Zomwe zimachitika ku Vancomycin zitha kuyambitsa Red Man Syndrome

Zamkati

• Zizindikiro zake
• Chithandizo
• Zizindikiro zakusintha
• Zizindikiro za kukulira ndi zovuta

Red man syndrome ndi vuto lomwe limatha kuchitika mwachangu kapena patatha masiku angapo akugwiritsa ntchito antibiotic vancomycin chifukwa cha hypersensitivity reaction pa mankhwalawa. Mankhwalawa atha kugwiritsidwa ntchito pochiza matenda a mafupa, endocarditis ndi matenda ofala pakhungu koma ayenera kugwiritsidwa ntchito mosamala kupewa izi.

Chizindikiro chachikulu cha matendawa, omwe amadziwikanso kuti red neck syndrome, ndi kufiira kwakukulu mthupi lonse komanso kuyabwa komwe kumayenera kupezedwa ndikuchiritsidwa ndi adotolo, ndipo kungakhale kofunika kukhalabe ku ICU yachipatala.

Zizindikiro zake

Zizindikiro za matendawa ndi izi:

• Kufiira kwakukulu m'miyendo, mikono, mimba, khosi ndi nkhope;
• Kuyabwa kumadera ofiira;
• Kutupa kuzungulira maso;
• Kutuluka kwa minofu;
• Pakhoza kukhala zovuta kupuma, kupweteka pachifuwa komanso kuthamanga magazi.

Pazovuta kwambiri, pangakhale kusowa kwa mpweya muubongo, manja ndi milomo, kufooka, kutayika kwamkodzo ndi ndowe ndi mantha omwe amadziwika ndi anaphylaxis.

Chomwe chimayambitsa matendawa ndikugwiritsidwa ntchito mwachangu kwa maantibayotiki vancomycin m'mitsempha, komabe, imathanso kuonekera mankhwala akamagwiritsidwa ntchito moyenera, osachepera ola limodzi lolowetsedwa, ndipo amatha kupezeka tsiku lomwelo kapena , patatha masiku angapo kuchokera pomwe idagwiritsidwa ntchito.

Chifukwa chake, ngati munthuyo adagwiritsa ntchito mankhwalawa koma adatulutsidwa kale mchipatala ndipo ali ndi zizindikirazo, ayenera kupita kuchipinda chadzidzidzi kukayamba chithandizo mwachangu.

Chithandizo

Chithandizocho chiyenera kutsogozedwa ndi adotolo ndipo chitha kuchitidwa ndikusiya kugwiritsa ntchito mankhwalawo ndikumwa mankhwala ochepetsa thupi monga diphenhydramine kapena Ranitidine ngati jakisoni. Ndikofunikira kugwiritsa ntchito mankhwala kuonjezera kuthamanga kwa magazi ndikuwongolera kugunda kwamtima monga adrenaline.

Ngati kupuma kuli kovuta, pangafunike kuvala chovala cha oxygen ndipo kutengera kulimba kwake, munthuyo angafunike kulumikizidwa ndi zida zopumira.Kuwongolera kupuma, mankhwala a corticosteroid monga Hydrocortisone kapena Prednisone atha kugwiritsidwa ntchito.

Zizindikiro zakusintha

Zizindikiro zakusintha zimawonekera mankhwala atangoyamba kumene ndi mankhwala ofunikira ndipo munthu akhoza kutulutsidwa atatsimikiziridwa kuti zizindikirazo zikuyang'aniridwa ndipo kuyezetsa magazi, kuthamanga ndi kugwira ntchito kwa mtima kumakhala kovomerezeka.

Zizindikiro za kukulira ndi zovuta

Zizindikiro zakukulirakulira zimawonekera ngati mankhwala sanachitike ndipo atha kukhala ndi zovuta zazikulu zomwe zingaike moyo wawo pangozi pomangidwa ndi mtima komanso kupuma.