Created at:1/13/2025
IMafenide iyikhilimu elichazwe ngudokotela elilwa namagciwane elenzelwe ngqo ukuvimbela nokwelapha izifo ezingxenyeni ezivuthayo ezinzima. Lo muthi osetshenziswa ngaphandle womzimba usebenza ngokumisa amagciwane ayingozi ekukhuleni esikhumbeni esilimele, unike umzimba wakho ithuba elingcono lokululama kahle.
Uma wena noma othile omkhathalelayo ehlushwa ukulimala ngenxa yokusha, udokotela wakho angase akuchaze i-mafenide njengengxenye yohlelo lokwelapha. Kubaluleke kakhulu ukusha kwesibili nokwesithathu, lapho ingozi yokutheleleka okukhulu iphakeme kakhulu.
IMafenide iyisibulali-magciwane esinamandla esiza njengekhilimu olisetha ngqo ezingxenyeni ezivuthayo. Ingokweqembu lemithi ebizwa ngokuthi ama-sulfonamides, asebenza ngokuphazamisa ikhono lamagciwane lokukhula nokuzala.
Ngokungafani neminye imithi elwa namagciwane esetshenziswa ngaphandle komzimba, i-mafenide ingangena ngaphakathi kakhulu esicutshini esivuthayo, ngisho nasesikhumbeni esiqinile, esinjengesikhumba esakheka ngemva kokusha okukhulu. Lokhu kuyenza ibaluleke kakhulu ekwelapheni ukusha okungena ngaphakathi ezindaweni zesikhumba.
Lo muthi utholakala kuphela ngencwadi kadokotela futhi kufanele usetshenziswe ngaphansi kokuqondisa kwezokwelapha. Ithimba lakho lezempilo lizobheka intuthuko yakho ngokucophelela ngenkathi usebenzisa lokhu kwelashwa.
IMafenide isetshenziswa ikakhulukazi ukuvimbela nokwelapha izifo zamagciwane ezingxenyeni ezivuthayo, ikakhulukazi ukusha kwesibili nokwesithathu. Lokhu kushisa okujule kakhulu kudala indawo lapho amagciwane ayingozi engathatha khona kalula futhi abangele izifo ezisongela impilo.
Udokotela wakho angase akuchaze i-mafenide uma unokusha okumboza ingxenye enkulu yomzimba wakho noma ukusha ezindaweni ezithambekele kakhulu ekuthelelekeni. Ivame ukusetshenziswa emayunithi okusha esibhedlela njengengxenye yokunakekelwa okubanzi kokusha.
Umuthi usiza ukuvikela isikhumba sakho eselaphekayo emabhaktheriya ayingozi afana ne-Pseudomonas aeruginosa kanye ne-Staphylococcus aureus, avame ukubangela izifo ezigulini ezishiswe ngomlilo. Ngokugcina la mabhaktheriya kude, i-mafenide inikeza umzimba wakho indawo engcono kakhulu yokuphulukiswa kwemvelo.
I-Mafenide isebenza ngokuvimba amabhaktheriya ekukhiqizeni amaprotheni abalulekile abawadingayo ukuze basinde futhi bazale. Cabanga ngakho njengokuphazamisa izimboni zangaphakathi zamabhaktheriya, okwenza kungabi nakwenzeka ukuthi azigcine noma akhe amaseli amasha amabhaktheriya.
Lokhu kuthathwa njengomuthi oqinile we-antibiotic, osebenza kahle ikakhulukazi ezinhlotsheni zamabhaktheriya avame ukuthelela amanxeba okusha. Ingakwazi ukungena ngaphakathi kwesicubu esishisiwe kangcono kunezinye izibulala-magciwane eziningi zendawo, ifinyelele amabhaktheriya angase acashe ezingqimbeni ezijule zesikhumba esilimele.
Umuthi uqhubeka nokusebenza amahora amaningana ngemva kokusetshenziswa ngakunye, unikeza ukuvikelwa okuqhubekayo ekukhuleni kwamabhaktheriya. Lesi senzo esiqhubekayo sibalulekile ezigulini ezishiswe ngomlilo, ezinqamule umgoqo wesikhumba ozenza zibe sengozini yokuhlaselwa kwamabhaktheriya okuphindaphindiwe.
I-Mafenide kufanele isetshenziswe ngendlela eqondile njengoba udokotela wakho noma iqembu lokunakekela ukusha likuyala. Ukhilimu uvame ukusetshenziswa ngokuqondile endaweni eshisiwe ngendlela elula, ebushelelezi kusetshenziswa inqubo enenzalo ukuze kugwenywe ukwethula amabhaktheriya amasha.
Ngaphambi kokusebenzisa umuthi, umhlinzeki wakho wokunakekelwa kwezempilo uvame ukuhlanza inxeba lokusha ngokucophelela. Uzodinga ukugeza izandla zakho ngokucophelela ngaphambi nangemva kokusingatha umuthi, futhi usebenzise amagilavu angenazinzalo uma uyalelwe.
