Kev qhia txog kev kho mob syphilis

Zoo Siab

• Kuaj rau tshuaj tiv thaiv penicillin fab
• Yuav ua li cas penicillin desensitization tiav
• Cov tshuaj tiv thaiv penicillin nquag muaj
• Thaum penicillin yog contraindicated

Qhov muaj txiaj ntsig zoo tshaj plaws los kho mob syphilis yog benzathine penicillin, uas yuav tsum tau txhaj ib txwm yog kev txhaj tshuaj thiab cov koob tshuaj sib txawv raws li theem ntawm tus kab mob.

Thaum muaj kev fab tshuaj rau cov tshuaj no, lwm yam tshuaj tua kab mob xws li tetracycline, erythromycin lossis ceftriaxone tuaj yeem siv, tab sis penicillin yog cov tshuaj zoo tshaj plaws thiab yog ib txwm xaiv ua ntej. Ua ntej kuaj lwm cov tshuaj tua kab mob, koj yuav tsum xaiv qhov desensitize rau penicillin yog li kev kho mob tuaj yeem ua nrog tib cov tshuaj no. Kev txiav txim siab yog suav nrog kev siv cov tshuaj penicillin me me kom txog thaum lub cev tsis tuaj yeem tsis lees txais cov tshuaj no.

Tetracycline, 500 mg 4x / hnub lossis ob qho tib si rau 14 hnubTertiary mob syphilis3 penicillin txhaj nrog 2,400,000 IU nyob rau ntau qhov chaw ntawm lub cev, nrog ntu nruab nrab ntawm 7 hnub txhua koobDoxycycline, 100 mg 2x / hnub lossis
tetracycline, 500 mg 4x / hnub, ob qho tib si
rau 28 hnubNeurosyphilis6 hno txhua hnub ntawm Penicillin G Crystalline nrog 2 txog 4 lab rau 10-14 hnubProcaine penicillin, 2.4 lab
UI / IM / hnub, + Probenecid
500 mg / VO / 4x / hnub lossis ob qho tib si rau 14 hnubCongenital mob syphilis

Crystalline Penicillin G 100 rau 150 txhiab
IU / kg / EV / hnub, hauv 2 koob tshuaj hauv thawj lub lim tiam ntawm lub neej lossis hauv 3 koob rau menyuam mos hnub nyoog 7 thiab 10 hnub;
lossis
Penicillin G Procaine 50 txhiab IU / kg / IM,
ib zaug ib hnub rau 10 hnub;

lossis
Benzathine Penicillin G * * * * 50 txhiab IU / kg / IM,
Ib koob tshuaj

Kuaj rau tshuaj tiv thaiv penicillin fab

Kev ntsuam xyuas kom paub seb ib tus neeg muaj kev tsis haum rau penicillin muaj cov tshuaj txhuam me me ntawm cov tshuaj no rau ntawm daim tawv nqaij thiab saib xyuas yog tias thaj chaw qhia pom tias muaj kev tsis haum tshuaj xws li liab lossis khaus. Yog tias cov tsos mob no tshwm sim tus neeg ua xua.

Qhov kev kuaj no yuav tsum tau ua los ntawm tus kws tu neeg mob hauv tsev kho mob thiab ib txwm ua rau daim tawv nqaij ntawm sab caj npab.

Yuav ua li cas penicillin desensitization tiav

Qhov xav tau rau penicillin yog qhia nyob rau hauv cov ntaub ntawv ntawm kev phiv tshuaj rau cov tshuaj no, tshwj xeeb tshaj yog hais txog kev kho mob syphilis thaum cev xeeb tub thiab kho tus mob neurosyphilis. Qhov kev tshem tawm ntawm kev nkag siab hauv kev sib raug zoo rau penicillin yuav tsum tau ua nyob hauv tsev kho mob, thiab kev siv tshuaj ntsiav yog kev nyab xeeb tshaj plaws.

Tsis muaj ib qho qhia tau rau kev siv tshuaj antihistamines lossis tshuaj steroids, ua ntej siv penicillin vim tias cov tshuaj no tsis tiv thaiv qhov tshuaj tiv thaiv anaphylactic thiab tuaj yeem npog nws thawj cov cim los ntawm kev kho mob qeeb.

Tom qab ua tiav qhov txheej txheem, kev kho mob nrog penicillin yuav tsum tau pib. Yog tias tus neeg hla dhau 28 hnub yam tsis muaj kev sib cuag nrog cov tshuaj no, yog tias yuav tsum tau rov kuaj dua rau cov tsos mob ntawm kev fab tshuaj thiab yog tias lawv tau tshwm sim, desensitization yuav tsum pib dua.

Cov tshuaj tiv thaiv penicillin nquag muaj

Tom qab txhaj tshuaj, cov tsos mob xws li ua npaws, ua daus no, mob taub hau, mob ntawm cov leeg thiab pob qij txha yuav tshwm sim, uas tuaj yeem tshwm sim li ntawm 4 mus rau 24 teev tom qab txhaj tshuaj. Txhawm rau tswj cov tsos mob no, tus kws kho mob yuav pom zoo kom noj tshuaj analgesic lossis antipyretic.

Thaum penicillin yog contraindicated

Kev kho mob rau mob syphilis tsis tuaj yeem ua nrog penicillin thaum Stevens-Johnson syndrome, mob ua paug rau cov ntshav tsis txaus thiab ua kom mob dermatitis. Hauv cov rooj plaub no, kev kho mob syphilis yuav tsum tau nqa nrog lwm cov tshuaj tua kab mob.

Kuj saib cov yeeb yaj kiab hauv qab no thiab tshawb xyuas seb tus kabmob muaj li cas: