Nthawi zina, matenda omwe timadwala sangachiritsidwe ndi mankhwala wamba. Makamaka ngati pali matenda oopsa a bakiteriya, madokotala amafunika kugwiritsa ntchito maantibayotiki amphamvu. Chifukwa chake dokotala akakupatsani mankhwala otchedwa "Polymyxin B" kwa inu kapena munthu wina m'banja mwanu, ndi zachilendo kukhala ndi chidwi pang'ono komanso mwina mantha nawo. Lero, tiyeni tikambirane za Polymyxin B, momwe tingaigwiritsire ntchito, komanso zinthu zomwe muyenera kusamala nazo.
Kodi Polymyxin B ndi chiyani?
Mwachidule, Polymyxin B ndi mankhwala amphamvu kwambiri opha tizilombo toyambitsa matenda. Ili m'gulu la mankhwala otchedwa "polymyxins." Ntchito yake yayikulu ndikuwononga mabakiteriya ena oopsa omwe amalowa m'thupi lathu ndikuyambitsa matenda.
Ndikofunikira kukumbukira kuti mankhwalawa amagwira ntchito kokha pa matenda a bakiteriya. Sakhudza matenda opatsirana ndi mavairasi monga chimfine, chimfine, ndi chifuwa. Chifukwa chake, ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wakupatsani mankhwala komanso monga momwe akunenerani.
Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Matenda a impso: Ngati muli ndi matenda aliwonse a impso, tiuzeni kaye za matendawa, chifukwa mankhwalawa amatuluka kudzera mu impso.
- Matenda a m'mapapo: Ngati pali vuto lililonse m'mapapo, chonde tidziwitseni.
- Kufooka kwa minofu: Izi ndi zofunika kwambiri ngati muli ndi matenda a mitsempha monga Myasthenia Gravis.
- Ziwengo: Ngati mudakumanapo ndi vuto la ziwengo chifukwa cha Polymyxin B, maantibayotiki ena, mankhwala ena aliwonse, chakudya, kapena utoto m'mbuyomu, muyenera kuulula.
- Mimba kapena kuyembekezera mwana: Ngati muli ndi pakati kapena mukuyembekezera mwana posachedwa, dziwitsani dokotala wanu.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi woyamwitsa, onetsetsani kuti mwatchulanso zimenezo.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala popanda kubisa izi.
Kodi mumalowetsa bwanji mankhwala awa m'thupi?
Iyi si piritsi yomwe mungamwe kunyumba. Polymyxin B ndi mankhwala omwe nthawi zambiri amaperekedwa kuchipatala, ndi dokotala kapena anamwino ophunzitsidwa bwino. Izi zimachitika chifukwa cha momwe amaperekedwera m'thupi komanso kufunika koyang'anira wodwalayo mosamala panthawiyo.
Pali njira zingapo zoperekera mankhwalawa:
- Kulowetsedwa m'mitsempha (IV): Kulowetsedwa m'thupi kudzera m'mitsempha, monga saline.
- Mu mnofu (IM): Jakisoni mu minofu yozama, monga phewa kapena matako.
- Intrathecal: Pa milandu yoopsa kwambiri, monga meningitis, jakisoni amapangidwa mwachindunji m'madzi amsana ndi madokotala apadera.
- M'maso: Monga madontho apadera a maso a matenda a maso.
- Kutsuka pakhungu (Njira yothirira): Nthawi zina, pofuna kuchepetsa matenda m'mabala kapena kupsa, mankhwalawa amasakanizidwa ndi madzi ndipo amagwiritsidwa ntchito kutsuka mabala.
Komabe, izi zimaperekedwa kokha ngati dokotala walangiza.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Inde. Nthawi zina, ana amafunikanso kupatsidwa mankhwalawa. Koma amafunika chisamaliro chapadera. Mlingo woperekedwa umasiyana malinga ndi kulemera kwa mwana, zaka zake, komanso matenda ake. Chifukwa chake, lankhulani ndi dokotala wa ana a mwana wanu mosamala za izi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, nenani ku Emergency Treatment Unit (ETU) ya chipatala nthawi yomweyo . Kapena, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Mankhwala ena omwe angagwirizane ndi Polymyxin B
Ngati mukumwa mankhwala ena aliwonse, ndikofunikira kuuza dokotala wanu za onsewa. Mankhwala ena amatha kukhudzana ndi Polymyxin B, zomwe zimayambitsa zotsatirapo zake kapena kuwonjezera mphamvu ya mankhwalawo. Pansipa pali ena mwa mankhwala omwe angagwirizane ndi Polymyxin B.
| Mtundu wa mankhwala | Zitsanzo ndi zolemba |
|---|---|
| Mankhwala oletsa ululu | Mankhwala oletsa ululu omwe amagwiritsidwa ntchito pochita opaleshoni. |
| Maantibayotiki ena | Mwachitsanzo: Amikacin, Gentamicin, Colistin, Tobramycin, Vancomycin. Izi zingakhudzenso impso, kotero chiopsezo chimakhala chachikulu. |
| Zopumulitsa minofu | Mankhwala operekedwa kuti apumule minofu panthawi ya opaleshoni kapena zochitika zina. |
| Mankhwala ena ochepetsa mphamvu ya okodzetsa | Mankhwala operekedwa kuti achepetse kuchuluka kwa madzi m'thupi. |
| Mankhwala ena ndi zowonjezera | Uzaninso dokotala wanu za zitsamba zilizonse, mankhwala a Sinhala/Ayurvedic, mavitamini, ndi zowonjezera zomwe mukumwa. |
Chofunika kwambiri ndichakuti mndandandawu usakhale wathunthu. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo omwe dokotala wanu wakupatsani, mankhwala omwe mumawagula musanayambe kumwa, komanso mavitamini .
