Icyo Streptomycin ari cyo: Ibyo ikoreshwa, urugero rwayo, ingaruka zayo n'ibindi

Streptomycin ni umuti wica mikorobe abaganga batera mu mutsi wawe kugira ngo barwanye indwara ziterwa na mikorobe zikomeye. Uyu muti ubarizwa mu itsinda ryitwa aminoglycosides, ariyo imiti ikomeye yica mikorobe ikora igihe ibuza mikorobe gukora poroteyine zikeneye kugira ngo zibaho.

Ushobora kumva uteye urujijo wumvise ibyerekeye umuti wica mikorobe uterwa, ariko streptomycin imaze imyaka myinshi ifasha abantu koroherwa n'indwara zikomeye. Nubwo atari umuti wa mbere ukoreshwa mu kuvura indwara nyinshi uyu munsi, ugifite akamaro kanini iyo indi miti yica mikorobe itagikora cyangwa idakwiriye kubera uko urwaye.

Streptomycin ikoreshwa mu kuvura iki?

Streptomycin ivura indwara ziterwa na mikorobe zikomeye indi miti yica mikorobe itabasha kuvura neza. Muganga wawe ashobora kuyikwandikira igihe urwaye indwara ikomeye ikeneye ubuvuzi bukomeye.

Impamvu isanzwe ituma abaganga bakoresha streptomycin uyu munsi ni ukurwanya igituntu, cyane cyane iyo mikorobe ya TB yanze indi miti. Ikoreshwa kandi mu kuvura indwara zimwe na zimwe zifata imitsi y'umutima yitwa endocarditis, icyorezo, n'ubwoko bumwe bwa meningite.

Rimwe na rimwe muganga wawe ashobora guhitamo gukoresha streptomycin mu kuvura indwara zikomeye zifata impyiko cyangwa izindi ndwara ziterwa na mikorobe zikomeye. Icyemezo gishingira ku bwoko bwa mikorobe buri gutera indwara yawe n'uburyo izindi nshuti zishobora gukora neza mu kuvura indwara yawe.

Streptomycin ikora ite?

Streptomycin ni umuti ukomeye wica mikorobe urwanya mikorobe mu kubuza ubushobozi bwayo bwo gukora poroteyine. Bitekereze nk'uko uhungabanya umurongo wo gukora mu ruganda - hatari poroteyine zikwiye, mikorobe ntizishobora kubaho cyangwa kwiyongera.

Uyu muti ugamije ribosomes imbere mu turemangingo twa mikorobe, ariyo turusobe duto twubaka poroteyine. Iyo streptomycin ibuza izi ribosomes, mikorobe zirasonza kandi zigapfa, bigatuma umubiri wawe urwanya indwara usukura indwara.

Kubera ko streptomycin ikomeye cyane, irashobora kurwanya mikorobe zateje ubwirinzi kuri antibiyotike zoroheje. Ariko, iyi mbaraga isobanura ko bisaba gukurikiranwa neza kugirango birinde ingaruka.

Nkwiriye Gufata Streptomycin Nte?

Streptomycin itangwa nk'urushinge mu mutsi wawe, akenshi mu kuboko kwawe kw'igice cyo hejuru cyangwa mu kibuno. Umuganga azajya aguha uru rushinge - ntuzajya wirukana iwawe.

Igihe cyo guterwa urushinge giterwa n'uburwayi bwawe bwihariye n'ubuzima bwawe muri rusange. Abantu benshi bahabwa streptomycin rimwe cyangwa kabiri ku munsi, kandi imiti ikunda kumara ibyumweru byinshi kugeza ku mezi kubera indwara nka tuberculosis.

Ntabwo ugomba guhangayika kubijyanye n'igihe cyo gufata imiti hamwe n'amafunguro kuko uyu muti ujya mu mutsi wawe. Ariko, kuguma ufite amazi ahagije unywa amazi menshi bifasha impyiko zawe gutunganya imiti neza.

