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

I-Vancomycin iyisibulala-magciwane esinamandla esinikezwa odokotela nge-IV (intravenous) line ngqo egazini lakho. Lo muthi ungowesigaba esikhethekile sezibulala-magciwane esibizwa ngokuthi ama-glycopeptides, futhi ungomunye wemithi ephumelela kakhulu esinayo yokwelapha izifo ezingathi sína ezibangelwa amagciwane ezingasabeli kwamanye ama-antibiotics.

Cabanga nge-vancomycin njengethuluzi elikhethekile ekhithini lezokwelapha likadokotela wakho. Liyigugu ikakhulukazi uma ubhekene nezifo eziqine ngokubangelwa amagciwane afana ne-MRSA (methicillin-resistant Staphylococcus aureus) noma lapho amanye ama-antibiotics engasebenzanga. Ithimba lakho lezempilo ngokuvamile ligcina lo muthi ezimweni lapho ngempela udinga amandla awo ayingqayizivele nokusebenza kwawo.

Iyini i-Vancomycin Esetshenziselwa?

I-Vancomycin iphatha izifo ezingathi sína ezibangelwa amagciwane ezingaba yingozi ekuphileni uma zingelashwa. Udokotela wakho uzokunikeza lo muthi uma unezifo ezibangelwa amagciwane e-gram-positive, ikakhulukazi lawo asemelana namanye ama-antibiotics.

Nawa amakhondishini amakhulu lapho i-vancomycin ibonakala isiza kakhulu, futhi ukuqonda lokhu kungakusiza ukuthi ubone ukuthi kungani udokotela wakho ekhethe lokhu kwelashwa okuthile kuwe:

• Izifo ezinzima zesikhumba nezicubu ezithambile - Uma izifo zingena ngaphakathi esikhumbeni sakho, imisipha, noma ezinye izicubu ezithambile
• Izifo zegazi (i-sepsis) - Uma amagciwane engena egazini lakho futhi asakazeka emzimbeni wakho wonke
• Izifo zamavalvu enhliziyo (i-endocarditis) - Isimo esibucayi esithinta ungqimba olungaphakathi lwenhliziyo yakho
• Izifo zamathambo namalunga - Kubandakanya i-osteomyelitis kanye ne-septic arthritis
• Umkhuhlane wamaphaphu (i-pneumonia) - Ikakhulukazi umkhuhlane wamaphaphu otholakala esibhedlela noma umkhuhlane wamaphaphu ohlobene nomoya-mpilo
• I-Meningitis - Uma amalunga okuvikela azungeze ubuchopho bakho nomgogodla wakho eguliswa
• Izifo ezingemva kokuhlinzwa - Izifo ezivela ngemva kokuhlinzwa okuthile

Udkt wakho angase futhi asebenzise i-vancomycin ukuvimbela izifo ngaphambi kokuhlinzwa okuthile okuyingozi kakhulu, ikakhulukazi uma unokungezwani ne-penicillin noma unomlando wezifo ze-MRSA. Le ndlela yokuvimbela isiza ukukugcina uphephile ngezikhathi ezibucayi.

Isebenza Kanjani I-Vancomycin?

I-Vancomycin isebenza ngokuhlasela izindonga zamaseli amagciwane, empeleni ichitha ungqimba lwabo olungaphandle oluvikelayo. Le yindlela eqinile futhi eqondiswe ngqo eyenza isebenze ikakhulukazi ekulweni nezifo ezinzima.

Umuthi ubopha ezingxenyeni ezithile zodonga lweseli lamagciwane futhi uvimbela amagciwane ekwakheni nasekugcineni isakhiwo sawo. Ngaphandle kodonga oluqinile lweseli, amagciwane awazi ukusinda futhi ekugcineni ayafa. Le ndlela yenza i-vancomycin ibe namandla ngokukhethekile ekulweni namagciwane e-gram-positive, anezindonga zamaseli eziqine kakhulu okuthi lo muthi ukwazi ukuqondisa ngempumelelo.

Okuthi i-vancomycin iyigugu ikakhulukazi yikhono layo lokulwa namagciwane asekhe athuthukise ukumelana namanye ama-antibiotics. Kodwa-ke, leli qiniso futhi lisho ukuthi ithimba lakho lezempilo lizokuqapha eduze ngenkathi ulithola, liqinisekisa ukuthi lisebenza ngempumelelo ngenkathi liqaphela noma yimiphi imiphumela emibi.

