Polyvalent chisimbwa - chii? zviratidzo

Zvino wakagamuchira kwakapararira chisimbwa polyvalent. Chii? Ichi chinhu mamiriro apo pangava akawanda allergenic zvinhu mune mumwe munhu. Vakawanda havazivi kunyange kuti vane kujairika siyana pavakanzwa zvokudya, mishonga, makemikari. akaita sei chirwere ichi?

tsananguro

Polyvalent chisimbwa - a hypersensitivity matombo akawanda pamusoro allergens. Zvinokonzera anogona kunge zvakafanana mavambo kana makemikari marongerwo uye zvakasiyana pakati pavo.

Kana munhu atsvaka panguva imwe chete dzimwe maantigen akawanda, nhengo iri semhinduro chiito chakadaro zvakabudisa zvakaoma kuti basa zvinhu kuti vanotsamwisa stereotypical zvinyama maitiro uye mvura. Kazhinji, kana polyvalent Kurwara sei vakawanda nenhengo dzawo.

zvikonzero

Nei mumwe munhu ave chisimbwa polyvalent, uye mumwe asiri? Opinions Masayendisiti vakabvumirana mumwe musimboti, saka, pane nzira dzakawanda, mumwe ine kodzero iripo.

Inotungamirira kwenhamba kwevateveri magene dzidziso. It hunogara nezvokuti neutachiona takatsunga kubva pakuzvarwa uye dzaibatanidzwa kuti nucleotide kutevedzana kuti isu vakawana kubva kuvabereki. Kutsigira dzidziso iyi kunoratidza kuti vana vane vabereki vane Kurwara, zvakare, muri tichikurumidza wokusagadzikana.

Pfungwa yechipiri inoti kwaita Kurwara chokuita kukwana kana zvemamiriro kushanda zvirwere. Vanhu vazhinji vane hypersensitivity, havatani chisingaperi zvirwere zvinowanzotaurwa kubatwa nemishonga kana hormone, uye regai kubuda muchipatara.

Uye pakupedzisira, wechitatu dzidziso anotiudza kuti kwaita Kurwara chokuita doro uye fodya. Izvi, Chokwadi, tsika dzakaipa, uye kubatsirwa navo hapana muviri, asi uchapupu kuti ichi ndicho chinokurwadzai hyper, zvakare, harina kuwana.

In vana, polyvalent chisimbwa anogona kuva nokuda okutanga okusuma nopindirana zvokudya kana chose chakagadzirwa dzichifura. Uyezve, basa rinokosha iri kuridzwa nehonye. Ivo inotokonya masoja emuviri uye zvinobatsira kuti kwaita Kurwara.

Kazhinji, hakuna munhu chikonzero nei paine hypersensitivity. Nguva dzose mubatanidzwa zvinoita.

pathogenesis

Polyvalent chisimbwa hazvirevi kuva pakarepo uye muzuva rimwe chete. Chii murume anotora kuti zvakonzerwa maitiro muviri, chokwadi refu vakaronga mudzimu wenyu zvirwere. Chero chikungiso chingave kuva, chero hypersensitivity zvavave kunoitika zvinhanho zvitatu budiriro:

1. Danho Rokutanga: kujairirana antigen. The muviri wokutanga anosangana nezvinhu yatisingazivi namakemikari remubatanidzwa kana mukume, anonhuwira, mushonga, kana microorganism. It ari mubishi rekudzidza nomusoro uye kugadzirwa immunoglobulin E, izvo basa reactivity yacho muviri.
2. Danho rechipiri: cytochemistry. By akadzokorora neVadzidzi allergen zvaanopa simba IgE, vakaronga pamusoro pedanda rechikepe masero uye ropa mune yakawanda vabudiswa vanoshingaira zvinhu zvakadai histamine, kweserotonin, uye dzimwe mainterleukin.
3. Chechitatu Danho: kuti chidzoke zviratidzo. The zvichiguma migumisiro iri "coctail" kuti mishonga vanoshingaira zvinhu muvanhu kungava bronchospasm, kuzvimba, kuvaviwa, akatsvuka, uye ganda rashes, rhinitis, conjunctivitis uye zvakawanda.

