Kaya mukudwala chimfine kapena bala lomwe lili ndi kachilomboka, mwina dokotala wanu wakupatsani mankhwala opha majeremusi. Mankhwalawa amabwera m'njira zosiyanasiyana—mapiritsi, madzi a m'madzi, kapena jakisoni. Lero, tikufuna kukambirana nanu za gulu la mankhwala amphamvu otchedwa Lincosamides. Mwina simungadziwe dzina lake, koma pali mwayi waukulu kuti inu kapena wokondedwa wanu mwapatsidwa mankhwala kuchokera ku gululi nthawi ina.
Mwachidule, kodi ma Lincosamides ndi chiyani?
Ma Lincosamides ndi gulu lapadera la maantibayotiki. Taganizirani za iwo ngati Penicillin—gulu lapadera la mankhwala omwe adapangidwa makamaka kuti athetse matenda a bakiteriya . Ndikofunikira kukumbukira kuti awa sagwira ntchito polimbana ndi mavairasi, zomwe zikutanthauza kuti sachiza matenda monga chimfine kapena chimfine.
Pali mitundu ingapo yofunika kwambiri ya ma lincosamides omwe amagwiritsidwa ntchito mu mankhwala amakono:
- Clindamycin: Iyi ndi Lincosamide yomwe imagwiritsidwa ntchito kwambiri. Madokotala nthawi zambiri amalemba mankhwalawa pa matenda a pakhungu , ziphuphu, ndi mavuto osiyanasiyana azaumoyo .
- Lincomycin: Ikagwiritsidwa ntchito kwambiri, tsopano sapatsidwa mankhwala pafupipafupi.
- Pirlimycin: Iyi sigwiritsidwa ntchito kwa anthu; imasungidwa kuti igwiritsidwe ntchito ngati mankhwala a ziweto pochiza ziweto.
Kodi mankhwala awa amaperekedwa bwanji?
Kutengera ndi matenda anu enieni, dokotala wanu adzasankha njira yabwino kwambiri yoperekera mankhwalawo.
| Njira | Kufotokozera |
|---|---|
| Pakamwa | Amatengedwa ngati makapisozi, mapiritsi, kapena madzi osungunuka. |
| Zapamwamba | Amapaka pakhungu ngati kirimu, gel, kapena lotion (monga ziphuphu). |
| Minofu ya m'mimba | Amabayidwa mwachindunji mu minofu, monga phewa kapena gluteal. |
| Kulowetsedwa m'mitsempha (IV) | Amaperekedwa mwachindunji m'magazi. Izi zimasungidwa ku matenda oopsa. |
| Kulowa m'mimba mwa akazi | Amayikidwa ngati mafuta kapena suppositories pa matenda enaake a amayi. |
Kodi ndi matenda ati omwe Lincosamides amachiritsa?
Gulu la maantibayotiki limeneli ndi lothandiza kwambiri polimbana ndi mitundu iwiri ya mabakiteriya:
1. Mabakiteriya okhala ndi gramu:Awa ndi mabakiteriya omwe amasonyeza momwe amachitira zinthu panthawi yoyezetsa labu ya "Gram stain", zomwe zikusonyeza kuti ali ndi kapangidwe ka khoma la selo.
2. Mabakiteriya a Anaerobic: Awa ndi apadera chifukwa amatha kukhala ndi moyo wabwino m'malo opanda mpweya . Nthawi zambiri amapezeka m'mabala akuya, m'mano, kapena m'mimba.
Pachifukwa ichi, dokotala wanu angakulangizeni kuti mugwiritse ntchito pazifukwa zotsatirazi:
- Matenda a pakhungu ndi minofu yofewa: Kuphatikizapo mabala omwe ali ndi kachilombo kapena cellulitis.
- Matenda a MRSA: Staphylococcus aureus (MRSA) yosagonjetsedwa ndi Methicillin ndi mabakiteriya oopsa omwe sagonjetsedwa ndi maantibayotiki ambiri ofala. Ma lincosamides nthawi zambiri ndi gawo lofunika kwambiri pa chithandizo.
- Matenda a mkamwa ndi mano: Matenda oopsa a mkamwa kapena mizu ya dzino.
- Matenda opatsirana m'mimba: Monga matenda otupa m'chiuno (PID).
- Matumbo a m'mapapo: Matumbo a mafinya kapena matenda m'mapapo.
- Matenda opatsirana m'magazi: Matenda oopsa a m'thupi monga septicemia.
- Ziphuphu zoopsa: Pamene mankhwala wamba sanagwire ntchito.
- Mabala akuya a m'mimba: Kuletsa kufalikira kwa matenda pambuyo pa kuvulala kwamkati.
- Kupewa: Amagwiritsidwanso ntchito kwa odwala omwe ali ndi kachilombo ka HIV omwe ali pachiwopsezo cha matenda ena a chibayo, kapena kupewa endocarditis mwa odwala omwe ali ndi vuto la valavu ya mtima .
Chofunika kwambiri, chonde dziwani kuti maantibayotiki amenewa nthawi zambiri amasungidwa ku matenda ovuta komanso oopsa omwe sanayankhe njira zosavuta zochizira maantibayotiki.
Kodi amagwira ntchito bwanji?
