Anafilaksiye Yaklaşım

Yıl 2016, Cilt: 16 Sayı: 2, 86 - 91, 01.07.2016

Sevgi Sipahi Zeynep Ülker Tamay

https://doi.org/10.5222/j.child.2016.086

Öz

Anafilaksi hızlı başlangıçlı, yaşamı tehdit edici, sistemik bir aşırı duyarlılık reaksiyonudur. Tanısı öykü ve klinik bulgular ile konulan bu klinik durum hızla tanınmalı ve erken müdahale edilmelidir. Prevelansın tahmini %0,3 olduğu ancak anafilaksiye bağlı ölüm oranının %0,001’in altında olduğu gösterilmiştir. Tüm yaş gruplarında anafi- laksinin en sık nedenleri besin, ilaç ve böcek sokmasıdır. Semptom ve bulgular çoğunlukla alerjenle karşılaşma son- rası ilk 2 saat içinde ortaya çıkmaktadır. Deri bulguları vakaların %80-90’ında görülmektedir. Solunum sistemine ait semptomlar çocuklarda daha sık görülmekteyken; kar- diyovasküler semptomlar erişkinlerde daha sık ortaya çık- maktadır. Anafilaksi tedavisinde ilk seçenek ilaç olan adrenalin; ölüm ve hastaneye yatışı önleyen tek ilaçtır

Anahtar Kelimeler

Anafilaksi, adrenalin, acil

Approach to Anaphylaxis

Öz

Anaphylaxis is a sudden onset, life-threatening, systemic hypersensitivity reaction. This clinical condition, diagno- sed with history and clinical findings, should be recognized quickly and intervened early. It has been shown that its prevalence is estimated to be 0.3% but anaphylaxis-related mortalityl ess than 0.001 percent. The most common causes of anaphylaxis in all age groups are food, medicine and insect bites. Symptoms and signs usually appear within the first 2 hours after exposure to allergens. Skin findings are seen in 80-90% of the cases. While symptoms of respiratory system are seen more frequently in children, cardiovascular symptoms are more common in adults. Adrenalin is the first line treatment of anaphylaxis, and it is the only medication that prevents death and hospitalization

Anahtar Kelimeler

Anaphylaxis, adrenalin, emergency

Kaynakça

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