Ungave uri kurwisana nedzihwa kana ronda rine utachiona, pamwe wakanyorerwa mishonga inorwisa mabhakitiriya nachiremba wako. Mishonga iyi inouya mumhando dzakasiyana-siyana—mapiritsi, manyuchi, kana kunyange majekiseni. Nhasi, tinoda kutaura newe nezveboka remishonga inorwisa mabhakitiriya rine simba rinonzi Lincosamides. Ungasaziva zita racho, asi pane mukana mukuru kuti iwe kana mudiwa wako makanyorerwa mushonga kubva kuboka iri pane imwe nguva.
Zvichitaurwa zviri nyore, chii chinonzi Lincosamides?
MaLincosamides iboka rakasiyana remishonga inorwisa mabhakitiriya. Funga nezvayo sePenicillin—rudzi rwakasiyana rwemishonga yakagadzirirwa kurapa hutachiona hwemabhakitiriya . Zvakakosha kuyeuka kuti mishonga iyi haishande pakurwisa mavhairasi, zvichireva kuti hairape zvirwere zvakaita sedzihwa kana furuu.
Kune mhando shoma dzeLincosamides dzinoshandiswa mukurapa kwemazuva ano:
- Clindamycin: Iyi ndiyo Lincosamide inonyanya kushandiswa. Vanachiremba vanowanzoinyora pakurapa hutachiona hweganda , mapundu, nezvimwe zvirwere zvevakadzi .
- Lincomycin: Kana yamboshandiswa zvakanyanya, ikozvino haichanyanyi kunyorerwa kakawanda.
- Pirlimycin: Iyi haishandiswi kuvanhu; yakachengeterwa mishonga yemhuka yekurapa mhuka.
Mishonga iyi inopihwa sei?
Zvichienderana nemamiriro ako ezvinhu ehutano, chiremba wako achasarudza nzira inoshanda zvikuru yekuendesa mushonga.
| Maitiro | Tsananguro |
|---|---|
| Kunwa nemuromo | Inotorwa sema capsules, mapiritsi, kana mvura inonyungudutswa. |
| Zvepamusoro | Inoiswa paganda sekirimu, gel, kana lotion (semuenzaniso, yekubvisa mapundu). |
| Mutsinga dzemudumbu | Inobayiwa zvakananga mutsandanyama, senge pafudzi kana panzvimbo yegumbo. |
| Kupinzwa mutsinga (IV) | Inoendeswa zvakananga muropa. Izvi zvakachengeterwa hutachiona hwakaoma. |
| Mukati mechibereko | Inoiswa sekirimu kana suppositories yezvirwere zvevakadzi. |
Ndezvipi zvirwere zvinorapwa neLincosamides?
Rudzi urwu rwemishonga inorwisa mabhakitiriya runoshanda zvikuru pakurwisa mhando mbiri dzebhakitiriya:
1. Mabhakitiriya ane gramu:Aya mabhakitiriya anoratidza maitiro chaiwo panguva yekuongororwa kwe "Gram stain", zvichiratidza kuti ane chimiro chakasiyana chemadziro esero.
2. Mabhakitiriya asina simba: Aya akasiyana nekuti anogona kurarama uye kurarama munzvimbo dzisina okisijeni . Anowanzo kuwanikwa mumaronda akadzika, nyama dzemazino, kana mukati medumbu.
Nekuda kweizvi, chiremba wako anogona kuvakurudzira kune zvirwere zvakaita se:
- Zvirwere zveganda nenyama yakapfava: Kusanganisira maronda ane utachiona kana cellulitis.
- Utachiona hweMRSA: Staphylococcus aureus (MRSA) ibhakitiriya ine njodzi isingaurayiwe nemishonga yakawanda inorwisa mabhakitiriya. MaLincosamides anowanzo kuve chikamu chakakosha chekurapa.
- Utachiona hwemuromo nemazino: Utachiona hwakanyanya hwemazino kana midzi yemazino.
- Zvirwere zvevakadzi: Zvakadai sePelvic Inflammatory Disease (PID).
- Matumbu emapapu: Matumbu ane hurwa kana utachiona mumapapu.
- Utachiona hweropa: Matambudziko akanyanya mumuviri akaita se septicemia.
- Mapundu akanyanya: Kana kurapwa kwakajairika kusina kushanda.
- Maronda emudumbu akadzika: Kudzivirira kupararira kwehutachiona mushure mekukuvara kwemukati.
- Dziviriro: Dzinoshandiswawo kune varwere vane HIV vane mhando dzakasiyana dzepneumonia, kana kudzivirira endocarditis kune varwere vane matambudziko evharuvhu yemoyo .
Chinonyanya kukosha, ndapota cherechedzai kuti mishonga iyi inorwisa mabhakitiriya inowanzo chengeterwa hutachiona hwakaoma uye hwakakomba husina kupindura kune dzimwe nzira dziri nyore dzemishonga inorwisa mabhakitiriya.
Vanoshanda sei?
Maitiro acho ari nyore. Kuti mabhakitiriya akure uye apararire, anofanira kugadzira mapuroteni chaiwo. MaLincosamides anoshanda nekuvharira kugona kwebhakitiriya kugadzira mapuroteni aya . Funga nezvazvo sekunge kubvisa simende uchiedza kuvaka imba; pasina mapuroteni aya, mabhakitiriya haagone kurarama kana kuwanda.
