Wakamboenda kuna chiremba here uine fivha, kukosora, uye kurwadziwa pahuro ukapihwa mushonga wakaita se "Amoxicillin"? Kana kuti wakambonyorerwa mushonga wakaita se "Penicillin" weronda here? Vazhinji vedu takambonzwa nezvemushonga uyu, asi hatizivi kuti chii chaizvo, kuti unoitei mumuviri, kana kuti unoshanda sei, handiti? Uyu mushonga unoshamisa zvechokwadi wakachinja mushonga uye wakabatsira kuponesa mamiriyoni evanhu. Saka nhasi, ngatidzidzei zvese nezve penicillin nenzira iri nyore, yekukurukura.
Chii chinonzi Penicillin muchidimbu?
Zvichitaurwa zviri nyore, penicillin imhando yemishonga inonzi maantibiotics . Mushonga unorwisa mabhakitiriya mushonga unouraya kana kumisa kukura kwemabhakitiriya anokuvadza anopinda mumiviri yedu. Funga nezvemabhakitiriya akaipa anopinda mumiviri yedu sevavengi vanopinda munyika. Saka penicillin yakafanana nemusoja akadzidziswa zvakakwana anoparadza vavengi ivavo.
Penicillin iyi ndeyemhuri yakakura yemaantibiotics anonzi ``beta-lactams``. Vanachiremba vanoshandisa mushonga uyu sepiritsi, mvura, kana jekiseni re``intravenous'' (IV).
Chinhu chinonyanya kukosha ndechekuti penicillin inoshanda chete pazvirwere zvemabhakitiriya. Haina simba pazvirwere zvechikosoro nefuruu, zvinokonzerwa nemavhairasi. Saka, usamboshandisa izvi usina kurairwa nachiremba.
Vanachiremba vanoshandisa penicillin pazvirwere zverudzii?
Penicillin mushonga unorwisa mabhakitiriya une mativi akasiyana-siyana unogona kushandiswa kurapa zvirwere zvakasiyana-siyana. Chiremba wako achasarudza rudzi rwakakodzera rwepenicillin zvichienderana nerudzi rwehutachiona hwaunahwo. Heano mamwe emashandisirwo akajairika.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Huro ine strep | Huro inorwadza inokonzerwa nemabhakitiriya. |
| Utachiona hwenzeve (Otitis media) | Zvirwere zvemunzeve zvinonyanya kuitika kuvana vadiki. |
| Utachiona hwemunzira yeweti (UTIs) | Utachiona hwehutachiona hwemunzira yeweti. |
| Chirwere chemabayo | Utachiona hunokanganisa mapapu. |
| Utachiona hweganda (Staph infections) | Zvirwere zvakaita sehutachiona hwemaronda uye kuumbwa kwemapundu. |
| Meningitis | Kuzvimba kwema membrane anofukidza uropi nemusana. |
| Utachiona hwemazino | Utachiona hwemabhakitiriya mumidzi yemazino kana mazino. |
| Zvimwe zvirwere | Inoshandiswawo pazvirwere zvakasiyana-siyana zvakaita sesyphilis, gonorrhea, uye chirwere cheLyme. |
Kune mhando dzepenicillin here?
Ehe, kune nhengo dzakasiyana dzemhuri yepenicillin. Dzinogona kukamurwa kuita mapoka makuru akasiyana zvichienderana nekugadzirwa kwadzo uye mhando dzemabhakitiriya adzinogona kuuraya.
- Mapenicillin echisikigo: Aya marudzi anowanikwa ega, semuti. Masayendisiti anoachenesa uye anoagadzira mishonga. Mienzaniso yerudzi urwu iPenicillin G nePenicillin V.
- Mapenicillin eSemi-synthetic: Aya ndiwo atinowanzoona. Masayendisiti anotora penicillin yechisikigo vogadzirisa chimiro chayo zvishoma murabhoritari kuti ive yepamusoro uye ine simba. Mishonga yakaita seAmoxicillin, Ampicillin, uye Dicloxacillin ndeyemuboka iri.
- Mishonga yakasanganiswa:Dzimwe nguva mabhakitiriya anonyengera zvikuru. Anowana nzira dzawo dzekutiza kubva kupenicillin. Panguva iyoyo, kuti vawedzere simba repenicillin, vanowedzera mumwe mushonga wekuwedzera. Semuenzaniso, ungave wakambonzwa nezvemushonga wekuti ``(Augmentin)``. Une ``(Amoxicillin)`` nemumwe mushonga wekuti ``(clavulanic acid)`` wakawedzerwa pauri.
Mushonga uyu unoshanda sei mumuviri?
Iyi inzira inonakidza zvikuru. Fungidzira kuti bhakitiriya rega rega rine madziro akasimba ekudzivirira. Sezvatine madziro akakomberedza imba yedu. Pasina madziro aya, bhakitiriya haigoni kurarama.
Zvinoitwa nepenicillin ndezvekuti inomisa mabhakitiriya kuti asavake madziro . Zvakafanana nekusabvumira simende kupinda kana uchivaka madziro. Kana madziro asingavaki zvakanaka, anoshaya simba, anova nemaburi, uye mushure mechinguva anotyoka obva adonha. Kana madziro apera, mabhakitiriya haagone kurarama, anofa. Ndizvo zvazviri chaizvo.
Saka zvinorevei kuti 'kusakwanisa kushandisa mishonga'?
Kana vakatarisana nerudzi rumwe chete rwekurwiswa nekufamba kwenguva, mamwe mabhakitiriya anova nemanomano zvikuru. Vanodzidza nzira itsva dzekutiza kurwiswa kwepenicillin uku. Semuenzaniso:
- Dzinogadzira ma enzyme (akaita se beta-lactamase) anoparadza penicillin.
