Mankhwala a penicillin ndiwo mankhwala omwe amapezeka chifukwa cha mankhwala osokoneza bongo komanso chifukwa chofala cha khungu, koma zimakhala zovuta kudziwa ngati ndicho chimene chimayambitsa kupweteka kwake. Zikhoza kuchitidwa ndi china chake.
Zizindikiro za matenda a penicillin
Mankhwala a penicillin angayambitse matendawa, koma mwachisangalalo, ana ambiri omwe ali ndi vuto la penicillin ali ndi zofewa zambiri, zomwe zimapangitsa kuti mitsempha ya khungu ikhale yosavuta.
Kuwonjezera pa ming†™ oma, ana omwe ali ndi zizindikiro zoopsa, monga kupuma , kupuma kovuta kapena kumeza, kapena kutupa mkamwa mwawo kapena mmero, akhoza kukhala ndi anaphylaxis - vuto lalikulu.
Ngati mwana wanu ali ndi ming†™ oma (yotchedwa urticaria), mumatha kuona malo ofiira kapena pinki pamphuno ya mwana wanu omwe ali otupa, kukula kwake, ndikubwera maola angapo. Nthawi zambiri samachoka kwathunthu, ngakhale. Mmalo mwake, ming'oma yakale imachoka mu gawo limodzi la thupi la mwana wanu, pamene zatsopano zikupitiriza kuwonekera kwinakwake. Mng'oma aliyense sayenera kukhala oposa maola 24. Ngati izo zimatero, ndiye kuti mwana wanu akhoza kukhala ndi khungu lofanana, monga erythema multiforme, osati ming'oma yosavuta.
Erythema multiforme ndi mtundu wa mankhwala osokoneza bongo omwe angayambitsenso penicillin zovuta kapena zinthu monga mankhwala ena, matenda a bakiteriya kapena matenda a tizilombo . Mosiyana ndi ming†™ oma, zomwe zimabwera ndi kupita, kuthamanga kwa erythema multiforme nthawi zambiri kumapitiriza kufalikira ndipo kumatha milungu imodzi kapena iwiri.
Zizindikiro zina za erythema multiforme zingaphatikizepo malungo , mgwirizano wa mankhwala, zilonda zamilomo , ndi maso ofiira.
Kodi Ndi Penisilini?
Tsoka ilo, penicillin matendawa akhoza kukhala ovuta kudziwa ngati momwe makolo ambiri angaganizire.
Chifukwa chimodzi, nthawi zambiri mumakhala chisokonezo chokhudza ngati mwana ali ndi vutoli kapena ali ndi vutolo.
Mwachitsanzo , Roseola ndi kachilombo ka HIV kamene kamatulutsa malungo kwa masiku angapo ndipo chimatsatiridwa ndi chimfine.
Palinso zinthu zina zomwe zimayambitsa mankhwala omwe angayambitse mankhwala osokoneza bongo. Zomwe zimagwirizanitsa maselo, zomwe zimachedwa kuchepetsedwa nthawi zambiri zimapezeka pamene mwana akumwa mankhwala opha tizilombo komanso ali ndi kachilombo ka HIV. Kuthamanga kwa mankhwala kotereku kumakhala kovuta monga momwe nthawi zambiri zimafotokozedwera kuti ndi "masamba obiriwira-mtundu wa macalm ndi a papules omwe nthawi zambiri amayamba pamutu, pakhosi, kapena pamtambo, kenako amafalikira mofanana pansi ndikukhala osokonezeka".
Ndipo kumbukirani kuti ngakhale mwana wanu atakhala ndi vuto lenileni, akhoza kuyambitsa china chake ndipo kutenga penicillin kungakhale mwadzidzidzi. Zinthu zambiri kuphatikizapo penicillin zingayambitse ming'oma ndi ming'oma, kuphatikizapo:
- Zakudya, makamaka maluwa, mazira, mtedza wamtengo , mkaka, nkhono, tirigu, ndi soya
- Mankhwala ena
- Zowonjezeramo mu zakudya kapena mankhwala, monga chakudya cha tartrazine (Yellow No. 5)
- Matenda, makamaka matenda opatsirana
- Tizilombo toyambitsa matenda ndi timing'oma
- Latex
- Kuchita masewera olimbitsa thupi
- Kusokonezeka maganizo
- Kutentha kutentha, kuzizira, kapena madzi, mosasamala kutentha
- Dermographism , urticaria , yomwe ming†™ oma imayambitsidwa ndi stroking kapena kukanda khungu
Kumbukirani kuti chifukwa mankhwala a penicillin ndi ofala, ngati mwana wanu atenga penicillin ndipo alibe vuto, dokotala wanu wa ana nthawi zambiri amangoganiza kuti akuyambitsa penicillin ndipo amapewa mankhwalawa mtsogolo. Ngati mwana wanu atha kale mankhwala osokoneza bongo angapo kapena ngati mukufuna kutsimikizira ngati mwana wanu ali ndi vuto la penicillin, mwana wodwalayo angayese kuyezetsa khungu kuti athandizidwe.
