Amaphilisi e-Penicillin yiwona ovame ukwelashwa kwezidakamizwa kanye nesisusa esijwayelekile sokukhukhula kwesikhumba, kodwa kunzima ukwazi ukuthi yilokho okubangela ukushona kwakhe. Kungase kubangelwe enye into.
Izimpawu ze-Penicillin Yokuzivocavoca
I-penicillin yokungezwani komzimba kungabangela ukusabela okubangelwa impilo, kepha ngenhlanhla, iningi lezingane ezine-penicillin yokungezwani komzimba zinezindlela ezinomthelela ezengeziwe, okuholela ekuqhumeni okulula kwesikhumba, njengemifantu.
Ngaphandle kwemihlathi, izingane ezinezibonakaliso ezinzima kakhulu, ezifana nokushaya , ukuphefumula noma ukugwinya, noma ukuvuvukala emlonyeni noma emphinjeni, zingase zibe ne-anaphylaxis - ukusabela okubi kakhulu.
Uma ngabe ingane yakho inemifantu (ebizwa nangokuthi i-urticaria), cishe uzobona izindawo ezibomvu noma ezibomvu esikhumbeni somntanakho ezizungezile, ubukhulu obuhlukahlukene, futhi eze futhi zihambe amahora amaningana. Ngokuvamile abahambanga ngokuphelele, noma kunjalo. Esikhundleni salokho, izihlahla ezindala zihamba ngengxenye eyodwa yomzimba wengane yakho, kanti izintsha ziqhubeka zivela kwenye indawo. Noma yisiphi isidleke somuntu ngamunye akufanele siphathe amahora angu-24. Uma kwenzeka, ingane yakho ingase ibe nokugqwala kwesikhumba esifanayo, njenge-erythema multiforme, hhayi imifuba elula.
I-Erythema multiform yindlela yokwelashwa okubangelwa ukwelapha okungahle kubangelwe ukungezwani komzimba we-penicillin noma izinto ezifana nezinye izidakamizwa, ukutheleleka kwama-bacterium noma ukutheleleka ngegciwane . Ngokungafani nemifantu, ezayo futhi ehamba, ukuqhuma kusuka ku-erythema multiforme ngokuvamile kuyaqhubeka nokusakazeka futhi kungadlulela isikhathi esisodwa kuya kwamasonto amabili.
Ezinye izibonakaliso ze-erythema multiforme zingafaka umkhuhlane , ama-aches ahlangene, izilonda zomlomo , namahlo abomvu.
Ingabe I-Penicillin yokungezwani komzimba?
Ngeshwa, imithi ye-penicillin ingaba nzima ukuhlolisisa kunokuba abazali abaningi bangacabanga.
Okokuqala, ngokuvamile kuvame ukudideka ngokuthi ngabe ingane empeleni inomphumela wokugulisa noma ifinyeleleke kalula.
U-Roseola , isibonelo, yisifo esithathelwanayo segciwane lesandulela ngculazi esibangela umkhuhlane ngezinsuku ezimbalwa ezilandelwa ukuqhuma uma umkhuhlane uphula.
Kukhona nokunye ukuphendula kwezidakamizwa okungabangela ukuqubuka okungeyona anti-mediated. Lezi zindlela ezithinta ukuguqulwa kwamaselula, ziba njalo lapho ingane ithatha imithi yokulwa namagciwane futhi inegciwane lesandulela ngculaza. Lolu hlobo lokuphuza kwezidakamizwa ze-morbilliform lungase lube luhle njengoba luvame ukuchazwa ngokuthi "i-pink egcwele-ama-macules-colored macules nama-papules ngokuvamile aqala ekhanda, entanyeni, noma ekhoneni eliphezulu bese esakazeka nge-symmetrically phansi futhi abe yinkimbinkimbi".
