Wake wanikezwa umuthi wokulwa namagciwane wokwelapha umkhuhlane noma ukukhwehlela, kodwa wabona amabala abomvu esikhumbeni sakho, ukulunywa okukhulu, noma amehlo abomvu avuvukele ngokushesha nje ngemva kokuwuthatha? Ngokuvamile, uma lokhu kwenzeka, sicabanga ukuthi, "Kumelwe ukuba nginomzimba ongezwani nalo muthi." Lokhu kuyindlela evamile yokusabela eyaziwa ngokuthi i-sulfa allergy. Nakuba kungeyona into yokwesaba, kubaluleke kakhulu ukuba nolwazi oluphelele.
Kalula nje, kuyini ukungezwani komzimba ne-sulfa?
Ukungezwani komzimba ne-sulfa kwenzeka lapho amasosha omzimba wakho esabela ngokweqile emithini engaphansi kwesigaba se-sulfa. Ngokwezokwelapha, le mithi ibizwa ngokuthi ama-sulfonamides. Le mithi isetshenziselwa ukwelapha izimo ezahlukahlukene, kusukela ekuthelelekeni kwamehlo kuya ku-rheumatoid arthritis .
Lokhu kungezwani komzimba kuvame ukuvela kuma -antibiotic e-sulfonamide. Ucwaningo lusikisela ukuthi cishe abantu abathathu kwabayi-100 bangase babe nohlobo oluthile lokusabela kule mithi.
Into ebaluleke kakhulu ukuthi uma ubona noma yiziphi izimpawu ezingavamile ngenkathi uthatha umuthi we-sulfa—ongabonisa ukusabela kokungezwani komzimba— yazisa udokotela wakho ngokushesha. Bazonquma ukuthi bawuyeke yini umuthi nokuthi bangazilawula kanjani izimpawu.
Ziyini izimpawu zokungezwani komzimba ne-sulfa?
Lezi zimpawu zingavela ngemithi eminingi ehlukene, hhayi nje ngemithi ye-sulfa. Nakhu okufanele ukuqaphele:
| Uhlobo Lwezimpawu | Incazelo |
|---|---|
| Izimpawu ezivamile |
|
| Izimpawu ezinzima kodwa ezingavamile |
|
Ngaphezu kwalokho, abanye abantu bangase babe nekhanda elibuhlungu, ukuqwasha, ukushintsha kombala womchamo (i-crystalluria), noma ukwehla kwenani lamaseli egazi. Ezimweni ezingavamile kakhulu, kungenzeka ukusabela kokungezwani komzimba okusongela impilo okubizwa ngokuthi i-anaphylaxis .
Yimiphi imithi okufanele igwenywe uma une-allergy ye-sulfa?
Ama-antibiotic e-sulfa asetshenziswe iminyaka engaphezu kwengu-70. Uma une-allergy ku-antibiotic eyodwa ye-sulfa, cishe usengozini enkulu yokuba ne-allergy kwamanye akwisigaba esifanayo.
Nazi ezinye zemithi ye-sulfa esetshenziswa kakhulu:
- I-Sulfamethoxazole / i-trimethoprim (i-Bactrim, i-Sulfatrim): Amaphilisi noma imithi yoketshezi esetshenziselwa izifo ezahlukahlukene.
- I-Sulfacetamide (BLEPH-10): Amaconsi amehlo asetshenziselwa ukutheleleka.
- I-Sulfadiazine silver (Silvadene): Ukhilimu osetshenziswa ukuvimbela ukutheleleka emanxebeni okusha.
- I-Sulfasalazine (i-Azulfidine): Amaphilisi asetshenziselwa isifo samathambo kanye nesifo samathumbu esivuvukalayo.
- I-Dapsone (i-Aczone): Umuthi osetshenziselwa ukwelapha uchoko, izimo zesikhumba, kanye nezinhlobo ezithile ze-pneumonia.
Ingabe eminye imithi ye-sulfa iphephile?
