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

Ko te Ertapenem he paturopi kaha nō te rōpū e kīia nei ko te carbapenems, i hangaia hei whawhai i ngā mate pāwera kino i te wā e kore ai ētahi atu paturopi e whai hua. Ka tukuna tēnei rongoā mā te werohanga, ki roto rānei i te uaua, i te uaua rānei, ā, ko te tikanga ka rahuitia mō ngā mate pāwera nui ake e hiahia ana ki te manaaki i te hōhipera. Whakaarohia he kotahi o ngā taputapu kaha ake i roto i te pūtea o tō tākuta ki te whawhai i ngā mate pāwera pūtaiao e hiahia ana kia aro tonu.

He aha te Ertapenem?

Ko te Ertapenem he paturopi whānui e mahi ana mā te whakangaro i ngā pakitara pūtau o te pūtaiao, e patu ana i a rātou i mua i te whakanui me te horapa. He wāhanga nō te whānau carbapenem, e whakaarohia ana ko ētahi o ngā paturopi kaha rawa atu i te wā nei. Ka whiriwhiria e tō tākuta tēnei rongoā i te wā e hiahia ana rātou ki tētahi mea kaha ki te whawhai i ngā mate uaua kāore i whai hua ki ētahi atu rongoā.

He waihanga tēnei paturopi, ko te tikanga i hangaia i roto i ngā taiwhanga kia whai i te whānuitanga o ngā pūtaiao kino. Kāore i rite ki ētahi paturopi e mahi ana ki ētahi momo pūtaiao anake, ka taea e te ertapenem te whawhai i ngā pūtaiao gram-pai me te gram-kino, e whai hua ana ki te rongoā i ngā mate whakauru.

He aha te Ertapenem e whakamahia ana?

Ka rongoā te Ertapenem i ngā mate pāwera pūtaiao kino e hiahia ana ki te hōhiperatanga, ki te manaaki rānei i te rongoā kaha. Ka tohutohu pea tō tākuta i tēnei rongoā i te wā e nui ana ō mate, kāore rānei i pai ake ki ētahi atu paturopi.

Ko ngā āhuatanga tino noa e āwhina ana te ertapenem ki te rongoā ko ētahi momo mate e tino kino ana ki te kore e rongoā:

• Ngā mate puku uaua, tae atu ki ngā mate ka puta i muri i te pokanga, i ngā āhuatanga pēnei i te apendicitis rānei
• Ngā mate kiri me ngā kiko ngawari uaua, pēnei i te cellulitis kaha, i ngā mate rānei i muri i ngā patunga
• Te pūkahukahu i riro mai i te hapori, otirā ngā take e hiahia ana kia hōhipera
• Ngā mate ara mimi uaua, tae atu ki ngā mate tākihi
• Ngā mate puku pelvic koi i roto i ngā wāhine, tae atu ki ngā mate o ngā okana whakaputa uri

I ētahi wā, ka whakamahi hoki ngā tākuta i te ertapenem hei ārai i ngā mate i mua i ētahi pokanga, otirā ngā tikanga colorectal kei reira te tūponotanga o te mate huakita. Mā tēnei whakamahi ārai e āwhina kia kore ai ngā huakita e puta i ngā raruraru i te wā o te pokanga, i muri rānei i tō pokanga.

Me pēhea te mahi a Ertapenem?

E mahi ana a Ertapenem mā te aro ki te tukanga hanga e whakamahia ana e ngā huakita hei hanga i ō rātou pakitara ārai. Whakaarohia ngā pakitara pūtau huakita pēnei i te tūāpapa o te whare - ki te kore ēnei, kāore e taea e ngā huakita te ora, te whakaputa uri rānei.

