Kazhinji hachisi allergy. Gwara rinobuda mushure mazuva mashoma richishandisa amoxicillin kazhinji igwara rakachengeteka rekushandisa mushonga, rinowanzo kukonzerwa nehutachiona hwaunenge une kana mwana wako achitova nahwo. Mukati meongororo imwe, 6.8% chete evana vane chiratidzo cheallergy pavakaongororwa zvakare vakawana dambudziko. Nguva ne zviratidzo zvinosarudza mutsauko.

TL;DR: Zvakakosha kuziva

  • Mavara anotanga mushure mazuva achishandisa mushonga kazhinji haana allergy; mhinduro dzinowanikwa dzinobva dzaitika mukati meawa.
  • Mavara akati sandara, machena, akafanana, uye asinganyanyi kutsamwisa pamuviri ndizvo zvakajairika muzvirwere zvakachengeteka.
  • Kuzvimba, kusvuuka, maronda mumuromo kana maziso, kuzvimba kwakakomba kwemuromo nekufema kunenge kusingafadzi kunoratidza njodzi.
  • Mazhinji mavara akachengeteka anopera mukati mevhiki.
  • Usazviti uri allergic kune penicillin pachako. Ongorora mhinduro yako pachinzvimbo chekuzviisa pachako.

Mazhinji mavara eAmoxicillin ndiwo mugumisiro, kwete allergy

Gwara rinobuda mushure mazuva mashoma richishandisa amoxicillin kazhinji igwara rakachengeteka, risiri allergy, kwete allergy chaiyo. Kazhinji rinenge rakati sandara, rine ruvara rwepepuru, rakagadzirisana, uye rinobuda pamazuva mana kana shanu, kazhinji apo utachiona huri kutobata. Allergy chaiyo inotsanangurwa nenguva uye nezviratidzo kunze kweganda.

Uchapupu hwakasimba hweizvi hunobva pakuongorora zvakare. Mukati me ongororo yevana 88 vane chiratidzo cheallergy kune penicillin kana amoxicillin mushure megwara, 6.8% chete (vana vatanhatu) vakawana dambudziko apo mushonga wacho wakapiwa zvakare pasi pekutarisa. Panguva yepakati pekutanga kwegwara kwaive pamazuva 4.9 mushure mekutanga kutora mushonga, uye 65.9% yevana vakapfuura bvunzo vakave nehutachiona hwehutachiona hwaivepo panguva imwe chete.

Musimboti mumwe chete unobatanawo kune vanhu vakuru. Zvinenge 8% kusvika 10% yevanhu muUnited States vane chiratidzo cheallergy kune penicillin chakanyorwa, asi zvinodarika 90% zvavo vanoshivirira penicillins pakongororo yakakwana. Chiratidzo, kazhinji kupfuura nguva dzose, hachisi chokwadi.

Nguva inotaura zvakawanda kupfuura gwara pacharo

Kana mumwe munhu akati igwara re maculopapular, mhinduro yakajairika yeganda ye amoxicillin, kududzirwa kwakareruka ndiko kwakati sandara kusvika zvishoma zvakapfava zvakaenda pamwechete, kazhinji zvinotanga pamuviri uye zvichienda kunze.

Chinoita kuti gwara rive rakachengeteka kana kuti rine njodzi ndechekuti rakarega riini, kwete kuti rakaita sei. Mhinduro chaiye dze IgE-mediated, dzekutanga, dzinowanzotanga mukati meawa mushure mekutora mushonga. Gwara rinononoka, rinokonzerwa ne T-cell, rinobuda mushure mazuva uye rinobata kusvika 7% yevanhu vanotora aminopenicillins. Mavara anotsvuka uye anosvava zvakanyanya, anofamba pazuva uye anopera kubva pane chimwe nechimwe nzvimbo mukati memaawa. Gwara rinononoka rinoramba riripo, rinopararira zvakaenzana, uye rinongonetsa zvishoma kana kuti haritsamwise zvachose. Kuongorora kweganda hakuna chirongwa cheizvi.

Hezvino zvimwe zvinhu zvinenge zvisingataurwe nemapeji mazhinji: hapana mutemo we pa-internet unotsiva chiremba achiona ganda. Zvinhu zvakawanda zvinokonzera gwara rinotsamwisa mudumbu, uye nguva yaunogona kupa iwe kana mwana wako inokosha kupfuura tsananguro ipi neipi yaunoverenga.

