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

ʻO Vancomycin kahi lāʻau antibiotic ikaika a nā kauka e hāʻawi ai ma o ka laina IV (intravenous) pololei i loko o kou kahe koko. No kēia lāʻau lapaʻau i kahi papa kūikawā o nā antibiotics i kapa ʻia ʻo glycopeptides, a ʻo ia kekahi o nā lāʻau lapaʻau maikaʻi loa i loaʻa iā mākou no nā maʻi bacteria koʻikoʻi ʻaʻole e pane i nā antibiotics ʻē aʻe.

E noʻonoʻo iā vancomycin ma ke ʻano he mea hana kūikawā i loko o ka pahu hana lapaʻau a kāu kauka. He mea waiwai nui ia ke hana ʻoe me nā maʻi paʻakikī i hana ʻia e nā bacteria e like me MRSA (methicillin-resistant Staphylococcus aureus) a i ʻole i ka wā i hana ʻole ai nā antibiotics ʻē aʻe. Mālama maʻamau kāu hui mālama ola i kēia lāʻau lapaʻau no nā kūlana kahi e pono ai ʻoe i kona ikaika a me ka pono.

No ke aha e hoʻohana ʻia ai ka Vancomycin?

Hoʻomaʻamaʻa ʻo Vancomycin i nā maʻi bacteria koʻikoʻi i hiki ke hoʻoweliweli i ke ola inā waiho ʻole ʻia. E kauoha kāu kauka i kēia lāʻau lapaʻau ke loaʻa iā ʻoe nā maʻi i hana ʻia e nā bacteria gram-positive, ʻo ia hoʻi nā mea i lilo i mea pale i nā antibiotics ʻē aʻe.

Eia nā kūlana nui kahi e hōʻoia ai ʻo vancomycin i ke kōkua nui, a ʻo ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i ke kumu i koho ai kāu kauka i kēia lāʻau lapaʻau no ʻoe:

• Nā maʻi ʻili a me nā ʻiʻo palupalu koʻikoʻi - Ke komo hohonu nā maʻi i loko o kou ʻili, nā ʻiʻo, a i ʻole nā ʻiʻo palupalu ʻē aʻe
• Nā maʻi i loko o ke kahe koko (sepsis) - Ke komo nā bacteria i loko o kou koko a laha a puni kou kino
• Nā maʻi o nā kiwi puʻuwai (endocarditis) - He maʻi koʻikoʻi e pili ana i ka uhi o loko o kou puʻuwai
• Nā maʻi iwi a me nā ami - Me ka osteomyelitis a me ka septic arthritis
• Pneumonia - ʻOi aku ka pneumonia i loaʻa i ka haukapila a i ʻole ka pneumonia e pili ana i ka ventilator
• Meningitis - Ke maʻi nā membrane pale a puni kou lolo a me ke kuamoʻo
• Nā maʻi ma hope o ke kālai ʻana - Nā maʻi e ulu ana ma hope o kekahi mau hana kālai

Hiki nō hoʻi i kāu kauka ke hoʻohana i ka vancomycin e pale aku i nā maʻi ma mua o kekahi mau hana kālai pilikia nui, ʻoiai inā he maʻi ʻoe i ka penicillin a i ʻole he moʻolelo o nā maʻi MRSA. Kōkua kēia hana pale e mālama iā ʻoe i ka palekana i nā manawa nāwaliwali.

Pehea e Hana ai ka Vancomycin?

Hana ka vancomycin ma ka hoʻouka ʻana i nā paia o nā cell bacteria, e wāwahi ana i ko lākou papa waho pale. He hana ikaika a kuhikuhi ʻia kēia e hana ai i mea maikaʻi loa i nā maʻi paʻakikī.

Hoʻopili ka lāʻau lapaʻau i nā ʻāpana kikoʻī o ka paia cell bacteria a pale i nā bacteria mai ke kūkulu ʻana a me ka mālama ʻana i ko lākou ʻano. Me ka ʻole o ka paia cell ikaika, ʻaʻole hiki i nā bacteria ke ola a make hope loa. ʻO kēia hana e hana ai ka vancomycin i mea ikaika loa i nā bacteria gram-positive, nona nā paia cell mānoanoa e hiki ai i kēia lāʻau lapaʻau ke kuhikuhi pono.

