Polyvalent ziwengo - ndichiyani? zizindikiro

Tsopano analandira ambiri ziwengo polyvalent. Ndi chiyani icho? Izi boma pamene pangakhale zinthu zosiyanasiyana allergenic mwa munthu mmodzi. Ambiri n'komwe kuti iwo amadana zachilendo chakudya, mankhwala, mankhwala. Kodi inu kupeza matenda?

tanthauzo

Polyvalent ziwengo - ndi hypersensitivity kwa mitundu angapo a allergens. Akapsa akhoza kukhala mwina ofanana mu chiyambi kapena dongosolo mankhwala ndipo amasiyana pakati pawo.

Ngati munthu analankhulana imodzi ndi antigens angapo lachilendo lake poyankha zimenezi opangidwa zovuta za yogwira kuti tifulumizane minofu stereotypical anachita ndi zakumwa. Childs, pamene chifuwa polyvalent bwanji machitidwe limba angapo.

zifukwa

N'chifukwa chiyani munthu akufotokozera ziwengo polyvalent, ndipo munthu ayi? Maganizo asayansi sizinathe anavomera pa chimake chimodzi Choncho, pali zingapo zimene mungachite, omwe ali ndi ufulu kulibe.

Zimadzetsa chiwerengero cha otsatira chiphunzitso chibadwa. Zazikidwa pa chakuti thupi lawo siligwirizana ofunitsitsa kuchokera pamene anabadwa ndi zogwirizana ndi nyukiliotayidi zinayendera kuti ife kuwapeza makolo. Kuchirikiza chiphunzitso chimenechi ananena kuti ana amene makolo ndi chifuwa, nawonso, sitichedwa ofuntha.

The kungoganizira chachiwiri ananena kuti zikamera a chifuwa kugwirizana ndi osakwanira kapena nthenda ntchito kwa chitetezo cha m'thupi. anthu ambiri amene ali hypersensitivity, sachedwa matenda aakulu kaŵirikaŵiri ankachitira ndi mankhwala kapena mahomoni, ndipo simukhala mwa chipatala.

Ndipo potsiriza, chiphunzitso lachitatu limatiuza kuti zikamera a chifuwa chikugwirizana ndi kumwa mowa ndi fodya. Izi, kumene, zizolowezi zoipa, ndi kupindula palibe thupi, koma umboni kuti izi ndi zimene amakwiya Hyper, nawonso, sanapezeke.

Ana, polyvalent ziwengo ungapezeke chifukwa oyamba oyambirira zakudya wowonjezera kapena kudya mwathunthu yokumba. Kuwonjezera apo, udindo ndi ankaimba ndi mphutsi. Zimachititsa chitetezo cha m'thupi ndipo amathandiza kuti zikamera a chifuwa.

Monga ulamuliro, palibe aliyense chifukwa chake pali hypersensitivity. Ndi nthawi osakaniza zinthu.

pathogenesis

Polyvalent ziwengo woterewu mwadzidzidzi ndi tsiku limodzi. Kodi munthu angatenge kwa anachita mwadzidzidzi lake zoona, akhala anakonza ntchito mphamvu yoteteza thupi lanu. Kaya choyambitsa chinthu kungakhale, hypersensitivity aliyense anachita amapezeka magawo atatu a chitukuko:

1. Gawo loyamba: ankadziwa Antigen lapansi. thupi woyamba nawo ndi mlendo mankhwala pawiri, ngati mungu, perefyumu, mankhwala, kapena bakiteriya. Ilo liri mu ndondomeko ya maphunziro ndi kuloweza ndi kupanga immunoglobulin E, amene ali ndi udindo kwa reactivity wa chamoyo.
2. Gawo lachiwiri: cytochemistry. Ndi mobwerezabwereza kukhudzana ndi allergen ndi imayendetsa IgE, anakonza pa maselo mlongoti ndi magazi mu wambirimbiri ejected yogwira monga histamine, serotonin, ndi interleukins ena.
3. Mbali yachitatu: zikamera zizindikiro. Zotsatira chifukwa pa "malo omwera" zinthu mankhwala mwakhama anthu akhoza kukhala bronchospasm, kutupa, kuyabwa, redness ndi totupa pakhungu, rhinitis, conjunctivitis ndi zambiri.

