Created at:1/13/2025
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Ukujova kwe-Kanamycin kuyisidakamizwa esinamandla sokulwa namagciwane esisetshenziswa odokotela ukwelapha izifo ezinzima ezibangelwa amagciwane lapho ezinye izindlela zokwelapha zingasebenzi. Lo muthi ungoweqembu elibizwa ngokuthi ama-aminoglycoside antibiotics, asebenza ngokuvimbela amagciwane ayingozi ekwenzeni amaprotheni abawadingayo ukuze basinde futhi bande emzimbeni wakho.
Udkt. wakho ngokuvamile uzoncoma ukujova kwe-kanamycin uma unesifo esibi esingaphendulanga kwamanye ama-antibiotics, noma uma kudingeka isenzo esisheshayo ukuvimbela izinkinga. Kuthathwa njengomuthi onamandla odinga ukuqashwa ngokucophelela, kodwa kungasindisa impilo uma kusetshenziswa ngendlela efanele ezimweni ezifanele.
Ukujova kwe-Kanamycin kulapha ukwelapha izifo ezinzima ezibangelwa amagciwane emzimbeni wakho wonke, ikakhulukazi lezo ezibangelwa amagciwane e-gram-negative alwa namanye ama-antibiotics. Odokotela bavame ukukubhala ukuthi kulaphe izifo ezinzima emaphashini akho, emgudwini wegazi, emgudwini womchamo, nasendaweni yesisu.
Umhlinzeki wakho wezempilo angase ancome ukujova kwe-kanamycin uma une-pneumonia engaphenduli kwezinye izindlela zokwelapha, ikakhulukazi uma usesibhedlela noma unesimiso somzimba esingavikelekile. Iphinde isebenze kahle ekulweni nezifo ezithile zezinso, ikakhulukazi lezo ezisabalale noma eziye zaba yinkimbinkimbi.
Kwezinye izimo, odokotela basebenzisa ukujova kwe-kanamycin ukwelapha izifo ezinzima zesikhumba nezicubu ezithambile, izifo zamathambo, noma izifo ezingene emgudwini wakho wegazi. Lo muthi ubaluleke kakhulu uma ubhekene nezifo ezibangelwa amagciwane afana ne-E. coli, Klebsiella, noma Pseudomonas eziye zakha ukumelana kwamanye ama-antibiotics.
Umjovo we-Kanamycin usebenza ngokugxila emshinini osetshenziswa amagciwane ukwenza amaprotheni abalulekile ekuphileni kwawo. Umuthi ungena emangqamuzaneni amagciwane futhi unamathela ezakhiweni ezithile ezibizwa ngama-ribosomes, afana namafektri amancane akhiqiza amaprotheni.
Lapho i-kanamycin inamathela kula ma-ribosomes, ibenza ukuthi akhiqize amaprotheni aneziphambeko angasetshenziswa amagciwane. Lokhu kuphazamisa ikhono lamagciwane lokugcina izindonga zawo zamangqamuzana nokwenza imisebenzi ebalulekile, ekugcineni kuholele ekufeni kwawo.
Lokhu kuthathwa njenge-antibiotic eqinile ngoba i-bactericidal, okusho ukuthi ibulala amagciwane kunokumane imise ukukhula kwawo. Umuthi usebenza ngokushesha, kodwa udinga ukufinyelela emazingeni afanele egazini lakho ukuze usebenze kahle ekulweni nezifo ezinzima.
Umjovo we-Kanamycin unikezwa ngokuqondile egazini lakho ngomugqa we-IV noma ufakwe emsipheni wakho nguchwepheshe wezempilo esibhedlela noma emtholampilo. Awukwazi ukuthatha lo muthi ngomlomo noma uzinike wona ekhaya.
Ithimba lakho lezempilo lizinquma umthamo oqondile ngokusekelwe esisindweni sakho, ukusebenza kwezinso, nobukhulu besifo sakho. Umuthi uvame ukunikezwa njalo ngamahora angu-8 kuya kwangu-12, futhi umthamo ngamunye unikezwa kancane kancane phakathi kwemizuzu engama-30 kuya kwengama-60 uma unikezwa nge-IV.
Ngaphambi komthamo ngamunye, umhlengikazi wakho uzohlola izimpawu zakho ezibalulekile futhi angase akhiphe igazi ukuze aqaphe ukusebenza kwezinso zakho kanye namazinga omuthi emzimbeni wakho. Lokhu kuqapha ngokucophelela kusiza ekuqinisekiseni ukuthi umuthi usebenza ngempumelelo ngenkathi kunciphisa ingozi yemiphumela emibi.
