Inā he anu kou a he ʻeha paha i loaʻa ka pehu, ke hele ʻoe i ke kauka, hāʻawi lākou iā ʻoe i nā ʻano antibiotic like ʻole, ʻeā? Loaʻa kekahi ma ke ʻano o nā capsules, hoʻoheheʻe ʻia kekahi a lawe ʻia, a hāʻawi ʻia kekahi ma ke ʻano he injections. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi hui kūikawā, ikaika iki o nā antibiotics. Ua kapa ʻia kēia mau mea he lincosamides. ʻAʻole paha ʻoe i lohe i kēia inoa, akā ua kuhikuhi paha ke kauka i kekahi o kēia mau ʻano lāʻau lapaʻau nāu.
I ka ʻōlelo maʻalahi, he aha kēia mau lincosamides?
He papa lāʻau antibiotic nā Lincosamides, a i ʻole e like me kā mākou e kapa nei iā lākou, he antibiotics. E noʻonoʻo iā lākou he papa lāʻau ʻē aʻe, e like me ka penicillin. Hoʻohana ʻia lākou e mālama i
nā maʻi i hoʻokumu ʻia e ka bacteria . E hoʻomanaʻo, ʻaʻole pono lākou no
ke anu a me ka maʻi flu, i hoʻokumu ʻia e nā virus. Aia kekahi mau ʻano lincosamides e hoʻohana ʻia nei i kēia manawa.
- Clindamycin: ʻO kēia ka lincosamide i hoʻohana nui ʻia i waena o mākou. Paipai nā kauka iā ia no nā mea he nui, me nā maʻi ʻili , ka ʻākena, a me nā pilikia gynecological .
- Lincomycin: ʻOiai ua hoʻohana ʻia i ka wā ma mua, ʻaʻole i hoʻohana pinepine ʻia i kēia manawa.
- Pirlimycin: ʻAʻole hāʻawi ʻia kēia i nā kānaka, akā hoʻohana ʻia i ka lāʻau lapaʻau holoholona e mālama i nā holoholona.
Pehea e hoʻokomo ʻia ai kēia lāʻau i loko o ke kino?
ʻOkoʻa ke ʻano o kāu hāʻawi ʻana i kēia lāʻau lapaʻau ma muli o kou kūlana olakino. Hiki iā ʻoe ke hoʻohana i kēlā me kēia ma ko lākou ala ponoʻī.
| ʻAno hana i hoʻohana ʻia | He wehewehe maʻalahi |
|---|
| Waha | E lawe i loko o ke ʻano he capsules, papa, a i ʻole wai. |
| Ma ke ʻano kūloko | Ke kau ʻana i ka kirīmi, gel, a wai paha ma ka ʻili (e.g., no ka ʻākena). |
| Ma loko o nā ʻiʻo | He inikini i loko o ka poʻohiwi a i ʻole ka puʻupuʻu. |
| Ma ke ʻano intravenous (IV) | Hoʻokomo ʻia i loko o ke koko. Hoʻohana ʻia kēia ʻano hana i nā hihia o nā maʻi koʻikoʻi. |
| Hoʻokomo ʻia i loko o ka vagina (Intravaginally) | Hoʻohana ʻia e like me ka kirīmi a i ʻole ka pila no nā maʻi ʻōpū. |
He aha nā ʻano maʻi i mālama ʻia me nā lincosamides?
ʻO kēia papa o nā lāʻau lapaʻau e kuhikuhi pono ana i ʻelua ʻano bacteria. 1.
Nā bacteria Gram-positive: E noʻonoʻo e like me ka "Gram stain". He hui kēia o nā bacteria e hoʻoluʻu i ka polū/poni a he paia cell kūikawā ko lākou. 2.
Nā bacteria Anaerobic: He mea kūikawā loa kēia. No ka mea hiki iā lākou ke ola a ulu
a hiki i nā wahi i nele ai ka oxygen . No ka laʻana, hiki ke loaʻa iā lākou i loko o nā ʻeha hohonu, a puni nā ʻāʻī, a hohonu i loko o ka ʻōpū. No kēia kumu, paipai pinepine nā kauka i kēia ʻano lāʻau lapaʻau no nā kūlana e like me:
- Nā maʻi ʻili a me nā ʻiʻo palupalu: No nā maʻi ʻili e like me nā abscesses a me ka cellulitis.
