Mubisanzwe si allergy. Ikiruhagira kigaragara nyuma y'iminsi mike iterwa na Amoxicillin muri rusange ni ikiruhagira cyiza cy'umuti, cyane cyane gikunze guterwa na virus waba ufite cyangwa umwana wawe yarafite. Mu bushakashatsi bumwe bwagaragaje ko 6.8% gusa by'abana bafashwe nk'abarwaye allergy koko bagaragaje ibimenyetso ubwo baterwaga iyo nshuro ya kabiri. Igihe ibimenyetso bigaragara n'ibimenyetso bibi bishobora kugufasha gutandukanya.

TL;DR: Ibintu by'ingenzi ugomba kwibuka

  • Ikiruhagira gitangira nyuma y'iminsi iterwa ni akenshi ntacyo kiba gitwaye; ibimenyetso by'ihuse bigaragara mu gihe cy'isaha.
  • Ingano nto, ibara ry'umutuku, risa, ridakunda kwihuta kandi rimaze guhuzagurika ku mubiri ni ikimenyetso cyiza cy'ikiruhagira gisanzwe.
  • Ibikomere, urubobi, ibikomere ku munwa cyangwa amaso, kwirundurira mu maso hamwe n'ibicurane, cyangwa ingorane zo guhumeka ni ikibazo gikomeye.
  • Ikiruhagira cyiza cyinshi kigenda kigaragara mu gihe cy'icyumweru.
  • Ntukwiherere igihe wiyumva ko ufite allergy ku mpeniciline. Gabanya ibyo waba ufite ubushakashatsi.

Ikiruhagira cyinshi cyo ku Amoxicillin ni ingaruka mbi, si allergy

Ikiruhagira kigaragara nyuma y'iminsi iterwa na Amoxicillin muri rusange ni ikiruhagira cyiza, kidafite allergy, aho kuba allergy nyayo. Muri rusange kiba ari gito, gifite ibara ry'umutuku, gisa, kigatangira ku mubiri cyane cyane ku munsi wa kane cyangwa wa gatanu, kenshi igihe virusi iba irimo gukora. Allergy nyayo ishingira ku gihe ibimenyetso bigaragarira n'ibimenyetso byinshi byo ku ruhu.

Ubuhamya bukomeye bw'ibyo bwakomoka mu bushakashatsi bwo kwambara iryo shami. Mu bushakashatsi bwakozwe ku bana 88 bafashwe nk'abarwaye allergy ku mpeniciline cyangwa Amoxicillin nyuma y'ikiruhagira, 6.8% gusa (abana batandatu) bagaragaje ibimenyetso ubwo barerwaga iyo miti nongeye gutangwa mu buryo bwagenwe kandi bubi. Igihe ikimenyetso cy'ikiruhagira cyabaga kigaragaye ni mu minsi 4.9 nyuma yo gufata umuti wa mbere, kandi 65.9% by'abana bakomeje ubu bushakashatsi bari baragaragaye ko bafite virusi icyo gihe.

Uru ruhare rumwe rwakoreshejwe ku bantu bakuru. Mu bihugu by'Amerika, hafi 8% kugeza 10% by'abantu baranditse ko bafite allergy ku mpeniciline, nyamara 90% byabo bakaba bazi gufata imiti ya peniciline igihe babonye ubuzima bwiza. Icyo kimenyetso, kenshi na kenshi, ni ikinyoma.

Igihe ibimenyetso bigaragarira ni cyo kigaragaza kurushaho ibyo ukora

Niba umuntu yabivuga nk'ikiruhagira cy'ububobere, uburyo busanzwe bw'ikiruhagira bwa Amoxicillin ni utubobi twinshi cyangwa tugaragaza ku ruhu bifite ibara ry'umutuku bishobora guhurana kugira ngo bibe amaboko manini, bikunze gutangirira ku mubiri bikanyarukira hanze.

Icyakora, gutandukanya hagati y'ikiruhagira cyiza n'icy'akagombye gutera inkeke ni igihe byatangiye, aho kugira ngo biroroshye uko bigaragara. Allergy nyayo ya IgE-mediated, ikoreshwa ku bw'ihuse, ikunze gutangira mu gihe cy'isaha imwe nyuma yo gufata umuti. Ikiruhagira cyatinze, gikoreshwa na T-cell, kiza nyuma y'iminsi myinshi kandi gikaba kiboneka kuri 7% by'abantu bafata imiti ya aminopenicillins. Ubushyitsi ni ububobere bw'ububobere bw'amazi bwihuta, kandi buba bwanduze mu mubiri hose, bugashira mu masaha make. Ikiruhagira cyatinze kiguma aho, kigwira mu buryo busa, kandi ntabwo gikunda kwihuta cyangwa kwihuta gato. Guhururuka k'uruhu ntibikenewe.

