Unayo ngempela i-penicillin yokungezwani komzimba? Hlola futhi.

Imfundo Yezempilo

Ezinsukwini ezimbalwa ngemuva kokuba indodakazi yami iqale ukuthatha i-antibiotic yayo yokuqala, cishe unyaka owodwa ubudala, yaqubuka. Ngashayela udokotela wakhe ngokushesha. Ihhovisi likadokotela wezingane lathi angimise imishanguzo. Ubelokhu ebhalwe uphawu lwe-penicillin yokungezwani komzimba kusukela lapho.

Akuzange kubonakale kuyinto enkulu ekuqaleni. Ngithanda ukuvumela izifo ziqhubeke nenkambo yazo ngaphandle kwama-antibiotic, lapho kungenzeka khona. Kwaphela iminyaka embalwa, engalokothi adinge incwadi kadokotela. Kodwa-ke, kwatholakala ukuthi unesimo sokuzivikela komzimba wafaka imishanguzo yokuzivikela. Ngokungazelelwe, wadinga ama-antibiotic ukukhahlela noma yikuphi ukugula okuncane.

Lapho ungeke uthathe i-penicillin, izinketho zama-antibiotic ziyashesha kakhulu. Eziningana zalezo zinketho zagula indodakazi yami. Kwakudingeka ngilwe ukuze ngimthathe futhi ngithathe uhambo oluningi lokuya naye endlini yokugezela ngemuva kokwenza kwakhe.

Lapho udokotela omusha onguchwepheshe we-penicillin yokungezwani komzimba ejoyina iqembu lakhe lezokwelapha, udokotela wakhe wezingane washeshe wamsayinisela ukuhlolwa.

Ingabe ukungezwani komzimba ne-penicillin kuyiqiniso?

Okhulumela i-American Academy of Pediatrics UJohn Kelso, MD, ngokukhethekile komzimba kanye komzimba. Muva nje utshele i-The Checkup ukuthi yize cishe u-10% wezingane uzofakwa amalebuli e-penicillin, kepha kuvela ukuthi ama-95% azo awagulisi nakancane.

Uthe lokhu kwenzeka ngezizathu eziningi:

1. Akuvamile ukuthi izingane zenze ukuqubuka kwesibili ekuphenduleni ukutheleleka kokuqala lokho kwakudinga ukwelashwa kwasekuqaleni, ngokungafani nokwakha ukuqubuka kwe-penicillin ekuphenduleni umuthi.
2. Kukhona into ebizwa ngokuthi i- ukuqubuka kwe-amoxicillin lokho kuyindlela ejwayelekile yokusabela ku-amoxicillin, kodwa empeleni akuyona indlela yokungezwani komzimba, futhi akuyona ingozi ikakhulukazi, ngokusho kukaDkt. Kelso.
3. Ezinye izingane zinokuphendula okweqiniso, kepha ziyadlula eminyakeni elandelayo.

UDkt. Kelso uthi okuningi okubizwa ngokuthi i-penicillin yokungezwani komzimba yilokho okwenzeka endodakazini yami: ukuqubuka okuba nezinsuku ezimbalwa ekwelashweni, kwenzeka okokuqala lapho kunikezwa i-penicillin, kuncane kakhulu, futhi akufani nesidleke emvelweni.

Izimpawu zokungezwani komzimba ne-penicillin yangempela

Wachaza ukuthi ukusabela okweqile kokungezwani komzimba akuvamile ukuthuthukisa okokuqala lapho kunikezwa umuthi. Lokhu kungenxa yokuthi, ukungezwani komzimba ne-penicillin, njenganoma yikuphi ukungezwani komzimba, kudinga ukuvezwa okuthile ngaphambi kwesikhathi. Akekho umuntu ozalwa ephikisana nanoma yini. Sicabanga ukuthi awukwazi ukuhlakulela ukungezwani komzimba ngesikhathi uqala ukuvezwa i-penicillin.