E herea ana tēnei paturopi ki ngā pūmua motuhake e hiahia ana ngā huakita ki te hanga i ēnei pakitara, e aukati ana i te tukanga hanga i waenganui. Ki te kore e taea e ngā huakita te pupuri i ō rātou pakitara pūtau, ka noho whakaraerae rātou, ka mate wawe. Mā tēnei tikanga e tino whai hua ai te ertapenem ki ngā huakita kua whakawhanake i te ātete ki ētahi atu paturopi.

Hei paturopi kaha, i hangaia te ertapenem kia tere, kia whai hua hoki te mahi. Ka tīmata te nuinga o ngā tūroro ki te kite i te whakapai ake i ō rātou tohumate i roto i te 48 ki te 72 hāora i muri i te tīmatanga o te rongoā, ahakoa me whakaoti te akoranga katoa ahakoa ka tīmata koe ki te pai ake.

Me pēhea taku tango i te Ertapenem?

Ka tukuna tonu te Ertapenem hei werohanga, ki roto rānei i te uaua (intravenous) ki roto rānei i te uaua (intramuscular), ā, mā ngā tāngata ngaio hauora whakangungu i te hōhipera, i te whare haumanu rānei e mahi tēnei. E kore koe e tango i tēnei rongoā i te kāinga, ki te kore koe e whiwhi ratonga hauora kāinga motuhake.

Ko te horopeta noa mō ngā pakeke he 1 karamu kotahi i te rā, engari mā tō tākuta e whakatika tēnei i runga i tō āhuatanga motuhake, te mahi o te whatukuhu, me te hauora whānui. Mō te whakahaere intravenous, ka konatunatua te rongoā ki te otinga koretake, ka tukuna mā te pōturi mō te 30 meneti pea hei whakaiti i te tūponotanga o ngā pānga taha.

Mēnā kei te whiwhi koe i te werohanga ki roto i te uaua, ka tukuna i te wāhi o waho o runga o tō huha, o tō reke rānei. Ka whiriwhiria tēnei tikanga mēnā he uaua te uru ki te IV, mēnā rānei kei te neke koe i te hōhipera ki te tiaki tūroro waho.

Kāore koe e hiahia ki te māharahara mō te tango i tēnei rongoā me te kai nā te mea ka tukuna mā te werohanga. Heoi, ko te noho pai te wai i te wā o te maimoatanga ka āwhina i ō whatukuhu ki te tukatuka i te rongoā i te pai ake, me te whakaiti i te tūponotanga o ngā pānga taha.

Kia Pēhea Te Roa E Tango Ai Au i te Ertapenem?

Ko te nuinga o ngā akoranga o te ertapenem e 3 ki te 14 rā, i runga i te momo me te kaha o tō mate. Mā tō tākuta e whakatau te roa tika i runga i te āhua o te urupare o tō tinana ki te maimoatanga me te huakita motuhake e pā ana ki tō mate.

Mō te nuinga o ngā mate puku me te kiri, ka roa te maimoatanga i te 5 ki te 14 rā. Ka hiahiatia pea e te pūkahukahu te 10 ki te 14 rā o te maimoatanga, i te wā e hiahia ana ngā mate ara mimi i te 10 ki te 14 rā hoki. Ko ngā mate pelvic e hiahia ana i te 3 ki te 10 rā o te maimoatanga.

He mea nui kia whakaoti i te akoranga katoa o te maimoatanga, ahakoa ka tīmata koe ki te pai ake i muri i ngā rā torutoru. Ko te whakamutu wawe rawa ka taea e ngā huakita e ora ana te whakanui anō, ka puta pea he hokinga mai, he whanaketanga rānei o ngā huakita ātete paturopi.

Ka aroturukihia tō haerenga e te rōpū hauora puta noa i te maimoatanga, me te tirotiro i tō pāmahana, te tatauranga pūtau toto mā, me ētahi atu tohu hei whakarite kia tika te whakawātea o te mate. Ka tūkinohia pea e rātou ngā ahurea whai muri hei whakaū kua whakakorea ngā huakita.

He aha ngā pānga taha o te Ertapenem?

