Penicillin allergies ndiyo inowanzoshandisa zvinodhaka zvinokonzera mishonga uye zvinowanzokonzera zvepurasitiki, asi zvakaoma kuziva kana ichi ndicho chinokonzera kupisa. Zvinogona kukonzerwa nechimwe chinhu.
Zviratidzo zvePenicillin Allergy
Penicillin allergies inogona kuita kuti upenyu huve nehutano hwehutano, asi nerufaro, vana vakawanda vane penicillin zvinokonzera kuwedzera, zvichitungamirira kumapapiro echando, zvakadai semingano.
Mukuwedzera kumumvuri, vana vane zviratidzo zvakanyanya, zvakadai sokuputika, kunetseka kufema kana kumedza, kana kuvhara mumiromo yavo kana muhuro, vanogona kunge vane anaphylaxis - inokonzerwa nemagetsi.
Kana mwana wako aine mikoko (inonzi urticaria), iwe ungangodaro uchiona nzvimbo dzakatsvuka kana dzepini pamumwana weganda rako, rakasiyana-siyana, uye unouya nekufamba kwemaawa akawanda. Kazhinji havaendi zvachose, kunyange zvakadaro. Pane kudaro, mikoko yakare inobva kune rumwe rutivi rwemuviri wemwana wako, asi itsva dzichiri kuonekwa kune imwe nzvimbo. Chero munhu mumwe wekoko haafaniri kupedza maawa makumi maviri nemaviri. Kana ikadaro, ipapo mwana wako angave akafanana nekuputika kweganda, zvakadai se erythema multiforme, uye kwete mingano isina nyore.
Erythema multiform inoratidzirwa yehutachiona hwehutachiona hunogona kuve nekukonzerwa ne penicillin zvirwere kana zvimwe zvakadai semamwe madhiragi, zvirwere zvebhakitiriya kana zvirwere zvehutachiona . Kusiyana nemingano, iyo inouya uye inoenda, kukanganisa kubva ku erythema multiform kunoramba kuchipararira uye kunogona kupedza kwevhiki imwe chete kusvika maviri.
Zvimwe zviratidzo zve erythema multiforme zvinogona kusanganisira fivha , masangano aches, maronda emuromo , uye maziso matsvuku.
Icho chinonzi Penicillin Allergy?
Zvinosuruvarisa, penicillin miviri inogona kuva yakaoma kuti iongorore kudarika vabereki vakawanda vanogona kufungidzira.
Kune chimwe chinhu, pane kazhinji kacho kuvhiringidzika kana kuti mwana ari kunyanya kugadziriswa kana kuti ane chirwere chepurogiramu.
Roseola , somuenzaniso, inowanzoita hutachiona hwehutachiona hunokonzera fivhiri kwemazuva mazhinji huri kuteverwa nekumhanya kana fevha inopera.
Ikoko kune zvimwe zvinodhaka zvinodhaka zvinogona kukonzera rashes izvo hazvisi anti-anti-mediated. Aya masero-akareruka, anononoka kugadziriswa kwehana inowanzoitika apo mwana ari kutora antibiotic uye ane chirwere chetachiona. Mhando iyi yemarbilliform zvinokonzera zvinodhaka zvinogona kunge zvakaoma sezvinowanzotsanangurwa se "yakapararira pink-macaroni-macaroni macules uye mapulesti anowanzotanga pamusoro, mumutsipa, kana mumusoro wepamusoro ndokuzopararira zvakananga pasi uye kuva nenyonganyonga".
Uye yeuka kuti kunyange kana mwana wako aine chirwere chechokwadi, zvinogona kukonzerwa nechimwe chinhu uye kutora penicillin kunogona kunge kwakangoitika. Zvimwe zvinhu zvakawanda kunze kwepenicillin zvinogona kuita kuti zvirwere zviitike uye mikoko, kusanganisira:
- Zvokudya, kunyanya marangi, mazai, marimu emiti , mukaka, shellfish, gorosi, uye soy
- Mamwe mishonga
- Zvimwe zvinowedzera muzvokudya kana mishonga, zvakadai sedhayi rekudya tartrazine (Jaji Nhamba 5)
- Zvirwere, kunyanya zvirwere zvehutachiwana
- Insect nekurumwa
- Latex
- Dzidzira
- Kushungurudzika
- Kunzwa kupisa, kutonhora, kana mvura, pasinei nekupisa
- Dermographism , urticaria yemumuviri , umo mikoko inokonzerwa nekurova stroking kana kuputika ganda
Ramba uchiyeuka kuti nokuti penicillin mishonga inowanikwa, kana mwana wako ari kutora penicillin uye ane chirwere chinodhaka, chirwere chako chevana chinowanzofungidzira kuti chiri kukonzerwa ne penicillin uye kungozvidzivirira iyo antibiotic munguva yemberi. Kana mwana wako atova maharagiki kune mamwe maitiro emishonga inorwisa mabhakitiriya kana kana iwe uchida kusimbisa kana mwana wako ari kunyanya kurwisa penicillin, mwana wega wega wega wega anogona kuita zvirwere zvese zvekudzivirira ganda kuti abatsire nehutachiona.
