Ngezinye izikhathi sidinga ukwelashwa okunamandla kunamaphilisi avamile ukulawula ukutheleleka okukhulu kwamagciwane. Uma udokotela wakho ekunike umjovo obizwa ngokuthi i-Amikacin, kusho ukuthi ungase ube nokutheleleka okukhulu kwamagciwane. Ungesabi uma uzwa leli gama. I-Amikacin iyi-antibiotic ebaluleke kakhulu, enamandla esetshenziselwa ukwelapha ukutheleleka okunjalo. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi usebenza kanjani, lokho okudingeka sikuqaphele, kanye nemiphumela emibi engaba khona.
Iyini ngempela i-Amikacin?
Kalula nje, i-Amikacin iyi-antibiotic enamandla kakhulu eyingxenye yesigaba se-aminoglycoside. Umsebenzi wayo oyinhloko ukubhubhisa amanye amabhaktheriya ayingozi kakhulu angangena emizimbeni yethu futhi abangele izifo. Lo muthi unikezwa ngqo emthanjeni (ngokufakwa emthanjeni) noma emisipheni (ngaphakathi kwemisipha). Ngemuva kwalokho, umuthi ungena ngokushesha egazini bese uya endaweni yokutheleleka bese uqala ukusebenza.
Into eyodwa ebaluleke kakhulu okufanele uyikhumbule: Lo muthi usebenza kuphela ezifweni ezibangelwa amagciwane. Ngeke welaphe izifo ezibangelwa amagciwane njengomkhuhlane kanye nomkhuhlane. Ngakho-ke ungalokothi ucabange nokusebenzisa lo muthi ngaphandle kwencwadi kadokotela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ukuze uphephe futhi uphumelele ekwelashweni kwakho, kubalulekile ukuthi utshele udokotela wakho umlando wakho wezokwelapha ophelele ngaphambi kokusebenzisa i-Amikacin. Ikakhulukazi uma unezinye zalezi zimo.
- Ukuphelelwa amanzi emzimbeni: Uma uzizwa uphelelwe amanzi emzimbeni ngenxa yokuhlanza noma uhudo olusanda kwenzeka.
- Izinkinga zokuzwa: Uma unenkinga yokuzwa noma inkinga efana nokukhala njalo ezindlebeni zakho.
- Isifo sezinso: Uma unesifo sezinso esivele sikhona.
- Izifo ze-neurological: Uma unezifo ze-neurological ezifana ne-myasthenia gravis noma isifo sikaParkinson.
- Ukungezwani komzimba: Uma uke waba nokungezwani komzimba ne-Amikacin ngaphambilini, amanye ama-antibiotic (ikakhulukazi i-gentamicin, i-tobramycin), ama-sulfite, ukudla, imibala yokwenziwa, noma izithasiselo.
- Ukukhulelwa nokuncelisa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele utshele udokotela wakho ngaphambi kokusebenzisa lo muthi.
Indlela yokusebenzisa umuthi nokuthi yini okufanele uyiqaphele
Lo muthi uvame ukunikezwa uchwepheshe wezempilo esibhedlela noma emtholampilo. Kodwa-ke, kwezinye izimo, uma udinga ukuqhubeka nokwelashwa ekhaya, uzofundiswa ukuthi ungawunikeza kanjani lo muthi. Uma lokhu kwenzeka, khumbula lezi zinto:
- Sebenzisa kahle: Sebenzisa umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho. Ungalokothi wehlise, wandise, noma weqe umthamo.
- Uma uphuthelwa umthamo: Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
- Ukulahla izinaliti nezinaliti: Ungalokothi ulahle izinaliti nezinaliti ezisetshenzisiwe emgqonyeni kadoti. Zingaba yingozi kwabanye. Kufanele zifakwe esitsheni sepulasitiki esikhethekile nesibanzi (isitsha esibukhali) esinikeziwe. Uma ungenaso, buza udokotela wakho ukuthi ungasithola kanjani.
- Ukweqisa: Uma ucabanga ukuthi uphuze ngokweqile ngephutha, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Uma unikeza izingane lo muthi...
Uma unikeza izingane lo muthi, kudingeka ukunakekelwa okukhethekile. Ngakho-ke, qiniseka ukuthi ukhuluma nodokotela wezingane futhi ulandele imiyalelo yakhe.
Eminye imithi engasebenzisana ne-Amikacin
Eminye imithi oyithathayo ingase ihlangane nalo muthi futhi ibangele imiphumela engafuneki. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lwesidakamizwa | Izinto okufanele uzicabangele |
|---|---|
| I-Cidofovir | I-Amikacin akufanele ithathwe kanye nalo muthi. |
| Eminye imithi engathinta izinso | I-Amphotericin B, i-Cisplatin, i-Colistin, i-Bacitracin, kanye namanye ama-antibiotic. |
| Izidakamizwa zokunciphisa ukuchama - izidakamizwa ezandisa ukuchama | Izibonelo: I-Furosemide, i-Ethacrynic acid. Lokhu kungandisa imiphumela emibi ye-Amikacin (ikakhulukazi ezindlebeni nasezinso). |
| Amaphilisi okuvimbela inzalo | Ngenxa yokuthi i-Amikacin inganciphisa ukusebenza kahle kwamaphilisi okuvimbela inzalo, xoxa nodokotela wakho ngokusebenzisa enye indlela yokuvimbela inzalo. |
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Futhi, khuluma iqiniso ngokuthi uyabhema, uyaphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni.
Imiphumela emibi engaba khona lapho uthatha umuthi
Njengayo yonke imithi, i-Amikacin ingabangela imiphumela emibi. Nakuba eminingi yale mithi incane, kunezinto ezithile okufanele siziqaphele ngokukhethekile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuqubuka, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. Lesi yisimo esiphuthumayo. |
| Umphumela ezindlebeni | Ukulahlekelwa ukuzwa, ukukhala ezindlebeni. Tshela udokotela wakho ngokushesha. |
| Umphumela ezinso | Ukwehla kokuphuma komchamo, ukuvuvukala emilenzeni noma emaqakaleni. Tshela udokotela wakho ngokushesha. |
| Umphumela ohlelweni lwezinzwa | Ukuzungeza, ukulahlekelwa yibhalansi, ukungazweli ezithweni, ukuthuthumela kwemisipha noma ubuthakathaka. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Kungase kube khona ikhanda elibuhlungu elijwayelekile. |
| Isicanucanu nokuhlanza | Kungenzeka ngemva kokudla. |
| Ubuhlungu endaweni yokujova | Kungase kube nobuhlungu, ukubomvu, noma ukuvuvukala endaweni yokujova. |
Umlayezo Wokuya Nawe Ekhaya
- I-Amikacin iyi-antibiotic enamandla esetshenziselwa ukwelapha izifo ezibangelwa amagciwane ezinkulu. Ayisebenzi ekulweni nezifo ezibangelwa amagciwane njengomkhuhlane ovamile.
- Ngaphambi kokuqala ukwelashwa, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha (ikakhulukazi izinkinga zezinso nokuzwa) kanye nokungezwani komzimba.
- Thatha umthamo onqunyiwe njengoba nje udokotela wakho ewushilo, ngesikhathi esinqunyiwe. Ungalokothi weqe noma uphindwe kabili umthamo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengokulahlekelwa ukuzwa, ukuncipha komchamo, noma ukulahlekelwa ibhalansi, yazisa udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma usola ukuthi uphuze ngokweqile , shayela iNational Poison Information Center ngokushesha.Noma iya e -ETU esibhedlela esiseduze.
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