Dore ibyo abantu benshi batazababwira: nta tegeko ryo kuri interineti ryasimbura umuganga ureba ku ruhu. Hari ibintu byinshi bitera ikiruhagira cy'uruhu cy'uruhu ku gifu, kandi igihe wowe cyangwa umwana wawe mushobora gutanga ni cyo kigomba kuruta ibisobanuro byose mwasomye.

Ibiruhagira byo ku Amoxicillin biza mu buryo butatu, ntabwo bubiri

Ibinyabwenge by'allergy kuri Amoxicillin bikunze gutangwa nk'ibindi bibiri, ikiruhagira kidafite inkomo n'anaphylaxis, kandi aho gutandukanya bisigaye bivuga ko hari ibindi bibazo bituma abantu bajya kwa muganga mu buryo bwihutirwa bafite urujijo. Hari uburyo butatu bugomba kumenywa.

  • Igihe cy'ihuse, IgE-mediated: Ubushyitsi, angioedema (guhungabana ku mavi, ururimi, cyangwa mu maso), guhumeka cyane, cyangwa anaphylaxis, mu gihe cy'isaha imwe nyuma yo gufata umuti.
  • Ikiruhagira cy'indwara ya serum: Ibicurane hamwe n'ububabare mu ngingo cyangwa guhura hamwe n'ikiruhagira, bikagaragara nyuma y'icyumweru kimwe cyangwa bitatu kuva watangiye. Iki ni ikiruhagira cyo ku munsi wa gatanu cyangwa ubushyitsi bwihuse.
  • Ikiruhagira cyatinze gikomeye: Stevens-Johnson syndrome na toxic epidermal necrolysis (ububabare bw'uruhu, ububobere, urubobi, ibikomere ku munwa, amaso, cyangwa imyanya ndanga), na DRESS syndrome (ibicurane, kwirundurira mu maso, lymph nodes byirunduye, bikunze mu cyumweru cya kabiri kugeza ku cyenda).

Stevens-Johnson syndrome ikunze kwigaragaza iminsi itatu mbere y'ikiruhagira hamwe n'ibimenyetso by'indwara y'ibicurane: ibicurane, amaso atose cyane, umunwa cyangwa ijosi ribabaza. Niba wowe cyangwa umwana wawe mufite ibyo bimenyetso hamwe n'ikiruhagira gishya, iyi kombinayiziyo ikwiranye kuruta ibindi byose ku rupapuro rw'uyu munsi.

Ikiruhagira cyo ku Amoxicillin ni kibi? Kenshi si ko, ariko ibimenyetso bine ni urugero

Ikiruhagira cyo ku Amoxicillin ntakigere giteye ubwoba. Ibihamya ni ibihamya, kandi byagaragazwa nta kumenya amakuru menshi ku buvuzi.

Hamagara 911 cyangwa jya ku irira ry'ihutirwa niba:

  • Imavi, ururimi, amaso, cyangwa ijosi birahungabana, cyangwa guhumeka no kunywa bigorana, mu gihe cy'iminota kugeza ku masaha nyuma yo gufata umuti.
  • Ubushyitsi buri kwiyongera cyane hamwe n'ubwiyongerere, kwigwa, cyangwa kurira kwihuta, kudahagije.
  • Uruhu rubabaza, rubobere, cyangwa ruboze, cyangwa hari ibikomere ku munwa, amaso, cyangwa imyanya ndanga, cyane cyane hamwe n'ibicurane. Mayo Clinic igira inama yo guhamagara 911 ako kanya kuri ibi bimenyetso.
  • Hari guhumeka cyane cyangwa ingorane zo guhumeka hamwe n'ikiruhagira.

Shyiramo gahunda yo gusura mu cyumweru gitaha niba: ikiruhagira kigikomeje kwiyongera cyangwa kidahinduka nyuma y'icyumweru; ibicurane hamwe n'ububabare mu ngingo bigaragara nyuma y'icyumweru kimwe cyangwa bitatu; lymph nodes byirunduye hamwe no guhungabana mu maso; cyangwa ushaka gusa ko ibyo wagaragaje byandikwa neza.

Ganira n'umuganga mbere yo gutangira niba: wowe cyangwa umwana wawe mugize ikiruhagira ku mpeniciline y'umuti icyo gihe; ikimenyetso cy'allergy cy'imyaka cyari kidahagije; ibimenyetso bya mono birahari ubu; cyangwa undi muti mushya watangiye icyo gihe.

Impamvu ihame ry'ibiruhagira rishobora kugira ingaruka mbi ku wa mbere: toxic epidermal necrolysis irimo ububobere n'urubobi bikwirakwira ku mubiri wose ku rugero rwa 30% hamwe n'ibibazo by'amaso, umunwa, imyanya yo guhumeka, n'imyanya ndanga, bikenera kwitabwaho mu bitaro by'abarwaye cyane cyangwa mu by'abarwaye ububabare, kandi bifite urupfu rwa 25%. Niba utizera aho uri, August AI Symptom Checker y'ubuntu ishobora kugufasha kumenya uburyo bwo kwihutira mu gihe cy'iminota mike. Ntabwo isigaye ivugururwa ry'uguhamagara 911 igihe ibimenyetso byavuzwe haruguru bikoreshwa.

Abana bato bakunda kugira ikiruhagira, kandi mono ni impamvu imibare igaragara itariyo

Ikiruhagira cyo ku Amoxicillin mu mwana muto ni cyo cyateye iyi nkuru nyinshi, kuko abana bato bakunze kugira indwara z'amatwi n'ibihaha zigafashwa na Amoxicillin mu gihe baba barimo gukora virusi buri gihe. Impamvu ebyiri, uruhu rumwe.

Iyo mvano isobanura imibare itumvikana. Impuzandengo y'ikiruhagira cy'umuti ni hafi 5% kugeza 10%, ariko ikiruhagira nyuma ya Amoxicillin muri infectious mononucleosis cyari cyarasesenguwe ko kigeze kuri 80% kugeza 100% by'ibibazo, nubwo ubushakashatsi bwa vuba bwagennye ko umubare nyayo ari muto cyane. Ubuzima bw'umwana bwawe bw'umuntu bwihanganira cyane niba hari virusi irimo gukora. Ubuhamya buriho bugaragaza ko bimwe mu biruhagira bya mono bihuza n'allergy nyayo yatinze, ni yo mpamvu gukurikirana kwa muganga byihuta kuruta kwemera ko byari byiza.

Mu mwana utarageza igihe cyo kuvuga ibimenyetso, reba ibikomere ku munwa, kwanga kunywa, kwirirwa aroragura cyangwa ingorane zo kunywa, gusinzira cyane, n'ibicurane bigwira kuruta kugabanuka.

Ikiruhagira kigenda kigabanuka; guhagarika antibiyotike bishobora gutwara kuruta uko byarushaho gufasha

Ikiruhagira cyinshi gitwara iminsi 1 kugeza 6, mu gihe cy'iminsi 3.8 mu bushakashatsi bw'abana 88. Kenshi kiba kigoye mbere yuko kigabana, kandi gishobora kwijimye cyangwa kugabanuka uko kigenda gikira.

Kwirinda guhagarika antibiyotike ako kanya ni ibisanzwe kandi kenshi na kenshi ni ikosa. Kwemeza ku kiruhagira gusa gutera indwara itavujwe neza, impinduka idakenewe ku muti urushijeho kuba munini kandi uhenze, n'ikimenyetso cy'allergy cy'umwaka wose gikugenda cyangwa umwana wawe imyaka mirongo. Uwo mwanzuro ni uw'umuganga wabonye ikiruhagira, atari uw'ikindi kintu wasomye kuri interineti.

Niba ukeneye iyo mbashyitsi vuba, wizigama igiciro cy'amafaranga 39 kuri wizigama online kandi umuganga wemewe wo muri Amerika asuzuma igihe cyo kwerekana kandi akemeza niba impamvu cyangwa impinduka byaba bifatika. Icyakora, telehealth ntishobora kwagenzura uruhu rubobere, ibikomere by'amazi, cyangwa ingorane zo guhumeka, byose bikenera kwitabwaho byihutirwa. Kuberako ikiruhagira cyarenze igihe cyitegwaga cyangwa kigereranywa n'uburyo bw'ibiruhagira n'ububobere bikomeza kugaruka, yasaba ko ibyo yagira.

Ikiruhagira kimwe nticyagombye kuba allergy y'umwaka wose ku mpeniciline

Kwemeza wenyine ko ibyo byari allergy kuri Amoxicillin bikunze kuba kurenza ikiruhagira ubwacyo, kuko 90% by'abantu bafite ikimenyetso cy'allergy ku mpeniciline bakemera imiti ya peniciline igihe babonye ubuzima bwiza. Icyo kimenyetso gikwerekana ko wowe cyangwa umwana wawe mwaba mwifashisha ibindi bindi bikoresho byiza kandi byahenze aho Amoxicillin, ihendutse munsi ya $20 idafite ubwishingizi, yari kuba ifite akamaro.

