Debunking Common Myths About Sulfa Drug Reactions
Sulfa zvirwere zvinoreva izwi rinoshandiswa kurondedzera zvinoshandiswa zvinodhaka zvinodhaka ku sulfonamide, kirasi yemishonga inosanganisira mabhiyoyoyoti uye kwete maantibiotic.
Pane zvinowanzosaziva kuti zvose sulfonamide zvinodhaka zvinokonzera kukanganisa, asi izvi hazvisi zvechokwadi zvechokwadi. Antibiotic sulfonamide (inoshandiswa kurapa zvirwere zvebhakitiriya) zvinowanzoita kuti zvirwere zvirege kuitika pane zvisingatauriki maitiro .
Kunyange zvazvo mishonga yose ichikwanisa kukonzera chirwere, kwete-antibiotic sulfonamides haisi zvishoma.
Overview
Muzvizhinji zvezviitiko, munhu ane sulfa zvirwere zvese angave akawana chirwere chekuita kune rimwe kana kuti mamwe emishonga inotevera ma antibiotic:
- Septra (sulfamethoxazole uye trimethoprim)
- Bactrim (sulfamethoxazole uye trimethoprim)
- Pediazole (erythromycin uye sulfafurazole)
Aya maitiro haasi ose asingawanzovi uye anokanganisa nepamusoro pevatatu muzana yevanhu vose. Ichi chiyero chakafanana nezvinoonekwa nemamwe marudzi emishonga inorwisa mabhakitiriya, kusanganisira penicillin .
Vamwe vanhu vanoita sevari pangozi yakanyanya ye sulfa zvirwere kupfuura vamwe. Izvi zvinosanganisira vanhu avo, nokuda kwezvikonzero zvakasiyana-siyana, kushandura mishonga zvishoma nezvishoma kana kuti kubvisa muviri wezvirwere zvezvirwere zvezvirwere zvezvirwere (zviratidzo zvekugadzirisa muviri uye vanhu vane HIV).
Zviratidzo
Zviratidzo uye kuoma kwe sulfa zvirwere zvinogona kusiyana asi zvinowanzobatanidza kuonekwa kwekupararira kwakapararira.
Hives uye chiedza senzwi ( photosensitivity ) zvakare.
Mumatambudziko akaoma, kuputika kwehushi kunogona kuendeswa nekuputika kwechiso, maoko, tsoka, uye rurimi (inozivikanwa se angioedema ). Izvi zvinowanzomira mberi kuti zvigone kutyisidzira upenyu, zvose-miviri yevanhu inonzi Stevens-Johnson syndrome uye chepidermal necrolysis .
Zvose zviri zviviri zvinoratidzirwa nekuputika kwakanyanya kweganda uye rufu rwekukurumidza ruvara.
Zvimwe zviratidzo zvakakomba zve sulfa zvirwere zvinosanganisira:
- Kukuvadzwa kwechiropa, kunoratidzwa nekukura kwehepatitis
- Kuora kweiyo kana kukundikana
- Pneumonia-kufanana nechirwere chokufema
- Vasculitis , kupindira kwemitsipa yeropa uye kuteura ropa
Zvakakosha kutora kukwikwidza kwehutano hwemishonga yese zvakanyanya pasinei nokuti zvingava zvinyoro. Mune zvimwe zviitiko, kushandiswa kushandiswa kwechirwere chesulfa kunogona kushandura kurumidza kunopinda muchiitiko chinotyisa.
Kuziva
Hakune ropa kana ganda rekuongorora rinowanikwa kuti riongorore sulfa allergy. Kuongororwa kunoitwa zvakakwana pamusangano wezviratidzo zvinowirirana nekushandisa sulfonamide mishonga.
Kurapa
Kazhinji kutaura, mutsara wokutanga wokurapa sulfa allergy ndeye kuguma kwekufungidzirwa kwemishonga.
Emergency medical treatment inogona kudiwa kune vanhu vane zviratidzo zveStvens-Johnson syndrome kana chepidermal necrolysis. Izvi zvinowanzobatanidza kugadziriswa, kushandiswa kwemvura, uye kupindira kwakafanana kunoshandiswa pakutarisana nekupisa kukuru.
Mumamiriro ezvinhu akaoma apo sulfa mishonga inofungidzirwa inokosha pakurapwa kwehutachiona, zviduku zvingave zvichipiwa uye zvishoma nezvishoma zvinowedzera sezvo mishonga iri nani kubvumira.
