Yu dɔn ɛva gɛt alɛji fɔ drɔgs? (Drug Allergy) Lɛ wi tɔk bɔt dis!

We wi sik ɔ gɛt prɔblɛm, wi ɔl kin tek mɛrɛsin fɔ mek wi wɛl kwik kwik wan. Bɔt sɔntɛnde, di sem mɛrɛsin we wi de tek fɔ mek wi fil fayn kin mek wi bɔdi gɛt nyu prɔblɛm. Yu dɔn ɛva gɛt sɔntin lɛk fɔ it, fɔ rɛd, ɛn fɔ swel ɔlsay na yu bɔdi afta yu dɔn tek mɛrɛsin ɔ tek injɛkshɔn? If dat apin, yu kin gɛt alɛji fɔ drɔgs . So tide, lɛ wi tɔk bɔt dis smɔl smɔl . Natin nɔ de fɔ wɔri bɔt, if wi no dɛn tin ya fayn, wi go ebul fɔ avɔyd big prɔblɛm.

Wetin na dis drɔg alɛji?

Fɔ tɔk am simpul wan, alɛji fɔ drɔgs na we yu bɔdi in imyun sistɛm de riak pasmak pan sɔntin we de na mɛrɛsin we yu de tek. Tink bɔt am lɛk wan grup we de gayd wi bɔdi, we na di imyun sistɛm. Dɛn wok na fɔ protɛkt wi bay we dɛn de fɛt bad bad tin dɛn lɛk jem, baktri, ɛn vayrɔs we de kam insay wi bɔdi.

Bɔt sɔntɛnde, dɛn gad dɛn ya kin mek smɔl mistek. Dɛn kin mistek kɔl wan tin we de insay mɛrɛsin we rili fɔ ɛp wi fɔ bi sɔntin we go ambɔg di bɔdi. Dɔn, we da mɛrɛsin de go insay di bɔdi, di imyun sistɛm kin bigin fɔ fɛt da "harmful invader." Di rizɔlt fɔ dis fɛt na di sayn dɛm we wi bin dɔn tɔk bɔt, lɛk fɔ it ɛn bɔn.

Di fɔs tɛm we yu tek da mɛrɛsin de, yu nɔ go fil natin. Bɔt dip dip wan, yu imyun sistɛm de mɛmba da mɛrɛsin de as "ɛnimi." Di nɛks tɛm we yu tek da mɛrɛsin de, i tink se, "O... dis na di ɛnimi frɔm bifo," ɛn i de rilis spɛshal sojaman dɛn we dɛn kɔl antibodi fɔ fɛt am. Dis na wetin kin rili apin pan alɛji fɔ drɔgs.

I rili impɔtant: Sɔm alɛji fɔ drɔgs kin mek pɔsin in layf de pan denja . If yu ɔ pɔsin we yu sabi gɛt siriɔs sik dɛn afta yu dɔn tek wan mɛrɛsin, lɛk yu tɔŋ ɔ yu trot we swel, i nɔ izi fɔ blo, yu at de bit kwik kwik wan, yu ed de tɔn, ɔ yu nɔ de no natin, yu nid fɔ tek akshɔn wantɛm wantɛm!

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* Kɔl 1990 ɔ yu lokal imejensi nɔmba wantɛm wantɛm.

* Go na di ɔspitul imejensi rum we de nia yu kwik kwik wan.

Us kayn mɛrɛsin kin mek yu gɛt alɛji fɔ di mɛrɛsin?

