Dɔgɔtɔrɔ bɛ penisilini fura min sɛbɛn, yala an ka kan k’o dɔn tigitigi wa?

N’a sɔrɔ farigan, tulolabana, walima dawolodimi donna aw la ka taa dɔgɔtɔrɔso la ka fura suguya dɔ di aw ma min ye ‘penisilini’ ye. N’a sɔrɔ fura in fana dira aw den ma. O la, nin ‘penisilini’ in ye mun ye, an ka jamana mɔgɔ caman bɛ min kɛ? A bɛ mun kɛ an farikolo la tiɲɛ na? An ka kuma o bɛɛ kan ni kuma nɔgɔmanw ye bi.

Penisilini ye fura suguya jumɛn ye?

N’an y’a fɔ cogo nɔgɔman na, penisilini ye fura suguya dɔ ye min bɛ wele ko banakisɛfagalanw . Banakisɛfagalanw ye fura suguya dɔ ye min bɛ banakisɛw kɛlɛ ani ka u tiɲɛ , banakisɛ minnu donna an fari la. Miiri banakisɛw la i n’a fɔ jugu kɛlɛbolo min donna an farikolo la. Penisilini bɛ i n’a fɔ an ka kɛlɛbolo min bɛ bin o jugu kɛlɛbolo kan.

Fura suguya wɛrɛw bɛ yen minnu bɛ nin kulu in na minnu bɛ wele ko penisilini. A ka ca a la, u bɛɛ bɛ wele ko ‘penisilini’. Ninnu ye banakisɛfagalanw kuluba dɔ ye min bɛ wele ko `beta-lactams'.

An bɛ fura in sɔrɔ cogo caman na.

• Da kɔnɔ : An ka teli ka furakisɛ walima siro minnu kɛ so kɔnɔ.
• Jolisira fɛ (IV) : Fura min bɛ di jolisira la ka ɲɛ dɔgɔtɔrɔ walima dɔgɔtɔrɔso baarakɛla fɛ dɔgɔtɔrɔso walima dɔgɔtɔrɔso la.

Penisilini bɛ kɛ bana jumɛnw na?

Dɔgɔtɔrɔw bɛ penisilini di bana suguya caman ma minnu bɛ sɔrɔ banakisɛw fɛ. N’a sɔrɔ aw ye nin bana in mɛn ka kɔrɔ. An k’a lajɛ o ye min ye.

Yala penisilini suguya dɔw bɛ yen wa?

Ɔwɔ, penisilini suguya kunbaba damadɔ bɛ yen. O tilali bɛ Kɛ ka da u dilacogo kan ani u bɛ Se ka banakisɛ suguya minnu Fàga.

1. Penisilini nafamaw

Olu tɛ hadamadenw ka fɛn dilannenw ye. U Sɔrɔla fɔlɔ nɔgɔ sugu dɔ la min bɛ Sɔrɔ sigida la. Dɔnniyakɛlaw bɛ penisilini dɔrɔn de bɔ o nɔgɔ la ka furaw dilan. Penisilini G (min bɛ di jolisira fɛ) ani Penisilini V (min bɛ ta da la) ye o suguya misaliw ye.

2. Penisilini minnu bɛ kɛ ni fɛn dilannenw ye, olu tilancɛ

Olu bɛ dilan ni penisilini nafama tali ye k’a sɛmɛntiya laboratuwari kɔnɔ walasa a ka barika sɔrɔ ani ka se ka banakisɛ suguya caman kɛlɛ. Sugu fitinin wɛrɛw fana bɛ yen:

• Aminopenisiliniw : Olu de lakodɔnnen don kosɛbɛ an cɛma. n' a sɔrɔ aw ye Amɔkisisilini ni Anpisilini ko mɛn . Dɔgɔtɔrɔw bɛ ninnu sɛbɛn bana caman na minnu ka teli ka sɔrɔ, i n’a fɔ tulolabanaw ani sugunɛbana.
• Penisilini minnu bɛ se ka penisilini (penicilline) kɛlɛ : Banakisɛ dɔw bɛ anzimu dɔ (penisilinazi) dilan min bɛ penisilini tiɲɛ. Nin suguya in dabɔra walasa o anzimu kana a tiɲɛ. Fura minnu bɛ i n’a fɔ `Nafcillin` ani `oxacillin`, olu bɛ nin kulu in na.
• Penisilini minnu bɛ kɛ ka caya : Olu bɛ kɛ ka banakisɛ jugumanw furakɛ minnu furakɛli ka gɛlɛn. `Piperacillin` ye o fura sugu dɔ ye.

3. Penisilini faralen ɲɔgɔn kan

Tuma dɔw la, penisilini ni fura wɛrɛ faralen don ɲɔgɔn kan. O bɛ kɛ barisa banakisɛ dɔw bɛ u yɛrɛ tanga penisilini ma. Fura tɔ bɛ fara a kan walasa k’o lafasali fɛɛrɛw tiɲɛ. A bɛ se ka kɛ fura dɔ dira aw ma min tɔgɔ ye ko Augmentin® (amokisisilini ni asidi klavulaniki faralen ɲɔgɔn kan). Fura faralen ɲɔgɔn kan.