Ukhilimu uvame ukusetshenziswa kanye noma kabili ngosuku, kuye ngesimo sakho esithile. Ithimba lakho lokunakekela ukusha lizokukhombisa inqubo efanele futhi lingase liqale ukuyisebenzisa kuwe uze uzizwe ukhululekile ngenqubo.
Ngokungafani neminye imithi, i-mafenide akudingeki ithathwe nokudla njengoba isetshenziswa ngaphandle kunokuba igwinywe. Nokho, kufanele ugweme ukuthola ukhilimu emehlweni akho, ekhaleni, noma emlonyeni.
Ubude bokwelashwa nge-mafenide buxhomeke ekutheni ukusha kwakho kululama kahle kangakanani kanye nengozi yakho yokutheleleka. Iziguli eziningi ziyayisebenzisa kuze kube yilapho amanxeba azo okusha eselule kahle kakhulu noma kuze kube yilapho izinqubo zokufakelwa kwesikhumba seziqediwe.
Udokotela wakho uzohlola intuthuko yakho njalo futhi angashintsha ubude bokwelashwa ngokuya ngokuthi isikhumba sakho siphendula kanjani. Ezinye iziguli zidinga umuthi izinsuku ezimbalwa nje, kanti ezinye ezinokusha okukhulu zingawusebenzisa amasonto amaningana.
Ungayeki ukusebenzisa i-mafenide ngokuzumayo ngaphandle kokukhuluma nomhlinzeki wakho wezempilo kuqala. Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane ukuthi abuye futhi kubangele ukutheleleka okukhulu eminxeni yakho yokusha elulama.
Njengayo yonke imithi, i-mafenide ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma isetshenziswa njengoba kuyalelwe. Umphumela ovamile kakhulu ukuzwa ukusha noma ukugwaza lapho ukhilimu uqala ukusetshenziswa endaweni okushiswe kuyo.
Nansi imiphumela emibi ongase uyithole, futhi kujwayelekile ngokuphelele ukuzizwa ukhathazekile ngayo:
Le miphumela eseceleni ejwayelekile ivamise ukulawuleka futhi ivame ukuthuthuka njengoba ukwelashwa kwakho kuqhubeka. Ithimba lakho lezempilo lingakusiza ukuthi uthole izindlela zokunciphisa ukungakhululeki ngenkathi usathola izinzuzo zokulwa nokutheleleka ozidingayo.
Imiphumela eseceleni engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nobunzima bokuphefumula, ukusabela okukhulu kwesikhumba, noma izimpawu zokungezwani komzimba njengokuvuvukala kobuso bakho, izindebe, noma umphimbo.
I-Mafenide ayifanele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Into ebaluleke kakhulu ukuthi ngabe unokungezwani komzimba emithini ye-sulfonamide.
Kufanele utshele udokotela wakho nganoma yikuphi ukusabela kwangaphambilini emithini ye-sulfa, njengoba i-mafenide ingeyalo mndeni wemithi. Noma ngabe uke waba nokusabela okuncane ngaphambili, kungase kube nzima kakhulu ngokuphathwa kokusha.
Abantu abanezinkinga ezithile zezinso bangase badinge ukuqashwa okukhethekile ngenkathi besebenzisa i-mafenide, njengoba umuthi ngezinye izikhathi ungathinta ibhalansi yomzimba wakho ye-acid-base. Udokotela wakho uzohlola ukusebenza kwezinso zakho uma kukhona okukhathazayo.
Uma ukhulelwe noma uncelisa, udokotela wakho uzohlola izinzuzo ngokumelene nezingozi ezingaba khona. Ukusha kungaba yingozi empilweni, ngakho ukwelashwa kungase kusadingeka, kodwa uzodinga ukuqashwa okwengeziwe.
I-Mafenide ivame ukutholakala ngaphansi kwegama lomkhiqizo elithi Sulfamylon. Le yindlela ongahlangana ngayo ezibhedlela nasezikhungweni zokwelapha ukusha.
Umuthi uza ngesimo se-cream equkethe i-85 mg ye-mafenide acetate ngegramu. Ikhemisi yakho noma isibhedlela sizohlinzeka ngomkhiqizo othile odokotela bakho abawubhaliwe.
Izinhlobo ze-generic ze-mafenide nazo zingatholakala, kodwa ukwelashwa kokusha kuvame ukusebenzisa ifomula yegama lomkhiqizo elisunguliwe ukuqinisekisa imiphumela eqhubekayo.
Ezinye izibulala-magciwane ezingaphezulu ezingasetshenziswa ekwelapheni ukusha, nakuba ngasinye sinokwazisa kwazo kanye nemikhawulo yazo. I-silver sulfadiazine cream ingenye yezindlela ezivamile, ikakhulukazi ekushiseni okungathí sina.