Ngalesi sizathu, uthe ukusabela kwe-penicillin kweqiniso kuzojwayelekile:

• Thuthukisa ngemiyalo elandelayo ye-penicillin, hhayi ngomuthi wokuqala
• Kuqhamuka masinyane ngemuva komthamo wokuqala ngemiyalo elandelayo, kungapheli izinsuku eziningi ekwelashweni
• Phrezenta njengemihlathi ephakanyisiwe, kaningi

Izinzuzo zokuhlolwa kokungezwani komzimba ne-penicillin

U-Allergist no-immunologist UKathleen Dass, MD , isuse abantu abaningi kulokho ababecabanga ukuthi kuyizinto ezibangelwa ukungezwani komzimba ne-penicillin. Ucwaningo lwakamuva, olushicilelwe ku- Vula Inkundla Izifo Ezithathelwanayo , bathola ukuthi iziguli ezingama-98 kwezingu-100 ezazinokungezwani komzimba ne-penicillin kumashadi azo zazingezwani neze.

Iningi labazali, nabantu abadala abanegama labo lokungezwani komzimba ne-penicillin, kungenzeka bangaziqondi ngokugcwele izinzuzo zokuhlolwa. Kepha uDkt. Dass uthi kunezizathu eziningana zokuhlolelwa ukungezwani komzimba ne-penicillin, njenge:

• Ukwazi ukuthola i-antibiotic engcono kakhulu futhi efanelekile oyidingayo
• Ukwehlisa ubungozi bokumelana nemithi elwa namagciwane kanye nohudo oluhambisana namagciwane
• Ukunciphisa izindleko zokunakekelwa kwezempilo
• Ukuthola imvume yokuthatha i-cephalosporin ne-carbapenem antibiotic

Ezimweni eziningi, uDkt. Dass uncoma ukulinda iminyaka eyi-10 ngemuva kokuphendula okucatshangwa ukuthi kwenziwe ukuhlolwa, ngaphandle kokuthi awekho amanye ama-antibiotic angasetshenziswa. Ngokwethu, kunengqondo ukuthi kwenziwe ukuhlolwa ngaphambili. Kepha imindeni eminingi kungenzeka iphephile ukulinda.

Kufaka ini ukuhlolwa kokungezwani komzimba ne-penicillin?

UDkt. Dass uthi ukuhlolwa ngokuvamile kuqala ngomuntu owaliwa nezifo ngokuthatha umlando wakho nokuthola kabanzi ngokutholakala kokuqala kokungezwani komzimba ne-penicillin. Noma isiphi isiguli esinomlando obhaliwe we-penicillin yokungezwani komzimba yilowo ofuna ukuhlolwa i-penicillin, kuchaza uDkt. Dass. Kodwa-ke, [udokotela wakho] uzoqhubeka kuphela uma kuphephile ukwenza njalo.

Ukuhlolwa kwesikhumba komzimba

Endodakazini yami, isigaba esilandelayo sokuhlolwa sifaka ukumakwa okune kwenziwe esikhumbeni sakhe ukuqoka:

• I-histamine
• Usawoti
• Ama-reactants amabili aziwa nge-penicillin

Eduze kwalokhu kukhangwa, amaconsi amancane ento ngayinye abekwa nje, agcotshwa esikhunjeni sakhe. Sibe sesitshelwa ukuthi silinde imizuzu eyi-15 ukubona ukuthi kukhona yini ukusabela. Kwakungekho.

Ukuhlolwa kokubhoboza isikhumba

Ingxenye elandelayo yokuhlolwa ukuhlolwa kwesikhumba, ngokusho kukaDkt. Dass, okuyisilonda esikhunjeni esingangeni ekujuleni futhi okungafanele kube buhlungu.

Indodakazi yami ibingavumelani naleyo nkulumo yokugcina, kodwa-ke… ineminyaka eyisithupha, nezinaliti ziyethusa. Wehlisa umoya kungakapheli imizuzwana engama-30 kuqhume isikhumba.

Imijovo engaphansi

Lapho ukuhlolwa esikhunjeni sesikhumba kukubi, isimo esilandelayo sokuhlolwa imijovo engaphansi.

