He aha ʻo Cefepime: Nā Hoʻohana, Ka Leki, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau antibiotic ikaika ʻo Cefepime e hakakā ana i nā maʻi bacteria koʻikoʻi i loko o kou kino. No ka pūʻulu lāʻau lapaʻau i kapa ʻia ʻo cephalosporins, e hana ana e like me nā koa akamai e kuhikuhi ana a luku i nā bacteria ʻino e hoʻokumu ana i nā maʻi.

Hāʻawi ʻia kēia lāʻau lapaʻau ma o ka injection, i loko o kou vein (IV) a i ʻole ka ʻiʻo (IM), no ka mea, pono e hana wikiwiki a hiki i nā pae kiʻekiʻe i loko o kou kahe koko. E ʻōlelo maʻamau kāu kauka iā cefepime ke loaʻa iā ʻoe kahi maʻi koʻikoʻi e pono ai ka lāʻau lapaʻau ikaika.

He aha ʻo Cefepime?

ʻO Cefepime kahi lāʻau antibiotic cephalosporin hanauna ʻehā e kuhikuhi pono ana i nā maʻi bacteria. E noʻonoʻo iā ia he mea hana pololei e hiki ke ʻike a hoʻopau i nā ʻano bacteria ʻino like ʻole i loko o kou kino.

ʻO kēia lāʻau lapaʻau ka mea a nā kauka e kapa ai he antibiotic

• Pneumonia: Mea e komo pū ana me ka pneumonia i loaʻa i ka haukapila a me ka pneumonia i pili i ka ventilator
• Nā maʻi o ka ʻōnaehana mimi: Nā maʻi kīkī paʻakikī a me nā maʻi ʻōpū nui
• Nā maʻi ʻili a me nā ʻiʻo palupalu: Nā maʻi hohonu e pili ana i nā ʻiʻo, momona, a i ʻole nā ʻiʻo pili
• Nā maʻi ʻōpū: Nā maʻi koʻikoʻi i loko o kou ʻōpū, pinepine ma hope o ke ʻoki ʻana
• Nā maʻi kahe koko: Ke komo nā bacteria i loko o kou koko a laha i kou kino a pau
• Febrile neutropenia: ʻO ke kuni me ka helu haʻahaʻa o ke keʻokeʻo koko, pinepine i nā maʻi maʻi kanesa

He koʻikoʻi kēia mau maʻi, akā ua hōʻoia ʻia ka cefepime he mea maikaʻi loa i ka mālama ʻana iā lākou. Ua koho kāu hui mālama ola i kēia lāʻau lapaʻau no ka mea manaʻo lākou e hāʻawi iā ʻoe i ka manawa maikaʻi loa no ka hoʻōla piha.

Pehea e hana ai ka Cefepime?

Hana ʻo Cefepime ma ka hoʻouka ʻana i nā paia o nā cell o ka bacteria, e like me ka luku ʻana i ka pūpū pale e mālama ana i ka bacteria e ola ana. Me ka ʻole o ko lākou mau paia cell, ʻaʻole hiki i ka bacteria ke ola a hana hou i kou kino.

Ua manaʻo ʻia kēia lāʻau lapaʻau he antibiotic ikaika no ka mea hiki iā ia ke komo i nā pale bacteria e kūʻē paha i nā antibiotics ʻē aʻe. He mea maikaʻi loa ia no ka mea e mau ana ia i nā enzymes bacteria he nui e hoʻāʻo nei e wāwahi i nā antibiotics.

Hiki i ka lāʻau lapaʻau ke kiʻekiʻe loa i kou koko i loko o 30 mau minuke a 2 mau hola ma hope o ka injection. He mea nui kēia hana wikiwiki ke hakakā nei ʻoe i kahi maʻi koʻikoʻi, no ka mea, kōkua ia i ka hoʻōki ʻana i ka bacteria mai ka hoʻonui ʻana a me ka laha ʻana i kou kino a pau.

Pehea wau e lawe ai i ka Cefepime?

Hāʻawi mau ʻia ka Cefepime e nā poʻe loea mālama ola i loko o kahi haukapila a i ʻole ke keʻena lapaʻau, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawelawe ʻana iā ʻoe iho. Hiki ke hāʻawi ʻia ka injection ma o ka laina IV i loko o kou vein a i ʻole he pana i loko o kou ʻiʻo.