Akudingeki ukhathazeke ngokuthatha lo muthi nokudla ngoba ungena ngokuqondile egazini lakho. Kodwa-ke, ukuhlala unamanzi ngokwanele ngokuphuza amanzi amaningi kungasiza ukusekela ukusebenza kwezinso zakho ngenkathi uthola ukwelashwa.
Isikhathi sokwelashwa ngomjovo we-kanamycin ngokuvamile sisuka ezinsukwini eziyi-7 kuya kweziyi-14, kuye ngokuthi ukutheleleka kwakho kunjani nokuthi usabela kanjani emuthini. Udokotela wakho uzoqoka ngqo ubude bokwelashwa ngokusekelwe ekuqineni kwesimo sakho kanye nokusabela komzimba wakho.
Ezintweni eziningi ezibucayi zokutheleleka, uzothola umuthi okungenani izinsuku eziyi-7 ukuze kuqinisekiswe ukuthi amagciwane aqedwa ngokuphelele. Kodwa-ke, ezinye izifo eziyinkimbinkimbi zingase zidinge ukwelashwa kuze kube yizinsuku eziyi-14 noma ngezikhathi ezithile isikhathi eside uma amasosha akho omzimba ebuthakathaka.
Ithimba lakho lezempilo lizobheka inqubekela phambili yakho ngokuhlolwa kwegazi njalo kanye nokuhlolwa komzimba. Bazobheka izimpawu zokuthi ukutheleleka kuyaphela, njengokwehla komkhuhlane, ukuthuthuka kokubala kwamaseli egazi amhlophe, nokuxazululwa kwezimpawu ezinjengobunzima bokuphefumula noma ubuhlungu.
Kubalulekile ukuqeda inkambo ephelele yokwelashwa ngisho noma uqala ukuzizwa ungcono ngemva kwezinsuku ezimbalwa. Ukuyeka umuthi ngaphambi kwesikhathi kungavumela amagciwane asele ukuthi azale futhi kungenzeka ukuthi athuthukise ukumelana ne-antibiotic.
Njengayo yonke imithi enamandla, umjovo we-kanamycin ungabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ingalawuleka ngaphansi kokuqondiswa okufanele kwezokwelapha.
Ungase uzwe ukungakhululeki endaweni yokujova, okuhlanganisa ubuhlungu, ububomvu, noma ukuvuvukala lapho kufakwe inaliti. Abanye abantu baphinde bathuthukise isicanucanu, ukuhlanza, noma isifo sohudo, okuthi ngokuvamile kuthuthuke njengoba umzimba wakho ujwayela umuthi.
Nawa amanye imiphumela emibi ejwayelekile okufanele uyazi:
Lezi zimo ezivamile ezibangelwa imithi zivame ukuba zesikhashana futhi ziyanyamalala uma ukwelashwa kwakho sekuqediwe. Ithimba lakho lezempilo lizokugada ngokusondele futhi lingakunikeza imithi yokusiza ukuphatha noma yikuphi ukungakhululeki.
Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Imiphumela emibi kakhulu engase ibe khona ihlanganisa izinso zakho nokuzwa, yingakho ithimba lakho lezempilo liqapha le misebenzi ngokusondele ngesikhathi sokwelashwa.
Xhumana nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana nanoma yiziphi lezi zimo ezimbi:
Le miphumela emibi kakhulu ayivamile uma imithi isetshenziswa ngendlela efanele nangokuqapha okufanele. Ithimba lakho lezempilo liqeqeshwe ukubona izimpawu zokuqala zezinkinga futhi lizolungisa ukwelashwa kwakho uma kudingeka.
Umjovo we-Kanamycin awulungelwe wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela le mithi. Abantu abanezimo ezithile zezempilo bangase badinge ukwelashwa okuhlukile noma izinyathelo zokuphepha ezikhethekile.
Akufanele uthole umjovo we-kanamycin uma wazi ukuthi unokungezwani komzimba ne-kanamycin noma ezinye izibulali-magciwane ze-aminoglycoside njenge-gentamicin, tobramycin, noma i-amikacin. Noma ngabe awukaze uyithathe i-kanamycin ngaphambili, udokotela wakho uzobuza nganoma yikuphi ukusabela kwangaphambilini emithini efanayo.
Abantu abanezinkinga zezinso ezikhona badinga ukucatshangelwa okukhethekile, njengoba i-kanamycin ingathinta ukusebenza kwezinso. Udokotela wakho uzodinga ukulungisa umthamo noma akhethe elinye i-antibiotic uma izinso zakho zingasebenzi kahle.