Nawonso kukhala ndi polyvalent ziwengo. Mlingo chachitatu cha ndondomeko pa nkhani za matenda akhoza anachedwa, kutenga njira chodabwitsa kapena wosanganiza, koma ndi stereotyped anachita nkhondo ya zigawo zikuluzikulu zakunja.

zizindikiro

Takambirana kale mwachidule anafotokoza kuti polyvalent ziwengo kumaonekera. Zizindikiro uonekere pomwepo pambuyo kukhudzana allergen, kapena kuchedwa nthawi. Izi zimadalira mlingo ndi padzuwa (i.e., padzuwa nthawi) ndi choyambitsa chinthu wonena za. Mwachitsanzo, fumbi ndi mungu chifukwa mkwiyo wa mundawo kupuma, ndipo pambuyo ingestion zidutswa chiponde anayamba zowombetsa mkota edema.

Dongosolo kupuma ndi ziwengo polyvalent kumachitika zizindikiro monga rhinitis, kufupika kwa mpweya, minofu kuphipha kuukira bronchial mphumu. Munthu mwadzidzidzi yopumula, iye gasping, kutsokomola kumayamba, mwinanso kulira. Ngati wodwala kudziwa matenda ake, iye wakhala naye thumba inhaler ndi mankhwala kudya. Kukwanitsa mwamsanga kuthandiza okha anapulumutsa miyoyo ya anthu ambiri ndi chifuwa. Childs, allergens adzakhala mu nkhani iyi volatiles: fumbi, mungu, ubweya, zonunkhira ndi mankhwala ena aerosol.

Pa mbali ya intestine pambuyo ingestion chakudya zakudya allergenic kumeneko otsegula m'mimba chodabwitsa. Wodwalayo mwina amanena matenda chopondapo, kunyansidwa ndi kusanza, osauka khalidwe chakudya kapena chakudya osasamba, koma m'kupita kwa nthawi, ngati kuukira adzakhala nthawi zonse, mosakayikira mu chikhalidwe chawo chikhalire.

urticaria

Polyvalent ziwengo (ICD-10 anatumizidwa malamulo T78.4 s) ungadziwike mu mawonekedwe a totupa pakhungu ndipo zimagwira ntchito zosiyanasiyana mucous. Mu nkhani iyi, allergen kulowa limagwirira mfundo si zofunika, koma zambiri kwambiri anachita akufotokozera kudzera mwachindunji, monga kusamba m'manja, kuchapa, kusonkhanitsa maluwa ndi zipatso. Zimachititsa ming'oma chakudya kapena mankhwala allergens: mowa, wothandizila Antiplatelet, disinfectants, mafuta odzola ndi monga.

Kukomoka, mtundu uwu wa ziwengo polyvalent kuoneka reddening wa khungu mtundu lamoto la edema ndi maonekedwe a thovu yaing'ono zili bwino. Nthawi zina, kuyabwa ndi kufunana. Zizindikiro ming'oma mosavuta kuchotsedwa mafuta a antihistamine, opopera ndi miyala (ngati totupa ponseponse). Palibe kusintha pa khungu sakhala, koma anaonekera kamodzi kokha, mtundu uwu ziwengo kuti anawathetsa akuyambiranso ndipo amakonda kuvutitsa odwala.

angioedema

Ziwengo polyvalent, anakumana ndi wambirimbiri allergen uoneke ngati edema minofu khosi kapena angioedema. Nthawi zina, ngati kulumidwa ndi tizilombo mu nkhope ndi M'mimbamo m'kamwa kapena ziwengo chakudya, mlingo waukulu Sikuti. Mucosa ndi subcutaneous minofu ya chapamwamba kupuma thirakiti khosi ziwalo bwino vascularized, kotero nthumwi pathological mofulumira afalikire dera.

