He aha ka Tigecycline: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau antibiotic ikaika ka Tigecycline a nā kauka e hoʻohana ai e mālama i nā maʻi bacteria koʻikoʻi ke hiki ʻole i nā lāʻau antibiotic ʻē aʻe ke hana pono. No kahi papa hou o nā lāʻau antibiotic i kapa ʻia ʻo glycylcyclines kēia lāʻau lapaʻau, a hāʻawi ʻia ma o ka IV (intravenous) i loko o kahi haukapila.

Inā ua ʻōlelo kāu kauka iā tigecycline no ʻoe a i ʻole kekahi mea aloha, he mea maʻamau ka makemake e ʻike hou aku e pili ana i kēia lapaʻau. E hele kākou i nā mea a pau e pono ai ʻoe e ʻike e pili ana i kēia lāʻau lapaʻau ma ke ʻano hiki ke mālama ʻia a maopopo.

He aha ka Tigecycline?

He lāʻau antibiotic ākea ka Tigecycline e hakakā ana i nā ʻano bacteria like ʻole e hoʻoulu ai i nā maʻi koʻikoʻi. E noʻonoʻo iā ia he mea hana kūikawā e hōʻea ai nā kauka ke pono lākou i kahi mea kūpono loa e kūʻē i nā maʻi bacteria paʻakikī.

Hana ʻokoʻa kēia lāʻau lapaʻau mai nā lāʻau antibiotic ʻē aʻe, kahi e waiwai ai ia no ka mālama ʻana i nā maʻi i lilo i mea kūʻē i nā lāʻau lapaʻau ʻē aʻe. Hana ʻia ma lalo o ka inoa inoa Tygacil a loaʻa wale nō i nā haukapila kahi e hiki ai i nā limahana lapaʻau ke nānā pono iā ʻoe.

Hele mai ka lāʻau lapaʻau ma ke ʻano he pauka i hui pū ʻia me ka wai sterile a hāʻawi ʻia mālie ma o kāu laina IV. ʻO kēia hoʻomākaukau akahele a me ke ʻano o ka hāʻawi ʻana e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka nui kūpono o ka lāʻau lapaʻau me ka palekana.

No ke aha e hoʻohana ʻia ai ka Tigecycline?

Hoʻonohonoho maʻamau nā kauka i ka tigecycline no nā maʻi bacteria paʻakikī e pili ana i kou ʻili, nā ʻiʻo palupalu, a i ʻole ka ʻōpū. ʻO kēia mau maʻi e ʻoi aku ka koʻikoʻi a ʻaʻole paha e pane maikaʻi i nā lāʻau antibiotic maʻamau.

Hiki i kāu hui mālama ola ke ʻōlelo i kēia lāʻau lapaʻau inā loaʻa iā ʻoe kahi maʻi ʻili koʻikoʻi i laha hohonu i loko o kou mau ʻiʻo. Hiki i kēia ke komo i nā maʻi a puni nā wahi ʻoki, nā maʻi wāwae diabetic, a i ʻole cellulitis i hoʻomaikaʻi ʻole ʻia me nā lāʻau lapaʻau ʻē aʻe.

He kūpono nō hoʻi ʻo Tigecycline no nā maʻi paʻakikī i loko o ka ʻōpū, he mau maʻi koʻikoʻi i loko o kou ʻōpū. Hiki ke loaʻa kēia mau mea ma hope o ke ʻoki ʻana, mai ka ʻōpū i haehae ʻia, a i ʻole mai nā kūlana ʻē aʻe e hiki ai i ka bacteria ke laha i loko o kou lua ʻōpū.

I kekahi manawa hoʻohana nā kauka i ka tigecycline no ka maʻi pneumonia i loaʻa i ke kaiāulu, he maʻi maʻi māmā e hiki ai iā ʻoe ke loaʻa ma waho o kahi haukapila. Eia naʻe, ʻaʻole maʻamau kēia hoʻohana ʻana a mālama pinepine ʻia no nā kūlana kikoʻī kahi i kūpono ʻole ai nā lāʻau antibiotic ʻē aʻe.