Itsinda ryawe ry'ubuzima rizakurikirana neza mugihe uvurwa hamwe n'ibizamini by'amaraso bisanzwe no kugenzura kumva. Ibi bizamini bifasha kumenya niba umuti ukora neza kandi ugahita ubona ingaruka zishobora kuba mbere.

Nkwiriye Gufata Streptomycin Igihe Kingana Gite?

Igihe cyo kuvurwa na streptomycin gitandukanye cyane bitewe n'ubwoko bw'ubwandu bwawe n'uburyo wumva neza imiti. Abantu benshi bayifata ibyumweru byinshi kugeza ku mezi menshi.

Kubera tuberculosis, streptomycin ikoreshwa cyane muminsi 2-3 yambere yo kuvurwa hamwe n'indi miti ya TB. Muganga wawe ashobora kongera iki gihe niba ubwandu bwawe bukomeye cyane cyangwa niba ufite TB irwanya imiti.

Kubera izindi ndwara zikomeye nka endocarditis, kuvurwa akenshi bifata ibyumweru 2-6. Muganga wawe azagena igihe nyacyo gishingiye ku bukana bw'ubwandu bwawe, uburyo wihuta, n'ibisubizo by'ibizamini byakurikiyeho.

Ntuzigere uhagarika streptomycin kare, nubwo wumva umeze neza. Guhagarika kare cyane birashobora korohereza ubwandu kugaruka bukomeye kandi bushobora kurwanya imiti.

Ni Ibihe Bikorwa Bigaragara Byatewe na Streptomycin?

Streptomycin ishobora gutera ibikorwa bigaragara, kandi ni ngombwa kumenya icyo ugomba kwitaho kugira ngo ubone ubufasha niba bibaye ngombwa. Ibikorwa bigaragara bikomeye cyane bireba kumva no kuringaniza, ni yo mpamvu muganga wawe abikurikirana neza.

Reka dutangire ku bikorwa bisanzwe bigaragara ushobora guhura nabyo mugihe uvurwa:

• Urubavu, kubyimba, cyangwa kubabara ahaterwa urushinge
• Isesemi cyangwa kuribwa munda
• Urugero cyangwa kumva utameze neza
• Umutwe
• Uruhu rurashya cyangwa kurigata
• Urubanza cyangwa ibikonjo

Ibi bikorwa bisanzwe bigaragara mubisanzwe birashoboka kandi akenshi birakosoka uko umubiri wawe wimenyereza umuti. Itsinda ryawe ryita ku buzima rishobora kugufasha gushaka uburyo bwo kugabanya kutumva neza.

Ibikorwa bigaragara bikomeye bisaba ubufasha bwihuse bwa muganga, nubwo bitabaho cyane iyo bikurikiranywe neza:

• Kutagira ubushobozi bwo kumva cyangwa kumva urusaku mu matwi yawe
• Urugero rukabije cyangwa ibibazo byo kuringaniza
• Kugorana kwihagarika cyangwa impinduka mu gipimo cy'inkari
• Ubugufi bw'imitsi cyangwa ubuzima
• Ibikorwa bikabije byo kwanga ibintu bifite ingorane zo guhumeka
• Isesemi ihoraho no kuruka

Ingaruka zo kumva no kuringaniza zikwiye kwitonderwa cyane kuko zishobora kuba zihoraho niba zitafashwe hakiri kare. Iyi ni yo mpamvu muganga wawe ategura ibizamini byo kumva buri gihe mugihe uvurwa.

Ibikorwa bigaragara bidakunze kubaho ariko bikomeye birimo ibibazo bikomeye by'impyiko no guhagarika imitsi, bishobora kugira ingaruka ku guhumeka kwawe no kugenzura imitsi. Ibi bibazo ntibisanzwe cyane iyo streptomycin ikoreshwa neza hamwe no gukurikirana neza.

Ninde Utagomba Gufata Streptomycin?

Streptomycin ntirinzwe kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kuyandika. Ibyiciro bimwe na bimwe bituma uyu muti uhora mu kaga cyane.

