Nthawi zina, matenda a bakiteriya omwe timapeza amatha kukhala oopsa kwambiri kotero kuti maantibayotiki wamba sangathe kuwaletsa. Izi ndi zoona makamaka kwa odwala omwe ali m'chipatala. Pazochitika zotere, Colistin ndi mankhwala amphamvu kwambiri, apadera omwe madokotala amagwiritsa ntchito poletsa matenda oopsa kwambiri a bakiteriya omwe sayankha maantibayotiki ena. Chifukwa chake lero, tiyeni tiphunzire zambiri za katemera wa Colistin (womwe umadziwikanso kuti Colistimethate kapena Polymyxin E).
Kodi Colistin ndi mankhwala otani?
Mwachidule, Colistin ndi mankhwala opha tizilombo omwe ali m'gulu la polymyxin. Ntchito yake yayikulu ndikuwononga mabakiteriya owopsa omwe alowa m'thupi.
Chofunika kwambiri kukumbukira ndichakuti mankhwalawa amaperekedwa kokha pa matenda a bakiteriya. Sachiritsa matenda opatsirana ndi mavairasi monga chimfine, chimfine, ndi chifuwa.
Ichi chili ngati chida chapadera komanso champhamvu chomwe chimagwiritsidwa ntchito polimbana ndi mdani chomwe sichingathe kulamulidwa ndi zida wamba. Ndicho chifukwa chake ichi si mankhwala omwe amagwiritsidwa ntchito nthawi zonse.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Ngati dokotala wanu asankha kukupatsani katemera wa Colistin kapena wina m'banja mwanu, kuti mukhale otetezeka, muyenera kuuza dokotalayo izi: Musabise izi, chifukwa zingakhale zoopsa pa thanzi lanu.
- Matenda a impso: Ngati muli ndi matenda a impso omwe mudadwalapo kale, onetsetsani kuti mwauza dokotala wanu za matendawa. Izi ndizofunikira kwambiri chifukwa Colistin imatha kukhudza impso.
- Matenda a m'mapapo: Ngati muli ndi matenda opuma monga mphumu.
- Myasthenia Gravis: Ili ndi vuto lomwe limayambitsa kufooka kwa minofu. Ngati muli ndi matendawa, muyenera kuuza dokotala wanu.
- Matenda a ziwengo: Ngati muli ndi vuto la ziwengo ku Colistin, Polymyxin B, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati, kapena mukuyembekezera kutenga mimba posachedwa.
- Kuyamwitsa: Ngati ndinu mayi woyamwitsa.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Izi sizili ngati piritsi lomwe nthawi zambiri mumatenga kunyumba. Colistin ndi jakisoni .
Izi nthawi zambiri zimaperekedwa kuchipatala kapena ku chipatala ndi dokotala kapena namwino wophunzitsidwa bwino. Ndi jakisoni yomwe imaperekedwa mu minofu kapena mwachindunji mumtsempha .
Ngati nthawi zina mungafunike kupitiriza chithandizochi kunyumba mutatuluka kuchipatala, chipatala chidzakupatsani maphunziro ofunikira. Ngati izi zitachitika, muyenera kumwa mankhwalawo monga momwe mwalangizidwira, panthawi yoyenera, komanso mu mlingo woyenera. Musasiye kumwa mankhwalawo kapena kudumpha mlingo chifukwa choti mukumva bwino. Imwani mankhwala onse kwa masiku omwe dokotala wanu wakupatsani.
Ngati mugwiritsa ntchito katemera kunyumba...
Ngati mukufuna kulandira katemerayu kunyumba, musataye ma syringe ndi singano zomwe mwagwiritsa ntchito kale m'zinyalala. Zitha kukhala zoopsa kwa ena. Ziyenera kutayidwa m'chidebe chapadera (chidebe cha sharps). Ngati mulibe, funsani dokotala wanu momwe mungapezere katemerayu.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, Colistin ingayambitse mavuto ena mwa anthu ena. Zina mwa izi ndi zinthu zomwe zimafunika chisamaliro chachangu. Tiyeni tiphunzire zambiri za izo mu tebulo ili m'munsimu.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Ngati zizindikirozi zichitika, dziwitsani dokotala wanu nthawi yomweyo. | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Izi ndi zadzidzidzi. |
| Kuvuta kupuma | Ngati mukuvutika kupuma kapena mukumva kutopa. |
| Zotsatira pa impso | Kuvuta kukodza, kuchepa kapena kuwonjezeka kwa mkodzo, kusintha mtundu wa mkodzo. |
| Zotsatira pa dongosolo lamanjenje | Kusokonezeka, chizungulire chachikulu, kulephera kukhazikika bwino, dzanzi m'miyendo kapena mozungulira pakamwa, kuvutika kulankhula. |
| Kutsegula m'mimba kwambiri | Kutsegula m'mimba kwa madzi kapena magazi. |
| Malungo | Kuyamba kwatsopano kwa malungo kuwonjezera pa matenda. |
| Ngati zizindikiro izi zikupitirira kapena zikukuvutitsani, dziwitsani dokotala wanu. | |
| Nkhawa | Kumva kusakhazikika kwachilendo m'maganizo. |
| Kutopa | Kumva kutopa kwambiri komanso kutopa kuposa masiku onse. |
Ndi chiyani chinanso chomwe muyenera kuda nkhawa nacho?
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena kuzungulire . Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Kuti muchepetse chiopsezo cha chizungulire ndi kugwa, makamaka ngati ndinu okalamba, imwani pang'onopang'ono mukamadzuka pamalo okhala komanso pamalo okhala.
- Mankhwala ena: Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Makamaka maantibayotiki ena monga Amikacin, Gentamicin, ndi mankhwala omwe amaperekedwa kuti apumule minofu musanachite opaleshoni amatha kusokonezana ndi Colistin.
- Kutsegula m'mimba: Ngati muli ndi vuto la kutsegula m'mimba, musayese kudzichiza nokha ndi mankhwala ogulitsidwa kunja kwa ofesi. Ngati muli ndi vuto la kutsegula m'mimba kwa masiku opitilira awiri , kapena ngati ndi lalikulu komanso lodzaza ndi madzi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati mwamwa mopitirira muyeso: Ngati mukuganiza kuti mwamwa mopitirira muyeso womwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Colistin ndi katemera wamphamvu kwambiri wogwiritsidwa ntchito kokha pa matenda oopsa a bakiteriya omwe sagonjetsedwa ndi maantibayotiki wamba.
- Musanayambe kulandira chithandizo, uzani dokotala wanu za matenda anu onse (makamaka matenda a impso) ndi mankhwala onse omwe mukumwa.
- Imwani mankhwala onse omwe dokotala wanu wakupatsani popanda kuphonya mlingo umodzi.
- Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro monga kupuma movutikira, kusintha kwa kukodza, chizungulire chachikulu, kapena zotsatirapo zoopsa za ziwengo.
- Pewani kuyendetsa galimoto ndi zochita zomwe zimafuna kusamala mukamamwa mankhwalawa, chifukwa kugona kungachitike.
- Ngati muli ndi nkhawa kapena kukayikira kulikonse, kambiranani ndi dokotala wanu.
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