Zitsimikizo anasonyeza zochizira chindoko

Zamkati

• Yesani matenda a penicillin
• Momwe penicillin deensitization yachitidwira
• Zomwe zimachitikira penicillin
• Pamene penicillin imatsutsana

Njira yabwino kwambiri yochizira chindoko ndi benzathine penicillin, yomwe imayenera kuperekedwa ngati jakisoni ndipo mlingowu umasiyanasiyana kutengera gawo la matendawa.

Pazovuta zamankhwala awa, maantibayotiki ena monga tetracycline, erythromycin kapena ceftriaxone atha kugwiritsidwa ntchito, koma penicillin ndiye mankhwala othandiza kwambiri ndipo nthawi zonse amakhala chisankho choyamba. Musanayese maantibayotiki ena, muyenera kusankha kusiya penicillin kuti mankhwala azitha kuchitidwa ndi mankhwala omwewo. Kutaya mtima kumaphatikizapo kugwiritsa ntchito mankhwala ochepa a penicillin mpaka thupi silingakane mankhwalawa.

Tetracycline, 500 mg 4x / tsiku kapena masiku 14Chindoko chapamwambaMajakisoni 3 a penicillin okhala ndi 2,400,000 IU m'malo osiyanasiyana pathupi, pakadutsa masiku 7 mulingo uliwonseDoxycycline, 100 mg 2x / tsiku kapena
tetracycline, 500 mg 4x / tsiku, zonsezi
masiku 28Matenda osokoneza bongoJakisoni 6 wa tsiku lililonse wa Penicillin G Crystalline wokhala ndi 2 mpaka 4 miliyoni masiku 10-14Procaine penicillin, 2.4 miliyoni
UI / IM / tsiku, + Probenecid
500 mg / VO / 4x / tsiku kapena onse masiku 14Chindoko kobadwa nako

Crystalline Penicillin G 100 mpaka 150 zikwi
IU / kg / EV / tsiku, muyezo wa 2 sabata yoyamba ya moyo kapena muyezo wa 3 wa makanda pakati pa masiku 7 ndi 10;
kapena
Penicillin G Procaine 50 zikwi IU / kg / IM,
kamodzi patsiku kwa masiku 10;

kapena
Benzathine Penicillin G * * * * 50 zikwi IU / kg / IM,
Mlingo umodzi

Yesani matenda a penicillin

Kuyesa kuti mudziwe ngati munthu ali ndi vuto la penicillin kumakhala ndikupaka mankhwalawa pang'ono pakhungu ndikuwona ngati tsambalo likuwonetsa zizindikilo monga kufiira kapena kuyabwa. Ngati zizindikirozi zilipo munthuyo sagwirizana nazo.

Kuyesaku kuyenera kuchitidwa ndi namwino kuchipatala ndipo nthawi zambiri kumachitika pakhungu la mkono.

Momwe penicillin deensitization yachitidwira

Kutaya mtima kwa penicillin kumawonetsedwa ngati mankhwalawa sagwirizana ndi mankhwalawa, makamaka ngati atalandira chithandizo cha syphilis panthawi yapakati komanso chithandizo cha neurosyphilis. Kuchotsa chidwi cha penicillin kuyenera kuchitidwa kuchipatala, ndipo kugwiritsa ntchito mapiritsi ndiye njira yotetezeka kwambiri.

Palibe chisonyezero chogwiritsa ntchito antihistamines kapena steroids, musanatenge penicillin chifukwa mankhwalawa samateteza kuchitapo kanthu kwa anaphylactic ndipo amatha kubisa zizindikiro zake zoyamba pochedwetsa chithandizo.

Pambuyo pake, mankhwalawa ayenera kuyamba ndi penicillin. Ngati munthuyo adutsa masiku opitilira 28 osalumikizana ndi mankhwalawa, ngati kuli kofunikira onaninso ngati ali ndi ziwengo ndipo ngati alipo, kukhumudwitsanso kuyambidwanso.

Zomwe zimachitikira penicillin

Pambuyo pa jakisoni, zizindikilo monga kutentha thupi, kuzizira, kupweteka mutu, kupweteka kwa minofu ndi mafupa kumatha kuonekera, komwe kumatha kuonekera pakati pa 4 mpaka 24 maola kuchokera jakisoni. Pofuna kuchepetsa izi, adokotala amalimbikitsa kuti mutenge mankhwala opha ululu kapena antipyretic.

Pamene penicillin imatsutsana

Chithandizo cha syphilis sichingachitike ndi penicillin ngati matenda a Stevens-Johnson, poizoni wa epidermal necrolysis ndi exfoliative dermatitis. Zikatero, mankhwala a chindoko ayenera kuchitidwa ndi maantibayotiki ena.

Onaninso vidiyo yotsatirayi kuti mudziwe zomwe zimayambitsa matendawa: