Chii chinonzi Ertapenem: Zvinoshandiswa, Mishonga, Zvakaipa uye Zvimwe

Ertapenem mushonga une simba weantibiotic unobva kuboka rinonzi carbapenems, rakagadzirirwa kurwisa zvirwere zvakakomba zvebacterial apo mamwe maantibiotics angasashanda zvakanaka. Mushonga uyu unopiwa nejekiseni, kungave mutsinga kana tsandanyama, uye kazhinji unochengeterwa zvirwere zvakanyanya zvinoda kutarisirwa kuchipatara. Fungidzira seimwe yezvishandiso zvakasimba muchikwama chachiremba wako kurwisa zvirwere zvakaoma zvebacterial zvinoda kutariswa nekukurumidza.

Chii chinonzi Ertapenem?

Ertapenem ibroad-spectrum antibiotic inoshanda nekuparadza masvingo emasero ebhakitiriya, zvichivauraya zvisati zvakawanda uye kupararira. Iyo chikamu chemhuri ye carbapenem, iyo inofungidzirwa kuti ndiyo imwe yeanonyanya kushanda maantibiotics aripo nhasi. Chiremba wako achasarudza mushonga uyu kana vachida chimwe chinhu chakasimba zvakakwana kuti chigadzirise zvirwere zvakaoma zvisina kupindura kune dzimwe nzira dzekurapa.

Iyi antibiotic ndeye synthetic, zvinoreva kuti inogadzirwa mumalaboratories kunyanya kuitira kuti itarise huwandu hwakawanda hwebhakitiriya rinokuvadza. Kusiyana nemamwe maantibiotics anoshanda chete kurwisa mhando dzebhakitiriya, ertapenem inogona kurwisa ese gram-positive uye gram-negative bhakitiriya, zvichiita kuti ive inokosha mukurapa zvirwere zvakavhenganiswa.

Chii chinonzi Ertapenem chinoshandiswa?

Ertapenem inorapa zvirwere zvakakomba zvebacterial zvinowanzoita kuti kupiwa chipatara kana kutarisirwa kwekurapa kwakanyanya. Chiremba wako angaraira mushonga uyu kana uine zvirwere zvakanyanya kubva pakutanga kana zvisina kuvandudzwa nemamwe maantibiotics.

Mamiriro akajairika ayo ertapenem inobatsira kurapa anosanganisira mhando dzakawanda dzezvirwere zvinogona kuva zvakakomba kana zvikasiyiwa zvisina kurapwa:

• Zvirwere zvakakomba mudumbu, zvinosanganisira zvirwere zvinowanika mushure mekuvhiyiwa kana nekuda kwemamiriro ezvinhu akaita seappendicitis
• Zvirwere zvakakomba zvepaganda uye nyama nyoro, zvakadai se cellulitis yakakomba kana zvirwere zvinotevera maronda
• Pneumonia inowanikwa munharaunda, kunyanya nyaya dzinoda kupinda muchipatara
• Zvirwere zvakakomba zvemudziva, zvinosanganisira zvirwere zveitsvo
• Zvirwere zvepelvic zvakakomba muvakadzi, zvinosanganisira zvirwere zvezvombo zvekubereka

Mune dzimwe nguva, vanachiremba vanoshandisawo ertapenem kudzivirira zvirwere pamberi pekuvhiyiwa kumwe, kunyanya nzira dzekolorectal uko njodzi yekutapukirwa nebhakitiriya yakakwira. Kushandiswa uku kwekudzivirira kunobatsira kuona kuti chero bhakitiriya iripo haikonzeri matambudziko panguva kana mushure mekuvhiyiwa kwako.

Ertapenem Inoshanda Sei?

Ertapenem inoshanda nekunangana nekuvaka bhakitiriya inoshandisa kuvaka madziro avo ekudzivirira ekunze. Funga nezvemadziro ebhakitiriya sehwaro hweimba - pasina ivo, bhakitiriya haigoni kurarama kana kubereka.