Childs, angioedema akuimira msanga mtundu matupi awo sagwirizana anachita, ndipo akhoza kukuphani anthu ngakhale yoyamba ndi allergen lapansi. Chifukwa edema amapezeka onyenga croup - kuchepetsa wa lumen wa m'phuno - ndipo zotsatira zake, chosokoneza wa Mpweya ndi kupuma kumangidwa. Ngati wodwala sasamalira thandizo mwamsanga, mwayi wa zotsatira zabwino adzagwa yokhudza ufiti. Ndicho chifukwa dokotala aliyense pa dzanja kuwatsitsimula zida, "zikuwonjezereka masiku ano", "Mankhwala a ephedrine", "Prednisolone" ndi "Eufillin". Izi mankhwala thandizo kwa angioedema.

anaphylactic mantha

Boma owopsa kwa odwala ziwengo ndi anaphylactic mantha. Nthawi zambiri kumachitika pamene ingested allergens: chakudya kapena mankhwala. Pali zinthu akhala anachita kuyamba pomwepo lembani particles laling'ono mokwanira kukhazikitsa yaikulu degranulation mlongoti selo.

Zizindikiro za chikhalidwe ichi ndi dontho lakuthwa magazi limodzi ndi imfa ya chikumbumtima kapena chikomokere, angaletsedwe, zachiphamaso, kawirikawiri kupuma, khunyu, ndi pallor. Munthu amene kamphindi kapitako ankasangalala, tsopano imfa pamaso pa manthawo odutsa. Ndi chitukuko cha Zoterezi, muyenera yomweyo itanani ambulansi ndi njira yofunika kwambiri, ngati n'koyenera, paokha (ngati inu mungathe, kumene).

Kwa dokotala, n'kofunika kuti azitha kusiyanitsa anaphylaxis ku Pe chachikulu (embolism m'mapapo mwanga), matenda pachimake mtima, sitiroko, ndi zikhalidwe zina zokhudza mwadzidzidzi kollaptoidnye syndrome.

Polyvalent ziwengo mankhwala

Posachedwapa, kuchita ovutika milandu thupi lawo siligwirizana mankhwala. Amene ambiri, osachepera - ochepa pa nthawi yake. Akatswiri akukhulupirira kuti zikatero zachititsa kuti zakudya kusalankhula mankhwala ndi milandu zonse wodzilamulira mankhwala.

Poyamba chizindikiro oz (pachimake kupuma matenda) Anthu sapita kwa dokotala, natuma mankhwala, kumene kugula mankhwala amphamvu kapena wothandizila mavairasi oyambitsa. Ndiye tengani iwo pa chiwembu chawo osankhidwa. Izi pofuna kukwaniritsa zolinga kulimbikira kale mankhwala tating'onoting'ono ndipo amakwiya chitukuko cha thupi lawo siligwirizana.

Chifukwa china ndi zopweteka, ngakhale pathological chilakolako cha munthu masiku ano oyera. Kulikonse mungapeze sopo antibacterial, amafafaniza ndi opopera. Inde, ndi bwino kuti pali maofesi amenewa, koma ntchito zawo zoyenera mu zipatala ndi mabungwe ena ofanana, koma sanam'peze. Osalola thupi zolankhulirana ndi tizilombo toyambitsa matenda, ife kuchepetsa mphamvu yake m'thupi ndipo imautsa chitukuko cha chifuwa.

Piobakteriofag ndi katemera multicomponent umalimbana kuchepetsa mavuto obwera chifukwa cha matenda bakiteriya pambuyo chikhalidwe staphylococcal ndi streptococcal. Chifuwa ndi piobakteriofag polyvalent angagwe ngati sanali kugwilizana ndi mlingo kapena tsankho munthu, koma, monga ulamuliro, Zikatero n'zochepa. Nthawi zambiri mankhwala ziwengo akufotokozera pa mankhwala opha ululu m'deralo ndi ambiri, lalabala, mankhwala okhala ndi mafuta n'kofunika.

alimentary ziwengo

Polyvalent chakudya ziwengo ingayambe ndi mtundu wina wa mankhwala, ndi zinthu zomwe mankhwala mankhwala m'mafakitale kapena m'munda. Pali mndandanda wa allergens ambiri chakudya:

