Unyango lweStevens-Johnson Syndrome

Umxholo

• Uncedo lokunciphisa iimpawu
• Iingxaki ezinokwenzeka

Unyango lukaStevens-Johnson Syndrome kufuneka luqalwe ngokuchongwa kwesizathu esikhokelele kutshintsho kulusu, ukuze le nto isuswe ngaphambi kokuqala unyango olujolise ekuphuculeni iingxaki kunye neempawu.

Ke, kwaye njengakwiimeko ezininzi, isifo sibonakala njengesiphumo secala lamayeza athile (ngesiqhelo iyeza lokubulala iintsholongwane) ugqirha kufuneka ayeke ukusebenzisa eli yeza, akhokele kunyango olutsha lwengxaki ebinyangwa, ukongeza Unyango lwe-syndrome.

Kuba esi sifo yingxaki enkulu, enokusongela ubomi, unyango kufuneka lwenziwe rhoqo kwi-ICU nge-serum kunye namayeza ngqo emthanjeni, ukongeza ekubekweni esweni rhoqo kweempawu ezibalulekileyo.

Ukuqonda ngcono ukuba zithini iimpawu zesi sifo kwaye kutheni le nto isenzeka.

Uncedo lokunciphisa iimpawu

Emva kokususa onke amayeza anokubangela ukukhula kukaStevens-Johnson Syndrome, ugqirha uhlala echaza ukusetyenziswa kwamanye amayeza ukunciphisa iimpawu:

• Ukuphelisa iintlungu, Ukuphelisa iintlungu kwiindawo ezichaphazelekayo zolusu;
• ICorticosteroids, ukunciphisa ukudumba kwamanqanaba esikhumba;
• I-Antiseptic mouthwashUkucoca umlomo, ukubamba kancinci i-mucosa kunye nokuvumela ukondla;
• Wamehlo Anti-ukudumba, ukunciphisa iingxaki ezinokubakho emehlweni.

Ukongeza, kuqhelekile ukwenza ukunxitywa rhoqo kwimimandla echaphazelekayo yolusu, usebenzisa uxinzelelo olufakwe ipetroleum jelly ukunceda ukuvuselela ulusu, ukunciphisa ukungonwabi kunye nokususa ulusu olufileyo. Olunye uhlobo lwekhrimu yokuthambisa ingasetyenziselwa ukufaka isicelo kwimimandla ejikeleze izilonda, ukubathintela ekunyukeni ngobukhulu.

Kwiimeko ezinzima kakhulu, ukongeza kulo lonke unyango oluchaziweyo, kusenokufuneka ukugcina ukusetyenziswa kwe-serum ngqo emthanjeni ukugcina i-hydration yomzimba, kunye nokufaka ityhubhu ye-nasogastric ukuvumela ukondla, ukuba isifo somlomo sichaphazeleka kakhulu. Ngamanye amaxesha, ugqirha unokuyalela iifomula ezizityebi ngokweekhalori kunye nezondlo ukunceda umntu ukuba agcine imeko yakhe yesondlo kunye nokwenza lula ukubuyela kwimeko yesiqhelo.

Iingxaki ezinokwenzeka

Kuba ichaphazela indawo enkulu yolusu, iStevens-Johnson Syndrome inokuba neengxaki ezinzulu kakhulu, ngakumbi xa unyango lungaqalwa kwangexesha. Kungenxa yokuba, izilonda kulusu zinciphisa kakhulu ukhuselo lomzimba, olugqibela ngokuququzelela usulelo ngokubanzi emzimbeni kunye nokusilela kwamalungu amaninzi abalulekileyo.

Ke, ngalo lonke ixesha kukho ukukrokrela impendulo engaqhelekanga kuhlobo oluthile lwamayeza athathiweyo, kubaluleke kakhulu ukuba uye esibhedlele uyovavanya imeko kwaye uqale unyango olufanelekileyo, ngokukhawuleza.

Jonga ezinye zeempawu zokujonga esweni ichiza.