Kupuma kwa Beta Lactam Mankhwala Osokoneza Bongo
Kodi Penicillin Zotsatira Zotani?
Penicillin mwina ndi membala wodziwika kwambiri mwa mankhwala enaake otchedwa beta lactam, omwe amatanthauza mtundu winawake wa mankhwala awo. Kapangidwe kawo kamaphatikizidwanso ndi maselo othandizira penicillin (amoxicillin), cephalosporins, ndi maantibayotiki ena (monga imipenem). Mankhwala a penicillin ndi cephalosporins ndiwo mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza matenda omwe amapezeka.
Penicillin ndi cephalosporins ndizo zimayambitsa kwambiri mankhwala osokoneza bongo . Pafupifupi 10% a ku America amalephera kulandira penicillin kapena mankhwala ena okhudzana ndi mankhwala. Ngakhale kuti penicillin nthawi zambiri amapezeka achinyamata, zotsatira zimatha pa msinkhu uliwonse. Akazi amaoneka kuti ali pachiopsezo choposa amuna. Anthu pafupifupi 300 amatha kufa chifukwa cha penicillin chaka chilichonse ku United States. Zizindikiro zowononga penicillin zimakhala ndi anaphylaxis , ming'oma, zizindikiro za kutupa pansi pa khungu, zizindikiro za mphumu , komanso zizindikiro zosagwirizana ndi matenda monga seramu, matenda ena ophera magazi, ndi zina.
Kodi mbolo ya Penicillin imapezeka bwanji?
Ngakhale anthu ambiri atsimikiza kuti ali ndi vuto la penicillin, osachepera 10% ali ndi vuto lenileni la mankhwala. Kuyezetsa khungu ndi njira yabwino kwambiri yodziwira penisilini. Komabe, kuchotsapo kwa malonda kwa penicillin kuyesedwa khungu kunachotsedwa pamsika mu 2004, chifukwa cha mavuto opanga.
Chotsulochi, chotchedwa Pre-Pen, chinakhalansopo mu 2009. Mwinanso, RAST (magazi) a penicillin amapezeka. Mwamwayi, zotsatira zoyipa za RAST sizimapatula mwayi wa penicillin zovuta.
Kodi Penicillin Zovuta Zichitikira Motani?
Zina kusiyana ndi momwe amachitira mankhwala osokoneza bongo, chithandizo chachikulu cha penicillin zowonongeka ndi kupeŵa kugwiritsa ntchito penicillin komanso mankhwala ena okhudzana ndi mankhwala .
Cephalosporins ingayambitse anthu omwe ali ndi penicillin zovuta. Chiwerengero cha matenda opatsirana ndi cephalosporins omwe ali ndi penicillin zovuta ndi pafupifupi 5 mpaka 10%, ngakhale mitengo ingakhale yapamwamba kwa anthu ena. Kuthamangitsidwa kwa mankhwala a cephalosporins kungakhale koopsa komanso ngakhale kuopseza moyo; Kawirikawiri amalimbikitsidwa kuti odwala penicillin azipewa cephalosporin pamodzi.
Pakhoza kukhala zochitika zina, komabe, munthu yemwe ali ndi mbiri ya penicillin amatsutsa kwambiri penicillin kapena cephalosporin. Pazifukwa izi, wodwalayo angayese kuyezetsa khungu ndipo, ngati ali ndi nthendayi, perekani wodwala mankhwala pang'ono poyang'ana mosamala kuti awonetse kuchuluka kwake - ngati ali - angathe kupirira Munthu yemwe ali ndi vuto la penicillin ali ndi matenda omwe amafunikira chithandizo ndi penicillin, njira yochotsa chilakolako imatha kuchipatala. Izi zimaphatikizapo kupatsa mankhwala pang'ono pang'onopang'ono komanso kuwonjezereka pang'onopang'ono kwa maola angapo, mpaka munthuyo atha kulandira mankhwala okwanira.
Kodi Ndi Mankhwala Otani Amene Munthu Amene Ali ndi Penicillin Zozizira Amazipewa?
Banja la mankhwala a penicillin limaphatikizapo:
- Penicillin VK
- Penicillin G
- Dicloxacillin
- Oxacillin
- Nafcillin
- Amoxicillin
- Ampicillin
- Augmentin (amoxicillin / clavulanate)
- Unasyn (ampicillin / sulbactam)
- Zosyn (pipercillin / tazoctam)
Banja la cephalosporins limaphatikizapo:
- Keflex (cephalexin)
- Ancef (cefazolin)
- Ceftin (cefuroxime)
- Cefzil (cefprozil)
- Omnicef (cefdinir)
- Vantin (cefpodoxime)
- Ma antibayotiki ambiri amayamba ndi "cef-" kapena "ceph-"
Imipenem ingayambitsenso anthu odwala penicillin zowopsa ndipo ayenera kupewa.
Mukufuna kupitiriza kuphunzira? Anthu omwe ali ndi vuto la penicillin amatha kukhala ndi chiopsezo chachikulu chokhala ndi mankhwala osokoneza bongo kwa sulfa. Dziwani za masewera a sulfa .
Zotsatira:
Gwiritsani ntchito Parameters for Hypersensitivity. Ann Zozizira 1999; 83: S665-S700.
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; 1995: 262-289.
Romano A, Gueant-Rodriguez RM, Viola M, Pettinato R, Gueant JL. Cross-Reactivity ndi Kugonjera kwa Cephalosporins kwa Odwala Amene Amadziwika ndi Matenda Odzidzidzikitsa kwa Pencillins. Ann Intern Med. 2004; 141: 16-22.