
pensyloic aamlam

pensylloic aamlam anedi pensilinla nundi lactum ring yokka hydrolytic opening dwara (beata-lactamase charya dwara) pondina aneka aamlalalo edainaa.
pensilinla yokka athi sunnitatvam atyanta mukhyamaina pratikuula prabhavam. pencillin hypersensitivity yokka pradhana antigenic determinant daani metabolite, pensylloic aamlam, idhi proteinlatho pratispandistundi mariyu roganirodhaka pratispandananu kaliginchadaaniki haptonga panichestundi. 
sumaru aidu saatam mandhi rogulaku maculopular daddurlu (ampicillin hypersensitivitytho kanipinche atyanta saadhaarana daddurlu) nundi angiodema (pedavulu, naaluka mariyu periorbital praantam yokka gurtinchadagina vaapu) mariyu anaphyloxis varaku oka rakamaina praticharya untundi. ampicillin thoo chikitsa pondina mononucleosis rogulalo, maculopular daddurlu 100 saatam varaku chaerutaayi. 
β-lactum antibioticslo cross-allergy praticharyalu sambhavistaayi. allergy gurtinchinappudu β-lactamtho chikitsa surakshitamgaa undho ledho nirnayinchadaaniki, munupati praticharya teevrataku sambandhinchi roogi charitra avasaram.