Pehea e hana ai ʻo Tigecycline?

Hana ʻo Tigecycline ma ka pale ʻana i ka bacteria mai ka hana ʻana i nā protein e pono ai lākou e ola a hoʻonui. He like ia me ka hoʻopau ʻana i ka laina hana o kahi hale hana - me ka ʻole o kēia mau protein koʻikoʻi, ʻaʻole hiki i ka bacteria ke hana pono a make hope.

Ua manaʻo ʻia kēia lāʻau he antibiotic ikaika, ākea, ʻo ia hoʻi hiki iā ia ke hakakā i nā ʻano bacteria like ʻole i ka manawa hoʻokahi. He kūpono loa ia i ka bacteria i hoʻomohala i ke kūpaʻa i nā antibiotics ʻē aʻe, me kekahi mau ʻano paʻakikī loa.

ʻO ke ala e pili ai ʻo tigecycline i ka bacteria he ʻokoʻa iki mai nā antibiotics kahiko i kona ʻohana. Kōkua kēia ʻokoʻa iā ia e hana i ka bacteria i aʻo e kūʻē i ka tetracycline a me ka doxycycline, he mau lāʻau pili.

Pehea wau e lawe ai iā Tigecycline?

E loaʻa iā ʻoe ka tigecycline ma kahi haukapila wale nō ma o ka laina IV i kou lima a i ʻole kou lima. Hāʻawi ʻia ka lāʻau lapaʻau i ka lohi ma luna o 30 a 60 mau minuke, maʻamau i kēlā me kēia 12 hola, a ʻaʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai no kēlā me kēia mahele.

ʻAʻole like me nā antibiotics waha, ʻaʻole pono ʻoe e hopohopo e pili ana i ka lawe ʻana i ka tigecycline me ka meaʻai a i ʻole ma ka ʻōpū ʻole no ka mea e hele pololei ana i loko o kou kahe koko. E mālama kāu mau kahu hānai i nā hoʻomākaukau a me ka lawelawe ʻana aʻo ʻoe e hoʻomaha me ka ʻoluʻolu.

ʻO ka maʻamau o ka hoʻomaka ʻana he 100 mg i hāʻawi ʻia ma o kāu IV, a laila 50 mg i kēlā me kēia 12 hola. Eia naʻe, hiki i kāu kauka ke hoʻoponopono i kēia nui ma muli o kou kūlana, ka hana o ka puʻupaʻa, a me ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau.

E nānā pono kāu hui mālama ola iā ʻoe i ka wā o kēlā me kēia infusion e nānā i nā hopena. E mālama pū lākou i ke ʻano o kou manaʻo ma ke ʻano holoʻokoʻa a e nānā mau i kāu hana koko e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau.

Pehea ka lōʻihi e lawe ai au i ka Tigecycline?

Loaʻa ka tigecycline i ka hapa nui o nā kānaka no 5 a 14 mau lā, ma muli o ke ʻano a me ke koʻikoʻi o kā lākou maʻi. E hoʻoholo kāu kauka i ka lōʻihi pololei o ka lāʻau lapaʻau ma muli o ka wikiwiki o ka pane ʻana o kāu maʻi a me ke ʻano o kou manaʻo ma ke ʻano holoʻokoʻa.

No nā maʻi ʻili a me nā maʻi ʻiʻo palupalu, maʻamau ka lāʻau lapaʻau mai 5 a 14 mau lā. Inā he maʻi ʻōpū paʻakikī kou, pono paha ʻoe i ka lāʻau lapaʻau no 5 a 14 mau lā, ʻoiai e hoʻoponopono kāu kauka i kēia ma muli o kou kūlana.

