Ukusabela kuVancomycin kungadala iRed Man Syndrome
-Delile
I-Red man syndrome yisimo esingenzeka ngokushesha noma ngemuva kwezinsuku ezimbalwa zokusebenzisa i-antibiotic vancomycin ngenxa yokusabela kwe-hypersensitivity kulo muthi. Lo muthi ungasetshenziswa ukwelapha izifo zamathambo, i-endocarditis kanye nokutheleleka okujwayelekile kwesikhumba kepha kufanele usetshenziswe ngokunakekela ukugwema lokhu kusabela okungenzeka.
Uphawu oluyinhloko lwalesi sifo, olwaziwa nangokuthi i-red neck syndrome, ukubomvu okukhulu emzimbeni wonke nokunwaya okufanele kutholakale futhi kulashwe ngudokotela, futhi kungadingeka ukuhlala e-ICU yesibhedlela.
Izimpawu nezimpawu
Izimpawu nezimpawu eziveza lesi sifo yilezi:
- Ububomvu obukhulu emilenzeni, ezingalweni, esiswini, entanyeni nasebusweni;
- Ukulunywa ezifundeni ezibomvu;
- Ukuvuvukala ngamehlo;
- Ukuqhuma kwemisipha;
- Kungaba nobunzima bokuphefumula, ubuhlungu besifuba nomfutho wegazi ophansi.
Ezimweni ezinzima kakhulu, kungahle kube nokushoda komoya-mpilo ebuchosheni, izandla nezindebe ezi-purplish, ukuquleka, ukulahleka komchamo nendle nokushaqeka okuveza i-anaphylaxis.
Imbangela enkulu yalesi sifo ukusetshenziswa okusheshayo kwe-antibiotic vancomycin ngqo emthanjeni, noma kunjalo, ingavela futhi lapho umuthi usetshenziswa kahle, okungenani ihora elilodwa lokumnika, futhi ungavela ngosuku olufanayo noma , izinsuku ngemuva kokusetshenziswa kwayo.
Ngakho-ke, uma umuntu esebenzise lo muthi kepha esekhishiwe esibhedlela futhi unalezi zimpawu, kufanele baye egumbini labezimo eziphuthumayo bayoqala ukwelashwa ngokushesha.
Ukwelashwa
Ukwelashwa kufanele kuqondiswe ngudokotela futhi kungenziwa ngokuyeka ukusetshenziswa komuthi nokuthatha amakhambi alwa negciwane afana ne-diphenhydramine noma i-Ranitidine ngendlela yomjovo. Ngokuvamile kuyadingeka ukusebenzisa imithi yokwengeza umfutho wegazi nokulawula ukushaya kwenhliziyo njenge-adrenaline.
Uma ukuphefumula kunzima, kungadingeka ukuthi ugqoke imaski yomoya-mpilo futhi kuye ngobukhulu, umuntu angadinga ukuxhunyaniswa nezinto zokuphefumula.Ukulawula ukuphefumula, izidakamizwa ze-corticosteroid ezifana ne-Hydrocortisone noma i-Prednisone zingasetshenziswa.
Izimpawu zokuthuthuka
Izimpawu zokuthuthuka zivele ngemuva nje kokuqala kokwelashwa ngemithi edingekayo futhi lowo muntu angadedelwa ngemuva kokuthi kuqinisekisiwe ukuthi izimpawu ziyalawulwa futhi ukuhlolwa kwegazi, ingcindezi nokusebenza kwenhliziyo kujwayelekile.
Izimpawu zokuwohloka nezinkinga
Izimpawu zokuwohloka ziyavela lapho ukwelashwa kungenziwa futhi kungaba nezinkinga ezinkulu ezibeka impilo yomuntu engcupheni ngokuholela ekuboshweni kwenhliziyo nokuphefumula.
Okuthunyelwe Okuhehayo
I-optic neuritis
