I-GAAPP_vaccine_COVID

Zigulana ezithandekayo, Singathanda ukukunika ulwazi malunga nesihloko ukungabikho komzimba kwabanye COVID-19 isitofu.

Kwiwebinar "COVID-19 Ugonyo: I-Allergology kunye ne-Immunological Perspective”, eyayibanjwe yi-GAAPP ngoDisemba ka-2021, uPurvi Parikh, MD, FACAAI, FACP ucacisa indlela eyahlukileyo COVID-19 izitofu zokugonya ziyasebenza, kwaye zithini iziphumo zazo ezingalindelekanga kwizigulana ezinezinto ezingahambisani nomzimba okanye izifo zeatopic. Ngaphezu koko, ucacisa iingcamango eziphosakeleyo malunga nokuchaswa kwesitofu sokugonya kwezinye izifo ezingapheliyo zokuphefumla kunye nezifo ze-atopic. Ungabukela ushicilelo okanye ufunde umxholo wayo oshwankathelweyo ngezantsi:

Ngokomgaqo, i-allergen okanye i-anaphylactic reaction inokwenzeka kwiimeko ezinqabileyo kakhulu (Ityala elinye nge-1 ukuya kwisigidi esinye sokugonya) ngayo yonke into lokugonywa (hayi ngokuchasene kuphela COVID-19). Isenokuba sisitofu sokugonya ngokwaso okanye izincedisi/zongezelelo kwisitofu sokugonya esidala ukuchasana nokwaliwa.

Akukho bungqina bokwanda komngcipheko (xa kuthelekiswa noluntu oluqhelekileyo) olunxulunyaniswa COVID-19 ugonyo lwezitofu zokugonya ezivunyiweyo zezigulana ezinezifo zilandelayo kwiqela lezinto eziyingozi / kwi-atopic:

  • I-eczema ye-atopic (neurodermatitis)
  • Urticaria (urticaria) / angioedema
  • I-Rhinoconjunctivitis allergica (hay fever)
  • Isifuba seBronchial asthma (kodwa isifo sombefu kufuneka silawulwe kakuhle ngexesha logonyo)
  • Iipolyps zempumlo
  • Ukutya kokutya (ngakumbi akukho ngxaki kwiiprotein zeqanda ezinkukhu, kuba akukho
    iprotein yeqanda yenkuku kwisitofu seBiontech okanye seModerna)
  • Isifo sobuhlungu besinambuzane
  • Ukunganyamezelani kwePainkiller
  • Ukungabikho komzimba kwi-Antibiotic
  • Nxibelelana nokungavumi komzimba (umz. I-nickel, ivumba elimnandi,

Amaqela ezigulana adweliswe apha awafuni uviwo olulodwa (ulusu okanye uvavanyo lwegazi) phambi kokugonywa.

Covid Iigonya

Nceda uqhagamshelane nogqirha wakho ukuba uye wafumana impendulo enzima kakhulu:

  • ukuya kokunga-COVID 19 ugonyo,
  • amayeza alandelayo (ingakumbi amayeza okuthambisa) okanye iinaliti,
  • emva kweziyobisi kunye ne-mastocytosis eyaziwayo okanye
  • yesizathu esingaziwayo kwixesha elidlulileyo.

Ukunyanga komzimba kwi COVID-19 Amachiza okugonya athetha ukwenzeka ngesiquphe kweempawu zolusu ngokuphefumla okufutshane kunye / okanye ukusabela okujikelezayo, okufuna unyango kwangoko. Kule meko, sicebisa ngaphambi kokucaciswa kokungabikho komzimba (ukuvavanywa kwemeko nganye yi-aleji) ngaphambili COVID-19 ugonyo kunye / okanye ugonyo kumngcipheko owandileyo. Oku kubandakanya ukulandelelwa kwemizuzu engama-30. (Ikhithi engxamisekileyo (incl. Adrenaline pen) kufuneka ibekhona esizeni).

Nceda uqaphele ukuba izithako zezisombululo zokugonya azifumaneki njengovavanyo lwezinto ezaliwa ngumzimba.

Izigulana ezinesimo esingathandabuzekiyo sangaphambili sokungabikho komzimba kwizithako zokugonya okanye kwezokuqala COVID19 ugonyo akufuneki ugonywe.

Phakathi kwezinye, ezi zithako zilandelayo zinokudlala indima:

I-Polyethylene glycol (= i-macrogol)
Tromethamine / trometamol

Nalu olunye ulwazi malunga nonyango oluchanekileyo:

  • Izigulana ezifumana unyango lwezi zifo zingasentla (kubandakanya unyango lwe-antibody ezifana neXolair®, iDupixent®, iNucala®, iFasenra®) inokufumana a COVID-19 isitofu sokugonya. Okwangoku, isincomo sesokuba kubekho malunga neveki enye phakathi konyango kunye nogonyo.
  • Gcina i Ubuncinane besithuba seveki enye Phakathi ukulawulwa kwezinto ezinqamlezileyo uvakalelo-luvo / i-immunotherapy ethile (SCIT) kunye COVID19 ugonyo, njengalo lonke ugonyo. Amava ezonyango ngokubhekisele kugonyo olufanayo (umz., NgeBiontech okanye iyeza lokugonya laseModerna) kunye Unyango lweSLIT ayibhalwanga kwizinto ezininzi ze-allergen immunotherapeutics. Ukwenzela ukwahlula indlela ezinokwenzeka ngayo ngenxa COVID-19 ugonyo oluvela kwiimpendulo ngenxa ye-SLIT, ngokuhambelana namava e-allergological, iingcali zincoma ukumisa i-SLIT ubuncinane iintsuku ezi-1-2 emva COVID-19 ugonyo.
  • Kwimeko yonyango kunye izivikeli mzimba (umz ICiclosporin) kuya kufuneka uthethe nogqirha wakho kwangoko. Kubonakala ngathi awukho umngcipheko othile kolu nyango. Nangona kunjalo, ugonyo lusenokungasebenzi kakuhle.

Jonga zethu COVID-19 Iingxelo kunye nezixhobo ngolwazi oluthe kratya kwilizwe.

Soloko ujonga ulwazi lokugonya kwimithombo ethandwayo FDA, WHO or ema

Umthombo: 1 Worm M et al. I-Anaphylaxie-Risiko bei Covid-19 Impfung - Impfehlungen für das praktische Management. MMW Fortschr Med. 2021 uJan; 163 (1): 48-52; 2 Klimek L okqhubekayo. Iziphumo ezibi kakhulu emva kwexesha COVID-19-Ukuchonywa nge-Pfizer / BioNTech Vaccine e-Great Britain nase-USA Isiteyitimenti Sokuma kwe-Algological Societies AeDA, DGAKI kunye ne-GPA. Ijenali yeAllergo Inter-kuzwelonke 2021; Ngokushicilelwa; 3 UKleine-Tebbe et al. Isifo i-Schwere allergische Reaktionen auf die Covid-19-Impfung - Stellungnahme und praktische Konsequenzen. IAllergologie, uJahrgang 44, uNr. 1/2021, S. 7