E loiloi mau kāu hui mālama ola i ka maikaʻi o ka hana ʻana o ka antibiotic ma ka nānā ʻana i kāu mau hōʻailona, ​​ka mahana, a me nā hoʻokolohua koko. E hoʻomau lākou i ka lāʻau lapaʻau a hiki i ka hōʻike ʻana o kāu maʻi i nā hōʻailona maopopo o ka hoʻomaikaʻi ʻana a ua paʻa ʻoe e hoʻololi i nā antibiotics waha a i ʻole e hoʻōki loa i ka lāʻau lapaʻau.

He mea nui e hoʻopau i ka papa piha o ka lāʻau lapaʻau ʻoiai inā ʻoe e hoʻomaka e maikaʻi. ʻO ka hoʻōki ʻana i ka wā mua hiki ke ʻae i ka maʻi e hoʻi mai me ka ikaika a i ʻole e hoʻomohala i ke kūpaʻa i ka lāʻau lapaʻau.

He aha nā hopena ʻaoʻao o Tigecycline?

E like me nā lāʻau lapaʻau a pau, hiki i ka tigecycline ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai ʻaʻole i loaʻa nā mea a pau iā lākou. ʻO nā hopena ʻaoʻao maʻamau ka mea hiki ke mālama ʻia a e nānā pono kāu hui mālama ola iā ʻoe no nā hopohopo.

Eia nā hopena ʻaoʻao e ʻike nui ai ʻoe, a e hoʻomanaʻo ua mākaukau kāu hui lapaʻau e kōkua iā ʻoe e mālama i kekahi o kēia mau mea:

• Ka luaʻi a me ka luaʻi ʻana (nā hopena ʻaoʻao maʻamau)
• Ka maʻi palahē a i ʻole nā noho palupalu
• ʻEha ke poʻo
• Pōniuniu
• ʻEha, ʻulaʻula, a i ʻole pehu ma kāu pūnaewele IV
• Nā loli i kou ʻono
• Luhi a i ʻole ka manaʻo luhi ma mua o ka maʻamau

He maʻalahi ka maʻamau o kēia mau hopena ʻaoʻao a pinepine e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau. Hiki i kāu mau kahu hānai ke hāʻawi i nā lāʻau lapaʻau e kōkua i ka luaʻi a e nānā i kāu pūnaewele IV e pale i ka huhū.

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

• Ka maʻi palahē koʻikoʻi e hōʻike ana i kahi maʻi ʻōpū weliweli
• Ke kahe ʻana o ke koko a i ʻole ka ʻeha maʻamau
• Nā hōʻailona o nā pilikia o ke ake e like me ka melemele o ka ʻili a i ʻole nā maka
• Nā hopena maʻi maʻi koʻikoʻi me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana
• Nā loli i kāu puʻuwai

Mai ka mea e noho ana ʻoe i kahi haukapila, e nānā ana kāu hui mālama ola kino i kēia mau hopena koʻikoʻi a hiki ke pane koke inā loaʻa. ʻO kēia nānā mau kekahi o nā kumu e hāʻawi ʻia ai ka tigecycline i nā wahi lapaʻau i mālama ʻia.

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

ʻAʻole kūpono ka Tigecycline 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 ka hōʻoia ʻana i ka palekana a me ke kūpono o kēia lāʻau lapaʻau no kāu kūlana.

ʻAʻole pono ʻoe e loaʻa i ka tigecycline inā he maʻi ʻoe iā ia a i ʻole nā ​​antibiotics like e like me ka tetracycline a i ʻole minocycline. E nīnau kāu kauka e pili ana i nā hopena i loaʻa iā ʻoe i nā antibiotics ma mua o ka hoʻomaka ʻana i ka lāʻau.

Pono nā wahine hāpai e pale i ka tigecycline, ʻoi aku hoʻi i ka wā o ka trimester ʻelua a me ke kolu, no ka mea, hiki iā ia ke hoʻopilikia i nā iwi a me nā niho o ka pēpē e ulu ana. Inā ʻoe e hānai ana i ka umauma, e kūkākūkā kāu kauka inā ʻoi aku ka maikaʻi ma mua o nā pilikia, no ka mea, hiki i ka lāʻau lapaʻau ke hele i loko o ka waiū umauma.

