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

Ko te Quinupristin me te dalfopristin he huinga paturopi kaha e whakamahia ana e ngā tākuta hei rongoā i ngā mate huakita kino i te wā e kore ai ētahi atu paturopi e whai hua. No tētahi rōpū e kīia ana ko streptogramins tēnei rongoā, ā, ka tukuna mā te IV (intravenous) rārangi tika ki roto i tō toto.

Ko te tikanga, ka rahuitia tēnei huinga paturopi mō ngā mate uaua, inā rā ngā mea i puta mai i ngā huakita ātete. Ka āta whakaaro tō tākuta ki tēnei kōwhiringa rongoā i te wā e pā ana ki ētahi momo mate huakita kino e hiahia ana kia aro tonu.

He aha te Quinupristin me te Dalfopristin?

Ko te Quinupristin me te dalfopristin he huinga o ngā paturopi e rua e mahi ngātahi ana hei whawhai i ngā mate huakita. Whakaarohia he whana-rua ki ngā huakita kino kua kitea he ātete ki ētahi atu rongoā.

Ka tae mai te rongoā hei paura e whakaranu ana ngā kaimahi hōhipera ki te wai pure i mua i te hoatutanga ki a koe mā te IV. He tino whai hua tēnei huinga ki ngā huakita gram-positive, arā, ngā momo huakita e pā ana ki te maha o ngā mate kino.

E kiia ana he rongoā kaha tēnei paturopi, ko te tikanga, ka whakamahia i te wā e kore ai ētahi atu paturopi ngawari e whai hua. Ka āta aroturukihia koe e tō rōpū hauora i te wā e whiwhi ana koe i tēnei rongoā.

He aha te Quinupristin me te Dalfopristin e whakamahia ana mō?

Ka rongoā tēnei huinga paturopi i ngā mate kiri me ngā kiko ngawari i puta mai i ngā huakita motuhake. Ka tohua pea e tō tākuta i te wā e pā ana koe ki ngā mate uaua kāore i aro ki ētahi atu paturopi.

He tino whai hua te rongoā ki ētahi momo huakita e pā ana ki ngā mate e whakawehi ana i te ora. Koinei ngā āhuatanga matua e rongoā ana:

• Ngā mate kiri me ngā hanganga kiri uaua
• Ngā mate i puta mai i te Enterococcus faecium (he momo huakita e ātete ana ki te vancomycin)
• Ngā mate i puta mai i te Staphylococcus aureus (tae atu ki ētahi momo e ātete ana ki te methicillin)
• Ngā mate i puta mai i te Streptococcus pyogenes

Mā tō tākuta e whakatau mēnā he pai tēnei rongoā mō tō mate motuhake i runga i ngā whakamātautau taiwhanga me tō hītori hauora. Mā tēnei ka mōhio koe ka whiwhi koe i te rongoā tino tika mō tō āhuatanga.

Me pēhea te mahi a te Quinupristin me te Dalfopristin?

E mahi ana tēnei huinga paturopi mā te aukati i ngā huakita ki te hanga pūmua e hiahia ana rātou kia ora ai, kia nui haere ai. Ki te kore e taea e ngā huakita te whakaputa i ēnei pūmua nui, ka mate rātou i te mutunga, ka āhei te pūnaha ārai mate o tō tinana ki te whakawātea i te mate.

E mahi ngātahi ana ngā wāhanga e rua i runga i te huarahi whai pānga, te tikanga he whai hua ake rātou i te wā kotahi i te wā e noho ana rātou anake. E piri ana te Quinupristin me te dalfopristin ki ngā wāhanga rerekē o te mīhini hanga pūmua huakita, e hanga ana i te aukati rua e uaua ana ki ngā huakita te wikitoria.

E whakaarohia ana tēnei he paturopi kaha nā te mea ka taea e ia te kuhu ki ngā arai huakita kua whakawhanakehia te ātete ki ētahi atu rongoā. Heoi, ko tēnei kaha te tikanga me āta aroturuki i te wā o te rongoā.

