omnye ukususela kumhla wokuveliswa.
U-Epinephrine uyaphula ngokuxhamla ekukhanyeni, emoyeni nakwiqondo eliphezulu. Ngoko ke, abavelisi batusa ukuba i-epinephrin igcinwe kwindawo emnyama kwindawo yokushisa, kodwa ayiyiyo ifriji. Ngelishwa, kuba iikiti ze-epinephrine ezingenakunqabile zisetyenzisiweyo kwaye zibiza kakhulu, ziqhelekile ukuba abantu (ngokwaziyo okanye abangazi) bahlale bephelelwe likhithi ze-epinephrine.
Iphelelwe lixesha u-Epinephrine Ulungele ukusebenzisa?
Ngoko ukuba kuqhelekile ukuba abantu baye baphelelwa kits i-epinephrine kits, ngaba kulungile ukuba basebenzise ukunyanga kwe-anaphylaxis ? Lo mbuzo uqobo wawufundiswa liqela labaphandi eCanada kwaye lanyatheliswa ngonyaka ka-2000. Iqela laqokelela i-EpiPens yaphela kwaye yazimisela ubuchule be-epinephrin ephakathi kwazo. I-potency ye-epinephrine yayinqunywe ngeendlela ezimbini: Ukuthatha iisampula zegazi kwiirhubhi emva kokuba zijojowe ngee-EpiPens eziphelileyo, kunye nokuqhuba iimvavanyo zeekhemikhali kwixabiso eliseleyo kwisisombululo esishiye kwi-EpiPens emva kokusetyenziswa. Imilinganiselo efunyenwe kwii-EpiPens eziphelileyo zafaniswa nemilinganiselo evela kwii-EpiPens ezingapheliyo.
Nangona zombini iindlela ezifundiswayo zibonisa ukuba ii-EpiPens eziphelileyo ziqukethe i-epinephrine encinane xa kuthelekiswa nee-EpiPens ezingapheliyo, kwakukho inani elincinci le-epinephrin kwi-EpiPens ephelile.
Kwaye i-EpiPens eyayiyiminyaka emi-5 kuya kwe-7 kwiminyaka edlulileyo yokuphela kwayo yayingaphezulu kwama-70% edosi yasekuqaleni esele kwisixhobo. Ama-EpiPens amaninzi ayeneminyaka emi-2 ukuya kwe-3 edlulileyo umhla wokuphelelwa yisikhathi wawunama-90% we-dose yokuqala.
Isiphelo: U-Old Epinephrine Mhlawumbi Ungcono kune-Epinephrine
Ababhali beengxelo ezikhankanywe ngasentla baphelise ukuba kubalulekile ukugcina i-epinephrine engenasiphelo esiphelelwe yinyanga yokufumana unyango olunzima, njengalezo ezibangelwa ukunyuka kokutya. Kukho ubungqina obucacileyo bokuthi iikiti ze-epinephrine eziphelelwe lixesha ziphelelwe i-epinephrin encinane kuneekiti ezingapheliyo.
Nangona kunjalo, ekubeni i-epinephrine kits egxininisweyo-yee-anti-injection kits - kunye neeneminyaka emininzi ubudala-iqulethe inani elibalulekileyo le-dose elicwangcisiweyo ye-epinephrin, kufuneka isetyenziswe ukuphatha i-anaphylaxis ukuba akukho enye i-epinephrine ekhoyo. Inzuzo eyinzuzo yokufumana i-epinephrine encinci kunokuba yinto encinci ingase ibe ngaphezu kweengozi yecandelo lokusebenzisa i-epinephrin kit. (Ababhali banconywa malunga nokuba basebenzise nayiphi na ikiti ye-epinephrine ejoyiweyo, iphelelwe lixesha okanye ayikho, equlethe i-epinephrine echazwe kwi-epinephrine, ngenxa yezizathu ezingachazwanga kwisifundo sabo).
> Umthombo:
> Simons FER, Gu X, Simons KJ. I-EpiPen kunye ne-EpiPen Jr I-Autoinjectors: Yadlulela iNduna yabo? J Allergy Clin Immunol. 2000; 105: 1025-30.