Kuziva nekudzivisa maantibhakitiriya Mitezo yevana muvana
Kungofanana nemishonga chero ipi zvayo iwe kana mwana wako kugamuchira, ma antibiotic anokwanisa kuuya nemigumisiro. Kazhinji kacho, kubatsirwa kwemishonga iyi kunopfuura zvakanyanya chero njodzi, asi kupindurwa kwakaipa kunoitika. Ndeapi mamwe maitiro anowanzoshandiswa nemishonga inorwisa mabhakitiriya? Ndezvipi zvimwe zvisingambozivikanwi asi zvakakomba migumisiro inogona kuitika? Uye iwe unogona kuderedza sei njodzi yako paunotora mishonga iyi?
Mishonga inorwisa mabhakitiriya yezvirwere zvevana
Kunyange zvazvo kushandiswa kwemishonga inorwisa mabhakitiriya kwakaderera mumakore gumi nemakore akapfuura, ivo vachiri zvimwe zvemishonga inonyanyogadzirirwa mukurapa.
Kugovera kune kudonha kwemishonga inorwisa mabhakitiriya inosanganisira:
- Kuwedzerwa kwePrevnar kusvika purogiramu yehutano hwepwere, iyo yakatungamirira zvakananga kune hutachiona hutachiona
- Kuwedzera kwekushandiswa kwechirwere chekurwisa , izvo zvinogona kutungamirira kuvana vaduku vane chirwere chechirwere uye chikamu chetachiona zvirwere
- Kunyanya kuziva nezvezvipembenene zvinorwisa mabhakitiriya, zvakadai seMRSA
- Zviri nani kuti mishonga inorwisa mabhakitiriya inorondedzera mirayiridzo , kusanganisira mirayiridzo inotsigira kurinda kumirira vamwe vana vane hutachiona hwekunzwa uye zvirwere zve sinus
Chinonyanya kukosha, kunyange zvakadaro, kune kunzwisisa kukuru kwemishonga inorwisa mabhakitiriya. Kuziva nezvemigumisiro iyo maantibayoti angakonzera ichaita kuti zvishoma nezvishoma zvidimbu zvisinganzwisisiki zvinorwisa mabhakitiriya zvinotonhora zvehutano nezvimwe zvirwere zvehutachiona kuitira kuti mishonga inorwisa mabhakitiriya ichishanda patinovada.
Kazhinji Antibiotic Side Side Effects
Kana mwana wako akawedzera rutivi paanenge achitora, kana kuti pakarepo mushure mekumisa mishonga inorwisa mabhakitiriya, iva nechokwadi chekuudza chiremba wevana vako. Mishonga yakawanda inorwisa mabhakitiriya inogona kusanganisira:
- Mishonga inorwisa mabhakitiriya- inokonzerwa nehutachiwana - Kuwana mararamiro paunotora mishonga inorwisa mabhakitiriya yakawanda zvikuru kupfuura vabereki vakawanda vanonzwisisa. Inofungidzirwa kuti kusvika 25 kubva muzana yevana vacharamba vachiita zvirwere, kana vachiri kutora mishonga inorwisa mabhakitiriya, kana kusvika masvondo mashomanana mushure mokunge vapedza. Kunyange zvazvo mamwe mishonga inorwisa mabhakitiriya inofungidzirwa kuti inowedzera kukonzera chirwere, kusanganisira Augmentin uye erythromycin, chero mishonga ipi zvayo inogona kuita kuti mwana wako ave nehara.
- Allergic reactions - Antibiotics inowanzokonzera kugadzirisa kwehutano nemakoko. Zvinosuruvarisa, hutachiona hwehutano hwakawanda hunogona kukonzera maronda echando anganganisa kuvhiringidzika kana zviitiko zvisingatauriki kana vana vasingatenderwi mishonga inorwisa mabhakitiriya, zvichikonzera matambudziko apo mwana anonyatsoda antibiotic munguva inotevera.
