Ingabe i-Tobramycin ingeyokutheleleka kwamaphaphu akho? Ake sithole ukuthi ziyini ngempela lezi zinto!

Ngezinye izikhathi sithola izifo ezibangelwa amagciwane emaphashini ethu, akunjalo? Bese siba nobunzima bokuphefumula, siyakhwehlela, futhi ngezinye izikhathi sithola ngisho nomkhuhlane. Ngezikhathi ezinjengalezi, odokotela bangasinika umuthi esingawuphefumula nge-nebulizer. Omunye umuthi onjalo yi-Tobramycin. Lona akusiwo umuthi womkhuhlane noma umkhuhlane kuphela, kodwa ungowokutheleleka kwamagciwane emaphashini. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, kulungile?

Uyini lo muthi obizwa ngokuthi iTobramycin?

Kalula nje, i-Tobramycin iyi -antibiotic eseqenjini lemithi ebizwa ngokuthi ama-aminoglycosides . Isetshenziselwa ukwelapha nokuvimbela izifo ezibangelwa izinhlobo ezithile zamagciwane emaphashini akho. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi ayisebenzi ezifweni ezibangelwa amagciwane . Lokhu kusho ukuthi ngeke yelaphe izinto ezifana nomkhuhlane noma umkhuhlane.

Odokotela ngezinye izikhathi bangase bakunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo mayelana nalo muthi, kungcono ukubuza udokotela wakho noma usokhemisi.

Lo muthi ungatholakala ngaphansi kwamagama ahlukahlukene emakethe, njenge-'BETHKIS', 'Kitabis Pak', kanye ne-'Tobi'.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Kulungile, manje lokhu kuyinto ebaluleke kakhulu. Ngaphambi kokuthi uqale ukusebenzisa i-Tobramycin, kubalulekile ukutshela ithimba lakho lokunakekela nganoma yiziphi izimo zempilo onazo. Yilapho-ke lapho bengakwazi khona ukunquma ukuthi lo muthi ukulungele yini noma cha, nokuthi ungawunikeza kanjani.

Batshele ngalezi zinto:

• Izinkinga zokulinganisela: Ingabe ngezinye izikhathi uzizwa unesizungu noma ungalingani?
• Izinkinga zokuzwa: Ingabe kukhona ukulahlekelwa ukuzwa noma umehluko?
• Isifo sezinso: Ingabe unesifo esihlobene nezinso?
• I-Myasthenia Gravis: Lesi yisimo esenza imisipha ibe buthaka. Ingabe unayo?
• Isifo sikaParkinson: Lesi yisifo esihlobene nesimiso sezinzwa, futhi izimpawu ezifana nokuthuthumela nokuthuthumela zingase zibe khona.
• Ukusabela kokungezwani komzimba: Ingabe une-allergy ku-tobramycin, amanye ama-aminoglycoside, ama-sulfite, eminye imithi, ukudla, amadayi, noma izithasiselo?
• Ukukhulelwa (ukukhulelwa noma ukuzama ukukhulelwa): Ingabe ukhulelwe? Noma ingabe uzama ukukhulelwa? Leli iphuzu elibaluleke kakhulu .
• Ukuncelisa:Uyancelisa?

Ungazifihli zonke lezi zinto, tshela udokotela . Khona-ke bazokusiza ngendlela efanele.

Uyisebenzisa kanjani kahle le mithi?

Lomuthi usetshenziselwa ukuhogela njengomhwamuko ngomshini omncane obizwa ngokuthi i-nebulizer. Kungenzeka ukuthi uke wabona ukuthi izingane ezincane zinikwa ama-nebulizer uma zinomkhuhlane omubi noma uma zine-mucus esifubeni sazo. Lokhu kuyafana.

I-nebulizer iguqula umuthi owuketshezi ube yizinhlayiya ezincane, njengenkungu encane (i-aerosol) , oyiphefumula emaphashini akho ngomlomo wakho, noma ngomlomo wakho namakhala. Udokotela wakho, usokhemisi, noma umhlengikazi uzokukhombisa ukuthi ungayisebenzisa kanjani i-nebulizer. Landela imiyalelo ngokucophelela. Yisebenzise njengoba nje kuqondiswe kwilebula lakho lemithi kadokotela. Ungasebenzisi okungaphezu kwenani elibekiwe noma kaningi kunalokho okubekiwe.

