Ngamanye amaxesha, izifo esizifumanayo azinakuphiliswa ngeepilisi eziqhelekileyo, akunjalo? Ingakumbi xa usulelo lweentsholongwane lunzima, oogqirha basebenzisa amayeza okubulala iintsholongwane anamandla anikwa ngemithambo ngokusimisa esibhedlele. I-Meropenem; eyaziwa ngokuba yiVaborbactam, liyeza elibaluleke kakhulu nelinamandla elisetyenziselwa ukulawula usulelo lweentsholongwane olunzima. Namhlanje, siza kuthetha ngeli yeza ngokweenkcukacha nangokulula.
Luhlobo luni lonyango olu?
Ngamafutshane, iMeropenem; iVaborbactam sisibulali-ntsholongwane esinamandla esikudidi lweCarbapenems . Ineenxalenye ezimbini, iMeropenem kunye neVaborbactam. Cinga ngale ndlela, iMeropenem lijoni eliphambili elibulala iintsholongwane. IVaborbactam ifana nomncedisi okhusela elo joni aze aphule iinkqubo zokuzikhusela zeentsholongwane. Xa ezi zimbini zidibana, zinokubulala nezona ntlobo zeentsholongwane zinobungozi kakhulu ezingenakulawulwa zezinye izibulali-ntsholongwane.
Eyona nto ibalulekileyo kukuba eli yeza lisebenza kuphela kwiintsholongwane ezibangelwa ziintsholongwane . Alinyangi izifo ezibangelwa ziintsholongwane ezifana nomkhuhlane oqhelekileyo, umkhuhlane, kunye nokukhwehlela. Ngoko ke, akucetyiswa ukusebenzisa olu hlobo lweyeza ngaphandle kwemvume kagqirha.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale olu nyango
Ngaphambi kokuba agqibe ekubeni akunike eli yeza, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Qiniseka ukuba umxelele ngayo nayiphi na kwezi meko zilandelayo, ingakumbi:
- Isifo sezintso: Kubalulekile ukuxelela ugqirha wakho ukuba uneengxaki zezintso, njengoko eli yeza likhutshwa kakhulu emzimbeni ngezintso. Oku kuya kunceda ugqirha wakho ukuba amisele idosi ekhuselekileyo kuwe.
- Iithumba zobuchopho okanye ukuxhuzula: Ukuba ukhe waxhuzula ngaphambili, unesifo esifana nokuxhuzula, okanye unengxaki yobuchopho, kufuneka uxelele ugqirha wakho. Eli yeza linomngcipheko ongaqhelekanga wokubangela ukuxhuzula.
- Ii-Allergies: Qiniseka ukuba uxelela ugqirha wakho ukuba ukhe waba nazo naziphi na ii-allergies kwiMeropenem, iVaborbactam, okanye ezinye ii-antibiotics (ingakumbi i-penicillin), amanye amayeza, ukutya, okanye iidayi.
- Ukukhulelwa okanye ukuzama ukukhulelwa: Ukuba ukhulelwe, okanye uceba ukukhulelwa kungekudala, thetha nogqirha wakho ngaloo nto.
- Ukuncancisa: Ukuba ungumama oncancisa umntwana wakho, yazisa ugqirha wakho ngale nto.
Ulisebenzisa njani eli yeza?
Eli yeza linikwa njengenaliti emthanjeni. Oku kudla ngokwenziwa esibhedlele okanye ekliniki, phantsi kweliso likagqirha okanye umongikazi. Eli yeza linikwa njengenaliti kangangeeyure ezininzi.
Kwezinye iimeko, kusenokufuneka uqhubeke nonyango emva kokuba uphumile esibhedlele. Ukuba kunjalo, wena okanye umntu okhathalelayo uya kufundiswa ngokucacileyo indlela yokulungiselela nokujova olu gonyo ekhaya.
- Yithathe ngexesha: Kubaluleke kakhulu ukusela idosi emiselweyo kanye xa ugqirha ekuxelela ukuba wenze njalo.
- Ungaphoswa yidosi: Ukuba uphoswe yidosi, fowunela ugqirha wakho ngokukhawuleza ukuze akunike ingcebiso. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi ephoswe yidosi.
- Lahla iinaliti ngokukhuselekileyo: Ungaze ulahle iinaliti ezisetyenzisiweyo kunye neesirinji enkunkuma. Ziyingozi kakhulu. Zibeke kwisitya esibukhali esenzelwe ngokukodwa ukulahla. Ukuba awunayo, buza ugqirha wakho malunga nendlela yokuzifumana.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba ulisebenzise kakhulu eli yeza, ungoyiki kwaye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko . Okanye, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenzisana nalo mayeza (Intsebenziswano)
Kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha wakho, athengwe kwikhemesti, amayeza esintu, iivithamini), njengoko amanye amayeza enokuchaphazela eli.
