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7/27/2019 2013 BAA - Anaphylaxis
1/5
Ncjugk ?0 Pikjmitrmbs
9 / ;
9 Ilipdygixms
J KEMLMZMCL CE I LIPD]GITMR Iggkrfmb rkibtmcl tdit ms8
c Mnnkjmitk c Rystknmb c Gmektdrkitklmlf
Mt isscbmitkj wmtd nihcr bdilfks ml tdk ocjy subd is8 c Birjmcvisbugir systkn c _kspmritcry systkn c Rynpitdktmb systkns
Prcnpt rkbcflmtmcl ilj ipprcprmitk jruf tdkripy irk mnpcrtilt tc pt. survmvig c Is OGR (OII), ml cur prctcbcg wk billct trkit skvkrk ilipdygixms. c BIGG EC_ OIBA [P
9.9 Iltmfkl Iltmfkl tdit mljubks tdk ecrnitmcl ce iltmocjmks
Iltmfkls bil kltkr tdk ocjy oy8 c Mlhkbtmcl c Mlfkstmcl c Mldigitmcl c Ioscrptmcl
Kxinpgks ce bcnncl iltmfkls isscbmitkj wmtd ilipdygibtmb rkibtmcls8 c Jruf (pklmbmggml / ispmrml) c Klvklcnitmcl (okk stmlfs / wisp strmlf) c Eccj (lkts / skieccj) c Pcggkl (diy ekvkr bdilfk ce skiscls fklkriggy lct skvkrk)
Zdk Iltmfkl / suostilbk tdit biusks tdk iggkrfmb rkspclsk ms biggkj iggkrfkl
9.? Iltm ocjmks Prctkbtmvk prctkml suostilbk
c Jkvkgcpkj oy tdk ocjy ml rkspclsk tc iltmfkls Zdky omlj tc tdk iltmfkl tdit prcjubkj tdkn Zdky eibmgmtitk ml lkutrigmzmlf tdk iltmfkl ilj rkncvig ercn tdk ocjy
Zdms lcrnig iltmfkl iltmocjy rkibtmcl prctkbts tdk ocjy ercn jmskisk oy ibtmvitmlf tdk mnnulk rkspclsk
Mnnulcfgcougml > iltmocjy
9.2 Mnnulk rkspclsk Mnnulk rkspclsks irk lcrniggy prctkbtmvk Bil okbcnk cvkrsklsmtmvk Cr ok jmrkbtkj tcwirjs dirngkss iltmfkls wk irk kxpcskj tc cetkl
c Vdkl tdms cbburs Mt ms biggkj8 iggkrfmb rkspclsk
c Zdk Iltmfkl / suostilbk biusmlf tdk iggkrfmb rkspclsk ms biggkj iggkrfkl
Bcnncl iggkrfkls mlbgujk8 c Jruf (pklmbmggml / ispmrml) c Klvklcnitmcl (okk stmlfs / wisp strmlf) c Eccj (lkts / skieccj) c Ilmnigs (eur) c Pcggkl (diy ekvkr bdilfk ce skiscls fklkriggy lct skvkrk)
7/27/2019 2013 BAA - Anaphylaxis
2/5
Ncjugk ?0 Pikjmitrmbs
? / ;
Dkigtdy ocjy rkspcljs tc il iltmfkl bdiggklfk oy8 c I bcggkbtmvk jkeklbk systkn alcwl is mnnulmty
Mnnulmty niy ok8 c Prksklt it omrtd, lituriggy c Ibqumrkj, rksugtmlf ercn kxpcsurk tc i spkbmemb iltmfklmb ifklt / pitdcfkl c Irtmembmiggy mljubkj, rksugtmlf ercn mlcbugitmcl / mnnulmsitmcls ifimlst mlekbtmcus jmskisks k.f.
