Iwe une zvechokwadi chirwere chepenicillin? Tarisa zvakare.

Dzidzo yehutano

Mazuva mashoma mushure mekunge mwanasikana wangu atanga kutora mushonga wake wekutanga wemishonga, panenge pagore, akaputika nekuputika. Ndakabva ndadaidza chiremba wake. Hofisi yavana chiremba yakandiudza kuti ndimise mushonga. Akave akapiswa ne penicillin allergy kubva ipapo.

Zvaisaratidzika kunge hazvo chinhu chikuru pakutanga. Ini ndinoda kurega zvirwere zvichimhanya nenzira yazvo zvisina mishonga inorwisa mabhakitiriya, pese pazvinogoneka. Kwemakore mashoma, aisamboda mushonga. Asi zvadaro, akaonekwa aine autoimmune mamiriro uye akapfeka mishonga yekuzvidzivirira. Pakarepo, akada maantibayoti kuti arase chero chirwere chidiki.

Kana usingakwanise kutora penicillin, sarudzo yemishonga inorwisa mabhakitiriya inokurumidza kudimbuka. Dzakati wandei dzesarudzo dzakarwarisa mwanasikana wangu. Ini ndaifanira kurwira kuti ndivatore uye ndigotora nzendo dzakawanda kuchimbuzi naye mushure mekuzviita.

Apo chiremba mutsva anonyanya kushandisa penicillin allergy paakabatana nechikwata chake chekurapa, chiremba wake wevana akakurumidza kumusaina kuti anoongororwa.

Icho chaicho penicillin allergy?

American Academy yePediatrics mutauriri John Kelso, MD, inonyanya kugadzirisa allergies uye immunology. Iye achangobva kuudza The Checkup kuti nepo vangangoita gumi muzana yevana vachizonzi vanokanganiswa nepenicillin, zvinosvika 95% yavo haina allergiki zvachose.

Akati izvi zvinoitika nekuda kwezvikonzero zvakati.

1. Hazvina kujairika kuti vana vagadzire yechipiri kuputika mukuita kune yekutanga hutachiona izvo zvaida kurapwa pakutanga, zvinopesana nekugadzira penicillin rash mukupindura kumushonga.
2. Pane chimwe chinhu chinonzi amoxicillin mapundu Ndiko kuita kwakajairika kune amoxicillin, asi haisi iyo chaiyo yekusagadzikana, uye haina ngozi zvakanyanya, sekureva kwaDr. Kelso.
3. Vamwe vana vane chokwadi chemaergic reaction, asi vanozvikurira mumakore anotevera.

Dr. Kelso vanoti zvakawanda zvezvinonzi penicillin allergy ndizvo chaizvo zvakaonekwa nemwanasikana wangu: chipundu chinokura mazuva mashoma pakurapwa, chinoitika kekutanga kupihwa penicillin, iri diki, uye haina mukoko mune zvakasikwa.

Zviratidzo zvechokwadi penicillin allergy

Akatsanangura kuti kwechokwadi kweanogamuchira hazviwanzo kukura nguva yekutanga kurapwa kupihwa. Izvi zvinodaro nekuti, penicillin allergy, senge chero kurwara, inoda kumwe kuratidzwa kusati kwatanga. Hapana munhu anozvarwa asingaonekwi nechero chinhu. Isu tinofunga haugone kukudziridza allergy panguva yako yekutanga kuratidzwa kune penicillin.

Nechikonzero ichi, akati chokwadi penicillin reaction inowanzo:

• Gadzira nemitemo inotevera yepenicillin, kwete neyekutanga mishonga
• Inotaridzika nguva pfupi yapfuura mushure mekutanga kwedosi nemitemo inotevera, kwete mazuva mazhinji pakurapwa
• Ipa semikoko yakasimudzwa, kazhinji

Iyo mabhenefiti epenicillin allergy kuyedza

Allergist uye immunologist Kathleen Dass, MD , yakabvisa mazana evanhu pane zvavaifunga kuti ndezvekurwara nepenicillin. Ongororo ichangobva kuitika, yakaburitswa muna Vhura foramu Zvirwere Zvirwere , vakawana kuti 98 kubva pavarwere zana vaive nepenicillin allergies mumachati avo havana kunyatsorwara.

Vazhinji vabereki, uye vakuru vane yavo penicillin allergy kudomwa, vangangotadza kunyatsonzwisisa zvakanakira kuyedzwa. Asi Dr. Dass vanoti pane zvikonzero zvinoverengeka zvekuyedzwa nepenicillin allergy, senge:

• Kugona kugamuchira mushonga wakanakisa uye wakakodzera kwazvo waunoda
• Kuderedza njodzi yako yemishonga inorwisa mabhakitiriya uye nemanyoka anosangana nemishonga inorwisa mabhakitiriya
• Kuderera kwehutano hwehutano
• Kugamuchira mvumo yekutora cephalosporin uye carbapenem mishonga inorwisa mabhakitiriya

Muzviitiko zvakawanda, Dr. Dass vanokurudzira kumirira makore gumi mushure mekufungidzirwa kwekuita kuti kuongororwa kunoitwa, kunze kwekunge pasina mamwe maantibayoti anogona kushandiswa. Kwedu, zvaive nemusoro kuti kuyedzwa kuitwe kare. Asi mhuri zhinji dzinogona kunge dzakachengeteka kumirira.

Chii chinonzi penicillin allergy kuyedza inosanganisira?

