Chii chinonzi Vancomycin: Zvayinoshandiswa, Mishonga, Zvayakashata Uye Zvimwe Zvakawanda

Vancomycin mushonga une simba unopiwa nachiremba kuburikidza neIV (intravenous) mutsetse zvakananga muropa rako. Mushonga uyu ndewechikwata chakakosha chemishonga inorwisa mabhakitiriya inonzi glycopeptides, uye ndechimwe chezvinhu zvinoshanda zvakanyanya zvatinawo zvekutapukirwa kwakakomba kunokonzerwa nemabhakitiriya asingapinduri kune mamwe mishonga inorwisa mabhakitiriya.

Funga nezve vancomycin sechishandiso chakakosha muchishandiso chechiremba chako. Inokosha kunyanya kana uri kubata nezvirwere zvakaoma zvinokonzerwa nemabhakitiriya akadai seMRSA (methicillin-resistant Staphylococcus aureus) kana kana mamwe mishonga inorwisa mabhakitiriya asina kushanda. Chikwata chako chehutano chinowanzo chengetera mushonga uyu kune mamiriro ezvinhu aunonyatsoda simba rayo rakasiyana uye kushanda kwayo.

Chii chinonzi Vancomycin inoshandiswa?

Vancomycin inorapa zvirwere zvakakomba zvinokonzerwa nemabhakitiriya zvinogona kuva njodzi kuhupenyu kana zvikasabatwa. Chiremba wako achanyora mushonga uyu kana uine zvirwere zvinokonzerwa nemabhakitiriya egram-positive, kunyanya avo vakave vasingapinduri kune mamwe mishonga inorwisa mabhakitiriya.

Heano mamiriro makuru uko vancomycin inoratidza kubatsira zvakanyanya, uye kunzwisisa izvi kunogona kukubatsira kuona kuti nei chiremba wako akasarudza kurapwa uku kwauri:

• Zvirwere zvakakomba zve ganda uye nyama dzakapfava - Kana zvirwere zvapinda mukati meganda rako, tsandanyama, kana dzimwe nyama dzakapfava
• Zvirwere zvemuropa (sepsis) - Kana mabhakitiriya apinda muropa rako uye akapararira mumuviri wako wese
• Zvirwere zvemavharuvhu emoyo (endocarditis) - Chirwere chakakomba chinokanganisa mukati memoyo wako
• Zvirwere zvemapfupa nemajoini - Kusanganisira osteomyelitis uye septic arthritis
• Pneumonia - Kunyanya pneumonia inowanikwa muchipatara kana pneumonia inokonzerwa nemuchina wekufema
• Meningitis - Kana membrane dzinodzivirira dzakatenderedza uropi hwako uye musana zvapinda muzvirwere
• Zvirwere mushure mekuvhiyiwa - Zvirwere zvinomuka mushure mekuvhiyiwa

Chiremba wako angashandisawo vancomycin kudzivirira zvirwere pamberi pekuvhiyiwa kwakakomba, kunyanya kana uine allergic kune penicillin kana uine nhoroondo yezvirwere zveMRSA. Iyi nzira yekudzivirira inobatsira kukuchengetedza munguva dzakaoma.

Vancomycin Inoshanda Sei?

Vancomycin inoshanda nekurwisa masvingo emasero emabhakitiriya, zvichinyanya kuparadza goko ravo rekudzivirira rekunze. Iyi inzira yakasimba uye yakatarwa inoita kuti ive inoshanda zvakanyanya kurwisa zvirwere zvakaoma.

Mishonga inonamatira kune zvikamu zvakatarwa zvemasvingo emasero emabhakitiriya uye inodzivirira mabhakitiriya kubva pakuvaka nekuchengetedza chimiro chavo. Pasina rusvingo rwakasimba rwesero, mabhakitiriya haagoni kurarama uye anozofa. Iyi nzira inoita kuti vancomycin ive nesimba zvakanyanya kurwisa mabhakitiriya egram-positive, ayo ane masvingo makuru emasero ayo mushonga uyu unogona kunyatso kurwisa.