nkisgks / jmpdtdkrmi
9.: Bcnpclklts ce tdk mnnulk systkn Gynpditmb systkn Gkuacbytks Gynpdcbytks Mnnulcfgcougmls Nkjmitcrs
9.:.9 Gynpditmb systkn Kvkry tmssuk suppgmkj oy ogccj vksskgs (kxbgujmlf tdk oriml ilj pgibklti) Bcltiml gynpditmb vksskgs Zdk gynpditmb systkn bgkils dcusk Ilj birrmks ecrkmfl nitkrmig tc tdk bcrrkbt jmspcsig smtk k.f. amjlky
9.:.9.9 Gynpd egumj Pmbas up8
c Crfilmsns c bkggugir jkorms c ilj cr ctdkr ecrkmfl nittkr ml tmssuk
ilj birrmks mt oiba tdrcufd tdk gynpditmb vksskgs mlbgujmlf tdk gynpd lcjks
9.:.9.? Gynpd lcjks stritkfmbiggy bgunpkj ml irkis tdit niy ok kxpcskj tc girfk incults ce iltmfkls
9.:.? Gkuacbytks (wdmtk ogccj bkggs) Ogccj bcnpclklts isscbmitkj wmtd tdk mnnulk rkspclsk Ncst gkuacbytks ml tdk pkrmpdkrig ogccj bclsmst ce8
c Pcgyncrpdclubgkir frilugcbytks Nclcbytks fcoogk up iltmfkls ilj bdilfk tdkn Prmniry bkggs mlvcgvkj ml pdifcbytcsms
c Lkutrcpdmgs c Nclcbytks
9.:.2 Gynpdcbytks Zwc bgissks ce gynpdcbytks tdit irk prmlbmpig pgiykrs ml tdk mnnulk rkspclsk
c Z Gynpdcbytks (Z bkggs) Z8 Zdynus
c O Gynpdcbytks (O bkggs) O8 Oclk Nirrcw
Z Gynpdcbytks (Z bkggs) c Niak up 40% ce igg gynpdcbytks c Prcjubks ml tdk tdynus c Dkgp jkeklj ifimlst ecrkmfl bkgg / vmrus tdit kltkr tdk ocjy
7/27/2019 2013 BAA - Anaphylaxis
3/5
Ncjugk ?0 Pikjmitrmbs
2 / ;
O Gynpdcbytks (O bkggs) c Ibbcult ecr rknimlmlf ?0% ce gynpdcbytks c Jkvkgcpkj ml oclk nirrcw c Kqumppkj wmtd iltmfkls wmtd spkbmemb rkbkptcrs
Zdky spgmt ipirt ilj skpiritk mltc8 Rpkbmigmzkj ibtmvk ecrbks (iltmocjmks) Ilj rkskrvks (nkncry bkggs)
9.:.: Mnnulcfgcougmls ilj Nkjmitcrs Mnnulcfgcougml > iltmocjy
Nkjmitcrs c Prctkmls tdit biusk nily pdysmcgcfmbig rkspclsks c Ncst irk prksklt tdrcufdcut tdk ocjy ilj rkniml mlibtmvk ultmg trmffkrkj oy il mnnulk rkspclsk c Igg divk jmeekrklt prcpkrtmks c Ncst pkrecrn skvkrig eulbtmcls
9.; Iggkrfmb rkibtmcl Nirakj oy mlbrkiskj pdysmcgcfmbig rkspclsk tc il iltmfkl ietkr prkvmcus kxpcsurk (sklsmtmzitmcl) tc sink
iltmfkl Ifklts tdit niy biusk dypkrsklsmtmvmty rkibtmcls (mlbgujmlf ilipdygixms)
c Jrufs ilj omcgcfmbig ifklts c Mlskbts omtks ilj strmlfs c Eccjs
9.5 Ilipdygixms Mlbmjklbk Biusitmvk ifklts
9.6 Dmstinmlks Dmstinmlks biusk tdk synptcns Prcnctks visbugir pkrnkiomgmty Biusks viscjmgitmcl Biusks bclstrmbtmcl ce lclvisbugir sncctd nusbgk, kspkbmiggy ml tdk FM tribt ilj tdk orclbdm trkk
c Zdkrk ms il isscbmitkj mlbrkisk ml fistrmb, lisig ilj gibrmnig (tkir jubt gibrmnitmcl tkirs) skbrktmcl, rksugtmlf ml tkirmlf ilj rdmlcrrdcki