Nekuda kweizvi, mishonga iyi inogona kudzivirira kukura kwebhakitiriya (bacteriostatic) uye, kana yakawandisa, inoparadza zvachose mabhakitiriya (bacteriacidal).
Ndezvipi zvinogona kukonzera migumisiro yakaipa?
Kufanana nemishonga chero ipi zvayo, Lincosamides inogona kuva nemigumisiro yakaipa. Matambudziko emudumbu ndiwo anowanzo netsa. Kana ukaona zviratidzo zvakakomba, ndapota taura nachiremba wako kana kushanyira emergency service iri pedyo newe nekukasika.
| Chikamu | Zviratidzo |
|---|---|
| Matambudziko Ekugaya | Kurwadziwa mudumbu, kuda kurutsa, kurutsa, kana manyoka. |
| Mimwe Migumisiro Isina Zvinyoro | Dzungu , kuneta, kana kubuda ropa/kukwenya kwechikadzi. |
| Manyoka Akakomba | Tsvina ine ropa kana manyoka asingaperi uye akanyanya. |
| Kuoma Kwekufema (`Dyspnea`) | Kushaya mweya kana kunzwa kubatwa nechipfuva. |
| Mapundu eganda | Mapundu akapararira, matumbu, kana kuvaviwa kwakanyanya. |
| Kuomerwa nekumedza (`Dysphagia`) | Kunzwa kuvharika kana kurwadziwa kana uchimedza chikafu kana zvinwiwa. |
| Jaundice | Kutsvuka kwemaziso neganda. |
Pane njodzi dzakakomba here?
Ehe, kunyange zvazvo zvisingawanzoitiki, kune njodzi dzakakomba dzinobatanidzwa nemishonga iyi. Kuziviswa nezvemishonga iyi kwakakosha kuti uchengetedzeke.
- Pseudomembranous colitis: Ichi chirwere chakakosha chinokonzerwa ne lincosamides. Mushonga uyu unogona kukanganisa mabhakitiriya emudumbu mako ane hutano, zvichiita kuti mabhakitiriya anokuvadza 'Clostridium difficile' awedzere kukura. Izvi zvinogona kukonzera manyoka akakomba, fivha, uye kurwadziwa mudumbu.
- Anaphylaxis: Kurwara kwakanyanya uye kunotyisidzira hupenyu.
- Stevens-Johnson syndrome (SJS): Kuitika kweganda kusingawanzoitiki asi kwakakomba apo ganda rinogona kusviba nekubviswa, zvakafanana nekutsva kwakanyanya.
- Kusashanda zvakanaka kwechiropa kana itsvo.
Kana ukaona chimwe chezviratidzo izvi zvakakomba, rega kushandisa mushonga nekukasika wobva wataura nachiremba wako . Usazeza kutsvaga rubatsiro rwekukurumidzira (ER) kana zvichidikanwa.
Zvinhu Zvakakosha Paunenge Uchitora Mushonga Uyu
- Kubata Pamuviri uye Kuyamwisa: Kana uine pamuviri, uchironga kuva nepamuviri, kana kuyamwisa, unofanira kuzivisa chiremba wako usati watanga kurapwa uku.
- Matambudziko Agara Aripo: Udza chiremba wako kana uine chirwere chechiropa, matambudziko eitsvo, kana matambudziko emudumbu (semuenzaniso, ' chirwere cheCrohn ').
- Mimwe Mishonga: Udza chiremba wako nezvemimwe mishonga yese yauri kutora, kunyanya mimwe mishonga inorwisa mabhakitiriya, sezvo paine mukana wekuti mishonga iyi ishande pamwe chete.
- Chipimo uye Nguva Yekushandisa: Inwa mushonga sezvawakarairwa kwenguva yese. Usamira nekukurumidza , kunyangwe uchinzwa zviri nani, nekuti izvi zvinogona kutungamira kukudzoka kwehutachiona.
- Chirwere cheshuga neshuga muropa: Imwe tsvakiridzo inoratidza kuti pane hukama huripo pakati pekushandiswa kwe lincosamide nekuchinja-chinja kweshuga muropa. Kana uine chirwere cheshuga, ndapota kurukura izvi nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Lincosamides mishonga inorwisa mabhakitiriya ine simba inoshandiswa pakurapa hutachiona hwakakomba husingapindure pakurapwa kwakajairika.
- Tevedzerai mirairo yachiremba wenyu maererano nechiyero chemushonga uye kupedzisa kurapwa kwacho kwese.
- Migumisiro isina kusimba yakadai sekurwadziwa kwemusoro kana manyoka inogona kuitika, asi tsvaga rubatsiro rwechiremba nekukasika kana waita tsvina ine ropa, kufema kwakaoma, kana mapundu eganda akanyanya.
- Gara uchiudza chiremba wako nhoroondo yako yese yezvekurapa nemishonga yauri kushandisa (kunyanya zvirwere zvechiropa, itsvo, kana ura) nezvenyaya iyi.
- Usambofa wakagovana mushonga uyu nevamwe kana kushandisa mishonga yasara. Shandisa mushonga chete uchitungamirirwa nachiremba.