ʻO ka mea e hana ai i ka vancomycin i mea waiwai nui, ʻo ia kona hiki ke hana kūʻē i nā bacteria i loaʻa ka pale ʻana i nā lāʻau antibiotic ʻē aʻe. Eia naʻe, ʻo kēia ikaika hoʻi, ʻo ia hoʻi, e nānā pono kāu hui mālama ola iā ʻoe i ka wā e loaʻa ana iā ʻoe, e hōʻoia ana e hana pono ana ia me ka nānā ʻana i nā hopena ʻaoʻao.

Pehea wau e lawe ai i ka Vancomycin?

Hāʻawi mau ʻia ka Vancomycin ma o ka laina IV, ʻaʻole loa ma ke ʻano he pila āu e ale ai. E hoʻokomo kāu hui mālama ola i kahi paipu liʻiliʻi i loko o kekahi o kou mau veins, maʻamau i kou lima, a e kahe mālie ka lāʻau lapaʻau i loko o kou kahe koko ma luna o 60 a 120 mau minuke.

He mea nui ka hoʻokomo lohi no kou palekana a me kou hōʻoluʻolu. ʻO ka hāʻawi ʻana i ka vancomycin i ka wikiwiki loa hiki ke hana i kekahi mea i kapa ʻia ʻo "red man syndrome," kahi e lilo ai kou ʻili i mea ʻulaʻula a me ka ʻūlū. Ma ka lawe ʻana i ka manawa me ka hoʻokomo ʻana, kōkua kāu hui lapaʻau e pale i kēia hopena hōʻoluʻolu ʻole.

ʻAʻole pono ʻoe e hopohopo e pili ana i ka manawa o kēia lāʻau lapaʻau me nā meaʻai no ka mea e hele pololei ana i loko o kou kahe koko. Eia naʻe, ʻo ka noho ʻana i ka wai maikaʻi ma ka inu ʻana i ka wai nui (inā ʻaʻole i hāʻawi kāu kauka iā ʻoe i nā palena wai) hiki ke kōkua i kāu mau puʻupaʻa i ka wā e loaʻa ana iā ʻoe ka lāʻau.

E nānā mau kāu kahu maʻi iā ʻoe i ka wā o kēlā me kēia hoʻokomo ʻana e hōʻoia e ʻoluʻolu ana ʻoe a maikaʻi ke nānā aku o ka pūnaewele IV. Inā ʻike ʻoe i nā manaʻo ʻokoʻa, ka ʻeha ma ka pūnaewele IV, a i ʻole e maʻi i ka wā o ka hoʻokomo ʻana, e haʻi koke i kāu hui mālama ola.

Pehea ka lōʻihi e lawe ai au i ka Vancomycin?

ʻO ka lōʻihi o kāu lapaʻau vancomycin e pili ana i ke ʻano a me ke koʻikoʻi o kāu maʻi. Loaʻa ka hapa nui o nā kānaka i kēia lāʻau lapaʻau no 7 a 14 mau lā, akā hiki i kekahi mau maʻi ke koi i ka lapaʻau lōʻihi.

E nānā kāu kauka i kou holomua ma o nā hoʻokolohua koko a me nā hōʻailona lapaʻau e hoʻoholo pono ai i ka lōʻihi o kou pono e mālama ʻia. No nā maʻi maʻalahi, pono paha ʻoe i ka vancomycin no hoʻokahi pule wale nō. ʻO nā kūlana paʻakikī e like me ka endocarditis a i ʻole nā maʻi iwi e koi pinepine i nā pule he nui o ka mālama ʻana e hōʻoia i ka pau ʻana o ka maʻi.

I ka wā o kāu mālama ʻana, e nānā mau kāu hui mālama ola i kāu pae koko e hōʻoia i ka hana pono ʻana o ka lāʻau lapaʻau. E nānā pū lākou i kāu hana kīkī no ka mea hiki i ka vancomycin ke hoʻopilikia i ka hana pono ʻana o kou mau kīkī. Kōkua kēia mau nānā mau ʻana e hōʻoia e loaʻa ana iā ʻoe ka nui kūpono o ka lāʻau lapaʻau no ka lōʻihi kūpono o ka manawa.

He mea nui e hoʻopau i ka papa holoʻokoʻa o ka mālama ʻana, ʻoiai inā hoʻomaka ʻoe e ʻoi aku ka maikaʻi ma mua o ka pau ʻana. ʻO ka hooki ʻana i ka wā mua hiki ke ʻae i ka maʻi e hoʻi mai, me ka hiki ke hana i kahi ʻano paʻakikī e mālama ai.

