Stevens-Johnson Syndrome (SJS) wani nau'in fata mai banƙyama amma mai hadarin gaske a cikin ƙananan fata na fata (epidermis) ya raba daga Layer tsakanin kasa (dermis) epidermis, wanda zai haifar da mutuwar jiki.
Duk da yake SJS za a iya haifar da wasu cututtuka, ciki har da mumps da typhoid, sun fi haɗuwa da maganin maganin miyagun kwayoyi.
Harkokin kamuwa da cutar yakan faru a yayin da ake nunawa wani magungunan ƙwayoyi yana jawo mummunar amsawa a cikin jiki inda jiki yana kaiwa jikinsa da kyallen jikinsa.
Wasu magungunan antiretroviral da ake amfani dasu don maganin cutar ta HIV suna haɗuwa da haɗari ga SJS ciki har da Viramune (nevirapine), Ziagen (abacavir), da kuma Isentress (raltegravir).
Magungunan rigakafi, musamman magunguna na sulfa, suna kuma kasancewa a cikin abubuwan SJS. A gaskiya, yin amfani da maganin ƙwayar cuta na tarin fuka yana iya kara haɗarin SJS a cikin mutanen da ke dauke da kwayar cutar HIV ta hanyar kimanin kashi 400.
Cutar cututtuka
SJS yana farawa tare da alamar bayyanar cututtuka irin su wahalar jiki, zazzabi, da ciwon makogwaro. Wannan shine yawan bayyanar da ciwo mai raɗaɗi a kan ƙwayoyin mucous na baki, lebe, harshe, da kuma fatar ido na ciki (kuma a wasu lokuta anus da al'amuran). Hakanan zai iya haɗawa da babban nau'i na fuska, ɓangare, tsokoki, da kuma ƙafafun ƙafafu, yana nunawa da bita na kimanin inch cikin girman.
Kwayoyin cuta kullum suna bayyana a farkon makonni biyu na fara sabon farfadowa. Idan ba a dakatar da cutar ba kuma kwayoyi ba su daina, lalacewar kwayar halitta zai iya faruwa kuma zai haifar da lalacewar ido, makanta, ko ma mutuwa. Sepsis , ci gaba da sauri, yanayin rayuwa mai hadarin gaske, zai iya haifar da lokacin da kwayoyin cutar daga SJS kamuwa da cuta ta shiga jini kuma yada cikin jiki, haifar da mummunan haɗari da kuma gazawar gawar.
SJS wani lokaci yana kuskure ne ga erythema multiforme, sanyaya na miyagun ƙwayoyi da ke nunawa tare da tasowa, ruwan hoda ko jan rashes. SJS, ta bambanta, yana haɗuwa da ɓarna mai lalacewa wanda zai iya haɗuwa don samar da babban nau'i na fata. Ko da a farkon lokacin gabatarwa, likitoci da yawa sun bayyana SSS a matsayin "fushi" saboda mummunan ciwon halayen su.
Jiyya
Rashin ƙarancin wanda ake zargi da laifi shi ne babban fifiko idan SJS ake zargi da laifi. A lokuta masu tsanani, jiyya na SJS kama da wannan a cikin marasa lafiya da konewa mai tsanani, ciki har da kula da ruwa, da yin amfani da kayan ado, da kula da zafin jiki, da kuma taimakawa wajen magance ciwo da abinci.
Da zarar an dakatar da miyagun ƙwayoyi saboda SJS, kada a sake farawa
Hadarin
Duk da yake SJS zai iya rinjayar kowa, akwai wasu da suka bayyana cewa an tsara su ne a cikin yanayin. Binciken ya nuna cewa mutanen da ke dauke da HLA-B 1502 sun fi saurin bunkasa SJS tare da mafi girma yawan hadarin da aka gani a tsakanin mutanen Sin, India, da kuma Kudu maso Gabashin Asia.
Bugu da ƙari, ƙwayoyin magungunan da ke sama, yawancin magungunan magungunan magungunan sun hada da SJS. Sun hada da:
- Magunguna masu ƙwayoyin cututtuka marasa amfani (NSAIDs) kamar su acetaminophen, ibuprofen, da naproxen sodium
- Penicillin
- Magunguna masu guba irin su allopurinol
- Anticonvulsants amfani da su don bi da epilepsy
- Antipsychotics yi amfani da su don magance matsalar tunanin mutum
- Radiation far
> Sources:
> Knight, L ;; Muloiwa, R .; Dlamini, S. et al. "Ayyukan da aka haɗu da Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙwayar cuta na HIV-Infected with Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis." KUMA KUMA. 2014; 9 (4): e93543. DOI: 10.1371 / journal.pone.0093543.
> Ma'aikatar Kiwon Lafiyar Jama'ar Amirka da Harkokin Dan Adam (DHHS). "Sharuɗɗa don Amfani da Ma'aikata marasa lafiya a HIV-1-Cigaban Matasa da matasa: Ƙuntatawa ga Jiyya da Tsaro - Hanyoyin Cutar Druggun kwayoyi." Washington, DC; isa ga Yuni 7, 2015.