Mushonga uyu unonamatira kumapuroteni chaiwo ayo bhakitiriya anoda kugadzira madziro aya, zvichinyatso kumisa maitiro ekuvaka pakati. Kana bhakitiriya asingakwanise kuchengetedza madziro avo emaseru, vanova vasina simba uye vanofa nekukurumidza. Iyi nzira inoita kuti ertapenem ive inoshanda zvakanyanya kurwisa bhakitiriya akagadzira kuramba kune mamwe maantibayoti.

Seantibayoti yakasimba, ertapenem yakagadzirirwa kushanda nekukurumidza uye nemazvo. Vazhinji varwere vanotanga kuona kuvandudzwa kwezviratidzo zvavo mukati me48 kusvika 72 maawa ekutanga kurapwa, kunyangwe kosi yakazara ichifanira kupedzwa kunyangwe ukatanga kunzwa zviri nani.

Ndingatora Sei Ertapenem?

Ertapenem inogara ichipiwa nejekiseni, ingave mutsinga (intravenous) kana mumhasuru (intramuscular), uye izvi zvichaitwa nenyanzvi dzehutano dzakadzidziswa muchipatara kana munzvimbo yekiriniki. Hauzotori mushonga uyu kumba kunze kwekunge uri kuwana masevhisi ekuchengetwa kwemba akakosha.

Dosi yakajairika yevakuru i1 gramu kamwe chete pazuva, kunyangwe chiremba wako achizochinja izvi zvichienderana nemamiriro ako chaiwo, kushanda kwematsvo, uye hutano hwese. Kune intravenous administration, mushonga unowanzo sanganiswa nemhinduro yakachena uye inopiwa zvishoma nezvishoma kwemaminitsi angangoita 30 kuderedza njodzi yemigumisiro.

Kana uri kuwana jekiseni mumhasuru, rinowanzo piwa muchikamu chepamusoro chekunze kwegumbo rako kana matako. Iyi nzira inogona kusarudzwa kana IV access yakaoma kana kana uri kuchinja kubva kuchipatara kuenda kunze kwekuchengetwa.

Haufanire kunetseka nezvekutora mushonga uyu nechikafu sezvo uchipiwa nejekiseni. Zvisinei, kugara wakanyatsogadzirwa panguva yekurapa kunogona kubatsira itsvo dzako kugadzirisa mushonga zvakanyatsonaka uye kuderedza njodzi yemigumisiro.

Ndingatora Ertapenem Kwenguva Yakareba Sei?

Nzira zhinji dzeertapenem dzinogara pakati pe3 kusvika ku14 mazuva, zvichienderana nerudzi uye kuoma kwehutachiona hwako. Chiremba wako achasarudza nguva chaiyo zvichienderana nekuti muviri wako unopindura sei kurapwa uye mabhakitiriya chaiwo anokonzera hutachiona hwako.

Kune hutachiona hwemudumbu neganda, kurapwa kunowanzoita mazuva mashanu kusvika gumi nemana. Pneumonia inogona kuda mazuva gumi kusvika gumi nemana ekurapa, nepo hutachiona hweurinary tract hunowanzoita mazuva gumi kusvika gumi nemana zvakare. Hutachiona hwePelvic hunowanzoita mazuva matatu kusvika gumi ekurapa.

Zvakakosha kupedzisa nzira yese yekurapa, kunyangwe ukatanga kunzwa zviri nani mushure memazuva mashoma. Kumira nekukurumidza kunogona kubvumira mabhakitiriya anorarama kuti awande zvakare, zvichikonzera kudzoka kana kukura kwemabhakitiriya anodzivisa antibiotic.

Vashandi venyu vezvehutano vachatarisa kufambira mberi kwenyu mukati mekurapa, vachitarisa tembiricha yenyu, huwandu hwemasero machena eropa, uye zvimwe zviratidzo kuti vaone kuti hutachiona huri kubviswa zvakanaka. Vangaitawo tsika dzekutevera kuti vasimbise kuti mabhakitiriya abviswa.

Ndezvipi Zvipingamupinyi zveErtapenem?

Semishonga yese, ertapenem inogona kukonzera zvipingamupinyi, kunyangwe vanhu vazhinji vachizvigamuchira zvakanaka kana zvichishandiswa zvakakodzera. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye uzive kuti ungazivisa riini timu yako yehutano.