Mankhwala a Penicillin Allergies
Kuwonjezera pa kuimitsa penicillin zomwe zingayambitse mwana wanu kuti ayambe kuchitapo kanthu, mwana wanuyo angachiritsidwe ndi antihistamine, monga Benadryl (diphenhydramine), kuti athetse zizindikiro za mng'oma ndi kuyabwa .
Machitidwe oopsa kwambiri angafunikire kuchitidwa ndi jekeseni ya steroids ndi / kapena epinephrine .
Zimene Mukuyenera Kudziwa Zokhudza Penicillin Amagazi
Zinthu zina zoti mudziwe za mankhwala a penicillin ndi awa:
- Ngati mwana wanu ali ndi vuto la penicillin, ayenera kupeŵa amoxicillin, Amoxil, Augmentin ndi mankhwala ena onse a penicillin.
- Akatswiri ambiri amaganiza kuti ana omwe ali ndi vuto la penicillin akhoza kutenga antibiotic ngati cephalosporin ngakhale kuti pali kachilombo kochepa kokhala ndi vuto la mankhwala oterewa.
- Ngakhale kuti mankhwalawa amatha kupangika m'kati mwa mphindi zochepa kuti atenge mlingo wa penicillin, zingatenge masiku kapena masabata kuti antibiotic iwononge ming'oma mwana wanu. Komanso, mwana wanu akhoza kutenga antibiotic ndipo sanachitepo kanthu, ndipo mwadzidzidzi amachitapo kanthu nthawi yomweyo akazitenga.
- Akumbutseni mwana wanu wamwamuna ngati mwana wanu ali ndi vuto la penicillin mukalandira mankhwala. Ngakhale kuti mwina ali ndi 'zowonongeka' mu tchati cha mwanayo, ndibwino kukhala otetezeka ndikuwapatsa chikumbutso.
- Mankhwala opha tizilombo amayenera kulamulidwa pokhapokha. Mankhwala opha tizilombo sayenera kuperekedwa "ngati mwanayo akufunikira, kapena kuti ali ndi kachilombo koyambako, chifukwa izi zingayambitse zotsatira zosafunika ndi zovuta.
Chofunika kwambiri, kumbukirani kuti makolo ambiri amaganiza kuti ana awo sagwirizana ndi penicillin pamene iwo sali. Katswiri wothandizira ana angathandize kudziwa ngati mwana wanu ali ndi vuto la penicillin.
Zotsatira:
Adkinson: Midtleton's Allergy: Mfundo ndi Zochita, 6th.
Pambuyo pa AJ. Kodi pali kusiyana pakati pa penicillin ndi cephalosporins? Am J Med - 01-APR-2006; 119 (4): 354.e11-9
Behrman: Nelson Buku Lophunzitsa za Ana, 18th ed.
Kuwunikira ndi malangizo otsogolera akunena umboni: momwe wodwalayo wodwalayo angathandizire. American Academy of Allergy, Chifuwa Chofufuzira & Immunology - J Clinic Immunol - 01-FEB-2006; 117 (2 Suppl Consultation): S495-523
Cydulka R. Kodi kuleza mtima kumeneku kumapangitsa penicillin kukhala wodekha? Kafukufuku wokhudzana ndi umboni wokhudzana ndi uphungu wa penicillin. - Ann Emerg Med - 2004 May; 43 (5); 677
Nyimbo James E. Chidziwitso pa matenda okhudzana ndi mankhwala osokoneza bongo. Makliniki mu Dermatology, Voliyumu 32, Magazini 4, July-August 2014, Masamba 516-523