Mhinduro dzeAmoxicillin dzinouya nenzira nhatu, kwete mbiri

Zviratidzo zve allergy kune amoxicillin zvinowanzotsanangurwa semhando mbiri, gwara risina njodzi kana anaphylaxis, uye kupatsanurwa uku kunobvisa chikamu chepakati chinotambudza vanhu kuenda kunzvimbo dzekukurumidza vasingazive. Mhando nhatu dzinokosha kuziva.

  • Dzimwe, IgE-mediated: mavara anotsvuka, angioedema (kuzvimba kwemuromo, rurimi, kana chiso), kunyemwerera, kana anaphylaxis, mukati meawa mushure mekutora mushonga.
  • Serum sickness-like reaction: fivha pamwe nekurwadziwa kwemajoini kana kuzvimba pamwe ne gwara, zvichionekwa mushure mevhiki imwe kusvika nhatu mushure mekunge yatanga. Iyi haisi iyo gwara rakachengeteka rezuva shanu kana mavara anotsvuka nekukurumidza.
  • Mhando dzisina kuwanda dzekuguma kwenguva refu: Stevens-Johnson syndrome ne toxic epidermal necrolysis (kurwadziwa kweganda, kuzvimba, kusvuuka, maronda mumuromo, maziso, kana genitourinary, ne DRESS syndrome (fivha, kuzvimba kwakakomba kwemuromo, kuzvimba kwemavara).

Stevens-Johnson syndrome inowanzobuda zuva rimwe kusvika matatu isati yatanga gwara nezviratidzo zvekufuurumidza zvekufuru: fivha, maziso achipisa, muromo kana huro zvinorwadza. Kana iwe kana mwana wako uine izvo zviratidzo pamwe ne gwara idzva, kubatana uku kunodarika zvose zviri papeji rino.

Gwara reAmoxicillin rine njodzi here? Harisi kazhinji, asi zviratidzo zvina ndizvo zvinoshamisa

Gwara reAmoxicillin harisati rine njodzi. Zvimwe zvezvinhu izvi zvakajeka, uye zvinogona kuzivikanwa pasina chitupa chekurapa.

Fonera 911 kana enda kukamuri rekukurumidza ikozvino kana:

  • Miromo, rurimi, chiso, kana huro zvagwadama, kana kufema kana kumedza kwava kuoma, mukati memaminitsi kusvika kumaawa mushure mekutora mushonga.
  • Mavara anotsvuka achipararira nekukurumidza nekunzwa dzungu, kuvhiringidzika, kana kurova kwakakurumidza, kusingasviki.
  • Ganda riri kurwadza, rine mvura, kana kuti riri kusvuuka, kana kuti pane maronda mumuromo, maziso, kana genitourinary, kunyanya nekufivha. Mayo Clinic inopa zano kufonera 911 nekukurumidza zvezviratidzo izvi.
  • Pane kunyemwerera kana kufema kusina simba pamwe ne gwara.

Nyorera mushure mevhiki kana: gwara richiri kupararira kana kuti risina kuchinja mushure mevhiki; fivha pamwe nekupinda kwemajoini kunobuda mushure mevhiki imwe kusvika nhatu; mavara akazvimba pamwe nekuzvimba kwakakomba kwemuromo; kana kuti unongoda kuti mhinduro igadziriswe zvakanaka pachati.

Taura nachiremba usati watanga kana: iwe kana mwana wako makambova ne gwara pane penicillin chero ipi zvayo yapfuura; chiratidzo chekare cheallergy hachisati chaongororwa; zviratidzo zve mono zviri kuvapo izvozvi; kana kuti mushonga mutsva wakapedzisira watanga panguva imwe chete.

Chikonzero nei mvura ichibuda iri pamusoro: toxic epidermal necrolysis inosanganisira mvura nekusvuuka pamusoro pe 30% yemuviri, ne maronda eziso, muromo, mweya, uye genitourinary, inoda kutarisirwa kweICU kana yevakavhuni, uye ine huwandu hwehuwandu hwevanhu vasingapori hwe 25%. Kana usina chokwadi kuti uri mumugwagwa upi, iyo yemahara August AI Symptom Checker inogona kukubatsira kuronga njodzi mukati memaminitsi mashoma. Hachisi chipi chinotsiva kufonera 911 apo zviratidzo zviri pamusoro zvinoshanda.