Chii chinoita kuti vancomycin ive yakakosha ndeyekukwanisa kwayo kurwisa mabhakitiriya akagadzira kuramba kune mamwe maantibayoti. Zvisinei, simba iri rinorevawo kuti timu yako yehutano ichakutarisa zvakanyanya paunenge uchiiwana, ichiita kuti ive ichishanda zvakanaka ichitarisa chero mhedzisiro.

Ndingatora sei Vancomycin?

Vancomycin inogara ichipiwa kuburikidza neIV line, kwete semushonga waunomedza. Chikwata chako chehutano chichaisa chubhu diki mutsinga yako, kazhinji muruoko rwako, uye mushonga uyu uchayerera zvishoma nezvishoma muropa rako kwemaminitsi 60 kusvika ku120.

Kuiswa zvishoma nezvishoma kwakakosha kuchengeteka kwako uye kunyaradzwa. Kupa vancomycin nekukurumidza kunogona kukonzera chimwe chinhu chinonzi "red man syndrome," uko ganda rako rinova tsvuku uye rinotsvaira. Nekutora nguva nekuiswa, timu yako yekurapa inobatsira kudzivirira iyi mhinduro isingafadzi.

Haufaniri kunetseka nezvekutora mushonga uyu nekudya sezvo uchienda zvakananga muropa rako. Zvisinei, kugara uine mvura yakawanda nekunwa mvura yakawanda (kunze kwekunge chiremba wako akupa zvirambidzo zvemvura) kunogona kubatsira itsvo dzako paunenge uchigamuchira kurapwa.

Mukoti wako achakutarisa nguva dzose panguva yekuiswa kwega kwega kuti ave nechokwadi chekuti uri kunzwa zvakanaka uye kuti saiti yeIV inoita zvakanaka. Kana ukaona chero manzwiro asinganzwisisike, kurwadziwa panzvimbo yeIV, kana kunzwa usina kunaka panguva yekuiswa, zivisa timu yako yehutano ipapo ipapo.

Ndingatora Vancomycin kwenguva yakareba sei?

Kureba kwekurapwa kwako kwevancomycin kunoenderana nerudzi uye kuoma kwehutachiona hwako. Vanhu vazhinji vanogamuchira mushonga uyu kwemazuva 7 kusvika ku14, asi dzimwe hutachiona hunogona kuda kurapwa kwenguva refu.

Chiremba wako achatarisa kufambira mberi kwako kuburikidza nemiedzo yeropa uye zviratidzo zvekurapa kuti aone kuti unoda kurapwa kwenguva yakareba sei. Zvirwere zviri nyore, unogona kuda vancomycin kwesvondo rimwe chete. Mamiriro akaoma senge endocarditis kana zvirwere zvemapfupa zvinowanzoita kuti urapwe kwemavhiki akati wandei kuti uve nechokwadi chekuti hutachiona hunobviswa zvachose.

Panguva yekurapwa kwako, timu yako yehutano ichatarisa nguva dzose mazinga eropa rako kuti ive nechokwadi chekuti mushonga uri kushanda nemazvo. Vachatarisawo kushanda kwematsvo ako sezvo vancomycin inogona kukanganisa mashandiro ematsvo ako. Izvi zvekutarisa nguva dzose zvinobatsira kuona kuti uri kuwana huwandu hwakakodzera hwemushonga kwenguva yakakodzera.

Zvakakosha kupedzisa nzira yese yekurapa, kunyangwe ukatanga kunzwa zviri nani usati wapedza. Kumira kare kunogona kubvumira hutachiona kuti hudzoke, zvichibvira muchimiro chakaoma kurapa.

Ndezvipi Zvakaipa zveVancomycin?

Semishonga yese ine simba, vancomycin inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvitsungirira zvakanaka kana vachitariswa zvakanaka. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye uzive kuti ungabatana riini nechikwata chako chehutano.

