Allergy kuBeta Lactam Antibiotics
Chii chinonzi Penicillin Allergy?
Penicillin ndiyo inonyanya kuzivikanwa nhengo yeboka remishonga inorwisa mabhakitiriya inonzi beta lactam, iyo inoreva chimiro chairo mumakemikari awo. Chimiro chacho chinogoverwawo ne-semi-synthetic penicillin (amoxicillin), cephalosporins, nezvimwe mishonga inorwisa mabhakitiriya (yakadai semipenem). Penicillins uye cephalosporin ndiyo inowanzoshandiswa mishonga inorwisa mabhakitiriya.
Penicillins uye cephalosporins ndizvo zvinokonzera zvikonzero zvakanyanya zvezvinodhaka zvirwere . Vanenge 10 kubva muzana veAmerica vanorondedzera kukanganisa ku penicillin kana kuti mishonga inorwisa mabhakitiriya. Kunyange zvazvo penicillin zvinowanzoitika kune vechidiki, kuchinja kunogona kuitika chero ipi zvayo. Vakadzi vanoita sevari pangozi yakanyanya kupfuura varume. Vanenge mazana matatu vanofa vanogona kuverengerwa ku penicillin kuchinja gore negore muUnited States. Zviratidzo zvehutachiona hwepenicillin zvinogona kusanganisira anaphylaxis , mikoko, pasi-ye--kudzivirira kweganda, zviratidzo zvechirwere , uyewo zvisingaiti zvirwere zvinokonzerwa neserum, zvimwe zvirwere zveanemia, nezvimwe zvinokonzera zvinodhaka.
Ko Penicillin Allergy Inozivikanwa sei?
Kunyange zvazvo vanhu vazhinji vanorondedzera kuva nehutano hwepenicillin, pasi pe10% yeiyo chaiyo inokonzerwa nehutano hwemishonga. Kuongorora kweganda ndiyo nzira yakanakisisa yekuongorora penisilini. Kunyange zvakadaro, kuwanikwa kwekutengeserana kwepenicillin kuongororwa kweganda kwakabviswa pamusika muna 2004, zvichibva pakugadzirisa matambudziko.
Ichi chinyorwa, chinonzi Pre-Pen, chakatangazve kuwanikwa muna 2009. Zvimwe, RAST (ropa test) ye penicillin inowanika. Zvinosuruvarisa, chiitiko chisina kunaka cheRAST hachibvumi mukana wekupenicillin allergy.
Ndeipi Penicillin Allergy Treated?
Zvimwe kunze kwekurumidza kurapwa kwezvinodhaka zvirwere zvese, zvirwere zvakanyanya zvepenicillin zvinokonzerwa nekudzivirira kushandiswa kwepenicillin munguva yemberi uye mishonga inorwisa mabhakitiriya .
Cephalosporins inogona kukonzera kugadzikana kwevanhu mu penicillin. Nhamba yakawanda yekutarisana ne cephalosporin kune vanhu vane penicillin zvirwere zvinenge zvishanu kusvika ku10%, kunyange zvazvo mitero ingave yakareba kune vamwe vanhu. Allergic reactions kune cephalosporin inogona kuva yakaoma uye kunyange kutyisa upenyu; inowanzokurudzirwa kuti iyo allergic penicillin irege cephalosporin pamwe chete.
Ikoko kunogona kunge kune dzimwe mhaka, zvisinei, apo munhu ane nhoroondo ye penicillin anorega zvachose penicillin kana cephalosporin. Mune mamiriro ezvinhu aya, aneristist anogona kuita chirwere cheganda uye, kana akaipa, kupa murwere chidiki chechirwere chiri pasi pekucherechedza zvakasimba kuti aone kuti yakawanda-kana chero - inogona kutsungirira (inozivikanwa sehurukuro yemuromo .) Kana munhu anonyatsokonzera penicillin ane utachiona hunoda kurapwa ne penicillin, chirongwa chekuda kuita zvinogona kuitwa muchipatara. Izvi zvinosanganisira kugovera pakutanga zvishoma zvechirwere uye kuwedzera zvishoma nezvishoma kuderedza kwemaawa akawanda, kusvikira munhu aigona kutsungirira chirwere chakakwana chokurapa.
Ndeipi Mimwe Mishonga Inofanira Kuitwa nomunhu ane Penicillin Allergy Avo Kudzivisa?
Mhuri yepenicillin antibiotic inosanganisira:
- Penicillin VK
- Penicillin G
- Dicloxacillin
- Oxacillin
- Nafcillin
- Amoxicillin
- Ampicillin
- Augmentin (amoxicillin / clavulanate)
- Unasyn (ampicillin / sulbactam)
- Zosyn (pipercillin / tazoctam)
Mhuri ye cephalosporins inosanganisira:
- Keflex (cephalexin)
- Ancef (cefazolin)
- Ceftin (cefuroxime)
- Cefzil (cefprozil)
- Omnicef (cefdinir)
- Vantin (cefpodoxime)
- Mimwe mishonga inorwisa mabhakitiriya inotanga ne "cef-" kana "ceph-"
Imipenem inogonawo kukonzera kugadzikana kwevanhu vari ne penicillin noutano uye inofanira kudziviswa.
Unoda kuramba uchidzidza? Vanhu vane penicillin zvinokonzerwa nehutachiona vari pangozi yakakura yekudzivirira zvirwere zvemasiramuti. Dzidza nezve sulfa allergy .
Sources:
Dzidzira Parameters yeDrug Hypersensitivity. Ann Allergy 1999; 83: S665-S700.
Macy E. Zvinodhaka Mishonga: Chii chatinofanira kutarisira, chii chaunofanira kuita. J Respir Dis. 2006; 27: 463-471.
Mellon MH, Schatz M, Patterson R. Drug Allergy. Mu: Lawlor GJ, Fischer TJ, Adelman DC, eds. Bhuku reAllergy uye Immunology. 3rd ed. Boston: Little, Brown uye Co; 1995: 262-289.
Romano A, Gueant-Rodriguez RM, Viola M, Pettinato R, Gueant JL. Cross-Reactivity uye Kugona kweCephalosporin muVachipatendi vane Immediate Hypersensitivity kuna Pencillins. Ann Intern Med. 2004; 141: 16-22.