Kufanele Ngiyithathe Kanjani I-Vancomycin?

I-Vancomycin ihlala inikezwa ngomugqa we-IV, hhayi njengepilisi oyigwinyayo. Ithimba lakho lezempilo lizofaka ishubhu elincane emthanjeni wakho, ngokuvamile engalweni yakho, futhi umuthi uzogeleza kancane ungene egazini lakho ngemizuzu engama-60 kuya kwengama-120.

Ukufakwa kancane kubalulekile ekuphepheni kwakho nasekunethezekeni. Ukunikeza i-vancomycin ngokushesha kungabangela into ebizwa ngokuthi "i-red man syndrome," lapho isikhumba sakho siba bomvu futhi siluma. Ngokuthatha isikhathi ngokufakwa, ithimba lakho lezokwelapha lisiza ekuvikeleni lokhu kusabela okungakhululeki.

Akudingeki ukhathazeke ngesikhathi salo muthi ngokudla ngoba uqondana ngqo egazini lakho. Kodwa-ke, ukuhlala unamanzi ngokwanele ngokuphuza amanzi amaningi (ngaphandle uma udokotela wakho ekunikeze imikhawulo yoketshezi) kungasiza ukusekela izinso zakho ngenkathi uthola ukwelashwa.

Umnakekeli wakho uzokuhlola njalo ngesikhathi sokufakwa ngakunye ukuze aqinisekise ukuthi uzizwa ukhululekile nokuthi indawo ye-IV ibukeka kahle. Uma uqaphela noma yiziphi izinzwa ezingavamile, ubuhlungu endaweni ye-IV, noma uzizwa ungaphilile ngesikhathi sokufakwa, yazisa ithimba lakho lezempilo ngokushesha.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Vancomycin?

Ubude bokwelashwa kwakho nge-vancomycin buxhomeke ohlotsheni nasekubeni sibi kokutheleleka kwakho. Abantu abaningi bathola lo muthi izinsuku eziyi-7 kuya kweziyi-14, kodwa ezinye izifo zingase zidinge ukwelashwa isikhathi eside.

Udktora wakho uzoqapha inqubekela phambili yakho ngezivivinyo zegazi nezimpawu zomtholampilo ukuze anqume ngqo ukuthi udinga isikhathi esingakanani ukwelashwa. Ezifweni ezilula, ungase udinge i-vancomycin isonto elilodwa nje. Izimo eziyinkimbinkimbi njenge-endocarditis noma izifo zamathambo zivame ukudinga amasonto amaningana okwelashwa ukuqinisekisa ukuthi ukutheleleka kuqedwe ngokuphelele.

Ngesikhathi sokwelashwa kwakho, ithimba lakho lezempilo lizohlola njalo amazinga egazi lakho ukuze liqinisekise ukuthi imithi isebenza ngempumelelo. Bazophinda baqaphe ukusebenza kwezinso zakho njengoba i-vancomycin ingathinta ukuthi izinso zakho zisebenza kahle kangakanani. Lokhu kuhlolwa njalo kusiza ekuqinisekiseni ukuthi uthola inani elifanele lemithi isikhathi esifanele.

Kubalulekile ukuqeda lonke uhlelo lokwelashwa, ngisho noma uqala ukuzizwa ungcono ngaphambi kokuthi luqede. Ukuyeka ngaphambi kwesikhathi kungavumela ukuthi ukutheleleka kubuye, okungenzeka ngesimo esinzima ukusilapha.

Yiziphi Imiphumela Eceleni ye-Vancomycin?

Njengayo yonke imithi enamandla, i-vancomycin ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma iqashwe kahle. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiselelwe kangcono futhi wazi ukuthi ungaxhumana nini nethimba lakho lezempilo.