Dr. Dass vanoti kuyedza kazhinji kunotangira neanogadzirisa kutora nhoroondo yako uye kutsvaga zvakawanda nezve kutanga kuongororwa kwepenicillin allergy. Chero murwere ane nhoroondo yakanyorwa yepenicillin allergy ndiye anokodzera kuongororwa kwepenicillin, Dr. Dass anotsanangura. Zvisinei, [chiremba wako] achingoenderera chete kana zvakachengeteka kuzviita.

Allergy ganda bvunzo

Kune wangu mwanasikana, chinotevera chikamu chekuyedza chaisanganisira mana mamaki ari kugadzirwa paganda rake kuratidza:

• Nhoroondo
• Saline
• Maviri anozivikanwa penicillin maitiro

Padivi pechimwe nechimwe cheizvi mamaki, madonhwe madiki echinhu chimwe nechimwe aingoiswa, ndokukwizwa mukati meganda rake. Takabva tanzi timirire maminitsi gumi nemashanu kuti tione kana paine reaction. Pakanga pasina.

Kuongororwa kweganda

Chikamu chinotevera chekuyedzwa kuongorora kweganda, sekureva kwaDr.Dass, chinova chinhu chinobaya paganda risingadzike uye risingafanire kurwadza.

Mwanasikana wangu haabvumirani neshoko rekupedzisira iri, asi zvadaro… ane makore matanhatu, uye tsono dzinotyisa. Akadzikama mukati memasekondi makumi matatu kubva paganda.

Subcutaneous majekiseni

Kana kuyedza kuganda kunorwadza hakuna kunaka, inotevera mamiriro ekuyedza majekiseni epasi peganda.

Muchiitiko chemwanasikana wangu, chikamu ichi chekuyedza chakapunzika. Nekuda kwekuita kwake kwakashata kuzvikamu zviviri zvekutanga zvekuyedzwa, uye nekuda kweiyo rondedzero yezvese zvaakatanga kuita (kumhanyisa kwakange kusingaite semukoko muchimiro uye kwakagadzira mazuva mashoma mukosi yake yekutanga yepenicillin), uye Nekuti anga ari mudiki pane vana vazhinji vanowanzoita kuyedzwa uku, iye allergist achimuita kuyedza akayera zvayakanakira nezvayakaipira uye akanzwa akasununguka kusvetuka akawedzera tsono yekushungurudzika.

Ini, nemwanasikana wangu, tese taionga. Asi havazi vese allergist vanogona kunge vaine mwero wakaenzana wekunyaradzwa, uye vabereki vanofanira kugara vachitevera kuraira kweanorwisa mishonga vachiedza kuyedzwa kwemwana wavo.

Kuedzwa kwemuromo

Kana murwere akapfuudza majekiseni anotsvedza, danho rinotevera kuyedzwa nemuromo. Izvi zvinoreva kuti murwere anozogamuchira kanokwana madosi maviri epenicillin mishonga inorwisa mabhakitiriya, iyo inowanzo kuwedzera mibairo mikuru yepenicillin, sekureva kwaDr. Dass. Varwere vanoongororwa kazhinji mushure mezvo, kazhinji kweawa rimwe kana kupfuura.

Munguva yese yekuyedzwa, mwanasikana wangu aive zero reaction. Uye Dr. Dass vanoti, Kana izvi zvisina kunaka, saka hausi panjodzi yakakura yekuve neanorwara kupfuura chero ani zvake!

RELATED: Rini kuti uroye bvunzo mwana wako

Kubvisa penicillin chisimbwa

Isu takabvisa chirwere chemwanasikana wangu chinonzi 'penicillin allergy' kubva pachati yake yekurapa nekukurumidza mushure mekuedzwa Ikozvino chinhu chimwe chidiki chatinofanira kunetsekana nacho paanotanga hutachiona.

Dr. Dass vanoti tariro yose haina kurasikirwa nezviitiko izvo zvinonzi zvine njodzi zvakare kuyedzwa, zvakadaro. Kutanga, mamwe maantibiotic achashandiswa. Kana pasina imwe nzira yemishonga inorwisa mabhakitiriya, saka nzira yekudzora moyo inoitika kuti uwane kusaterera kune mushonga. Izvi zvinosanganisira kutanga nediki diki yepenicillin uye nekupa mwero wakanyanya wepenicillin kwemaawa kana dzimwe nguva mazuva.

Zviripachena, izvi zvinofanirwa kuitika chete pasi pekutarisirwa nachiremba.

Zvakadaro, Dr. Dass anopedzisa, Kuongorora penicillin allergies kwakachengeteka, uye zviri nyore kwazvo kuongorora izvi allergy kana iwe usiri kurwara pane kana iwe uri mumamiriro anotyisidzira hupenyu muchipatara.

Iye zvakare aida kujekesa kuti kunyangwe paine fungidziro yakajairika yekuti penicillin allergies inhaka, izvo hazvisi izvo nguva dzose. Kana mubereki wako aine hupenyu hunotyisidzira hupenyu hwepenicillin, izvi hazvireve kuti une penicillin allergy.

Kune kwedu chikamu, ndinofara zvikuru kuti takaedzwa uye kuti chiremba wemwana wemwanasikana wangu ave nedziva rakakura remishonga inorwisa mabhakitiriya yaanosarudza kubva pese paanorwara.

Kuti uwane allergist uyo anogona kuyedza munzvimbo yako, shandisa iyi link kutsvaga nekodhi kodhi.