Yilapho abantu abaningi bedideka khona. Ngisho noma une-allergy kuma -antibiotic e-sulfa, ungase ukwazi ukusebenzisa eminye imithi ekilasini le-sulfa ngaphandle kwenkinga. Kodwa-ke, lokhu akuyona into okufanele uyinqumele wedwa.
Isibonelo, imithi yesifo sikashukela efana ne-Glyburide, umuthi wokuqeda izinhlungu i-Celecoxib, umuthi we-migraine i-Sumatriptan, kanye ne-diuretic Furosemide iqukethe isakhiwo 'se-sulfa'.
Ngakho-ke, indlela ephephile nefanele kakhulu yokwenza iwukwazisa udokotela wakho njalo uma wazi ukuthi unesifo sokungezwani komzimba ne-sulfa ngaphambi kokuqala noma yimuphi umuthi omusha. Lokhu kumvumela ukuthi akhethe inketho ephephile kuwe.
Iphathwa kanjani i-allergy?
Udokotela wakho uzothatha izinyathelo ngokushesha zokwelapha izimpawu zokusabela kwakho kokungezwani komzimba:
- Ama-antihistamine: Anikezwa izimpawu ezincane njengokulunywa noma ukuqubuka.
- Ama-Corticosteroids: Angase anikezwe izimpawu ezibaluleke kakhulu njengokuvuvukala.
- I-Epinephrine: Inikezwa njengokwelashwa okuphuthumayo kokusabela okusongela impilo, okunzima njenge-anaphylaxis. Ezimweni ezinjalo, kufanele uye ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela (ER) noma ushayele u-911.
Kwezinye izimo, uma umuthi oqukethe i-sulfa ubaluleke kakhulu ekwelashweni kwakho, udokotela wakho angalandela inqubo ekhethekile ebizwa ngokuthi i-drug desensitization . Lokhu kuhilela ukuqala ngomthamo omncane kakhulu ngaphansi kokubhekwa okuqinile esibhedlela bese ukhulisa kancane kancane umthamo ukuze usize umzimba wakho ubekezelele umuthi.
Ingabe igama elithi "Sulfa" nelithi "Sulfite" ziyinto efanayo?
Leli elinye iphuzu elivamile lokudideka. Nakuba amagama athi "sulfa" kanye nelithi "sulfite" ezwakala efana, abhekisela ezintweni ezihluke ngokuphelele.
- I-Sulfa: Lezi izinhlobo zemithi esetshenziselwa ukwelapha izifo.
- I-Sulfite: Lawa ngamakhemikhali (izilondolozi) afakwe ekudleni naseziphuzweni (ikakhulukazi ewayinini) ukuze ahlale emisha.
Ukuzwela kwe-sulfite kubonakala kakhulu kubantu abane-asthma. Ukuba nokungezwani komzimba ne-sulfa akusho ukuthi udinga ukugwema ukudla okuqukethe ama-sulfite, njengezithelo zomvini noma iwayini. Akukho ukuxhumana phakathi kwalokhu okubili.
Izinto Ezibalulekile Okufanele Uzicabangele
- Uma une-sulfa allergy noma olunye uhlobo lwe-allergy yemithi, tshela bonke odokotela kanye nomhlinzeki wezempilo okwelaphayo. Bazokubhala lokho emlandweni wakho wezokwelapha.
- Ukugqoka isongo se-ID yezokwelapha esichaza ukuthi une-allergy kungaba usizo kakhulu esimweni esiphuthumayo.
- Khumbula ukuthi i-Sulfa iyimithi, kanti ama-Sulfite ayizilondolozi zokudla. Awafani.
- Ungalokothi uqagele futhi uthathe imithi yezimpawu zakho. Njalo xhumana nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
Ukungezwani komzimba ne-sulfa, ukungezwani komzimba nemithi, ukuqubuka kwesikhumba, amaqhubu, i-Stevens-Johnson syndrome, i-Anaphylaxis, i-Bactrim