- I-Valproic acid: Ukuba i-Meropenem; iVaborbactam inikwa umntu othatha eli yeza xa enesifo sokuwa, ukusebenza kwe-Valproic acid kunokuncipha kwaye umngcipheko wokuba isifo sokuwa unokwanda.
- I-Probenecid: Eli yeza, elisetyenziselwa i-gout, linokubangela ukuba i-Meropenem ihlale emzimbeni ixesha elide.
- Iipilisi zokulawula ukuzala: Ukuba uthatha iipilisi zokulawula ukuzala, le antibiotic inokunciphisa ukusebenza kwazo. Ke ngoko, bubulumko ukuthetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lokulawula ukuzala ngelixa usebenzisa le mayeza.
Izinto ekufuneka ziqwalaselwe ngexesha lonyango
Ugqirha wakho uza kuhlala ejonga imeko yakho ngelixa usebenzisa la mayeza, kodwa kufuneka uqaphele nezi zinto.
- Nika ingqalelo kwiimpawu: Ukuba iimpawu zakho aziphucuki, okanye ukuba zibonakala zisiba mandundu, xelela ugqirha wakho okanye umongikazi wakho ngoko nangoko.
- Ukunganyamezelani kakhulu kolusu:Oku kubaluleke kakhulu. Abanye abantu banokuba neempembelelo ezinzulu kulusu xa besebenzisa eli yeza. Oku kungenzeka kwiiveki emva kokuba uqalile ukusebenzisa eli yeza. Ukuba unomkhuhlane, iintlungu zomzimba, kunye namabala abomvu okanye amfusa kulusu lwakho aze aqhekeke, funa ingcebiso kagqirha ngoko nangoko . Kwakhona, ukuba ubona amabala abomvu kulusu lwakho kunye nama-lymph nodes avuvukileyo ebusweni bakho, emilebeni, entanyeni, okanye emakhwapheni, oko kukwaluphawu olubi kakhulu.
- Urhudo: Amayeza okubulala iintsholongwane ngamanye amaxesha anokubangela urhudo. Nangona kunjalo, ukuba urhudo lwakho luhlala iintsuku ezingaphezu kwembini, lumanzi, okanye luhamba negazi, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaphambi kokuba uthathe amayeza athengiswa ngaphandle kwemvume kagqirha. Oku kungaba luphawu losulelo lwe-C. difficile olubangelwa zii-antibiotics.
- Ukuphaphama kwengqondo: Eli yeza linokubangela ukuba abanye abantu bazive benesiyezi okanye besozela. Ngoko ke, kungcono ukuphepha imisebenzi efuna ukuphaphama okuphezulu, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba oku kukuchaphazela njani.
| Uhlobo lwesiphumo esibi | Yintoni ekufuneka uyazi |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Ukwaliwa kakhulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Iimpendulo ezinzulu zesikhumba | Ubomvu besikhumba, ukudumba, ukuxobuka kwesikhumba (nangaphakathi emlonyeni). |
| Urhudo oluqatha | Indle enamanzi okanye enegazi. |
| Ukuxhuzula | Ukuba nesifo sokuwa. |
| Iingxaki ze-neurological | Intlungu kunye nokungacaci kwamalungu omzimba. |
| Okunye | Ukopha okanye ukukrweleka okungaqhelekanga, umkhuhlane, iintlungu, ukubomvu, okanye ukudumba kwindawo yokutofa. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza: | |
| Iziphumo ebezingalindelekanga ezincinci | Intloko ebuhlungu, isicaphucaphu, iintlungu zesisu, isiyezi, ukukhupha ulwelo kwilungu lobufazi, ukurhawuzelelwa okanye ivumba elahlukileyo kubafazi. |
Umyalezo Wokuya Ekhaya
- I-Meropenem; I-Vaborbactam sisibulali-ntsholongwane esinamandla kakhulu esisetyenziselwa kuphela usulelo olunzima lweebhaktheriya . Ayisebenzi kwiintsholongwane.
- Kubalulekile ukuxelela ugqirha wakho ngezinye izifo zakho (ingakumbi isifo sezintso, ukuxhuzula) kunye nazo zonke ezinye amayeza owasebenzisayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu ezifana nokusabela okuqatha kwesikhumba, urhudo oluqatha, okanye ukuxhuzula ngexesha lonyango.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Sela idosi echanekileyo ngexesha elifanelekileyo. Ungaze wabelane ngeli yeza nabanye.
- Eli yeza linokukwenza udideke okanye ulale, ngoko ke kuphephe ukuqhuba imoto ude wazi ukuba likuchaphazela njani.
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