Yini i-Vancomycin (Indlela Yomlomo): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Vancomycin ethathwa ngomlomo iyisibulala-magciwane esinamandla esilwa nezifo ezingamathambo ezinzima emathunjini akho. Ngokungafani nefomu le-intravenous eliphatha izifo emzimbeni wakho wonke, i-vancomycin yomlomo isebenza endaweni emathunjini akho lapho idingeka kakhulu.

Lo muthi ungowesigaba esibizwa ngokuthi ama-glycopeptide antibiotics, futhi usebenza kahle ikakhulukazi emabhaktheriya athile aqinile angasabeli kwezinye izindlela zokwelapha. Udokotela wakho angase akubhalele uma unezifo ezithile zamathumbu ezidinga le ndlela eqondiwe.

Yini i-Vancomycin?

I-Vancomycin iyisibulala-magciwane esinamandla esatholwa okokuqala emasampulini enhlabathi emuva ngeminyaka yawo-1950. Uma ithathwa ngomlomo, ihlala ikakhulukazi emathunjini akho kunokuthi isakazeke emzimbeni wakho wonke njengoba kwenza amanye ama-antibiotics.

Lesi sici esiyingqayizivele senza i-vancomycin yomlomo ibe usizo ikakhulukazi ekwelapheni izifo ezenzeka ngqo emathunjini akho. Cabanga ngayo njengomuthi oqondiwe oqonda ngqo lapho amabhaktheriya anezinkinga ahlala futhi azala khona.

Ifomu lomlomo liza njengamaphilisi noma uketshezi ongahlanganisa ngamanzi noma ijusi. Umuthi wakho uzokusiza ukuthi uqonde kahle ukuthi ungawulungisa kanjani futhi uwuthatha kanjani umuthi wakho othile.

Isetshenziselwani i-Vancomycin?

I-Vancomycin yomlomo iphatha izinhlobo ezimbili eziyinhloko zezifo ezinzima zamathumbu. Isizathu esivame kakhulu sokuthi odokotela bayibhalele yi-Clostridioides difficile infection, evame ukubizwa ngokuthi i-C. diff, ebangela isifo sohudo esibi nokuvuvukala kwamathumbu amakhulu.

Udokotela wakho angase futhi ancome i-vancomycin yomlomo ye-enterocolitis ebangelwa amabhaktheriya e-Staphylococcus aureus. Lesi simo sidala ukuvuvukala emathunjini akho amancane nasemathunjini amakhulu, okuholela ezimpawini ezingakhululeki njengokugcwala kwesisu nesifo sohudo.

Lezi zifo zivame ukuthuthuka ngemva kokuthi uthathe amanye ama-antibiotics aphazamisa amagciwane ajwayelekile, anempilo emathunjini akho. Lapho amagciwane amahle encishiswa, amagciwane ayingozi angathatha indawo futhi abangele lezi zifo ezinzima.

Kufanelekile ukuqaphela ukuthi i-vancomycin yomlomo ngeke isize ngezifo kwezinye izingxenye zomzimba wakho, njengomkhuhlane wamaphaphu noma izifo zesikhumba. Kulezo zimo, udokotela wakho uzodinga ukubhala ifomu le-intravenous noma elinye i-antibiotic ngokuphelele.

Isebenza Kanjani I-Vancomycin?

I-Vancomycin ithathwa njenge-antibiotic eqinile esebenza ngokuphazamisa indlela amagciwane akha ngayo izindonga zawo zamaseli. Ngaphandle kwezindonga zamaseli ezifanele, amagciwane ayingozi awakwazi ukusinda nokuzala emathunjini akho.

Uma uthatha i-vancomycin yomlomo, idlula esiswini sakho futhi ifinyelele emathunjini akho lapho ihlala khona igxilile. Lesi senzo sendawo sisho ukuthi singalwa nokutheleleka lapho kwenzeka khona ngaphandle kokuthinta kakhulu wonke umzimba wakho.