- Kana kuti vanochinja hunhu hwemadziro avo ekudzivirira, zvekuti penicillin haigone kupinda.
Tinoti izvi hazvidi mushonga unorwisa mabhakitiriya . Iri ndiro dambudziko guru rehutano pasi rose nhasi. MRSA (methicillin-resistant Staphylococcus aureus) rudzi rwebhakitiriya risingadi mhando dzakawanda dzepenicillin.
Ndinofanira kutora penicillin kwenguva yakareba sei? Ndezvipi zvinokonzeresa migumisiro yacho?
Chiremba wako ndiye achasarudza kuti unofanira kutora penicillin kwenguva yakareba sei. Zvinoenderana nerudzi uye kuoma kwehutachiona hwaunahwo. Kazhinji hunogona kuva kubva pamazuva mashanu kusvika manomwe kusvika kumavhiki akati wandei.
Chinhu chakakosha chaunofanira kuyeuka pano ndechekutora mushonga kwemazuva ese awakanyorerwa nachiremba. Kunyangwe ukanzwa zviri nani mushure memazuva maviri kana matatu, usarega kutora mushonga. Kana ukarega, mabhakitiriya akasimba asara mumuviri achajaira mushonga uyu uye haazoshande nguva inotevera yaunoupa. Izvi zvinowedzera mukana wekusagona kurapwa nemishonga inorwisa mabhakitiriya.
Migumisiro yakajairika
Kufanana nemishonga yese, penicillin inogona kukonzera migumisiro midiki. Zvisinei, izvi hazviitike kuvanhu vazhinji, uye kana zvikaitika, kazhinji hazvina kuipa.
- Kusvotwa
- Kurutsa
- Manyoka (dumbu rinogumbuka)
- Dzimwe nguva mapundu madiki paganda anogona kuonekwa.
- Kurasikirwa nechido chekudya kana kuchinja kwekuravira/kunhuhwirira
- Musoro
Kazhinji, kutora mushonga mushure mekudya kunogona kuderedza kusagadzikana kwemudumbu kwakadai sekusvotwa.
Zvinhu zvekungwarira paunenge uchitora penicillin
Kunyangwe paine migumisiro midiki, dzimwe nguva panogona kuva nenjodzi dzakakomba. Zvakakosha kuziva izvi.
1. Kurwara nePenicillin
Iyi ndiyo njodzi yakakura kwazvo. Asi muchokwadi, vanhu vashoma vane allergies ku penicillin. Vanhu vazhinji vanofunga kuti vane allergies, asi vangave vasina. Asi kune munhu ane allergies chaiyo, izvi zvinogona kuva nengozi.
- Zviratidzo: mapundu paganda, kuvaviwa, kuzvimba, kurutsa, dzungu, uye, kana zvakanyanya kuoma, kuoma kufema.
- Zvekuita: Kana ukasangana nematambudziko ekufema, kurutsa, kuzvimba kwechiso kana pahuro nguva pfupi yadarika mushure mekutora mushonga, idambudziko. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
2. C. chirwere che diff
Izvi zvakaoma zvishoma. Tine huwandu hwakaringana hwemabhakitiriya akanaka nemabhakitiriya akaipa mudumbu medu. Mishonga inorwisa mabhakitiriya yakaita sepenicillin dzimwe nguva inouraya mamwe mabhakitiriya akanaka pamwe chete nemabhakitiriya akaipa. Izvi zvinoita kuti mabhakitiriya akaipa, anonzi Clostridium difficile (C. diff), awedzere asina kutarisirwa. Izvi zvinogona kukonzera manyoka akanyanya, ane mvura, kurwadziwa mudumbu zvakanyanya, uye fivha .
| Nguva yekutaura nachiremba wako |
|---|
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| Nguva yekuenda kuEmergency Treatment Unit (ETU) yechipatara nekukasika |
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Ndiani akawana mushonga uyu unoshamisa?
Ichi chinhu chinoshamisa uye chakangoerekana chaitika. Muna 1928, musayendisiti ainzi Alexander Fleming akaenda kuzororo asina kuchenesa ndiro dzePetri zvakanaka murabhoritari yake. Paakadzoka, akaona kuti ndiro dzakanga dzamera chakuvhuvhu, kwete mabhakitiriya, asi dzakafa. Akaona kuti chakuvhuvhu ichi chaiburitsa imwe mhando yemakemikari yaiuraya mabhakitiriya.
Zvaive zvakaoma zvikuru kuparadzanisa mushonga unouraya mabhakitiriya kubva muforoma iyoyo, kuuchenesa, uye kuuita mushonga. Asi zvakazobudirira, uye zvakatanga kushandiswa nevanhu vakawanda muna 1946. Kuwanikwa ikoko ndiko kwakava kutanga kwepenicillin yatinoshandisa nhasi.
Mharidzo Yekuenda Nayo Kumba
- Penicillin mushonga unorwisa mabhakitiriya unongopihwa chete pazvirwere zvinokonzerwa nemabhakitiriya . Haushandi padzihwa rinokonzerwa nemavhairasi.
- Usamboshandisa mishonga yerudzi rwepenicillin wega usina kukurudzirwa nachiremba .
- Pedzisa mushonga wese wawakanyorerwa nachiremba. Usamira pakati nekuti wava kunzwa zviri nani.
- Kana ukaona zviratidzo zvakakomba zvekurwara nepfungwa zvakaita sekuoma kufema uye kuzvimba kwechiso paunenge uchinwa mushonga, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kana uri kutora mishonga yezvimwe zvirwere, kana kuti uri nepamuviri kana kuti uchiyamwisa, iva nechokwadi chekuudza chiremba wako usati watora penicillin.
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