Inā e loaʻa ana iā ʻoe ka cefepime IV, maʻa mau ka hoʻokomo ʻana ma kahi o 30 mau minuke e pau ai. Hiki iā ʻoe ke ʻai maʻamau ma mua a ma hope o ka loaʻa ʻana o kēia lāʻau, no ka mea, ʻaʻole pili ka meaʻai i ka maikaʻi o kāna hana.

E nānā kāu kahu hānai iā ʻoe i ka wā o ka hoʻokomo ʻana e hōʻoia e ʻae maikaʻi ana ʻoe i ka lāʻau. He mea maʻamau ka manaʻo ʻana i ka ʻeha iki a i ʻole ka ʻū ʻana ma kahi o ka injection, akā pono e maʻalahi a me ka manawa.

He mea nui ka manawa o kāu mau mahele no ka mālama ʻana i nā pae paʻa o ka antibiotic i loko o kāu ʻōnaehana. E hāʻawi maʻamau kāu hui mālama ola iā ʻoe i ka cefepime i kēlā me kēia 8 a 12 mau hola, ma muli o kou kūlana kikoʻī a me ke ʻano o ka pane ʻana o kou kino i ka lāʻau.

Pehea ka lōʻihi e lawe ai au i ka Cefepime?

Aia ka lōʻihi o kāu lāʻau cefepime i ke ʻano a me ke koʻikoʻi o kāu maʻi, akā loaʻa ka hapa nui o nā kānaka iā ia no 7 a 14 mau lā. E hoʻoholo kāu kauka i ka lōʻihi pololei ma muli o ka wikiwiki o ka pane ʻana o kāu maʻi i ka lāʻau.

Hiki i kekahi mau maʻi ke koi i nā papa pōkole o 3 a 5 mau lā, ʻoiai ʻo nā maʻi paʻakikī e pono ai ka lāʻau no 21 mau lā. E nānā kāu hui mālama ola i kou holomua ma o nā hoʻokolohua koko, ka hoʻomaikaʻi ʻana i nā hōʻailona, ​​a i kekahi manawa nā haʻawina kiʻi.

He mea nui e hoʻopau i ka papa piha o ka lāʻau, ʻoiai inā hoʻomaka ʻoe e ʻoi aku ka maikaʻi ma mua o ka pau ʻana. ʻO ka hoʻōki ʻana i nā antibiotics i ka wā mua hiki ke ʻae i ka bacteria e ola a hiki ke hoʻomohala i ke kūʻē, e paʻakikī ai nā maʻi e hiki mai ana.

He aha nā hopena ʻaoʻao o Cefepime?

E like me nā lāʻau lapaʻau a pau, hiki i ka cefepime ke hana i nā hopena ʻaoʻao, ʻoiai e ʻae maikaʻi ana ka nui o nā kānaka iā ia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e mākaukau a ʻike i ka manawa e makaʻala ai i kāu hui mālama ola.

ʻO nā hopena ʻaoʻao maʻamau he maʻalahi a hiki ke mālama ʻia me ka mālama kākoʻo:

• Nā hopena ma ke kahua o ka pahu: ʻEha, pehu, a ʻulaʻula paha ma kahi i hoʻokomo ʻia ai ka nila
• Nā pilikia o ka ʻōnaehana hoʻowalewale: ʻO ka maʻiʻaʻai, ka luaʻi, a i ʻole ka maʻi palahē
• ʻEhaʻō: Maʻamau ka maʻalahi a me ka manawa pōkole
• ʻĀwili: Manaʻo i ka māmā a i ʻole ka paʻa ʻole
• Liva: Hiki mai kekahi manawa i ka wā e hakakā ai kou kino i ka maʻi

Hoʻomaikaʻi maʻamau kēia mau hopena ʻaoʻao i ka wā e hoʻoponopono ai kou kino i ka lāʻau. Hiki i kāu hui mālama ola ke hāʻawi i nā ana hōʻoluʻolu e kōkua i ka mālama ʻana i kekahi ʻoluʻolu āu e ʻike ai.