Nawa amakhondishini angase enze ukujova kwe-kanamycin kungafaneleki noma kudingeke izinyathelo zokuqapha ezikhethekile:
Udokotela wakho uzobuye acabangele iminyaka yakho, njengoba abadala bengase bazwe kalula imiphumela yomuthi ezinso nasekuzweni. Abesifazane abakhulelwe ngokuvamile bathola i-kanamycin kuphela uma izinzuzo zicacile ukwedlula izingozi, njengoba ingase ithinte ukuzwa komntwana osakhulayo.
Uma unanoma yimaphi ala makhondishini, ungakhathazeki - ithimba lakho lezempilo linokukhetha okuhlukile kwe-antibiotic okutholakalayo. Bazosebenza nawe ukuthola ukwelashwa okuphephile nokusebenzayo kakhulu esimweni sakho esithile.
Ukujova kwe-kanamycin kuyatholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile iqukethe isithako esifanayo esisebenzayo futhi isebenza kahle ngokufanayo. Igama lomkhiqizo elivamile kakhulu yi-Kantrex, esetshenziswe ngokuphepha iminyaka eminingi ezibhedlela nasezindaweni zokwelapha.
Amanye amagama omkhiqizo ongase uhlangane nawo afaka i-Klebcil emazweni athile, nakuba ukutholakala kuhluka ngendawo. Isibhedlela sakho noma umtholampilo ngokuvamile uzogcina noma iyiphi inguqulo etholakala kalula futhi eshibhile endaweni yakho.
Igama lomkhiqizo alithinti ukusebenza kahle noma ukuphepha komuthi. Noma ngabe uthola i-kanamycin ejwayelekile noma inguqulo yegama lomkhiqizo, isithako esisebenzayo kanye nokulinganisa kuhlala kufana, futhi ithimba lakho lokunakekelwa kwezempilo lizokuqapha lisebenzisa izinqubo ezifanayo.
Uma ukujova i-kanamycin kungafaneleki esimweni sakho, udokotela wakho unezinye izindlela eziningi zama-antibiotics ezingelapha ngempumelelo izifo ezingathi sína ezibangelwa amagciwane. Ukukhetha kuncike emagciwaneni athile abangela ukutheleleka kwakho kanye nezici zakho zempilo.
I-Gentamicin ivame ukuba yindlela yokuqala okucatshangelwa, njengoba ingeyomndeni ofanayo wama-antibiotics futhi isebenza ngendlela efanayo namagciwane amaningi afanayo. I-Tobramycin ingenye inketho engase ithandwe uma unezinhlobo ezithile zokutheleleka emaphashini noma uma i-gentamicin ingatholakali.
Kwezinye izifo, udokotela wakho angase ancome ama-antibiotics abanzi afana ne-ceftriaxone, i-piperacillin-tazobactam, noma i-meropenem. Le mithi isebenza ngendlela ehlukile kune-kanamycin kodwa ingasebenza ngendlela efanayo ekulweni nezifo ezingathi sína ezibangelwa amagciwane.
Nazi ezinye izindlela udokotela wakho angazicabangela:
Ithimba lakho lokunakekelwa kwezempilo lizokhetha enye indlela efanele kakhulu ngokusekelwe emiphumeleni yamasiko ekhomba amagciwane athile abangela ukutheleleka kwakho futhi ihlole ukuthi yimaphi ama-antibiotics asebenza kahle kuwo. Le ndlela yomuntu ngamunye iqinisekisa ukuthi uthola ukwelashwa okuphumelela kakhulu ngengozi ephansi yemiphumela emibi.
Ukujova kwe-Kanamycin kanye ne-gentamicin yomibili imithi elwa namagciwane ye-aminoglycoside esebenzayo, kodwa akukho noyedwa ongcono kunomunye. Ukukhetha phakathi kwabo kuncike emagciwaneni athile abangela ukutheleleka kwakho kanye nezimo zakho zempilo.
I-Gentamicin ivame ukusetshenziswa ezibhedlela namuhla ngoba isebenza ngokumelene nohlu olubanzi kancane lwamagciwane futhi ifundwe kabanzi eminyakeni yamuva. Kodwa-ke, i-kanamycin ingase ithandwe ezifweni ezithile noma lapho amagciwane esezakhele ukumelana ne-gentamicin.
Yomibili imithi inezingozi ezifanayo zomsebenzi wezinso nokuzwa, ngakho ukukhetha kukadokotela wakho kuvame ukuncika ekutheni iyiphi i-antibiotic esebenza kangcono ngokumelene nokutheleleka kwakho okuthile. Ukuhlolwa kwelabhorethri kungasiza ekutholeni ukuthi iyiphi imithi ezosebenza kahle kakhulu ngohlobo lwakho oluthile lwebhaktheriya.