Futhi khumbula ukuthi ngisho noma ingane yakho isabela ngendlela efanele, ingabangelwa enye into futhi ukuthatha i-penicillin kungaba yinto engafanelekile. Ezinye izinto ngaphandle kwe-penicillin zingabangela ukusabela kwemizwa nemisipha, kufaka phakathi:
- Ukudla, ikakhulukazi amantongomane, amaqanda, amantongomane emithi , ubisi, i-shellfish, ukolweni, ne-soy
- Ezinye imithi
- Izithasiselo zokudla noma imithi, njenge-tartrazine yedayi yokudla (i-Yellow No. 5)
- Izifo, ikakhulukazi izifo ezithathelwanayo
- Ukulunywa kwezinambuzane kanye nezibhamu
- I-Latex
- Ukuzivocavoca
- Ukucindezeleka
- Ukuvezwa kokushisa, ukubandisa, noma amanzi, kungakhathaliseki ukushisa
- I-Dermographism , i- urticaria engokomzimba , lapho imifuba ibangelwa ukushayeka noma ukukhanda isikhumba
Khumbula ukuthi ngenxa yokuthi izidakamizwa ze-penicillin zivamile, uma ingane yakho ithatha i-penicillin futhi inomdlavuza, isazi sakho sezingane sivame ukucabanga nje ukuthi kubangelwa i-penicillin bese nje sigweme leyo antibiotic esikhathini esizayo. Uma ngabe ingane yakho isela imithi elwa namakhemikhali amaningi noma uma ungathanda ukuqinisekisa ukuthi ingane yakho ingabe isifo se-penicillin yini noma cha, isifo sofuzo sezingane singenza ukuhlolwa kwesifo sofuba ukusiza ukuxilongwa.
Ukwelashwa kwe-Penicillin Allerggies
Ngaphezu kokumisa i-penicillin engase ibangele ukusabela kwengane yakho, umntwana wakho cishe uzophathwa nge-antihistamine, njenge-Benadryl (i-diphenhydramine), ukuze unciphise izimpawu ze-hive nokushaya .
Ukusabela okunamandla okungase kudingeke kuphuthwe nge-steroids kanye / noma umjovo we-epinephrine .
Okudingeka Ukwazi Nge-Penicillin Allergies
Ezinye izinto zokwazi mayelana nemithi ye-penicillin zihlanganisa ukuthi:
- Uma ingane yakho ingenayo igciwane i-penicillin, kufanele futhi igweme i-amoxicillin, i-Amoxil, i-Augmentin nanoma yimaphi amanye ama-antibiotic anjenge-penicillin.
- Ochwepheshe abaningi bacabanga ukuthi izingane ezinomdlavuza we-penicillin zingathatha i-cephalosporin-type antibiotics nakuba kunengozi encane yokuba ne-reactionergic reaction kulohlobo lwe-antibiotic, futhi.
- Ngisho noma ukusabela okweqile kungase kubangele kungakapheli amaminithi amahora okuthatha umthamo we-penicillin, kungathatha izinsuku noma amasonto ukuthi imithi yokubulala imithi ingabangela ingane yakho. Kanti futhi ingane yakho ingase ithathe imithi yokubulala imithi futhi ingenayo impendulo ngaphambi kwalokho, futhi ngokuzumayo isabela ngesikhathi esizayo.
- Khumbuza udokotela wakho wezingane uma ingane yakho ihlinzeka i-penicillin noma nini lapho uthola imithi. Nakuba kungenzeka ukuthi banesixwayiso sokungeneleleki eshadini lomntwana, kuhle ukuphepheka bese ubapha isikhumbuzo.
- Ama-antibiotic kufanele abekwe kuphela ezimweni ezithile. Ama-antibiotics akufanele anikezwe "uma kwenzeka" ingane iwadinga, noma noma yikuphi ukutheleleka okubangelwa yi-viral, ngoba lokhu kungaholela emiphumeleni engadingekile nemithelela .
Okubaluleke nakakhulu, khumbula ukuthi abazali abaningi bacabanga ukuthi izingane zabo ziphikisana ne-penicillin uma empeleni zingekho. I-allergenist yengane ingasiza ekuboneni ukuthi ingane yakho isifo esibi kakhulu ku-penicillin.
Imithombo:
U-Adkinson: Ukuzivocavoca kweMiddleton: Izimiso Nezenzo, 6th ed.
Ngaphandle kwe-AJ. Ingabe kukhona ukuphindaphindwa okuphakathi kwe-penicillin ne-cephalosporin? Am J Med - 01-APR-2006; 119 (4): 354.e11-9
Behrman: uNelson Textbook of Pediatrics, 18th ed.
Ukubonisana kanye nemihlahlandlela yokudlulisela ebonisa ubufakazi: indlela i-allergenist-immunologist engasiza ngayo. I-American Academy Yezokwelapha, I-Asthma & Immunology - I-J Allergy Clin Immunol - 01-FEB-2006; 117 (2 Suppl Consultation): S495-523
UCydulka R. Ingabe lesi siguli siyekezela ku-penicillin? Ukuhlaziywa okusekelwe ebufakazini bokuthi kungenzeka ukuthi i-penicillin isifo somzimba. - Ann Emerg Med - May 2004; 43 (5); 677
INgoma uJames E. Isibuyekezo esiphuthumayo sokuphuza izidakamizwa ezinganeni. Imitholampilo e-Dermatology, Volume 32, Issue 4, July-Agasti 2014, amakhasi 516-523