ʻAʻole pono nā keiki ma lalo o 18 makahiki e loaʻa iā tigecycline no ka mea hiki iā ia ke hoʻopilikia i ka ulu ʻana o nā iwi a me nā niho. Eia naʻe, i nā kūlana koʻikoʻi loa, hiki i nā kauka ke noʻonoʻo iā ia inā ʻoi aku ka maikaʻi ma mua o nā pilikia.

Hiki i nā poʻe me ka maʻi ate koʻikoʻi ke pono i nā hoʻoponopono ʻana i ka lāʻau a i ʻole ʻaʻole paha he moho no tigecycline. E nānā kāu kauka i kāu hana ate ma mua a i ka wā o ka mālama ʻana e hōʻoia i ka palekana iā ʻoe.

Inoa Brand Tigecycline

Kūʻai ʻia ʻo Tigecycline ma lalo o ka inoa brand Tygacil, i hana ʻia e Pfizer. ʻO kēia ka inoa brand nui āu e ʻike ai ma nā halemai a ma kāu mau moʻolelo olakino.

Loaʻa paha i kekahi mau ʻāina nā mana generic o tigecycline, akā ma ka hapa nui o nā wahi, ʻo Tygacil ka mea nui i hoʻohana ʻia i nā halemai. E ʻike mau kāu kauka lāʻau a me ka hui mālama ola i ke ʻano āu e loaʻa nei.

Inā loaʻa iā ʻoe ka inoa brand a i ʻole kahi mana generic, ua like ka lāʻau lapaʻau. ʻO ka mea nui loa, ke loaʻa nei iā ʻoe ka mahele kūpono i ka manawa kūpono i kahi kaiapuni haukapila palekana.

Nā Koho ʻē aʻe o Tigecycline

Inā ʻaʻole kūpono ʻo tigecycline iā ʻoe, he nui nā koho antibiotic ʻē aʻe a kāu kauka e pili ana i kāu maʻi kikoʻī. ʻO ke koho ʻana i kahi koho ʻē aʻe e pili ana i nā bacteria e hana nei i kāu maʻi a me kāu mau kūlana olakino.

No nā maʻi ʻili a me nā maʻi ʻiʻo palupalu, hiki i nā koho ʻē aʻe ke komo i ka vancomycin, linezolid, a i ʻole daptomycin. He mau lāʻau antibiotic ikaika kēia mau mea a pau e hiki ke hāʻawi ʻia ma o ka IV a he mea maikaʻi ia i nā bacteria kūʻē.

No nā maʻi ʻōpū paʻakikī, hiki i kāu kauka ke noʻonoʻo i nā hui pū ʻana o nā antibiotics e like me ka piperacillin-tazobactam me ka metronidazole, a i ʻole nā ​​antibiotics carbapenem e like me meropenem a i ʻole imipenem. Hiki i kēia mau hui ke maikaʻi loa i nā bacteria hui pinepine i nā maʻi ʻōpū.

E koho ʻia ke ʻano ʻē aʻe e kāu kauka e pili ana i nā hopena moʻomeheu e hōʻike ana i nā bacteria e hana ana i kou maʻi. Kōkua kēia hoʻokolohua e hōʻoia e loaʻa iā ʻoe ka lāʻau lapaʻau maikaʻi loa.

Ua ʻoi aku ka maikaʻi o Tigecycline ma mua o Vancomycin?

He mau lāʻau antibiotic ikaika ʻo Tigecycline a me vancomycin, akā hana lākou ma nā ʻano like ʻole a ʻoi aku ka maikaʻi no nā ʻano maʻi like ʻole. Ma mua o ka maikaʻi o kekahi, loaʻa i kēlā me kēia mea nā kūlana kikoʻī kahi e koho ʻia ai.