Mlbrkiskj bipmggiry pkrnkiomgmty iggcws pgisni tc gkia mltc tdk mltkrstmtmig spibk c Prceculj viscjmgitmcl biusks eurtdkr jkbrkiskj birjmib prkgcij, tdit bcnprcnmsks strcak vcgunk
ilj birjmib cutput Zdksk pdysmcgcfmbig keekbts gkij tc8
c Rynpitdktmb egusdmlf c
[rtmbirmig (dmvks)
c Ilfmckjkni (mlbrkisk ml egumj cut ce tdk bkggs) c Dypctklsmcl
Clskt ce ibtmcl ms vkry ripmj c Keekbt irk sdcrt gmvkj okbiusk tdky irk qumbagy orcakl jcwl oy tdk pgisni klzynks
7/27/2019 2013 BAA - Anaphylaxis
4/5
Ncjugk ?0 Pikjmitrmbs
: / ;
9.4 Pdysmcgcfy ce ilipdygixms
9.= Isskssnklt ilj emljmlfs _kspmritcry keekbts (iusbugtitk) Birjmcvisbugir keekbts (dypctklsmcl) Fistrcmltkstmlig keekbts (nubcus prcjubtmcl) Lkrvcus systkn keekbts Rynpitdktmb keekbts (emfdt / egmfdt)
c Bdkba ecr nkjmb igkrt oribkgkt c Cotiml dmstcry c RINPGK
Jmskisk kltmtmks tdit tdky prksklt wmtd smnmgir smfls ilj synptcns ce ilipdygixms8 c Rkvkrk istdni wmtd rkspmritcry eimgurk c
[ppkr imrwiy
costrubtmcl
c Pugncliry ckjkni (wmtd / wmtdcut NM) c Jruf cvkrjcsk c Dypcvcgiknmb sdcba
9.=.9 Mlmtmig isskssnklt IOB Imrwiy isskssnklt ms brmtmbig
c Ncst jkitds ercn ilipdygixms jmrkbtgy rkgitkj tc uppkr imrwiy costrubtmcl Kviguitk tdk bclsbmcus pt. ecr vcmbk bdilfks / orkitdmlf sculjs
c Rtrmjcr / oiramlf bcufd Bcnpgimlts ce8
c Zmfdtlkss ml tdk lkba
c Jysplki Octd suffkst mnpkljmlf imrwiy costrubtmcl
7/27/2019 2013 BAA - Anaphylaxis
5/5
Ncjugk ?0 Pikjmitrmbs
; / ;
Imrwiy ce ulbclsbmcus pt. sdcugj ok kviguitkj ilj skburkj c Me imregcw ms costrubtkj BIGG EC_ OIBA [P IRIP
IGR sdcugj pkrecrn kljctribdkig mltuoitmcl c Me tdkrk ms skvkrk girylfkig ilj kpmfgcttms ckjkni
IGR ny lkkj tc pkrecrn surfmbig / lkkjgk brmbctdyrctcny tc prcvmjk imrwiy ibbkss NCLMZC_ PZ. BGCRKG] ecr IL] smfl ce rkspmritcry jmstrkss
9.=.? Isskssnklt Isskss pugsk (quigmty, ritk, gcbitmcl) E_KY[KLZG] Dmstcry
c Niy ok jmeembugt tc cotiml out ms brmtmbig tc rugk cut ctdkr nkjmbig knkrfklbmks tdit niy nmnmb ilipdygixms
c Yukstmcl tdk pt. rkfirjmlf8 Bdmke bcnpgimlt _ipmj clskt ce synptcns
Rmfls ilj synptcns ce ilipdygixms usuiggy ippkir wmtdml 9 20nml ce mltrcjubtmcl ce iltmfkl (jkpkljilt ce dcw tdk ocjy wis mltrcjubkj tc tdk iltmfkl)
RINPGK c Pt. wmtd alcwl iggkrfmks sdcugj c _kbkmvk mlecrnitmcl rkfirjmlf nkjmbig mjkltmembitmcl tifs / oribkgkts / birjs c Me pcssmogk, bcltibt tdkmr pdysmbmil ecr prksbrmptmcl ecr kpmlkpdrmlk (k.f. Iliamt, Kpmpkl (pt. wcugj
usuiggy jc tdms tdknskgvks) me tdky divk i bcljmtmcl subd is dynklcptkri strmlf ilipdygixms