Zvipingamupinyi zvakajairika zvinowanzoita zvinyoro uye zvinowanzoita nani sezvo muviri wako uchigadzirisa kumishonga:

• Manyoka, anoitika muvanhu vanenge 10-15%
• Kusvotwa nekutsvuka
• Kutemwa nemusoro
• Kurwadziwa, kuzvimba, kana kutsvuka panzvimbo yekujova
• Dizziness kana kunzwa lightheaded
• Kutadza kurara

Izvi zvipingamupinyi zvakajairika zvinowanzoita kuti zvisade kumisa mushonga, asi timu yako yehutano inofanira kuziva nezvazvo kuti ikubatsire kubata kusagadzikana kwese uye kutarisa mhinduro yako yese kumishonga.

Zvipingamupinyi zvakanyanya hazviwanzoitiki asi zvinoda kutariswa kwekurapa nekukasira. Izvi zvinosanganisira zviratidzo zvekuti muviri wako ungave uine mhinduro yakakosha kumishonga:

• Manyoka akakomba asingavandudzi kana aine ropa
• Zviratidzo zvekuita allergic senge rash yeganda, kukwenya, kana kutadza kufema
• Kurwadziwa kwakanyanya mudumbu kana cramping
• Kusagadzikana bruising kana kubuda ropa
• Kutapukirwa kana convulsions
• Dizziness yakakomba kana kufenda

Chimwe chinhu chinonetesa neertapenem ndiko kugona kuita C. difficile-associated diarrhea, hutachiona hwakakomba hwematumbu hunogona kuitika kana maantibayoti achikanganisa chiyero chakajairika chemabhakitiriya mudumbu rako. Izvi zvinowanzoita semanyoka anoramba achienderera mberi, ane mvura anogona kunge aine ropa kana mucus.

Ndiani Asingafaniri Kutora Ertapenem?

Ertapenem haikodzeri munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yezvokurapa asati akurudzira mushonga uyu. Chinhu chakanyanya kukosha ndechokuti wakambove nezvinetso zvemuviri zvinokonzerwa nemishonga yakafanana yekurwisa mabhakitiriya munguva yakapfuura.

Haufaniri kupiwa ertapenem kana uchiziva kuti une allergy kumishonga inorwisa mabhakitiriya ye carbapenem, penicillins, kana cephalosporins. Mhuri idzi dzemishonga inorwisa mabhakitiriya dzine makemikari akafanana, uye allergy kune imwe kazhinji zvinoreva kuti uri panjodzi yekuva nezvinetso zvemuviri kune vamwe.

Vanhu vane mamwe mamiriro ezvinhu ekurapa vanoda kufungwa zvakakosha vasati vatanga kutora ertapenem. Chiremba wako achada kuziva nezve chero matambudziko eitsvo, sezvo mushonga uyu uchishandiswa neitsvo dzako uye zviyero zvinogona kugadziriswa. Avo vane nhoroondo yekuvhunduka kana matambudziko ehuropi vanodawo kunyatsotariswa, sezvo ertapenem dzimwe nguva inogona kukonzera kuvhunduka, kunyanya muvanhu vanotambudzika kare.

Kana uri nepamuviri kana kuyamwisa, chiremba wako achayera mabhenefiti achienzanisa nenjodzi dzinogona kuitika. Kunyange ertapenem ichiwanzofungidzirwa kuti yakachengeteka panguva yekuzvitakura kana mabhenefiti achipfuura njodzi, inopinda mumukaka wemazamu mumari shoma.

Mazita eBrand eErtapenem

Ertapenem inowanikwa kazhinji pasi pezita rekuti Invanz, iro rinogadzirwa naMerck & Co. Iri ndiro zita rekutanga rebrand iro rakatanga kubvumidzwa neFDA uye rinoshandiswa zvakanyanya muzvipatara uye nzvimbo dzekutarisira hutano.

Mhando dzemishonga yeertapenem dziripo zvakare uye dzine chinhu chimwe chete chinoshanda chine kushanda kwakaenzana. Chipatara chako kana nzvimbo yekutarisira hutano ichashandisa iyo vhezheni inopa kukosha kwakanaka ichichengetedza mazinga akafanana ekurapa.

Zvisinei nekuti unogamuchira zita rebrand kana vhezheni yakajairika, mushonga unoshanda nenzira imwechete uye unopa mwero mumwechete wekurapa kwehutachiona hwako.

Zvimwe Zvingashandiswa Panzvimbo peErtapenem

Mamwe maantibhayotiiki akawanda anogona kushanda semamwe maitiro eertapenem, zvichienderana nehutachiona hwako chaihwo uye mamiriro ako ekurapa. Chiremba wako angasarudza mushonga wakasiyana zvichienderana nezvinhu zvakaita serudzi rwebhakitiriya riri kubatanidzwa, nhoroondo yako yekurwara, kana kushanda kwematsvo ako.

Mamwe maantibhayotiiki ecarbapenem anosanganisira imipenem-cilastatin uye meropenem, ayo anoshanda zvakafanana neertapenem asi anogona kufarirwa mune dzimwe nguva. Imipenem-cilastatin inogona kusarudzwa kune hutachiona hwakanyanya, nepo meropenem inowanzo kufarirwa kune mamwe marudzi ebhakitiriya anoramba.

Kune mamwe mamiriro, chiremba wako angangofunga nezve beta-lactam maantibhayotiiki senge piperacillin-tazobactam kana ceftriaxone, kunyanya kana hutachiona hwako huchikonzerwa nebhakitiriya inozivikanwa kuti inonzwa kumishonga iyi. Fluoroquinolones senge levofloxacin inogona kukodzera kune mamwe hutachiona hwekufema kana urinary tract.

Sarudzo yemamwe maitiro inonyanya kuvimba nemigumisiro yetsika inoratidza bhakitiriya chaihwo uye kunzwisisika kwavo kune akasiyana maantibhayotiiki. Chiremba wako achasarudza sarudzo yakakodzera zvichienderana neruzivo urwu rwakasanganiswa nezvido zvako zvekurapa.

Ko Ertapenem Ari Nani Kupfuura Meropenem?

Ese ari maviri ertapenem uye meropenem maantibhayotiiki akanaka ecarbapenem, asi imwe neimwe ine zvakanakira zvayo zvichienderana nemamiriro ako chaiwo. Sarudzo pakati pavo inowanzo kuuya pasi kurudzi rwehutachiona hwaunahwo uye bhakitiriya riri kubatanidzwa.

Ertapenem ine mukana wekupiwa kamwe chete pazuva, izvo zvinogona kuve nyore kune varwere uye vanopa hutano. Inoshandawo zvakanyanya kune akawanda hutachiona hwakawanikwa munharaunda uye ine njodzi shoma yekuvandudza kuramba kune mamwe mabhakitiriya senge Pseudomonas.

Meropenem, kune rimwe divi, rinowanzofungidzirwa kuti rine huwandu hwakakura uye rinoshanda zvakanyanya kurwisa mabhakitiriya akati wandei anoramba kurapwa, kusanganisira Pseudomonas aeruginosa. Rinowanzo shandiswa zvakanyanya pakurapa zvirwere zvakanyanya zvakawanikwa muzvipatara kana pakurwisa mabhakitiriya akaratidza kuramba mamwe maantibayoti.

Chiremba wako achasarudza mushonga unokodzera zvakanyanya chirwere chako zvichienderana nemhedzisiro yetsika, kuoma kwechirwere chako, uye njodzi dzako dzega. Zvese zviri zviviri zvinoshanda zvakanyanya kana zvichishandiswa nemazvo.

Mibvunzo Inowanzo Bvunzwa Pamusoro peErtapenem

Q1. Ertapenem Yakachengeteka Here Kune Zvirwere Zveitsvo?

Ertapenem inogona kushandiswa kune vanhu vane chirwere cheitsvo, asi chiremba wako achada kugadzirisa muyero wako zvichienderana nekuti itsvo dzako dziri kushanda sei. Sezvo mushonga uyu uchibviswa mumuviri wako kunyanya kuburikidza neitsvo, kushanda kweitsvo kwakaderera zvinoreva kuti mushonga unogara mumuviri wako kwenguva refu.