Aia kekahi mau hopena ʻaoʻao koʻikoʻi e pono ai ka lāʻau lapaʻau koke, ʻoiai ʻaʻole maʻamau kēia mau mea:

• Nā hopena maʻi maʻi koʻikoʻi: Paʻakikī ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, ka ʻōpala koʻikoʻi
• Maʻi Clostridioides difficile: Maʻi palahē koʻikoʻi e hiki ke koko, me ke kuni a me ka ʻeha o ka ʻōpū
• Nā hopena neurological: Huikau, nā hopu ʻana, a i ʻole ka loli ʻana o ke kūlana noʻonoʻo (ʻoi aku ka maʻamau i ka poʻe me nā pilikia o ka puʻupaʻa)
• Nā pilikia o ka puʻupaʻa: Nā loli i ka mimi, ka pehu ʻana i nā wāwae a i ʻole nā wāwae
• Nā maʻi koko: Ke kahe ʻana o ke koko maʻamau, ka ʻeha, a i ʻole ka luhi mau

Mai ka mea e loaʻa ana iā ʻoe ka cefepime i kahi hoʻonohonoho mālama ola, e nānā pono kāu hui lapaʻau iā ʻoe no nā hōʻailona e pili ana. Mai kānalua e ʻōlelo inā ʻike ʻoe i kekahi mea maʻamau a i ʻole e pili ana.

ʻO wai ka mea pono ʻole e lawe i ka Cefepime?

ʻAʻole kūpono ka Cefepime no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. ʻO ka hopohopo nui inā he maʻi ʻoe i nā lāʻau antibiotic cephalosporin a i ʻole penicillin.

Inā he maʻi ʻoe i nā cephalosporins, ʻaʻole pono ʻoe e loaʻa i ka cefepime. Pono paha ka poʻe me nā maʻi penicillin koʻikoʻi e pale i kēia lāʻau lapaʻau, no ka mea, aia kahi manawa liʻiliʻi o ka cross-reactivity ma waena o kēia mau ʻohana antibiotic.

E mālama nō hoʻi kāu kauka i ka mālama kūikawā inā he pilikia kou puʻupaʻa, no ka mea, hoʻopau ʻia ka cefepime mai kou kino ma o kou mau puʻupaʻa. Pono paha ka poʻe me ka hana puʻupaʻa i hoʻemi ʻia i nā ʻano maʻi i hoʻoponopono ʻia a i ʻole ka nānā pinepine ʻana.

ʻO nā kūlana ʻē aʻe e koi ai i ka noʻonoʻo pono ʻana, ʻo ia ka moʻolelo o nā hopu ʻana, nā ʻeha o ka lolo, a i ʻole nā ​​kūlana neurological ʻē aʻe. E kaupaona kāu hui mālama ola i nā pōmaikaʻi e kūʻē i nā pilikia e hoʻoholo ai inā ʻo cefepime ke koho kūpono iā ʻoe.

Nā inoa inoa Cefepime

Loaʻa ʻo Cefepime ma lalo o ka inoa inoa Maxipime ma ʻAmelika Hui Pū ʻIa. Eia naʻe, nui nā halemai a me nā keʻena lapaʻau e hoʻohana i ka mana generic, i kapa ʻia ʻo cefepime a hana like.

Inā loaʻa iā ʻoe ka inoa inoa a i ʻole ka mana generic e hilinaʻi ana i nā makemake o kāu keʻena mālama ola a me nā mea i loaʻa. Loaʻa i nā formulations ʻelua ka mea hana like a he mea maikaʻi loa no ka mālama ʻana i nā maʻi bacteria.

E hoʻohana kāu hui lapaʻau i ka mea i loaʻa iā lākou, a hiki iā ʻoe ke manaʻoʻiʻo e hāʻawi nā koho ʻelua i nā pōmaikaʻi therapeutic like no kāu maʻi.

Nā koho ʻē aʻe o Cefepime

Inā ʻaʻole kūpono ʻo cefepime iā ʻoe, he nui nā lāʻau antibiotic ʻē aʻe i kāu kauka e koho ai. ʻO ke koho ʻē aʻe a kāu kauka e koho ai e hilinaʻi ʻia i kāu maʻi kikoʻī, nā maʻi, a me ka mōʻaukala olakino.