Njalo uma uthola incwadi kadokotela, okungukuthi, njalo uma uvuselela incwadi yakho kadokotela, uzothola iphepha lolwazi elinemininingwane mayelana nomuthi. Lifunde ngokucophelela njalo. Ulwazi lungashintsha ngezikhathi ezithile.

Ingabe lokhu nikunikeza izingane ezincane?

Yebo, lo muthi ngezinye izikhathi unganikezwa odokotela ezinganeni ezineminyaka engu-6 ubudala, ngaphansi kwezimo ezikhethekile. Kodwa kunezinto okufanele uziqaphele. Ngakho-ke uma unikeza ingane yakho lo muthi, khuluma nodokotela wezingane ngakho ngokucophelela bese uthola imininingwane.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo esibhedlela esiseduze ngokushesha . Ungachithi isikhathi.

Kulungile yini ukwabelana ngalo muthi nabanye?

Lokhu kubaluleke kakhulu: Lo muthi unikezwe wena wedwa. Ungabelani ngalo muthi nanoma ubani nganoma yisiphi isizathu . Izimo zezokwelapha nezimo zomzimba zawo wonke umuntu zihlukile. Okusebenzela wena kungase kungasebenzi komunye umuntu, futhi kungase kumlimaze ngisho naye.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

O, ungesabi ngaleso sikhathi. Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kungaphansi kwamahora ayisithupha ngaphambi komthamo wakho olandelayo, yeqa umthamo ophuthelwe. Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela izinkinga ngokwandisa umthamo.

Ingabe ikhona eminye imithi engasebenzisana nalo muthi? (Ukusebenzisana Kwemithi)

Yebo, lokhu kuyinto okufanele uyiqaphele kakhulu. Kuneminye imithi engabangela izinkinga uma ithathwa kanye ne-Tobramycin, okusho ukuthi kukhona ukusebenzisana.

Akufanele uthathe i-Tobramycin uma uthatha noma yimiphi yemithi elandelayo:

• I-Cidofovir `(Cidofovir)`
• I-Cisplatin `(Cisplatin)`
• UColistin
• I-Ethacrynic acid
• I-Furosemide (isidakamizwa sokukhipha umchamo, okusho umuthi okwenza ukuthi ukhiphe umchamo omningi)
• I-Mannitol
• Amanye ama-antibiotic e-aminoglycoside
• I-Polymyxin
• I-Urea
• I-Vancomycin
• I-Viomycin

I-Tobramycin ingasebenzisana nale mithi:

• Amaphilisi okuvimbela inzalo
• Eminye imithi yokukhipha umchamo (imithi ebangela ukuthi umchamo omningi ukhishwe)

Lolu hlu lungase lungaphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo - okuhlanganisa imithi kadokotela, imithi engabhalwanga ngudokotela, imithi yamakhambi, kanye nezithasiselo zokudla. Kubalulekile futhi ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye zalezi zingathintana nemithi yakho.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Yiya kudokotela wakho noma uchwepheshe wezempilo njengoba bekutshela. Lokho kusho ukuya emtholampilo nsuku zonke. Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, yazisa udokotela wakho ngokushesha .

Enye into ukuthi uma usebenzisa lo muthi, amazinga e-vitamin B6 kanye ne-vitamin B12 emzimbeni wakho angase ehle kancane. Ngakho-ke, kubalulekile ukudla ukudla okunikeza la mavithamini amabili emzimbeni wakho. Kungcono ukukhuluma nodokotela wakho ngokudla okudlayo futhi uma uthatha amaphilisi e-vitamin, thola iseluleko.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Tobramycin ingabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu oyitholayo, kodwa kuhle ukuqaphela engaba khona.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho noma uchwepheshe wezempilo ngokushesha okukhulu :