Kune kukanganiswa kwetsvo kwakapfava, unogona kugamuchira muyero mumwe chete asi nekutarisa kwakanyanya. Kana kushanda kweitsvo dzako kwakaderera zvakanyanya, chiremba wako anogona kunyora mushonga wemuyero wakaderera kudzivirira mushonga kubva pakuwanda kusvika pamazinga anogona kukuvadza muropa rako.

Q2. Ndingaita Sei Kana Ndikagamuchira Ertapenem Yakawandisa Netsaona?

Sezvo ertapenem ichipiwa nenyanzvi dzehutano munzvimbo dzine kutonga, kuwandisa netsaona hakusi kwakajairika. Zvisinei, kana iwe ukaona zviratidzo zvakaita senausea yakanyanya, kurutsa, manyoka, kana chero zviratidzo zvisingawanzoitiki zve neurological zvakaita sekusanganisa kana kubatwa, zivisa timu yako yehutano nekukasira.

Muzviitiko zvekufungidzira kuwandisa, hapana mishonga chaiyo yeertapenem, asi timu yako yekurapa inogona kupa rutsigiro rwekukubatsira kuti muviri wako ugadzirise mushonga zvakachengeteka. Izvi zvinogona kusanganisira mvura yeIV kubatsira itsvo dzako kubvisa mushonga wakawandisa.

Q3. Ndingaita Sei Kana Ndikakanganwa Muyero weErtapenem?

Sezvo ertapenem ichipiwa nevashandi vehutano munzvimbo dzekurapa, kusavapo kwemushonga kunowanzoitwa nechikwata chako chehutano pane chimwe chinhu chaunofanira kunetseka pachako. Kana mushonga wanonoka chero chikonzero chipi zvacho, mukoti wako kana chiremba vachazogadzirisa zvakare nekukurumidza sezvinobvira.

Nguva yemishonga yemishonga inokosha pakuchengetedza mazinga anoshanda muropa rako kurwisa hutachiona. Chikwata chako chehutano chichaita shuwa kuti unowana mishonga yese yakarairwa panguva dzakakodzera kuti uwedzere kushanda kwemushonga.

Q4. Ndingamira Rini Kutora Ertapenem?

Haufaniri kumisa kurapwa kweertapenem nekukurumidza, kunyangwe uchinzwa zviri nani. Chiremba wako achasarudza kana zvakachengeteka kumisa mushonga zvichibva pazvinhu zvakati wandei, kusanganisira mhinduro yako kumishonga, mibairo yelabhoritari, uye kugadziriswa kwakakwana kwezviratidzo zvehutachiona.

Kumisa kurapwa kwemishonga yekurwisa mabhakitiriya nekukurumidza kunogona kubvumira mabhakitiriya anorarama kuti awedzere zvakare, zvichikonzera kudzoka kwehutachiona hwako kana kukura kwemabhakitiriya anodzivisa mishonga. Chikwata chako chehutano chichatarisa kufambira mberi kwako uye kukuzivisa kana nzira yakazara yekurapa yapera.

Q5. Ertapenem Inogona Kukonzera Zvirwere zveYeast Here?

Hongu, semishonga yakawanda yekurwisa mabhakitiriya, ertapenem dzimwe nguva inogona kutungamira kuzvirwere zvembiriso, kunyanya kuvakadzi. Izvi zvinoitika nekuti mishonga yekurwisa mabhakitiriya inogona kukanganisa chiyero chembakitiriya yechisikigo uye mbiriso mumuviri wako, ichibvumira mbiriso kuti iwedzere munzvimbo dzakaita semuromo, pahuro, kana nzvimbo yevaginal.

Kana iwe ukagadzira zviratidzo zvakaita sekubuda kusinganzwisisike, kuita ganda, kana mapatch machena mumuromo mako, zivisa chikwata chako chehutano. Vanogona kuraira mishonga yekurwisa fungal kurapa zvirwere izvi zvechipiri iwe uchipfuurira kurapwa kwako kwemishonga yekurwisa mabhakitiriya yehutachiona hwekutanga.