- Nā maʻi MRSA: ʻO ka 'Methicillin-resistant Staphylococcus aureus (MRSA)' he bacteria koʻikoʻi ia i kūʻē i nā antibiotics he nui. Hoʻohana pinepine ʻia nā Lincosamides e mālama iā ia.
- Nā maʻi waha a me nā niho: Nā maʻi koʻikoʻi o nā ʻāʻī a me nā aʻa o nā niho.
- Nā maʻi gynecological: No nā mea e like me ka maʻi mumū pelvic (PID).
- ʻŌpū o ka māmā: He ʻano e hana ʻia ai nā puʻu e like me ka pus i loko o nā māmā.
- Nā maʻi koko: Nā kūlana koʻikoʻi i hoʻokumu ʻia e nā germs e komo ana i ke koko, e like me ka septicemia.
- ʻAkeka koʻikoʻi: No nā kūlana ʻakeka koʻikoʻi i pane ʻole i nā lāʻau maʻamau.
- Nā ʻeha hohonu o ka ʻōpū: E hoʻōki i ka laha ʻana o ka maʻi i nā hihia o nā ʻeha o ka ʻōpū, e like me nā ʻeha hou.
- No nā poʻe i loaʻa i ka maʻi HIV me ka maʻi pneumonia a me ka maʻi valve puʻuwaiHoʻohana ʻia kēia mau mea e pale aku i ka endocarditis.
ʻO ka mea nui loa, ʻo ia ka hoʻohana ʻia ʻana o kēia lāʻau lapaʻau no nā maʻi paʻakikī a koʻikoʻi hoʻi i pane ʻole i nā lāʻau antibiotic maʻalahi ʻē aʻe.
Pehea e hana ai kēia lāʻau lapaʻau?
He mea maʻalahi loa ia. I mea e ulu ai a laha ai nā bacteria, pono lākou e hana i nā protein. ʻO ka hana a nā lincosamides
, ʻo ia ke kāohi i ka bacteria mai ka hana ʻana i kēia mau protein . Ua like ia me ka wehe ʻana i ka sima i ke kūkulu ʻana i hale. Ke hiki ʻole i nā bacteria ke hana i nā protein, ʻaʻole hiki iā lākou ke ulu, a i kekahi manawa make lākou. No laila, hiki i kēia lāʻau lapaʻau ke kāohi i ka ulu ʻana o nā bacteria (bacteriostatic) a me ka hiki ke luku loa i nā bacteria (bactericidal).
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau a pau, hiki i nā lincosamides ke hana i nā hopena ʻaoʻao, a ʻo nā pilikia o ka ʻōpū ka mea maʻamau.
Nā hopena ʻaoʻao maʻamau Nā hōʻailona koʻikoʻi e pono e hōʻike koke ʻia i ke kauka
| ʻAno o ka hopena ʻaoʻao | Nā ʻano |
|---|
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻEha ka ʻōpū, ka nausea a me ka luaʻi ʻana, ka diarrhea (ka pehu ʻana). |
| Nā maʻi liʻiliʻi ʻē aʻe | Pōniuniu , luhi, kahe ʻana o ke kino wahine a i ʻole ka maneʻo. |
| Ka maʻi pākī nui | Ka maʻi kahe koko a nui paha. |
| Ka paʻakikī o ka hanu ʻana (Dyspnea) | Ka pōkole o ka hanu a i ʻole ka manaʻo o ka ʻūmiʻi ma ka umauma. |
| ʻŌhū ʻili | He ʻulaʻula, pehu, a i ʻole ka maneʻo e pālahalaha ana ma ke kino holoʻokoʻa. |
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Ke ʻano o ka paʻa a i ʻole ka ʻeha ma ka puʻu i ka wā e moni ai i ka meaʻai a mea inu paha. |
| ʻĀʻī | Melemele o nā maka a me ka ʻili. |
Aia kekahi mau pilikia koʻikoʻi?