Imiphumela emibi evame kakhulu ongase uyithole ivamise ukulawuleka futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi:

• I-Red man syndrome - Ukubomvu, ukuluma, noma ukuqubuka emzimbeni wakho ongenhla, intamo, nobuso
• Ukucasuka noma isisu esibuhlungu - Kungase kwenzeke ngesikhathi noma ngemva kokufakwa
• Ubuhlungu noma ukucasuka endaweni ye-IV - Ukuthamba okuthile lapho inaliti ingena emthanjeni wakho
• Ikhanda - Ngokuvamile lithambile futhi lesikhashana
• Isiyezi - Ikakhulukazi uma usukuma ngokushesha
• Amaqhwa noma umkhuhlane - Impendulo yomzimba wakho ekulweni nokutheleleka

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezempilo ngokushesha. Ithimba lakho lezempilo lizokuqapha ngokucophelela ngenxa yalezi, kodwa kubalulekile ukuthi wazi ukuthi yini okufanele uyibheke:

• Izinkinga zezinso - Ushintsho ekuchameni, ukuvuvukala emilenzeni noma ezinyaweni, ukukhathala okungavamile
• Ushintsho lokuzwa - Ukukhala ezindlebeni, ukulahlehelwa ukuzwa, noma izinkinga zokulinganisela
• Ukuphendula okunamandla komzimba - Ukuphefumula kanzima, ukuqubuka okukhulu, noma ukuvuvukala ebusweni nasemphinjeni
• Ukutheleleka nge-Clostridioides difficile - Ukuhuda okukhulu, ubuhlungu besisu, noma umkhuhlane

Ithimba lakho lezokwelapha lizohlola njalo igazi lakho ukuze liqaphe ukusebenza kwezinso zakho futhi liqinisekise ukuthi amazinga emithi alungele umzimba wakho. Lokhu kuqapha ngokucophelela kusiza ukubamba noma yiziphi izinkinga ezingaba khona ekuqaleni futhi kulungise ukwelashwa kwakho uma kudingeka.

Ubani Ongafanele Athathe I-Vancomycin?

Ngenkathi i-vancomycin ivikelekile ngokuvamile kubantu abaningi, izimo ezithile zidinga ukuqapha okwengeziwe noma zingakuvimbela ukuthi uthole lo muthi. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela i-vancomycin.

Kufanele utshele ithimba lakho lezempilo uma unezinye zalezi zimo, njengoba zingase zithinte ukuthi i-vancomycin ilungele yini wena:

• Isifo sezinso noma izinkinga zezinso - I-Vancomycin ingathinta ukusebenza kwezinso
• Ukulahlekelwa ukuzwa noma izinkinga zendlebe - Umuthi ungase uthinte ukuzwa
• Ukuphendula komzimba ngaphambilini ku-vancomycin - Ngisho nokuphendula okuncane kufanele kubikwe
• Isifo samathumbu esivuvukalayo - Kungase kwandise ingozi yezinye izinkinga
• Ukusetshenziswa kwamuva kwamanye ama-antibiotics - Kungathinta ukuthi i-vancomycin isebenza kanjani

Uma ukhulelwe noma uncelisa, udokotela wakho uzohlola ngokucophelela izinzuzo nezingozi. I-Vancomycin ingawela i-placenta futhi ingene obisini lwebele, kodwa ngezinye izikhathi kuyadingeka ezifweni ezinzima lapho izinzuzo zidlula izingozi ezingaba khona.

Ithimba lakho lezempilo lizobuye licabangele noma yimiphi eminye imithi oyithathayo, njengoba eminye imithi ingasebenzisana ne-vancomycin noma ikhulise ingozi yemiphumela emibi. Njalo nikeza uhlu oluphelele lwemithi yakho, okuhlanganisa imithi etholakala ngaphandle kwekhawunta kanye nezithasiselo.

Amagama Omkhiqizo we-Vancomycin

I-Vancomycin itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba uzovame ukuzwa abahlinzeki bezempilo bekhuluma ngayo ngokuthi "vancomycin" noma "vanco." Amagama omkhiqizo ajwayelekile afaka i-Vancocin, i-Firvanq, kanye nezinhlobo ezihlukahlukene ze-generic.

Noma ngabe uthola inguqulo yegama lomkhiqizo noma i-generic ayithinti ukusebenza komuthi. Yonke imikhiqizo ye-vancomycin evunywe yi-FDA kumele ihlangabezane nezindinganiso eziqinile zokuphepha nokusebenza kahle. Ikhemisi lakho noma isibhedlela ngokuvamile lizohlinzeka nganoma iyiphi inguqulo etholakala kalula.

Lapho uxoxa ngemithi yakho nabahlinzeki bezempilo abahlukene, ungasebenzisa igama elivamile elithi "vancomycin" noma elinye igama lomkhiqizo - bazoqonda ukuthi ubhekisa emuthini ofanayo.