Me pēhea taku tango i te Quinupristin me te Dalfopristin?

Ka whiwhi koe i tēnei rongoā i roto i te hōhipera, i te wāhi haumanu rānei mā te raina IV. Mā te rōpū hauora e whakarite, e whakahaere māu, nō reira kāore koe e māharahara ki te tango i a koe anō.

Ko te tikanga ka hoatu te rongoā i ngā haora 8, 12 rānei, i runga i tō āhuatanga motuhake me te pēhea te urupare o tō tinana. Tata ki te 60 meneti te roa o ia whakaurunga, i te wā e aroturukihia ana koe mō ētahi urupare.

Kāore koe e hiahia ki te karo i te kai, i te inu rānei i te wā e whiwhi ana koe i tēnei rongoā, ahakoa he tohutohu motuhake pea tō tō rōpū hauora i runga i tō mahere maimoatanga whānui. Mā te rārangi IV e taea ai te rongoā te haere tika ki roto i tō toto, ka karo katoa i tō pūnaha kūnatu.

Kia Pēhea te Roa o taku tango i te Quinupristin me te Dalfopristin?

Ko te roa o te maimoatanga te tikanga mai i te 7 ki te 14 rā, i runga i te kaha o tō mate me te pai o tō urupare ki te rongoā. Ka aroturuki tō tākuta i tō ahunga whakamua me te whakatika i te roa e tika ana.

Ko ētahi mate ka hiahia i ngā wā maimoatanga poto ake, i te wā e hiahia ana ngā mate nui ake, uaua ake rānei i ngā akoranga roa ake. Ka whakamahi tō rōpū hauora i ngā whakamātautau taiwhanga me tō whakapai ake i te haumanu hei whakatau i te roa tika mō koe.

He mea nui kia whakaoti i te akoranga maimoatanga katoa, ahakoa ka tīmata koe ki te pai ake i mua i te otinga. Ko te whakamutu wawe i ngā paturopi ka taea e ngā huakita te hoki mai me te whanake pea i te ātete ki te rongoā.

He aha ngā Pānga taha o te Quinupristin me te Dalfopristin?

Pērā i ngā rongoā katoa, ka taea e te quinupristin me te dalfopristin te pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko te nuinga o ngā pānga taha ka taea te whakahaere, ā, ka aroturuki tata tō rōpū hauora i a koe i te wā o te maimoatanga.

Koinei ngā pānga taha tino noa ka pā pea ki a koe:

• Te mamae, te riri, te mumura rānei i te wāhi IV
• Te mamae uaua me te mamae tahi
• Te whakapairuaki me te ruaki
• Te korere
• Te ānini
• Te pūwha rānei, ngā tauhohenga kiri rānei

Ka pā pea ki ētahi tāngata ngā pānga taha nui ake engari he iti ake te noa. Ka mātakitaki tō rōpū hauora mō ngā tohu o ēnei me te mahi tika mēnā ka puta:

• Ngā tauhohenga mate pāwera nui
• Ngā huringa mahi ate
• Ngā huringa manawataki ngākau
• Te mamae uaua nui, te ngoikore rānei
• Te uaua ki te manawa

Mēnā ka kite koe i ngā tohumate rerekē, ā, ka māharahara koe ki te āhua o tō urupare ki te rongoā, kaua e whakaroa ki te kōrero tonu ki tō rōpū hauora. Kei reira rātou ki te whakarite i tō haumaru me tō whakamarie i te wā o te rongoā.

Ko wai e kore e tango i te Quinupristin me te Dalfopristin?

Kāore tēnei rongoā e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau. Ko ētahi āhuatanga, ko ētahi wā rānei, ka kore e tika tēnei paturopi mō tō āhuatanga.