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa umzimba wonke, noma ukuqubuka, ukuvuvukala kobuso, izindebe, noma ulimi.
• Izinkinga zokuphefumula: Ubunzima bokuphefumula, ukukhwehlela.
• Ushintsho enanini noma umbala womchamo: Inani lomchamo okhiqizwayo lingase linciphe, noma umbala womchamo ungashintsha.
• Ushintsho ekuzweni: Ukuzwa kuncipha, ukukhala ezindlebeni.
• Ukuzungeza: Ukuzizwa sengathi ikhanda lakho liyazungeza.
• Izimpawu zomkhuhlane noma ukutheleleka: Izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nomphimbo obuhlungu.
• Ukulahlekelwa yibhalansi: Ukulahlekelwa yibhalansi ngenkathi uhamba.
• Amaqhubu esikhumba noma izilonda (ukubomvu, ukuqubuka, ukuxebuka noma ukukhululeka kwesikhumba, okuhlanganisa nangaphakathi komlomo): Isikhumba siba bomvu, kuvela amaqhubu, bese isikhumba siqhekeka, futhi lezi zinto zingenzeka nangaphakathi komlomo.
• Ukopha noma ukuklwebheka okungajwayelekile: Iqhubu elincane lingabangela ukuklwebheka okukhulu, noma libonakala sengathi liphuma igazi.
• Ubuthakathaka noma ukukhathala ngendlela engavamile: Ukuzizwa ungenalutho futhi ukhathele.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

Le miphumela emibi ngokuvamile ayibi mibi kakhulu. Kodwa-ke, uma iqhubeka noma ikukhathaza, kuwumqondo omuhle ukutshela udokotela wakho :

• Uhudo
• Izinguquko ezwini
• Ukukhwehlela
• Ikhanda elibuhlungu
• Isicanucanu, ukuhlanza
• Impumulo egobhozayo

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwalokhu, buza udokotela wakho ngakho. Uma ufuna, ungabika nemiphumela emibi ku-U.S. Food and Drug Administration (FDA) (inombolo yabo yocingo ingu-1-800-FDA-1088).

Ngingawugcina kanjani umuthi?

Lokhu kubalulekile futhi. Uma umuthi ungagcinwanga kahle, ikhwalithi yawo ingase iwohloke noma yonakale.

• Yigcine kude nezingane. Lokhu kubaluleke kakhulu.
• Gcina umuthi esiqandisini ezingeni lokushisa eliphakathi kwama-degree Celsius amabili nangu-8 (2 nama-degree Celsius) noma phakathi kwama-degree Fahrenheit angu-36 nangu-46 (36 nama-degree Fahrenheit angu-46).
• Ungagcina lo muthi ezingeni lokushisa legumbi, elingafika kuma-degree Celsius angu-25 (25 degrees C) noma ama-degree Fahrenheit angu-77 (77 degrees F). Kodwa-ke, uma wenza kanjalo, kufanele ulahle noma yimuphi umuthi ongasetshenziswanga ngemva kwezinsuku ezingu-28.
• Vikela ekukhanyeni. Lokho kusho ukuthi ungayigcini ekukhanyeni okukhulu.
• Uma ikhambi lomuthi libonakala liguqubele, ungalisebenzisi.
• Ungalokothi usebenzise imithi esiphelelwe yisikhathi, yilahle.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngeTobramycin, akunjalo? Nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• Sebenzisa lo muthi njengoba nje udokotela wakho ekuyalele, isikhathi esinqunyiwe, kanye nenani elinqunyiwe .
• Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi, yazisa udokotela wakho ngayo. Ungesabi, kodwa ungayizibi futhi.
• Lo muthi ungowakho wedwa . Ungawubelani nabanye.
• Gcina umuthi ngendlela efanele futhi ephephile .
• Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho noma umuntu osekhemisi .

Khumbula, lesi sihloko singesolwazi olujwayelekile kuphela. Asithathi indawo yeseluleko sikadokotela wakho. Methembe njalo udokotela wakho futhi ulandele iseluleko sakhe.

Ngikufisela ukululama okusheshayo!

I- Tobramycin, izifo zamaphaphu, ama-nebulizer, ama-antibiotic, izifo zamagciwane, izifo zokuphefumula, imiphumela emibi yemithi