So nnuru bi ho yɛ wo hyew? Momma yɛnka Sulfa Allergy ho asɛm!

So woanya akisikuru pɛn bere a woanom aduru bi awie no? Anaasɛ na ɛyɛ den ma wo kakra sɛ wobɛhome? Ɛtɔ mmere bi a, ebia wo ho yɛ wo hyew wɔ nnuru bi ho a wunnim mpo. Sulfa Allergy yɛ allergy a ɛte saa no mu biako a nnipa pii hu kodu baabi. Ɛnnɛ, yɛbɛka eyi ho asɛm akɔ akyiri kakra , wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Sulfa Allergy? Ɛyɛ mmerɛw yiye!

Sɛ yɛbɛka no tiawa a, sulfa akisikuru yɛ aduru bi ho akisikuru . Sɛ wowɔ saa akisikuru yi a, ebia wubenya nneyɛe ahorow bere a wonom aduru bi a nnuru bi a wɔfrɛ no sulfa wom no. Nsɛnkyerɛnne a ɛtaa ba ne akisikuru anaasɛ akisikuru . Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne a emu yɛ den kɛse, te sɛ menewa a ahonhon anaasɛ ɛyɛ den sɛ wɔbɛhome. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi bere a woanom aduru bi akyi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara . Sɛ ɛyɛ den ma wo sɛ wobɛhome mpofirim a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

"Sulfa" yɛ nnuru kuw bi a wɔfrɛ no sulfonamides a wɔatwa no tiaa. Nnuru a ekum ɔyare mmoawa titiriw na ɛka adesuakuw yi ho. Ɛne sɛ, nnuru a wɔde sa ɔyare mmoawa. Nanso, nnuru bi a wɔde sa nyarewa afoforo nso betumi ayɛ nea sulfa wom. Sulfa nnuru yɛ adwuma denam ade bi a ehia sɛ mmoawa nyin na wɔdɔɔso a wogyae no so. Wobetumi anya saa sulfonamides yi sɛ nnuru a wɔnom, aduru a wɔde hyɛ nipadua mu, na ɛtɔ mmere bi a wɔde aduru a wɔde gu nipadua no so anaa nnuru a wɔde gu aniwa so.

Sɛ wuhu sɛ wowɔ sulfa akisikuru a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkwati sɛ wobɛnom sulfa nnuru . Ɛsɛ sɛ woka nnuru biara a ɛma wo ho yɛ wo hyew ho asɛm kyerɛ wo nnuruyɛfo bere biara a wobɛkɔ akɔhwehwɛ nnuru no. Afei wobetumi akyerɛw agu w’aduruyɛ ho kyerɛwtohɔ mu.

Nnuru ahorow bɛn na wɔtaa de di dwuma a sulfa wom?

Nneɛma a wɔde yɛ sulfa no wɔ nnuru bi a ekum ɔyare mmoawa a wɔde sa tebea horow a edidi so yi mu:

• Ɔhyew nyarewa
• Aniwa mu nyarewa
• Nsuo mu yareɛ (UTIs) .
• Nyarewa a ɛba ɔbea awotwaa mu (Vaginitis) .
• Cystitis a ɛyɛ yare
• Yare a ɛma obi ho hyehye no (IBD) .
• Ntini mu yare a ɛma ntini mu yare
• Crohn yare no
• Akisikuru a ɛyɛ kurukuruwa
• Ɔkwata
• Honam ani nyarewa (Dermatitis) .
• Ahurututu mu yare

Sulfonamides ahorow a wɔtaa de di dwuma no bi ne:

• Mafenide a wɔde yɛ adwuma
• Sulfacetamide a wɔde yɛ aduru
• Sulfadiazine a wɔde ma
• Sulfadoxine a wɔde ma
• Sulfamethizole a wɔde ma
• Sulfanilamide a wɔde yɛ aduru
• Sulfasalazine a wɔde ma
• Sulfisoxazole a wɔde ma
• Sulfamethoxazole/trimethoprim - Ebia woahu eyi wɔ brand din te sɛ `(BactrimTM)` anaa `(SulfatrimTM)` ase.
• Dapsone na ɔkyerɛwee

Eyinom mu no, aduru a wɔfrɛ no sulfamethoxazole/trimethoprim ne nea nnipa dodow no ara ho yɛ wɔn den.