ʻO kekahi mau koho maʻamau e pili ana i nā cephalosporins ʻē aʻe e like me ceftazidime a i ʻole ceftriaxone, e hana like ana akā he ʻokoʻa paha ka uhi ʻana o ka bacteria. No ka poʻe me nā maʻi cephalosporin, hiki i nā koho ke komo i nā fluoroquinolones e like me levofloxacin a i ʻole aminoglycosides e like me gentamicin.

E koho kāu hui mālama ola i ke koho kūpono loa e pili ana i nā hopena moʻomeheu e hōʻike ana i nā bacteria e hoʻoulu nei i kou maʻi a me nā antibiotics e ʻike ai lākou. Kōkua kēia ala pilikino e hōʻoia e loaʻa iā ʻoe ka lāʻau lapaʻau maikaʻi loa.

Ua ʻoi aku ka maikaʻi o Cefepime ma mua o Ceftriaxone?

He mau antibiotics maikaʻi ʻo Cefepime a me ceftriaxone, akā he mau ikaika like ʻole ko lākou e ʻoi aku ai kekahi no nā kūlana kikoʻī. Manaʻo ʻia ʻo Cefepime he cephalosporin hanauna ʻehā, ʻoiai ʻo ceftriaxone he hanauna ʻekolu.

Loaʻa iā Cefepime ka uhi ākea e kūʻē i kekahi mau ʻano bacteria, ʻo ia hoʻi kekahi mau bacteria gram-negative e kūʻē paha iā ceftriaxone. Makemake pinepine ʻia no nā maʻi i loaʻa i ka haukapila a i ʻole ke hana ʻana me nā bacteria kūʻē.

ʻO Ceftriaxone, ma kekahi ʻaoʻao, koho pinepine ʻia no nā maʻi i loaʻa i ke kaiāulu a loaʻa ka maikaʻi loa i kekahi mau ʻiʻo kino. Loaʻa nō hoʻi iā ia ka pōmaikaʻi o ka hāʻawi ʻia ʻana i ka liʻiliʻi pinepine, i kekahi manawa hoʻokahi wale nō i kēlā me kēia lā.

Aia ke koho a kāu kauka ma waena o kēia mau lāʻau lapaʻau i nā bacteria kikoʻī e hoʻoulu nei i kou maʻi, kou mōʻaukala olakino, a me ke ʻano kahi i loaʻa ai iā ʻoe ka maʻi. He mea maikaʻi loa nā mea ʻelua ke hoʻohana pono ʻia.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Cefepime

He palekana ʻo Cefepime no nā wahine hāpai?

Manaʻo ʻia ʻo Cefepime he palekana i ka wā hāpai ke ʻoi aku ka maikaʻi ma mua o nā pilikia. Hoʻokaʻawale ʻia ʻo ia he lāʻau lapaʻau Category B, ʻo ia hoʻi ʻaʻole i hōʻike nā haʻawina holoholona i ka pōʻino i nā pēpē e ulu nei.

Eia naʻe, e noʻonoʻo pono kāu kauka i ke koʻikoʻi o ka lāʻau lapaʻau e kūʻē i nā pilikia hiki ke loaʻa. Inā hāpai ʻoe a loaʻa iā ʻoe kahi maʻi bacterial koʻikoʻi, ʻoi aku ka nui o nā pilikia o ka waiho ʻana iā ia me ka mālama ʻole ʻia ma mua o nā pilikia liʻiliʻi e pili ana iā cefepime.

E nānā pono kāu hui mālama ola iā ʻoe inā loaʻa iā ʻoe ka cefepime i ka wā e hāpai ana, e hōʻoia ana e ola ana ʻoe a me kāu pēpē i ka wā o ka mālama ʻana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Cefepime?

No ka mea, hāʻawi ʻia ka cefepime e nā poʻe loea mālama ola i nā wahi i mālama ʻia, he mea maʻamau loa ka nui o ka lāʻau. Hoʻohālikelike pono kāu hui lapaʻau i kāu mahele ma muli o kou kaumaha, ka hana ʻana o ka puʻupaʻa, a me ke koʻikoʻi o kāu maʻi.