Pan ɔl we ɛni mɛrɛsin kin mek pɔsin gɛt alɛji, sɔm mɛrɛsin dɛn de we kin mek pɔsin gɛt alɛji. Dɛn na:

• Antibayɔtik: Ɛspɛshali di kayn we dɛn kɔl `Penicillin`. Dɛn se bɔku pipul dɛn kin gɛt alɛji fɔ dis.
• Sɔlfa drɔgs: Dis na wan kayn antibayɔtik bak. I gɛt `Sulfonamides`.
• Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID):Dis na de mɛrɛsin wae wi kin tek fɔ pen, fiva, ɛn bɔdi pen. εgzampl dεm na `Ibuprofen` (e.g. Advil®), `Aspirin` (e.g. Bayer®), εn `Naproxen` (e.g. Aleve®).
• Acetaminophen (Tylenol®): Na paracetamol-tayp mɛrɛsin we wi kin yuz bɔku tɛm.
• Opiate: Dɛn tin ya na strɔng pen kil. Ɛgzampul dɛn na `Mɔfin`, `Kɔdin`.
• Kemotɛrapi drɔgs: Na mɛrɛsin dɛn we dɛn kin gi to pipul dɛn we gɛt kansa.
• Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik.
• Kɔntrast matirial (day) we dɛn kin yuz fɔ gɛt klia pikchɔ dɛn na sɔm ɛkstrem rayt ɛn CT skan tɛst dɛn.

Us mɛrɛsin kin mek pɔsin gɛt alɛji pas ɔlman?

Dɛn ripɔt se penisilin na di mɛrɛsin we dɛn kin yuz pas ɔl we kin mek pɔsin gɛt alɛji. Na lɛk 10% pan pipul dɛn kin se dɛn gɛt alɛji fɔ penisilin. Bɔt nyu stɔdi dɔn sho se sɔm alɛji fɔ penisilin kin dɔn as tɛm de go.

Aw kɔmɔn tin fɔ alɛji fɔ drɔgs?

Ɛnitin we pɔsin nɔ bin de ɛkspɛkt ɔ we nɔ fayn fɔ tek mɛrɛsin, dɛn kin kɔl am bad bad riakshɔn fɔ di mɛrɛsin . Lεs dan 10% pan dεn bad bad rεakshכn dεm ya na di drog dεm na rili drog alɛji. Mɔ pas 90% na sayd ɛfɛkt . Sayd ɛfɛkt na di riakshɔn dɛm wae dɛn kin ɛkspɛkt wae nɔr gɛt ɛnitin fɔ du wit yu imyun sistɛm bɔt na sɔmtin wae de na di mɛrɛsin kin kam. Fɔ ɛgzampul, sɔm mɛrɛsin dɛn kin mek yu fil lɛk se yu de slip ɔ yu bɛlɛ de at.

Wetin na di sayn dɛm wae de sho se yu gɛt alɛji fɔ drɔg?

Bɔrku tɛm, di sayn dɛm wae de sho se yu gɛt alɛji kin bigin insay sɔm minit afta yu tek mɛrɛsin. Dɛn sayn ya ɛn aw dɛn kin tranga kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.

Mild alɛji simptom dɛm:

• Bɔdi we de it.
• Ay dɛn we gɛt wata (epiphora).
• Skin iritashɔn ɔ skin rash. I kin rɛd, lɛk ɛkzema, ɛn i kin tan lɛk smɔl smɔl blista dɛn.
• Hiv: Dis na bכmp dεm we de rεd, it we de apin wan wan pan di skin.
• Nɔs we de rɔn .
• Swɛlin (Angioedema): Di say dɛn we de rawnd di yay, di lip, ɛn di tɔŋ kin swel.

Di sayn dɛm fɔ siriɔs alɛji (Anaphylaxis):

Dis na di tin we de mek pɔsin denja pas ɔl. Anafylaksis na wan bad bad alɛji we kin mek pɔsin in layf de pan denja if dɛn nɔ trit am wantɛm wantɛm. Di sayn dɛm na:

• I nɔ izi fɔ swɛla (Dysphagia).
• I nɔ kin izi fɔ yu fɔ blo. Yu kin fil lɛk se yu trot dɔn kɔnstrikt ɛn yu kin fil lɛk se yu de swɛla.
• Diziz ɔ fil lɛk yu ed layt.
• Lɔw blɔd prɛshɔn.
• Di at rit we de go ɔp.
• Fɔ fil se yu de wɔri ɔ yu nɔ de rɛst.
• Nɔbɔdi nɔ kin no natin.

