Menya ibijyanye na Meropenem; urukingo rwa Vaborbactam ku ndwara zikomeye za bagiteri

Hari igihe indwara twandura zidashobora gukira hakoreshejwe ibinini bisanzwe, si byo se? Cyane cyane iyo indwara zandurira mu mitsi zikabije, abaganga bakoresha imiti ikomeye iterwa mu mitsi ikaduhagarika mu bitaro. Meropenem; izwi kandi nka Vaborbactam, ni umuti w'ingenzi cyane kandi ukomeye ukoreshwa mu kurwanya indwara zikomeye zandurira mu mitsi. Uyu munsi, tuzavuga kuri uyu muti mu buryo burambuye kandi bworoshye.

Uyu ni ubwoko ki bw'umuti?

Muri make, Meropenem; Vaborbactam ni umuti ukomeye wa antibiyotike uri mu itsinda rya Carbapenems . Ufite ibice bibiri, Meropenem na Vaborbactam. Tekereza muri ubu buryo, Meropenem ni umusirikare mukuru wica bagiteri. Vaborbactam ni nk'umufasha urinda uwo musirikare kandi agasenya ubwirinzi bwa bagiteri. Iyo ibi byombi bihuye, bishobora kwica n'ubwoko bwa bagiteri bukabije cyane izindi antibiyotike zidashobora kugenzura.

Ibintu ugomba kubwira muganga wawe mbere yo gutangira ubu buvuzi

Mbere yo gufata icyemezo cyo kuguha uyu muti, muganga wawe azakenera kumenya amateka y’ubuzima bwawe. Menya neza ko umubwiye kimwe muri ibi bikurikira, cyane cyane:

• Indwara z'impyiko: Ni ngombwa kubibwira muganga wawe niba ufite ikibazo cy'impyiko, kuko uyu muti uvanwa mu mubiri ahanini binyuze mu mpyiko. Ibi bizafasha muganga wawe kugena ingano nziza ikubereye.
• Ibibyimba byo mu bwonko cyangwa ibibyimba: Niba warigeze kugira ibibyimba mu gihe cyashize, ufite indwara nk'igicuri, cyangwa ufite ibibazo byo mu bwonko, ugomba kubimenyesha muganga wawe. Uyu muti ufite ibyago bidasanzwe byo gutera ibibyimba.
• Indwara zo kurwara indwara: Menya neza ko wabwiye muganga wawe niba warigeze kugira ubwivumbure kuri Meropenem, Vaborbactam, cyangwa izindi antibiyotike (cyane cyane penisiline), indi miti, ibiryo, cyangwa amarangi.
• Gutwita cyangwa kugerageza gutwita: Niba utwite, cyangwa uteganya gutwita mu gihe cya vuba, ganira na muganga wawe kuri ibyo.
• Konsa: Niba uri umubyeyi wonsa umwana wawe, menyesha muganga wawe ibi.

Ukoresha uyu muti ute?

Uyu muti utangwa nk'urushinge mu mitsi. Ibi bikunze gukorwa mu bitaro cyangwa ku ivuriro, biyobowe na muganga cyangwa umuforomo. Uyu muti utangwa nk'urushinge mu gihe cy'amasaha menshi.

Mu bihe bimwe na bimwe, bishobora kuba ngombwa gukomeza kuvurwa nyuma yo kuva mu bitaro. Niba ari uko bimeze, wowe cyangwa uwakwitaho muzabwirwa neza uburyo bwo gutegura no gutera uru rukingo mu rugo.

• Fata ku gihe: Ni ngombwa cyane gufata dose yanditswe na muganga igihe muganga akubwira.
• Ntucikwe na dose: Niba wacitswe na dose, hamagara muganga wawe vuba bishoboka kugira ngo akugire inama. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wuzuze dose wacitswe.
• Shyira inshinge mu buryo bwizewe: Ntuzigere ujugunya inshinge n'inshinge zakoreshejwe mu myanda. Ni bibi cyane. Bishyire mu kintu gikoreshwa mu kujugunyamo inshinge. Niba udafite, baza muganga wawe uko wabigura.

Bite ho iyo mfashe imiti myinshi?

Niba ubona ko warengeje urugero rw'uyu muti, ntugatinye ujye ku bitaro bikuru byita ku butabazi bwihuse (ETU) . Ubundi buryo, hamagara ikigo cy'igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo bakugire inama.

Indi miti ishobora kugira ingaruka kuri uyu muti (Interactions)

Ni ngombwa kubwira muganga wawe imiti yose ufata (wandikiwe na muganga wawe, waguze muri farumasi, imiti gakondo, vitamine), kuko hari imiti ishobora kugira ingaruka kuri iyi miti.

• Aside Valproic: Iyo Meropenem; Vaborbactam ihawe umuntu ufata uyu muti kubera gushyuha, ubushobozi bwa aside Valproic bushobora kugabanuka kandi ibyago byo gushyuha bishobora kwiyongera.
• Probenecid: Uyu muti, ukoreshwa mu kuvura indwara ya goutte, ushobora gutuma Meropenem iguma mu mubiri igihe kirekire.
• Ibinini byo kuboneza urubyaro: Niba ufata ibinini byo kuboneza urubyaro, iyi antibiyotike ishobora kugabanya ubushobozi bwayo. Kubwibyo, ni byiza kuvugana na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro mu gihe ufata uyu muti.

Ibintu byo kuzirikana mu gihe cyo kuvurwa

Muganga wawe azakomeza gukurikirana indwara yawe mu gihe ufata uyu muti, ariko ugomba no kubimenya.

• Itondere ibimenyetso: Niba ibimenyetso byawe bitagenze neza, cyangwa bisa n'aho birushaho kuba bibi, bwira muganga wawe cyangwa umuforomo wawe ako kanya.
• Allergie ikomeye y'uruhu:Ibi ni ingenzi cyane. Hari abantu bashobora kugira ingaruka zikomeye ku ruhu rwabo kuri uyu muti. Ibi bishobora kubaho nyuma y'ibyumweru byinshi utangiye umuti. Niba ufite umuriro, ububabare ku mubiri, n'uduheri dutukura cyangwa tw'umuhengeri ku ruhu rwawe tugahita ducika udusebe, shaka ubufasha bwa muganga ako kanya . Nanone, niba ubonye uduheri dutukura ku ruhu rwawe n'uturemangingo twa lymph twabyimbye mu maso, ku minwa, mu ijosi, cyangwa mu kwaha, icyo nacyo ni ikimenyetso gikomeye.
• Impiswi: Imiti igabanya ubukana bw'indwara ishobora gutera impiswi. Ariko, niba impiswi yawe imara iminsi irenga ibiri, irimo amazi, cyangwa iherekejwe n'amaraso, ugomba kubibwira muganga mbere yo gufata imiti igurishwa na muganga. Iki gishobora kuba ikimenyetso cy'ubwandu bwa C. difficile buterwa na antibiyotike.
• Kuba maso mu mutwe: Uyu muti ushobora gutuma bamwe bumva bazunguze cyangwa basinziriye. Kubwibyo, ni byiza kwirinda ibikorwa bisaba kuba maso cyane, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umenye ingaruka bikugiraho.