Njira yake ndi yosavuta. Kuti mabakiteriya akule ndikufalikira, ayenera kupanga mapuloteni enaake. Ma lincosamides amagwira ntchito poletsa mphamvu ya mabakiteriya yopanga mapuloteni awa . Taganizirani ngati kuchotsa simenti pamene mukuyesera kumanga nyumba; popanda mapuloteni awa, mabakiteriya sangapulumuke kapena kuchulukana.
Chifukwa cha ichi, mankhwalawa amatha kuletsa kukula kwa mabakiteriya (bacteriostatic) ndipo, pamlingo wapamwamba, amawononga kwathunthu mabakiteriya (bactericidal).
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwala a Lincosamides amatha kukhala ndi zotsatirapo zake. Mavuto am'mimba ndi omwe amadetsa nkhawa kwambiri. Ngati mukumva zizindikiro zoopsa, chonde funsani dokotala wanu kapena pitani kuchipatala chapafupi nthawi yomweyo.
| Gulu | Zizindikiro |
|---|---|
| Mavuto a M'mimba | Kupweteka m'mimba, nseru, kusanza, kapena kutsegula m'mimba. |
| Zotsatira Zina Zofatsa | Chizungulire , kutopa, kapena kutuluka magazi/kuyabwa m'mimba. |
| Kutsegula m'mimba kwambiri | Chimbudzi chodzaza ndi magazi kapena kutsegula m'mimba kosalekeza komanso koopsa. |
| Kuvuta Kupuma (`Dyspnea`) | Kupuma movutikira kapena kumva chifuwa chikulimba. |
| Ziphuphu pakhungu | Kutupa kwambiri, kutupa, kapena kuyabwa kwambiri. |
| Kuvuta Kumeza (`Dysphagia`) | Kumva kutsekeka kapena kupweteka mukameza chakudya kapena zakumwa. |
| Jaundice | Kuoneka kwachikasu kwa maso ndi khungu. |
Kodi pali zoopsa zazikulu?
Inde, ngakhale kuti ndi zachilendo, pali zoopsa zazikulu zokhudzana ndi mankhwalawa. Kudziwa zambiri ndikofunikira kuti mukhale otetezeka.
- Matenda a Pseudomembranous colitis: Ili ndi vuto lalikulu lomwe limagwirizanitsidwa ndi lincosamides. Mankhwalawa angasokoneze mabakiteriya anu athanzi m'matumbo, zomwe zingapangitse mabakiteriya owopsa a `Clostridium difficile' kukula kwambiri. Izi zingayambitse kutsegula m'mimba kwakukulu, malungo, ndi kupweteka m'mimba.
- Anaphylaxis: Matenda oopsa komanso oopsa omwe angawononge moyo.
- Matenda a Stevens-Johnson (SJS): Matenda osowa koma oopsa pakhungu pomwe khungu limatha kutuluka matuza ndi kusweka, mofanana ndi kutentha kwambiri.
- Kulephera kwa chiwindi kapena impso.
Ngati mukukumana ndi zizindikiro zazikulu izi, siyani kumwa mankhwala nthawi yomweyo ndipo funsani dokotala wanu . Musazengereze kufunafuna chithandizo chadzidzidzi (ER) ngati pakufunika kutero.
Mfundo Zofunika Kwambiri Mukamamwa Mankhwalawa
- Mimba ndi Kuyamwitsa: Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, muyenera kudziwitsa dokotala wanu musanayambe chithandizochi.
- Matenda Omwe Analipo Kale: Uzani dokotala wanu ngati muli ndi matenda a chiwindi, vuto la impso, kapena matenda am'mimba (monga matenda a Crohn ).
- Mankhwala Ena: Uzani dokotala wanu za mankhwala ena onse omwe mukumwa, makamaka maantibayotiki ena, chifukwa akhoza kusokonezana.
- Mlingo ndi Nthawi: Imwani mankhwala monga momwe mwalangizidwira kwa nthawi yonse. Musasiye msanga , ngakhale mutamva bwino, chifukwa izi zingayambitse matenda kubwerera.
- Matenda a Shuga ndi Shuga M'magazi: Kafukufuku wina akusonyeza kuti pali kugwirizana pakati pa kugwiritsa ntchito lincosamide ndi kusinthasintha kwa shuga m'magazi. Ngati muli ndi matenda a shuga, chonde kambiranani izi ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Ma Lincosamides ndi maantibayotiki amphamvu omwe amagwiritsidwa ntchito pa matenda akuluakulu a bakiteriya omwe sayankha mankhwala wamba.
- Tsatirani malangizo a dokotala wanu okhudza mlingo ndi kumaliza chithandizo chonse.
- Zotsatirapo zochepa monga kupweteka m'mimba kapena kutsegula m'mimba zingachitike, koma funsani thandizo lachipatala mwamsanga ngati muli ndi ndowe zamagazi, kupuma movutikira, kapena kutupa kwambiri pakhungu.
- Nthawi zonse fotokozerani dokotala wanu mbiri yanu yonse ya matenda ndi mankhwala omwe alipo (makamaka matenda a chiwindi, impso, kapena m'mimba).
- Musagawire mankhwala awa ndi ena kapena kugwiritsa ntchito mankhwala otsala. Gwiritsani ntchito mankhwala okha motsogozedwa ndi dokotala.