Di sayn dɛn we kin kam let:

Nɔr kin apin so ɔltɛm, yu kin gɛt alɛji fɔ sɔm dez, ɔr ivin sɔm wiks afta yu dɔn tek mɛrɛsin. Dɛn sayn ya kin de bak fɔ sɔm dez afta yu dɔn stɔp di mɛrɛsin. Di sayn dɛm we kin delay na:

• Fiva.
• Rash na di skin.
• Jɔyn pen ɔ jɔyn dɛn de swel.
• di rεd blכd sεl dεm we de kכmכt sכmtεm (anemia) כ di pletlet dεm we de kכmכt sכmtεm (thrombocytopenia).
• abnכmaliti dεm na di nכmba fכ di wayt bכdi sεl dεm na di bכdi (`Leukocytosis` כ `Leukopenia`) כ di inkrεs pan di nכmba fכ di eosinophils (`Eosinophilia`).
• Di kidni (Nephritis) ɔ di liva (Epatitis) nɔ de wok fayn.
• Di limf no dɛm we dɔn swel.

Wetin mek dis mɛrɛsin kin mek pɔsin gɛt alɛji?

If yu gɛt alɛji fɔ di mɛrɛsin, we yu fɔs tek di drɔg (dɛn kɔl dis sɛnsitizayshɔn), yu imyun sistɛm de mek wan spɛshal kayn antibodi we dɛn kɔl Immunoglobulin E (IgE). di wok we dεn IgE antibodi dεm ya de du na fכ no di bad tin dεm we de kam insay di bכdi εn εp fכ pul dεm. difrεn tכp dεm de fכ IgE na wi bכdi, εvri wan pan dεm de tכk to spεsifi k alergen dεm.

dis IgE antibodi dεm de go εn de na wi skin, respiratory tract, εn gastrointestinal tract (GI tract) pan sεl dεm we gεt wan kεmikכl we dεn kכl ``histamine'' (dεn kכl am bak ``mast cells''). Di nɛks tɛm we yu tek da alɛji mɛrɛsin de, dɛn IgE antibodi dɛn de go ɛn atak di alɛji we de insay da mɛrɛsin de. Dɔn dɛn kin gi sayn to dɛn mast sɛl dɛn de fɔ mek dɛn pul histamin ɛn ɔda kemikal dɛn. Dis histamin na in de mek yu gɛt alɛji kwik kwik wan (lɛk it, ayv). Bɔku tɛm, dɛn tin ya kin apin insay sɔm minit.

כlso, wan kayn wayt bכdi sεl we dεn kכl `T-sεl` dεm na wi bכdi kin mek sכmtεm alerjik riakshכn. dis T-sεl dεm de no di dכg as "fכrin" εn dεn de atak am. dis riakshɔn kin apin sloslo, ɛn i kin mɔs afɛkt di skin (lɛk ayv, wan it we de it).

Aw lɔng i kin tek fɔ mek di sayn dɛm fɔ alɛji fɔ di drɔg sho?

I kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin gɛt alɛji di fɔs tɛm we dɛn tek di mɛrɛsin. Fɔ ɔda pipul dɛm, alɛji kin apin di sɛkɔn tɛm, ɔ afta dɛn dɔn yuz am bɔku tɛm.

Yu tink se alɛji fɔ drɔgs kin pas?

Nɔ, alɛji fɔ drɔgs nɔ kin pas. Yu nɔ go ebul fɔ pas ɔda pɔsin we gɛt alɛji fɔ drɔgs.

Udat kin gɛt alɛji fɔ dis mɛrɛsin?

Ɛnibɔdi kin gɛt alɛji fɔ drɔgs. Bɔt if yu mama ɛn papa dɔn gɛt alɛji fɔ tek drɔgs, yu go gɛt am ɔ yu go gɛt am tumara bambay. Dis min se sɔntɛm wan jɛnɛtik link de.

Aw yu go no fɔ tru if yu gɛt alɛji fɔ drɔgs?