He aha nā hopena ʻaoʻao o Vancomycin?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka vancomycin ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia ke nānā pono ʻia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e manaʻo ʻoi aku ka mākaukau a ʻike i ka manawa e hoʻopili aku ai i kāu hui mālama ola.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai he mea hiki ke mālama ʻia a pinepine e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau:

• ʻO ka maʻi ʻulaʻula - ʻO ka ʻulaʻula, ka ʻū, a i ʻole ka ʻōpala ma kou kino luna, ka ʻāʻī, a me ka maka
• Nausea a i ʻole ka ʻōpū huhū - Hiki ke hana i ka wā a i ʻole ma hope o nā infusions
• ʻEha a i ʻole ka huhū ma ke kahua IV - Kekahi palupalu kahi e komo ai ka nila i kou vein
• Poʻo - Maʻamau ka maʻalahi a me ka manawa
• ʻO ka noʻonoʻo - ʻOi loa ke kū koke
• ʻO nā anu a i ʻole ke kuni - ʻO ka pane ʻana o kou kino i ka hakakā ʻana i ka maʻi

ʻOi aku ka koʻikoʻi o nā hopena ʻē aʻe, ʻaʻole maʻamau, akā pono e mālama koke ʻia e nā kauka. E nānā pono kāu hui mālama ola iā ʻoe no kēia mau mea, akā he mea nui e ʻike ʻoe i nā mea e nānā ai:

• Nā pilikia o ka puʻupaʻa - Nā loli i ka mimi, ka pehu ʻana o nā wāwae a i ʻole nā wāwae, ka luhi ʻole
• Nā loli i ka lohe - Ke kani ʻana i nā pepeiao, ka lohe ʻana, a i ʻole nā pilikia kaulike
• Nā hopena maʻi maʻi koʻikoʻi - Paʻakikī ka hanu ʻana, ka ʻūhū nui, a i ʻole ka pehu ʻana o ka maka a me ka ʻāʻī
• Maʻi Clostridioides difficile - Ka maʻi maʻi koʻikoʻi, ka ʻeha o ka ʻōpū, a i ʻole ke kuni

E nānā mau kāu hui lapaʻau i kou koko e nānā i ka hana o kou puʻupaʻa a e hōʻoia i ka kūpono o nā pae lāʻau lapaʻau no kou kino. Kōkua kēia nānā pono ʻana i ka hopu ʻana i nā pilikia i ka wā mua a hoʻoponopono i kāu lapaʻau inā pono.

ʻO wai ka mea ʻaʻole pono e lawe iā Vancomycin?

ʻOiai palekana ʻo vancomycin no ka hapa nui o nā kānaka, pono kekahi mau kūlana i ka mālama nui a i ʻole e pale iā ʻoe mai ka loaʻa ʻana o kēia lāʻau. E nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana iā vancomycin.

Pono ʻoe e haʻi i kāu hui mālama ola inā loaʻa iā ʻoe kekahi o kēia mau kūlana, no ka mea, hiki iā lākou ke hoʻopilikia i ka mea kūpono o vancomycin iā ʻoe:

• Maʻi puʻupaʻa a i ʻole nā pilikia o ka puʻupaʻa - Hiki i ka Vancomycin ke hoʻopilikia i ka hana o ka puʻupaʻa
• Ka lohe ʻana a i ʻole nā pilikia pepeiao - Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ka lohe
• ʻO ka hopena maʻi maʻi mua i ka vancomycin - Pono e hōʻike ʻia nā hopena maʻalahi
• Maʻi ʻāʻī mumū - Hiki ke hoʻonui i ka pilikia o kekahi mau pilikia
• Hoʻohana hou ʻia o nā lāʻau antibiotic ʻē aʻe - Hiki ke hoʻopilikia i ka hana ʻana o vancomycin

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e ana pono kāu kauka i nā pōmaikaʻi a me nā pilikia. Hiki i ka Vancomycin ke hele i ka placenta a komo i ka waiū umauma, akā pono ia i kekahi manawa no nā maʻi koʻikoʻi kahi e ʻoi aku ai nā pōmaikaʻi ma mua o nā pilikia.

E noʻonoʻo pū kāu hui mālama ola i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka vancomycin a i ʻole e hoʻonui i ka pilikia o nā hopena ʻaoʻao. E hāʻawi mau i kahi papa inoa piha o kāu mau lāʻau lapaʻau, me nā lāʻau lapaʻau a me nā mea hoʻohui.