Pērā i ngā rongoā katoa, ka pānga taha te ertapenem, ahakoa he maha ngā tāngata e pai ana ki te whakamahi tika. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i a koe kia pai ake te whakarite me te mōhio ki te wā hei whakatūpato i tō rōpū hauora.

Ko ngā pānga taha noa he ngawari tonu, ā, ka pai ake i te wā e urutau ana tō tinana ki te rongoā:

• Te pāhau, e puta ana i te 10-15% o ngā tūroro
• Te whakapairuaki me te ruaki
• Te ānini
• Te mamae, te pūhi, te whero rānei i te wāhi werohanga
• Te whanoke, te mōrearea rānei
• Te uaua ki te moe

Ko ēnei pānga taha noa kāore i te hiahia kia whakamutua te rongoā, engari me mōhio tō rōpū hauora ki a rātou kia āwhina ai rātou i a koe ki te whakahaere i ngā raruraru me te aroturuki i tō urupare katoa ki te maimoatanga.

Ko ngā pānga taha nui ake he iti noa iho, engari e hiahia ana kia āwhina tonu te rongoā. Kei roto i ēnei ngā tohu ka nui ake te urupare o tō tinana ki te rongoā:

• Te pāhau nui kāore e pai ake, kei roto rānei te toto
• Ngā tohu o te urupare pānga mate pērā i te pānga kiri, te mōmiti, te uaua rānei ki te hā
• Te mamae nui o te puku, te pōrearea rānei
• Te pānga kikorangi, te toto rānei
• Ngā pōrearea, ngā kōpiko rānei
• Te whanoke nui, te ngaro rānei

Ko tētahi āwangawanga motuhake ki te ertapenem ko te kaha ki te whakawhanake i te pāhau e pā ana ki te C. difficile, he mate whekau nui ka puta i te wā e whakararuraru ana ngā paturopi i te taurite noa o ngā huakita i roto i tō pūnaha keri. Ko te tikanga ka puta mai tēnei hei pāhau tonu, he wai, kei roto pea te toto, te hū rānei.

Ko wai e kore e tango Ertapenem?

E kore e tika ana a Ertapenem mō te katoa, ā, ka āta tātari tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Ko te mea nui ko te mea kua pā koe i ngā pānga mate pāwera ki ngā paturopi rite i mua.

Kaua koe e whiwhi ertapenem mēnā he mate pāwera tō te carbapenem antibiotics, penicillins, cephalosporins rānei. He rite ngā hanganga matū o ēnei whānau paturopi, ā, ko te mate pāwera ki tētahi te tikanga kei te tūpono koe ki ngā pānga mate pāwera ki ētahi atu.

Me whai whakaaro motuhake ngā tāngata e pā ana ki ētahi āhuatanga hauora i mua i te tīmatanga o te ertapenem. Ka hiahia tō tākuta ki te mōhio mō ngā raruraru tākihi, i te mea ka tukatukahia tēnei rongoā mā tō tākihi, ā, me whakatika pea ngā inenga. Ko te hunga he hītori o te hopu, o ngā mate roro rānei me āta aroturuki, i te mea ka pā te ertapenem i te hopu i ētahi wā, ina koa ki ngā tāngata e ngawari ana ki te hopu.

Mēnā kei te hapū koe, kei te whāngai ū rānei, ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga. Ahakoa e kiia ana he haumaru te ertapenem i te wā e hapū ana i te wā e nui ake ana ngā painga i ngā tūponotanga, ka uru atu ki te waiu ū i roto i ngā rahinga iti.

Ngā Ingoa Waitohu Ertapenem

Kei te wātea te Ertapenem i raro i te ingoa waitohu Invanz, i hangaia e Merck & Co. Koinei te putanga waitohu taketake i whakaaetia tuatahi e te FDA, ā, kei te whakamahia whānuitia i roto i ngā hōhipera me ngā whare hauora.

