Ukuphendula kwiVancomycin kunokubangela iRed Man Syndrome

Umxholo

• Iimpawu kunye neempawu
• Unyango
• Iimpawu zokuphucula
• Iimpawu zokuya zisanda kunye neengxaki

I-Red man syndrome yimeko enokuthi ivele kwangoko okanye emva kweentsuku ezimbalwa zokusebenzisa i-vancomycin yintsholongwane ngenxa yempendulo yehypersensitivity kweli chiza. Eli yeza linokusetyenziselwa ukunyanga izifo zamathambo, i-endocarditis kunye nosulelo oluqhelekileyo lolusu kodwa kufuneka lisetyenziswe ngononophelo ukunqanda le mpendulo.

Olona phawu luphambili lwesi sifo, ekwabizwa ngokuba sisifo esibomvu sentamo, bubomvu obunzulu emzimbeni wonke kunye nokurhawuzelela ekufuneka kufunyaniswe kunyangwe ngugqirha, kwaye kunokuba yimfuneko ukuhlala kwi-ICU yesibhedlele.

Iimpawu kunye neempawu

Iimpawu kunye neempawu ezibonakalisa le syndrome zezi:

• Ubomvu obomvu kwimilenze, iingalo, isisu, intamo kunye nobuso;
• Ukutshiza kwimimandla ebomvu;
• Ukudumba ujikeleze amehlo;
• Ukudumba kwezihlunu;
• Kunokubanzima ukuphefumla, iintlungu zesifuba kunye noxinzelelo lwegazi.

Kwiimeko ezinzima kakhulu, kusenokubakho ukunqongophala kweoksijini ebuchotsheni, ukufiphaza izandla nemilebe, ukuphelelwa ngamandla, ukuphulukana nomchamo ngokungathandekiyo kunye nelindle kunye nokothuka okubonakalisa i-anaphylaxis.

Esona sizathu siphambili sesi sifo kukusetyenziswa ngokukhawuleza kwentsholongwane i-vancomycin ngqo emthanjeni, nangona kunjalo, inokubonakala xa iyeza lisetyenziswa ngokuchanekileyo, ubuncinci iyure lokumiliselwa, kwaye linokubonakala kwangolo suku lunye okanye , kwiintsuku emva kokusetyenziswa kwayo.

Ke, ukuba umntu ulisebenzisile eli yeza kodwa sele ekhutshiwe esibhedlele kwaye unezi mpawu, kufuneka baye kwigumbi likaxakeka ukuze baqale unyango kwangoko.

Unyango

Unyango kufuneka lukhokelwe ngugqirha kwaye lunokwenziwa ngokupheliswa kokusebenzisa amayeza kunye nokuthatha amayeza okuthintela ukaliwa njengediphenhydramine okanye iRanitidine ngendlela yenaliti. Kuyimfuneko jikelele ukusebenzisa amayeza ukunyusa uxinzelelo lwegazi kunye nokulawula ukubetha kwentliziyo njengeadrenaline.

Ukuba ukuphefumla kunzima, kunokuba yimfuneko ukunxiba imaski yeoksijini kwaye kuxhomekeke kubukhali, umntu lowo kungafuneka aqhagamshelwe kwizixhobo zokuphefumla.Ukulawula ukuphefumla, iziyobisi ze-corticosteroid ezinje ngeHydrocortisone okanye iPrednisone zinokusetyenziswa.

Iimpawu zokuphucula

Iimpawu zophuculo zivela kungekudala emva kokuqala konyango kunye namayeza ayimfuneko kwaye umntu unokukhutshwa emva kokuba kuqinisekisiwe ukuba iimpawu ziyalawulwa kwaye uvavanyo lwegazi, uxinzelelo kunye nokusebenza kwentliziyo kuqhelekile.

Iimpawu zokuya zisanda kunye neengxaki

Iimpawu zokuba mandundu zibonakala xa unyango lungenziwa kwaye lunokuba neengxaki ezinzima ezibeka emngciphekweni ubomi bomntu ngokukhokelela ekubanjweni kwentliziyo kunye nokuphefumla.