Wan dɔktɔ we de mɛn pipul dɛn we gɛt alɛji, we na dɔktɔ we sabi bɔt alɛji, kin no kɔrɛkt wan se pɔsin gɛt alɛji fɔ di mɛrɛsin. I go du difrɛn tɛst dɛn fɔ no if yu rili gɛt alɛji fɔ drɔgs ɛn if na so i gɛt, wetin na di bɛst tritmɛnt.

Bifo di dɔktɔ chɛk yu, i go aks yu bɔt yu mɛdikal istri ɛn i kin aks yu kwɛstyɔn dɛn bak lɛk:

• Ustɛm yu bin fɔs gɛt dɛn sik ya?
• Wetin na yu sayn dɛm?
• Aw lɔng dɛn sayn dɛn de dɔn de?
• Yu bin tek ɛni mɛrɛsin fɔ ridyus yu sik?
• Yu dɔn gɛt fɔ go to dɔktɔ ɔ ɔspitul bikɔs ɔf dɛn sik ya?
• Yu kin tek vaytamɛn ɔ ɛbul sɔpɔtmɛnt?
• Ɛnibɔdi na yu famili gɛt ɛni alɛji fɔ drɔgs?
• Us mɛrɛsin yu de tek naw (inklud di wan dɛn we yu kin gɛt na di famasi we yu nɔ gɛt prɛskrishɔn)?
• Us mɛrɛsin yu dɔn yuz insay di wik we dɔn pas?
• Yu dɔn gɛt di sem kayn we aw yu de tek ɔda mɛrɛsin dɛn bifo?

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt alɛji?

Dipen pan di mɛrɛsin we yu tink se de mek yu alɛji, yu dɔktɔ kin tɛl yu fɔ du tɛst fɔ yu skin . Dis kin fayn mɔ fɔ no if pɔsin gɛt alɛji to di kayn mɛrɛsin dɛn we tan lɛk penisilin.

Skin prik tɛst involv yu dɔktɔ injɛkt smɔl smɔl pan di mɛrɛsin we yu tink se yu kin gɛt alɛji to na yu skin. Bɔku tɛm, dɛn kin klin smɔl pat na yu skin lɛk di bak pat pan yu an ɔ di ɔp pat na yu an, dɔn dɛn kin yuz wan rili fayn nidul (lanset) fɔ chuk di mɛrɛsin insay yu skin.

Bɔku tɛm, dɛn kin si di tin dɛn we kin apin insay 15 minit. If yu gɛt alɛji, di say we dɛn put di mɛrɛsin kin tɔn rɛd ɛn wan bɔmp we rayz (wɛl) kin apia, we fiba we mɔskito bayt. If dis apin, i min se yu kin gɛt alɛji fɔ di mɛrɛsin.

Sɔntɛnde, dɔktɔ dɛn kin tɛl dɛn bak fɔ du blɔd tɛst . I kin fayn fɔ du blɔd tɛst, mɔ if na bad bad alɛji we de te, ɛn if di dɔktɔ tink se bɔku ɔgan sistɛm dɛn na di bɔdi dɔn afɛkt.

Aw yu kin trit pɔsin we gɛt alɛji fɔ drɔgs?

Yu dɔktɔ kin tɛl yu fɔ du tritmɛnt dɛn lɛk:

