He aha te Oritavancin: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā paturopi kaha te Oritavancin e tukuna ana mā te raina IV (intravenous) hei rongoā i ngā mate kiri huakita kino. No roto tenei rongoā i tētahi karaehe paturopi hou e kīia ana ko te lipoglycopeptides, he rerekē te mahi i te maha o ngā paturopi tuku iho e mōhio ana koe.

Ko te mea motuhake o te oritavancin he mea hanga hei rongoā kotahi. Kāore i te tango i ngā inenga maha i roto i ngā rā maha, kotahi noa te whakaurunga ka whiwhi koe e mahi tonu ana i tō tinana mō te wiki. He tino whai hua tēnei huarahi ki te rongoā i ngā mate uaua kāore i pai te urupare ki ētahi atu rongoā.

He aha te Oritavancin e whakamahia ana mō?

Ka rongoā te Oritavancin i ngā mate kiri me ngā hanganga kiri huakita (ABSSSI) i roto i ngā pakeke. He mate kino ēnei e hōhonu ana i tua atu i te mata o tō kiri, ā, ka uru pea ki te kiko, ngā uaua, te ngako rānei i raro.

Ka tūtohu pea tō tākuta i te oritavancin ina he mate tōu i pā mai i ētahi huakita, tae atu ki te methicillin-resistant Staphylococcus aureus (MRSA). He momo huakita te MRSA kāore e urupare ana ki te maha o ngā paturopi noa, e uaua ana te rongoā. He whai hua hoki te Oritavancin ki ētahi atu huakita gram-positive ka pā mai i ngā mate kiri.

Ko te rongoā te tikanga e rahuitia ana mō ngā wāhi kāore i pai te mahi o ētahi atu paturopi, i te wā rānei he mate kino tōu e hiahia ana ki te rongoā kaha. Mā tō kaiwhakarato hauora e whakatau mēnā ko te oritavancin te kōwhiringa tika i runga i tō mate me tō hītori hauora.

Me pēhea te mahi a te Oritavancin?

E kiia ana he paturopi kaha te Oritavancin e mahi ana mā te whakararu i te huarahi e hanga ai e ngā huakita ō rātou pakitara pūtau. Whakaarohia ngā pakitara pūtau huakita he patu ārai e tiaki ana i ngā huakita kia ora ai, kia tika ai te mahi.

E whakaeke ana tēnei rongoā i ngā huakita i roto i ngā huarahi maha i te wā kotahi. E ārai ana i ngā huakita mai i te hanga i ngā rauemi pakitara pūtau hou, me te whakangaro hoki i ngā pakitara pūtau kei a rātou kē. Mā tēnei mahi rua ka uaua ake ai te ora me te whakaputa uri o ngā huakita, e whai wāhi pai ake ana tō pūnaha ārai mate ki te whakawātea i te mate.

Ka noho kaha te rongoā i tō tinana mō tētahi wā roa i muri i te whakaurunga, e haere tonu ana ki te whawhai i ngā huakita mō te whitu rā pea. Koinei te take e hiahia ana koe ki te horopeta kotahi anake, kaua ki ngā rongoā maha i roto i ngā rā maha.

Me pēhea taku tango i te Oritavancin?

Ka hoatu te Oritavancin mā te raina IV anake i roto i te hōhipera, i te wāhi haumanu rānei. Kāore e taea e koe te tango i tēnei rongoā i te kāinga, mā te waha rānei. Ka tae mai te rongoā hei paura e whakaranu ana ngā tohunga hauora ki te wai pūtea hei hanga i te whakaurunga.

Ka roa te whakaurunga mō te toru hāora pea. Ka mātakitaki tata tō rōpū hauora i a koe i tēnei wā ki te titiro mō ngā urupare. Ka honoa koe ki tētahi raina IV, ā, ka rere pōturi te rongoā ki roto i tō toto.