Nin fura in bɛ baara kɛ cogo di farikolo kɔnɔ?

A ka nɔgɔn kosɛbɛ. Penisilini bɛ taa ɲɛfɛ ka taa banakisɛw ka selilɛri kogo la ka nɔrɔ a la. Miiri banakisɛw la i n’a fɔ so min lamininen don ni kogow ye. Penisilini bɛ min kɛ, o ye ka o kogo tiɲɛ. I n’a fɔ fɛn o fɛn bɛ se ka don so kɔnɔ cogo min na ni kogo karilen don, ni selilɛri kogo tiɲɛna, banakisɛ tɛ se ka balo, wa a bɛ tiɲɛ.

Nka gɛlɛya fitinin dɔ bɛ yan. Waati tɛmɛnen kɔfɛ, banakisɛ dɔw y’a dege ka nin penisilini binkanni in kunbɛn. O kɔrɔ ye k’u ye fɛɛrɛw Sɔrɔ k’u Bɔ a la ni fura nana. an b' o wele ko banakisɛfagalanw tali . Nin ye kɛnɛyako gɛlɛyaba ye. Banakisɛ suguya dɔw, i n’a fɔ `MRSA`, olu bɛ se ka penisilini suguya caman kɛlɛ, o b’a to o banakisɛw furakɛli ka gɛlɛn kosɛbɛ.

Penisilini kɔlɔlɔ jumɛnw bɛ se ka sɔrɔ?

I n’a fɔ fura tɔw bɛɛ, penisilini bɛ se ka kɔlɔlɔ misɛnniw lase mɔgɔ ma. Nka, bɛɛ t’u sɔrɔ. Minnu ka ca kosɛbɛ olu ye:

• Fɔɔnɔnege
• Fɔɔnɔ bɛ kɛ
• Kɔnɔboli
• Fari kurukuruniw
• Yɛlɛma don dumuni duman walima a kasa la
• Kunkolodimi

A ka ca a la, o kɔlɔlɔ ninnu tɛ juguya. Fura tali ni dumuni ye, o bɛ se ka dɔ bɔ fɛnw na i n’a fɔ kɔnɔboli. Nka ni a kɔlɔlɔw bɛ aw tɔɔrɔ, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ .

Farati jumɛnw ka kan ka an janto kɛrɛnkɛrɛnnenya la?

Fɛn saba bɛ yen an ka kan ka an janto minnu na kɛrɛnkɛrɛnnenya la ni an bɛ penisilini ta.

1. Farikoloɲɛnajɛ minnu bɛ mɔgɔ la

O de ye faratiba ye. Hali ni mɔgɔ caman b’a fɔ k’u fari tɛ sɔn penisilini ma, mɔgɔ damadɔ dɔrɔn de bɛ faritanabana sugu sɔrɔ tiɲɛ na. Nka ni faritanabana bɛ aw la, o bɛ se ka kɛ farati ye. Ni aw ye bana taamasiɲɛw ye i n’a fɔ fɔɔnɔ, ninakili gɛlɛya, kurukuru min bɛ jɛnsɛn aw fari fan bɛɛ la, ani ɲɛda fununi , o bɛ se ka kɛ faritanabana jugumanba taamasiɲɛ ye. O cogo la, aw bɛ taa dɔgɔtɔrɔso la joona dɔgɔtɔrɔso la min ka surun aw la (ETU).

2. C. diff banakisɛ sɔrɔli

O bɛ se ka kɛ i n’a fɔ a bɛ mɔgɔ kabakoya dɔɔnin. Ni an bɛ banakisɛfagalanw ta, banakisɛ ɲuman minnu bɛ an banakɔtaa la, olu fana bɛ se ka sa. O bɛ kɛ sababu ye banakisɛ jugu dɔ ka bonya min bɛ wele ko Clostridium difficile (C. diff) ka bɔ a nɔ na. O bɛ se ka kɔnɔboli jugumanba bila mɔgɔ la, kɔnɔdimi jugumanba, ani sumaya . O fana ye bana juguba ye. Ni kɔnɔboli jugumanba bɛ aw la ka aw to banakisɛfagalanw tali la, aw bɛ taa dɔgɔtɔrɔso la joona.

3. Banakisɛfagalanw tali

I n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, nin ye gɛlɛyaba ye. Ni an ye banakisɛfagalanw ta k’a sɔrɔ u mago tɛ u la (misali la, banakisɛfagalanw tali kama), walima ni an ye fura tali dabila sani dɔgɔtɔrɔ ka a fɔ, banakisɛw bɛ se ka fura in kunbɛn.

Waati jumɛnw de ka fisa ka taa dɔgɔtɔrɔso la?

A nafa ka bon kosɛbɛ ka dɔgɔtɔrɔ ladɔnniya walima ka taa a fɛ nin ko ninnu na.