Dzimwe nguva, zvirwere zvatinotambura nazvo zvinogona kusarapwa nemishonga yakajairika. Kunyanya kana paine hutachiona hwakakomba hwebhakitiriya, vanachiremba vanofanira kushandisa mishonga inorwisa mabhakitiriya yakasimba. Saka kana chiremba akakunyorera mushonga unonzi "Polymyxin B" iwe kana mumwe munhu wemumhuri mako, zvakajairika kunzwa uchida kuziva zvishoma uye pamwe kutotya nezvazvo. Nhasi, ngatitaurei nezve Polymyxin B chii, mashandisirwo ayo, uye zvinhu zvekungwarira nezvazvo.
Chii chinonzi Polymyxin B?
Zvichitaurwa zviri nyore, Polymyxin B mushonga unorwisa mabhakitiriya une simba guru. Uri muboka remishonga inonzi "polymyxins." Basa rayo guru nderekuparadza mamwe mabhakitiriya ane njodzi anopinda mumiviri yedu achikonzera zvirwere.
Zvakakosha kuyeuka kuti mushonga uyu unoshanda chete pazvirwere zvemabhakitiriya. Hauna simba pazvirwere zvemavhairasi zvakaita sedzihwa, furuwenza, uye chikosoro. Saka, unofanirwa kushandiswa chete kana wanyorerwa nachiremba uye sezvaanokuudza.
Zvinhu zvaunofanira kuudza chiremba wako usati washandisa mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako.
- Chirwere cheitsvo: Kana uine chirwere cheitsvo, tiudze nezvazvo kutanga, sezvo mushonga uyu uchiburitswa neitsvo.
- Chirwere chemapapu: Kana paine dambudziko mumapapu, ndapota tizivisei.
- Kushaya simba kwetsandanyama: Iyi inyaya inokosha zvikuru kana uine chirwere chetsinga dzemutsinga seMyasthenia Gravis.
- Kurwara: Kana wakambova nechirwere chePolymyxin B, mimwe mishonga inorwisa mabhakitiriya, chero mimwe mishonga, chikafu, kana dhayi munguva yakapfuura, unofanira kuzvizivisa.
- Kubata pamuviri kana kutarisira mwana: Kana uine pamuviri kana kutarisira mwana munguva pfupi iri kutevera, zivisa chiremba wako.
- Kana uri amai vanoyamwisa: Kana uri amai vanoyamwisa, iva nechokwadi chekuti wataura izvozvo zvakare.
Zvakakosha zvikuru kuti iwe pachako uchengetedzeke kuudza chiremba usingavanzi ruzivo urwu.
Unopinda sei mushonga uyu mumuviri?
Iri harisi piritsi raunogona kunwa kumba. Polymyxin B mushonga unowanzopihwa muchipatara chete, nachiremba kana vashandi vakadzidziswa mukoti. Izvi zvinokonzerwa nenzira yaunopihwa nayo mumuviri uye kudiwa kwekunyatsoongorora murwere panguva iyoyo.
Kune nzira dzakawanda dzekupa mushonga uyu:
- Inopinzwa netsinga (IV): Inopinzwa mumuviri kuburikidza netsinga, senge saline.
- Mutsinga dzemudumbu (IM): Jekiseni mutsandanyama yakadzika, senge pafudzi kana pamagaro.
- Intrathecal: Muzviitiko zvakakomba, zvakaita se meningitis, majekiseni anogadzirwa zvakananga mumvura yemusana navanachiremba vane hunyanzvi.
- Muziso: Semadonhwe emaziso akakosha ekudzivirira hutachiona hwemaziso.
- Kusuka ganda (Mhinduro yekudiridza): Dzimwe nguva, kudzora hutachiona mumaronda kana kutsva, mushonga uyu unosanganiswa nemvura woshandiswa kugeza maronda.
Zvisinei, izvi zvinongopihwa chete kana chiremba ataura.
Mushonga uyu ungapiwa kuvana vadiki here?
Ehe. Dzimwe nguva, vana vanofanirwawo kupihwa mushonga uyu. Asi unoda kutarisirwa kwakakosha. Muyero unopiwa unosiyana zvichienderana nehuremu hwemwana, zera rake, uye mamiriro ake ehutano. Saka, taura nachiremba wevana vemwana wako nezveizvi nokungwarira.
Chii chaunofanira kuita kana ukanwa doro zvakanyanya?
Izvi zvinopihwa muchipatara, saka mikana yekuti izvi zviitike yakaderera. Zvisinei, kana uchifungidzira kuti washandisa zvinodhaka zvakanyanya, taura neEmergency Treatment Unit (ETU) yechipatara nekukasika . Neimwe nzira, unogona kufonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kupindirana nePolymyxin B
Kana uri kutora mimwe mishonga, zvakakosha kuudza chiremba wako nezve yese. Mimwe mishonga inogona kushanda nePolymyxin B, zvichikonzera migumisiro yakaipa kana kuwedzera kushanda kwemushonga. Heano mimwe yemishonga inogona kushanda nePolymyxin B.