I mua i tō whakaurunga, kāore koe e hiahia ki te karo i te kai, i ngā inu rānei ki te kore e hoatu e tō tākuta he tohutohu motuhake ki a koe. Heoi, he mea nui kia kōrero atu ki tō kaiwhakarato hauora mō ngā rongoā katoa e tango ana koe i tēnei wā, nā te mea ka pāhekoheko ētahi ki te oritavancin.

I te wā o te whakaurunga, ka hiahia pea koe ki te noho i tētahi wāhi o te hōhipera, o te whare haumanu rānei. Ka taea e koe te pānui, te whakamahi i tō waea, te whai wāhi rānei ki ngā mahi marie i te wā e whakahaerehia ana te rongoā.

Kia pēhea te roa e tango ai ahau i te Oritavancin?

I hangaia te Oritavancin hei rongoā horopeta kotahi. Kotahi anake te whakaurunga ka whiwhi koe, ā, koinei te mea e hiahia ana koe mō tō mate.

Ka haere tonu te rongoā ki te mahi i tō tinana mō te whitu rā pea i muri i te whakaurunga. Kua hangaia tēnei wā mahi roa ki te mahi o te rongoā, nō reira kāore koe e hiahia ki ngā horopeta atu pēnei i ētahi atu paturopi.

Ka aroturukihia e tō tākuta tō haere i ngā rā me ngā wiki e whai ake nei kia mōhio ai kei te ngaro tika te mate. I ngā wā onge, ki te kore te mate e whakahoki tika, ka whakaaro pea tō kaiwhakarato hauora ki ētahi atu rongoā, engari he rerekē tēnei huarahi i te nui ake o te oritavancin.

He aha ngā pānga taha o te Oritavancin?

Pērā i ngā rongoā katoa, ka pānga taha te oritavancin, ahakoa kāore te katoa e pā ana ki a rātou. He pai te nuinga o te tāngata ki te rongoā, engari he mea nui kia mōhio ki ngā mea hei mātakitaki.

Anei ngā pānga taha noa ka pā ki a koe:

• He mamae te upoko
• Te whakapairuaki
• He mamae te ringa, te waewae rānei
• Te korere
• Ngā tauhohenga i te wāhi IV (whero, te pupuhi, te mamae rānei)

He ngawari noa iho ēnei pānga, ā, ka ngaro noa iho i roto i ngā rā torutoru. Ka āwhina tō rōpū hauora ki te whakahaere i ngā raruraru ka pā ki a koe.

He iti noa iho ngā pānga taha nui, engari me whai wāhi tonu te rongoā. Ko ēnei pea ko ngā tauhohenga mate pāwera nui, ka pā ki te uaua ki te manawa, te pupuhi o tō mata, o tō korokoro rānei, te pupuhi rānei. Ki te pā ana ki a koe ētahi o ēnei tohumate, rapua te rongoā ohorere tonu.

Ka whanake pea ētahi tāngata i te mate whēkau nui e kīia ana ko te korere e pā ana ki te C. difficile (CDAD) i te wā, i muri rānei i te rongoā. Ka pā tēnei i ngā wiki i muri i te whiwhinga i te rongoā. Whakapā atu ki tō tākuta ki te pā ana ki a koe te korere tonu, ina koa he toto, he hū rānei.

Ko wai kāore e tika kia tango Oritavancin?

Kāore te Oritavancin e tika mō te katoa. Ka arotake tō tākuta i tō hītori hauora i mua i te tūtohu i tēnei rongoā.

Kāore koe e whiwhi oritavancin ki te mea kua pā ana ki a koe te tauhohenga mate pāwera i mua, ki ngā paturopi rite pērā i te vancomycin, te telavancin rānei. Kōrero atu ki tō kaiwhakarato hauora mō ngā mate pāwera paturopi o mua, ahakoa he ngawari.