Kei te wātea hoki ngā putanga whānui o te ertapenem, ā, kei roto i te whakauru kaha kotahi me te whai hua rite. Ka whakamahia e tō hōhipera, e tō whare hauora rānei te putanga e whakarato ana i te uara pai rawa atu i te wā e mau ana i ngā paerewa rongoā kotahi.

Ahakoa ka whiwhi koe i te ingoa waitohu, i te putanga whānui rānei, ka mahi te rongoā i te ara kotahi, ā, ka whakarato i te taumata maimoatanga kotahi mō tō mate.

Ngā Kōwhiringa Ertapenem

He maha atu ano ngā paturopi ka taea te whakamahi hei whakakapi i te ertapenem, i runga i tō mate me ō āhuatanga hauora. Ka whiriwhiria pea e tō tākuta tētahi rongoā rerekē i runga i ngā āhuatanga pēnei i te momo huakita e pā ana, tō hītori mate pāwera, tō mahi tākihi rānei.

Ko ētahi atu paturopi carbapenem ko te imipenem-cilastatin me te meropenem, he rite te mahi ki te ertapenem engari ka pai ake pea i ētahi wā. Ka whiriwhiria pea te Imipenem-cilastatin mō ngā mate nui ake, ā, he maha ngā wā ka pai ake te meropenem mō ētahi momo huakita ātete.

Mō ētahi āhuatanga, ka whakaaro pea tō tākuta ki ngā paturopi beta-lactam pēnei i te piperacillin-tazobactam, ceftriaxone rānei, ina koa ki te mea nā te huakita tō mate e mōhiotia ana he tairongo ki ēnei rongoā. Ka tika pea ngā fluoroquinolones pēnei i te levofloxacin mō ētahi mate manawa, mate rānei i te ara mimi.

Ko te kōwhiringa o te whakakapi e tino whakawhirinaki ana ki ngā hua ahurea e tautuhi ana i te huakita motuhake me tō rātou tairongo ki ngā paturopi rerekē. Ka whiriwhiria e tō tākuta te kōwhiringa tino tika i runga i tēnei mōhiohio me ō hiahia hauora takitahi.

He Pai Anei te Ertapenem i te Meropenem?

He paturopi carbapenem pai te ertapenem me te meropenem, engari he painga motuhake ō rāua i runga i tō āhuatanga. Ko te kōwhiringa i waenga i a rāua ka heke iho ki te momo mate kei a koe me te huakita e pā ana.

He painga te ertapenem nā te mea kotahi noa te horopeta ia rā, he mea watea ake mō ngā tūroro me ngā kaiwhakarato hauora. He tino whai hua hoki ki te maha o ngā mate i riro mai i te hapori, ā, he iti ake te tūponotanga ki te whakawhanake i te ātete ki ētahi huakita pēnei i te Pseudomonas.

Ko te Meropenem, i tētahi taha, e mōhiotia ana he whānui ake te awhe, ā, he whai hua ake ki ētahi huakita ātete, tae atu ki te Pseudomonas aeruginosa. He maha ngā wā e pai ana mō ngā mate nui i riro mai i te hōhipera, i te wā rānei e pā ana ki ngā huakita kua whakaatu i te ātete ki ētahi atu paturopi.

Māu e whiriwhiri e tō tākuta te rongoā e hāngai ana ki tō mate motuhake i runga i ngā hua o te ahurea, te kaha o tō āhua, me ō āhuatanga tūpono takitahi. He tino whai hua ngā rongoā e rua ina whakamahia tika ana.

Ngā Pātai Auau mō Ertapenem

Q1. He Haumaru a Ertapenem mō te Mate Whatukura?

Ka taea te whakamahi i te Ertapenem mō ngā tāngata e mate whatukura ana, engari me whakatika e tō tākuta tō inenga i runga i te pai o te mahi o ō whatukura. I te mea ka whakakorea tēnei rongoā i tō tinana mā ngā whatukura, ko te iti o te mahi whatukura te tikanga ka noho roa ake te rongoā i roto i tō pūnaha.

