Pivmecillinam ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zabyo n'ibindi

Pivmecillinam ni umuti wica mikorobe ugamije kwica udukoko dutera indwara zo mu nzira y'inkari (UTIs). Uyu muti ubarirwa mu itsinda ry'imiti yica mikorobe yitwa penicillins, ariko wateguwe by'umwihariko kugira ngo ukore neza mu nzira yawe y'inkari aho imiti myinshi yica mikorobe itabasha gukora neza.

Uyu muti ukundwa cyane n'abaganga kuko ushobora kurwanya bagiteri zikomeye zateye UTI zanze gukira kandi zaranze imiti isanzwe ikoreshwa. Wumve nk'igikoresho cyihariye mu bikoresho by'umuganga wawe, cyane cyane iyo imiti yabanje gukoreshwa itagize icyo ikora cyangwa iyo ufite indwara zikomeza kugaruka.

Pivmecillinam ni iki?

Pivmecillinam ni ubwoko bwihariye bwa penicillin yica mikorobe yateguwe by'umwihariko kugira ngo yibande mu nkari zawe. Bitandukanye na penicillins isanzwe ikora mu mubiri wawe wose, uyu muti wateguwe kugira ngo ugere ku rwego rwo hejuru mu nzira yawe y'inkari aho ushobora kurwanya neza bagiteri ziteza indwara.

Uyu muti ukora uhungabanya urukuta rw'uturemangingo twa bagiteri, bigatuma dusenyuka tukapfa. Igikora pivmecillinam cyihariye ni ubushobozi bwayo bwo gukomeza gukora n'iyo bagiteri zimaze kugira ubudahangarwa kuri penicillins zindi. Ibi bituma uyu muti ugirira akamaro kanini mu kuvura indwara zo mu nzira y'inkari zigoye cyangwa zikomeza kugaruka.

Pivmecillinam ikoreshwa mu kuvura iki?

Pivmecillinam ikoreshwa cyane mu kuvura indwara zo mu nzira y'inkari, harimo izoroheje n'izigoye. Umuganga wawe ashobora kugusaba uyu muti iyo ufite UTI itakiriye imiti yindi cyangwa iyo ibizamini byerekana bagiteri zanze gukira ku miti isanzwe ikoreshwa.

Dore indwara zikomeye pivmecillinam ifashamo cyane:

• Uburwayi bworoshye bwo mu nzira y'inkari (cystitis)
• Uburwayi bukomeye bwo mu nzira y'inkari ku bantu bafite ibibazo by'ubuzima byihishe
• Uburwayi bwo mu nzira y'inkari bugaruka kenshi
• Uburwayi bwo mu nzira y'inkari buterwa na mikorobe zirwanya izindi antibiyotike
• Uburwayi bwo mu kiziba cy'inkari ku bantu bafite ibibazo by'imiterere y'inzira y'inkari

Umuvuzi wawe akenshi azahitamo pivmecillinam iyo akeneye antibiyotike yibanda by'umwihariko ku nzira y'inkari. Bifasha cyane niba waragize uburwayi bwo mu nzira y'inkari inshuro nyinshi cyangwa niba antibiyotike zisanzwe zitagufashije.

Pivmecillinam ikora ite?

Pivmecillinam ikora igaba ibitero ku gace k'inyuma karinda mikorobe kitwa urukuta rw'uturemangingo. Iyo mikorobe igerageza gukura no kwiyongera, ziba zikeneye kubaka no gukomeza urwo rukuta rw'uturemangingo kugira ngo zibashe kubaho. Uyu muti ubangamira urwo rugendo, bigatuma urukuta rw'uturemangingo rwa mikorobe rucika intege maze rugashwanyuka.

Igituma pivmecillinam ifasha cyane ni ubushobozi bwayo bwo kwibanda mu nkari zawe ku rwego ruri hejuru cyane kurusha mu maraso yawe. Ibi bivuze ko ishobora kwica mikorobe mu nzira yawe y'inkari kabone n'iyo izo mikorobe zishobora kurokoka zihuye n'umuti ahandi mu mubiri wawe. Antibiyotike ifatwa nk'ifite imbaraga ziringaniye, ifite imbaraga kurusha imiti isanzwe ivura uburwayi bwo mu nzira y'inkari ariko iroroshye kurusha antibiyotike zikomeye zikoreshwa mu bitaro.