Umuthi uqondise ngqo amagciwane abangela ukutheleleka kwakho ngenkathi unethonya elincane emagciwaneni anenzuzo kwezinye izingxenye zesimiso sakho sokugaya ukudla. Le ndlela eqondiwe isiza ukunciphisa eminye yemiphumela engemihle ongase uyithole ngamanye ama-antibiotics.

Abantu abaningi baqala ukuzizwa ngcono ezinsukwini ezimbalwa ngemva kokuqala ukwelashwa, nakuba uzodinga ukuqeda inkambo ephelele ukuze uqinisekise ukuthi wonke amagciwane ayingozi aqediwe.

Kufanele Ngiyithathe Kanjani I-Vancomycin?

Thatha i-vancomycin yomlomo ngendlela eqondile udokotela wakho ayibhala ngayo, ngokuvamile izikhathi ezintathu kuya kwezine ngosuku. Ungayithatha ngokudla noma ngaphandle kokudla, kodwa ukuyithatha ngemali encane yokudla kungasiza ukunciphisa isisu.

Uma uthatha amaphilisi, wagwinye wonke ngenkomishi yamanzi egcwele. Ungawachobozi, uwahlafune, noma uvule amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo.

Ngefomu eliwuketshezi, usokhemisi wakho uzokunikeza imiyalelo ethile yokuxuba. Ngokuvamile, uzoxuba impushana ngamanzi noma ijusi ngaphambi nje kokuthatha umthamo ngamunye. Ingxube ingase ibe nobaba, ngakho ukuba nesiphuzo osithandayo eduze kungasiza.

Zama ukuhlukanisa imithamo yakho ngokulinganayo usuku lonke. Ukusetha izikhumbuzi zocingo kungakusiza ukuthi ukhumbule ukuthatha umuthi wakho ngezikhathi ezifanele, okubalulekile ekugcineni amazinga aqhubekayo ohlelweni lwakho.

Uma futhi uthatha eminye imithi, hlola nosokhemisi wakho ngesikhathi. Eminye imithi isebenza kangcono uma ithathwa ngezikhathi ezihlukene ku-vancomycin.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Vancomycin?

Abantu abaningi bathatha i-vancomycin yomlomo izinsuku eziyi-7 kuya kweziyi-10, nakuba ubude bokwelashwa kwakho buxhomeke ohlotsheni lwakho lokutheleleka nokuthi usabela kanjani emuthini. Udokotela wakho uzoqoka ubude obufanele ngokuya ngesimo sakho.

Ezifweni ze-C. diff, ukwelashwa kuvame ukuthatha izinsuku eziyi-10 ngesigameko sokuqala. Uma uke waba nalolu bhubhane ngaphambili, udokotela wakho angase anqume inkambo ende noma isimiso esihlukile sokulinganisa ukuze sivimbele ukuthi singabuyi.

Kubalulekile ukuqeda yonke inkambo ngisho noma uqala ukuzizwa ungcono ngemva kwezinsuku ezimbalwa. Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane asele ukuthi aphindaphindeke futhi, okungenzeka kuholele ekuthelelekeni okungathi sína okunzima ukukwelapha.

Abanye abantu badinga izifundo zokwelashwa ezinwetshiwe, ikakhulukazi uma benokutheleleka okuphindaphindayo. Udokotela wakho uzoqapha inqubekela phambili yakho futhi alungise uhlelo lokwelapha njengoba kudingeka.

Yiziphi Imiphumela Eceleni Ye-Vancomycin?

Abantu abaningi bayayibekezelela kahle i-vancomycin yomlomo njengoba ihlala ikakhulukazi emathunjini. Nokho, ungase uhlangabezane nemiphumela ethile eceleni yokugaya njengoba umzimba wakho uzivumela emuthini.

