Mwachidule cha Zowopsa Zambiri za Mankhwala Osokoneza Bongo

by Daniel More, MD, dokotala wovomerezeka pa bolodi

Kuwopsa kwa mankhwala osokoneza bongo kungapangitse kukhala ofatsa mpaka kufa

Zomwe zimachitika ku mankhwala zimakhala zofala kwambiri ndi anthu 15 mpaka 30 peresenti ya onse odwala kuchipatala omwe amayembekezera mosayembekezeka chifukwa cha mankhwala. Komabe, zotsatira zowonongeka kwa mankhwala zimangowerengera pafupifupi 1 mwa khumi mwazochitika zonse zovulaza mankhwala.

Anthu amatha kukhudza mankhwala okhudza mankhwala alionse. Zomwe zimachitika ndizofala komanso zodziwika, pomwe zina zimakhala zosadziwika ndipo zingatheke mwa anthu ena okha.

Kutembenukira Kwambiri kwa Mankhwala

Zochita zowona zowonongeka kwa mankhwala amatsatira zinthu zina:

Nthawi yoyamba yomwe munalitenga panalibe zomwe munachita.
Mmene mankhwalawa amachitira ndi osiyana ndi zotsatira zoyembekezeredwa.
Zimene zimachitika zimakhala zolimbikitsa zowonongeka kapena anaphylaxis .
Zizindikiro za zomwe zimachitika zimatha masiku angapo mutasiya kumwa.

Zizindikiro za Kutembenuka Kwambiri ndi Kugonjetsedwa kwa Immunologic

Ziphuphu zamatenda ndizo zizindikiro zowononga mankhwala osokoneza bongo. Urticaria ndi angioedema (mingвЂ ™ oma ndi kutupa) zimayambitsa vuto, pamene kuthamanga, kupukuta, ndi kutentha kwa dzuwa kumasonyeza kuti sizomwe zimayambitsa matenda.

Zizindikiro zina zosagwirizana ndi matendawa zimaphatikizapo:

Fever
Kulephera kwa impso
Chiwindi cha chiwindi
Matenda a magazi (monga kuchepa kwa magazi m'thupi)

Mankhwala Osokoneza Bongo kwa Penicillin

Pafupifupi 1 mwa anthu 10 aliwonse amalemba mbiri ya vuto la penicillin, koma osachepera 10 peresenti ya iwo amene amaganiza kuti ali ndi vuto la penicillin kwenikweni.

Zovuta zowononga penicillin zingayambitse matenda ophera anaphylaxis.

Mankhwala Osokoneza Bongo kwa Cephalosporins

Zomwe zimakhudza kwambiri cephalosporins, gulu la maantibayotiki, ndizochepa kwambiri kusiyana ndi penicillin. Komabe, pali mwayi wawung'ono ngati muli ndi penicillin zowonongeka zomwe mungathe kuchita ndi cephalosporins.

Mankhwala Osokoneza Bongo kwa NSAIDs

Mankhwala osagwiritsidwa ntchito poletsa kupweteka (NSAIDs) amaphatikizapo kupweteka monga aspirin, ibuprofen, ndi naproxen. Kuwopsa kwa mankhwalawa kungayambitse matenda osokoneza bongo komanso osagwirizana ndi ming'oma ndi kutupa, kuphulika kwa mphumu, komanso kuyambitsa anaphylaxis.

Zomwe Zimayendera Kusiyana kwa Dye

Zochita ku vesi la mtundu wa IV sizowonongeka koma zimatha kuchititsa anaphylaxis kuyambira pamene nsalu yapamwamba ya dye ingayambitse maselo amtunduwu kuti awamasule zinthuzo, akutsanzira zomwe zimachitika. Komabe, nthawi zambiri, mukhoza kutenga davi bwinobwino mwa kugwiritsa ntchito mankhwala otchedwa steroids ndi antihistamines maola chisanachitike.

Mankhwala Osokoneza Bongo kwa Anesthetics Kumidzi

Zoona zowonongeka kwa anesthetics kumaloko (novocaine, lidocaine) ndizosowa kwambiri, ndipo kawirikawiri chifukwa cha zowonjezera zina mwa mankhwala, monga preservatives kapena epinephrine.

Zosagwirizana ndi Zotsatira Zomwe Zidzasokonezedwe Kulimbana ndi Mankhwala Osokoneza Bongo

Mankhwala ambiri osokoneza bongo omwe amagwiritsidwa ntchito pochiza matenda a khunyu amachititsa kuti anthu asamaganize chifukwa cha mavuto enaake. Zizindikiro zingakhale monga:

Rash
Fever
Thupi limapweteka
Chiwindi cha chiwindi

Kusamalira Zochita Zosagwirizana

Ngati mukuganiza kuti muli ndi vuto la mankhwala, mukusiya kumwa mankhwala ndikuitanitsa dokotala, kapena malo awo otchedwa callline, kuti muwone momwe muyenera kukhalira.

Ngati mutatenga mankhwala ndipo tsopano mukuvutika kupuma kapena zizindikiro zina zomwe mumakhala nazo, funsani chithandizo mwamsanga. Chifukwa cha mankhwala omwe amachititsa kuti ming'oma ndi ming'oma ikhale yovuta, dokotala wanu angakulangizeni mankhwala odzola amtengo wapatali omwe mungathe kugula pamsika pa pharmacy yanu. Angalimbikitsenso kuti palibe mankhwala oletsa antihistamines ngati zizindikiro zikupitirira kapena zimapweteka. Zomwe zimachitidwa zingapitirire kuwonjezereka ndi kupitiriza kugwiritsa ntchito mankhwala, choncho musaleke mankhwala okhumudwitsa pokhapokha ngati dokotala wanu akunena mosiyana.

_Zotsatira

_{Macy E. Mankhwala Nthendayi: Zimene muyenera kuyembekezera, choti muchite.} _{J Respir Dis.} _{2006; 27: 463-471.}

_{Mellon MH, Schatz M, Patterson R. Drug Zozizira.} _{Mu: Lawlor GJ, Fischer TJ, Adelman DC, eds.} _{Manual of Allergy ndi Immunology.} _{3rd ed.} _{Boston: Little, Brown ndi Co: 262-289.}