1. Mu malo oyamba, ndithudi, mtedza. Ngakhale zazing'ono, kufufuza, ndalama mankhwala zingachititse anaphylaxis ndi angioedema. Choncho, opanga ndiye kuti mudziwe ngati pa phukusi.
2. Nsomba, makamaka sapezeka M'madera a zitunda wathu. Zikuphatikizapo nkhono, nkhanu, wofiira caviar.
3. Mazira. Chicken mapuloteni akhoza kuchititsa ndithu zachiwawa matupi awo sagwirizana anachita, kotero amayi ena mosamala atchule mankhwala mu chakudya cha mwana, ndipo akuyamba, monga ulamuliro, ndi yolk ndi.
4. Strawberries ndi zipatso zina wofiira chifukwa totupa monga ming'oma ndi kutupa kwa nkhope ana.
5. zipatso aliyense zosowa, makamaka Komatu zipatso. Zinthu zili mafupa ndi zikopa za zipatso akhoza kukhala allergens amphamvu.
6. Dzinthu anapangidwa kuchokera tirigu: semolina, oatmeal, balere ndi ena. Mu pali gilateni, lomwe ndi zoipa kwa anthu ndi matenda celiac (a matenda majini a intestine ya).
7. Akumaliza uchi athu pamwamba. Ndithu, Uyu ndi kothandiza ndiponso zofunika kwambiri mankhwala, koma ngati munthu kale ndi ziwengo kuti mungu, ndiye uchi ndi ena ofanana kudzakhala.

Polyvalent chakudya ziwengo akhoza kuoneka monga mwana wamng'ono ndi wamkulu. Nthawi zambiri, ana tikulirepo kuposa chifuwa zakudya ndi mwina za izi pambuyo nthawi yaitali.

diagnostics

Polyvalent ziwengo (malamulo ICD-10 pamwamba) amawapeza wosavuta, koma zovuta nthawi yomweyo. vuto kwagona kuti n'zosatheka kuchita kafukufuku pa allergens zonse. Ndi okwera mtengo kwambiri ndipo nthawi zambiri zokhumudwitsa. Madokotala amalangiza kuti pamaso pa ndondomeko ngati paokha kuti aonetse mndandanda wa zinthu ananena choyambitsa ndi kokha onani iwo.

Pali njira ziwiri kudziwa allergen. The choyamba - mayeso khungu. Mkati mwa mkono zikoti yaing'ono ntchito kuyimitsidwa wa allergens mu dilution amphamvu. A (zing'onozing'ono) nthawi dokotala limafufuza malo a ntchito. Ngati mukuona redness kapena kutupa, ndiye zikuoneka allergen.

Njira ya chiwiri - motsimikiza chitetezo m'magazi. Izi yolemetsa ndi yaitali njira imene imafuna ndalama ndithu. Koma apatsa zotsatira zolondola. Kuti iwo anadza kwa Koma ngati chofunika kudziwa mlingo wa reactivity kwa allergen kale.

chithandizo

Kodi polyvalent ziwengo mankhwala labwino? Chithandizo ndithudi kumeneko, koma ndi yaitali ndi wolemera. Choyamba, chikoka pa allergen chamoyo. Kodi ndi polekanitsa ndi ziweto, kusintha ziyangoyango, amachita chonyowa kuyeretsa ndi maofesi asamafalitse. Kudya pang'ono, siyani kumwa mankhwala ena ndi ntchito zodzikongoletsera.

Mwadzidzidzi, ntchito mankhwala. Sakuchitira zolandilira kuti adani histamine, ndipo salola kuti mucheze ndi zimakhala thupi. Mwamsanga kumatha zizindikiro komanso mavuto mankhwala ndi chochuluka, kotero agwiritsa ntchito mankhwala amenewa pakakhala.

kupewa

Polyvalent ziwengo (ICD malamulo mukudziwa kale) kukula wathanzi, mwakuwoneka anthu, choncho kukonzekera kapena kupewa zovuta. Madokotala akulangizidwa kutsatira njira yolondola ya moyo, kupewa mankhwala zosowa chakudya, onetsetsani kuchita mayesero ziwengo asanadye mankhwala atsopano ndiponso pa chizindikiro pang'ono matenda kukaonana ndi dokotala, ndipo sayesa kuchitira nokha.