Nthawi zina timafunikira mankhwala amphamvu kuposa mapiritsi wamba kuti tichepetse matenda akuluakulu a bakiteriya. Ngati dokotala wanu wakupatsani jakisoni wotchedwa Amikacin, zikutanthauza kuti mwina muli ndi matenda oopsa a bakiteriya. Musachite mantha mukamva dzinali. Amikacin ndi mankhwala opha tizilombo ofunika kwambiri komanso amphamvu omwe amagwiritsidwa ntchito pochiza matenda otere. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa, momwe amagwirira ntchito, zomwe tiyenera kusamala nazo, komanso zotsatira zake zomwe zingachitike.
Kodi Amikacin ndi chiyani kwenikweni?
Mwachidule, Amikacin ndi mankhwala amphamvu kwambiri omwe ali m'gulu la aminoglycoside. Ntchito yake yayikulu ndikuwononga mabakiteriya oopsa kwambiri omwe angalowe m'matupi athu ndikuyambitsa matenda. Mankhwalawa amaperekedwa mwachindunji mumtsempha (mkati mwa venous) kapena mu minofu (mkati mwa minofu). Kenako, mankhwalawa amalowa mwachangu m'magazi ndikupita kumalo komwe kachilomboka kamapezeka ndipo amayamba kugwira ntchito.
Chinthu chimodzi chofunikira kukumbukira: Mankhwalawa amagwira ntchito kokha pa matenda a bakiteriya. Sachiritsa matenda opatsirana ndi mavairasi monga chimfine ndi fuluwenza. Choncho musaganize ngakhale pang'ono za kugwiritsa ntchito mankhwalawa popanda chilolezo cha dokotala.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Kuti mukhale otetezeka komanso kuti chithandizo chanu chikhale chopambana, ndikofunikira kuti muuze dokotala wanu mbiri yanu yonse yachipatala musanagwiritse ntchito Amikacin. Makamaka ngati muli ndi vuto lililonse mwa izi.
- Kusowa madzi m'thupi: Ngati mukumva kuti mwasowa madzi m'thupi chifukwa cha kusanza kapena kutsegula m'mimba kumene.
- Mavuto akumva: Ngati muli ndi vuto la kumva kapena vuto monga kulira kosalekeza m'makutu mwanu.
- Matenda a impso: Ngati muli ndi vuto la impso lomwe munali nalo kale.
- Matenda a mitsempha: Ngati muli ndi matenda a mitsempha monga myasthenia gravis kapena matenda a Parkinson.
- Matenda a ziwengo: Ngati mudadwalapo kale matenda a ziwengo ku Amikacin, maantibayotiki ena (makamaka gentamicin, tobramycin), sulfites, zakudya, mitundu yopangira, kapena zotetezera.
- Mimba ndi kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa.
Momwe mungagwiritsire ntchito mankhwalawa ndi zomwe muyenera kusamala nazo
Mankhwalawa nthawi zambiri amaperekedwa kwa inu ndi katswiri wa zaumoyo kuchipatala kapena ku chipatala. Komabe, nthawi zina, ngati mukufuna kupitiriza kulandira chithandizo kunyumba, mudzaphunzitsidwa momwe mungadzipatsire mankhwala awa. Ngati izi zitachitika, kumbukirani izi:
- Gwiritsani ntchito moyenera: Gwiritsani ntchito mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera. Musachepetse, kuonjezera, kapena kulumpha mlingo.
- Ngati mwaphonya mlingo: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
- Kutaya singano ndi ma syringe: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Zitha kukhala zoopsa kwa ena. Ziyenera kuyikidwa mu chidebe chapadera chapulasitiki chokhuthala (chidebe chosongola) chomwe chilipo. Ngati mulibe, funsani dokotala wanu momwe mungapezere imodzi.
- Kuchuluka kwa mankhwala: Ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena, pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Ngati mupatsa ana mankhwalawa...
Ngati mukupereka mankhwalawa kwa ana, chisamaliro chapadera chikufunika. Chifukwa chake, onetsetsani kuti mwalankhula ndi dokotala wa ana ndikutsatira malangizo ake.
Mankhwala ena omwe angagwirizane ndi Amikacin
Mankhwala ena omwe mukumwa angagwirizane ndi mankhwalawa ndipo angayambitse zotsatira zosafunikira. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Mtundu wa mankhwala | Zinthu zoti muganizire |
|---|---|
| Cidofovir | Amikacin sayenera kumwedwa ndi mankhwalawa. |
| Mankhwala ena omwe angakhudze impso | Amphotericin B, Cisplatin, Colistin, Bacitracin, ndi maantibayotiki ena. |
| Diuretics - mankhwala omwe amawonjezera kukodza | Zitsanzo: Furosemide, Ethacrynic acid. Izi zitha kuwonjezera zotsatira zoyipa za Amikacin (makamaka m'makutu ndi impso). |
| Mapiritsi oletsa kubereka | Popeza Amikacin imatha kuchepetsa mphamvu ya mapiritsi oletsa kubereka, kambiranani ndi dokotala wanu pogwiritsa ntchito njira ina yolerera kubereka. |
Mndandandawu si wokwanira. Uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa. Komanso, khalani oona mtima ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo.
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena onse, Amikacin ingayambitse zotsatirapo zina. Ngakhale zambiri mwa izi ndi zazing'ono, pali zinthu zina zomwe tiyenera kuzidziwa bwino.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo kapena lilime, kuvutika kupuma. Izi ndi zadzidzidzi. |
| Zotsatira pa makutu | Kutaya kumva, kulira m'makutu. Uzani dokotala wanu nthawi yomweyo. |
| Zotsatira pa impso | Kuchepa kwa mkodzo, kutupa kwa miyendo kapena akakolo. Uzani dokotala wanu nthawi yomweyo. |
| Zotsatira pa dongosolo lamanjenje | Chizungulire, kulephera kukhazikika bwino, dzanzi m'miyendo, kunjenjemera kwa minofu kapena kufooka. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu waukulu ukhoza kuchitika. |
| Kusanza ndi kusanza | Zitha kuchitika mutadya. |
| Ululu pamalo obayira jakisoni | Pakhoza kukhala kupweteka, kufiira, kapena kutupa pamalo omwe jakisoniyo adayikidwa. |
Uthenga Wopita Nawo Kunyumba
- Amikacin ndi mankhwala amphamvu opha tizilombo omwe amagwiritsidwa ntchito pochiza matenda akuluakulu a bakiteriya . Sagwira ntchito polimbana ndi matenda opatsirana monga chimfine.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse (makamaka mavuto a impso ndi kumva) komanso ziwengo.
- Imwani mlingo womwe mwapatsidwa monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musadumphe kapena kuwirikiza kawiri mlingo.
- Ngati mukukumana ndi mavuto aakulu, monga kumva kutopa, kuchepa kwa mkodzo, kapena kulephera kukhazikika bwino, dziwitsani dokotala wanu nthawi yomweyo.
- Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati mukuganiza kuti mwamwa mankhwala owonjezera , imbani National Poison Information Center nthawi yomweyo.Kapena pitani ku ETU kuchipatala chapafupi.
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