Yini i-Cefotetan: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Cefotetan iyisibulala-magciwane esinamandla esingaphansi komndeni wemithi ebizwa ngokuthi ama-cephalosporins. Udokotela wakho angase akunikeze lo muthi uma unesifo esibangelwa amagciwane esidinga ukwelashwa okuqinile. Isebenza ngokuvimbela amagciwane ayingozi ekwakheni izindonga zawo zokuzivikela, okusiza umzimba wakho ukuthi ulwe nokutheleleka ngempumelelo.

Yini i-Cefotetan?

I-Cefotetan iyisibulala-magciwane se-cephalosporin sesizukulwane sesibili esiza ngomjovo. Lokhu kusho ukuthi inikezwa ngqo emgudwini wakho wegazi ngomthambo noma emsipheni wakho, kunokuba kube yiphilisi oliligwinyayo. Abahlinzeki bezempilo bakhetha leli fomu ngoba lingena ngokushesha ohlelweni lwakho futhi lifinyelela emazingeni aphezulu egazini lakho ukuze kulwe nezifo ezinzima.

Lo muthi ubhekwa njenge-antibiotic ebanzi, okusho ukuthi ingalwa nezinhlobo eziningi zamagciwane. Isebenza ikakhulukazi ngokuphikisana namagciwane e-gram-positive kanye ne-gram-negative, izigaba ezimbili eziyinhloko ezibangela izifo ezihlukahlukene emzimbeni wakho wonke.

Isetshenziselwani i-Cefotetan?

Odokotela banikeza i-cefotetan uma unezifo ezibangelwa amagciwane eziphakathi nendawo kuya kwezinzima ezidinga ukwelashwa ngokushesha futhi okunamandla. Ilusizo ikakhulukazi ezifweni esiswini sakho, e-pelvis, nasezithweni zokuzala lapho ezinye izibulala-magciwane zingase zingasebenzi kahle.

Nawa amanye amakhambi lapho umhlinzeki wakho wezempilo angase ancome i-cefotetan:

• Izifo ezingaphakathi esiswini njenge-peritonitis noma i-appendix enegciwane
• Isifo sokuvuvukala kwe-pelvic nezinye izifo ze-gynecological
• Izifo zesikhumba nezicubu ezithambile ezijulile noma ezisabalalayo
• Izifo zomgudu womchamo ezinzima noma eziyinkimbinkimbi
• Izifo zomgudu wokuphefumula ezigulini ezibhedlela
• Izifo zamathambo namalunga
• Ukuvimbela ukutheleleka ngesikhathi sokuhlinzwa okuthile

Ezimweni ezingavamile, i-cefotetan ingase isetshenziselwe ukwelapha izifo ezingenawo igazi noma izifo ezigulini ezinamasistimu omzimba angavikelekile. Udokotela wakho uzonquma ukuthi lo muthi ulungele yini isimo sakho esithile ngokuya ngohlobo nobukhulu besifo sakho.

Isebenza Kanjani I-Cefotetan?

I-Cefotetan isebenza ngokugxila ezindongeni zamaseli amabhaktheriya, okuyizivikelo ezivikela amabhaktheriya ukuthi ahlale ekhona futhi esebenza. Lo muthi uvimba i-enzyme ebalulekile edingwa amabhaktheriya ukwakha nokugcina lezi zindonga. Ngaphandle kwezindonga eziqinile zamaseli, amabhaktheriya aba buthakathaka futhi ekugcineni afe.

Leli yi-antibiotic eqinile engakwazi ukubhekana nezifo eziningi ezinzima. Inamandla kunezinye izibulali-magciwane zomlomo ongase uzithathe ekhaya, yingakho igcinelwe izimo ezingathi sína. Ifomu lokujova livumela ukuthi lifinyelele emazingeni aphezulu egazini lakho ngokushesha, okulinika amandla adingekayo okulwa nezifo zamabhaktheriya ezinzima.

Kufanele Ngiyithathe Kanjani I-Cefotetan?

I-Cefotetan ihlinzekwa njalo ochwepheshe bezempilo esibhedlela noma emtholampilo. Ngeke uziphe lo muthi wena ekhaya. Umjovo unganikezwa ngokuqondile emthanjeni (intravenous) noma emsipheni omkhulu (intramuscular), kuye ngezidingo zakho ezithile nobukhulu besifo sakho.