Zvinonzi zvakare kukura uye polyvalent chisimbwa. Chechitatu pamwero kwacho panyaya chirwere ichi chinogona ndikanonoka, achitora noshamisa kana vakavhengana siyana, asi pachine stereotyped pavakanzwa nechisimba dzimwe zvinoriumba.

zviratidzo

Takatodzidza muchidimbu se polyvalent chisimbwa hworatidza pacharo. Zviratidzo kuonekwe pakarepo pashure pakunzwisisa allergen, kana kuti kunonoka nenguva. Izvi zvinoenderana dose uye dzokupisa (i.e., dzokupisa nguva) uye rukungiso chinhu chaicho zvinhu. Somuenzaniso, huruva uye mukume chikonzero kutsamwa ari kufema turakiti, uye pashure ingestion kuti nzungu zvidimbu yakatanga generalized edema.

The kufema maitiro pamwe polyvalent chisimbwa zvingaitika zviratidzo zvakadai rhinitis, kupfupika mweya, tsandanyama spasm pamusoro Árbol asima kurwiswa. Munhu pakarepo zvinova zvakaoma kufema, akanga gasping, vangakosora kunotangira, zvichida kunyange kuchema. Kana murwere anoziva chirwere chake, ane nguva dzose naye muhomwe inhaler rine mushonga kutsanya. Kugona nokukurumidza kubatsira pachavo kwakaponesa vanhu vazhinji vane Kurwara. Kazhinji, asi allergens ichava iyi volatiles: guruva, mukume, shinda, zvinonhuhwira nezvimwe aerosol mishonga.

Pamusoro chikamu ura pashure ingestion zvokudya allergenic zvokudya ikoko chemanyoka chaiyo. Murwere anogona vanoti chirwere pachituru, kuda kurutsa uye kurutsa, chenhando zvokudya kana paunowana zvekudya, asi nokufamba kwenguva, kana kurwisa vachava dzose, hapana mubvunzo zvakasikwa yavo chinoramba.

urticaria

Polyvalent chisimbwa (ICD-10 basa remitemo T78.4 s) kungaratidzwa muchimiro rashes pamusoro ganda uye mucous membranes. Panyaya iyi, iyo allergen kupinda mashandiro ari musimboti hakusi kukosha, asi zvikuru zvikuru maitiro hwapedyo kuburikidza zvakananga vachionana, akadai kugeza maoko, kuchenesa, kuunganidza maruva nemichero. Kazhinji zvinokonzera mikoko zvokudya kana kwemakemikari allergens: doro, Antiplatelet vamiririri, mishonga yokuuraya utachiona, uye zvizoro zvakadai.

Akaora, ichi mhando imwe polyvalent chisimbwa anooneka somunhu Hwakatsvuka ganda iri kokutsva mufananidzo edema uye chitarisiko matema duku pachena kugutsikana. Mune zvimwe zviitiko, kuvaviwa wanamatira. Zviratidzo mikoko nyore nyore kunogona kubviswa antihistamine mafuta okuzora, bhurandi uye mahwendefa (kana mapundu zvakapararira). No shanduko iri paganda haagari, asi akazviratidza kamwe, kuti chisimbwa mhando iyi recur uye anoda kuti atambudze varwere.

angioedema

Chisimbwa polyvalent, uchikurukura yakawanda allergen hwuratidzwe sezvo edema rinenge mutsipa kana angioedema. Dzimwe nguva, kana kuti zvipembenene ikaruma kumeso uye nemumuromo mhango kana chikafu chisimbwa, mumwe dose guru haisi zvakakodzera. Mucosa uye subcutaneous zvinyama rokumusoro kufema turakiti uye mutsipa nhengo zvinonyatsoziva vascularized, saka pathological mumiririri yava kupararira panyika mudunhu.

