Ngezinye izikhathi izifo esizitholayo azilungele imithi evamile. Ikakhulukazi ezimweni zokutheleleka okukhulu okubangelwa amagciwane, odokotela kufanele banikeze umuthi onamandla. Namuhla sizokhuluma ngomuthi okhethekile osetshenziswa ezimweni ezinjalo, ofakwa emthanjeni. Igama lalo muthi yiPlazomicin. Uma udokotela ekunike lo muthi wena noma othile omaziyo, kubaluleke kakhulu ukwazi kahle ukuthi uyini.
Uhlobo luni lomuthi? Ngokuphathelene nePlazomicin
Kalula nje, i-Plazomicin iyi-antibiotic enamandla kakhulu. Umsebenzi wayo oyinhloko ukubhubhisa amabhaktheriya angena emizimbeni yethu futhi abangele izifo. Iyingxenye yeqembu lama-antibiotic abizwa ngokuthi ama-aminoglycosides. Lawa avame ukusetshenziselwa ukwelapha izifo ezibangelwa amagciwane eziyinkimbinkimbi nezinzima okunzima ukuzilawula ngamanye ama-antibiotic.
Into ebaluleke kakhulu ukuthi lo muthi usebenza kuphela kumagciwane. Awunawo umthelela ezifweni ezibangelwa amagciwane, njengomkhuhlane kanye ne-flu. Ngakho-ke, akukhuthazwa ukusebenzisa lolu hlobo lomuthi ngaphandle kweseluleko sikadokotela.
Lo muthi uvame ukutholakala ngaphansi kwegama lomkhiqizo i-ZEMDRI.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Njengoba i-Plazomicin iyisidakamizwa esinamandla kakhulu, ingase ihlangane nezinye izimo emzimbeni wakho. Ngakho-ke, kubalulekile ukuchaza ngokucacile umlando wakho wezempilo kudokotela wakho ngaphambi kokuqala ukwelashwa. Ikakhulukazi uma unezinye zezimo ezilandelayo, kufanele nakanjani umtshele ngazo.
| Isimo sempilo noma iqiniso | Kungani kubalulekile ukwazisa udokotela? |
|---|---|
| Isifo sezinso | I-Plazomicin ikhishwa emzimbeni ngezinso. Uma izinso zingasebenzi kahle, umuthi unganqwabelana emzimbeni futhi wandise imiphumela emibi. |
| Ukukhubazeka kokuzwa noma umlando womndeni wokulahlekelwa ukuzwa | Lo muthi ngezinye izikhathi ungathinta ukuzwa kwakho. Uma usuvele usengozini, udokotela wakho uzoqaphela kakhulu ngalokhu. |
| Izifo zemizwa nemisipha njenge-myasthenia gravis | Lo muthi ungandisa ubuthakathaka bemisipha. Ngakho-ke, kubalulekile ukwazisa uma unesifo esinjalo. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kube nemibiko yezinkinga zokuzwa ezinganeni zomama abanikezwe lo muthi ngesikhathi sokukhulelwa. Ngakho-ke khuluma nodokotela wakho ngokukhululekile ngalokhu. |
| Ukuba ngumama oncelisayo | Kufanele uxoxe nodokotela wakho ukuthi umuthi udlulela enganeni ngobisi lwebele nokuthi uzoba nomthelela yini. |
| Ukuba nokungezwani neminye imithi, ukudla, noma izinto ezithile | Uma une-allergy ku-Plazomicin noma yini enye, kufanele utshele udokotela wakho. |
Uyisebenzisa kanjani le mithi?
I-Plazomicin iwumjovo we-intravenous (IV), okusho ukuthi ayikwazi ukugwinywa njengephilisi.
- Esibhedlela noma emtholampilo: Ngokuvamile, lo muthi unikezwa abasebenzi bezokwelapha ngenkathi usesibhedlela noma emtholampilo.
- Ukwelashwa ekhaya: Kwezinye izimo, udokotela wakho angase akuncome ukuthi uthathe lo muthi ekhaya. Uma kunjalo, uzoqeqeshwa ukuthi uwulungiselele futhi uwunikeze ngendlela efanele. Ungalokothi ushintshe umthamo noma uyeke ukuthatha umuthi ngaphambi kwesikhathi esibekiwe.
Wenzani ngezinaliti ezisetshenzisiwe kanye nezirinji?