Nkwiriye gufata pivmecillinam nte?

Pivmecillinam ikwiriye gufatwa nk'uko umuganga wawe yabigutegetse, akenshi hamwe n'ibiryo kugira ngo bifashe umubiri wawe kuyimira neza no kugabanya kuribwa mu gifu. Abantu benshi bayifata inshuro ebyiri cyangwa eshatu ku munsi, bagatandukanya doze mu buryo bungana umunsi wose kugira ngo bagumane urwego ruzigama mu mubiri wawe.

Gufata umuti hamwe n'ifunguro cyangwa agafunguro karimo amavuta bishobora kunoza imirimo y'umubiri. Agace ka toast hamwe na beurre, ikirahure cy'amata, cyangwa ya yogurute bikora neza. Irinde kuwufata ku gifu cyuzuye, kuko ibi bishobora kugabanya urugero umubiri wawe wimira kandi bishobora gutera isesemi.

Wibuke kunywa amazi menshi igihe urimo gufata pivmecillinam. Ibi bifasha gukuraho mikorobe mu nzira yawe y'inkari kandi bikemeza ko umuti ugera ahantu ukenewe cyane. Komeza gufata umuti wose nubwo watangira kumva urushijeho nyuma y'iminsi mike.

Nzamara Igihe Kingana Giki Ndafata Pivmecillinam?

Uburyo busanzwe bwo kuvura na pivmecillinam buri hagati y'iminsi 3 kugeza kuri 7 kubera indwara zidakomeye z'inkari. Muganga wawe azagena igihe nyacyo bitewe n'ubwandu bwawe bwihariye, amateka yawe y'ubuzima, n'uko ibimenyetso byawe bikomeye.

Kubera indwara zoroheje z'inkari, ushobora gukenera iminsi 3-5 gusa yo kuvurwa. Ariko, niba ufite ubwandu bukomeye, indwara z'ubuzima zishingiye ku bindi, cyangwa amateka y'indwara z'inkari zigaruka, muganga wawe ashobora gutegeka uburyo burebure bw'iminsi 7-10. Abantu bamwe bafite indwara zikunze kugaruka bashobora gukenera kuvurwa igihe kirekire cyangwa imiti yo gukumira.

Ntuzigere uhagarika gufata pivmecillinam hakiri kare, nubwo wumva umeze neza rwose. Guhagarika imiti yica mikorobe hakiri kare bishobora korohereza mikorobe zisigaye kwiyongera no gushobora guteza ubudahangarwa, bigatuma indwara zo mu gihe kizaza zitoroha kuvurwa.

Ni Iyihe Miterere Mibi ya Pivmecillinam?

Kimwe n'indi miti yose, pivmecillinam irashobora gutera imiterere mibi, nubwo abantu benshi bayihanganira neza. Imiterere mibi isanzwe ni mito kandi igira ingaruka ku igogora ryawe kuko umuti unyura mu gifu cyawe no mu mara.

Aha hari imiterere mibi ushobora guhura nayo, uhereye ku isanzwe:

• Kuruka no kuribwa mu gifu
• Impiswi cyangwa imyanda yoroshye
• Uburibwe mu nda cyangwa gucuruka
• Umutwe
• Uruhare
• Uruhu rurashya cyangwa kurigata
• Kuruka

Ibyinshi muri ibi bimenyetso ni by'agateganyo kandi birakosoka uko umubiri wawe wimenyereza umuti. Gufata pivmecillinam hamwe n'ibiryo mubisanzwe bifasha kugabanya kuruka no kutumva neza mu gifu.

Ingaruka zimwe zitamenyerewe ariko zikomeye zirashobora kubaho, nubwo bidakunze kubaho. Izi zikubiyemo allergie ikaze, impiswi idahagarara ishobora kwerekana indwara ikomeye yo mu mara, cyangwa kuva amaraso cyangwa gukomereka bidasanzwe. Niba ugize ingorane zo guhumeka, ibimenyetso bikomeye byo ku ruhu, cyangwa impiswi irimo amaraso idahagarara, vugana n'umuganga wawe ako kanya.

Ninde utagomba gufata Pivmecillinam?