Kazhinji, angioedema rinomiririra pakarepo mhando sema maitiro, uye anogona chingaisa vanhu kunyange kana kuonana pamwe allergen. Nekuti edema kunoitika croup kwenhema - aienda pamusoro lumen of dokeriro - uye somugumisiro, nyonganyonga yacho wokufema uye kufema kusungwa. Kana murwere haripi kubatsirwa nokukurumidza, mikana yakanaka mugumisiro achawira nehasha. Ndokusaka ose chiremba ari paruoko nokumutswa Kit, "Adrenaline", "Ephedrine", "Prednisolone" uye "Eufillin". Izvi mishonga rubatsiro wokutanga angioedema.

anaphylactic kugwinha

Zvikuru ngozi wehurumende kuti chisimbwa vanorwara ndiyo anaphylactic kuvhunduka. Kakawanda zvikaitika kana anwa allergens: zvokudya kana mushonga. Chero uwandu zvinhu zvave kuita kutanga pakarepo kutaipa nezvimedu duku zvakakwana nokuparura hombe pedanda rechikepe sero degranulation.

Zviratidzo izvi ezvinhu ari rakapinza ichidonhedzera BP achabatsirwa kurasikirwa pfungwa kana chaanoziva, kudziviswa, asingafungi, kufema isingawanzowanikwi, nezvipusha, uye pallor. Munhu ane nguva kare zvaimboita, zvino akafa pamberi vaitya Vanopfuura. With kukura Muchiitiko chakadaro, iwe unofanira pakarepo kudaidza amburenzi uye kutora kwokukurumidzira matanho, kana zvichikodzera, pachavo (kana uchigona, chokwadi).

Nokuti chiremba, zvinokosha kukwanisa kusiyanisa anaphylaxis kubva muhombe Pe (pulmonary embolism), mwoyo kurwiswa chakasimba, sitiroko, uye zvimwe zvirwere dzinobatanidza kungoerekana kollaptoidnye syndrome.

Polyvalent mushonga chisimbwa

Munguva ichangopfuura, muna kurapwa tsika, zviitiko neutachiona zvinodhaka. The inonyanya mumwe, kanenge - mashomanana panguva. Nyanzvi dzinodavira kuti zvinhu zvakadaro kwakaita kuti inondimukira yaunodya kwezvinodhaka uye kugara kacho dzokuzvirapa.

Pakutanga chiratidzo oz (chakasimba zvirwere zvokufema) vanhu havaendi chiremba, uye akatumira chemishonga, apo kutenga mishonga simba kana antiviral nevamiririri. Ipapo utore kwavari pachavo zano akasarudzwa. Izvi exacerbates zvakatoitika huripo kuramba microbial kurapwa uye chinokurwadzai kukura neutachiona.

Chimwe chikonzero kunorwadza, kunyange pathological chido womunhu ano kuchenesa. Kwose kwose unogona kuwana antibacterial Sipo, ndokupisika uye bhurandi. Zvechokwadi zvakanaka kuti kune zvivako vakadaro, asi avo kwakakodzera kushandiswa muzvipatara uye mamwe masangano zvakafanana, asi kwete pamba. Tisingabvumiri muviri kuonana nevanhu utachiona, isu tikarega zvayo masoja kugona uye kumutsa kugadzira Kurwara.

Piobakteriofag ari multicomponent mushonga zvainanga kurerutsa migumisiro zvinokonzerwa noutachiona pashure staphylococcal uye streptococcal hunhu. Allergies kuti polyvalent piobakteriofag kunogona kuitika kana asiri zvaidiwa dose kana munhu kusashivirira, asi, sezvo murume mutemo, zviitiko zvakadaro hadziwanzowaniki. Kakawanda, zvinodhaka chisimbwa anova pamusoro nemishonga, omunharaunda uye mukuru dzokutindivadza, latex, zvinodhaka ane zvinokosha anonhuwirira.

alimentary chisimbwa

Polyvalent chikafu chisimbwa kunogona kukonzerwa zvibereko zvimwe mhando, uye zvinhu izvo chigadzirwa ichi ikarapwa mumafekitari kana mumunda. Pane mazita inonyanya chikafu allergens:

