Choque anafilático é uma reação alérgica exacerbada à intrusão no corpo de um agente alergênico ao qual a pessoa é particularmente sensível e que pode ser fatal.
Afeta quase 5% dos portadores de alergia, e pode ser tratado por um alergista no Rio de Janeiro.
O sinais e sintomas de uma reação alérgica vai variar dependendo do tipo de reação que ocorre, mas saber quando procurar ajuda médica pode salvar uma vida.
Se você ou um ente querido tiver algum dos sintomas observados abaixo como resultado de uma reação alérgica, vá imediatamente a umhospital para alergia no Rio de Janeiro.
Definição: O que é choque anafilático?
Choque anafilático (ou choque alérgico) refere-se a uma reação alérgica mais forte, envolvendo um risco vital.
Quase 5% dos portadores de alergia são afetados por esse tipo de reação. Os adultos são quatro vezes mais afetados do que as crianças.
O choque anafilático é uma resposta imune anormal à intrusão no corpo de um agente alergênico ao qual a pessoa é particularmente sensível.
Essa reação é particularmente rápida, pois ocorre em minutos ou horas depois do contato com o alérgeno causador.
Os alérgenos mais comuns são:
- Certos alimentos;
- Certos medicamentos;
- Venenos de insetos como vespas e abelhas;
- Látex.
O tratamento envolve essencialmente uma injeção intramuscular de adrenalina (uma substância que aumenta a frequência cardíaca e pressão arterial, e dilata os brônquios) e a hospitalização.
Pacientes em risco muitas vezes já sofreram um choque mais ou menos significativo.
Geralmente, eles sabem como agir em caso de sintomas e mantêm consigo um tratamento de emergência (dose de adrenalina auto-injetável).
Qual é a causa do choque anafilático?
Uma reação alérgica exacerbada
Choque anafilático corresponde a uma reação alérgica aguda.
Quando os alérgenos entram em contato com o IgE de basófilos e células de mastro, ele desencadeia a liberação de histamina, leucotrienos e outros mediadores de inflamação que leva à contração difusa de músculos lisos (causando, por exemplo, broncoconstrição, vômito ou diarreia).
E vasodilatação com vazamento de plasma (por exemplo, causando urticária ou angioedema).
O resultado é a hipovolemia, que causa sintomas mais graves e neurológicos: mal-estar, síncope, coma.
Os alérgenos envolvidos
Aqui está uma lista dos alérgenos mais frequentemente envolvidos em choque anafilático:
- Alguns medicamentos: aspirina, beta-bloqueadores, antibióticos, produtos anestésicos
- Alguns alimentos: nozes, amendoim, proteínas alimentares de ovos, frutas/frutos do mar, leite de vaca. Em 60% dos casos, a anafilaxia é causada por um alimento.
- Venenos de insetos (vespa, abelha) responsável por 16% dos choques anafiláticos a cada ano.
- Látex (especialmente em pessoas sensibilizadas e expostas regularmente por razões profissionais ou médicas).
- Esforço físico: depois ou durante o esforço físico. A anafilaxia é frequentemente associada ao consumo prévio de um alergênico alimentar.
Quais são os fatores de risco para choque anafilático?
Os fatores de risco para choque anafilático são:
- Histórico familiar de alergia aguda ou choque anafilático;
- Histórico de reação alérgica aguda ou choque anafilático;
- Aumento do consumo de medicamentos.
Quais são os sintomas do choque anafilático?
Os sinais de alerta
Os sinais de alerta de choque anafilático são geralmente:
- Pele: coceira, formigamento, sensação de queimação, palidez, vermelhidão;
- Respiratório: desconforto laríngeo, aperto, falta de ar, tosse seca;
- Digestivo: náusea, vômito às vezes, diarreia, dor abdominal;
- Cardiovascular: palpitações, queda na pressão arterial, distúrbios do ritmo cardíaco; um pulso acelerado e depois fraco;
- Psicológico: ansiedade.
Os sintomas geralmente aparecem muito rapidamente, em poucos minutos de contato com o alérgeno.
Se você ou um ente querido sentir algum desses sinais, ligue para o hospital imediatamente.