Ntugomba guhabwa streptomycin niba urwaye allergie yayo cyangwa izindi antibiyotike za aminoglycoside nka gentamicin cyangwa amikacin. Allergie wigeze kugira kuri iyi miti irashobora kuba ikomeye kandi igashyira ubuzima mu kaga.

Abantu bafite ibibazo byo kumva cyangwa indwara zo kutaringaniza akenshi ntibashobora gufata streptomycin kuko bishobora gutuma ibi bibazo birushaho kuba bibi. Muganga wawe azagerageza kumva kwawe mbere yo gutangira kuvurwa kugirango ashyireho ishingiro.

Ibibazo by'impyiko nabyo bituma streptomycin idatekanye kuko impyiko zawe zikeneye gukura uyu muti mu mubiri wawe. Niba impyiko zawe zitagikora neza, uyu muti urashobora kwiyongera ukagera ku rwego ruteje akaga.

Abagore batwite bagomba kwirinda streptomycin kuko ishobora kwangiza kumva kw'umwana ukura ndetse n'uburinganire. Niba uri konka, muganga wawe azagereranya inyungu n'ibishobora guteza akaga ku mwana wawe.

Abantu bafite myasthenia gravis cyangwa izindi ndwara za neuromuscular bahura n'ibibazo byiyongereye kuko streptomycin ishobora gutuma umubiri ucika intege. Muganga wawe azatekereza ku zindi nzira zitekanye niba ufite izi ndwara.

Amazina ya Streptomycin

Streptomycin iboneka munsi yizina ryayo rusange, ari ryo gusa

Ku bijyanye na igituntu, imiti mishya nka ethambutol, rifampin, na isoniazid akenshi irahabwa agaciro kuko ifite umutekano kurusha iyindi kandi ishobora kunyobwa mu kanwa. Iyi miti igize umusingi w'uburyo bwo kuvura igituntu muri iki gihe.

Ku ndwara zikomeye zishobora gukenera umuti wa aminoglycoside antibiotic, gentamicin na amikacin akenshi bihitwamo mu mwanya wa streptomycin. Izi nzira zishobora kugira ingaruka zitandukanye.

Muganga wawe ashobora kandi gutekereza ku miti ya fluoroquinolone antibiotics nka levofloxacin ku ndwara zimwe na zimwe. Iyi miti ishobora kunyobwa mu kanwa kandi ifite uburyo butandukanye bwo gukora kurusha streptomycin.

Uburyo bwo guhitamo bushingiye ku bintu nk'agakoko gatera indwara, imikorere y'impyiko zawe, uko wumva, niba ushobora kunywa imiti mu kanwa.

Ese Streptomycin iruta Gentamicin?

Streptomycin na gentamicin zombi ni imiti ya aminoglycoside antibiotics, ariko zifite imbaraga zitandukanye n'imikoreshereze itandukanye. Nta na rimwe ryose

Streptomycin ikeneye kwitonda cyane ku barwayi bageze mu zabukuru kuko impinduka ziterwa n'imyaka mu mikorere y'impyiko zishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti. Muganga wawe ashobora gukoresha imiti mike kandi akagukurikiranira hafi niba urengeje imyaka 65.

Abantu bakuze bashobora koroherwa n'ingaruka zo kumva no kuringaniza ziterwa na streptomycin. Itsinda ry'ubuvuzi rizajya rikora ibizamini byo kumva kenshi kandi rirebe ibimenyetso byo kuribwa umutwe cyangwa kutagira umutuzo.

Nubwo ibyo byatekerezwaho, streptomycin iracyashobora gukoreshwa neza ku barwayi bageze mu zabukuru iyo inyungu ziruta ibyago. Muganga wawe azahindura gahunda yo kuvura bitewe n'imikorere y'impyiko zawe, ubuzima bwawe muri rusange, n'indi miti urimo gufata.

Nkwiriye gukora iki niba mbonye streptomycin nyinshi ku buryo butunguranye?