Uma uthatha lo muthi ekhaya, ungalahli izinaliti ezisetshenzisiwe kanye namasirinji kudoti ojwayelekile. Kukhona isitsha esikhethekile sokuhlaba. Uma ungenaso, buza udokotela wakho ukuthi ungasithola kanjani.
Kuthiwani uma umthamo womuthi ukhushuliwe (ukudlula umthamo)?
Uma ucabanga ukuthi uphuze umuthi omningi ngephutha, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
- Uma usesibhedlela: Uma ungakwazi ukufika esibhedlela ukuze uthole imithi yakho ngesikhathi, yazisa ithimba lezokwelapha ngokushesha.
- Ekhaya: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili. Uma ungabaza, khuluma nodokotela wakho.
Eminye imithi engase ihlangane nalo muthi
Ukuthatha i-Plazomicin kanye neminye imithi kungabangela ukusabela okuyingozi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Imithi okungafanele ithathwe ndawonye | |
|---|---|
| |
| Eminye imithi engabangela izinkinga | |
| Ama-Painkiller | Ama-NSAID afana ne-Aspirin, i-Ibuprofen, ne-Naproxen. |
| Imithi yokuhlanza | Isibonelo: I-Furosemide |
| Ezinye izidakamizwa zokulwa nokutheleleka | Imithi efana ne-Acyclovir, i-Amphotericin B, ne-Vancomycin. |
| Ukulwa nomdlavuza | Imithi efana neCisplatin. |
| Okunye | I-Cyclosporine, umuthi osetshenziselwa ukukhulula imisipha ngesikhathi sokuhlinzwa, ama-hormone, i-Pamidronate, i-Zoledronic acid. |
Lolu hlu lungase lungaphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Odokotela bazohlala beqapha isimo sakho ngesikhathi uthatha lo muthi. Kufanele futhi uqaphele lezi zinto.
- Izimpawu: Uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
- Ukuhlolwa kwegazi: Ngesikhathi sokwelashwa, kungadingeka ukuthi uhlolwe igazi ukuze kuhlolwe ukusebenza kwezinso zakho kanye nezinga lomuthi egazini lakho.
- Ukuzwa: Ukuzwa kwakho kungase kuhlolwe ngaphambi kokuba uqale ukuthatha lo muthi nangesikhathi uwuthatha. Uma uzwa ukukhala ezindlebeni zakho noma ukulahlekelwa ukuzwa, tshela udokotela wakho ngokushesha.
- Uhudo: Ungase ube nesifo sohudo ngenkathi uthatha umuthi. Kodwa-ke, uma isifo sohudo sakho sibi kakhulu futhi sihlala izinsuku ezingaphezu kwezimbili, ungayithathi imithi ekhemisi bese ukhuluma nodokotela wakho.
- Amavithamini: Qiniseka ukuthi uthola amavithamini B6 kanye ne-B12 anele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla namavithamini owathathayo.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Plazomicin ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukulimala kwezinso | Ukuncipha kokuchama, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Imiphumela ekuzweni | Ukulahlekelwa ukuzwa, ukukhala ezindlebeni. |
| Imiphumela ohlelweni lwezinzwa | Ubuhlungu ezithweni zomzimba, ukungazweli, ubuthakathaka bemisipha, ubunzima bokuhamba, ukuxhuzula. |
| Uhudo olubi kakhulu | Uhudo olunamandla, olunamanzi kanye nomkhuhlane. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa okufanele ibikwe kudokotela uma iqhubeka) | |
| Uhudo | Ikhanda elibuhlungu |
| Isicanucanu | Ukuhlanza |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Plazomicin iyi-antibiotic enamandla, efakwa emthanjeni esetshenziselwa ukwelapha izifo ezibangelwa amagciwane ezinkulu. Ayisebenzi ekulweni nezifo ezibangelwa amagciwane.
- Ngaphambi kokuthatha lo muthi, qiniseka ukuthi utshela udokotela wakho nganoma yisiphi isifo sezinso, izinkinga zokuzwa, ukukhulelwa, kanye nayo yonke eminye imithi oyithathayo.
- Uma uhlangabezana nanoma yiziphi izinguquko ekuzweni, ukwehla kokuchama, noma uhudo olubi kakhulu ngenkathi uthatha umuthi, funa iseluleko sikadokotela ngokushesha.
- Ungayeki ukuthatha imithi uze uqede yonke inkambo yokwelashwa oyinikezwe udokotela wakho.
- Uma unemibuzo noma ukungabaza, sicela ukhulume nodokotela wakho ngaphandle kokwenza izinqumo ngokwakho.
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