Loaʻa i ka Tigecycline kahi ākea ākea o ka hana, ʻo ia hoʻi hiki iā ia ke hakakā i nā ʻano bacteria ʻoi aku ma mua o vancomycin. ʻO kēia ka mea e pono ai ke ʻike ʻole nā ​​kauka i nā bacteria e hana ana i kou maʻi a i ʻole ke komo ʻana o nā ʻano bacteria he nui.

Makemake pinepine ʻia ʻo Vancomycin no kekahi mau ʻano maʻi kūʻē, ʻo ia hoʻi nā mea i hana ʻia e MRSA (methicillin-resistant Staphylococcus aureus). Ua hoʻohana ʻia nō hoʻi no ka lōʻihi a loaʻa kahi moʻolelo i hoʻokumu ʻia no kekahi mau maʻi.

E koho kāu kauka ma waena o kēia mau lāʻau lapaʻau e pili ana i kāu maʻi kikoʻī, kāu mōʻaukala olakino, a me nā bacteria i manaʻo ʻia a i hōʻoia ʻia i kāu hihia. He mau lāʻau antibiotic maikaʻi lāua ʻelua ke hoʻohana ʻia i nā kūlana kūpono.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Tigecycline

He palekana ʻo Tigecycline no ka maʻi kīkī?

Hiki ke hoʻohana palekana ʻia ʻo Tigecycline i ka poʻe me ka maʻi kīkī, me ka poʻe ma ka dialysis. ʻAʻole like me nā lāʻau antibiotic ʻē aʻe, ʻaʻole pono ʻo tigecycline i nā hoʻoponopono dose e pili ana i ka hana kīkī, kahi e lilo ai i koho pono no ka poʻe me nā pilikia kīkī.

Eia naʻe, e nānā mau kāu kauka i kāu hana kīkī i ka wā o ka mālama ʻana e hōʻoia i ka paʻa ʻana o nā mea āpau. E nānā pū lākou i nā hōʻailona e hōʻike ana ʻaʻole e mālama pono kou mau kīkī i ka lāʻau lapaʻau, ʻoiai ʻaʻole maʻamau kēia.

Inā ʻoe e loaʻa ana i ka dialysis, hiki nō iā ʻoe ke loaʻa i ka tigecycline me ka ʻole e pono ai e hoʻonohonoho i nā lāʻau i ka wā o kāu mau hālāwai dialysis. ʻAʻole e wehe nui ʻia ka lāʻau e ka dialysis, no laila hiki ke hoʻomau ʻia kāu papa hana maʻamau.

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

Mai ka wā e hāʻawi ʻia ai ka tigecycline e nā poʻe lapaʻau i aʻo ʻia i loko o kahi haukapila, he mea laha loa nā overdoses ulia. E hahai ana kāu mau kahu hānai i nā protocols paʻa e hōʻoia e loaʻa iā ʻoe ka nui kūpono o ka lāʻau.

Inā he mau hopohopo kāu e pili ana i kāu lāʻau a i ʻole e ʻike i kekahi mea ʻokoʻa i ka wā o kāu infusion, e ʻōlelo koke. Loaʻa mau kāu hui mālama ola e pane i nā nīnau a i ʻole nā hopohopo e pili ana i kāu lāʻau.

I ka hanana liʻiliʻi o ka overdose, e hāʻawi kāu hui lapaʻau i ka mālama kākoʻo a e nānā pono iā ʻoe. ʻAʻohe antidote kikoʻī no ka tigecycline, akā hiki i nā kauka ke mālama i nā hōʻailona e hiki ke ulu.

He aha kaʻu e hana ai inā ua hala wau i kahi lāʻau o Tigecycline?