Pivmecillinam ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kukwandikira. Ikintu cy'ingenzi cyane ni allergie izwi kuri penicillin antibiotics, kuko pivmecillinam ikomoka muri uyu muryango w'imiti.

Abantu bagomba kwirinda cyangwa gukoresha pivmecillinam bafite ubwitonzi bukabije barimo:

• Abafite allergie ya penicillin cyangwa beta-lactam antibiotics
• Abantu bafite indwara ikomeye y'impyiko
• Abantu bafite amateka y'impiswi ikomeye iterwa na antibiotics
• Abafite indwara zimwe za genetike zikora ku mikorere ya aside amino
• Abantu bafata imiti imwe na pivmecillinam

Niba utwite cyangwa wonka, ganira ku byiza n'ibibi n'umuganga wawe. Nubwo pivmecillinam muri rusange ifatwa nk'umutekano mugihe cyo gutwita, umuganga wawe azagereranya akamaro ko kuvura n'ibishobora kuba byose kuri wowe n'umwana wawe.

Amazina ya Pivmecillinam

Pivmecillinam iboneka munsi y'amazina menshi bitewe n'aho uherereye n'uburyo bwihariye. Izina risanzwe ni Selexid, riboneka cyane mumihanda yo kuvura indwara zo mu nzira y'inkari.

Izindi nshuti z'izina zirimo Pivmelam n'uburyo butandukanye bwa rusange burimo ibintu bikora kimwe. Farumasi yawe ishobora kubika ubwoko butandukanye, ariko byose birimo umuti umwe kandi bikora kimwe. Niba umenyereye ubwoko runaka kandi farumasi yawe ikimuriye ku bundi, ntugire impungenge - imikorere iracyari imwe.

Izindi nzira za Pivmecillinam

Niba pivmecillinam itagukwiriye cyangwa idakora neza, hari imiti myinshi ya antibiyotike ishobora kuvura indwara z'inzira y'inkari. Muganga wawe ashobora gutekereza nitrofurantoin, trimethoprim-sulfamethoxazole, cyangwa fluoroquinolones nka ciprofloxacin bitewe n'uko ubuzima bwawe bumeze.

Nitrofurantoin akenshi ikoreshwa nk'umuti wa mbere wo kuvura UTIs yoroheje kandi ikora neza kubantu benshi. Trimethoprim-sulfamethoxazole ni indi nzira isanzwe, nubwo kurwanya mikorobe iyi mvange byiyongereye mu myaka yashize. Kubera indwara zigoye, muganga wawe ashobora kwandika fluoroquinolones, nubwo izi zikunda kubikwa kubibazo aho izindi antibiyotike zitakoze.

Guhitamo izindi nzira biterwa n'ibintu nk'amateka yawe ya allergie, imikorere y'impyiko, mikorobe yihariye itera indwara yawe, niba warigeze kugira UTIs mbere. Umuganga wawe azahitamo inzira ikwiriye cyane bitewe n'uko ubuzima bwawe bumeze.

Ese Pivmecillinam iruta Nitrofurantoin?

Pivmecillinam na nitrofurantoin ni antibiyotike zikora neza ku ndwara z'inzira y'inkari, ariko zikora mu buryo butandukanye kandi zifite inyungu zihariye. Guhitamo “kuruta” biterwa n'uko ubuzima bwawe bumeze, mikorobe itera indwara yawe, n'amateka yawe y'ubuvuzi.

Pivmecillinam ishobora gukoreshwa cyane iyo ufite indwara ziterwa n'agakoko gatera imyanya y'inkari ziterwa na bagiteri zirwanya izindi antibiyotike, cyangwa iyo wagiye ugira indwara zikomeza zitarashoboye kuvurwa n'imiti isanzwe. Ifite akamaro cyane cyane ku bwoko bumwe bwa bagiteri zateje ubwirinzi ku zindi antibiyotike za kera.

Ku rundi ruhande, Nitrofurantoin ikunze gukoreshwa nk'umuti wa mbere uvura indwara ziterwa n'agakoko gatera imyanya y'inkari zitagoye kandi ifite amateka maremare y'umutekano. Muri rusange irihanganirwa kandi ifite akamaro ku bagiteri zisanzwe ziteza indwara ziterwa n'agakoko gatera imyanya y'inkari. Muganga wawe azahitamo bitewe n'ibintu nk'amateka y'indwara yawe, ibisubizo bya laboratori, n'umuti ushobora gukemura neza indwara yawe yihariye.