- Kuita zvinodhaka - Rashes senzira yekushandisa zvinodhaka (panzvimbo yehutano husingaiti) kune mishonga inorwisa mabhakitiriya inogona kusanganisira zvinokanganisa, maculopapular rashes kana kunyange kunonoka-kunotanga kuratidzira (kutaridzika semisango), asi iyo haisi yeGE-mediated allergen reaction uye zvakakunda 't hunokonzera kutyisidzira kufa nevanaphylactic.
- Yevhiri zvirwere - Yevhiri zvirwere zvinogona kuitika munzvimbo dzakasiyana dzomuviri uye dzinogona kusanganisira murhes mumuromo (thrush) kana kuti marital rashes (Candidal vulvovaginitis.)
- Mazino akachengetedzwa - Maitiro akadai, chibereko chetetracycline chinokonzera mazino painopiwa vana vaduku munguva dzeenamel calcification, ndicho chikonzero ma antibiotics (tetracycline, doxycycline, uye minocycline) haisi kushandiswa nguva dzose muvana vasati vava nemakore masere. Zvinotoshamisa kuti zvinofungidzirwa kuti kunyange Amoxil inogona kukonzera mazino akasvibiswa. Chimwe chidzidzo chakashuma kuti vana vakatora Amoxil mumwedzi yekutanga kusvika kumatanhatu yeupenyu vaiva nehuwandu hwekunyangadza kwezino gare gare.
- Furopi - Kunyange zvazvo kazhinji isingarangariri sechidimbu chemativi, mamwe maantibayoti ave achibatana nefivha-induced fever pavanopiwa mukati-kati (ne IV.)
Nenzira yakanaka, dzakawanda dzemigumisiro iyi ndeyepfupi, kwete kutyisa upenyu, uye enda apo mwana wako anodzivirira maantibioti aakatora. Allergic reactions inogona kudiwa kurapwa ne antihistamines kana corticosteroids uye zvipembenene zvevirusi zvingada kurapwa nemishonga inonzi antifungal mishonga.
Zvimwe Zviremera Antibiotic Side Effects
Mishonga inorwisa mabhakitiriya haisi kungokonzera mararamiro uye maronda. Zvinopfuura 22 muzana zvekushanyira mukamuri yekukurumidzira nekuda kwekukanganisa kwakanyanya kumishonga yemishonga muna 2011 kwakakonzerwa nemishonga inorwisa mabhakitiriya.
Uye imwe yematunhu akakwirira ekushanyirwa kwemukana wekukurumidzira kusanganisira zvinosanganisa mishonga ndeyevana vasati vava nemakore mashanu. Izvi hazvishamisi paunofunga kuti mamwe ematambudziko makuru anogona kusanganisira:
- Anaphylaxis - Anaphylaxis inouraya zvirwere zvinokonzerwa nehupenyu hunosanganisira zvirwere zvakawanda zvezvirwere, kunyanya kufemerwa kufema uye / kana kuderedzwa kweropa.
- Stevens-Johnsons syndrome - Stevens-Johnsons syndrome ndiyo inopisa upenyu hwehutano hwehutano. Vana vane Stevens-Johnson syndrome vanokudziridza zviratidzo zvakadai sechirwere nemaronda anorwadza kana kuora mumuromo, mumhino, maziso, uye mumcosa yepabonde, kazhinji nekunyorova.
- Dhiyabhorosi epidermal necrolysis (TEN) - Chiremera chakasimba cheStevens-Johnson syndrome.
- Zvinetso zveMusculoskeletal - Cipro (ciprofloxacin) nedzimwe fluoroquinolones hazviwanzoshandiswa kuvana. Vanotakura mungozi yekutapuka kwemakumbo uye zvichida kusagadzikana kwehutano husingaperi, kunyanya muvana, Cipro inogona kukonzera zvinetso zvemapfupa, masangano, uye tendon, kusanganisira kurwadziwa kana kuvhuvhuta.
- Clostridium difficile zvirwere - C. kusiyana ibhakitiriya inogona kukonzera chirwere uye mamwe zviratidzo zvemimba, kunyanya kufanana kuvana vachangobva kuva nemishonga inorwisa mabhakitiriya.