Kurenza urugero rwa streptomycin ntibishoboka kuko abaganga bose batanga inshinge, ariko biracyakomeye kumenya ibimenyetso. Streptomycin nyinshi cyane ishobora gutera kuribwa umutwe cyane, ibibazo byo kumva, cyangwa guhumeka nabi.

Niba ucyeka ko wamazeho urugero rwinshi rw'umuti, shakisha ubufasha bw'ubuvuzi bwihuse. Ibimenyetso bishobora kuba harimo isesemi ikabije, kuruka, urujijo, cyangwa gutakaza kumva mu buryo butunguranye. Ntukategereze ngo urebe niba ibimenyetso bikira byonyine.

Ubuvuzi bwihutirwa bwo kurenza urugero rwa streptomycin bushingiye ku gushyigikira guhumeka kwawe n'imikorere y'umutima mugihe ufasha umubiri wawe gukuraho umuti urenze urugero. Mu bihe bimwe na bimwe, dialysis ishobora gukenerwa kugirango umuti ukurwe mu mubiri wawe.

Nkwiriye gukora iki niba nciwe urugero rwa streptomycin?

Gucikanwa n'urugero rwa streptomycin ntibishoboka cyane kuko wakira inshinge ziva ku baganga, ariko amakimbirane yo gutegura ashobora kubaho rimwe na rimwe. Vugana n'ikipe yawe y'ubuvuzi ako kanya kugirango usubize gahunda yo gufata urugero rwawe rwatanzwe.

Ntugerageze "gukora" ukoresheje urugero ebyiri zegeranye. Muganga wawe azagena uburyo bwiza bwo guhindura gahunda yawe mugihe ukomeza imikorere y'umuti kurwanya indwara yawe.

Ku ndwara zikomeye nk'igituntu, gukomeza gufata imiti uko bikwiye ni ngombwa kugira ngo imiti igire icyo igeraho. Itsinda ry'abaganga bazakorana nawe kugira ngo wirinde kutibagirwa imiti kandi bazakureba uko urangiza umuti wose uko bikwiye.

Ni ryari nshobora kureka gufata Streptomycin?

Ushobora kureka gufata streptomycin gusa igihe muganga wawe abona ko ari byiza kubikora bitewe n'uko indwara yawe yitwara ku miti. Iyi myanzuro ifatwa hashingiwe ku bintu byinshi birimo ibisubizo by'ibizamini n'uko ibimenyetso bigenda bikira.

Ku gituntu, guhagarika imiti hakiri kare bishobora gutuma imiti itagira icyo igeraho ndetse bigatuma umubiri urwanya imiti. Muganga wawe azajya akurikirana ibizamini by'amacandwe yawe n'uko urimo urushaho kugenda ukira mbere yo guhindura gahunda y'imiti yawe.

Ntuzigere uhagarika gufata streptomycin kuko ibimenyetso bishobora kukubangamira utabanje kubiganiraho na muganga wawe. Hariho uburyo bwo guhangana n'ibimenyetso mugihe ukomeje gufata imiti ikenewe, cyangwa muganga wawe ashobora kuguha undi muti.

Nshobora gufata indi miti mugihe nkoresha Streptomycin?

Imiti imwe n'imwe ishobora gukururana na streptomycin ikongera ibyago byo kugira ibimenyetso. Buri gihe jya ubwira itsinda ry'abaganga imiti yose, ibiyobyabwenge, n'imiti y'ibyatsi urimo ufata.

Imiti iseseka amazi (diuretics) n'andi mavuriro ashobora kongera ingaruka za streptomycin ku mpyisi zawe no kumva. Muganga wawe ashobora guhindura doze cyangwa agahitamo indi miti yo kwirinda izi ngaruka.

Imiti igabanya ububabare, imiti ituma amaraso ataguma mu mubiri, n'inkingo zimwe na zimwe zishobora gukururana na streptomycin. Itsinda ry'abaganga bazareba imiti yawe yose kugira ngo barebe ko ikora neza mugihe uvurwa.