Cirbadeynta Telavancin
Qanacsan
- Kahor intaadan isticmaalin cirbadeynta telavancin,
- Cirbadda Telavancin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:
Cirbadeynta Telavancin waxay sababi kartaa dhaawac kelyaha ah. U sheeg dhakhtarkaaga haddii aad qabtid sonkorow, wadne istaag (xaalad wadnuhu awoodi kari waayo inuu dhiig ku filan u daadsho qaybaha kale ee jirka), dhiig karka, ama kelyo xanuun. U sheeg dhakhtarkaaga haddii aad qaadanaysid daawadayaasha loo yaqaan 'angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Epaned, Vasotec, in Vaseretic), enalaprilat, fosinopril, lisinopril (Prinivil, Zestril, in Zesttic) , moexipril, perindopril (Aceon, in Prestalia), quinapril (Accupril, in Accuretic, Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, in Tarka); angiotensin receptor blockers (ARBs) sida candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, Tribenzor), telmisartan (Micardis, in Twynsta) ), iyo valsartan (Diovan, oo ku taal Byvalson, Entresto, Exforge); loop diuretics ("kaniiniyada biyaha") sida bumetanide (Bumex), ethacrynic acid (Edecrin), furosemide (Lasix), iyo torsemide (Damadex); iyo dawooyinka nonsteroidal anti-bararka (NSAIDS) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: kaadida oo yaraata, barar lugahaaga, cagaha, ama anqawyada, wareer, ama feedho xanuun ama cadaadis.
Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa amri doona baaritaano gaar ah kahor iyo inta daaweyntaadu socoto.
Cirbadeynta Telavancin waxay cilladaha dhalashada ku keentay xoolaha. Daawadan looma baarin dumarka uurka leh, laakiin waxaa macquul ah inay sidoo kale u keento cilado dhalasho ee caruurta ay hooyooyinkood heleen talaalka telavancin inta ay uurka leeyihiin. Waa inaadan isticmaalin cirbadeynta telavancin inta aad uurka leedahay ama aad qorsheyneyso inaad uur yeelato haddii uusan dhakhtarkaagu go'aansan in tani ay tahay daaweynta ugu fiican ee cudurkaaga. Haddii aad uur qaadi karto, waxaad u baahan doontaa in lagaa qaado baaritaanka uurka ka hor inta aadan bilaabin daaweynta cirbadda telavancin. Waxaad sidoo kale u baahan doontaa inaad isticmaasho qaab wax ku ool ah oo xakameyn uur ah inta lagu jiro daweyntaada. Haddii aad uur yeelato inta aad qaadanaysid duritaanka telavancin, isla markiiba wac dhakhtarkaaga.
Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo-saaraha (Hagaha Daawada) marka aad bilowdo daaweynta cirbadeynta telavancin. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa websaydhka Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.
Kala hadal dhakhtarkaaga khataraha isticmaalka cirbadeynta telavancin.
Cirbadda Telavancin waxaa loo isticmaalaa kali ama daawooyin kale si loogu daaweeyo infekshannada maqaarka ee halista ah ee ay sababaan noocyo bakteeriya ah Waxaa sidoo kale loo isticmaalaa kaligiis ama daawooyin kale in lagu daaweeyo noocyada oof-wareenka qaarkood oo ay keento bakteeriya marka aysan jirin fursado daaweyn oo kale oo la heli karo. Cirbadda Telavancin waxay ku jirtaa nooc daawo ah oo loo yaqaan 'lipoglycopeptide antibiotics' Waxay ku shaqeysaa iyada oo la dilo bakteeriyada keenta cudurka.
Antibiyootikada sida cirbadeynta telavancin ayaan u shaqeyn doonin hargabka, ifilada, ama infekshannada kale ee fayraska keena. Isticmaalka antibiyootikada markii aan loo baahnayn waxay kordhisaa halista aad u qaadi karto jeermis dambe oo iska caabiya daaweynta antibiyootikada.
Cirbadeynta Telavancin waxay u timaadaa sidii budo ah in lagu qaso dareere lagana duray xididka (xididka). Badanaa waxaa lagu shubaa (tartiib tartiib ah) mudo ah 60 daqiiqo hal mar 24kii saacba 7 ilaa 21 maalmood. Dhererka daaweyntaadu waxay kuxirantahay nooca cudurka aad qabtid iyo sida jirkaaga uga jawaab celiyo daawada.