Kwezinye izimo, udokotela wakho angase ashintshe kusuka komunye aye komunye ngokusekelwe ekutheni usabela kahle kangakanani ekwelashweni noma uma kuvela imiphumela emibi. Zombili zithathwa njengeziphephile futhi ziyasebenza uma zisetshenziswa ngendlela efanele ngokuqapha okufanele.
Ukujova kwe-Kanamycin ngokuvamile kungasetshenziswa ngokuphepha kubantu abanesifo sikashukela, kodwa ithimba lakho lezempilo lizokuqapha eduze. Isifo sikashukela singathinta ukusebenza kwezinso ngokuhamba kwesikhathi, futhi njengoba i-kanamycin icutshungulwa ngezinso zakho, udokotela wakho angase adinge ukulungisa umthamo noma aqaphe ukusebenza kwezinso zakho kaningi.
Umuthi ngokwawo awuthinti ngokuqondile amazinga kashukela egazini, kodwa izifo ezinzima zingenza ukuphathwa kwesifo sikashukela kube yinselele enkulu. Ithimba lakho lezempilo lizosebenza nawe ukuqapha kokubili ukutheleleka kwakho kanye namazinga kashukela egazini ngesikhathi sokwelashwa.
Njengoba umjovo we-kanamycin unikezwa ochwepheshe bezempilo endaweni elawulwayo, ukweqisa ngengozi akuvamile kakhulu. Uma ukhathazekile ngokuthola imithi eningi kakhulu, khuluma nomhlengikazi wakho noma udokotela ngokushesha.
Izimpawu zokuthola i-kanamycin eningi kakhulu zingabandakanya isicanucanu esibi, ukuhlanza, isiyezi, noma izinguquko ekuzweni. Ithimba lakho lezempilo liqapha amazinga emithi yakho ngokusebenzisa ukuhlolwa kwegazi ukuvimbela lesi simo, kodwa lingathatha isinyathelo ngokushesha uma kudingeka, okuhlanganisa ukuhlinzeka ngokunakekelwa okusekelayo futhi mhlawumbe lisebenzise ukwelashwa ukusiza umzimba wakho ukuthi uqede imithi eyeqile.
Njengoba umjovo we-kanamycin unikezwa ochwepheshe bezempilo ngeshejuli eqinile, ukuphuthelwa imithamo akuvamile. Uma umthamo wakho ohleliwe ulibaziseka nganoma yisiphi isizathu, yazisa umhlengikazi wakho noma udokotela ngokushesha ukuze bakwazi ukulungisa ishejuli yakho yokwelashwa ngendlela efanele.
Ithimba lakho lezempilo lizinqumela inkambo engcono kakhulu yesenzo ngokusekelwe ekutheni isikhathi esingakanani esidlulile kanye nohlelo lwakho oluqondile lokwelashwa. Bangase bakunikeze umthamo ophuthelwe ngokushesha ngangokunokwenzeka noma balungise isikhathi semithamo elandelayo ukuze kugcinwe amazinga emithi asebenzayo emzimbeni wakho.
Akufanele neze uyeke ukwelashwa ngomjovo we-kanamycin ngokwakho, ngisho noma uzizwa ungcono kakhulu. Udokotela wakho uzonquma ukuthi uyeka nini imithi ngokusekelwe ezintweni eziningana, okuhlanganisa izimpawu zakho, imiphumela yokuhlolwa kwegazi, kanye nokuqedwa okuphelele kokutheleleka.
Ngokuvamile, uzoqhubeka nokuthola umjovo we-kanamycin uze uqede inkambo ephelele ebekiwe, evame ukuba yizinsuku eziyi-7 kuya kweziyi-14. Udokotela wakho angase andise noma anciphise lesi sikhathi ngokusekelwe ekutheni usabela kahle kangakanani ekwelashweni nokuthi ngabe ukuhlolwa okulandelayo kubonisa ukuthi ukutheleleka kuqediwe ngokuphelele.
Kungcono ukugwema utshwala ngenkathi wamukela ukwelashwa ngomjovo we-kanamycin. Nakuba utshwala bungahlangani ngokuqondile nomuthi, bungakwazi ukucindezela izinso zakho nesibindi, esivele sisebenza ukucubungula i-antibiotic nokulwa nokutheleleka kwakho.
Ngaphezu kwalokho, utshwala bungakwazi ukwenza ngcono eminye imiphumela engemihle efana nesicanucanu, isiyezi, nokuphelelwa amanzi emzimbeni, okungaphazamisa ukululama kwakho. Gxila ekuhlaliseni kahle amanzi ngamanzi nezinye iziphuzo ezingenawo utshwala ukuze usekele inqubo yokuphola yomzimba wakho ngesikhathi sokwelashwa.