Logical Approach to Anaphylaxis

Yıl 2019, Cilt: 11 Sayı: 2, 74 - 78, 07.03.2019

Uzm. Dr. Zeynep Hızlı Demirkale

Öz

Abstract

Anaphylaxis is a life-threatening severe systemic hypersensitivity reaction that can occur rapidly within minutes. Recognition of symptoms, definite diagnosis and rapid treatment approach are very important. Adrenaline is the first choice of medication in the anaphylaxis treatment and should be applied as soon as diagnosis is made. Secondary medications in the treatment of anaphylaxis are adjuvants and can never be replaced for adrenaline. Patients, families and caregivers of a child who has a history of anaphylaxis and/or risk of anaphylaxis should be informed about the avoidance of allergens, recognition ofthe anaphylaxis symptoms and, if necessary, the implementation of the planned treatment emergency plan. In this case, an adolescent patient with milk allergy was discussed.

Anahtar Kelimeler

adrenaline, anaphylaxis, foodallergy, epinephrine, auto-injector

Anafilaksiye Akılcı Yaklaşım

Öz

Öz

Anafilaksi dakikalar içerisinde hızla ortaya çıkabilen ve ilerleyen, yaşamı tehditeden ciddi sistemik aşırı duyarlılık reaksiyondur. Semptomların erken tanınması, doğru tanı ve hızlı tedavi yaklaşımı çok önemlidir. Adrenalin anafilaksi tedavisinde tercih edilen ilk ilaçtır ve tanı konulduktan sonra hızla uygulanmalıdır. Anafilaksi tedavisinde kullanılan diğer ajanlar yardımcı ilaçlardır ve adrenalinin yerini asla tutamaz. Daha önce anafilaksi geçiren veya anafilaksi geçirme riski olan çocuk hastanın izleminde çocuğa, ailesine ve çocuğa bakım verenlere sorumlu alerjenden kaçınma, anafilaksi bulgularını tanıma ve gereğinde daha önceden verilen yazılı acil eylem planını uygulama ile ilgili bilgi ve eğitim verilmelidir. Bu vaka eşliğinde, süt ve süt ürünleri ile anafilaksi geçiren bir adolesana tedavi yaklaşımı tartışılmıştır.

Anahtar Kelimeler

adrenalin, anafilaksi, besin alerjisi, epinefrin, otoenjektör

Kaynakça

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