ʻAʻole paha e hala i kahi lāʻau o ka tigecycline mai ka wā e loaʻa ana iā ʻoe i loko o kahi haukapila kahi e mālama ai kāu hui mālama i kāu papa hana lāʻau. Eia naʻe, inā e hoʻopaneʻe ʻia kahi lāʻau no kekahi kumu, e hana pū kāu mau kahu hānai me kāu kauka e hoʻoholo i ka manawa maikaʻi loa no kāu lāʻau aʻe.

Hiki i kāu hui mālama ola ke hoʻoponopono iki i kāu papa hana e hoʻoponopono ai i nā lāʻau i hala a i ʻole i hoʻopaneʻe ʻia. E hōʻoia lākou e loaʻa nō iā ʻoe ka nui piha o ka lāʻau e pono ai ʻoe i ka wā o kāu mālama ʻana.

ʻO ka mea nui loa, ʻo ka mālama ʻana i nā pae kūlike o ka antibiotic i loko o kāu ʻōnaehana e hakakā pono ai i kāu maʻi. E mālama kāu hui lapaʻau i nā kikoʻī manawa a me ka hoʻonohonoho ʻana nāu.

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

ʻAʻole pono ʻoe e hooki i ka tigecycline ma kou iho - e hoʻoholo mau ʻia kēia hoʻoholo e kāu hui mālama ola ma muli o ka maikaʻi o ka pane ʻana o kāu maʻi i ka lāʻau. E nānā lākou i kou holomua ma o nā hoʻokolohua kino, ka hoʻomaikaʻi ʻana i nā hōʻailona, a me nā hoʻokolohua koko.

E hoʻomau maʻamau kāu kauka i ka tigecycline a hiki i ka hōʻike ʻana o kāu maʻi i nā hōʻailona maopopo o ka hoʻomaikaʻi ʻana a ua paʻa ʻoe e hoʻololi i nā lāʻau antibiotic waha a i ʻole e hooki loa i ka lāʻau antibiotic. Hana maʻamau kēia i ka wā i hoʻoponopono ʻia ai kou kuni, ua maʻamau ka helu o ke keʻena koko keʻokeʻo, a ua hoʻomaikaʻi nui ʻia kāu mau hōʻailona.

I kekahi manawa hiki iā ʻoe ke hoʻololi i nā lāʻau antibiotic waha e hoʻopau i kāu lāʻau lapaʻau ma ka home, ʻoiai i nā manawa ʻē aʻe ʻaʻole pono ʻoe i nā lāʻau antibiotic hou ke pau ka papa tigecycline. E wehewehe kāu hui mālama ola i ka hoʻolālā maikaʻi loa no kāu kūlana.

Hiki iaʻu ke ʻai i ka meaʻai maʻamau i ka wā e lawe ana i ka Tigecycline?

ʻAe, hiki iā ʻoe ke ʻai maʻamau i ka wā e loaʻa ana ka tigecycline no ka mea e hāʻawi ʻia ma o ka IV ma mua o ka waha. E hele pololei ka lāʻau lapaʻau i loko o kou kahe koko, no laila ʻaʻole e hoʻopilikia ka meaʻai i ka maikaʻi o kāna hana.

Eia nō naʻe, inā ʻoe e ʻike i ka nausea (ʻo ia ka hopena ʻaoʻao maʻamau), hiki iā ʻoe ke ʻike he mea kōkua ke ʻai i nā meaʻai liʻiliʻi, pinepine a i ʻole e pili i nā meaʻai palupalu a hiki i ka hala ʻana o ka nausea. Hiki i kāu hui mālama ola ke hāʻawi i ka lāʻau anti-nausea inā pono.

ʻO ka noho ʻana i ka meaʻai maikaʻi e kōkua maoli i kou kino e hakakā i ka maʻi me ka ʻoi aku ka maikaʻi, no laila ʻo ka ʻai mau ʻana i ka wā e manaʻo ai ʻoe he mea pono. Inā he mau palena meaʻai a i ʻole nā ​​hopohopo, e kūkākūkā me kāu hui mālama ola hiki ke hāʻawi i ke alakaʻi pilikino.