Ukwelashwa kweStevens-Johnson Syndrome

-Delile

• Amakhambi okudambisa izimpawu
• Izinkinga ezingenzeka

Ukwelashwa kweStevens-Johnson Syndrome kudinga ukuqalwa ngokuhlonza imbangela eholele ekuguqulweni kwesikhumba, ukuze le nto isuswe ngaphambi kokuqala ukwelashwa okuhlose ukwenza ngcono izinkinga nezimpawu.

Ngakho-ke, futhi njengasesimweni esiningi, i-syndrome ibonakala njengomphumela oseceleni womuthi othize (imvamisa i-antibiotic) udokotela udinga ukumisa ukusetshenziswa kwalo muthi, eqondisa ukwelashwa okusha kwenkinga ebelashwa, ngaphezu ukwelashwa kwesifo.

Njengoba lesi sifo siyinkinga enkulu kakhulu, engasongela impilo, ukwelashwa imvamisa kudinga ukwenziwa e-ICU nge-serum nemithi ngqo emthanjeni, ngaphezu kokuqapha njalo izimpawu ezibalulekile.

Ukuqonda kangcono ukuthi ziyini izimpawu zalesi sifo nokuthi kungani zenzeka.

Amakhambi okudambisa izimpawu

Ngemuva kokukhipha yonke imishanguzo okungenzeka ukuthi ibangele ukuthuthukiswa kweStevens-Johnson Syndrome, udokotela uvame ukunquma ukusetshenziswa kwamanye amakhambi ukudambisa izimpawu:

• Ukudambisa izinhlungu, ukudambisa izinhlungu ezindaweni ezithintekile zesikhumba;
• Ama-Corticosteroids, ukunciphisa ukuvuvukala kwezendlalelo zesikhumba;
• I-Antiseptic mouthwash, ukuhlanza umlomo, ukuqaqamba kancane kwe-mucosa bese uvumela ukondla;
• Amaconsi e-anti-inflammatory, ukunciphisa izinkinga ezingaba khona emehlweni.

Ngaphezu kwalokho, kujwayelekile nokwenza ukugqokiswa okuvamile ezindaweni ezithintekile zesikhumba, usebenzisa ama-compresses aswakanyiswe nge-petroleum jelly ukusiza ukuvuselela isikhumba, ukunciphisa ukungaphatheki kahle nokususa izingqimba zesikhumba esifile. Uhlobo oluthile lukakhilimu othambisa futhi lungasetshenziswa ukufaka ezifundeni ezizungeze izilonda, ukuvimbela ukuthi zingakhuli ngosayizi.

Ezimweni ezibucayi kakhulu, ngaphezu kwakho konke ukwelashwa okuchaziwe, kusengadingeka ukugcina ukusetshenziswa kwe-serum ngqo emthanjeni ukugcina ukunambitheka komzimba, kanye nokufaka ishubhu le-nasogastric ukuvumela ukondliwa, uma i-mucosa yomlomo iyathinteka kakhulu. Kwezinye izimo, udokotela angahle anikeze namafomula acebile ngama-calories nezakhamzimba ukusiza umuntu ukuthi alondoloze isimo sakhe sokudla okunempilo futhi enze ukuba alulame.

Izinkinga ezingenzeka

Ngenxa yokuthi ithinta izindawo ezinkulu zesikhumba, iStevens-Johnson Syndrome ingaba nezinkinga ezinkulu kakhulu, ikakhulukazi lapho ukwelashwa kungaqalwa ngesikhathi. Lokhu kungenxa yokuthi, izilonda esikhunjeni zinciphisa kakhulu ukuvikela umzimba, okugcina kusiza ukutheleleka okujwayelekile emzimbeni kanye nokwehluleka kwezitho ezithile ezibalulekile.

Ngakho-ke, noma nini lapho kunokusola kokuphendula okungajwayelekile kolunye uhlobo lomuthi othathwayo, kubaluleke kakhulu ukuya esibhedlela ukuyohlola isimo nokuqala ukwelashwa okufanele, ngokushesha okukhulu.

Bheka ezinye izimpawu okufanele uziqaphele ukuthola impendulo kumuthi.