Imiphumela evamile eceleni abantu abaningi abayitholayo ihlanganisa isicanucanu, ubuhlungu besisu, kanye nezinguquko ekuhambeni kwamathumbu. Lezi zimpawu zivame ukuba mnene futhi zivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nawa amanye amaphutha avame ukubikwa:

• Ukucanuzela noma isisu esibuhlungu
• Ubuhlungu besisu noma ukuqaqamba
• Ukuphalaza
• Ukuphuma isifo sohudo (okuhlukile esifweni sohudo esihlobene nokutheleleka)
• Ukunambitheka okubabayo noma okuyinsimbi emlonyeni wakho
• Ukulahlekelwa isifiso sokudla

Le miphumela ejwayelekile ivamise ukunyamalala ezinsukwini ezimbalwa njengoba umzimba wakho ujwayela ukwelashwa.

Imiphumela engavamile kodwa engathi sína ingenzeka kwabanye abantu. Nakuba lokhu kungavamile, kubalulekile ukukubona futhi uthintane nodokotela wakho uma kwenzeka.

Qaphela lezi zimpawu ezikhathazayo:

• Ubuhlungu besisu obukhulu obungathuthuki
• Igazi esitulweni sakho
• Umkhuhlane noma amaqhwa
• Ukuphalaza okuqhubekayo okukuvimbela ukuthi ungagcini umuthi phansi
• Izimpawu zokuphelelwa amanzi emzimbeni njengokugajezela noma ukuncipha komchamo
• Ukukhathala okungavamile noma ubuthakathaka

Uma uhlangabezana nanoma iyiphi yale miphumela emibi, xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uthole isiqondiso.

Ngokungavamile kakhulu, abanye abantu bangase babe nokusabela komzimba ku-vancomycin. Izimpawu zihlanganisa ukuqubuka, ukuluma, ukuvuvukala kobuso bakho noma umphimbo, noma ubunzima bokuphefumula. Uma uqaphela noma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha.

Ubani Ongafanele Athathwe I-Vancomycin?

Abantu abaningi bangathatha i-vancomycin yomlomo ngokuphepha, kodwa abanye abantu badinga ukucatshangelwa okukhethekile noma bangase bangabi ngabazali abahle kulo muthi. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze aqiniseke ukuthi kuphephile kuwe.

Abantu abaziwa ukuthi banezinto ezingezwani ne-vancomycin noma ama-antibiotics afanayo kufanele bagweme lo muthi. Uma uke waba nokusabela kwamanye ama-antibiotics esikhathini esidlule, qiniseka ukuthi utshela udokotela wakho ngalezi zinto ezenzekile.

Uma unezinkinga zezinso, udokotela wakho uzodinga ukukuqapha eduze. Nakuba i-vancomycin yomlomo ngokuvamile ingawuthinti umsebenzi wezinso njengoba ifomu le-IV lingenza, abantu abanezifo ezinzima zezinso bangase badinge ukulungiswa komthamo.

Labo abanezinkinga zokuzwa kufanele futhi baxoxe ngalokhu nodokotela wabo. Nakuba kungavamile ngohlobo oluthathwa ngomlomo, i-vancomycin ngezinye izikhathi ingathinta ukuzwa, ikakhulu kubantu asebenanezinkinga zokuzwa.

Abesifazane abakhulelwe nabancelisayo ngokuvamile bangathatha i-vancomycin ngomlomo uma kudingeka, kodwa udokotela wakho uzohlola ngokucophelela izinzuzo nezingozi. Umuthi ngokuvamile awubangeli izinkinga ezinganeni ezisakhula, kodwa ngaso sonke isikhathi kungcono ukuxoxa ngesimo sakho esithile.

Abantu abathatha eminye imithi ethile bangase badinge ukulungiswa kwemithamo noma ukuqapha okwengeziwe. Ngesikhathi sonke nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, izithasiselo, nemikhiqizo etholakala ngaphandle kwemvume kadokotela oyisebenzisayo.

Amagama Omkhiqizo we-Vancomycin

I-vancomycin yomlomo itholakala ngaphansi kwamagama amaningana omkhiqizo, i-Vancocin iyilena evame ukwaziwa kakhulu. Ungase futhi uhlangane ne-Firvanq, okuyisixazululo somlomo esilula ukusilinganisa nokusithatha.