Endabeni yendodakazi yami, le ngxenye yokuhlolwa yeqiwe. Ngenxa yokusabela kwakhe okungekuhle ezingxenyeni ezimbili zokuqala zokuhlolwa, nangenxa yencazelo ephelele yokuphendula kwakhe kokuqala (ukuqubuka okwakungafani nesidleke ngokwemvelo nokwakhula izinsuku ezimbalwa enkambweni yakhe yokuqala ye-penicillin), futhi ngoba wayemncane kunezingane eziningi ezivamise ukwenza lokhu kuhlolwa, umeluleki owayemhlola akazange alinganise ubuhle nobubi futhi azizwe ekhululekile ukweqa ukuhlukumezeka kwenaliti okwengeziwe.

Mina nendodakazi yami sobabili sasibonga. Kodwa akubona bonke abalwa nezilwanyane abangahle babe nezinga elifanayo lokunethezeka, futhi abazali kufanele ngaso sonke isikhathi balandele izeluleko zomuntu owaliwa nokungezwani komzimba enza ukuhlolwa kwengane yabo.

Ukuhlolwa ngomlomo

Uma isiguli sidlula imijovo engaphansi, isinyathelo esilandelayo ukuhlola ngomlomo. Lokhu kusho ukuthi isiguli sizothola okungenani imithamo emibili ye-penicillin antibiotic, evamise ukuba imithamo emikhulu ye-penicillin, ngokusho kukaDkt. Dass. Iziguli ziqashwa kaningi ngemuva kwalokho, imvamisa ngehora elilodwa noma ngaphezulu.

Ngesikhathi sokuhlolwa, indodakazi yami ayizange isabele. Futhi uDkt. Dass uthi, Uma lokhu kuyinto engeyinhle, awusekho engcupheni enkulu yokuthola ukungezwani komzimba nokwedlula noma ubani omunye!

OKUSHIWO: Kuhlolwa nini ingane yakho

Ukususa ukungezwani komzimba ne-penicillin

Sisuse ukungezwani komzimba nendodakazi yami eshadini layo lezokwelapha cishe ngokushesha ngemuva kokuhlolwa. Manje sekuyinto eyodwa encane okufanele sikhathazeke ngayo lapho eba nezifo.

UDkt Dass uthi lonke ithemba alilahleki kulawo macala athathwa njenganengozi enkulu yokuhlolwa, noma kunjalo. Okokuqala, kuzosetshenziswa amanye ama-antibiotic. Uma ingekho enye i-antibiotic, inqubo ye-desensitization iyenzeka ukufeza ukungaphenduli komuthi. Lokhu kufaka phakathi ukuqala ngomthamo omncane kakhulu we-penicillin nokunikeza imithamo ephezulu kakhulu ye-penicillin ngaphezu kwamahora noma ngezinye izikhathi izinsuku.

Ngokusobala, lokhu kufanele kwenzeke kuphela ngaphansi kweso lodokotela.

Noma kunjalo, uDkt Dass uphetha ngokuthi, Ukuhlola i-penicillin yokungezwani komzimba kuphephile, futhi kulula kakhulu ukuhlola lokhu okungezwani komzimba lapho ungaguli kunokuba lapho usesimweni esisongela impilo esibhedlela.

Wayefuna futhi ukucacisa ukuthi yize kunombono ophambene ojwayelekile wokuthi ukungezwani komzimba ne-penicillin kungofuzo, lokho akuhlali kunjalo. Uma umzali wakho ene-penicillin yokungezwani komzimba nokusongela impilo yakhe, lokhu akusho ukuthi une-penicillin yokungezwani komzimba.

Ngokwethu, ngijabule kakhulu ukuthi kwenziwe ukuhlolwa nokuthi udokotela wezingane wendodakazi yami manje unechibi elikhulu lemithi elwa namagciwane angakhetha kulo noma nini lapho egula.

Ukuthola i-allergenist engahlola endaweni yangakini, sebenzisa lesi sixhumanisi ukusesha nge-zip code.