Me whai whakaaro motuhake te hunga e pā ana ki ētahi mate ngakau. Ka pā te Oritavancin ki ngā whakamātautau whakaheke toto mō te 120 haora (rima rā) i muri i te rongoā. Ki te tango koe i ngā rongoā whakaheke toto pērā i te warfarin, me mātakitaki tō tākuta i a koe, ā, tērā pea me whakatika ngā rongoā.

Kāore anō te rongoā i te rangahaua whānuitia i roto i ngā wahine hapū, nō reira ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga pea ki te hapū koe, ki te whakamahere rānei koe kia hapū. Waihoki, kāore i te mōhiotia mēnā ka uru te oritavancin ki roto i te waiu u, nō reira me whai tohutohu takitahi ngā whaea e whāngai ana.

Ingoa Waitohu Oritavancin

Ka hokona te Oritavancin i raro i te ingoa waitohu Orbactiv i te United States. Koinei te ingoa arumoni ka kite koe i ngā tūtohi hōhipera me ngā rekoata hauora.

I hangaia te rongoā e Melinta Therapeutics, ā, i whakaaetia e te FDA i te tau 2014. Ki te kōrero ngā kaiwhakarato hauora mō tēnei rongoā, ka whakamahi rātou i te ingoa whānui (oritavancin) i te ingoa waitohu rānei (Orbactiv).

Ngā Kōwhiringa kē mō te Oritavancin

He maha atu anō ngā paturopi ka taea te rongoā i ngā mate pērā, ahakoa ka whiriwhiri tō tākuta i runga i tō āhuatanga motuhake me te huakita e pā ana ki tō mate.

Ko te Vancomycin tētahi kōwhiringa e whakamahia ana, ina koa mō ngā mate MRSA. Heoi, e hiahiatia ana kia maha ngā horopeta i roto i ngā rā maha, kaua ki te huarahi horopeta kotahi o te oritavancin. Ko te Linezolid tētahi atu kōwhiringa ka taea te hoatu mā te IV, mā te waha rānei.

Mō ētahi mate, tērā pea ka tika te daptomycin. Ka hoatu tēnei paturopi kotahi i te rā mā te IV, ā, he whai hua ki te maha o ngā huakita rite tonu ki te oritavancin. Ko te Telavancin tētahi atu paturopi lipoglycopeptide e rite ana ki te oritavancin engari e hiahia ana ki te horopeta ia rā.

Ka whai whakaaro tō tākuta hauora ki ngā āhuatanga pēnei i ngā huakita e pā ana, te mahi o ō pūkahukahu, ētahi atu rongoā e tango ana koe, me tō hauora whānui i te wā e whiriwhiri ana i te paturopi pai rawa atu mō tō āhuatanga.

He Pai Ake Anei te Oritavancin i te Vancomycin?

He paturopi whai hua te oritavancin me te vancomycin mō ngā mate huakita nui, engari he painga motuhake ō rāua i runga i tō āhuatanga.

Ko te painga nui o te Oritavancin he watea. Kotahi noa te whakaurunga ka whiwhi koe, kaua ki te maha o ngā horopeta i roto i ngā rā maha. He mea whai hua tēnei mēnā he uaua ki a koe te uru atu ki te IV, mēnā rānei e hiahia ana koe ki te whakaiti i te wā i te hōhipera.

Kua whakamahia te Vancomycin mō ngā tekau tau, ā, he pai te pūkete haumaru. He iti ake te utu i te oritavancin, ā, e wātea ana i roto i te maha o ngā wāhi hauora. Heoi, me mātakitaki i ngā taumata toto me te mahi o ngā pūkahukahu i te wā e rongoā ana.

E whakaatu ana ngā rangahau he rite tonu te whai hua o ngā rongoā e rua ki te rongoā i ngā mate kiri me ngā kiko ngawari. Ka whai whakaaro tō tākuta ki ngā āhuatanga pēnei i te mahi o ō pūkahukahu, ētahi atu rongoā, te inihua, me ngā hiahia whaiaro i te wā e whakatau ana ko tēhea paturopi te mea pai rawa atu mō koe.

