Nā lāʻau i hōʻike ʻia no ka mālama ʻana i ka syphilis

Anter

• Hōʻaia no ka maʻi ʻaʻai penicillin
• Pehea e hana ai i ka desensitization penicillin
• ʻO nā hopena penicillin maʻamau
• Ke hoʻopiʻi ʻia ka penicillin

ʻO ka lāʻau lapaʻau maikaʻi loa e mālama i ka syphilis ʻo ka benzathine penicillin, pono e lawelawe mau ʻia ma ke ʻano he injection a ʻokoʻa ka hopena ma muli o ke kahua o ka maʻi.

I ke kumu o ke alapiʻi i kēia lāʻau, hiki ke hoʻohana ʻia nā lāʻau ʻaloʻalo e like me tetracycline, erythromycin a i ʻole ceftriaxone, akā ʻo ka penicillin ka lāʻau lapaʻau maikaʻi loa a ʻo ia ka koho mua loa. Ma mua o ka hoʻāʻo ʻana i kahi antibiotic ʻē aʻe, pono ʻoe e koho e desensitize i ka penicillin i hiki ai ke mālama ʻia me kēia lāʻau like. Aia ka desensitization i ka hoʻopili ʻana i nā lāʻau liʻiliʻi o ka penicillin a hiki i ka hiki ʻole i ke kino ke hōʻole i kēia lāʻau.

ʻO Tetracycline, 500 mg 4x / lā a i ʻole ʻelua no 14 mau lāSyphilis ʻekahi3 injection o ka penicillin me 2,400,000 IU ma nā wahi like ʻole o ke kino, me ka lōʻihi o 7 mau lā i kēlā me kēia kauDoxycycline, 100 mg 2x / lā a i ʻole
tetracycline, 500 mg 4x / lā, ʻelua
no 28 mau lāNeurosyphilis6 mau injection o Penicillin G Crystalline me 2 a 4 miliona no 10-14 mau lāProcaine penicillin, 2.4 miliona
UI / IM / lā, + Probenecid
500 mg / VO / 4x / lā a i ʻole ʻelua no 14 mau lāSyphilis hānau

ʻO ka Penicillin crystalline G 100 a 150 tausani
IU / kg / EV / lā, i nā mahele he 2 i ka pule mua o ke ola a i ʻole 3 mau kaukana no nā pēpē ma waena o 7 a me 10 mau lā;
a i ʻole
ʻO Penicillin G Procaine 50 tausani IU / kg / IM,
hoʻokahi manawa i ka lā no 10 mau lā;

a i ʻole
Benzathine Penicillin G * * * * 50 tausani IU / kg / IM,
Hoʻokomo ʻekahi

Hōʻaia no ka maʻi ʻaʻai penicillin

ʻO ka hoʻāʻo e ʻike inā maʻi kekahi kanaka i ka penicillin o ka ʻānai ʻana i kahi liʻiliʻi o kēia lāʻau i ka ʻili a me ka nānā ʻana inā hōʻike ka pūnaewele i nā hōʻailona o ka hopena e like me ka ʻulaʻula a i ʻole ka aniani. Inā loaʻa kēia mau hōʻailona he maʻi maʻi kā ke kanaka.

Pono e hoʻokō ʻia kēia hoʻokolohua e kahi kahu ma kahi haukapila a hana mau ʻia ma ka ʻili o ka forearm.

Pehea e hana ai i ka desensitization penicillin

Hōʻike ʻia ka desensitization i ka penicillin i ka hihia o ka maʻi āpau i kēia lāʻau, keu hoʻi no ka mālama ʻana no syphilis i ka wā hāpai a me ka mālama ʻana no neurosyphilis. ʻO kēia hemo ʻana o ka noʻonoʻo e pili ana i ka penicillin e pono e hana ʻia ma ka haukapila, a ʻo ka hoʻohana ʻana o nā pila ka ala palekana loa.

ʻAʻohe mea hōʻike no ka hoʻohana ʻana i nā antihistamines a i ʻole nā ​​steroid, ma mua o ka lawe ʻana i ka penicillin no ka mea ʻaʻole pale kēia mau lāʻau i ka hopena anaphylactic a hiki ke uhi i kāna mau hōʻailona mua ma ka hoʻolohi ʻana i ka lāʻau.

Ma hope koke o ke kaʻina hana, pono e hoʻomaka me ka penicillin. Inā hala ke kanaka ma mua o 28 mau lā me ka launa ʻole ʻana me kēia lāʻau, inā pono e nānā hou no nā hōʻailona o ka maʻi āpau a inā aia lākou, pono e hoʻomaka hou i ka desensitization.

ʻO nā hopena penicillin maʻamau

Ma hope o ke kuʻi ʻana, ʻike ʻia nā ʻōuli e like me ke kuni, ke anuanu, ʻeha poʻo, ʻeha ma nā mākala a me nā hono, i hiki ke ʻike ʻia ma waena o 4 a 24 mau hola ma hope o ka ʻume ʻana. No ka mālama ʻana i kēia mau ʻōuli, hiki i ke kauka ke koi aku e lawe i kahi analgesic a i ʻole antipyretic.

Ke hoʻopiʻi ʻia ka penicillin

ʻAʻole hiki ke hana i ka mālama ʻana i ka syphilis me ka penicillin i ka hihia o Stevens-Johnson Syndrome, ʻemermisis epidermal ʻona a me dermatitis exfoliative. I kēia mau hihia, pono e mālama ʻia ka lāʻau no syphilis me nā lāʻau ʻino ʻē aʻe.

E nānā nō hoʻi i ke wikiō aʻe a ʻike i ke ʻano o ka maʻi.