Isikhathi nemvamisa yemithamo yakho kuzoncika ezintweni eziningana ezihlanganisa iminyaka yakho, isisindo, ukusebenza kwezinso, kanye nohlobo lwesifo onaso. Abantu abaningi bathola imithamo njalo emahoreni angu-12, kodwa isimiso sakho singase sihluke. Ithimba lakho lezempilo lizokuqapha eduze ngenkathi uthola lo muthi.

Akudingeki ukhathazeke ngokuthatha lo muthi nokudla ngoba unikezwa njengomjovo. Kodwa-ke, kubalulekile ukuhlala unamanzi kahle ngesikhathi sokwelashwa ngaphandle uma udokotela wakho ekutshela ngenye indlela. Yazisa umhlinzeki wakho wezempilo ngemithi noma izithasiselo ozithathayo, njengoba ezinye zingase zisebenzisane ne-cefotetan.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Cefotetan?

Ubude bokwelashwa kwakho nge-cefotetan buxhomeke ohlotsheni nasekubeni sibi kokutheleleka kwakho. Abantu abaningi bathola lo muthi izinsuku eziyi-5 kuya kweziyi-10, kodwa ezinye izifo zingase zidinge ukwelashwa isikhathi eside. Udokotela wakho uzoqoka ubude obufanele ngokuya ngokuthi usabela kahle kangakanani emuthini.

Kubalulekile ukuqeda lonke uhlelo lokwelashwa, ngisho noma uqala ukuzizwa ungcono ngaphambi kokuba luqede. Ukuyeka ama-antibiotics ngaphambi kwesikhathi kungavumela amagciwane ukuthi abuye futhi abe ngamanye angamelana nokwelashwa. Ithimba lakho lezempilo lizobheka inqubekela phambili yakho futhi lingashintsha ubude bokwelashwa uma kudingeka.

Kwezinye izimo, ikakhulukazi ukuvimbela ukuhlinzwa, ungase uthole umthamo owodwa noma emibili kuphela. Ezifweni ezingathi sína, ukwelashwa kungase kude kunezi-10 izinsuku. Udokotela wakho uzohlola njalo ukuthi ngabe udinga ukuqhubeka ne-cefotetan noma ngabe ungangena ku-antibiotic yomlomo.

Yiziphi Imiphumela Eceleni Ye-Cefotetan?

Njengayo yonke imithi, i-cefotetan ingabangela imiphumela emibi, yize kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi yesikhashana, ixazululwa lapho ukwelashwa kwakho kuqediwe. Kodwa-ke, kubalulekile ukwazi ukuthi yini okufanele uyibuke futhi nini ukwazisa ithimba lakho lezempilo.

Nawa amanye amiphumela emibi ejwayelekile ongase uyithole:

• Ubuhlungu, ukuvuvukala, noma ukubomvu endaweni yokujova
• Isicanucanu noma isisu esibuhlungu
• Ukuqunjelwa
• Ikhanda
• Isiyezi
• Ukuqubuka noma ukuluma

Lezi zimpawu zivame ukulawuleka futhi azidingi ukuyeka umuthi. Ithimba lakho lezempilo lingakusiza ukuthi uzizwe ukhululekile ngenkathi uthola ukwelashwa.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukusabela okukhulu komzimba, okungabangela ubunzima bokuphefumula, ukuvuvukala ebusweni bakho noma emqaleni, noma ukusabela okukhulu kwesikhumba. Ngaphezu kwalokho, i-cefotetan ngezinye izikhathi ingabangela isimo esibi samathumbu esibizwa ngokuthi i-C. difficile-associated diarrhea, ebonakala njengokuhamba ngesisu okuqhubekayo, okukhulu ngamagazi noma amafinyila.

Ngokuvamile, abanye abantu bangase babe nezinkinga zegazi, izinkinga zesibindi, noma izinkinga zezinso. Ithimba lakho lezempilo lizokuqapha ngalezi zinkinga ngokuhlolwa kwegazi okuvamile uma uthola ukwelashwa isikhathi eside.

Ubani Ongafanele Athathe I-Cefotetan?

I-Cefotetan ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinikeza. Okubaluleke kakhulu ukuthi ngabe unokungezwani nezinto ezithile kuma-antibiotics e-cephalosporin noma ama-penicillins, njengoba le mithi ihlobene futhi ingabangela ukusabela okungahambisani.