Izinhlobo ze-generic ze-vancomycin yomlomo nazo ziyatholakala futhi zisebenza ngempumelelo njengezinketho zegama lomkhiqizo. Umshwalense wakho ungase ukhethe inguqulo ye-generic, engasiza ekunciphiseni izindleko zakho eziphuma ephaketheni.

Amagama omkhiqizo ahlukene kanye nokwakheka konke kuqukethe isithako esifanayo esisebenzayo, ngakho-ke asebenza ngempumelelo ngokulinganayo ekwelapheni ukutheleleka kwakho. Umuthi wakho wemithi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo nokuthi ungayithatha kanjani ngendlela efanele.

Ezinye izindlela ze-Vancomycin

Ezinye izibulali-magciwane eziningana zingelapha izifo zamathumbu ezifanayo njenge-vancomycin yomlomo. I-Fidaxomicin (Dificid) ingenye inketho yezifo ze-C. diff futhi ingase ibe nemiphumela emibi embalwa kwabanye abantu.

I-Metronidazole (Flagyl) yayivame ukuba yindlela yokwelapha yokuqala yezifo ze-C. diff, nakuba manje ngokuvamile igcinelwe amacala angathí sina noma lapho ezinye izinketho zingafaneleki. Udokotela wakho angase acabange lokhu uma uke waba nezinkinga nge-vancomycin ngaphambili.

Ezimweni ezithile, udokotela wakho angase ancome indlela yokuhlanganisa noma ukwelashwa okusha njengokufakelwa kwamagciwane e-fecal microbiota, ikakhulu ezifweni eziphindaphindayo ezingaphenduli kahle emithini elwa namagciwane ejwayelekile.

Ukukhethwa komuthi olwa namagciwane kuncike ezintweni eziningana ezihlanganisa amagciwane athile abangela ukutheleleka kwakho, umlando wakho wezokwelapha, nokuthi izimpawu zakho zinzima kangakanani. Udokotela wakho uzokhetha ukwelashwa okufanele kakhulu isimo sakho esithile.

Ingabe i-Vancomycin ingcono kune-Metronidazole?

Eziningi zezifo ze-C. diff, i-vancomycin yomlomo manje ithathwa njengephumelela kakhulu kune-metronidazole. Ucwaningo lwakamuva lubonisa ukuthi abantu abathatha i-vancomycin bavame ukuba namazinga angcono okuphulukisa kanye nokuphindeka okuncane.

I-Vancomycin isebenza ngokuqondile ngokumelene namagciwane abangela ukutheleleka kwakho futhi ihlala igxilile emathunjini akho lapho idingeka khona. I-Metronidazole, ngenkathi isasebenziseka kwezinye izimo, ayihloseli ukutheleleka ngokuqondile.

Nokho, i-metronidazole ingase isafanele izimo ezithile, njengezifo ezithambile noma lapho izindleko ziyinkinga enkulu. Udokotela wakho uzocabangela izimo zakho ezithile lapho ekhetha phakathi kwalezi zinketho.

Zombili lezi zithako ziyimithi elwa namagciwane esebenzayo, kodwa imihlahlandlela yezokwelapha yamanje ithanda i-vancomycin ezifweni eziningi zamathumbu ngenxa yemiphumela yayo engcono nesenzo esiqondiwe.

Imibuzo Evame Ukubuzwa Nge-Vancomycin

Ingabe i-Vancomycin iphephile ezigulini ezinokugula kwezinso?

I-Vancomycin yomlomo ngokuvamile iphephile kubantu abanezinkinga zezinso ngoba ihlala ikakhulu emathunjini akho kunokuthi izungeze ngqo egazini lakho. Lokhu kwehluke ku-IV vancomycin, engathinta ukusebenza kwezinso.

Kodwa-ke, uma unesifo esibi sezinso, udokotela wakho angase afune ukukuqapha eduze noma alungise umthamo wakho. Inani elincane elingena egazini lakho licutshungulwa izinso zakho, ngakho ukungasebenzi kahle kwezinso kungase kuthinte indlela umzimba wakho oqhubula ngayo umuthi.