- Red man syndrome - Kuita kunogona kuitika kune vana vari kuwana IV vancomycin, red man syndrome inosanganisira kuputika kwemusoro nemutsipa uye dzimwe nguva, zvakanyanya, zvakanyanya kutyisa upenyu.
- Ototoxicity - Mimwe mishonga inorwisa mabhakitiriya, kunyanya aminoglycosides, kufanana ne-gentamicin, inogona kukonzera kukanganisa kwechikomborero kana chechi, zvichiita kuti kurasikirwa kwekunzwa. Ndosaka zvakakosha kutarisa mishonga yemishonga apo vana, zvikurukuru vacheche, vanopiwa iyi antibiotic. Nyaya ndeyekuti aya maantibayoti haashandisi kunze kwekuti mwana ane chirwere chakakomba chisingaiti kune mamwe mishonga inorwisa mabhakitiriya.
- Pill esophagitis - Chirwere chemwana chinogona kutsamwirwa nemishonga inorwisa mabhakitiriya iye ari kutora, kunyanya kana akambomira doxycycline, iyo inenge yakakura.
- Photosensitivity - Mishonga inorwisa mabhakitiriya, kunyanya iyo inoshandiswa kurapa mazino , inogona kuita kuti vana vave nehanya nezuva. Izvi zvinosanganisira mishonga inorwisa mabhakitiriya, tetracycline, minocycline, uye doxycycline, nokuti kuchengetedzwa kwakawedzerwa kuderedza kubuda kwezuva kunofanira kutorwa apo mwana wenyu achiri kuyaruka ari kutora.
- Zvinodhaka-induced lupus - Vana vanogona kukura zviratidzo zve systemic lupus erythematosus (SLE) pavanenge vaine mamwe mishonga, kunyanya kukwirira kweminocycline kwenguva yakareba.
- Bhenign inorwara nehutachiona hwehutachiona - Minocycline dzimwe nguva inogona kukonzera kubatwa nehutachiona hwehutachiona kana pseudotumor cerebri, umo vana vanotora mishonga vanoita kuva nekushaya musoro, kusuruvara, uye kurutsira.
Zvinosuruvarisa, kubva muna 2005, pane kuve nekuwedzera kwemazana makumi manomwe kubva muzana mune imwe nzvimbo yekukurumidza inoshanyira mishonga inorwisa mabhakitiriya. Izvi zvinoita kuti zvive zvakakosha kudzidza nzira yekudzivisa nadzo.
Kudzivisa Antibiotic Side Side Effects
Ichokwadi kuti nzira yakanakisisa yekudzivirira maitiro ebiobiotic ndeye kungowana mishonga yemishonga inorwisa mabhakitiriya kana zvichidiwa kurapa utachiona hwekutapukira uye kutora kuti uite sezvinorayirwa.
Mukuwedzera pakukurudzira maantibhakitiriya kushorwa, kana maantibioti asingakwanisi kuuraya mabhakitiriya zvakare, kutora antibiotics kana vasingadi kuisa mwana wako pangozi yemigumisiro. Mushure mezvose, iyo nyanzvi yeAmoxil kana Zithromax haigone kukonzera chirwere kana chirwere chemvura kana ikasave yakanyorwa pakutanga.
Asi apo mishonga inorwisa mabhakitiriya inodiwa, kufanana kana mwana wako ane strep throat kana pneumonia, unogona kudzivisa kana kuderedza mukana wako wevana wekugadzirisa migumisiro ne:
- Kutora probiotic - Tsvakurudzo dzinoverengeka dzakaratidza kuti probiotics inogona kudzivirira zvirwere zvinosanganiswa nemishonga inorwisa mabhakitiriya.
- Kunwa girazi remvura kuti udzivirire piritsi esophagitis kana mwana wako ari kutora doxycycline kana mamwe mapiritsi makuru kana makirisa.
- Iva nehanya zvakanyanya kudzivirira mwana wako kubva kuzuva kana ari kutora antibiotic inogona kumuisa pangozi yakawanda yekupisa kwezuva kuburikidza nekushanda kwezuva, kuvhara zvipfeko zvekudzivirira, uye kugadzirisa kutaridzirwa kwezuva kana iri pakasimba.