Vana vadiki vanowana gwara iri zvakanyanya, uye mono ndicho chikonzero nhamba dzinotaridzika dzakasiyana

Gwara reAmoxicillin mucheche rinonyanya kuoneka nhasi, nekuti vana vadiki vanogara vachionekwa nezvirwere zve nzeve ne chipfuva zvinorapwa ne amoxicillin panguva iyo vachirarama nezvirwere zvakasiyana-siyana zvisingaiti.

Kusanganiswa uku kunotsanangura nhamba dzinovhiringidza. Zvingangoita zvakare zviri mukati me 5% kusvika 10%, asi gwara mushure me amoxicillin mukati me infectious mononucleosis raive richitarisirwa kuti richava pakati pe 80% kusvika 100% chezviitiko, kunyangwe ongororo itsva dzinopa nhamba chaiyo yakaderera. Mikana yemwana wako inotsamira zvakanyanya pane kuti pane utachiona here.

Kune mwana mudiki kwazvo kuti akwanise kutsanangura zviratidzo, tarisa maronda emuromo, kuramba kunwa, kudonhedza kana kunetseka kumedza, kurara kwakanyanya, uye fivha iri kuwedzera panzvimbo yekudzikama.

Gwara rinopera roga; kumisa antibiotic kunogona kuva nemutengo wakakura kupfuura zvazvinoreva

Mazhinji mavara anogara kwemazuva angasvika 1 kusvika 6, avhareji ye 3.8 mazuva mukati meongororo yevana 88. Kazhinji rinotaridzika rakaipa risati rapera, uye rinogona kusviba kana kuti rakati sandara sezvarinopera.

Kuda kumisa antibiotic nekukurumidza kunonzwisisika uye kazhinji kanganiso. Kuramba mushonga nekuda kwegwara chete kunotyisidzira nezvirwere zvisingarapwe, kuchinjirwa kune mushonga wakakwirira une mutengo wakakwirira, uye chiratidzo cheallergy chekusingaperi chinokutevera iwe kana mwana wako kwemakore akawanda. Sarudzo iyoyo ndeyachiremba akaona gwara, kwete kubva pawebhusaiti.

Kana uchida kutonga ikoko nekukurumidza, kushanyira nzvimbo yekukurumidza online kunodhura $39 uye chiremba ane rezinesi reUS anoongorora nguva uye anosarudza kana mushonga kana kuchinja kwakakodzera. Izvo telehealth zvisingakwanise kuita kuongorora ganda rine mvura, maronda emukati, kana dambudziko rekufema, izvo zvinoda kutarisirwa kunzvimbo yekukurumidza. Kune gwara rinodarika nguva yakatarwa kana kuti rinobatanidza nechimiro che mavara uye ma bumpy anoramba achidzoka, zvikumbire kuti uongorore.

Gwara rimwe chete harifaniri kuva chiratidzo che penicillin allergy chehupenyu hwese

Kuzvisarudzira kuti iyi yaive mhinduro yeallergy kune amoxicillin kazhinji inodhura kupfuura gwara pacharo, nekuti zvinodarika 90% yevanhu vane chiratidzo cheallergy kune penicillin vanoshivirira penicillins pakongororo yakakwana. Chiratidzo ichi chinokumanikidza iwe kana mwana wako kune zvimwe zvinotsiva apo amoxicillin, iyo inodhura pasi pe $20 pasina inshuwarisi, ingadai yakashanda.

Rega zvinhu zvakadzama zvasati zvapera: zita remushonga, musi, maawa mangani kana mazuva mushure mekutora mushonga apo gwara rakatanga, zvakaonekwa sei, kana kuti kwaive nekufivha, kuzvimba, kana kuti dambudziko rekufema, nezvakaitika mushure mekunge kamira. Ipa izvozvo kune vose vanopa mushonga mune ramangwana.

