Maganin Alkawari Kamar yadda Yayi Ciki
Anaphylaxis wata cuta ce mai tsanani, ta haifar da sakin kwayoyin cututtuka irin su histamine daga kwayoyin jiki masu rashin lafiyar irin su kwayoyin mast . Dalilin anaphylaxis sun hada da abinci, magunguna irin su penicillin da NSAID , latex da kwari da kwari . Kwayoyin cutar na anaphylaxis na iya haɗawa da urticaria da angioedema , alamun cututtuka na fuka , tashin zuciya / vomiting da zawo, da kuma karfin jini.
Anaphylaxis na iya faruwa a lokacin ciki, musamman a lokacin aiki da bayarwa, kuma zai iya wakiltar ƙananan haɗari ga tayin, saboda ƙananan saukar jini da aka danganta da anaphylaxis a cikin uwa na iya rinjayar jini zuwa gabobin da ke cikin tayin, kamar kwakwalwa da zuciya . Ƙarin alamun bayyanar cutar anaphylaxis a lokacin daukar ciki na iya haɗawa da lalata da lalacewa, ƙwaƙwalwar hanji da kuma ciwo mai rauni.
Dalilin Anaphylaxis Lokacin Ciki
Sakamakon anaphylaxis a lokacin yawancin ciki suna daidai da mace mara ciki. Duk da haka, a lokacin aiki da kuma bayarwa akwai wasu abubuwan da ke tattare da anaphylaxis da ake buƙatar yin la'akari. A cikin binciken da ya gabata game da marasa lafiya 23 da anaphylaxis a lokacin haihuwa, 8 yana da anaphylaxis zuwa penicillin da maganin maganin rigakafi, 6 suna da anaphylaxis zuwa latex, 1 yana da anaphylaxis zuwa gwangwani, kuma sauran suna da anaphylaxis zuwa wasu magunguna daban-daban.
Wani babban binciken daga asibiti na Texas ya gano kimanin mata 700,000 da aka saki bayan da aka bayarwa ya nuna lokuta 19 na anaphylaxis (0.0027% na ceto), tare da fiye da rabin adadin da ake samu daga penicillin da maganin rigakafi.
Yawancin matan da ke fama da anaphylaxis a cikin wannan binciken sun fito ne daga waɗannan sassan.
Penicillin da sauran maganin rigakafi. A lokacin aiki da kuma bayarwa, waɗannan magunguna sun wakilci mafi yawan mafitar anaphylaxis. Penicillin (da maganin maganin rigakafin maganin) shine magani ne na rigakafi na rigakafin cutar streptococcal (BP) da sauran cututtuka (irin su prophylaxis a lokacin sassan cesarean) kuma an ba da shi a lokacin aiki da kuma bayarwa.
Yayinda gwajin fata shine hanya mafi kyau don gano asibiti na farji na penicillin, ba a ba da shawarar a lokacin daukar ciki, saboda karamin damar anaphylaxis wanda zai iya faruwa a sakamakon gwaji. Kauce wa penicillin ya fi dacewa a lokacin daukar ciki (tare da yin amfani da wasu kwayoyin cututtukan kwayoyin ba penicillin), sai dai idan babu wani zabi, irin su lokacin da mahaifiyar ta kamu da syphilis .
Jaraba mai laushi. Jigilar rashin lafiyar mawuyacin mahimmanci shine ma'anar anaphylaxis yayin aiki da bayarwa. Dole ne a kimanta mata masu juna biyu tare da tarihin rashin lafiyar latex kafin a yi aiki da kuma bayarwa tare da yin amfani da gwaji IgE ELISA gwaji , maimakon gwajin fata zuwa latex, ya ba dan kadan damar haifar da anaphylaxis tare da gwajin fata. Ana iya bawa masu juna biyu masu fama da rashin lafiyar wuri marar lahani don aiki da bayarwa.
Jiyya na Anaphylaxis lokacin Ciki
Yawancin lokaci, magani ga anaphylaxis mai tsanani a lokacin daukar ciki ba ya bambanta da wannan ba a ciki ba ciki ba. Epinephrine shine maganin zaɓin, kuma ya kamata a bi da cutar karfin jini tare da magungunan epinephrine (kamar yadda ake buƙata), ruwa mai kwakwalwa, da sauran magunguna don kula da cutar karfin jini. Rashin karfin jini a cikin mahaifiyar zai iya haifar da ƙananan jini zuwa gabobin da ke cikin tayin, musamman ma kwakwalwa.
Rashin raunin ƙwayar cuta na jiki zai iya faruwa yayin da aka rage jini zuwa tayin don fiye da minti 5.
Mafi kyawun maganin anaphylaxis lokacin daukar ciki shine rigakafin anaphylaxis a farkon wuri. Saboda haka, mahaukaci suna da mahimmanci a kula da mata masu juna biyu waɗanda ke da tarihin anaphylaxis zuwa abinci, magunguna, latex da kuma ciwon kwari. Dole a jinkirta gwaji don yawancin allergies a lokacin daukar ciki, ko kuma yin amfani da gwajin jini, don rage girman yiwuwar anaphylaxis sakamakon sakamakon gwaji.
Source:
Simons FER, Schatz M. Anaphylaxis Lokacin Ciki. J Allergy Asthma Immunol. 2012; 130: 597-606.