IStevens-Johnson Syndrome: Kuyini, Izimpawu Nezimbangela

-Delile

• Umthombo: Izikhungo Zokulawulwa Nokuvikelwa Kwezifo
• Izimpawu eziyinhloko
• Ubani osengozini enkulu yokuba nesifo
• Yelashwa kanjani

IStevens-Johnson Syndrome yinkinga yesikhumba engajwayelekile kodwa ebucayi kakhulu edala ukuthi izilonda ezibomvu zivele emzimbeni wonke nakwezinye izinguquko, njengobunzima bokuphefumula nemfiva, okungabeka impilo yomuntu osengozini engcupheni.

Imvamisa, lesi sifo sivela ngenxa yokusabela okweqile kwemithi ethile, ikakhulukazi kuPenicillin noma amanye ama-antibiotic, ngakho-ke, izimpawu zingavela kuze kube yizinsuku ezintathu ngemuva kokudla umuthi.

I-Stevens-Johnson syndrome iyelapheka, kepha ukwelashwa kwayo kufanele kuqalwe ngokushesha ngangokunokwenzeka ngokulaliswa esibhedlela ukuze kugwenywe izinkinga ezinkulu ezifana nokutheleleka okujwayelekile noma ukulimala ezithweni zangaphakathi, okungenza ukwelashwa kube nzima futhi kusongele impilo.

Umthombo: Izikhungo Zokulawulwa Nokuvikelwa Kwezifo

Izimpawu eziyinhloko

Izimpawu zokuqala zeStevens-Johnson syndrome ziyefana kakhulu nalezo zomkhuhlane, njengoba zifaka phakathi ukukhathala, ukukhwehlela, ubuhlungu bemisipha noma ikhanda, ngokwesibonelo. Kodwa-ke, ngokuhamba kwesikhathi amanye amabala abomvu avela emzimbeni, agcina esabalala esikhunjeni sonke.

Ngaphezu kwalokho, kuvamile ukuthi ezinye izimpawu zivele, njenge:

• Ukuvuvukala kobuso nolimi;
• Kunzima ukuphefumula;
• Ubuhlungu noma ukushisa kwesikhumba;
• Umphimbo obuhlungu;
• Amanxeba ezindebeni, ngaphakathi emlonyeni nasesikhunjeni;
• Ububomvu nokushisa emehlweni.

Lapho lezi zimpawu zivela, ikakhulukazi kuze kube yizinsuku ezi-3 ngemuva kokuthatha umuthi omusha, kunconywa ukuthi uye ngokushesha ekamelweni labezimo eziphuthumayo uyohlola inkinga bese uqala ukwelashwa okufanele.

Ukuxilongwa kweStevens-Johnson Syndrome kwenziwa ngokubheka izilonda, eziqukethe izici ezithile, ezinjengemibala nobujamo. Olunye uvivinyo, olufana negazi, umchamo, noma amasampuli wesilonda, kungadingeka uma kusolwa ezinye izifo zesibili.

Ubani osengozini enkulu yokuba nesifo

Yize kungavamile, lesi sifo sivame kakhulu kubantu abaphathwa nganoma yimaphi amakhambi alandelayo:

• Imithi ye-gout, njenge-Allopurinol;
• Ama-anticonvulsants noma ama-antipsychotic;
• Ama-painkillers, njengeParacetamol, i-Ibuprofen noma iNaproxen;
• Ama-antibiotic, ikakhulukazi i-penicillin.

Ngaphezu kokusetshenziswa kwemithi, ezinye izifo zingaba imbangela yesifo, ikakhulukazi lezo ezibangelwa igciwane, njenge-herpes, i-HIV noma i-hepatitis A.

Abantu abanamasosha omzimba abuthakathaka noma amanye amacala eStevens-Johnson syndrome nabo basengozini enkulu.

Yelashwa kanjani

Ukwelashwa kwesifo i-Stevens-Johnson syndrome kufanele kwenziwe ngenkathi usesibhedlela futhi imvamisa kuqala ngokuyeka ukusetshenziswa kwanoma imuphi umuthi ongabalulekile ukwelapha isifo esingelapheki, ngoba kungenzeka kubangele noma kubhebhethekise izimpawu zesifo.

Ngesikhathi sokulaliswa esibhedlela, kungadingeka futhi ukujova i-serum ngqo emthanjeni ukufaka okunye okusamanzi okulahlekile ngenxa yokushoda kwesikhumba ezindaweni zokulimala. Ngaphezu kwalokho, ukunciphisa ubungozi bokutheleleka, amanxeba esikhumba kumele elashwe nsuku zonke ngumhlengikazi.

Ukunciphisa ukungaphatheki kahle kwezilonda, ukucindezelwa kwamanzi abandayo kanye nokhilimu abathathi hlangothi kungasetshenziselwa ukusimamisa isikhumba, kanye nokutholakala kwemithi ehlolwe futhi yabekwa ngudokotela, njengama-antihistamines, ama-corticosteroids noma ama-antibiotics, ngokwesibonelo.

Thola imininingwane eminingi mayelana nokwelashwa kwesifo se-Stevens-Johnson.