Nnuru afoforo a ɛnyɛ nnuru a ekum ɔyare mmoawa nanso ebia sulfa wom

Nnuru bi a ɛnyɛ nnuru a ekum ɔyare mmoawa nso betumi ayɛ nea sulfonamides wom. Nhwɛso ahorow bi ne:

• Nnuru a ɛma asikre dodow a ɛwɔ wo mogya mu no so tew, sɛ nhwɛso no, Glyburide ne Glimepiride.
• NSAID ahorow bi (Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa), sɛ nhwɛso no, celecoxib (ahyɛnsode din Celebrex®).
• Nnuru bi a ɛma obi tow nsu dodo (Diuretics - wɔsan frɛ no nsuo aduru).
• Sumatriptan yɛ aduru a wɔde sa atiridiinini tiyɛ.

Sulfa akisikuru abu so dɛn?

Nhwehwɛmu ahorow kyerɛ sɛ nnipa a wɔnom sulfa nnuru no mu bɛyɛ ɔha biara mu nkyem asia (6%) nya akisikuru wɔ ho. Eyi kyerɛ sɛ, bere a ɛnyɛ nea abu so sɛnea ebia wususuw no, tebea yi ka nnipa dodow bi a ɛda nsow.

Dɛn ne sulfa akisikuru ho sɛnkyerɛnne?

Obi a ne ho nyɛ no den wɔ sulfa nnuru ho no betumi ada sɛnkyerɛnne ahorow te sɛ eyinom adi:

• Wora a ɛyɛ wo yaw
• Wora mu akisikuru anaasɛ akisikuru a ɛte sɛ eczema
• Nsõ kɔkɔɔ anaa welt wɔ honam ani (Hives) .
• Owia ho nkate a ɛma obi te nka. Eyi kyerɛ sɛ sɛnea owia bɛbɔ wo honam ani no betumi ama nneɛma a asɛe wo honam ani no ayɛ kɛse .
• Nsa, nan, ano, ne tɛkrɛma a ɛho ahonhon.
• Akisikuru, ɔfe, anaa akisikuru.
• Tipaeɛ .

Nanso, sɛnkyerɛnne ahorow nso wɔ hɔ a ebetumi ayɛ kɛse kakra, nanso ɛntaa nsi saa :

• Ɛyɛ den sɛ wobɛmene.
• Ɔhome a ɛyɛ den.
• Ɛyaw a ɛba ntini ne nkwaa mu.
• Menemkuro.
• Atiridiinini ne sɛnkyerɛnne ahorow a ɛte sɛ atiridiinini.
• Wora a ɛyɛ kurukuruwa ne nea ɛrepaapae.

Nnipa binom betumi anya akisikuru a ɛntaa nsi nanso emu yɛ den yiye a wɔfrɛ no anaphylaxis . Eyi betumi ama n’adwene atu afra, akwaa ahorow a entumi nyɛ adwuma yiye, na owu mpo. Enti ɛho hia sɛ wuhu eyi nso.

Ɔhaw foforo a anibere wom, nanso ɛntaa nsi neTebea horow a wɔfrɛ no Stevens-Johnson yare ne Toxic Epidermal Necrolysis (TEN) . Eyinom betumi ama wo honam ani, w’ano mu, anaa wo honam ani fã a ɛyɛ kurukuruwa na atutu. Eyinom yɛ aniberesɛm yiye na egye ayaresa ntɛm ara.

Hena na ɔwɔ asiane kɛse sɛ obenya sulfa akisikuru?

Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔwɔ HIV/AIDS no wɔ asiane kɛse mu sɛ wobenya nnuru a wɔde sulfa ayɛ ho adwene. Afei nso, ebia nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no wɔ asiane kɛse mu. Bio nso, nnipa a wɔwɔ tebea bi a wɔfrɛ no G6PD (glucose-6-phosphate dehydrogenase) a wonni no betumi anya tebea bi a wɔfrɛ no hemolytic anemia esiane sulfa nnuru nti.

Mɛyɛ dɛn ahu sɛ mewɔ sulfa akisikuru?

Mpɛn pii no, nnuruyɛfo mfa nhwehwɛmu pɔtee bi nni dwuma mfa nhu sɛ obi anya sulfa ho akisikuru. Mmom no, wo duruyɛfo no bebisa wo nsɛm afa nnuru a woanom ho na wasan ahwɛ wo sɛnkyerɛnne ahorow no mu ahwɛ sɛ ebia sulfa akisikuru na ɛde ba anaa.

Ɛtɔ mmere bi a, wɔ aduruyɛfo hwɛ ase no, wobetumi de sulfa aduru kakraa bi ama ɔyarefo no na wɔayɛ nhwehwɛmu ahwɛ sɛ ebia biribi wɔ hɔ anaa. Wɔfrɛ eyi nnubɔne a wɔnom ho sɔhwɛ a wɔde sɔ hwɛ . Nanso, nnuruyɛfo pii mpɛ sɛ wɔbɛyɛ eyi efisɛ ebetumi ama obi anya akisikuru a emu yɛ den.

Sɛ wo duruyɛfo hu sɛ wowɔ sulfa akisikuru a, ɛda adi sɛ ɔbɛhwehwɛ aduru foforo a wɔde bɛsa wo yare no. Nanso, sɛ ɛsɛ sɛ wonom aduru bi a wɔfrɛ no sulfa koraa a, ebia wo duruyɛfo bɛkamfo aduru a ɛbɛma wo ho ayɛ wo hyew akyerɛ wo . Eyi ma wo nipadua no su nkakrankakra wɔ aduru no ho, na ɛtew sɛnea akisikuru no mu yɛ den no so. Bere a ebia eyi bɛma woatumi anom nnuru a ɛma sulfa bere tiaa bi no, ɛrensa wo akisikuru no koraa anaasɛ ɛrenyi mfi hɔ.

Ɔkwan bɛn so na wɔsa sulfa akisikuru?

Ayaresa a eye sen biara ne sɛ wobɛkwati sɛ wobɛnom nnuru a ɛma sulfa . Esiane sɛ sɛ wo ho yɛ wo hyew wɔ aduru bi ho bere a wode adi dwuma awie nkutoo nti, ɔkwan biara nni hɔ a wobɛfa so adi kan ahu sɛnea wo nipadua bɛyɛ n’ade wɔ ho.

Sɛ wopɛ sɛ wo ho yɛ wo hyew a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa nnuru a ekum histamine anaa corticosteroid kosi sɛ wo sɛnkyerɛnne no bɛbrɛ ase. Sɛ wopɛ sɛ wo ho yɛ wo den kɛse a, ebia ebehia sɛ wɔde epinephrine (te sɛ EpiPen®) bɛhyɛ wo mu .

Ɛwom sɛ nnipa dodow no ara wɔ sulfa akisikuru a ɛnyɛ den anaasɛ ɛkɔ fam de, nanso nnipa binom betumi anya sɛnkyerɛnne ahorow a ɛde wɔn nkwa to asiane mu te sɛ ahome a ɛyɛ den ne akisikuru a ɛyɛ yaw wɔ honam ani, ano, anaa awotwaa mu. Sɛ saa sɛnkyerɛnne ahorow yi ba a, .Ɛho hia sɛ wɔhwehwɛ ayaresa wɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

So nnuru foforo bi wɔ hɔ a ɛsɛ sɛ mehwɛ yiye wɔ ho?