Ezinye Izindlela ze-Vancomycin

Ezinye izibulali-magciwane eziningana zingelapha izifo ezifanayo, nakuba i-vancomycin ivame ukukhethwa ngenxa yokusebenza kwayo okuyingqayizivele ngokumelene namagciwane angamelani. Udokotela wakho angase acabangele ezinye izindlela ezisuselwe esifweni sakho esithile, umlando wakho wezokwelapha, nokuthi uzithola kanjani kahle imithi ehlukene.

Ezinye izindlela udokotela wakho angase axoxe ngazo zihlanganisa:

\n
• I-Linezolid - Inganikezwa ngomlomo noma nge-IV, ivame ukusetshenziselwa izifo zesikhumba
\n
• I-Daptomycin - Elinye i-antibiotic ye-IV elisebenza kahle ekuqhumeni kwamagciwane alwa nemithi
\n
• I-Clindamycin - Itholakala ngezindlela zomlomo ne-IV zezinye izifo
\n
• I-Tigecycline - I-antibiotic entsha yezifo eziyinkimbinkimbi
\n
• I-Teicoplanin - Ifana ne-vancomycin kodwa ayitholakali kuwo wonke amazwe
\n

Ukukhetha phakathi kwe-vancomycin nezinye izindlela kuncike ezintweni eziningi, okuhlanganisa amagciwane athile abangela ukutheleleka kwakho, ukusebenza kwezinso zakho, eminye imithi oyithathayo, kanye nesimo sakho sempilo esiphelele. Udokotela wakho uzokhetha i-antibiotic engase isuse ukutheleleka kwakho ngokuphepha nangempumelelo.

Ingabe i-Vancomycin Ingcono Kune-Linezolid?

Kokubili i-vancomycin ne-linezolid ziyizibulala-magciwane ezinhle kakhulu zokwelapha izifo ezingathi sína zamagciwane, kodwa ngamunye unamathuba ahlukile ngokuya ngesimo sakho esithile. Esikhundleni sokuthi eyodwa ibe

Udktela wakho ucabangela izinto ezinjengendawo yokutheleleka kwakho, ukusebenza kwezinso zakho, eminye imithi oyithathayo, nokuthi ngabe udinga ukuhlala esibhedlela yini lapho ekhetha phakathi kwalezi zinketho. Yomibili imithi isebenza kahle kakhulu uma isetshenziswa ngendlela efanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Vancomycin

Ingabe i-Vancomycin iphephile ezigulini ezinokugula kwezinso?

I-Vancomycin ingasetshenziswa kubantu abanezifo zezinso, kodwa idinga ukuqapha okucophelelayo nokulungiswa kwemithamo. Udktela wakho uzoshintsha inani nemvamisa ye-vancomycin ngokuya ngokuthi izinso zakho zisebenza kahle kangakanani.

Uma unezinkinga zezinso, ithimba lakho lezempilo lizohlola amazinga egazi lakho kaningi ukuze liqinisekise ukuthi imithi ayiqoqi emazingeni angaphephile. Bangase futhi bakunikeze imithamo emincane noma bayihlukanise kakhulu ukuze bavikele ukusebenza kwezinso zakho ngenkathi belapha ukutheleleka kwakho ngempumelelo.

Okubalulekile ukuxhumana eduze nethimba lakho lezempilo mayelana nanoma yiziphi izinguquko ekuchameni kwakho, ukuvuvukala, noma ukuthi uzizwa kanjani sekukonke. Ngokuqapha okufanele, abantu abaningi abanezifo zezinso bangathola i-vancomycin ngokuphepha uma beyidinga ngezifo ezinzima.

Ngingenzani uma ngithola i-Vancomycin eningi ngengozi?

Uma ukhathazekile ngokuthola i-vancomycin eningi, yazisa ithimba lakho lezempilo ngokushesha. Njengoba le mithi inikezwa endaweni yesibhedlela ngokuqapha okucophelelayo, ukweqisa akuvamile, kodwa ithimba lakho lezokwelapha lingahlola ngokushesha isimo futhi lithathe isinyathelo esifanele.