Izvi zvinowanzoda kutarisirwa kweanoristor anoona zviitiko zvinotyisa.
Mishonga Yokudzivisa
Vanhu vane zivo inonzi sulfa allergy vanofanira kugara vachiongorora nechiremba wavo vasati vatanga mushonga mutsva. Izvi zvinonyanya kukosha kune avo vakamboita zvakasimba kare.
Mukuwedzera pamuromo wemishonga inorwisa mabhakitiriya, inonzi sulfonamide inofanira kudziviswa inosanganisira:
- Sulfacetamide madonhwe eziso, shampoo, kana marashi
- Sirivha sulfadiazine mafuta anoshandiswa kupisa kupisa
- Sulfanilamide vaginal mazano
Saizvozvowo, mishonga yemuromo Azulfidine (sulfasalazine) , inoshandiswa kurapa zvirwere zvechirwere uye rheumatoid arthritis, inofanira kudziviswa.
Kune rumwe rutivi, mukana wekupfuura-reactivity kune kwete antibiotic sulfonamides yakaderera. Izvi zvinoreva kuti inowanzochengeteka kutora zvinodhaka zvinotevera:
- Diuretics (mvura mapiritsi) akadai seHCTZ (hydrochlorothiazide) uye Lasix (furosemide)
- Oral sulfonylureas -chirwere chinoshandiswa kurapa chirwere cheshuga
- Celebrex (celecoxib), COX-2 inhibitor inoshandiswa kurapa arthritis uye kurwadziwa
Sulfite uye Sulfate Allergies
Vanhu vanowanzokanganisa sulfa zvirwere zve sulfite zvirwere, izvo zvekupedzisira izvo zvine chokuita nezvokuchengetedza zvinowanikwa mune zvekudya nemishonga. Izvi zvinosanganisira avo vanochengeteka se:
- Sodium sulfite
- Sodium bisulfite
- Sodium metabisulfite
- Potassium bisulfite
- Potassium metabisulfite
Kunyange zvazvo sulfites inogona kukonzera kurwisa , hapana hukama hwakananga pakati pe sulfa uye sulfite allergies. Somunhu akadaro, munhu ane sulfa allergies haafaniri kuvhara sulfites (kana kuti zvimwewo).
Izvo zvinoenderana nemishonga ine sulfuric acid inonzi sulfates . Sezvakaita sulfiti, sulfates inogona kukonzera kurwara, asi mishonga haifambidzani nesulfonamide kana sulfa-allergies risk. Izvi zvinosanganisira mishonga yakadai seyi:
- Albuterol sulphate inoshandiswa kurapa marwadzo emvura
- Iron sulfate inoshandiswa kurapa iron-inoshaya anemia
- Chondroitin sulfate yakashandiswa kurapa osteoarthritis
- Codeine sulfate, mishonga yeopioid inoshandiswa pakurwadziwa
Shoko Rinobva
Izvo zvinyorwa zve sulfa zvirwere zvinogona kuva zvinyengeri kudonha kunze, kunyange kune vamwe vatapi vehutano. Ichi ndicho chikonzero zvakakosha kutaurira chiremba wako pamusoro pekupi kwepakutanga iwe unogona kunge waifanira kuva nemishonga ye sulfa (kana chero mimwe mishonga yeiyo nyaya).
Nokuita kudaro, chiremba wako achave nani kukwanisa kuwana chinotsiviwa chisingaiti chinokonzeresa.
> Sources:
> Joint Task Force paZviitiko zveParamende, et al. "Mishonga yekushandisa zvinodhaka: inoshandiswa mishonga parameter." Ann Allergy Chirwere Immunol. 2010; 105 (4): 259-73. DOI: 10.1016 / j.anai.2010.08.002.
> Wulf, N. naMatuszewski, K. "Sulfonamide cross-reactivity: pane uchapupu hwokuti titsigire muchinjikwa wakazara-allgenicity?" Am J Healthy Pharm . 2013 Sep 1; 70 (17): 1483-94. DOI: 10.2146 / ajhp120291.
> Zawodniak, A ;; Lochmatter, P .; Beeler, A. et al. "Muchinjikwa-reactivity muzvinodhaka zvinokonzerwa nemishonga ye sulfasalazine uye sulfamethoxazole." Int Arch Allergy Immunol. 2010; 153 (2): 152-6. DOI: 10.1159 / 000312632.