I-allergies kwi-Beta Lactam Antibiotics
Yintoni iPericillin Allergy?
I-Penicillin mhlawumbi ilungu eliyaziwa kakhulu liqela lamayeza anqanda i-beta lactam, ebhekisela kwisakhiwo esithile kwi-chemical makeup. Isakhiwo sabiwe kwakhona nge-penicillin yesigxina (i-amoxicillin), i-cephalosporins, kunye nezinye i-antibiotics (njengemipenem). I-penicillins kunye ne-cephalosporins yizona zonyango ezisetyenziswa kakhulu ukunyanga izifo eziqhelekileyo.
I-penicillins kunye ne-cephalosporins nazo zizona zizathu eziqhelekileyo zokusetyenziswa kwezidakamizwa . Phantse i-10% yamaMerika ibika ukungabikho komzimba kwipenicillin okanye i-antibiotic ehlobene. Ngelixa i- penicillin ixhaphake ngokuqhelekileyo kubantu abadala, ukuphendula kungenzeka nanini na. Abasetyhini babonakala besengozini ephezulu kunamadoda. Ukufa malunga nama-300 abantu abanokufa bangabonwa ngokuba yi-penicillin yokunyuka kwamanye amazwe e-United States. Izibonakaliso zempembelelo ye- penicillin zingabandakanya i- anaphylaxis , imihlathi, i-skin-inflammation, iimpawu ze-asthma , kunye neengxaki ezingabonakaliyo ezifana nesifo se-serum, iintlobo ezithile ze-anemia kunye nezinye izidakamizwa.
I-Penicillin Allergy Diagnosed njani?
Ngelixa abantu abaninzi babika ukuba banomdla wokungena emzimbeni kwipenicillin, ngaphantsi kwe-10% yileyo ngokwenene inokwenyuka kwezilwanyana. Ukuvavanywa kwesikhumba yindlela efanelekileyo yokufumanisa i-penicillin. Nangona kunjalo, i-extract available for penicillin yokuvavanywa kwesikhumba yasuswa kwimarike ngo-2004, ngenxa yeengxaki zokuvelisa.
Le ncwadana, ebizwa ngokuba yiPre-Pen, yaphinde yafumaneka ngo-2009. Ngaphandle koko, i- RAST (ukuhlolwa kwegazi) ye-penicillin iyatholakala. Ngelishwa, isiphumo esibi se-RAST ayifaki ukuba i-penicillin ingabikho komzimba.
I-Penicillin I-Allergic Treatment ithathwa njani?
Ngaphandle kwonyango olukhawulezileyo lwezilwanyana zonyango, iimpawu zonyango lwe-penicillin yokungabikho komzimba ziyakuphepha ukusetyenziswa kwe-penicillin kunye ne- antibiotic ehlobene.
I-Cephalosporins inokubangela ukuphazamiseka komzimba kubantu abaneepenicillin. Isilinganiso esipheleleyo sokungabikho komzimba kwi-cephalosporins kubantu abanomdla we-penicillin u-5% ukuya kwe-10%, nangona amaxabiso angaphezulu kwabanye abantu. Ukuphendulwa kwe-allergen kuya kwi-cephalosporins kunokuba nzima kwaye kusongela ubomi; Ngokuqhelekileyo kucetyiswa ukuba abo bahlenga i-penicillin baphephe i-cephalosporins bonke.
Kukho iimeko ezithile, nangona kunjalo, xa umntu onomlando we-penicillin ukungabi nxamnye nxamnye ne-penicillin okanye i-cephalosporin. Kule meko, i- allergenist ingenza ukuhlolwa kwesikhumba kwaye, ukuba ngaba yinto engafanelekiyo, mnike isigulane inani elincinane lezilwanyana phantsi kokubeka esweni ngokukhawuleza ukuqinisekisa ukuba kungakanani - ukuba unako-unokunyamezela (eyaziwa njengomngeni womlomo .) Ukuba Umntu onyanisekileyo u-penicillin unentsholongwane efuna unyango kunye ne-penicillin, inqubo yokwehlisela inkunkuma ingenziwa kwisibhedlele. Oku kubandakanya ukunika inani elincinci lezilwanyana kunye nokunyuka kweeyure kwiiyure eziliqela, de kube loo mntu angakwazi ukunyamezela isifo esipheleleyo sezonyango.
Ziziphi ezinye iiMedizi ezifanele umntu onomdlavuza wePenicillin?
Intsapho ye-penicillin antibiotics iquka:
- Penicillin VK
- Penicillin G
- Dicloxacillin
- Oxacillin
- Nafcillin
- Amoxicillin
- Ampicillin
- I-Augmentin (amoxicillin / clavulanate)
- Unasyn (ampicillin / sulbactam)
- Zosyn (ipipercillin / tazoctam)
Intsapho ye-cephalosporins iquka:
- Keflex (cephalexin)
- Ancef (cefazolin)
- Ceftin (cefuroxime)
- Cefzil (cefprozil)
- Omnicef (cefdinir)
- Vantin (cefpodoxime)
- Ezinye iziza-antibiotics ziqala nge "cef-" okanye "ceph-"
I-imipenem inokubangela ukuba abantu baphathe umonakalo ongenayo i-penicillin kwaye bafanele bagwenywe.
Ufuna ukuqhubeka ufunda? Abantu abane-penicillin yokungabikho komngcipheko basengozini ephezulu yokuphuhlisa i-anti-antibiotics. Funda malunga ne- sulfa .
Imithombo:
Yenza imiSebenzi yeParameters of Drug Hypersensitivity. Ann Allergy 1999; 83: S665-S700.
I-Macy E. Imithi Yogonyamelo: Yintoni onokuyilindela, yintoni oyenzayo. J Respir Dis. 2006; 27: 463-471.
UMellon MH, uSchatz M, uPatterson R. Drug Allergy. Ku: Lawlor GJ, Fischer TJ, Adelman DC, ii-eds. Umqulu we-Allergia and Immunology. Wesithathu. I-Boston: Encinane, uBrown kunye no-Co; 1995: 262-289.
I-Romano A, iGueant-Rodriguez RM, iVuola M, i-Pettinato R, iGueant JL. I-Cross-Reactivity kunye nokunyanzeliswa kweCephalosporins kwizigulane ezine-Hypersensitivity esheshayo kwiPencillins. Ann Intern Med. 2004; 141: 16-22.