Stevens-Johnson Syndrome: Zomwe zili, Zizindikiro ndi Zomwe Zimayambitsa

Zamkati

• Source: Malo Olimbana ndi Kupewa Matenda
• Zizindikiro zazikulu
• Ndani ali pachiwopsezo chachikulu chokhala ndi matendawa
• Momwe mankhwalawa amachitikira

Stevens-Johnson Syndrome ndimavuto akhungu osowa koma owopsa omwe amachititsa kuti zotupa zofiira ziziwoneka mthupi lonse ndikusintha kwina, monga kupuma movutikira ndi malungo, zomwe zingaike pachiwopsezo moyo wa munthu wokhudzidwayo.

Kawirikawiri, matendawa amayamba chifukwa cha mankhwala ena, makamaka kwa Penicillin kapena maantibayotiki ena, motero, zizindikilo zimatha kupezeka mpaka masiku atatu mutamwa mankhwalawo.

Matenda a Stevens-Johnson amachiritsidwa, koma chithandizo chake chiyenera kuyambitsidwa mwachangu ndikugonekedwa kuchipatala kuti mupewe zovuta zazikulu monga matenda wamba kapena kuvulala kwa ziwalo zamkati, zomwe zingapangitse chithandizo kukhala chovuta komanso chowopseza moyo.

Source: Malo Olimbana ndi Kupewa Matenda

Zizindikiro zazikulu

Zizindikiro zoyambirira za matenda a Stevens-Johnson ndizofanana kwambiri ndi chimfine, chifukwa zimaphatikizapo kutopa, kutsokomola, kupweteka kwa minofu kapena kupweteka mutu. Komabe, pakapita nthawi mawanga ofiira amawoneka pathupi, omwe amatha kufalikira pakhungu lonse.

Kuphatikiza apo, ndizofala kuti zizindikilo zina ziwonekere, monga:

• Kutupa kwa nkhope ndi lilime;
• Kupuma kovuta;
• Kupweteka kapena kutentha pakhungu;
• Chikhure;
• Zilonda pamilomo, mkamwa ndi pakhungu;
• Kufiira ndi kutentha m'maso.

Zizindikirozi zikawonekera, makamaka mpaka masiku atatu mutalandira mankhwala atsopano, tikulimbikitsidwa kuti mupite mwachangu kuchipatala kuti mukayang'ane vuto ndikuyamba chithandizo choyenera.

Kuzindikira kwa Stevens-Johnson Syndrome kumapangidwa ndikuwona zotupa, zomwe zimakhala ndi mawonekedwe, monga mitundu ndi mawonekedwe. Mayesero ena, monga magazi, mkodzo, kapena zilonda zam'mimba, angafunike ngati matenda ena achiwiri akukayikira.

Ndani ali pachiwopsezo chachikulu chokhala ndi matendawa

Ngakhale ndizosowa, matendawa amapezeka kwambiri kwa anthu omwe akuchiritsidwa ndi mankhwalawa:

• Mankhwala a gout, monga Allopurinol;
• Anticonvulsants kapena antipsychotic;
• Opweteka, monga Paracetamol, Ibuprofen kapena Naproxen;
• Maantibayotiki, makamaka penicillin.

Kuphatikiza pa kugwiritsa ntchito mankhwala, matenda ena amathanso kuyambitsa matendawa, makamaka omwe amayamba ndi kachilombo, monga herpes, HIV kapena hepatitis A.

Anthu omwe ali ndi chitetezo chamthupi chofooka kapena matenda ena a Stevens-Johnson nawonso ali pachiwopsezo chachikulu.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a Stevens-Johnson chiyenera kuchitidwa mukakhala kuchipatala ndipo nthawi zambiri chimayambira pakuletsa kugwiritsa ntchito mankhwala aliwonse omwe siofunikira kuthana ndi matenda osachiritsika, chifukwa atha kuyambitsa kapena kukulitsa zizindikilo za matendawa.

Mukamagonekedwa mchipatala, pangafunikenso kubaya seramu m'mitsempha m'malo mwa madzi omwe atayika chifukwa chakusowa khungu pamalo ovulala. Kuphatikiza apo, kuti muchepetse chiopsezo chotenga matenda, mabala akhungu ayenera kuthandizidwa tsiku lililonse ndi namwino.

Pochepetsa kuchepa kwa zilondazo, kuponderezedwa kwamadzi ozizira komanso mafuta osalowererapo atha kugwiritsidwa ntchito kutontholetsa khungu, komanso kumwa mankhwala omwe amayesedwa ndi dokotala, monga antihistamines, corticosteroids kapena maantibayotiki, mwachitsanzo.

Pezani zambiri za chithandizo cha matenda a Stevens-Johnson.