Kuongorora allergy kana bvunzo yemumuromo inogona kubvisa chiratidzo chisingatarisirwi. Iyo PEN-FAST tool yakasimbiswa ine 96.3% negative predictive value, uye varwere vane njodzi shoma vanogona kutowana carbapenem pasina bvunzo yapfuura. Zvibvunze panguva yekushanya kwenguva dzose.

Zvibvunzo Zvinowanzobvunzwa

Kududza gwara reAmoxicillin here kuti mwana wangu ane allergy kune cephalosporins nezvimwe zvipembenene zvakare?

Hazvisi kazhinji. Gwara rinononoka pa amoxicillin rinotaura zvishoma nezvekushivirira kune dzimwe mhando dzezvipembenene. Kusanganisa pakati pe penicillins ne cephalosporins kwakaderera kupfuura zvakadzidziswa kare, uye vazhinji vanhu vanoita mhinduro kune chimwe vanoshivirira chimwe. Endesa nhoroondo yakanyorwa kune chero anopa mushonga pane kungodzivisa mhando dzose nekufungidzira.

Kududza gwara reAmoxicillin here rinozopararira kune vamwe vanhu mumba?

Kwete. Gwara rekushandisa mushonga harina kukwanisa kupararira kubva kumunhu mumwe kusvika kumunhu mumwe. Izvo zvinogona kupararira ndizvo zvirwere zviri pasi zvakakonzera mushonga, ne utachiona hunogona kuwedzera gwara. Kana munin’ina akawana gwara rakafanana pasina kutora mushonga, izvozvo zvinoratidza utachiona hwehutachiona hwakagovaniswa pane mushonga.

Kududza gwara reAmoxicillin rinogona kutanga mushure mekutora dose yekupedzisira?

Hongu. Mhinduro dzinononoka dzinokonzerwa ne T cells, izvo zvinoda mazuva kuti zvitange, saka gwara rinogona kuoneka mushure mekutora dose yekupedzisira. Izvozvo zvichiri kuenderana nechimiro chakachengeteka. Nyora chinhu chaicho pakati pe dose yekupedzisira ne mapoinzi ekutanga, nekuti ndiyo tsananguro yaachabvunza mupi weallergy pakutanga.

Vakuru vanowana gwara reAmoxicillin zvakasiyana nevana here?

Dzimwe nguva. Vakuru vanotaura nezve kutsamwisa kwakanyanya uye vanowanzotora mishonga yekuwedzera, izvo zvinoita kuti zvive zvakaoma kuziva kuti mushonga upi uri kutonga. Vakuru vanewo zvakawanda zvakagara nhaka zvakaratidzwa zve allergy kubva paudiki izvo hazvina kumbobvumidzwa. Mitemo yenguva yakafanana, asi vakuru vanofanira kunyora zvese zvinowedzera nezve mishonga yakapedzisira yatangwa mumwedzi wapfuura.

Kududza ganda riri kusvuuka apo gwara rinopera kwakaipa here?

Hazvisi kazhinji. Kuonda, ganda riri kusvuuka apo gwara rinopera uye riri kuoma zvakajairika uye harina kurwadza, zvakanyanya sekunze kweri mushure mekupisa nezuva. Chinhu chakakosha ndicho mutsauko kubva pakutsva, ganda rinotsvukirwa nehonye huru, pamusoro pazvo zviri kurwadza kuubata, kana kuti mucous membranes dziri kutsakatika. Iyi vhezheni ndiyo njodzi, kwete nhanho yekupora.

Chikamu chepasi

Kazhinji, gwara reAmoxicillin igwara rakachengeteka, rakazviparadzira iro rinopera mukati mevhiki uye haritaure nezvemishonga yekare mune ramangwana. Nguva inosiyanisa kubva kune allergy chaiyo: mukati meawa inotyisa, mazuva mukati kazhinji haaiti. Ita kuti mhinduro igadziriswe, uye urambe chiratidzo chekusingaperi kusvikira mumwe munhu aongorore.

Disclaimer: Chinyorwa chino chinongoreranisa neruzivo chete uye hachibvumidzirwe nezvekurapa. Nguva dzose taura nachiremba ane chirongwa chekurapa kuti uwane tsananguro nekurapa. Kana uri kuona dambudziko rekurapa, fonera 911 kana enda kuchipatara chepedyo nekukurumidza.