Dziwani zambiri za Meropenem; katemera wa Vaborbactam wa matenda oopsa a bakiteriya

Nthawi zina, matenda omwe timadwala sangachiritsidwe ndi mapiritsi wamba, sichoncho? Makamaka matenda a bakiteriya akakula kwambiri, madokotala amagwiritsa ntchito maantibayotiki amphamvu omwe amaperekedwa kudzera m'mitsempha mwa kutiletsa kuchipatala. Meropenem; yomwe imadziwikanso kuti Vaborbactam, ndi mankhwala ofunikira kwambiri komanso amphamvu omwe amagwiritsidwa ntchito poletsa matenda oopsa a bakiteriya. Lero, tikambirana za mankhwalawa mwatsatanetsatane komanso mosavuta.

Kodi mankhwala awa ndi amtundu wanji?

Mwachidule, Meropenem; Vaborbactam ndi mankhwala amphamvu opha mabakiteriya omwe ali m'gulu la Carbapenems . Ali ndi magawo awiri, Meropenem ndi Vaborbactam. Taganizirani izi, Meropenem ndiye msilikali wamkulu amene amapha mabakiteriya. Vaborbactam ali ngati wothandizira amene amateteza msilikaliyo ndikuwononga chitetezo cha mabakiteriya. Zikagwirizana, zimatha kupha ngakhale mitundu ya mabakiteriya oopsa kwambiri omwe maantibayotiki ena sangathe kuwalamulira.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe chithandizochi

Musanasankhe kukupatsani mankhwala awa, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za vuto lililonse mwa izi, makamaka:

• Matenda a impso: Ndikofunikira kuuza dokotala wanu ngati muli ndi vuto lililonse la impso, chifukwa mankhwalawa amachotsedwa m'thupi kudzera mu impso. Izi zithandiza dokotala wanu kudziwa mlingo wabwino kwambiri kwa inu.
• Zotupa muubongo kapena khunyu: Ngati mudadwalapo khunyu kale, muli ndi matenda monga khunyu, kapena muli ndi matenda aliwonse muubongo, muyenera kuuza dokotala wanu. Mankhwalawa ali ndi chiopsezo chosowa kwambiri choyambitsa khunyu.
• Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati mudakumanapo ndi matenda ena aliwonse a ziwengo ku Meropenem, Vaborbactam, kapena maantibayotiki ena (makamaka penicillin), mankhwala ena, zakudya, kapena utoto.
• Mimba kapena kuyesera kutenga mimba: Ngati muli ndi pakati, kapena mukufuna kutenga mimba posachedwa, lankhulani ndi dokotala wanu za izi.
• Kuyamwitsa: Ngati ndinu mayi amene akuyamwitsa mwana wanu, dziwitsani dokotala wanu za izi.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa amaperekedwa ngati jakisoni mumtsempha. Izi nthawi zambiri zimachitika kuchipatala kapena ku chipatala, moyang'aniridwa ndi dokotala kapena namwino. Mankhwalawa amaperekedwa ngati jakisoni kwa maola angapo.

Nthawi zina, zingakhale zofunikira kupitiriza kulandira chithandizo mutatuluka kuchipatala. Ngati zili choncho, inu kapena wosamalira wanu mudzalangizidwa momveka bwino momwe mungakonzekerere ndi kubaya katemerayu kunyumba.

• Imwani pa nthawi yake: Ndikofunikira kwambiri kumwa mlingo womwe waperekedwa nthawi yomweyo dokotala wakuuzani.
• Musaphonye mlingo: Ngati mwaphonya mlingo, imbani dokotala mwamsanga kuti akupatseni malangizo. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
• Tayani singano mosamala: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ndi oopsa kwambiri. Ikani mu chidebe cha sharpe chomwe chapangidwira kutaya. Ngati mulibe, funsani dokotala wanu momwe mungapezere imodzi.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso, musachite mantha ndipo pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena, imbani National Poisons Information Centre ku Colombo National Hospital kuti mukalandire malangizo.

Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)

Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, ogulidwa ku pharmacy, mankhwala achikhalidwe, mavitamini), chifukwa mankhwala ena angagwirizane ndi awa.

• Valproic acid: Ngati Meropenem; Vaborbactam iperekedwa kwa munthu amene akumwa mankhwalawa chifukwa cha kukomoka, mphamvu ya Valproic acid ingachepe ndipo chiopsezo cha kukomoka chingawonjezeke.
• Probenecid: Mankhwalawa, omwe amagwiritsidwa ntchito pochiza gout, angapangitse Meropenem kukhalabe m'thupi kwa nthawi yayitali.
• Mapiritsi oletsa kubereka: Ngati mukumwa mapiritsi oletsa kubereka, mankhwala opha tizilombo awa angachepetse mphamvu yawo. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka mukumwa mankhwalawa.

Zinthu zoti muziganizire panthawi ya chithandizo

Dokotala wanu nthawi zonse aziyang'anira matenda anu pamene mukumwa mankhwala awa, koma muyeneranso kudziwa zinthu izi.

• Samalani ndi zizindikiro: Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala kapena namwino nthawi yomweyo.
• Matenda oopsa a pakhungu:Izi ndizofunikira kwambiri. Anthu ena akhoza kukhala ndi zotsatirapo zoopsa pakhungu chifukwa cha mankhwalawa. Izi zitha kuchitika milungu ingapo mutayamba kumwa mankhwalawa. Ngati muli ndi malungo, kupweteka kwa thupi, komanso mawanga ofiira kapena ofiirira pakhungu lanu omwe amatuluka matuza ndi kutsekeka, funsani dokotala nthawi yomweyo . Komanso, ngati muwona mawanga ofiira pakhungu lanu komanso ma lymph nodes otupa pankhope panu, milomo, khosi, kapena m'khwapa, chimenechonso ndi chizindikiro choopsa.
• Kutsegula m'mimba: Mankhwala opha tizilombo toyambitsa matenda nthawi zina angayambitse kutsegula m'mimba. Komabe, ngati kutsegula m'mimba kwanu kumatenga masiku opitilira awiri, kuli ndi madzi, kapena magazi, muyenera kuuza dokotala wanu musanamwe mankhwala ogulitsidwa kunja kwa dokotala. Ichi chikhoza kukhala chizindikiro cha matenda a C. difficile omwe amayamba chifukwa cha maantibayotiki.
• Kukhala maso m'maganizo: Mankhwalawa angapangitse anthu ena kumva chizungulire kapena kugona. Chifukwa chake, ndi bwino kupewa zinthu zomwe zimafuna kukhala maso kwambiri, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe izi zimakukhudzirani.