Kodi tiyeneranso kudziwa zotsatira zake?
Monga mankhwala ena aliwonse, Polymyxin B ingayambitse mavuto ena mwa anthu ena. Komabe, si aliyense amene amadwala matendawa. Ndikofunikira kudziwa izi kuti muchitepo kanthu mwachangu ngati zizindikiro zilizonse zachitika.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena namwino nthawi yomweyo | |
| Matenda a ziwengo | Matuza pakhungu, ziphuphu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. Izi zitha kukhala zoopsa kwambiri. |
| Kuvuta kupuma | Kupuma movutikira, kupuma movutikira. |
| Kusintha kwa mitsempha | Chizungulire , chisokonezo, kusawona bwino, kutayika kwa malo oyenera. |
| Kufooka kwa minofu | Kumva ngati wopanda moyo komanso kulemera m'miyendo. |
| Mavuto a mkodzo | Ululu, kuvutika, kapena kuchepa kwa kukodza. Izi zitha kukhala chizindikiro cha kuwonongeka kwa impso. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Ululu pamalo obayira jakisoni | Kufiira, kupweteka, kapena kutupa komwe kunabayidwa jakisoni. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, musazengereze kufunsa dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Polymyxin B ndi mankhwala amphamvu opha tizilombo omwe amagwiritsidwa ntchito kokha pa matenda akuluakulu a bakiteriya . Sagwira ntchito polimbana ndi matenda opatsirana ndi mavairasi.
- Musanamwe mankhwalawa, uzani dokotala wanu za matenda ena onse omwe muli nawo (makamaka matenda a impso) ndi mankhwala ena onse omwe mukumwa .
- Mankhwala awa nthawi zambiri amaperekedwa ndi dokotala kuchipatala. Ndikofunikira kwambiri kumwa mankhwala onse monga momwe dokotala wanenera.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kutupa pankhope, kapena chizungulire chachikulu, funsani upangiri wa dokotala nthawi yomweyo .
- Ngati muli ndi mafunso, nkhawa, kapena mantha okhudza mankhwalawa, musawabise nokha, koma lankhulani momasuka ndi dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi madontho a maso a Gentamicin amagwiritsidwa ntchito pa matenda amtundu wanji? Kodi mgwirizano wake ndi Polymyxin ndi wotani?
'Gentamicin' ndi mankhwala amphamvu kwambiri opha tizilombo toyambitsa matenda. Madontho a Maso a Gentamicin amagwiritsidwa ntchito m'maso pamene kachilombo ka bakiteriya kalowa m'diso, zomwe zimayambitsa kufiira, kung'ambika, komanso matenda oopsa (Bacterial Conjunctivitis). 'Polymyxin B', yomwe mwatchula m'nkhani yanu, ndi mankhwala ena opha tizilombo omwe amagwiritsidwa ntchito pa matenda oopsa a bakiteriya. Nthawi zina maantibayotiki awiriwa amaphatikizidwa pamodzi ndi kuperekedwa ngati madontho a maso kuti aphe mabakiteriya amphamvu kwambiri (Ophthalmic combinations).
💬 Kodi ndi bwino kupita ku pharmacy kukapempha Gentamicin Eye Drops n’kuika m’maso mwanga?
Musachite zimenezo! Simukudziwa ngati diso lanu lofiira likuchitika chifukwa cha matenda a kachilombo, mabakiteriya, kapena ziwengo. Kupaka Gentamicin (anti-bacterial) pa kachilombo sikungathandize. Ndipo ngati mupitiliza kugwiritsa ntchito izi popanda upangiri wa dokotala, mutha kuwononga cornea ndikutaya maso anu kwamuyaya (Kusawona bwino)!
💬 Kodi ndi 'Red Flags' zowopsa ziti zomwe zimafuna kuti musiye kugwiritsa ntchito madontho a m'maso a Gentamicin nthawi yomweyo ndikuthamangira kwa dokotala?
Ndizachilendo kumva kuyabwa kwa maso kwa mphindi imodzi mutagwiritsa ntchito mankhwalawa. Koma choopsa chachikulu! 1) Ngati diso latupa kwambiri ndi kufiira mutagwiritsa ntchito madontho awa (Kuyabwa kwambiri), 2) Ngati diso likupweteka kwambiri moti simungathe kuyang'ana kuwala, 3) Ngati maso anu ayamba kusawoneka bwino mwadzidzidzi (Kusawona bwino mwadzidzidzi), muyenera kusiya nthawi yomweyo mankhwalawo ndikupita kuchipatala cha maso/ku dipatimenti yothandiza anthu odwala mwadzidzidzi!
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