Njalo tshela udokotela wakho nganoma yiziphi izinkinga zezinso onazo ukuze bakwazi ukwenza izinqumo ezingcono kakhulu zokwelapha isimo sakho.

Ngingenzani Uma Ngithatha I-Vancomycin Eningi Ngengozi?

Uma ngengozi uthatha i-vancomycin eningi kunaleyo ebekiwe, ungapheli amandla. Njengoba i-vancomycin yomlomo ingangeni kahle egazini lakho, ukuthatha imithamo eyengeziwe mancane amathuba okuthi kubangele izinkinga ezingathi sína uma kuqhathaniswa neminye imithi.

Xhumana nodokotela wakho noma usokhemisi ngokushesha ukuze ubike ukweqisa komthamo futhi uthole isiqondiso esiqondile. Bangase bancomise ukuqapha imiphumela emibi eyengeziwe efana nesicanucanu noma ubuhlungu besisu.

Uma unezimpawu ezinzima ezifana nokuhlanza okuqhubekayo, ubuhlungu obukhulu besisu, noma izimpawu zokuphelelwa amanzi emzimbeni, funa usizo lwezokwelapha ngokushesha. Gcina ibhodlela lomuthi nawe ukuze abahlinzeki bezempilo bakwazi ukubona kahle ukuthi uthathe ini nokuthi uthathe malini.

Ngingenzani Uma Ngiphuthelwa Umthamo We-Vancomycin?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo obekiwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi. Esikhundleni salokho, buyela nje emgqeni ngeshejuli yakho yokulinganisa ejwayelekile.

Uma uvame ukukhohlwa imithamo, zama ukusetha ama-alamu ocingweni noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule. Ukulinganisa okuqhubekayo kubalulekile ukuthi umuthi usebenze ngempumelelo ngokumelene nokutheleleka kwakho.

Ngingayeka nini ukuthatha i-Vancomycin?

Misa ukuthatha i-vancomycin kuphela uma udokotela wakho ekutshela ukuthi wenze njalo, ngisho noma uzizwa ungcono ngokuphelele. Ukuqeda inkambo ephelele kubalulekile ukuqinisekisa ukuthi wonke amagciwane ayingozi asusiwe emzimbeni wakho.

Ukumisa ngaphambi kwesikhathi kungavumela amagciwane asele ukuthi aphindaphindeke futhi, okungenzeka kuholele ekutheleleni okukhulu okunzima ukukwelapha. Lokhu kungaholela ekumelaneni kwama-antibiotic, okwenza ukutheleleka okuzayo kube nzima ukukwelapha.

Udokotela wakho uzoqoka isikhathi esifanele sokumisa ngokusekelwe ezimpawini zakho, uhlobo lokutheleleka, nokuthi usabela kanjani ekwelashweni. Uma unokukhathazeka mayelana nokuqhubeka nomuthi, xoxa ngakho nomhlinzeki wakho wezempilo kunokumisa wedwa.

Ngingakwazi Ukuphuza Utshwala Ngenkathi Ngithatha I-Vancomycin?

Akukho ukusebenzisana okuqondile phakathi kwe-vancomycin yomlomo notshwala, kodwa ukuphuza utshwala ngenkathi unokutheleleka emathunjini akukhuthazwa. Utshwala bungacasula uhlelo lwakho lokugaya ukudla futhi lungase luqhubeke nezimpawu ezinjengokuhuda nobuhlungu besisu.

Ngaphezu kwalokho, utshwala bungaphazamisa ikhono lomzimba wakho lokulwa nokutheleleka futhi lungase lithinte ukuthi umuthi uwamunca kahle kangakanani. Kungcono ukugwema utshwala uze uqede ukwelashwa kwakho futhi uzizwe ungcono.

Uma unemibuzo mayelana nokusetshenziswa kotshwala ngesikhathi sokwelashwa kwakho, xoxa ngalokhu nodokotela wakho ongakunikeza iseluleko esiqondene nawe ngokusekelwe esimweni sakho esithile nempilo yonke.