Ngamanye amaxesha, usulelo lweebhaktheriya esilufumanayo lunokuba qatha kangangokuba ii-antibiotics eziqhelekileyo azikwazi ukuzilawula. Oku kuyinyani ngakumbi kwizigulana ezilaliswe esibhedlele. Kwiimeko ezinjalo, iColistin sisibulali-ntsholongwane esinamandla kakhulu nesikhethekileyo esisetyenziswa ngoogqirha ukulawula usulelo lweebhaktheriya olunzima kakhulu olungaphenduliyo kwezinye ii-antibiotics. Ngoko ke namhlanje, makhe sifunde ngakumbi ngesi sitofu seColistin (esaziwa ngokuba yiColistimethate okanye iPolymyxin E).
Luhlobo luni lweyeza iColistin?
Ngamafutshane, iColistin sisibulali-ntsholongwane esikwiklasi ye-polymyxin. Umsebenzi waso ophambili kukutshabalalisa iintsholongwane eziyingozi ezingene emzimbeni.
Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba eli yeza linikwa kuphela izifo ezibangelwa ziintsholongwane. Aliyi kunyanga izifo ezibangelwa ziintsholongwane ezifana nomkhuhlane oqhelekileyo, umkhuhlane kunye nokukhwehlela.
Oku kufana nesixhobo esikhethekileyo nesinamandla esisetyenziswa nxamnye notshaba esingenakulawulwa ngezixhobo eziqhelekileyo. Yiyo loo nto eli lingeyoyeza elisetyenziswa rhoqo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ukuba ugqirha wakho ugqiba ekubeni akunike wena okanye umntu osapho lwakho olu gonyo lweColistin, ukuze ukhuseleke, kufuneka uxelele ugqirha olu lwazi lulandelayo. Musa ukufihla olu lwazi, kuba lunokuba yingozi kwimpilo yakho.
- Isifo sezintso: Ukuba unesifo sezintso esele sikhona, qiniseka ukuba uxelela ugqirha wakho ngaso. Oku kubaluleke kakhulu kuba iColistin inokuba nefuthe elithile kwizintso.
- Isifo semiphunga: Ukuba unesifo sokuphefumla esifana ne-asthma.
- I-Myasthenia Gravis: Le yimeko ebangela ubuthathaka bemisipha. Ukuba unesi sifo, kufuneka uxelele ugqirha wakho.
- Ii-Allergies: Ukuba une-allergy kwiColistin, iPolymyxin B, okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukukhulelwa: Ukuba ukhulelwe, okanye ulindele ukukhulelwa kungekudala.
- Ukuncancisa: Ukuba ungumama oncancisayo.
Ulisebenzisa njani eli yeza?
Oku akufani nepilisi oqhele ukuyithatha ekhaya. I-Colistin yinaliti .
Oku kudla ngokunikezelwa esibhedlele okanye ekliniki ngugqirha okanye umongikazi oqeqeshiweyo. Ngumjovo onikwa kwisihlunu okanye ngqo emthanjeni .
Kwimeko engaqhelekanga apho kufuneka uqhubeke nolu nyango ekhaya emva kokuba uphumile esibhedlele, isibhedlele siya kukunika uqeqesho olufunekayo. Ukuba oku kuyenzeka, kufuneka uthathe amayeza kanye njengoko kuyalelwe, ngexesha elifanelekileyo, kwaye kwidosi efanelekileyo. Musa ukuyeka ukuthatha amayeza okanye utsibe iidosi kuba nje uzive ungcono. Thatha unyango olupheleleyo kangangeentsuku ezichazwe ngugqirha wakho.
Ukuba usebenzisa imijovo ekhaya...
Ukuba ufuna ukufumana olu gonyo ekhaya, ungaze ulahle iisirinji neenaliti ezisetyenzisiweyo enkunkuma. Zinokuba yingozi kwabanye. Zifanele zilahlwe kwisikhongozeli esikhethekileyo (isikhongozeli esibukhali). Ukuba awunaso, buza ugqirha wakho malunga nendlela yokusifumana.