Sintomas Perigosos
A anafilaxia é a forma perigosa de alergia: o resultado pode ser fatal. A natureza e intensidade dos sintomas variam:
- Urticária, edema facial e angioedema (espasmos laríngeos);
- Dificuldades respiratórias, ataques de asma, espasmos brônquicos;
- Mal-estar (palidez, sensação de morte iminente, queda de tensão), síncope, perda de consciência ou mesmo coma.
Em quase 1 em cada 10 casos, ocorre uma segunda reação, poucas horas após a reação inicial: é chamada de anafilaxia bifásica.
Este último justifica a internação por vigilância. `
Gestos de emergência enquanto esperam por ajuda
Pessoas em risco ou que já tiveram reações alérgicas graves geralmente carregam adrenalina injetável (tratamento básico para choque anafilático) que deve ser dada rapidamente intramuscularmente na coxa.
Enquanto espera a chegada da ajuda, a pessoa deve ser colocada em uma posição deitada, de costas, com as pernas elevadas.
Se o sujeito desmaiou, ele deve ser colocado em uma posição lateral segura. A respiração da pessoa deve ser monitorada.
Em caso de parada circulatória, uma massagem cardíaca pode ser necessária enquanto espera a chegada de ajuda.
Como prevenir o choque anafilático?
Para evitar o aparecimento de choque anafilático, é necessário:
- Não entrar em contato com um ou mais alérgenos envolvidos;
- Evitar os alérgenos em alimentos;
- Recusar ou evitar um produto cuja composição não é conhecida;
- Se proteger contra insetos cujo veneno é um alergênico causal;
- manter com você o tratamento a ser tomado em caso de crise e os nomes das substâncias não toleradas;
- Ventilar regularmente a casa e os locais de passagem para evitar o contato com uma substância não suportada.
Quais são os tratamentos para choque anafilático?
O principal tratamento para choque anafilático é a adrenalina. Deve ser administrado com urgência.
Outros tratamentos podem ser prescritos e dados por infusão:
- Anti-histamínicos, que lutam contra os efeitos da histamina, substância feita pelo corpo e desencadeando os efeitos da alergia;
- Corticosteroides reduzem a resposta inflamatória;
- Substâncias contra hipotensão (soro isotônico, drogas vasopressoras, etc.).
Auxílio respiratório necessário em caso de choque alérgico
Durante o desconforto respiratório, broncodilatadores (inalação) podem acalmar o paciente. A administração de oxigênio é importante.
Para permitir a respiração artificial, a intubação é geralmente necessária.
Tratamento após choque anafilático
Após choque anafilático, a exposição ao alérgeno, em doses gradualmente aumentadas (por injeção ou comprimidos) de modo a obter uma tolerância do indivíduo pode ser considerada.
Para alérgenos mais difíceis de evitar, tratamentos de dessensibilização preventiva podem ser recomendados.
A dessensibilização envolve a administração de doses crescentes do alergênico causal. Apenas um alergista está autorizado a realizar a dessensibilização.
Esse tratamento de dessensibilização começa sob supervisão médica e continua, na maioria das vezes, ao longo de vários anos.
E se você não sabe o que desencadeou a reação alérgica?
Enquanto a maioria das pessoas sabe o que é alérgico, para outros, uma reação alérgica pode ser uma surpresa para adultos que nunca experimentaram antes.
Se esta é a sua situação particular, pode ser desconcertante tentar descobrir o que causou isso em primeiro lugar, a fim de evitar que isso aconteça novamente.
Se você está tendo reações alérgicas repetidas, seu médico pode recomendar testes de alergia.
Serviços de Emergência para alergia no Rio de Janeiro
O projeto Brasil Sem Alergia possui algumas unidades no Rio de Janeiro em: Duque de Caxias, Nova Iguaçu, Realengo – Rio de Janeiro , Itaguaí – Rio de Janeiro , Iguaba Grande – estado do Rio de Janeiro (Cruz Vermelha) e Xerém.
Os residentes do RJ podem contar com médicos, enfermeiros e técnicos experientes para fornecer cuidados médicos de alta qualidade.
A clínica possui Tratamento e testes gratuitos e não gratuitos para a detecção de alergias que provocam doenças como dermatite Atópica, asma, bronquite, rinite e prurigo estrófulo (reação a picada de insetos).
Não perca tempo e entre em contato para marcar uma consulta já.
Ligue no Telefone (21) 4063-8720 ou WhatsApp: +55 (21) 99374-2042.
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