Abantu okufanele bagweme i-cefotetan noma bayithole ngokucophelela okukhethekile bahlanganisa:

• Labo abaziwa ukuthi banezinto ezingahambisani ne-cephalosporins noma ama-penicillins
• Iziguli ezinokugula okukhulu kwezinso
• Abantu abanomlando wezinkinga ezinkulu zamathumbu
• Labo abanezinkinga zokopha noma abathatha imithi yokunciphisa igazi
• Iziguli ezinomlando wokuhlaselwa yizifo noma izifo zobuchopho

Abesifazane abakhulelwe nabancelisayo badinga ukucatshangelwa okukhethekile, nakuba i-cefotetan ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa lapho izinzuzo zidlula izingozi. Udokotela wakho uzohlola lezi zinto ngokucophelela ngaphambi kokwenza isinqumo sokwelashwa.

Abantu abadala bangase badinge ukulungiswa komthamo ngenxa yezinguquko ezihlobene nobudala ekusebenzeni kwezinso. Izingane zingathola i-cefotetan, kodwa umthamo kumele ubalwe ngokucophelela ngokuya ngesisindo sabo nobudala.

Amagama Omkhiqizo we-Cefotetan

I-Cefotetan itholakala ngaphansi kwamagama amaningi emikhiqizo, i-Cefotan iyona eyaziwa kakhulu e-United States. Amanye amagama emikhiqizo afaka i-Apatef kanye nezinhlobo ezihlukahlukene eziqanjwe ngokuthi i-cefotetan.

Umuthi uyafana kungakhathaliseki igama lomkhiqizo, njengoba zonke izinhlobo kumele zihlangabezane nezindinganiso ezifanayo zokuphepha nokusebenza. Isibhedlela sakho noma umtholampilo uzosebenzisa noma yiluphi uhlobo abanalo, futhi ungethemba ukuthi uthola umuthi wekhwalithi efanayo.

Ezinye izindlela ze-Cefotetan

Uma i-cefotetan ingakulungele noma ingatholakali, udokotela wakho unezinye izindlela zama-antibiotics ongakhetha kuzo. Lezi zindlela zikhethwa ngokuya ngamagciwane athile abangela ukutheleleka kwakho kanye nezici zakho zempilo.

Ezinye izindlela ezivamile zifaka ezinye izinhlobo ze-cephalosporins njenge-ceftriaxone noma i-cefoxitin, esebenza ngendlela efana ne-cefotetan. Kubantu abanezifo ezingaphathekile ze-cephalosporin, odokotela bangakhetha ama-fluoroquinolones njenge-levofloxacin, noma inhlanganisela efana ne-ampicillin-sulbactam noma i-piperacillin-tazobactam.

Ukukhetha enye indlela kuncike ezintweni ezinjengendawo yokutheleleka kwakho, amagciwane okusolwa ngawo, umlando wakho wokungezwani nezinto ezithile, kanye nokusebenza kwezinso zakho. Ithimba lakho lezempilo lizokhetha enye indlela efanele uma i-cefotetan ingakulungele.

Ingabe i-Cefotetan ingcono kune-Ceftriaxone?

Kokubili i-cefotetan ne-ceftriaxone zombili ziyi-antibiotics ye-cephalosporin esebenzayo, kodwa zinamandla ahlukene futhi zikhethwa ngezimo ezihlukene. Akukho noyedwa ongcono kunomunye; kunalokho, ngamunye unamathuba athile ngokuya ngohlobo lokutheleleka kwakho kanye nezimo zakho.

I-Cefotetan inokusebenza okuhle kakhulu ngokumelene namagciwane e-anaerobic (amagciwane angadingi umoya-mpilo ukuze aphile), okuyenza ilungele ikakhulukazi izifo zesisu nezomgogodla. Futhi inesigamu sokuphila eside, okusho ukuthi ihlala esimisweni sakho isikhathi eside futhi inganikezwa kaningi. Kodwa-ke, i-ceftriaxone inokumboza okubanzi ngokumelene namagciwane athile e-gram-negative futhi ivame ukukhethwa ngezifo zomgudu wokuphefumula.

Udokotela wakho uzokhetha phakathi kwale mithi ngokusekelwe kumagciwane athile abangela ukutheleleka kwakho, indawo yokutheleleka, kanye nezici zakho zempilo. Zombili zithathwa njengeziphephile futhi ziyasebenza uma zisetshenziswa ngendlela efanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Cefotetan

Ingabe i-Cefotetan iphephile kubantu abanesifo sikashukela?