Ibibazo bikunze kubazwa kuri Pivmecillinam

Q1. Ese Pivmecillinam iratekanye ku ndwara z'impyiko?

Pivmecillinam irashobora gukoreshwa ku bantu bafite indwara zoroheje kugeza ku ziciriritse z'impyiko, ariko urugero rushobora gukenera guhindurwa. Muganga wawe azatekereza imikorere y'impyiko zawe igihe yandika uyu muti kandi ashobora gushimangira urugero ruto cyangwa intera ndende hagati y'imiti.

Niba ufite indwara zikomeye z'impyiko, umuganga wawe azagereranya inyungu n'ibishobora guteza akaga. Bashobora guhitamo antibiyotike isimbura cyangwa bakagukurikiranira hafi igihe ukoresha pivmecillinam. Buri gihe menyesha muganga wawe ibibazo byose by'impyiko ufite mbere yo gutangira uyu muti.

Q2. Nkwiriye gukora iki niba nanyoye pivmecillinam nyinshi bitunguranye?

Niba unyoye pivmecillinam nyinshi kuruta uko byategetswe, ntugahagarike umutima, ariko uvugishe umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara kugirango baguhe ubuyobozi. Kunywa urugero rurenzeho rimwe na rimwe ntibishobora guteza ingaruka zikomeye, ariko kunywa nyinshi cyane bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti.

Ibimenyetso byo kunywa byinshi bishobora kuba isesemi rikomeye, kuruka, impiswi, cyangwa kuribwa mu nda. Niba ubonye ibimenyetso bibangamye nyuma yo kunywa imiti yiyongereyeho, jya kwa muganga. Bika urupapuro rw'umuti hamwe nawe kugirango abaganga babone neza icyo wanyoye n'ingano yacyo.

Q3. Nkwiriye gukora iki niba nirengagije urugero rwa Pivmecillinam?

Niba wirengagije urugero rwa pivmecillinam, nywa ako kanya wibukije, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muricyo gihe, reka urugero wirengagije ukomeze gahunda yawe isanzwe. Ntukigere unywa urugero rurenze rumwe icyarimwe kugirango usimbuze urugero wirengagije.

Gerageza gutandukanya urugero rwawe rwasigaye umunsi wose kugirango ugumane urugero rwawo ruri hejuru mumubiri wawe. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe umuteguro w'imiti kugirango ugufashe kuguma kumurongo w'imiti yawe.

Q4. Nshobora guhagarika ryari kunywa Pivmecillinam?

Ugomba guhagarika kunywa pivmecillinam gusa iyo urangije amasomo yose yategetswe na muganga wawe, nubwo wumva umeze neza rwose. Guhagarika imiti yica mikorobe kare bishobora korohereza bagiteri zasigaye kwiyongera no gushobora guteza imbere ubudahangarwa kuri iyo miti.

Niba ufite ingaruka zikomeye zituma bigoye gukomeza imiti, vugana na muganga wawe mbere yo guhagarika. Barashobora kugusaba niba byemewe guhagarika imiti cyangwa niba ukeneye guhindura ku yindi miti yica mikorobe kugirango urangize imiti yawe.

Q5. Nshobora kunywa inzoga nkanwa Pivmecillinam?

Nubwo nta mikoranire igaragara iteye akaga hagati ya pivmecillinam n'inzoga, muri rusange ni byiza kwirinda kunywa iyo uri kuvurwa indwara. Inzoga zirashobora kubangamira ubushobozi bwumubiri wawe bwo kurwanya indwara kandi bishobora gukomeza ingaruka nk'isesemi cyangwa kuribwa mu nda.

Ikindi kandi, inzoga zirashobora kugira ingaruka ku gusinzira kwawe no ku buryo umubiri wawe wikingira indwara, bikaba bishobora gutuma igihe cyo gukira indwara yo mu muyoboro w'inkari gitinda. Niba uhisemo kunywa, bikore mu rugero kandi witondere uko umubiri wawe witwara. Jya wibanda ku kunywa amazi menshi kugira ngo afashe gukuramo mikorobe ziri mu muyoboro wawe w'inkari.