ʻAe, ʻoiai he mea kakaikahi, aia kekahi mau pilikia koʻikoʻi e hiki ke hana me kēia lāʻau lapaʻau. He mea nui loa ia e makaʻala i kēia mau mea.
- ʻO ka colitis pseudomembranous: ʻO kēia ke kūlana koʻikoʻi loa e pili ana me nā lincosamides. Hoʻopau kēia lāʻau lapaʻau i nā bacteria maikaʻi i loko o nā ʻōpū a ʻae i ka ulu ʻana o kahi bacteria ʻino i kapa ʻia ʻo Clostridium difficile. Hiki i kēia ke hana i ka maʻi kahe koko nui, ke kuni, a me ka ʻeha ʻōpū.
- Anaphylaxis: He hopena maʻi ʻino nui e hiki ke hoʻoweliweli i ke ola.
- ʻO ka maʻi Stevens-Johnson (SJS): He hopena ʻili koʻikoʻi loa kēia, a he mea hoʻoweliweli hoʻi i ke ola. Pupū ka ʻili a ʻili, me he mea lā ua puhi ʻia.
- Ka hōʻino ʻana o ke akepaʻa a i ʻole nā puʻupaʻa.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona koʻikoʻi, e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a e ʻike koke i kāu kauka . Inā pono, mai kānalua e hele i ka Emergency Department (ETU).
Nā mea e hoʻomanaʻo ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau
- Nā makuahine hāpai a me nā makuahine hānai: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, pono ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau.
- Nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi o ke akepaʻa, nā puʻupaʻa, a i ʻole nā maʻi ʻōpū (e like me ka maʻi ʻo Crohn ), e hoʻomaopopo i kāu kauka e pili ana i kēlā.
- Nā lāʻau lapaʻau ʻē aʻe: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau antibiotic ʻē aʻe. Hiki i kekahi mau lāʻau lapaʻau ke launa pū kekahi me kekahi.
- Ka nui o ka lāʻau: E lawe i ka lāʻau e like me ke kuhikuhi a kāu kauka, no ka manawa piha. Mai ho'ōki i ka lawe ʻana i ka lāʻau no ka mea ua emi iho kou mau hōʻailona. ʻO ka hana ʻana pēlā e hoʻi hou mai ai ka maʻi.
- ʻO ka maʻi diabetes a me ke kō koko: Ua hōʻike kekahi mau noiʻi aia paha kahi pilina ma waena o ka hoʻohana ʻana i ka lincosamide a me ka pilikia o ka maʻi diabetes. Eia naʻe, ʻaʻole i pau kēia. Inā loaʻa iā ʻoe ka maʻi diabetes, e kamaʻilio pū me kāu kauka e pili ana i kēia.
Leka Lawe-Home
- ʻO Lincosamides kahi papa o nā lāʻau antibiotic ikaika i hoʻohana ʻia e mālama i nā maʻi maʻi bacteria koʻikoʻi i kūʻē i nā lāʻau lapaʻau maʻamau.
- He mea nui e lawe i ka nui i kuhikuhi ʻia no ka manawa i kuhikuhi ʻia e like me ke kuhikuhi a kāu kauka. E hoʻopau i ka papa o ka lāʻau lapaʻau ʻoiai inā e emi ana kou mau hōʻailona.
- Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me ka ʻeha ʻōpū a me ka maʻi kahe. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka maʻi kahe koko, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻulaʻula nui o ka ʻili, e ʻike koke i ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei a me nā pilikia olakino ʻē aʻe āu e loaʻa ai (ʻoiai ke akepaʻa, nā puʻupaʻa, a i ʻole nā pilikia ʻōpū) ma mua o ke kau ʻana i ka lāʻau.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi kanaka ʻē aʻe a hoʻohana paha i kekahi lāʻau lapaʻau i koe. E hoʻohana mau ia e like me ke kuhikuhi a kāu kauka.
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