Mishonga yePenicillin Allergies
Kuwedzera pakugadzirisa penicillin ingangodaro inokonzera kugadzirisa kwevana vako, mwana wako angangobatwa ne antihistamine, yakadai seBenadryl (diphenhydramine), kuti abvise zviratidzo zvekukoko uye kuchenesa .
Kuwedzerwa kwakanyanya kunogona kudiwa kurapwa ne steroid uye / kana epinephrine jenji .
Zvaunoda Kuti Uzive Nezve Penicillin Mishonga Yese
Zvimwe zvinhu zvekuziva nezvemishonga yepenicillin zvinosanganisira izvo:
- Kana mwana wako ari allergiki ku penicillin, zvino anofanirawo kudzivisa amoxicillin, Amoxil, Augmentin uye chero ipi zvayo yepenicillin-yakafanana nemishonga inorwisa mabhakitiriya.
- Nyanzvi dzakawanda dzinofunga kuti vana vane chirwere chinonzi penisill penicillin vanogona kutora cephalosporin-rudzi rwemishonga inorwisa mabhakitiriya kunyange kune dambudziko shoma rekushaya chirwere ichi kune mhando iyi yemishonga inorwisa mabhakitiriya, zvakare.
- Kunyange zvazvo zvinokonzerwa nemagetsi zvinogona kukonzerwa mukati memaminitsi kusvika maawa ekutora chirwere che penicillin, zvinogona kutora mazuva kana masvondo kuti mishonga inorwisa mabhakitiriri inotanga mikoko mumwana wako. Uyewo, mwana wako angangodaro akatora mushonga unorwisa mabhakitiriya uye asina kumbobvuma, uye zvino kamwe-kamwe une zvaanoita panguva inotevera paanozvitora.
- Yeuka mwana wako kana mwana wako ari allergiki penicillin pose paunowana chiremba. Kunyange zvazvo zvichida vane 'kunyeverwa kwezveruzhinji' mumwana wechati, zvakanaka kuti uve wakachengeteka uye uvape chiyeuchidzo.
- Mishonga inorwisa mabhakitiriya inofanira kurongerwa mumamiriro ezvinhu chaiwo. Mishonga inorwisa mabhakitiriya haifaniri kupiwa "chero bedzi" kana mwana achida, kana kuti chero ipi zvayo yakananga utachiona hwehutachiona, sezvo izvi zvingaita kuti zvive nemigumisiro isina kunaka uye zvinetso.
Chinonyanya kukosha, gara uchiyeuka kuti vabereki vakawanda vanofunga kuti vana vavo vanoregererwa penicillin kana zvisiri izvo. Chiremba chinonzi allergenist chinogona kubatsira kuti uone kana mwana wako ari kunyanya kurwisa penicillin.
Sources:
Adkinson: Middleton's Allergy: Principles and Practice, 6th ed.
Apter AJ. Pane mhirizhonga-reactivity pakati penicillin ne cephalosporin? Am J Med - 01-APR-2006; 119 (4): 354.e11-9
Behrman: Nelson Nhamba yeBhuku rePediatrics, 18th ed.
Kubvunzurudza uye kutumira mirayiridzo inotsanangura uchapupu: kuti anoristist-immunologist angabatsira sei. American Academy of Allergy, Asthma & Immunology - J Allergy Clin Immunol - 01-FEB-2006; 117 (2 Suppl Consultation): S495-523
Cydulka R. Uyu murwere anokonzera ku penicillin here? Chiratidzo-based based analysis of the possibility of penicillin allergies. - Ann Emerg Med - 2004 May; 43 (5); 677
Rwiyo James E. Anokurudzira pamusoro pemishonga inokonzerwa nemishonga inokonzerwa nemishonga. Makliniki muDermatology, Volume 32, Nyaya 4, July-August 2014, Mapeji 516-523