He aha te Dalbavancin: Ngā Whakamahinga, te Inenga, ngā Pānga taha, me ētahi atu

He paturopi kaha te Dalbavancin e hoatu ana e ngā tākuta mā te IV hei rongoā i ngā mate kiri huakita kino. No roto tenei rongoā i tētahi rōpū e kīia ana ko ngā paturopi lipoglycopeptide, e mahi ana mā te aukati i ngā huakita kino mai i te hanga i ō rātou pakitara pūtau whakamarumaru.

Ko te mea motuhake mō te dalbavancin ko te noho roa tonu i roto i tō tinana. Ko te tikanga tēnei he kotahi, e rua rānei ngā inenga e hiahiatia ana e koe, kaua ki te tango paturopi ia rā mō ngā wiki. I hangaia motuhake mō ngā pakeke e pā ana ki ngā mate kiri me ngā kiko ngawari kare i pai te urupare ki ētahi atu rongoā.

He aha te Dalbavancin e whakamahia ana mō?

Ka rongoā te Dalbavancin i ngā mate kiri me ngā hanganga kiri huakita (ABSSSI) i roto i ngā pakeke. He mate kino ēnei e hōhonu ana atu i te mata o tō kiri, ā, he maha ngā wā e pā ana ki ngā paparanga i raro, tae atu ki te ngako, te uaua, te kiko hono rānei.

Ka tohutohu pea tō tākuta i te dalbavancin ina pā ana koe i ngā mate pēnei i te cellulitis, ngā puku nui, i ngā mate patunga rānei. He tino whai hua ki ngā huakita gram-positive, tae atu ki ētahi e aukati ana i ētahi atu paturopi. Kei roto i ēnei huakita ko Staphylococcus aureus (tae atu ki te MRSA), Streptococcus species, me Enterococcus faecalis.

Kei te rāhui te rongoā mō ngā mate kino ake nā te mea he paturopi kaha rawa. Ko te tikanga ka whiriwhiria e tō kaiwhakarato hauora te dalbavancin ina kāore i pai te mahi o ētahi atu paturopi, ina rānei he nui te mate e hiahiatia ana te hōhipera.

Me pēhea te mahi a te Dalbavancin?

He paturopi tino kaha te Dalbavancin e mahi ana mā te whakaeke i ngā pakitara pūtau o ngā huakita. Whakaarohia ngā pakitara pūtau huakita pēnei i te anga whakamarumaru huri noa i te hua manu - ki te kore, e kore e ora ngā huakita.

Ko te rongoā e whai ana i tētahi whākōkī e kīia ana ko te transglycosylase, e hiahiatia ana e ngā huakita hei hanga me te tiaki i ō rātou pakitara pūtau. Ka aukati te dalbavancin i tēnei whākōkī, ka pakaru ngā huakita ka mate. Nō reira, ka kīia e ngā tākuta he patu huakita tēnei rongoā, arā, ka patu i ngā huakita, kaua ki te aukati i tō rātou tipu.

Ko te mea whakamīharo mō te dalbavancin ko tōna haurua-ora roa, arā, ka noho kaha tonu i tō tinana mō te 8-9 rā i muri i te horopeta kotahi. Mā tēnei noho roa ka taea e ia te whawhai tonu i te mate i muri i tō whiwhinga i te whakaurunga IV.

Me pēhea taku tango i te Dalbavancin?

Ka hoatu te Dalbavancin mā te whakaurunga IV anake i roto i te hōhipera, i te whare haumanu rānei. Kāore e taea e koe te tango i tēnei rongoā mā te waha i te kāinga. Ka whakahaere tonu tētahi tohunga hauora i tēnei rongoā hei whakarite i te horopeta tika me te aroturuki i a koe mō ngā pānga kino.

Ko te whakaurunga te tikanga e 30 meneti te roa. Ka hoatu e tō nēhi ki a koe mā te pūwāhi i tō ringa. I mua i te whakaurunga, kāore koe e hiahia ki te nohopuku, ki te karo rānei i ngā kai motuhake, ahakoa he pai tonu te noho wai.

Ko te nuinga o te tangata ka whiwhi i te horopeta kotahi o te 1500 mg, e rua rānei ngā horopeta ka hoatu i te wiki te wehenga (1000 mg i te tīmatanga, kātahi 500 mg i muri i ngā rā e whitu). Mā tō tākuta e whakatau ko tēhea hōtaka te mea pai mō tō mate motuhake me tō āhua hauora whānui.

Kia pēhea te roa o taku tango i te Dalbavancin?