Zithini iziphumo ebezingalindelekanga zeyeza?
Njengalo naliphi na iyeza, iColistin inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zinto zifuna ingqalelo ekhawulezileyo. Masifunde ngakumbi ngazo kwitheyibhile engezantsi.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| Ukuba ezi mpawu ziyenzeka, yazisa ugqirha wakho ngoko nangoko. | |
| Ukwaliwa kakhulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe, ulwimi, okanye umqala. Le yimeko engxamisekileyo. |
| Ubunzima bokuphefumla | Ukuba unengxaki yokuphefumla okanye uziva ufuthanisekile. |
| Iziphumo kwizintso | Ubunzima bokuchama, ukuncipha okanye ukwanda komchamo, utshintsho kumbala womchamo. |
| Iziphumo kwinkqubo yemithambo-luvo | Ukudideka, isiyezi esigqithisileyo, ukulahlekelwa yibhalansi, ukungaziva mnandi kwamalungu okanye emlonyeni, ubunzima bokuthetha. |
| Urhudo oluqatha | Urhudo olumanzi okanye olunegazi. |
| Ifiva | Ukuqala komkhuhlane omtsha ukongeza kusulelo. |
| Ukuba ezi mpawu ziyaqhubeka okanye ziyakhathaza, yazisa ugqirha wakho. | |
| Uxhalabile | Ndiziva ndingenalo ulwaneliseko olungaqhelekanga engqondweni. |
| Ukudinwa | Ukuziva udiniwe kwaye udiniwe ngaphezu kwesiqhelo. |
Yintoni enye omele uyixhalabele?
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele okanye unesizungu . Ngoko ke , musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba likuchaphazela njani. Ukuze unciphise umngcipheko wokuba nesiyezi kunye nokuwa, ingakumbi ukuba sele ukhulile, lithathe kancinci xa uvuka kwindawo ohleli kuyo naxa uhleli kuyo.
- Amanye amayeza: Xelela ugqirha wakho ngamanye amayeza, iivithamini, kunye namayeza esintu owasebenzisayo. Ingakumbi amanye amayeza okubulala iintsholongwane afana ne-Amikacin, i-Gentamicin, kunye namayeza anikwa ukuphumza izihlunu ngaphambi kotyando anokusebenzisana neColistin.
- Urhudo: Ukuba urhudo, musa ukuzama ukuzinyanga ngokwakho ngamayeza afumaneka ngaphandle kwemvume kagqirha. Ukuba urhudo ludlule iintsuku ezimbini , okanye ukuba lunzima kwaye lumanzi, qiniseka ukuba uxelele ugqirha wakho.
- Ukuba ugqithisile: Ukuba ucinga ukuba uthathe ngaphezu komlinganiselo omiselweyo, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko , okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- IColistin sisitofu esinamandla kakhulu esisetyenziselwa kuphela usulelo olunzima lweebhaktheriya olumelana nee-antibiotics eziqhelekileyo.
- Ngaphambi kokuba uqale unyango, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo (ingakumbi isifo sezintso) kunye nawo onke amayeza owasebenzisayo.
- Thatha lonke unyango oluchazwe ngugqirha wakho ngaphandle kokuphoswa yidosi enye.
- Yazisa ugqirha wakho ngoko nangoko ukuba ufumana iimpawu ezinje ngobunzima bokuphefumla, utshintsho ekuchameni, isiyezi esiqatha, okanye iimpembelelo ezimbi ze-allergy.
- Kuphephe ukuqhuba imoto kunye nemisebenzi efuna ukulumka ngelixa usebenzisa eli yeza, njengoko usenokuba nobuthongo.
- Ukuba uneenkxalabo okanye amathandabuzo, thetha ngazo nogqirha wakho.
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