Izimpawu ezingase zikhombe ukuthi uthole i-vancomycin eningi zihlanganisa isicanucanu esibi, izinguquko ezinkulu ekuzweni, ukudideka, noma ukukhathala okungajwayelekile. Ithimba lakho lezempilo cishe lizohlola amazinga egazi lakho nokusebenza kwezinso uma kukhona ukukhathazeka ngomthamo.

Izindaba ezinhle ukuthi ukweqisa komthamo we-vancomycin kuvame ukuphathwa ngempumelelo ngokunakekelwa okusekelayo, futhi, ezimweni ezinzima, izinqubo zokusiza ukususa imithi eningi ohlelweni lwakho. Ithimba lakho lezokwelapha liqeqeshwe ukubhekana nalezi zimo futhi lizokunakekela kahle.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Vancomycin?

Njengoba i-vancomycin inikezwa esibhedlela noma endaweni yezokwelapha, ukuphuthelwa umthamo akuvamile, kodwa kungenzeka uma kunezinkinga zokuhlela noma izimo eziphuthumayo zezokwelapha. Ithimba lakho lezempilo lizosebenza nawe ukuze ubuyele emgwaqeni ngokushesha okukhulu.

Uma umthamo ulibaziseka, ungakhathazeki - ithimba lakho lezokwelapha lizolungisa isikhathi somthamo wakho olandelayo ukuze ligcine amazinga asebenzayo omuthi ohlelweni lwakho. Bangase futhi bahlole amazinga egazi lakho ukuze baqinisekise ukuthi usathola ukwelashwa okuhle.

Into ebaluleke kakhulu ukuthi uqhubeke nohlelo lwakho lokwelashwa njengoba kuchaziwe. Ithimba lakho lezempilo lizokwenza noma yikuphi ukulungiswa okudingekayo ukuze liqinisekise ukuthi uthola inzuzo ephelele yokwelashwa kwakho ngama-antibiotic.

Ngingayeka nini ukuthatha i-Vancomycin?

Kufanele uyeke kuphela ukuthatha i-vancomycin uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Lesi sinqumo sisekelwe ezintweni eziningana, okuhlanganisa ukuthi usabela kanjani ekwelashweni, imiphumela yokuhlolwa kwegazi, nokuthi ngabe ukutheleleka kwakho kuqediwe yini.

Ithimba lakho lezempilo lizobheka inqubekela phambili yakho ngokuhlolwa kwegazi okuvamile, ukuhlolwa komzimba, nokuhlola izimpawu zakho. Lapho izimpawu zakho zokutheleleka zibuyela ebangeni elijwayelekile futhi uzizwa ungcono, udokotela wakho uzonquma ukuthi kuphephile ukuyeka umuthi.

Ungayeki i-vancomycin ngaphambi kwesikhathi, ngisho noma uzizwa ungcono kakhulu. Ukwelashwa okungaphelele kungavumela ukutheleleka ukuthi kubuye, okungenzeka ngesimo esimelana kakhulu okunzima ukusilapha. Thembela ekuqondisweni kwethimba lakho lezempilo mayelana nokuthi kufanelekile nini ukuqeda inkambo yakho yokwelashwa.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Vancomycin?

Kungcono ukugwema utshwala ngenkathi uthola ukwelashwa nge-vancomycin. Nakuba utshwala bungahlangani ngokuqondile ne-vancomycin, bungaphazamisa ikhono lomzimba wakho lokulwa nokutheleleka futhi bungase lenze ezinye izimo ezingezinhle zibe zimbi njengokucasuka kwesisu noma isiyezi.

Utshwala bungase futhi bubeke ingcindezi eyengeziwe ezinso zakho, futhi njengoba i-vancomycin idinga ukuqapha izinso ngokucophelela, ukugwema utshwala kusiza ukuqinisekisa ukuthi izinso zakho zingakwazi ukusingatha imithi ngokuphepha. Ngaphezu kwalokho, utshwala bungaphazamisa ukulala kwakho nokululama konke ekuthelelekeni kwakho.

Gxila ekuhlaliseni kahle amanzi ngamanzi nezinye iziphuzo ezingezona utshwala ngesikhathi sokwelashwa kwakho. Lokhu kusekela ukululama kwakho futhi kusiza izinso zakho ukuthi zisebenze imithi ngempumelelo. Ungaxoxa ngokubuyela ekusetshenzisweni kotshwala obulinganiselwe nodokotela wakho ngemva kokuqeda ukwelashwa kwakho.