Ko te pai o te dalbavancin ko te mea e hiahia ana koe i te horopeta kotahi, e rua rānei. Kāore i rite ki ngā patu huakita tuku iho e hiahia ana ki ngā pire ia rā mō te 7-14 rā, ko te pānga roa o te dalbavancin te tikanga kua oti te rongoā i muri i te kotahi, e rua rānei ngā haerenga ki te hōhipera.

Mēnā ka whiwhi koe i te rongoā kotahi horopeta, ka whiwhi koe i te 1500 mg kotahi anake, koia tena. Mō te rongoā e rua horopeta, ka whiwhi koe i te horopeta tuarua i ngā rā e whitu i muri tonu i te horopeta tuatahi. Mā tō tākuta e whiriwhiri te huarahi i runga i ngā āhuatanga pēnei i te kaha o tō mate me te pēhea o tō urupare ki te rongoā.

Ahakoa kāore koe e tango rongoā ia rā, ka mahi tonu te paturopi i roto i tō tinana mō ngā wiki i muri i te whakaurunga. Ko tēnei mahi whānui te mea e whai hua ai te akoranga rongoā poto mō ngā mate kiri kino.

He aha ngā pānga taha o Dalbavancin?

Pērā i ngā rongoā katoa, ka taea e te dalbavancin te pānga taha, ahakoa te nuinga o te tangata e pai ana ki te tango. Ko ngā pānga taha tino noa he ngawari noa iho, he wā poto.

Koinei ngā pānga taha ka pā ki a koe, ka tīmata mai i ngā mea tino noa:

• Te whakapairuaki me te ruaki
• Te korere
• Te ānini
• Te whanoke
• Te pūwhero, te mōhitihiti rānei
• Te mamae, te whero, te pūhihi rānei i te wāhi IV

Ko te tikanga ka pai ake ēnei tohumate i roto i te rā, e rua rānei, ā, he uaua te whakamutu i te rongoā. Heoi, me whakamōhio tonu koe ki tō rōpū hauora mēnā ka pā ki a koe he raruraru.

He uaua ngā pānga taha kino ake, engari ka uru pea ki ngā tauhohenga pāwera kino, te ngākau pōrearea, he āhuatanga mōrearea e kīia ana ko te C. diff colitis (te mumura nui o te whekau). Mēnā ka pā ki a koe te uaua ki te hā, te mamae nui o te puku, te korere wai tonu rānei, me rapu tonu i te āwhina hauora.

Ko wai kāore e tika kia tango Dalbavancin?

Kāore te Dalbavancin e tika mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakarite. Kāore koe e tika kia whiwhi i tēnei rongoā mēnā i pā ki a koe he tauhohenga pāwera ki te dalbavancin, ki ngā paturopi rite rānei i mua.

Me te hunga e pā ana ki ētahi mate ngākau, me mātua tūpato anō, nā te mea ka pā te dalbavancin ki te manawataki o te ngākau. Ka āta tirohia pea e tō tākuta tō EKG i mua i te rongoā, ki te mea he hītori tō mate ngākau, kei te tango rongoā rānei e pā ana ki tō manawataki.

Kāore tēnei rongoā i whakaaetia mō ngā tamariki kei raro i te 18 tau, nā te mea kāore anō i whakatūria te haumaru me te whai huatanga i roto i ngā tūroro tamariki. I tua atu, ki te hapū koe, kei te whāngai ū rānei, ka āta whakataurite tō tākuta i ngā painga ki ngā tūponotanga i mua i te tūtohu i te dalbavancin.

Ingoa Waitohu Dalbavancin

E hokona ana te Dalbavancin i raro i te ingoa waitohu Dalvance i te United States. Koinei te ingoa tino noa ka kitea e koe i runga i ngā rēhita hōhipera me ngā tapanga rongoā.

Nā Allergan (nā AbbVie ināianei) i hanga te rongoā, ā, kei te wātea mai i te tau 2014. I te wā e kōrero ana koe mō tō rongoā ki ngā kaiwhakarato hauora, ka kōrero pea rātou ki a ia i tētahi o ngā ingoa - dalbavancin, Dalvance rānei.

Ngā Kōwhiringa kē mō te Dalbavancin

He maha atu ētahi paturopi ka taea te rongoā i ngā mate kiri nui, ahakoa he rerekē ngā painga me ngā hōtaka inenga o ia mea. Ka whakaaro pea tō tākuta ki ngā kōwhiringa kē i runga i ō huakita motuhake, te hītori hauora, me ngā hiahia rongoā.

Ngā kōwhiringa kē noa ko te vancomycin, e hiahia ana i ngā whakaurunga IV ia rā mō te 7-10 rā, te linezolid rānei, e wātea ana i ngā momo IV me te waha. Ko te Telavancin tētahi atu kōwhiringa roa-ā-roto, ahakoa e hiahia ana i ngā whakaurunga ia rā mō te 7-10 rā, kaua ki te kotahi, e rua rānei ngā inenga o te dalbavancin.

Ngā kōwhiringa hou ko te oritavancin, he rongoā kotahi-inenga anō hoki, me te tedizolid, ka taea te hoatu mō te 6 rā mā te IV, mā te waha rānei. Ka whiriwhiri tō kaiwhakarato hauora i te kōwhiringa pai rawa atu i runga i ngā āhuatanga o tō mate me tō tūnga hauora whānui.

He Pai Anei te Dalbavancin i te Vancomycin?

He rongoā pai a Dalbavancin me te vancomycin mō ngā mate kiri nui, engari he rerekē te mahi, ā, he rerekē anō ngā painga. Ko te painga nui o te dalbavancin he watea - kotahi, e rua rānei ngā horopeta e hiahiatia ana e koe, kaua ko ngā rongoā IV ia rā mō te wiki neke atu.

Ko te vancomycin te paerewa koura mō ngā tau tekau, ā, he nui ngā rangahau e tautoko ana i tōna whai hua. Heoi, me mātakitaki ia rā i ngā taumata toto, ā, ka pā mai pea ngā raruraru o te pūkahukahu ki te whakamahi roa. Kāore te dalbavancin e hiahia ana i tēnei mātakitaki kaha.

Mō te whai hua, e whakaatu ana ngā rangahau e pai ana te mahi o ngā rongoā e rua mō te rongoā i ngā mate kiri uaua. Ka whiriwhiri tō tākuta i runga i ngā āhuatanga pēnei i tō mahi pūkahukahu, te huakita motuhake e pā ana ki tō mate, me te mea e pai ana koe ki te iti ake o ngā haerenga hōhipera.

Ngā Pātai Auau mō Dalbavancin

He Haumaru te Dalbavancin mō te Mate Pūkahukahu?

Ka taea te whakamahi i te Dalbavancin ki ngā tāngata e mate pūkahukahu ana, engari ka whakatika tō tākuta i te horopeta i runga i te pai o te mahi o ō pūkahukahu. Ki te whai raruraru pūkahukahu nui koe, ka whiwhi pea koe i tētahi horopeta iti ake, ka nui ake rānei te mātakitaki i te wā o te rongoā.

Ko te rongoā te nuinga ka whakakorea mā ō pūkahukahu, nō reira ki te iti te mahi pūkahukahu, ka noho roa te rongoā ki tō tinana. Kāore tēnei i te mōrearea, engari me mātakitaki hauora kia mōhio ai koe kei te whiwhi koe i te nui tika.

Me aha au ki te whai urupare pāwera ki te Dalbavancin?

Ki te kite koe i ngā tohu o te urupare pāwera i te wā, i muri rānei i tō rongoā, whakamōhio tonu ki tō rōpū hauora. Ko ngā tohu pea ko te uaua ki te hā, te pūhi o tō mata, tō korokoro rānei, te pūhi nui, te ngoikore rānei.

I te mea ka tukuna te dalbavancin i roto i te taiao rongoa, ka taea e nga kaimahi whakangungu te whakautu wawe ki nga tauhohenga mate pāwera. He rongoa me nga taputapu kei a ratou hei rongoa i nga tauhohenga kino. Ko te nuinga o nga tauhohenga mate pāwera ki te dalbavancin he ngawari, engari he pai ake te tupato me te korero mena kaore he mea e pai ana.

He aha taku mahi mena ka ngaro i ahau te horopeta o Dalbavancin?

Mena kua whakaritea koe mo te tikanga e rua nga horopeta, ka ngaro i a koe to wa whakarite tuarua, whakapā atu ki to kaiwhakarato hauora i te wa e taea ai. Ko te horopeta tuarua me hoatu i nga ra e whitu i muri tonu i te tuatahi, engari he waatea tonu te wa.

Ka taea e to taakuta te whakarite ano i a koe mo te wa whakarite e whai ake nei, te whakatika ranei i to mahere maimoatanga i runga i te ahua o to urupare ki te horopeta tuatahi. Kaua e ngana ki te tatau, ki te whakarite ano ranei i a koe ano - me mahi tahi tonu me to roopu hauora.

Ahea ka taea e au te whakamutu i te tango Dalbavancin?

Kaore i rite ki nga paturopi tuku iho, kaore koe e