1. Pakutanga, Chokwadi, nzungu. Kunyange zviduku, zvisaririra, uwandu chigadzirwa ichi kunogona kukonzera anaphylaxis uye angioedema. Naizvozvo, vagadziri hazvo anoratidza mashoko akadaro pamusoro pasuru.
2. Zvomugungwa, kunyanya avo kuti haawaniki latitudes edu. Izvi zvinosanganisira dzemugungwa, shrimps, tsvuku caviar.
3. Mazai. Chicken mapuroteni anokwanisa kukonzera chaizvo nechisimba sema maitiro, saka vamwe vanaamai nokungwarira kusuma chigadzirwa ichi mu zvokudya mwana, uye anotanga, sezvo mutemo, pamwe mondo.
4. Mastrawberry uye dzimwe tsvuku michero kukonzera rashes zvakadai mikoko uye mumatenhere chiso muvana.
5. Chero zvekumwe zvibereko, kunyanya Citrus zvibereko. Zvinhu kuti huri mapfupa uye namatehwe michero kwakadaro kunogona kuva allergens simba.
6. Zviyo yaigadzirwa gorosi: semolina, oatmeal, bhari uye nevamwe. Mavari pane gluten, izvo zvinokuvadza vanhu vane celiac chirwere (chirwere chokugara nhaka pakati ura).
7. Rinopedzisa pamusoro uchi yedu. Zvechokwadi uyu unobatsira uye zvikuru-zvinodiwa chigadzirwa, asi kana munhu kare ane chisimbwa kuti mukume, ipapo uchi nezvinogadzirwa nomukaka achava.

Polyvalent chikafu chisimbwa anogona kuonekwa somwana muduku uye mukuru. Kazhinji, vana outgrow Kurwara kuti zvokudya uye murege kunyange kuziva nezvazvo pashure refu.

Diagnostics

Polyvalent chisimbwa (bumbiro ICD-10 pamusoro) kunokwanisa kuonekwa nyore chaizvo, asi zvakaoma panguva imwe chete. Dambudziko iri chokwadi kuti hazvibviri kuitisa Ongororo pazvose allergens. Hazvina zvinodhura zvikuru uye kakawanda maturo. Vanachiremba vanokurudzira kuti pamberi yakadaro nzira dzavo pachavo kuti pasi vanonzi rukungiso zvinhu uye chete kutarisa navo.

Pane nzira mbiri kuziva allergen. Chokutanga - dehwe bvunzo. On mukati honokono shamhu duku vakashandisa kuturika pakati allergens mune simba dilution. A (diki) nguva pashure chiremba achaongorora nzvimbo chikumbiro. Kana ukaona akatsvuka kana kuzvimba, zvino zvingangoita allergen.

nzira yechipiri - Kutsunga antibodies muropa. Izvi rakaoma uye dzakareba nzira kuti kunoda mari. Asi anopa mhinduro rakanyatsorurama. To zviri kuita chete nyaya kunodiwa kuona padanho reactivity kuti kare anozivikanwa allergen.

mabatiro

Ita polyvalent chisimbwa kurapa anongokurukurwa? Treatment ndechimwe ikoko, asi chiri refu uye yainetsa. Chekutanga, simba iri allergen muviri. Vachafanira kuparadzana dzinovaraidza, shanduko Mapedhi, kazhinji kuita nyoro kuchenesa uye airing zvivako. Kudhayeta, kurega kutora zvimwe zvinodhaka uye-poda.

Panjodzi, shandisa antihistamines. Ivo vanovhara receptors kuti kubatwa histamine, uye murege kuti kushamwaridzana munyama muviri. Rakakurumidza anobvisa zviratidzo asiwo divi migumisiro zvinodhaka izvi zviri zvizhinji, saka kuita kurapa kwakadaro kana zvakakodzera chete.

dziviriro

Polyvalent chisimbwa (ICD yekubvuma aunotoziva) angatanga mune utano, anoita munhu, saka kugadzirira kana kudzivisa zvakaoma. Doctors vari zano kuomerera zvakarurama nzira youpenyu, kudzivisa zvekumwe nezvokudya, iva nechokwadi kuti kuitisa chisimbwa bvunzo asati kushandisa zvinodhaka zvitsva uye kuchangotanga chiratidzo chirwere kuona chiremba, uye kwete kuedza kubata pachako.