Sɛ wo ho ayɛ wo hyew wɔ sulfonamides anaa aduru foforo biara ho a, ka kyerɛ wo duruyɛfo. Sɛ nnuru foforo bi wɔ hɔ a ɛsɛ sɛ wokwati nso a, wɔbɛka akyerɛ wo.

So wobetumi asiw nnuru a ɛma obi ho yɛ no hyew ano?

Ɔkwan biara nni hɔ ankasa a wobetumi afa so asiw nnubɔne ho akisikuru ano. Ade biako pɛ a wubetumi ayɛ ne sɛ wobɛkwati sɛ wode saa aduru no bedi dwuma daakye . Ɛsɛ sɛ wo duruyɛfo ne nnurutɔnbea a wohyɛ wo nnuru a wɔakyerɛw ama wo no ma no hu nnuru a wo ho nyɛ wo den no. Nnipa binom hyɛ aduruyɛ mu abɔso a ɛkyerɛ sɛ wɔwɔ sulfa akisikuru, anaasɛ wɔde kaad bi sie wɔn sika kotoku anaa wɔn fon mu. Eyi betumi aboa kɛse sɛ wuntumi nni nkitaho wɔ tebea a egye ntɛmpɛ mu a.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Bere nyinaa ka akisikuru anaa nsunsuanso bɔne biara a wubenya bere a woanom aduru bi awie no ho asɛm kyerɛ wo duruyɛfo . Afei wobetumi akamfo aduru a ɛfata wo akyerɛ wo daakye. Ebetumi aboa nso ma woakwati sɛ wobɛkyerɛw nnuru a ebia wo ho yɛ wo den.

So Amoxicillin nso yɛ sulfa aduru?

Dabi, Amoxicillin nyɛ aduru a wɔde yɛ sulfa. Ɛyɛ penicillin bi. Penicillin ho akisikuru nso abu so.

So Prednisone yɛ aduru a ɛma obi nya sulfa?

Dabi, Prednisone yɛ aduru a ɛka nnuru kuw a wɔfrɛ no corticosteroids ho.

So sulfites nso yɛ sulfa?

Eyi yɛ biribi a nnipa pii adwene tu fra wɔ ho. Sulfa akisikuru ne sulfate akisikuru yɛ nneɛma abien a ɛsono emu biara. Wohu sulfites titiriw wɔ nnuan mu sɛ nneɛma a ɛkora so a ɛmma ne kɔla nsakra. Ɛwom sɛ edin ahorow no di nsɛ de, nanso saa akisikuru abien yi nni abusuabɔ.

Sulfa akisikuru ba bere a wo nipadua no ho yɛ no hyew wɔ nnuru ahorow bi a wɔfrɛ no sulfonamides a wɔde sa mmoawa a wɔde nyarewa ba no ho no.

Awiei koraa no, kae...

Sulfa akisikuru ho sɛnkyerɛnne a ɛtaa ba ne akisikuru, honam ani akisikuru, ɛyaw, ne owia hann a ɛyɛ mmerɛw. Sɛ wunya saa sɛnkyerɛnne ahorow yi bi bere a woanom aduru bi a wɔde sa ɔyare mmoawa akyi a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Afei, sɛ nnuru foforo bi wɔ hɔ a ekum ɔyare mmoawa a ɛmma yare no ho sɛnkyerɛnne koro no ara mma a, wubetumi anom.

Ebetumi ayɛ hu sɛ wubehu sɛ wowɔ nnubɔne ho akisikuru. Nanso, sɛ wobɛka ho asɛm akyerɛ wo nnuruyɛfo nyinaa a, ɛno ne ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi aduru foforo a ɛma obi ho yɛ no hyew ho . Kɔ so nya apɔwmuden!

`Sulfa akisikuru, sulfonamides, nnuru ho akisikuru, honam ani akisikuru, akisikuru, nnuru a ekum ɔyare mmoawa, nnuru ho akisikuru