Nā inoa inoa o Vancomycin

Loaʻa ka Vancomycin ma lalo o nā inoa inoa like ʻole, akā e lohe pinepine ʻoe i nā mea mālama ola e kuhikuhi ana iā ia ma ke ʻano he

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• Linezolid - Hiki ke hāʻawi ʻia ma ka waha a i ʻole ma IV, hoʻohana pinepine ʻia no nā maʻi ʻili
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• Daptomycin - He lāʻau antibiotic IV ʻē aʻe e kūʻē ana i nā bacteria kūʻē
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• Clindamycin - Loaʻa i nā ʻano waha a me IV no kekahi mau maʻi
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• Tigecycline - He lāʻau antibiotic hou no nā maʻi paʻakikī
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• Teicoplanin - Ua like me ka vancomycin akā ʻaʻole i loaʻa ma nā ʻāina a pau
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Aia ke koho ma waena o vancomycin a me nā mea ʻē aʻe i nā mea he nui, me nā bacteria kikoʻī e hana ana i kāu maʻi, kāu hana kīkī, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a me kou kūlana olakino holoʻokoʻa. E koho kāu kauka i ka antibiotic e hoʻomaʻemaʻe i kāu maʻi me ka palekana a me ka maikaʻi.

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

He mau lāʻau antibiotic maikaʻi loa ʻo Vancomycin a me linezolid no ka mālama ʻana i nā maʻi bacteria koʻikoʻi, akā he mau pono kūʻokoʻa ko lākou e pili ana i kāu kūlana kikoʻī. Ma mua o ka

Ke noʻonoʻo nei kāu kauka i nā mea e like me kahi o kāu maʻi, ka hana o kou puʻupaʻa, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā pono ʻoe e noho i ka haukapila i ke koho ʻana ma waena o kēia mau koho. He mea pono loa nā lāʻau lapaʻau ʻelua ke hoʻohana pono ʻia.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Vancomycin

He Palekana ʻo Vancomycin no ka maʻi puʻupaʻa?

Hiki ke hoʻohana ʻia ʻo Vancomycin i ka poʻe me ka maʻi puʻupaʻa, akā pono ia i ka nānā pono ʻana a me nā hoʻoponopono ʻana i ka mahele. E hoʻololi kāu kauka i ka nui a me ke alapine o ka vancomycin ma muli o ka maikaʻi o ka hana ʻana o kou puʻupaʻa.

Inā he pilikia kou puʻupaʻa, e nānā kāu hui mālama ola i kou pae koko i nā manawa pinepine e hōʻoia ʻaʻole e kūkulu ʻia ka lāʻau lapaʻau i nā pae palekana ʻole. Hiki iā lākou ke hāʻawi iā ʻoe i nā mahele liʻiliʻi a i ʻole e hoʻokaʻawale iā lākou i mea e pale ai i ka hana o kou puʻupaʻa i ka wā e mālama pono ai i kāu maʻi.

ʻO ke kī, ʻo ia ka kamaʻilio pili me kāu hui mālama ola e pili ana i nā loli i kou mimi, pehu, a i ʻole pehea ʻoe e manaʻo nei i ka holoʻokoʻa. Me ka nānā pono ʻana, hiki i ka nui o ka poʻe me ka maʻi puʻupaʻa ke loaʻa palekana iā vancomycin ke pono lākou no nā maʻi koʻikoʻi.

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

Inā hopohopo ʻoe no ka loaʻa ʻana o ka nui o ka vancomycin, e haʻi koke i kāu hui mālama ola. No ka mea, hāʻawi ʻia kēia lāʻau lapaʻau i kahi haukapila me ka nānā pono ʻana, he kakaikahi nā overdoses, akā hiki i kāu hui lapaʻau ke loiloi wikiwiki i ke kūlana a hana i ka hana kūpono.

ʻO nā hōʻailona e hōʻike ana ua loaʻa iā ʻoe ka nui o ka vancomycin, ʻo ia ka nausea nui, nā loli nui i ka lohe, ka huikau, a i ʻole ka luhi ʻole. E nānā paha kāu hui mālama ola i kou pae koko a me ka hana o kou puʻupaʻa inā he hopohopo e pili ana i ka mahele.