Kāore koe e whiwhi i tēnei rongoā mēnā he mate pāwera tō te quinupristin, dalfopristin, tētahi wāhanga rānei o te rongoā. Ka pātai tō rōpū hauora mō ngā urupare pāwera i mua i te tīmatanga o te rongoā.

Ko ngā tāngata e whai ana i ētahi āhuatanga hauora, me whai whakatūpato motuhake, me ētahi atu rongoā rānei. Ka āta whakaaro tō tākuta i ēnei āhuatanga:

• Te mate ate, ngā raruraru rānei o te mahi ate
• Ngā raruraru o te manawa
• Ngā mate uaua, ngā raruraru uaua rānei i mua i ngā rongoā
• Te hapū, te whāngai ū rānei (me āta arotake i ngā tūponotanga me ngā painga)
• Te mate tākihi (me whakatika te horopeta)

Ka arotake hoki tō kaiwhakarato hauora i ngā rongoā katoa e tango ana koe i tēnei wā, nā te mea ka pāhekoheko ētahi rongoā ki te quinupristin me te dalfopristin. Mā tēnei arotake whānui e whakarite tō haumaru i te wā o te rongoā.

Ngā Ingoa Waitohu o te Quinupristin me te Dalfopristin

Ko te ingoa waitohu mō tēnei huinga rongoā ko Synercid. Koinei te ingoa ka kitea e koe i ngā rēhita hōhipera me ngā tapanga rongoā i te wā o tō rongoā.

He maha ngā wā ka whakamahi ngā kaiwhakarato hauora i te ingoa whānui (quinupristin me te dalfopristin) me te ingoa waitohu (Synercid) hei whakawhiti. E pā ana ngā mea e rua ki te huinga rongoā kotahi, no reira kaua e raruraru mēnā ka rongo koe i ngā ingoa rerekē e whakamahia ana.

Ngā Kōwhiringa mō te Quinupristin me te Dalfopristin

He maha atu ano ngā paturopi ka whakaarohia hei whakakapinga, i runga i tō mate me tō āhuatanga hauora. Mā tō tākuta e whiriwhiri i runga i te momo huakita e pā ana ki tō mate me ō āhuatanga hauora ake.

Ko ētahi paturopi whakakapinga ka whakaarohia ko:

• Linezolid (mō ngā mate gram-positive e ātete ana)
• Daptomycin (mō ētahi mate kiri me ngā kiko ngawari)
• Tigecycline (mō ngā mate uaua)
• Vancomycin (mō ētahi momo huakita e ātete ana)
• Clindamycin (mō ētahi mate kiri)

Ko te whiriwhiri i te whakakapinga e whakawhirinaki ana ki te maha o ngā āhuatanga, tae atu ki te huakita e pā ana, tō hītori hauora, me te pai o tō urupare ki ētahi atu rongoā. Mā tō rōpū hauora e whiriwhiri te kōwhiringa e tika ana mō tō āhuatanga motuhake.

He Pai Anei te Quinupristin me te Dalfopristin i te Vancomycin?

Ko te pai ake o te quinupristin me te dalfopristin i te vancomycin e whakawhirinaki ana ki tō mate me te huakita e pā ana. He paturopi kaha ēnei e rua e whakamahia ana mō ngā mate nui, engari he rerekē te mahi me ngā momo huakita e pā ana.

Ka pai ake pea te quinupristin me te dalfopristin mō te rongoā i te vancomycin-resistant enterococci (VRE), he momo huakita kāore e urupare ana ki te vancomycin. I ēnei wā, ka whai wāhi tēnei huinga hei rongoā whai hua i te wā i rahua ai te vancomycin.

Heoi anō, ka pai ake pea te vancomycin mō te maha atu o ngā momo mate, ina koa ko ngā mea e pā ana ki ngā huakita e ngawari ana ki a ia. Mā tō tākuta e whakamahi ngā whakamātautau taiwhanga hei whakatau ko wai ngā huakita e pā ana ki tō mate me ngā paturopi ka whai hua ki a rātou.

