Amakhambi akhonjisiwe ekwelapheni ugcunsula

-Delile

• Hlola ukungezwani komzimba ne-penicillin
• I-penicillin desensitization yenziwa kanjani
• Ukusabela okuvamile kwe-penicillin
• Lapho i-penicillin iphikiswa

Ikhambi eliphumelela kakhulu ukwelapha ugcunsula yi-benzathine penicillin, okumele njalo iphathwe njengomjovo futhi umthamo uyehluka kuye ngesigaba sesifo.

Uma kwenzeka ukungezwani komzimba nalo muthi, kungasetshenziswa amanye ama-antibiotic anjenge-tetracycline, i-erythromycin noma i-ceftriaxone, kepha i-penicillin iyimithi esebenza kahle kakhulu futhi ihlale iyikhetho lokuqala. Ngaphambi kokuhlola elinye i-antibiotic, kufanele ukhethe ukwehlisa amandla i-penicillin ukuze ukwelashwa kwenziwe ngalo muthi ofanayo. Ukwehliswa kwemvelo kuqukethe ukufaka imithamo emincane ye-penicillin kuze kube yilapho umzimba ungakwazi ukwenqaba lo muthi.

I-Tetracycline, 500 mg 4x / ngosuku noma zombili izinsuku eziyi-14Ugcunsula osezingeni eliphezuluImijovo emi-3 ye-penicillin ene-2,400,000 IU ezindaweni ezahlukahlukene emzimbeni, ngesikhawu sezinsuku eziyi-7 umthamo ngamunyeI-Doxycycline, 100 mg 2x / usuku noma
i-tetracycline, 500 mg 4x / ngosuku, zombili
izinsuku ezingama-28I-NeurosyphilisImijovo emi-6 yansuku zonke yePenicillin G Crystalline enezigidi ezi-2 kuye kwezi-4 izinsuku eziyi-10-14I-Procaine penicillin, 2.4 million
I-UI / IM / usuku, + I-Probenecid
500 mg / VO / 4x / usuku noma zombili izinsuku eziyi-14Ugcunsula azalwa naso

I-Crystalline Penicillin G 100 kuya ku-150 ayizinkulungwane
IU / kg / EV / usuku, ngemithamo emi-2 esontweni lokuqala lokuphila noma ngemithamo emi-3 yezingane eziphakathi kwezinsuku eziyi-7 nezili-10;
noma
IPenicillin G Procaine izinkulungwane ezingama-50 IU / kg / IM,
kanye ngosuku izinsuku eziyi-10;

noma
I-Benzathine Penicillin G * * * * 50 ayizinkulungwane IU / kg / IM,
Umthamo owodwa

Hlola ukungezwani komzimba ne-penicillin

Ukuhlolwa kokuthola ukuthi ngabe umuntu uyaliwa yini ne-penicillin kuqukethe ukugcoba inani elincane lale mithi esikhunjeni nokubheka ukuthi ngabe isayithi likhombisa izimpawu zokuphendula ezifana nokubomvu noma ukulunywa. Uma lezi zimpawu zikhona umuntu uyaliwa.

Lokhu kuhlolwa kufanele kwenziwe ngumhlengikazi endaweni yesibhedlela futhi kuvame ukwenziwa esikhumbeni sangaphambili.

I-penicillin desensitization yenziwa kanjani

Ukwehliswa kwenhliziyo kwe-penicillin kuboniswa uma kwenzeka ukungavumelani nalo muthi, ikakhulukazi uma ukwelashwa ugcunsula ngesikhathi sokukhulelwa nokwelashwa kwe-neurosyphilis. Lokhu kukhishwa kobuzwe maqondana ne-penicillin kufanele kwenziwe esibhedlela, futhi ukusetshenziswa kwamaphilisi kuyindlela ephephe kunazo zonke.

Akukho okubonisa ukusetshenziswa kwama-antihistamine noma ama-steroids, ngaphambi kokuthatha i-penicillin ngoba le mithi ayikuvimbeli ukusabela kwe-anaphylactic futhi ingazifihla izimpawu zayo zokuqala ngokubambezela ukwelashwa.

Ngokushesha ngemuva kwenqubo, ukwelashwa nge-penicillin kufanele kuqalwe. Uma lo muntu edlula izinsuku ezingaphezu kwezingama-28 ngaphandle kokuxhumana nalomuthi, uma kunesidingo hlola futhi izimpawu zokungezwani komzimba nokuthi ukhona, uma kunesidingo kufanele kuqale phansi futhi.

Ukusabela okuvamile kwe-penicillin

Ngemuva komjovo, izimpawu ezinjengomkhuhlane, ukugodola, ikhanda elibuhlungu, ubuhlungu emisipheni nasemalungeni kungavela, okungavela phakathi kwamahora amane kuya kwayi-24 ngemuva kokujova. Ukulawula lezi zimpawu, udokotela angancoma ukuthatha i-analgesic noma i-antipyretic.

Lapho i-penicillin iphikiswa

Ukwelashwa kukagcunsula akunakwenziwa nge-penicillin uma kwenzeka i-Stevens-Johnson syndrome, i-epidermal necrolysis enobuthi kanye ne-exfoliative dermatitis. Kulezi zimo, ukwelashwa kukagcunsula kufanele kwenziwe namanye ama-antibiotic.

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