Andika amakuru mu gihe ari mashya: izina ry'umuti, itariki, ni angahe amasaha cyangwa iminsi nyuma yo gufata umuti ikiruhagira cyatangiye, uko kigaragaraga, niba hari ibicurane, guhungabana, cyangwa ingorane zo guhumeka, n'ibyakorewe nyuma yo guhagarara. Iyikore kuri buri muntu wese azaguha inama mu gihe kizaza.

Gusuzuma allergy cyangwa gusuzuma kw'ibinyobwe mu buryo bwo gufata bushobora gukuraho ikimenyetso kidafite agaciro burundu. PEN-FAST tool yemejwe ifite 96.3% y'ubuzima bwiza, kandi abantu bafite impamvu ziciriritse bashobora no guhabwa carbapenem mbere yo kugeragezwa. Gabana ku buvuzi bwa buri gihe.

Bimwe mu bibazo bikunze kubazwa

Ikiruhagira cyo ku Amoxicillin bivuga ko umwana wanjye afite allergy ku nkombe n'indi miti ya antibiyotike?

Akenshi si ko. Ikiruhagira cyatinze kuri Amoxicillin ntacyo kivuga ku bijyanye no kwihanganira ibindi byiciro bya antibiyotike. Kwiyandikira hagati ya peniciline na cephalosporins byari byo bishobora kuba byaranigishijwe mu gihe cyashize, kandi abantu benshi bakoresha kimwe bakihanganira ikindi. Gabana amakuru wanditse kuri buri muntu wese waguha inama ahubwo wirinda ibice byose bifite impamvu.

Ikiruhagira cyo ku Amoxicillin cyandura ku bantu mu rugo?

Oya. Ikiruhagira cy'umuti ntishobora kwanduza umuntu ku wundi. Icyashobora kwanduza ni indwara y'ibanze yahaye antibiyotike, na virusi ishobora kwiyongera ku kiruhagira. Niba mukuru agize ikiruhagira gisa ntagifate imiti, ibyo byerekana ko hari indwara ya virusi isangiwe aho kugira ngo ibe umuti.

Ikiruhagira cyo ku Amoxicillin gishobora gutangira nyuma yuko dosis ya nyuma irangiye?

Yego. Ingorane zatinze zitezwe na T cells, zikeneye iminsi kugira ngo zibyare, bityo ikiruhagira gishobora kugaragara nyuma y'iminsi mike nyuma yo gufata dosis ya nyuma. Ibyo bikiri mu miterere idafite ikibazo. Kwandika umubare w'igihe hagati y'umuti wa nyuma n'imihanda ya mbere, kuko ari ikintu umuganga w'inzobere azabaza mbere.

Abantu bakuru bagira ikiruhagira cyo ku Amoxicillin uko zitandukanye n'abana?

Rimwe na rimwe. Abantu bakuru barerekana kwihuta cyane kandi bashobora kuba bafata imiti yiyongera, ibyo bikaba bikorwa na buri muti usanzwe. Abantu bakuru bashobora kandi kugira allergy z'umuryango zakuwe mu burere zitarigeze zihamwa. Amategeko y'igihe ni amwe, ariko abantu bakuru bagombye kugaragaza buri bwishingizi n'ibyo bafashe mu kwezi kw'igicuku.

Uruhu ruboba uko ikiruhagira kigenda kigabanuka ni ikimenyetso kibi?

Akenshi si ko. Kwibagiza kwa kare, kwambara nk'uruhu rugaragara uko igitanda cy'ibitanda cyumuka ni ibisanzwe kandi ntibibabaza, nk'uruhu nyuma yo kwaka izuba. Icyakora, ni ugutandukanya n'ububabare, urubobi, aho uruhu rugororoka mu bice binini, aho hejuru hubabaza kuko bikorewe, cyangwa aho amaboko yahungabana. Ubu buryo ni ubw'ihutirwa, ntabwo ari igihe cyo gukira.

Iby'ingenzi

Kenshi na kenshi, ikiruhagira cyo ku Amoxicillin ni ikibazo cyiza, cyihuse kandi kigenda kigabanuka mu gihe cy'icyumweru kandi ntacyo kivuga ku miti ya antibiyotike izakurikiraho. Igihe kibitandukanya n'allergy nyayo: mu gihe cy'isaha ni ikibazo, iminsi igaragara ntabwo. Gabanya ikiruhagira, kandi wanga ikimenyetso cy'umwaka wose kugeza habonetse ubundi bushakashatsi.

Ibyo dukebye: Inyandiko ziri hano ni iz'amakuru gusa kandi ntibisobanura inama z'ubuvuzi. Gufashanya n'umukozi w'ubuvuzi wujuje ibisabwa kugira ngo ubone ubugari n'ubuvuzi. Niba ufite ikibazo gikomeye cy'ubuvuzi, hamagara 911 cyangwa jya ku irira ry'ihutirwa ako kanya.