Mhedzisiro yakajairika yaungasangana nayo inowanzoitika uye inowanzoita nani muviri wako uchigadzirisa kumushonga:

• Red man syndrome - Kutsva, kukwenya, kana rash pamuviri wako wepamusoro, mutsipa, uye kumeso
• Nausea kana dumbu rakashata - Rinogona kuitika panguva kana mushure mekuiswa
• Kurwadziwa kana kutsamwa panzvimbo yeIV - Kunzwira tsitsi kumwe uko tsono inopinda mutsinga yako
• Musoro - Kazhinji nyoro uye yenguva pfupi
• Dizziness - Kunyanya kana uchimira nekukurumidza
• Chills kana fivha - Mhinduro yemuviri wako kurwisa hutachiona

Mhedzisiro yakakomba haisi kazhinji asi inoda kutariswa kwechimbichimbi. Chikwata chako chehutano chichakutarisa zvakanyanya kuti uone izvi, asi zvakakosha kuti uzive zvekutarisa:

• Matambudziko eitsvo - Shanduko mukuyerera kweweti, kuzvimba mumakumbo kana tsoka, kuneta kusinganzwisisike
• Kunzwa kunochinja - Kurira munzeve, kurasikirwa kwekunzwa, kana matambudziko ekuenzanisa
• Maitiro akakomba ekuita allergic - Kuoma kufema, kuputika kwakanyanya, kana kuzvimba kwechiso nehuro
• Clostridioides difficile infection - Manyoka akakomba, kurwadziwa mudumbu, kana fivha

Chikwata chako chekurapa chichatarisa ropa rako nguva dzose kuti chiongorore kushanda kweitsvo dzako uye kuona kuti mazinga emishonga akakodzera muviri wako. Kutarisisa uku kunobatsira kubata chero matambudziko angangoitika nekukurumidza uye kugadzirisa kurapwa kwako kana zvichidikanwa.

Ndiani Asingafaniri Kutora Vancomycin?

Nepo vancomycin ichiwanzo chengeteka kune vanhu vazhinji, mamiriro akati wandei anoda kungwarira kwakanyanya kana anogona kukudzivirira kubva pakugamuchira mushonga uyu. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa usati akurudzira vancomycin.

Unofanira kuudza chikwata chako chehutano kana uine chero chimwe chezvinhu izvi, sezvo zvingakanganisa kana vancomycin yakakukodzera:

• Chirwere cheitsvo kana matambudziko eitsvo - Vancomycin inogona kukanganisa kushanda kweitsvo
• Kurasikirwa kwekunzwa kana matambudziko enzeve - Mushonga unogona kukanganisa kunzwa
• Maitiro ekare ekuita allergic kuvancomycin - Kunyange maitiro akapfava anofanira kuziviswa
• Chirwere chematumbu chinopisa - Inogona kuwedzera njodzi yezvimwe zvinetso
• Kushandiswa kwemazuva ano kwemamwe maantibayoti - Inogona kukanganisa mashandiro e vancomycin

Kana wakazvitakura kana uchiyamwisa, chiremba wako achanyatsoongorora mabhenefiti nenjodzi. Vancomycin inogona kuyambuka placenta uye kupinda mumukaka wemazamu, asi dzimwe nguva inodiwa pakutapukirwa kwakakomba uko mabhenefiti anopfuura njodzi dzinogona kuitika.

Vashandi vehutano vako vachafungawo nezve mamwe mishonga yaunotora, sezvo mamwe madhiragi anogona kuita interaction ne vancomycin kana kuwedzera njodzi yemigumisiro. Nguva dzose ipa runyorwa rwakakwana rwemishonga yako, kusanganisira mishonga isingatengwe uye zvinowedzera.

Mazita eVancomycin Brand

Vancomycin inowanikwa pasi pemazita akati wandei emhando, kunyangwe iwe uchizowanzoona vashandi vehutano vachitaura nezvayo se

• Linezolid - Inogona kupiwa nemuromo kana kuburikidza neIV, inowanzo shandiswa pakurapa zvirwere zvepaganda
• Daptomycin - Imwe antibiotic yeIV inoshanda kurwisa mabhakitiriya anodzivira mishonga
• Clindamycin - Inowanikwa mumhando dzemuromo neIV dzekurapa zvirwere zvakasiyana
• Tigecycline - Imwe antibiotic itsva yekurapa zvirwere zvakaoma
• Teicoplanin - Yakafanana nevancomycin asi haisi kuwanikwa munyika dzese

Sarudzo pakati pevancomycin nemamwe maantibiotics inoenderana nezvinhu zvakawanda, kusanganisira mabhakitiriya chaiwo ari kukonzera chirwere chako, kushanda kwematsvo ako, mamwe mishonga yaunotora, uye hutano hwako hwese. Chiremba wako achasarudza antibiotic inogona kubvisa chirwere chako zvakachengeteka uye nemazvo.

