IStevens-Johnson Syndrome: Yintoni, ziimpawu kunye noonobangela

Umxholo

• Umthombo: Amaziko oLawulo noThintelo lwezifo
• Iimpawu eziphambili
• Ngubani osengozini enkulu yokuba nesifo
• Unyango lwenziwa njani

IStevens-Johnson Syndrome yingxaki enqabileyo kodwa enzulu kakhulu yesikhumba ebangela ukuba kubonakale izilonda ezibomvu emzimbeni wonke kunye nolunye utshintsho, njengobunzima bokuphefumla kunye nomkhuhlane, onokububeka esichengeni ubomi bomntu ochaphazelekayo.

Ngokwesiqhelo, esi sifo sivela ngenxa yokungahambi kakuhle kwamanye amayeza, ngakumbi kwiPenicillin okanye amanye amayeza okubulala iintsholongwane kwaye, ke, iimpawu zinokubonakala ukuya kwiintsuku ezi-3 emva kokuthatha iyeza.

Isifo sikaStevens-Johnson siyanyangeka, kodwa unyango lwaso kufuneka luqale ngokukhawuleza xa kulaliswa esibhedlele ukunqanda iingxaki ezinje ngosulelo ngokubanzi okanye ukwenzakala kwizitho zangaphakathi, ezinokwenza ukuba unyango lube nzima kwaye lusongele ubomi.

Umthombo: Amaziko oLawulo noThintelo lwezifo

Iimpawu eziphambili

Iimpawu zokuqala zesifo sikaStevens-Johnson zifana kakhulu nezomkhuhlane, njengoko zibandakanya ukudinwa, ukukhohlela, iintlungu zemisipha okanye intloko, umzekelo. Nangona kunjalo, ekuhambeni kwexesha amanye amabala abomvu avela emzimbeni, aphela esasazeka kulusu lonke.

Ukongeza, kuqhelekile ukuba ezinye iimpawu zivele, ezinje:

• Ukudumba kobuso nolwimi;
• Ubunzima bokuphefumla;
• Ubuhlungu okanye ukutshisa kwesikhumba;
• Umqala obuhkungu;
• Amanxeba emilebeni, ngaphakathi emlonyeni naseluswini;
• Ubomvu kunye nokutsha emehlweni.

Xa ezi zimpawu zibonakala, ngakumbi ukuya kwiintsuku ezi-3 emva kokuthatha iyeza elitsha, kuyacetyiswa ukuba uye ngokukhawuleza kwigumbi likaxakeka ukuvavanya ingxaki kwaye uqale unyango olufanelekileyo.

Ukuchongwa kweStevens-Johnson Syndrome kwenziwa ngokujonga izilonda, ezinempawu ezithile, ezinjengemibala kunye neemilo. Olunye uvavanyo, olufana negazi, umchamo, okanye iisampulu zezilonda, kunokufuneka xa kusolunyelwa ezinye izifo ezosulelayo.

Ngubani osengozini enkulu yokuba nesifo

Nangona kunqabile, esi sifo sixhaphake kakhulu kubantu abaphathwa ngayo nayiphi na kwezi ndlela zilandelayo:

• Amayeza sifo, ezifana Allopurinol;
• Anticonvulsants okanye antipsychotic;
• Iipilisi zentlungu, ezinje ngeParacetamol, Ibuprofen okanye iNaproxen;
• Amayeza okubulala iintsholongwane, ngakumbi ipenicillin.

Ukongeza ekusebenziseni amayeza, ezinye izifo zinokubangela isifo, ngakumbi ezo zibangelwa yintsholongwane, njenge-herpes, i-HIV okanye i-hepatitis A.

Abantu abanamajoni omzimba abuthathaka okanye amanye amatyala eStevens-Johnson syndrome nabo basemngciphekweni omkhulu.

Unyango lwenziwa njani

Unyango lweStevens-Johnson syndrome kufuneka lwenziwe xa usesibhedlele kwaye ihlala iqala ngokuphelisa ukusetyenziswa kwalo naliphi na iyeza elingabalulekanga kunyango lwesifo esinganyangekiyo, njengoko kunokubangela okanye kubangele mandundu iimpawu zesifo.

Ngexesha lokulaliswa esibhedlele, kusenokufuneka ukuba utofe i-serum ngqo emthanjeni ukubuyisela ulwelo olulahlekileyo ngenxa yokunqongophala kwesikhumba kwiindawo zokonzakala. Ukongeza, ukunciphisa umngcipheko wosulelo, amanxeba esikhumba kufuneka aphathwe yonke imihla ngumongikazi.

Ukunciphisa ukungahambi kakuhle kwezilonda, uxinzelelo lwamanzi abandayo kunye nezithambiso ezingathathi hlangothi zinokusetyenziselwa ukuthambisa ulusu, kunye nokutya amayeza avavanyiweyo kwaye amiselwe ngugqirha, njenge-antihistamines, i-corticosteroids okanye i-antibiotics, umzekelo.

Fumana ezinye iinkcukacha malunga nonyango lweStevens-Johnson syndrome.