• Stɔp fɔ tek di mɛrɛsin we mek yu gɛt di alɛji wantɛm wantɛm: We di mɛrɛsin dɔn kɔmɔt na yu sistɛm, yu sik dɛn fɔ stɔp smɔl smɔl. If yu bin de tek di mɛrɛsin fɔ trit ɔda sik, yu dɔktɔ go gi yu difrɛn mɛrɛsin we yu nɔ gɛt alɛji to.
• Antihistamin dɛn:Dɛn mɛrɛsin ya de wok bay we dɛn de blok di ifɛkt dɛm we di histamin dɛm we de mek yu bɔdi gɛt, we de ridyus di sayn dɛm lɛk it ɛn ayv.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya na anti-inflammatory mɛrɛsin we de ɛp fɔ ridyus di swel ɛn rɛdnɛs we kin kam bikɔs ɔf alɛji.
• Bronchodilators: Dɛn mɛrɛsin ya kin mek yu nɔr gɛt sɔm kayn sik wae gɛt fɔ du wit yu lɔng (lɛk wae yu nɔr kin ebul fɔ blo).
• Epinephrine auto-injector (EpiPen®): If yu gɛt siriɔs alɛji fɔ drɔgs (lɛk anafylaksis), yu dɔktɔ kin gi yu dis divays. Di mɛrɛsin we dɛn kɔl epinephrine kin chenj di sayn dɛn we de sho se pɔsin gɛt anafilaksis kwik kwik wan. Yu dɔktɔ go ɛksplen aw fɔ yuz am ɛn ustɛm fɔ yuz am.
• Alɛji desensitization: Insay dis tritmɛnt, dɔktɔ kin gi yu smɔl smɔl alɛji. As tɛm de go, yu imyun sistɛm kin yus to di alɛrjen ɛn i kin stɔp fɔ du am. Di dɔktɔ kin inkrisayz di doz smɔl smɔl fɔ sɔm awa, sɔm tɛm dɛn de fɔ sɔm dez, te yu bɔdi ebul fɔ bia wit di alɛrjen we yu nɔ gɛt ɛni alɛji.

Aw lɔng pɔsin we gɛt alɛji fɔ drɔgs kin las?

Bɔku pipul dɛn kin wɛl insay sɔm awa afta dɛn dɔn stɔp di mɛrɛsin we bin mek dɛn gɛt di alɛji. Bɔt nɔr kin apin so ɔltɛm, i kin tek sɔm wiks, ɔr ivin sɔm mɔnt fɔ mek di sayn dɛm nɔr de igen.

Wetin kin apin if yu gɛt alɛji fɔ drɔgs?

Wan alɛji fɔ drɔg nɔ go ebul fɔ wɛl ɔl. Bɔt yu kin kɔntrol yu sik dɛn bay we yu avɔyd di mɛrɛsin dɛn we yu no se yu nɔ gɛt alɛji ɛn bay we yu tek mɛrɛsin dɛn we de mek yu imyun sistɛm nɔ wok fayn.

Yu tink se dɛn kin mek pɔsin nɔ gɛt alɛji fɔ drɔgs?

If yu gɛt alɛji fɔ di mɛrɛsin, di wangren we fɔ mek yu nɔ gɛt alɛji na fɔ avɔyd di drɔg we yu alɛji to ɛn ɔda mɛrɛsin dɛn we tan lɛk dat.

I rili impɔtant fɔ kip wan rikodɔ fɔ yu alɛji fɔ di mɛrɛsin na yu mɛdikal rɛkɔd so dat dɔktɔ dɛn go no bɔt dɛn bifo dɛn gi yu mɛrɛsin tumara bambay, ɛn dis go mek yu nɔ gɛt alɛji.

Aw a kin kia fɔ misɛf?

If yu gɛt alɛji fɔ drɔgs, mek shɔ se yu tɛl yu dɔktɔ bifo yu du ɛni tritmɛnt (ilɛksɛf na fɔ go to di dɛntist ɔ fɔ du ɔpreshɔn).

I fayn bak fɔ kip infɔmeshɔn bɔt yu alɛji fɔ yu drɔgs wit yu so dat ɔda pipul dɛn go no if yu nɔ ebul fɔ tɔk to pipul dɛn we yu gɛt imejensi. Bɔku we dɛn de fɔ du dis:

• Kip yu wɛlbɔdi rɛkɛd na wɛlbɔdi ap na yu smart fon. Mek shɔ se yu ebul fɔ akses dis infɔmeshɔn frɔm yu lɔk skrin if ɛnitin apin.
• Wear spɛshal jɔyri (mɛdikal alert breslɛt ɔ nɛks).
• Kad we gɛt laminɛt we yu kin kip na yu pɔs ɔ walet.
• Fɔ gɛt tatu. (Pan ɔl we dis kin tan lɛk smɔl ekstremist aidia, sɔm pipul dɛn kin yuz dis we bak.)

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni alɛji afta yu dɔn tek mɛrɛsin, mek shɔ se yu tɔk to dɔktɔ.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

If yu gɛt sayn fɔ se yu gɛt siriɔs alɛji , go na di imejensi rum wantɛm wantɛm ɔ kɔl 911. Dɛn siriɔs sayn ya na:

• I nɔ kin izi fɔ yu fɔ blo.
• I nɔ izi fɔ swɛla.
• Wan filin we yu kin fil wantɛm wantɛm fɔ mek yu nɔ fil fayn ɔ yu gɛt diziz.
• At rit kin tu fast.
• Nɔbɔdi nɔ kin no natin.

Mɛmba se if dɛn nɔ trit bad bad sayn dɛn lɛk dis kwik, dɛn kin ivin mek pɔsin in layf de pan denja .

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go si dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw ɛksaktɔli di dɔktɔ tɛl mi se a gɛt alɛji fɔ drɔgs?
• Us patikyula mɛrɛsin de mek yu gɛt dɛn alɛji ya?
• A de tek dis mɛrɛsin fɔ ɔda kɔndishɔn. Yu tink se ɔda we we sef de we a go tek insted?
• A nid tritmɛnt fɔ dis?
• Us kayn tritmɛnt di dɔktɔ kin tɛl mi fɔ du?

Fɔ bɔku pipul dɛn, mɛrɛsin na sɔntin we de ɛp fɔ kɔntrol di sik dɛn we dɛn kin gɛt ɛn mɛn sik dɛn. Bɔt fɔ sɔm pipul dɛn, dɛn nɔ kin ebul fɔ tek sɔm mɛrɛsin dɛn bikɔs dɛn imyun sistɛm kin mistek tink se dɛn bad. Di we aw yu de biev we yu gɛt alɛji fɔ tek drɔgs kin difrɛn frɔm ɔda pɔsin in yon. Yu kin jɔs gɛt smɔl smɔl sayn dɛm lɛk it, skin rash, ɔ wata yay. Bɔt if i rili bad, i kin afɛkt di we aw pɔsin de blo, di at we i de bit, ɛn i kin ivin mek i day.

So, if yu gɛt ɛni alɛji afta yu tek mɛrɛsin, go to dɔktɔ wantɛm wantɛm. I kin rɔn tɛst fɔ no if yu rili alɛji to di mɛrɛsin. I kin tɛl am bak di tritmɛnt we i nid ɛn ɔda mɛrɛsin dɛn we nɔ de mek i gɛt alɛji.

Mɛsej we dɛn kin kɛr go na os

• Alɛji fɔ drɔg na we yu bɔdi in imyun sistɛm nɔ de riak kɔrɛkt wan to sɔm mɛrɛsin dɛn.
• Dis kכndyushכn kin kכmכt frכm sכm sכm sכm sכmtin dεm lεk it εn rεsh to siriכs, layf de pan denja lεk fכ brith at εn yu nכ de kכnsεn.
• Antibayɔtik lɛk penisilin ɛn pen kil (NSAID) kin mek pɔsin gɛt alɛji.
• If yu gɛt sɔm sayn dɛn afta yu dɔn tek mɛrɛsin we yu tink se yu nɔ gɛt alɛji fɔ, go to dɔktɔ wantɛm wantɛm.
• If yu gɛt siriɔs sayn dɛm (di at fɔ blo, yu trot/tɔng de swel, yu ed de tɔn), go na ɔspitul wantɛm wantɛm ɔ kɔl 1990.
• Ɔltɛm tɛl yu dɔktɔ dɛn (inklud dɛntist dɛn) bɔt ɛni mɛrɛsin we yu gɛt alɛji to.
• Kip infɔmeshɔn bɔt yu alɛji dɛn na yu an if ɛnitin apin (e.g., mɛdikal alert breslɛt, kad).

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` drɔg alɛji, drɔg alɛji, alɛji simptom dɛm, anafylaksis, penisilin alɛji, drɔg pɔyzin, skin rash