- Kutora mishonga inorwisa mabhakitiriya sezvinorayirwa, kusanganisira kupedzisa mishonga yose kuitira kuti urege kuva nemishonga yakasara.
- Kudzivisa kusangana nemamwe mishonga nekuita kuti chiremba wevana vako azive nezvemamwe mimwe mishonga, kusanganisira pane-the-counter uye mishonga yemhuka iyo mwana wako angave ari kutora.
- Kuchengetedza mishonga inorwisa mabhakitiriya zvakanaka, kunyanya kana inoda kuva firiji.
- Tevera mazano pamusoro pekuda kana kutora mishonga inorwisa mabhakitiriya nechikafu kana kuti musina mimba isina chinhu.
Chinonyanya kukosha, asi, chengorora mishonga inorwisa mabhakitiriya inorondedzera mirayiridzo kuitira kuti iwe usatarisa mishonga inorwisa mabhakitiriya nguva dzose kana mwana wako ane mhute yakasuruvara, chironda chepfungwa, kana utachiona hushoma hutachiona.
Chii Chinofanira Kuziva Pamusoro peAirbiotikiti Mhinduro Dzose
Kunyange zvazvo dzimwe nguva kungova nenyonganyonga, migumisiro inobva kumishonga inorwisa mabhakitiriya inogona kuva yakakomba. Zvimwe zvinhu zvokuziva nezvemishonga inorwisa mabhakitiriya zvinosanganisira kuti:
- Kunyange zvazvo isingawanzoshandiswa kubata vana vaduku, Doxycycline inoratidzwa kune vana vane Ehrlichiosis uye Rocky Mountain nzvimbo ine fever , kunyange kana vari pasi pemakore masere. Muzviitiko izvi, njodzi dzezvirwere izvi zvakakomba zvinokonzerwa nehadzi dzinowedzerwa nezvikwereti zvekutora ma antibiotic.
- Muvana, Cipro inoratidzirwa mukurapa kwakaoma kunzwisisa urinary tract infections uye pyelonephritis (utachiona hwepfungwa) nekuda kwaEscherichia coli . Hazvisi, zvisinei, chisarudzo chekutanga chokumanikidza muvana vaduku.
- Omnicef (cefdinir) dzimwe nguva inogona kuita kuti chigaro checheche chive nemuvara mutsvuku pamusana pekubatana nemashizha ewedhi, mwana muchera nematare, kana zvimwe zvakagadzirwa nematare.
- Amoxil (amoxicillin) dzimwe nguva inokonzera kuchinja kwekuita, kusanganisira kushaya simba uye kushungurudzika.
- Vana vane chirwere cheglucose-6-phosphatase (G6PD kushayikwa) havafaniri kutora mamwe maantibayoti nekuda kwehutano hwekuwedzera hemolytic anemia. Mienzaniso yemishonga inorwisa mabhakitiriya inosanganisira sulfonamides uye nitrofurantoin.
- Mishonga inorwisa mabhakitiriya inobata zvirwere zvinopisa upenyu uye yakarondedzerwa sezvishamiso zvinodhaka uye seimwe yezvidzidzo gumi zvehutano hwehutano hwevanhu muzana remakore rechi20. Usarega kushungurudzwa kwemigumisiro kunokuchengetedza kuti urege kutora antibiotics kana uchida.
Kana mwana wako ane chirongwa chakakomba chinokonzerwa nekutora antibiotic, unogona kuudza iyo FDA kuburikidza neFor MedWatch inowanikwa pakuzvipira kwekuzvipira.
> Sources
- > Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, uye Waldo E. Nelson. Nelson Nhamba yeBhuku rePediatrics. 20th Edition. Philadelphia, PA: Elsevier, 2015. Print.
- > Issa, I., uye R. Moucari. Zvirongwa zveArabiotic-Yakabatanidzwa Dhirarera: Tine Chirevo Here? . World Journal of Gastroenterology . 2014. 20 (47): 17788-17795.
- > Zareifopoulos, N., naG. Panayiotakopoulos. Neuropsychiatric Migumisiro yeAntimicrobial Agents. Clinical Drug Investigation . 2017. 37 (5): 423-437.