Inā loaʻa ka nui o ka lāʻau, ʻo nā mea nui e hopohopo ai, ʻo ia nā hopena neurological e like me ka huikau, nā hopu ʻana, a i ʻole ka hoʻololi ʻana i ka ʻike. E hāʻawi kāu hui mālama ola i ka mālama kākoʻo koke, me ka nānā ʻana i ka hana o kou lolo a me ka hoʻohana ʻana i nā lāʻau lapaʻau e kāohi i nā hopu ʻana.

ʻO ka mea maikaʻi, hiki ke mālama ʻia ka nui o ka cefepime ke hopu ʻia i ka wā mua, a ola hou ka hapa nui o nā kānaka me ka mālama olakino kūpono.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Cefepime?

No ka mea, loaʻa iā ʻoe ka cefepime i kahi wahi mālama ola, mālama kāu hui lapaʻau i kāu papa manawa, no laila ʻaʻole pono ʻoe e hopohopo e pili ana i ka haʻalele ʻana i nā mahele. Nānā pono kāu mau kahu hānai a me nā kauka i ka wā e pono ai kēlā me kēia mahele.

Inā no kekahi kumu i hoʻopaneʻe ʻia kahi mahele ma muli o nā kaʻina hana olakino a i ʻole nā ​​kūlana ʻē aʻe, e hoʻoponopono kāu hui mālama ola i ka manawa kūpono. Hiki iā lākou ke hāʻawi iā ʻoe i ka mahele i haʻalele ʻia i ka hikiwawe a i ʻole e hoʻoponopono i ka manawa o ka mahele aʻe.

ʻO ke kī, ʻo ia ka mālama ʻana i nā pae kūlike o ka antibiotic i loko o kāu ʻōnaehana, a ua aʻo ʻia kāu hui lapaʻau e mālama i nā hoʻoponopono manawa e pono ai.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Cefepime?

ʻAʻole pono ʻoe e hooki i ka mālama ʻana i ka cefepime ma kāu iho, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. E hoʻoholo kāu kauka i ka wā e palekana ai ke hoʻōki i ka lāʻau lapaʻau ma muli o nā mea he nui e like me kāu mau hōʻailona, ​​nā hopena hoʻāʻo koko, a me ke ʻano o ka maʻi āu i loaʻa ai.

I ka wā maʻamau, e ʻimi kāu kauka i nā hōʻailona ua pau loa kāu maʻi, e like me nā helu keʻokeʻo koko maʻamau, ka nele o ke kuni, a me ka hoʻoponopono ʻana i nā hōʻailona ʻē aʻe. Pono kekahi mau maʻi e hoʻopau i ka papa hana i kuhikuhi ʻia ʻoiai ma hope o ka hoʻomaikaʻi ʻana o nā hōʻailona.

ʻO ka hooki ʻana i nā lāʻau antibiotic ma mua o ka manawa hiki ke alakaʻi i ka mālama ʻole ʻana, e ʻae ana i ka bacteria e ola a hiki ke hoʻomohala i ke kūpaʻa. E hilinaʻi i ke alakaʻi a kāu hui mālama ola i ka wā e kūpono ai e hoʻopau i kāu mālama ʻana.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana i ka Cefepime?

ʻOiai ʻaʻole pili pono ka cefepime me ka waiʻona, ʻoi aku ka maikaʻi e pale i ka inu ʻana i ka wā e ola ana ʻoe mai kahi maʻi koʻikoʻi. Pono kou kino i kona ikehu a pau e kālele ana i ka hoʻōla a me ka hakakā ʻana i ka maʻi.

Hiki i ka waiʻona ke keakea i ka hiki o kāu ʻōnaehana pale e hakakā i ka maʻi a hiki ke hoʻonui i kekahi mau hopena ʻaoʻao e like me ka ʻūlū a i ʻole ka nausea. Hiki nō hoʻi ke keakea i kāu hiamoe a me ke kaʻina hana hoʻōla holoʻokoʻa.

No ka mea, aia paha ʻoe i loko o kahi haukapila a i ʻole kahi keʻena mālama ola i ka wā e loaʻa ana iā cefepime, ʻaʻole i loaʻa ka waiʻona. E kālele i ka noho ʻana i ka wai me ka wai a me nā wai olakino ʻē aʻe e kākoʻo i kou ola.