ʻO ka nūhou maikaʻi, hiki ke mālama pinepine ʻia nā overdoses vancomycin me ka mālama kākoʻo a, i nā hihia koʻikoʻi, nā kaʻina hana e kōkua i ka wehe ʻana i ka lāʻau lapaʻau nui mai kāu ʻōnaehana. Ua aʻo ʻia kāu hui lapaʻau e mālama i kēia mau kūlana a e mālama maikaʻi iā ʻoe.

He aha kaʻu e hana ai inā e hala wau i kahi mahele o Vancomycin?

Mai ka wā i hāʻawi ʻia ai ka vancomycin i loko o kahi haukapila a i ʻole kahi hoʻonohonoho lapaʻau, ʻaʻole maʻamau ka hala ʻana i kahi mahele, akā hiki ke hana inā he mau paio hoʻonohonoho a i ʻole nā pilikia olakino. E hana pū kāu hui mālama ola me ʻoe e hoʻi i ke ala i ka wikiwiki.

Inā hoʻopaneʻe ʻia kahi mahele, mai hopohopo - e hoʻoponopono kāu hui lapaʻau i ka manawa o kāu mahele aʻe e mālama i nā pae kūpono o ka lāʻau lapaʻau i kāu ʻōnaehana. Hiki iā lākou ke nānā i kāu mau pae koko e hōʻoia e loaʻa ana iā ʻoe ka lāʻau lapaʻau maikaʻi loa.

ʻO ka mea nui e hoʻomau me kāu hoʻolālā lapaʻau e like me ke kauoha. E hana kāu hui mālama ola i nā hoʻoponopono e pono ai e hōʻoia e loaʻa iā ʻoe ka pōmaikaʻi piha o kāu lapaʻau antibiotic.

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

Pono ʻoe e hooki i ka lawe ʻana i ka vancomycin ke haʻi aku kāu kauka iā ʻoe he palekana ke hana pēlā. Hoʻokumu ʻia kēia hoʻoholo ma nā mea he nui, me ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau, nā hopena hoʻāʻo koko, a inā ua maopopo kāu maʻi.

E nānā kāu hui mālama ola i kāu holomua ma o nā hoʻāʻo koko maʻamau, nā hoʻokolokolo kino, a me ka loiloi ʻana i kāu mau hōʻailona. Ke hoʻi nā hōʻailona o kāu maʻi i nā pae maʻamau a ke manaʻo nei ʻoe i ka maikaʻi, e hoʻoholo kāu kauka he palekana ke hooki i ka lāʻau lapaʻau.

Mai hooki i ka vancomycin i ka wā mua, ʻoiai inā manaʻo ʻoe i ka maikaʻi. Hiki i ka lāʻau lapaʻau piha ʻole ke ʻae i ka maʻi e hoʻi mai, hiki ke lilo i ʻano kūʻē i ʻoi aku ka paʻakikī o ka mālama ʻana. E hilinaʻi i ke alakaʻi a kāu hui mālama ola i ka wā e kūpono ai e hoʻopau i kāu papa lapaʻau.

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

He mea maikaʻi e pale i ka waiʻona i ka wā e loaʻa ana ka lapaʻau vancomycin. ʻOiai ʻaʻole pili pono ka waiʻona me ka vancomycin, hiki iā ia ke keakea i ka hiki o kou kino ke hakakā i ka maʻi a hiki ke hoʻonui i kekahi mau hopena ʻaoʻao e like me ka nausea a i ʻole ka ʻūlū.

Hiki nō hoʻi i ka waiʻona ke hoʻokau i ke koʻikoʻi hou aʻe i kou mau puʻupaʻa, a no ka mea, pono ka vancomycin i ka nānā pono ʻana i nā puʻupaʻa, ʻo ka pale ʻana i ka waiʻona e kōkua i ka hōʻoia ʻana e hiki i kou mau puʻupaʻa ke mālama i ka lāʻau me ka palekana. Eia kekahi, hiki i ka waiʻona ke keakea i kou hiamoe a me ka hoʻōla holoʻokoʻa mai kāu maʻi.

E kālele ana i ka noho ʻana i ka wai me ka wai a me nā mea inu ʻole waiʻona i ka wā o kāu lapaʻau. Kākoʻo kēia i kou hoʻōla a kōkua i kou mau puʻupaʻa e hana pono i ka lāʻau. Hiki iā ʻoe ke kūkākūkā i ka hoʻi ʻana i ka ʻai ʻana i ka waiʻona me kāu kauka ma hope o kou hoʻopau ʻana i kāu lapaʻau.