Ko Vancomycin iri nani pane Linezolid?

Vose vancomycin ne linezolid maantibiotics akanaka ekurapa zvirwere zvakakomba zvebacterial, asi imwe neimwe ine zvainobatsira zvichienderana nemamiriro ako chaiwo. Pane kuti imwe ive yakanaka zvachose, chiremba wako anosarudza zvinoenderana nezvakakodzera chirwere chako nemamiriro ako ezvinhu.

Vancomycin inopa zvakawanda zvakanakira mune dzimwe nguva. Yave ichishandiswa zvakabudirira kwemakumi emakore uye ine rekodhi yakanaka yekurwisa MRSA nemamwe mabhakitiriya anodzivira mishonga. Inowanzo shandisa mari shoma pane mamwe maantibiotics matsva uye inoshanda zvakanyanya pakurapa zvirwere zveropa uye endocarditis.

Linezolid ine zvainobatsira, kunyanya nyore kuwanikwa semushonga wemuromo neIV. Iyi nzira inoreva kuti unogona kuchinjira kumapiritsi uye kuenda kumba nekukurumidza, pane kugara muchipatara kuti uwane kurapwa kweIV. Inowanzoitawo zvishoma zvinokonzeresa matambudziko ematsvo.

Mubati wako wezvechiremba anofunga nezvezvinhu zvakaita se nzvimbo yechirwere chako, kushanda kwematsvo ako, mamwe mishonga yaunotora, uye kana uchida kugara muchipatara paunosarudza pakati pezvisarudzo izvi. Mishonga yese iri miviri inoshanda zvakanyanya kana ichishandiswa zvakakodzera.

Mibvunzo Inowanzoitwa Nezve Vancomycin

Vancomycin Yakachengeteka Here Kune Chirwere Chematsvo?

Vancomycin inogona kushandiswa kune vanhu vane chirwere chematsvo, asi inoda kunyatso tariswa uye kugadzirisa dosi. Chiremba wako achachinja huwandu uye kakawanda kwevancomycin zvichienderana nekuti matsvo ako ari kushanda sei.

Kana uine matambudziko ematsvo, timu yako yekuchengetedza hutano ichatarisa mazinga eropa rako kakawanda kuti ive nechokwadi chekuti mushonga hausi kuungana kusvika pamazinga asina kuchengeteka. Vanogona zvakare kukupa madhizi madiki kana kuapatsanura zvakanyanya kuti vachengetedze kushanda kwematsvo ako vachirapa chirwere chako nemazvo.

Chinhu chakakosha ndiko kutaurirana pedyo netimu yako yekuchengetedza hutano nezve chero shanduko mukuyerera kwako, kuzvimba, kana kuti unonzwa sei zvachose. Nekutarisa kwakakodzera, vanhu vazhinji vane chirwere chematsvo vanogona kugamuchira vancomycin zvakachengeteka pavanoida nekuda kwezvirwere zvakakomba.

Ndoita Sei Kana Ndikagamuchira Vancomycin Yakawandisa Netsaona?

Kana uine hanya nekugamuchira vancomycin yakawandisa, zivisa timu yako yekuchengetedza hutano nekukasira. Sezvo mushonga uyu uchipiwa munzvimbo yechipatara nekunyatsotariswa, overdoses hazviwanzoitiki, asi timu yako yezvokurapa inogona kukurumidza kuongorora mamiriro acho uye kutora matanho akakodzera.