Waxaad dareemi kartaa fal-celin inta aad qaadanayso qaddarka duritaanka telavancin, badanaa inta lagu jiro faleebadaada ama ugu dhakhsaha badan ka dib faleebadaadu markay dhammaato. Isla markiiba u sheeg dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamahan inta aad qaadanayso cirbadeynta telavancin: liqitaanka oo dhib ama neefsashada, bararka carrabkaaga, bushimaha, cunaha ama wejiga, xabeeb, cuncun, cuncun, firiiric, soo bixitaanka jirka sare, garaaca wadnaha oo dhaqso ama aad dareento miyir beelid ama wareer.
Waxaa lagugu mudi karaa isbitaalka isbitaalka ama waxaad ku daaweyn kartaa guriga. Haddii aad ku isticmaali doontid irbadda telavancin guriga, daryeel caafimaad bixiyahaaga ayaa ku tusi doona sida loo buuxiyo daawada. Hubso inaad fahantay tilmaamahan, oo weydii daryeel caafimaad bixiyahaaga haddii aad wax su'aalo ah qabtid. Weydii daryeel caafimaad bixiyahaaga waxa la sameeyo haddii aad wax dhibaato ah ka qabato cirbadeynta cirbadeynta telavancin.
Waa inaad bilowdaa inaad ladnaan dareento inta lagu jiro maalmaha ugu horreeya ee lagu duray cirbadda telavancin. Haddii calaamadahaagu aysan fiicnayn ama ka sii darayn, u sheeg dhakhtarkaaga.
Isticmaal cirbadeynta telavancin illaa aad ka dhammeysid daawada laguu qoray, xitaa haddii aad fiicnaan dareento. Haddii aad si dhakhso leh u joojiso isticmaalka duritaanka telavancin ama aad ka boodo qiyaasaha, infekshinkaaga gebi ahaanba lama daaweyn karo waxayna bakteeriyadu u adkeysan kartaa antibiyootikada.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor intaadan isticmaalin cirbadeynta telavancin,
- u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay telavancin, vancomycin, daawooyin kale, ama wax kasta oo ka mid ah waxyaabaha ku jira irbadda telavancin. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
- u sheeg dhakhtarkaaga haddii aad qaadanaysid heparin. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan isticmaalin heparin haddii aad qaadanayso cirbadeynta telavancin.
- u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: anagrelide (Agrylin); daawooyinka xinjirowga lidka ku ah ('dhiig khafiifiyeyaasha dhiigga' ') sida warfarin (Coumadin); azithromycin (Zithromax); chlorpromazine; cilostazol; ciprofloxacin (Cipro); citalopram; donepezil (Aricept); dronedarone (Multaq); escitalopram (Lexapro); haloperidol (Haldol); daawooyinka xakameynaya garaaca wadnaha ama qiimeynta sida amiodarone (Cordarone, Nexterone, Pacerone), disspyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide, quinidine, iyo sotalol (Betapace, Sorine, Sotylize); levofloxacin (Levaquin); methadone (Dolophine, Methadose); ondansetron (Zofran, Zyplenz); pimozide (Orap); vandetanib (Caprelsa); iyo thioridazine. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la falgeli kara cirbadeynta telavancin, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
- u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama uu weligiis soo maray qadar dheeri ah oo QT ah (dhibaato wadnaha oo dhif ah oo sababi karta garaaca wadnaha oo aan joogto ahayn, miyir beelid, ama geeri lama filaan ah) iyo haddii aad qabtid ama aad waligaa cudurka wadnaha qabatay
- u sheeg dhakhtarkaaga haddii aad naas nuujinayso.
Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.
Cirbadda Telavancin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- dhadhan macdan ama saabuun leh
- rabitaanka cuntada oo yaraaday
- lallabbo
- matagid
- shuban
- Kaadi xumbo leh
- qarqaryo
- madax xanuun
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac dhakhtarkaaga isla markiiba:
- saxaro biyo ah ama dhiig leh, calool xanuun, ama qandho ilaa laba bilood ama ka badan kadib joojinta daaweynta
- garaaca wadnaha oo dhakhso ah ama aan caadi ahayn
- miyir beelid
- soo noqoshada qandhada, qarqaryo, cuna xanuun, ama calaamadaha kale ee infekshanka
Cirbadda Telavancin waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.
Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).
Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.
Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad isticmaaleyso cirbadeynta telavancin.
Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.
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