Mō te ngoikore o te whatukura, ka whiwhi pea koe i te inenga kotahi engari me te mātakitaki tupato ake. Mēnā he nui ake te ngoikore o te mahi o ō whatukura, ka tohutohu pea tō tākuta i tētahi inenga iti ake hei aukati i te rongoā kia kaua e piki ki ngā taumata kino i roto i tō toto.

Q2. Me Pēhea Taku Mahi Mēnā Ka Whiwhi Ahau i te Nui Rawa o te Ertapenem?

I te mea ka hoatu te ertapenem e ngā tāngata ngaio hauora i ngā wāhi whakahaere, he onge te nui rawa o te horopeta. Heoi, mēnā ka pā ki a koe ngā tohu pēnei i te whakapairuaki nui, te ruaki, te korere, i ētahi atu tohu neurological rānei pēnei i te rangirua, i te hopu rānei, whakamōhio tonu ki tō rōpū hauora.

I ngā wā o te nui rawa o te horopeta, kāore he rongoā motuhake mō te ertapenem, engari ka taea e tō rōpū hauora te whakarato i te manaaki tautoko hei āwhina i tō tinana ki te tukatuka i te rongoā i runga i te haumaru. Kei roto pea i tēnei ko ngā wai IV hei āwhina i ō whatukura ki te horoi i te rongoā nui.

Q3. Me Pēhea Taku Mahi Mēnā Ka Ngaro Ahau i tētahi Inenga o Ertapenem?

I te mea ka whakahaerehia te ertapenem e nga tohunga hauora i roto i nga waahi rongoa, ko te ngaro i te horopeta ka whakahaerehia e to roopu hauora, kaua e waiho hei mea e hiahia ana koe ki te awangawanga. Mena ka whakaroa te horopeta mo etahi take, ka whakarite ano to nēhi, tākuta rānei i te wa e taea ai.

He mea nui te wa o nga horopeta paturopi mo te pupuri i nga taumata whai hua i roto i to toto ki te whawhai i te mate. Ka whakarite to roopu hauora kia whiwhi koe i nga horopeta katoa i whakaritea i nga wa tika hei whakanui i te whai huatanga o te rongoa.

Q4. Ahea Ka Taea e Au te Kati te Tango Ertapenem?

Kaua rawa koe e whakamutu wawe i te maimoatanga ertapenem, ahakoa kei te pai ake koe. Ka whakatau to tākuta i te wa e haumaru ana ki te whakamutu i te rongoa i runga i nga ahuatanga maha, tae atu ki to urupare ki te maimoatanga, nga hua taiwhanga, me te whakaoti katoa o nga tohu o te mate.

Ko te whakamutu wawe i te maimoatanga paturopi ka taea e nga huakita e ora ana te whakanui ano, ka arahi pea ki te hokinga mai o to mate, ki te whakawhanaketanga ranei o nga huakita atete paturopi. Ka aroturuki to roopu hauora i to ahunga whakamua, ka whakamohio ki a koe i te wa e oti ana te akoranga katoa o te maimoatanga.

Q5. Ka Taea e Ertapenem te Whakaoho i nga Mate rewena?

Ae, penei i te maha o nga paturopi, i etahi wa ka arahi te ertapenem ki nga mate rewena, ina koa ki nga wahine. Ka puta tenei na te mea ka taea e nga paturopi te whakararuraru i te taurite o nga huakita me te rewena i roto i to tinana, ka tuku i te rewena ki te tipu nui i nga waahi penei i te waha, te korokoro, te waahi tara ranei.

Mena ka puta nga tohu penei i te rere rereke, te patito, nga papaki ma ranei i roto i to waha, whakamohio atu ki to roopu hauora. Ka taea e ratou te whakahau i nga rongoa antifungal hei rongoa i enei mate tuarua i a koe e haere tonu ana i to maimoatanga paturopi mo te mate huakita tuatahi.