Ezinye izinketho zihlanganisa i-bacitracin ointment, i-mupirocin cream, noma izembatho ezintsha ze-antimicrobial eziqukethe isiliva noma ezinye izinto ezilwa nokutheleleka. Udokotela wakho uzokhetha ngokuya ngohlobo lwakho oluthile lokusha kanye nengozi yokutheleleka.
Ukukhethwa kokwelashwa kuncike ezintweni ezinjengobujule bokusha kwakho, amagciwane angase abangele izinkinga, nokuthi isikhumba sakho sikubekezelela kangakanani imithi ehlukene. Ithimba lakho lokunakekela ukusha linobuchwepheshe bokukhetha inketho engcono kakhulu yesimo sakho.
Kokubili i-mafenide ne-silver sulfadiazine ziyindlela yokwelapha ukusha esebenzayo, kodwa zisebenza kangcono ezimweni ezihlukene. I-Mafenide ingena ekujuleni kwesicubu sokusha futhi isebenza ngokumelene nohlu olubanzi lwamagciwane, okwenza ibaluleke kakhulu ekushiseni okukhulu.
I-Silver sulfadiazine ivame ukunethezeka kakhulu ukuyisebenzisa futhi ibangela imiphumela emibi embalwa, ngakho-ke ingase ithandwe ekushiseni okungathí sina noma lapho induduzo yesiguli iyinkinga enkulu. Kulula futhi ukuyisebenzisa futhi ukuyisusa ngesikhathi sokushintsha ukugqoka.
Ithimba lakho lokunakekela ukusha lizocabangela izinto ezinjengobujule bokusha kwakho, izinhlobo zamagciwane osengozini enkulu yawo, nokuthi ukubekezelela kahle kangakanani imithi ngayinye. Ngezinye izikhathi odokotela basebenzisa kokubili imithi ezigabeni ezihlukene zokuphulukisa.
Ukukhetha
I-Mafenide ingasetshenziswa ezinganeni uma inikezwe ngudokotela wezingane noma ithimba lokunakekela ukusha. Ukulinganisa kwemithi yezingane nezindlela zokuyisebenzisa kungashintshwa ngokusekelwe eminyakeni yazo, isisindo, nobukhulu bokusha kwazo.
Izingane zivame ukudinga izinyathelo zokunethezeka ezengeziwe ngesikhathi sokusebenzisa ngoba umuthi ungabangela ukuvutha okwesikhashana. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukwenza ukwelashwa kube lula ngangokunokwenzeka ngenkathi liqinisekisa ukuthi ingane yakho ithola ukuvikelwa elikudingayo.
Uma usebenzisa i-mafenide eningi kunaleyo oqondiswe ukuyisebenzisa, susa ngokucophelela okweqile ngendwangu ehlanzekile, emanzi uma kungenzeka. Ungagcobi noma ucacise indawo eshisiwe ngokuqhubekayo ngenkathi ususa umuthi owengeziwe.
Xhumana nodokotela wakho noma ithimba lokunakekela ukusha ukuze uthole isiqondiso, ikakhulukazi uma uqaphela ukwanda kokusha, ukucasuka, noma yiziphi izimpawu ezingavamile. Bangakwazi ukweluleka ukuthi ngabe udinga ukushintsha ukusetshenziswa kwakho okulandelayo noma ukufuna ukunakekelwa okwengeziwe.
Uma weqa ukusebenzisa i-mafenide, yisebenzise ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze nesikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungasebenzisi imithi eyengeziwe ukwenza umthamo oweqiwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Uma ungaqiniseki ngesikhathi, xhumana nethimba lakho lokunakekelwa kwezempilo ukuze uthole isiqondiso esithile mayelana nesimo sakho.
Kufanele uyeke ukusebenzisa i-mafenide kuphela uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Lokhu kuvame ukwenzeka lapho amanxeba akho okusha eselapheke ngokwanele noma lapho okunye ukwelashwa kuthatha indawo ohlelweni lwakho lokunakekelwa.
Ithimba lakho lokunakekelwa kwezempilo lizobheka inqubekela phambili yakho futhi likwazise uma ingozi yokutheleleka yehle ngokwanele ukuyeka umuthi. Ukuyeka ngokushesha kungakubeka engozini yokutheleleka ngamabhaktheriya okungathi sína emanzebeni akho okusha alulayo.
Njalo hlola nethimba lakho lokunakekelwa kokusha ngaphambi kokusebenzisa ezinye izikhrimu, ama-oyinti, noma ukwelashwa ezingxenyeni zakho ezishile. Eminye imikhiqizo ingaphazamisa ukusebenza kwe-mafenide noma ibangele ukucasuka okwengeziwe.
Udokotela wakho uzoqondanisa zonke izici zokunakekelwa kwakho kokusha ukuze aqinisekise ukuthi konke kusebenza ngokuphepha. Bazokwazisa ukuthi yimiphi imikhiqizo ephephile ukuyisebenzisa nokuthi yiziphi okufanele ukugweme ngesikhathi sokwelashwa kwakho.