Ziguli ezithandekayo,

Sithanda ukukunikeza eminye imininingwane ngendaba ye- ukungezwani komzimba kanye COVID-19 ukugoma. Njengoba kungenzeka ufunde emithonjeni yezindaba, ukusabela okujwayelekile okunzima kwenzeke ezimweni ezingavamile kakhulu ngemuva nje kokugoma ngale mRNA emibili etholakalayo njengamanje COVID-19 imishanguzo evela ezinkampanini iBion-tech / Pfi zer neModerna. Isiphathimandla sezempilo saseBrithani ngakho-ke sikhiphe isincomo sesikhashana sokuthi iziguli ezinokungezwani nokugula zigodlwe ngaphandle. Lokhu kuholele ekungaqondakali emhlabeni jikelele naseGermany.

Empeleni, ukungezwani komzimba noma i-anaphylactic kungenzeka ezimweni ezingavamile kakhulu (Icala elilodwa ngokugoma okungu-1 kuya kwesigidi esingu-100,000) ngayo yonke into yokugoma (hhayi kuphela ngokumelene COVID-19). Lokhu kungadalwa umuthi wokugoma uqobo noma izixhumi / izithasiselo emuthini.

Abukho ubufakazi bengozi eyengeziwe (uma kuqhathaniswa nenani elijwayelekile) elihlotshaniswa ne- COVID-19 ukugoma ngemithi yokugoma evunyelwe yeziguli ezinezifo ezilandelayo eqenjini lomzimba / le-atopic:

- Atzic eczema (neurodermatitis)
- Urticaria (isifuba) / angioedema
- Rhinoconjunctivitis allergica (hay fever)
- I-asthma ye-Bronchial (kepha i-asthma kufanele ilawulwe kahle ngesikhathi sokugoma)
- Ama-polyps acinene
- Ukungezwani komzimba nokudla (ikakhulukazi akunazinkinga zabagulayo bamaqanda ezinkukhu, njengoba kungekho
amaprotheni amaqanda enkukhu emuthini wokugoma we-Biontech noma weModerna)
- Ukungezwani komzimba nesinambuzane
- Ukungabekezelelani kwePainkiller
- Ukungezwani namagciwane
- Xhumana nokungezwani komzimba (isb. I-nickel, iphunga noma ukungezwani komzimba okulondolozayo)

Ukuhlolwa okukhethekile (ukuhlolwa kwesikhumba noma kwegazi) ngaphambi kokugoma akudingeki kumaqembu eziguli abhalwe lapha.

Sicela uxhumane nodokotela wakho uma ngabe lokhu okulandelayo kuyaziwa kuwe:

- Ukusabela okunzima kokungezwani komzimba nomuntu ongaphambiliniCOVID Ukugoma okungu-19.
- Ukusabela okweqile kokulandela umuthi (ikakhulukazi izixazululo ze-laxative) noma imijovo
- Ukwelashwa okukhulu ngemuva kwezidakamizwa kanye ne-mastocytosis eyaziwayo
- Ukusabela okweqile kwesizathu esingaziwa

Ukusabela okweqile komzimba kwenzeka ukuvela okungazelelwe kwezimpawu zesikhumba ngokuphefumula okuncane kanye / noma ukusabela kokujikeleza kwegazi, okudinge ukwelashwa ngokushesha. Kulokhu, sikweluleka ngaphambi kokucaciswa kokungezwani nezinto ezithile (ukuhlolwa kwesimo somuntu owaliwa ngumzimba) ngaphambili COVID-19 ukugoma kanye / noma ukugoma engozini eyengeziwe. Lokhu kufaka ukulandelwa kwemizuzu engama-30. (Ikhithi yezimo eziphuthumayo ihlanganisa ipeni le-adrenaline kufanele ibe kusayithi).

Uyacelwa uqaphele ukuthi izithako zezixazululo zomuthi wokugoma azitholakali njengezihloli zomzimba ezihloliwe.

Iziguli ezinokungazwani komzimba okwaziwayo okwedlule okwedlule kuzithako zomuthi wokugoma noma kowokuqala COVIDUkugoma okungu-19 akumele igonywe.

Phakathi kokunye, izithako ezilandelayo zingadlala indima:
I-Polyethylene glycol (= macrogol)
I-Tromethamine / trometamol

Nalu olunye ulwazi mayelana nezindlela zokwelapha ezihlanganisayo:

  • Iziguli ezithola ukwelashwa kwezifo ezingenhla (kufaka phakathi izindlela zokwelashwa kwama-antibody njengeXolair®, iDupixent®, Nucala®, Fasenra®) ingagonywa. Njengamanje, kunconywa ukuthi kube nesonto eli-1 phakathi kokwelashwa nokugoma.
  • A isikhathi esincane sesonto elilodwa kufanele inakekelwe phakathi kwe- ukuphathwa kwezinto ezingaphansi kwesikhumba hypo-sensitization / immunotherapy ethize (SCIT) kanye COVID19 ukugoma, njengayo yonke eminye imigomo. Okuhlangenwe nakho komtholampilo maqondana nokugoma ngasikhathi sinye (isb., Nomuthi wokugoma we-Biontech noma weModerna) kanye Ukwelashwa kwe-SLIT ayikabhalwa emanothweni amaningi e-allergen. Ukuze uhlukanise ukusabela okungenzeka ngenxa ye- COVID-19 ukugoma kusuka ekuphenduleni ngenxa ye-SLIT, ngokusho kwesipiliyoni se-allergological, i-SLIT kufanele imiswe okungenani ngemuva kwezinsuku eziyi-1-2 COVID-19 ukugoma.
  • Uma kwenzeka ukwelashwa nge ama-immunosuppressants (isib I-Ciclosporin) kufanele ukhulume nodokotela wakho oya khona ngaphambi kwesikhathi. Kubukeka sengathi ayikho ingozi ethize evela kulolu lwazi. Kodwa-ke, ukugoma kungenzeka kungasebenzi kahle.

Umthombo: 1 Worm M et al. Anaphylaxie-Risiko bei Covid-19 Impfung - Impfehlungen für das praktische Management. I-MMW Fortschr Med. 2021 Januwari; 163 (1): 48-52; 2 Klimek L et al. Ukusabela okweqile komzimba ngemuva COVID-19-Ukuchoma ngePfizer / BioNTech Vaccine e-Great Britain nase-USA Isitatimende Sesikhundla se-German allergological Societies AeDA, DGAKI ne-GPA. I-Allergo Journal Inter-kuzwelonke 2021; emaphephandabeni; 3 UKleine-Tebbe et al. Schwere allergische Reaktionen auf die Covid-19-Impfung - Stellungnahme und praktische Konsequenzen. I-Allergologie, uJahrgang 44, uNr. 1/2021, S. 7-8