Ngā Pātai Auau mō te Oritavancin

He Haumaru Anei te Oritavancin mō te Tāngata e Mate Pūkahukahu ana?

Te ahua nei he haumaru ake te Oritavancin mō te tāngata e raru ana i ngā pūkahukahu i te whakataurite ki ētahi atu paturopi. Kāore te rongoā e hiahia ki te whakatikatika horopeta i runga i te mahi o ngā pūkahukahu, he painga tēnei i runga i ngā paturopi pēnei i te vancomycin.

Heoi, ka mātakitaki tonu tō tākuta i te mahi o ō pūkahukahu i mua i te rongoā me muri iho. Mēnā he mate pūkahukahu nui tō, kei te dialysis rānei koe, ka āta arotake tō tākuta hauora mēnā ko te oritavancin te kōwhiringa tika mō koe.

Me Pēhea Taku Mahi Mēnā He Pānga Ārai Taku ki te Oritavancin?

Mēnā ka pā mai ngā tohu o te pānga mate pāwera i te wā, i muri rānei i tō werohanga, me rapu tonu koe i te āwhina hauora. Ko ngā tohu ko te uaua ki te hā, te pūhi o tō mata, o tō korokoro rānei, te pūhi whānui, te whēkau rānei.

I te mea ka whiwhi koe i te oritavancin i roto i te taiao hauora, ka wātea tonu ngā tākuta ki te rongoā i ngā pānga. He rongoā me ngā taputapu ā rātou hei whakahaere i ngā pānga mate pāwera i te tere me te whai hua.

Mēnā ka puta mai he pānga mate pāwera i muri i tō wehenga atu i te hōhipera, haere ki te ruma ohorere tata, waea atu rānei ki te 911. Kaua e tatari kia kite mēnā ka pai ake ngā tohu i a rātou anō.

He aha taku mahi mēnā ka ngaro i ahau tētahi horopeta o te Oritavancin?

Kāore tēnei pātai e pā ana ki te oritavancin nā te mea kotahi anō te horopeta ka tukuna i roto i te whare hauora. Kāore e taea e koe te ngaro i tētahi horopeta i te mea ka whiwhi koe i te rongoā katoa i te wā kotahi o te hōhipera.

Mēnā he take ka mutu, ka aukati rānei tō werohanga i mua, ka whakatau tō rōpū hauora i te huarahi pai rawa atu. Ka taea e rātou te whakaoti i te werohanga i te wā e haumaru ana ki te mahi pera, ka whakaaro rānei ki ētahi atu rongoā.

Āhea ka taea e au te whakamutu i te tango i te Oritavancin?

Kāore koe e hiahia ki te whakamutu i te tango i te oritavancin nā te mea he rongoā kotahi anō tēnei. I muri i tō werohanga kotahi, ka mahi tonu te rongoā i roto i tō tinana mō te wiki kotahi me te kore ētahi atu horopeta.

Ka whakarite tō tākuta i ngā hui whai muri hei arotake i tō whakaora me te whakarite kia mārama te mate. Me tango tonu ētahi atu rongoā i te mea kua tohua, ki te kore tō tākuta e kī atu ki a koe.

Ka taea e au te taraiwa i muri i te whiwhinga i te Oritavancin?

Me karo koe i te taraiwa i muri tonu i tō werohanga oritavancin, ina koa ka whai koe i te whēkau, te ngenge, te kore rānei e pai. E hia haora te roa o te tukanga werohanga, ā, ka ngenge pea koe i muri mai.

Inoia tētahi ki te taraiwa i a koe ki te kāinga i muri i tō maimoatanga, whakarite rānei i tētahi waka kē. Ko te nuinga o te tangata ka hoki ki te āhua noa i roto i te rā, e rua rānei, engari whakarongo ki tō tinana, kaua e taraiwa ki te kore koe e tino mārama, e tū tika ana.