Unyango luboniswe kunyango lwegcushuwa

Umxholo

• Uvavanyo lwepenicillin yokungabikho komzimba
• I-penicillin desensitization yenziwa njani?
• Ukuphendula okuqhelekileyo kwepenicillin
• Xa penicillin contraindicated

Olona nyango lusebenzayo ukunyanga i-syphilis yi-benzathine penicillin, ekufuneka isetyenziswe rhoqo njengenaliti kwaye idosi iyahluka ngokuxhomekeka kwinqanaba lesifo.

Kwimeko yokungabikho komzimba kweliyeza, ezinye i-antibiotics ezinjenge-tetracycline, i-erythromycin okanye i-ceftriaxone ingasetyenziswa, kodwa i-penicillin yonyango olusebenzayo kwaye luhlala lukhetho lokuqala. Ngaphambi kokuba uvavanye enye i-antibiotic, kuya kufuneka ukhethe ukungafuneki kwi-penicillin ukuze unyango lwenziwe ngala mayeza afanayo. Ukuhlengahlengiswa kwezinto kubandakanya ukusebenzisa amayeza amancinci epenicillin de umzimba ungakwazi ukwala eli yeza.

I-Tetracycline, 500 mg 4x / ngosuku okanye zombini iintsuku ezili-14Igcushuwa ephezuluInaliti ezintathu zepenicillin ene-2,400,000 IU kwiindawo ezahlukeneyo emzimbeni, ngekhefu leentsuku ezisi-7 idosi nganyeI-Doxycycline, 100 mg 2x / imini okanye
tetracycline, 500 mg 4x / ngosuku, zombini
kangangeentsuku ezingama-28Neurosyphilis6 Inaliti yemihla ngemihla yePenicillin G Crystalline enezigidi ezi-2 ukuya kwezi-4 ngeentsuku ezili-10 ukuya kwezi-14IProcaine penicillin, 2.4 yezigidi
I-UI / IM / ngosuku, + I-Probenecid
500 mg / VO / 4x / usuku okanye zombini iintsuku ezili-14Igcushuwa

I-Crystalline Penicillin G 100 ukuya kwi-150 lamawaka
IU / kg / EV / usuku, ngeedosi ezi-2 kwiveki yokuqala yobomi okanye kwiidosi ezi-3 kwiintsana eziphakathi kweentsuku ezisi-7 ukuya kwezi-10;
okanye
IPenicillin G Procaine amawaka angama-IU / kg / IM,
kanye ngemini kangangeentsuku ezili-10;

okanye
I-Benzathine Penicillin G * * * * 50 lamawaka IU / kg / IM,
Idosi enye

Uvavanyo lwepenicillin yokungabikho komzimba

Uvavanyo lokufumanisa ukuba umntu uxabana ne-penicillin lubandakanya ukurabha inani elincinci lale mayeza kulusu kunye nokujonga ukuba ngaba isiza sibonisa naziphi na iimpawu zokuphendula ezinje ngokubomvu okanye ukurhawuzelela. Ukuba ezi mpawu zikhona umntu uyaliwa.

Olu vavanyo kufuneka lwenziwe ngumongikazi kwisibhedlele kwaye sihlala senziwa kulusu lwengalo.

I-penicillin desensitization yenziwa njani?

Ukungaqiniseki nge-penicillin kubonisiwe kwimeko yokwaliwa yile nyango, ngakumbi kwimeko yonyango lwe-syphilis ngexesha lokukhulelwa kunye nonyango lwe-neurosyphilis. Oku kususwa kobuntununtunu ngokunxulumene nepenicillin kufuneka kwenziwe esibhedlele, kwaye ukusetyenziswa kweepilisi yeyona ndlela ikhuselekileyo.

Akukho nto ibonisa ukusetyenziswa kwe-antihistamines okanye i-steroids, ngaphambi kokuba uthathe i-penicillin kuba la mayeza akayithinteli impendulo ye-anaphylactic kwaye angazifihla iimpawu zokuqala ngokulibaziseka kunyango.

Ngokukhawuleza emva kwenkqubo, unyango nge-penicillin kufuneka luqaliswe. Ukuba umntu udlula ngaphezulu kweentsuku ezingama-28 ngaphandle kokunxibelelana neliyeza, ukuba kukho imfuneko yokujonga kwakhona iimpawu zokungabikho komzimba kwaye ukuba zikhona, ukungafuneki kufuneka kuqale kwakhona.

Ukuphendula okuqhelekileyo kwepenicillin

Emva kwenaliti, iimpawu ezinje ngomkhuhlane, ukugodola, intloko ebuhlungu, iintlungu kwizihlunu kunye namalungu zingabonakala, ezinokubonakala phakathi kwe-4 ukuya kwiiyure ezingama-24 emva kwenaliti. Ukulawula ezi mpawu, ugqirha unokucebisa ukuba uthathe i-analgesic okanye i-antipyretic.

Xa penicillin contraindicated

Unyango lwe-syphilis alunakwenziwa nge-penicillin kwimeko ye-Stevens-Johnson syndrome, i-epidermal necrolysis enetyhefu kunye ne-exfoliative dermatitis. Kule meko, unyango lwegcushuwa kufuneka lwenziwe namanye amayeza okubulala iintsholongwane.

Jonga kwakhona le vidiyo ilandelayo kwaye ufumanise ukuba isifo siqulathe ntoni: