Created at:1/13/2025
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Ko te werohanga Kanamycin he rongoā paturopi kaha e whakamahia ana e ngā tākuta hei rongoā i ngā mate pāwera kino i te wā e kore ai ētahi atu rongoā e whai hua. No tētahi rōpū tēnei rongoā e kīia nei ko te aminoglycoside antibiotics, e mahi ana mā te aukati i ngā huakita kino mai i te hanga i ngā pūmua e hiahiatia ana e rātou kia ora ai, kia nui haere ai i tō tinana.
Ka tohutohu te tākuta i te werohanga kanamycin i te wā e pā ana koe i tētahi mate kino kāore anō i aro ki ētahi atu paturopi, i te wā rānei e hiahiatia ana te mahi tere ki te ārai i ngā raruraru. E kiia ana he rongoā kaha e hiahia ana kia āta aroturukihia, engari ka taea te whakaora i te ora i te wā e whakamahia ana i runga i te tika mō ngā āhuatanga tika.
Ka rongoā te werohanga Kanamycin i ngā mate pāwera kino puta noa i tō tinana, ina koa ko ngā mea i pā mai i ngā huakita gram-negative e ātete ana ki ētahi atu paturopi. Ko te nuinga o ngā tākuta e whakarite ana mō ngā mate kino i ō pūkahukahu, te toto, te ara mimi, me te puku.
Ka tohutohu pea tō kaiwhakarato hauora i te werohanga kanamycin mēnā he pūkahukahu tōu kāore e aro ana ki ētahi atu rongoā, ina koa kei te hōhipera koe, he pūnaha ārai mate rānei tōu kua ngoikore. He whai hua hoki ki ngā mate tākihi, ina koa ko ngā mea kua horahia, kua uaua rānei.
I ētahi wā, ka whakamahia e ngā tākuta te werohanga kanamycin hei rongoā i ngā mate kiri me ngā kiko ngawari, ngā mate iwi, i ngā mate rānei kua uru ki tō toto. He tino whai hua te rongoā i te wā e pā ana ki ngā mate i pā mai i ngā huakita pēnei i te E. coli, Klebsiella, Pseudomonas rānei kua whanake te ātete ki ētahi atu paturopi.
Ka mahi te werohanga Kanamycin mā te whai i ngā taputapu e whakamahia ana e te huakita hei hanga pūmua e tika ana mō te oranga. Ka uru te rongoā ki ngā pūtau huakita, ka piri ki ngā hanganga motuhake e kiia ana ko ribosomes, he rite ki ngā wheketere iti e whakaputa ana i ngā pūmua.
Inā piri a kanamycin ki ēnei ribosomes, ka puta he pūmua hē e kore e taea e te huakita te whakamahi. Ka raru tēnei i te kaha o te huakita ki te pupuri i ō rātou pakitara pūtau me te whakahaere i ngā mahi nui, ka mate rātou i te mutunga.
E kiia ana he paturopi kaha tēnei nā te mea he bactericidal, te tikanga ka patu i te huakita, kaua ki te aukati noa i tō rātou tipu. Ka mahi te rongoā i te tere, engari me eke ki ngā taumata tika i roto i tō toto kia whai hua ki ngā mate kino.
Ka tukuna te werohanga Kanamycin ki roto i tō toto mā te raina IV, ka werohia rānei ki roto i tō uaua e tētahi tohunga hauora i te hōhipera, i te whare haumanu rānei. E kore e taea e koe te tango i tēnei rongoā mā te waha, te hoatu rānei ki a koe i te kāinga.
Ka whakatau tō rōpū hauora i te horopeta tika i runga i tō taumaha, te mahi o te whatukuhu, me te kaha o tō mate. Ko te tikanga ka tukuna te rongoā ia 8 ki te 12 haora, ā, ka tukuna te horopeta i te wā roa i roto i te 30 ki te 60 meneti ina tukuna mā te IV.
I mua i ia horopeta, ka tirohia e tō nēhi ō tohu nui, ā, ka tango toto pea hei aroturuki i te mahi o tō whatukuhu me ngā taumata rongoā i tō tinana. Mā tēnei aroturuki tupato e āwhina kia whai hua te rongoā i te wā e whakaiti ana i te tūponotanga o ngā pānga taha.
Kāore koe e hiahia ki te māharahara ki te tango i tēnei rongoā me te kai mai i te mea ka uru tika ki roto i tō toto. Heoi, ko te noho pai te wai mā te inu i te wai nui ka āwhina i te mahi o tō whatukuhu i te wā e whiwhi ana koe i te rongoā.
Ko te roa o te maimoatanga werohanga kanamycin te tikanga mai i te 7 ki te 14 ra, i runga i to mate motuhake me te pai o to urupare ki te rongoa. Ma to taakuta e whakatau te roa tika o te maimoatanga i runga i te kaha o to mate me te urupare o to tinana.
Mo te nuinga o nga mate kino, ka whiwhi koe i te rongoa mo te iti rawa 7 ra kia tino whakakorea nga huakita. Heoi, ko etahi mate uaua ka hiahia maimoatanga mo te 14 ra, i etahi wa ranei roa ake mena ka ngoikore to punaha mate.
Ka aroturukihia e to roopu hauora to ahunga whakamua ma nga whakamatautau toto me nga whakamatautau tinana. Ka titiro ratou ki nga tohu kei te marama te mate, penei i te heke o te kirika, te pai ake o te tatau pūtau toto ma, me te whakaoti i nga tohu penei i te uaua ki te manawa, te mamae ranei.
He mea nui kia oti te akoranga maimoatanga katoa ahakoa ka pai ake koe i muri i etahi ra. Ko te whakamutu wawe i te rongoa ka taea e nga huakita e toe ana te whakanui me te whanake i te aukati ki te paturopi.
Pērā i ngā rongoā kaha katoa, ka taea e te werohanga kanamycin te whakaputa i ngā pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko nga paanga taha noa he ngawari noa iho, he ngawari ki te whakahaere me te tirotiro hauora tika.
Ka raru pea koe i te waahi werohanga, tae atu ki te mamae, te whero, te pupuhi ranei i te waahi i whakauruhia ai te ngira. Ka puta ano pea te nausea, te ruaki, te korere ranei, e pai ake ana i te wa e urutau ana to tinana ki te rongoa.
Anei nga paanga taha noa e tika ana kia mohio koe:
Ko ēnei pānga taha noa he wā poto noa iho, ā, ka ngaro ana kua oti te rongoā. Ka aroturukihia koe e tō rōpū hauora, ā, ka taea e rātou te whakarato rongoā hei āwhina i te whakahaere i ngā mamae.
Ko ngā pānga taha nui ake he mea pāwhara, engari me whai wāhi tonu atu ki te tākuta. Ko ngā pānga e tino mōrearea ana ko ō pūkahukahu me tō rongo, koinei te take e tino aroturukihia ana ēnei mahi e tō rōpū hauora i te wā o te rongoā.
Whakapā atu ki tō kaiwhakarato hauora tonu mēnā ka pā ki a koe ēnei pānga taha nui:
He mea pāwhara ēnei pānga taha nui ina whakamahia te rongoā i te tika, me te aroturuki tika. Kua whakangungua tō rōpū hauora ki te mōhio ki ngā tohu wawe o ngā raruraru, ā, ka whakatika i tō rongoā mēnā e tika ana.
Kāore te Kanamycin injection e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Ko ngā tāngata e whai ana i ētahi āhuatanga hauora ka hiahia pea ki ētahi atu rongoā, ki ngā whakatūpato motuhake rānei.
Kāore koe e tika kia whiwhi i te kanamycin injection mēnā he pānga mate pāwera tōna ki te kanamycin, ki ētahi atu paturopi aminoglycoside pēnei i te gentamicin, tobramycin, amikacin rānei. Ahakoa kāore anō koe i tango kanamycin i mua, ka pātai tō tākuta mō ētahi pānga i mua ki ngā rongoā rite.
Me te hunga e raru ana i te pūkahukahu, me whai whakaaro motuhake, nā te mea ka pā te kanamycin ki te mahi o te pūkahukahu. Me whakatika e tō tākuta te horopeta, me kōwhiri rānei i tētahi paturopi rerekē mēnā kāore i te pai te mahi o ō pūkahukahu.
Ko ēnei ngā āhuatanga ka kore ai e tika te werohanga kanamycin, me whai whakatūpato motuhake rānei:
Ka whakaaro hoki tō tākuta ki tō tau, nā te mea ka nui ake te tairongo o ngā pakeke ki ngā pānga o te rongoā ki ngā pūkahukahu me te rongo. Ko ngā wahine hapū te tikanga ka whiwhi kanamycin anake mēnā ka nui ake ngā painga i ngā tūponotanga, nā te mea ka pā pea ki te rongo o te pēpi e whanake ana.
Mēnā he āhuatanga tō, kaua e māharahara – he kōwhiringa paturopi whai hua anō tō rōpū hauora. Ka mahi rātou i te taha o koe ki te kimi i te rongoā haumaru me te whai hua mō tō āhuatanga motuhake.
Kei te wātea te werohanga kanamycin i raro i ētahi ingoa waitohu, ahakoa kei roto i te putanga whānui te whakauru kaha kotahi, ā, he pai te mahi. Ko te ingoa waitohu tino noa ko Kantrex, kua whakamahia haumaru mō ngā tau maha i roto i ngā hōhipera me ngā wāhi haumanu.
Ko ētahi atu ingoa waitohu ka tūtaki pea koe ko Klebcil i ētahi whenua, ahakoa he rerekē te wātea i te wāhi. Ko tō hōhipera, ko tō whare haumanu rānei te tikanga ka whai i te putanga e wātea ana, e whai hua ana hoki i tō rohe.
Kāore te ingoa waitohu e pā ki te whai huatanga, ki te haumarutanga rānei o te rongoā. Ahakoa ka whiwhi koe i te kanamycin whānui, i te momo waitohu rānei, ko te whakauru kaha me te horopeta ka noho rite tonu, ā, ka aroturukihia koe e tō rōpū hauora mā te whakamahi i ngā tikanga rite tonu.
Mēnā kāore te werohanga kanamycin e tika ana mō tō āhuatanga, he maha ngā rongoā paturopi kē atu kei tō tākuta hei rongoā i ngā mate pāpori kino. Ka whakawhirinaki te kōwhiringa ki te momo pāpori e pā ana ki tō mate, me ō āhuatanga hauora takitahi.
Ko te Gentamicin te kōwhiringa tuatahi e whakaarohia ana, nā te mea no te whānau paturopi kotahi, ā, he rite te mahi ki te maha o ngā pāpori rite tonu. Ko te Tobramycin tētahi atu kōwhiringa e pai ana pea mēnā he momo mate pūkahukahu tō, mēnā rānei kāore i te wātea te gentamicin.
Mō ētahi mate, ka tūtohu pea tō tākuta i ngā paturopi whānui pēnei i te ceftriaxone, piperacillin-tazobactam, meropenem rānei. He rerekē te mahi a ēnei rongoā i te kanamycin, engari ka whai hua tonu ki ngā mate pāpori kino.
Anei ētahi kōwhiringa ka whakaarohia e tō tākuta:
Ka kōwhiria e tō rōpū hauora te kōwhiringa e tika ana i runga i ngā hua ahurea e tautuhi ana i te momo pāpori e pā ana ki tō mate, me te whakamātau i ngā paturopi e pai ana ki a ia. Mā tēnei huarahi whaiaro ka whiwhi koe i te rongoā whai hua rawa atu me te iti rawa o te tūponotanga o ngā pānga taha.
He rongoā paturopi aminoglycoside whai hua te werohanga Kanamycin me te gentamicin, engari kāore tētahi i te pai ake i tētahi. Ko te kōwhiri i waenga i a rāua e rua e whakawhirinaki ana ki ngā huakita e pā ana ki tō mate me ō āhuatanga hauora takitahi.
He nui ake te whakamahi i te Gentamicin i roto i ngā hōhipera i tēnei rā, nā te mea he whai hua ki te whānuitanga o ngā huakita, ā, kua nui ake te rangahau i ngā tau tata nei. Heoi, ka pai ake pea te kanamycin mō ētahi mate motuhake, i te wā rānei kua whanake te ātete o ngā huakita ki te gentamicin.
He rite tonu ngā tūponotanga o ngā rongoā e rua mō te mahi o te pūkahukahu me te rongo, nō reira ko te kōwhiringa a tō tākuta e whakawhirinaki ana ki te rongoā paturopi e pai ana ki tō mate motuhake. Ka taea e ngā whakamātautau taiwhanga te āwhina ki te whakatau ko tēhea rongoā e whai hua ana mō tō momo huakita.