Yebo, i-cefotetan ngokuvamile iphephile kubantu abanesifo sikashukela. Kodwa-ke, abantu abanesifo sikashukela kudingeka baqaphele ukuthi lo muthi wokulwa namagciwane ngezinye izikhathi ungathinta amazinga kashukela egazini, nakuba lokhu kungavamile. Ithimba lakho lezempilo lizogada ushukela wakho wegazi eduze uma unesifo sikashukela, ikakhulukazi uma ugula kakhulu.

Umjovo ngokwawo awunawo ushukela, ngakho ngeke ukhuphule ngokuqondile i-glucose yakho yegazi. Kodwa-ke, ukulwa nokutheleleka ngezinye izikhathi kungabangela ukuguquguquka koshukela wegazi. Qiniseka ukuthi utshela abahlinzeki bakho bezempilo ngesifo sakho sikashukela kanye nanoma yimiphi imithi oyithathayo ukuze ukulawule.

Ngingenzani uma nginokungezwani komzimba ne-Cefotetan?

Uma uhlangabezana nezimpawu zokungezwani komzimba, yazisa ithimba lakho lezempilo ngokushesha. Njengoba wamukela i-cefotetan endaweni yezokwelapha, usizo luyatholakala kalula. Izimpawu zokungezwani komzimba zihlanganisa ubunzima bokuphefumula, ukuvuvukala kobuso bakho noma umphimbo, ukuqubuka okukhulu, noma ukuzwa sengathi uyaphela amandla.

Iqembu lakho lezempilo liqeqeshwe ukubhekana nokusabela komzimba futhi lizoyeka umuthi ngokushesha uma kwenzeka okuthile. Bazohlinzeka ngemithi efanele, engase ihlanganise ama-antihistamines, ama-steroids, noma eminye imithi yokulwa nokusabela. Ezimweni ezinzima, bangase badinge ukusebenzisa i-epinephrine.

Kufanele Ngenzeni Uma Niphuthelwa Umthamo We-Cefotetan?

Njengoba i-cefotetan inikezwa ochwepheshe bezempilo endaweni yezokwelapha, akudingeki ukhathazeke ngokweqa imithamo ngendlela ongayenza ngayo ngemithi yasekhaya. Ithimba lakho lezempilo liphatha isimiso sakho sokulinganisa futhi lizoqinisekisa ukuthi uthola imithi yakho ngezikhathi ezifanele.

Uma kwenzeka ukubambezeleka emthomeni wakho ohleliwe ngenxa yezinqubo zezokwelapha noma ezinye izimo, ithimba lakho lezempilo lizolungisa isimiso sakho ngokufanele. Bazoqinisekisa ukuthi uthola lonke uhlelo lokwelashwa oludingekayo ukulwa nokutheleleka kwakho ngempumelelo.

Ngingayeka Nini Ukuthatha I-Cefotetan?

Akufanele neze uyeke ukwelashwa kwe-cefotetan ngokwakho, ngisho noma uzizwa ungcono kakhulu. Ithimba lakho lezempilo lizinquma ukuthi kufanelekile nini ukuyeka ngokusekelwe ezintweni eziningana ezihlanganisa izimpawu zakho, imiphumela yaselebhu, kanye nohlobo lokutheleleka onalo.

Ukuyeka ama-antibiotics ngaphambi kwesikhathi kungavumela amagciwane ukuthi abuye futhi abe ngumelana nokwelashwa. Udokotela wakho uzoqapha inqubekela phambili yakho futhi angase akushintshele ku-antibiotic yomlomo ngaphambi kokukukhipha esibhedlela, noma bangase baqede lonke uhlelo lwe-cefotetan uma lokho okudingwa ukutheleleka kwakho.

Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Cefotetan?

Kungcono ukugwema utshwala ngenkathi uthola ukwelashwa kwe-cefotetan. Le antibiotic ingabangela ukusabela okufana ne-disulfiram uma ihlanganiswe notshwala, okuholela ezimpawini ezinjengokucasuka, ukuhlanza, ukukhanya, ukushaya kwenhliziyo okusheshayo, nokungakhululeki okukhulu.

Le nyathelo lingenzeka ngisho nangamanzi amancane otshwala futhi lingenzeka izinsuku eziningana ngemuva komthamo wakho wokugcina we-cefotetan. Ukuze uthole ukuphepha kwakho nokunethezeka, kunconywa ukugwema utshwala ngokuphelele ngesikhathi sokwelashwa kanye okungenani amahora angama-72 ngemuva komthamo wakho wokugcina.