Zviratidzo zvingaratidza kuti wagamuchira vancomycin yakawandisa zvinosanganisira kusvotwa kwakanyanya, shanduko dzakakosha mukunzwa, kuvhiringidzika, kana kuneta kusinganzwisisike. Timu yako yekuchengetedza hutano inogona kutarisa mazinga eropa rako uye kushanda kwematsvo kana paine chero hanya nezve dosi.

Mashoko akanaka ndewekuti kuwandisa kwevancomycin kunogona kubatwa zvakanaka nekutarisirwa kunotsigira, uye, muzviitiko zvakakomba, maitiro ekubatsira kubvisa mishonga yakawandisa kubva mumuviri wako. Chikwata chako chekurapa chakadzidziswa kubata nemamiriro ezvinhu aya uye vachakutarisira zvakanaka.

Ndoita Sei Kana Ndikakanganwa Dose yeVancomycin?

Sezvo vancomycin ichipiwa muchipatara kana munzvimbo yekiriniki, kukanganwa dose hakusi kwakajairika, asi zvinogona kuitika kana paine kusawirirana kwekuronga kana mamiriro ekukurumidzira ekurapa. Chikwata chako chehutano chichashanda newe kuti udzoke munzira nekukurumidza sezvinobvira.

Kana dose yakakurumidza, usanetseka - chikwata chako chekurapa chichagadzirisa nguva ye dose yako inotevera kuti uchengetedze mazinga anoshanda emushonga mumuviri wako. Vanogona zvakare kutarisa mazinga eropa rako kuti vaone kuti uchiri kuwana kurapwa kwakanaka.

Chinhu chakanyanya kukosha ndechekuenderera mberi nehurongwa hwako hwekurapa sezvakanyorwa. Chikwata chako chehutano chichaita chero zvigadziriso zvinodiwa kuti uve nechokwadi chekuti unowana zvizere zvekubatsira zvekutapukisa kwako antibiotic.

Ndingamira Rini Kutora Vancomycin?

Unofanirwa kungomira kutora vancomycin kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Sarudzo iyi yakavakirwa pazvinhu zvakati wandei, kusanganisira maitiro ako ekurapa, mhedzisiro yebvunzo yeropa, uye kana hutachiona hwako hwabviswa.

Chikwata chako chehutano chichatarisa kufambira mberi kwako kuburikidza nebvunzo dzeropa dzenguva dzose, kuongororwa kwemuviri, uye kuongororwa kwezviratidzo zvako. Kana zviratidzo zvako zvehutachiona zvadzoka kumazinga akajairika uye uchinzwa zviri nani, chiremba wako achasarudza kuti zvakachengeteka kumisa mushonga.

Usambomira vancomycin kare, kunyangwe ukaita zviri nani. Kurapa kusina kukwana kunogona kubvumira hutachiona kudzoka, zvichibvira mune imwe fomu inodzivirira iyo yakaoma kurapa. Vimba nekutungamira kwechikwata chako chehutano kana zvakakodzera kupedzisa nzira yako yekurapa.

Ndinganwa Doro Ndiri Kutora Vancomycin Here?

Zvakanaka kudzivisa doro uchigamuchira kurapwa ne vancomycin. Kunyange zvazvo doro risingashandi zvakananga ne vancomycin, rinogona kukanganisa kugona kwemuviri wako kurwisa hutachiona uye rinogona kuwedzera mamwe matambudziko akadai se kusvotwa kana dzungu.

Doro rinogonawo kuisa kushushikana kwakawanda pamatsvo ako, uye sezvo vancomycin ichida kunyatso tarisa matsvo, kudzivisa doro kunobatsira kuona kuti matsvo ako anogona kubata mushonga zvakachengeteka. Uye zvakare, doro rinogona kukanganisa kurara kwako uye kupora kwese kubva kuhutachiona hwako.

Tarisa pakugara uine mvura yakawanda nemvura nezvimwe zvinwiwa zvisina doro panguva yekurapwa kwako. Izvi zvinotsigira kupora kwako uye zvinobatsira matsvo ako kugadzirisa mushonga nemazvo. Unogona kukurukura kudzokera pakunwa doro zvine mwero nachiremba wako mushure mekunge wapedza kurapwa kwako.