I ētahi wā, ka huri pea tō tākuta mai i tētahi ki tētahi i runga i te pai o tō urupare ki te rongoā, ki te puta rānei ngā pānga taha. E whakaarohia ana he haumaru, he whai hua hoki ngā rongoā e rua ina whakamahia tika ana me te aroturuki tika.
Ka taea te whakamahi i te werohanga Kanamycin i roto i te hunga mate huka, engari ka tino aroturukihia koe e tō rōpū hauora. Ka taea e te mate huka te pā ki te mahi o te pūkahukahu i te roanga o te wā, ā, i te mea ka tukatukahia te kanamycin mā ō pūkahukahu, tērā pea ka hiahia tō tākuta ki te whakatika i te inenga, ki te aroturuki rānei i te mahi o ō pūkahukahu i ngā wā maha.
Kāore te rongoā i te pā tika ki ngā taumata huka toto, engari ka taea e ngā mate nui te uaua ake te whakahaere i te mate huka. Ka mahi tahi tō rōpū hauora me koe ki te aroturuki i tō mate me ngā taumata huka toto i te wā o te rongoā.
I te mea ka tukuna te werohanga kanamycin e nga tohunga hauora i roto i te taiao whakahaere, he tino onge te horopeta nui ohorere. Mena kei te māharahara koe mo te whiwhi rongoa nui rawa atu, korero tonu ki to nēhi, ki tō tākuta rānei.
Ko ngā tohu o te nui rawa o te kanamycin ka uru pea ko te whakapairuaki nui, te ruaki, te whanoke, te huringa rānei i te rongo. Ka aroturukihia e tō rōpū hauora ō taumata rongoa mā ngā whakamātautau toto hei ārai i tēnei āhuatanga, engari ka taea e rātou te mahi tonu ki te hiahiatia, tae atu ki te whakarato i te manaaki tautoko me te whakamahi i ngā rongoā hei āwhina i tō tinana ki te whakakore i te rongoa nui.
I te mea ka tukuna te werohanga kanamycin e ngā tohunga hauora i runga i te hōtaka tino tika, he mea noa te ngaro i ngā horopeta. Mena ka whakaroa tō horopeta kua whakaritea mō tētahi take, whakamōhio tonu ki tō nēhi, ki tō tākuta rānei kia taea e rātou te whakatika i tō hōtaka rongoā.
Ka whakatauhia e tō rōpū hauora te huarahi pai rawa atu i runga i te nui o te wā kua pahure me tō mahere rongoā motuhake. Ka taea e rātou te hoatu ki a koe te horopeta i ngaro i te wā e taea ai, te whakatika rānei i te wā o ngā horopeta e whai ake nei kia mau tonu ngā taumata rongoā whai hua i roto i tō tinana.
Kaua rawa koe e whakamutu i te rongoā werohanga kanamycin i runga i a koe anō, ahakoa kei te pai ake koe. Ka whakatau tō tākuta i te wā hei whakamutu i te rongoā i runga i ētahi mea, tae atu ki ō tohu, ngā hua whakamātautau toto, me te whakakorenga katoa o te mate.
I te nuinga o te wā, ka haere tonu koe ki te whiwhi werohanga kanamycin kia oti rawa i a koe te akoranga katoa i whakaritea, ko te tikanga 7 ki te 14 rā. Ka taea e tō tākuta te whakaroa, te whakaiti rānei i tēnei wā i runga i te pai o tō urupare ki te rongoā me te whakaatu a ngā whakamātautau whai muri kua tino marama te mate.
He pai ake te karo i te waipiro i te wa e whiwhi ana koe i te rongoa werohanga kanamycin. Ahakoa karekau te waipiro e pā tika ana ki te rongoa, ka pōhēhē pea ō tākihi me te ate, e mahi ana ki te tukatuka i te paturopi me te whawhai i tō mate.
I tua atu, ka taea e te waipiro te whakapōrearea i ētahi pānga taha pēnei i te whakapairuaki, te whanoke, me te maroke, ka raru pea i tō whakaoranga. Arā, kia noho pai te wai ki te wai me ētahi atu inu kore waipiro hei tautoko i te tukanga whakaora o tō tinana i te wa e rongoa ana.