| Rudzi rwemushonga | Mienzaniso nezvinyorwa |
|---|---|
| Mishonga Inonyaradza Muviri | Mishonga inonyaradza marwadzo inoshandiswa mukuvhiya. |
| Mamwe maantibiotics | Semuenzaniso: Amikacin, Gentamicin, Colistin, Tobramycin, Vancomycin. Izvi zvinogona kukanganisawo itsvo, saka njodzi yacho yakakura. |
| Zvinozorodza tsandanyama | Mishonga inopiwa yekuzorodza tsandanyama panguva yekuvhiyiwa kana mamwe mamiriro ezvinhu. |
| Mimwe mishonga yekubvisa mvura mumuviri | Mishonga inopiwa kuderedza huwandu hwemvura mumuviri. |
| Mimwe mishonga nezvimwe zvinovaka muviri | Udzawo chiremba wako nezvemishonga yekurapa, mishonga yeSinhala/Ayurvedic, mavhitamini, nezvimwe zvinowedzera zvauri kutora. |
Chinhu chakakosha ndechekuti runyorwa urwu haruna kukwana. Saka, udza chiremba wako nezvemishonga yese yauri kutora, kusanganisira iyo yawakanyorerwa nachiremba wako, mishonga inotengeswa kunze kwemutero, uye kunyange mavhitamini .
Tinofanirawo kuziva nezvemigumisiro yemishonga iyi here?
Kufanana nemushonga upi zvawo, Polymyxin B inogona kukonzera migumisiro yakaipa kune vamwe vanhu. Zvisinei, havasi vese vanoiwana. Zvakakosha kuziva izvi kuitira kuti ugone kutora matanho nekukurumidza kana paine zviratidzo zvikaitika.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro yakaipa inofanira kuziviswa kuna chiremba wako kana nesi nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, mapundu, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. Izvi zvinogona kuva zvakakomba zvikuru. |
| Kuoma kufema | Kufema zvishoma, kufema zvishoma. |
| Kuchinja kwehurongwa hwetsinga | Dzungu , kuvhiringidzika, kuona zvisipo, kurasikirwa nepfungwa dzakanaka. |
| Kushaya simba kwetsandanyama | Kunzwa kushaya hupenyu uye kurema mumakumbo. |
| Matambudziko eWeti | Kurwadziwa, kuoma, kana kudzikira kwekuita weti. Izvi zvinogona kuva chiratidzo chekukuvara kweitsvo. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Marwadzo panzvimbo yekubaiwa jekiseni | Kutsvuka, kurwadziwa, kana kuzvimba panzvimbo yakapihwa jekiseni. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, usazeza kubvunza chiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Polymyxin B mushonga une simba unorwisa utachiona unoshandiswa chete pazvirwere zvakakomba zvemabhakitiriya . Haushandi pakurwisa zvirwere zvemavhairasi.
- Usati watora mushonga uyu, udza chiremba wako nezvezvimwe zvirwere zvese zvaunazvo (kunyanya chirwere cheitsvo) nemimwe mishonga yese yauri kutora .
- Uyu mushonga unowanzopihwa nachiremba muchipatara. Zvakakosha kuti munhu atore mushonga wese sezvakarairwa nachiremba.
- Kana ukasangana nematambudziko akakomba akadai sekuoma kufema, kuzvimba kwechiso, kana dzungu rakakomba, tsvaga rubatsiro rwechiremba nekukasika .
- Kana muine mibvunzo, zvinokunetsai, kana kutya nezvemushonga uyu, musazvivanza, asi taurai pachena nachiremba wenyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Madonhwe emaziso eGentamicin anoshandiswa kuzvirwere zverudzii? Chii chinobatanidzwa nePolymyxin?
'Gentamicin' mushonga unorwisa mabhakitiriya une simba guru. Madonhwe emaziso eGentamicin anoshandiswa mumaziso kana utachiona hwapinda muziso, zvichikonzera kutsvuka, kubvaruka, uye hutachiona hwakakomba (Bacterial Conjunctivitis). 'Polymyxin B', yawakataura munyaya yako, ndeimwewo mushonga unorwisa mabhakitiriya unoshandiswa pahutachiona hwakasimba. Dzimwe nguva mishonga iyi miviri inosanganiswa pamwe chete uye inopihwa semadonhwe emaziso kuuraya mabhakitiriya ane simba (Ophthalmic combinations).
💬 Zvakachengeteka here kuti ndiende ku pharmacy ndonobvunza Gentamicin Eye Drops ndoisa mumaziso angu?
Usambofa wakaita izvozvo! Hauzivi kana ziso rako dzvuku riri kukonzerwa nehutachiona, mabhakitiriya, kana allergy. Kuisa Gentamicin (anti-bacterial) kuhutachiona hakubatsiri. Uye kana ukaramba uchishandisa izvi pasina kurairwa nachiremba, unogona kukuvadza cornea uye kutorasikirwa nekuona kwako nekusingaperi (Bofu)!
💬 Ndezvipi zvine njodzi zvinonzi 'Red Flags' zvinoda kuti urege kushandisa madonhwe emaziso eGentamicin nekukasika wobva wamhanya kuna chiremba?
Zvakajairika kusangana nekutsamwa kwemaziso kweinenge miniti mushure mekushandisa mushonga. Asi njodzi huru! 1) Kana ziso rikava rakazvimba zvakanyanya uye rakatsvuka mushure mekushandisa madonhwe aya (Severe allergy reaction), 2) Kana ziso richirwadza zvekuti haugone kutarisa chiedza, 3) Kana kuona kwako kukangoerekana kwava kusviba (Sudden blurred vision), unofanira kurega mushonga nekukasika woenda kuchipatara chemaziso/emergency department!
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