Ngā Pātai e Pātai Anō mō te Quinupristin me te Dalfopristin

He Haumaru Anei te Quinupristin me te Dalfopristin mō te Tāngata e Pā ana ki te Mate Ngākau?

Me mātakitaki tēnei rongoā i ngā tāngata e mate ana i te ngākau, inā koa te hunga e raruraru ana te manawataki. Ka pā pea te huinga ki te manawataki o te ngākau, nō reira ka mātakitaki pū te rōpū hauora i te mahi o tō ngākau i te wā e rongoā ana koe.

Mēnā he hītori tō mate ngākau, ka whakatau tō tākuta i ngā painga o te rongoā i tō mate ki ngā tūponotanga ki tō ngākau. Ka whakamahi pea rātou i ētahi atu taputapu mātakitaki, ka whakatika i tō mahere rongoā kia noho haumaru ai koe.

Me pēhea taku mahi mēnā ka pā mai te mamae uaua nui i te wā e rongoā ana?

He pānga taha tēnei rā pea e hiahia ana kia āta tirohia e te tākuta. Mēnā ka pā mai te mamae uaua nui, te ngoikore, te mamae rānei e ahua rereke ana, e nui ana rānei, whakamōhio atu ki tō rōpū hauora tonu.

Me whakatika pea tō rōpū hauora i tō rongoā, me hoatu rānei ētahi atu rongoā hei whakahaere i ēnei tohumate. Kaua e ngana ki te haere tonu i te mamae uaua nui, nā te mea he tohu pea tēnei i tētahi urupare nui ake e hiahia ana kia āta tirohia.

He aha te mea ka pā mai mēnā ka ngaro i ahau tētahi horopeta o Quinupristin me Dalfopristin?

I te mea ka whiwhi koe i tēnei rongoā i te hōhipera, i te wāhi haumanu rānei, ka whakahaere tō rōpū hauora i te wā o ngā horopeta katoa. He pūnaha ā rātou hei whakarite kia whiwhi koe i tō rongoā i te wā tika.

Mēnā he take i whakaroa ai tētahi horopeta nā te tikanga rongoā, ētahi atu āhuatanga rānei, ka whakatika tō rōpū hauora i te wā tika. Kāore koe e māharahara ana ki te ngaro i ngā horopeta i te mea kei te whakahaere ngā tāngata whai mātauranga i tō mahere rongoā.

Āhea taku mutu i te tango i te Quinupristin me te Dalfopristin?

Kaua rawa koe e mutu i tēnei rongoā i a koe anō, ahakoa kei te pai ake koe. Ka whakatau tō tākuta i te wā e haumaru ana ki te whakamutu i te rongoā i runga i tō whakapai haumanu me ngā hua o te whakamātautau taiwhanga.

Mā te whakamutu wawe i ngā paturopi ka taea e ngā huakita te hoki mai, ā, ka whanake pea te ātete ki te rongoā. Ka aroturukihia e tō rōpū hauora tō ahunga whakamua, ā, ka whakamōhio atu ki a koe ina oti i a koe te akoranga rongoā katoa e tika ana mō tō whakaora.

Ka taea e au te whiwhi i ētahi atu rongoā i te wā e tango ana au i te Quinupristin me te Dalfopristin?

He maha ngā rongoā ka taea te hoatu marie i te taha o te quinupristin me te dalfopristin, engari ko ētahi me whai whakatūpato motuhake, me whakatikatika rānei i te wā. Ka arotakehia e tō rōpū hauora ō rongoā katoa hei ārai i ngā pānga kino.

Ko ētahi rongoā e pā ana ki te manawataki o te ngākau, ki te mahi ate rānei, me whai aroturuki motuhake, me whakatikatika rānei i te horopeta. Ka whakatū tahi tō rōpū hauora i ō rongoā katoa kia mōhio ai rātou e mahi ngātahi ana rātou i runga i te haumaru me te whai hua mō tō whakaora.