Imipenem ndi Cilastatin jekeseni

Zamkati

• Musanagwiritse ntchito jekeseni wa imipenem ndi cilastatin,
• Imipenem ndi jekeseni wa cilastatin zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Imipenem ndi jekeseni wa cilastatin amagwiritsidwa ntchito pochiza matenda ena owopsa omwe amayamba chifukwa cha mabakiteriya, kuphatikizapo endocarditis (matenda amkati mwa mtima ndi mavavu) ndi njira yopumira (kuphatikiza chibayo), thirakiti, m'mimba (m'mimba), matenda achikazi, magazi, khungu , matenda a mafupa, ndi mafupa. Imipenem ali mgulu la mankhwala otchedwa carbapenem antibiotics. Zimagwira ntchito popha mabakiteriya. Cilastatin ali mgulu la mankhwala otchedwa dehydropeptidase inhibitors. Zimagwira ntchito pothandiza imipenem kukhalabe olimbikira m'thupi lanu kwa nthawi yayitali.

Maantibayotiki monga imipenem ndi jakisoni wa cilastatin sangagwire chimfine, chimfine, kapena matenda ena a virus. Kutenga maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.

Imipenem ndi jekeseni wa cilastatin amabwera ngati ufa wosakanikirana ndi madzi kuti alowemo kudzera m'mitsempha (mumtsempha) kapena mu mnofu (mu mnofu). Imipenem ndi cilastatin zikajambulidwa kudzera m'mitsempha, nthawi zambiri zimalowetsedwa (jekeseni pang'onopang'ono) kwa mphindi 20 mpaka ola limodzi maola 6 kapena 8 aliwonse. Imipenem ndi cilastatin zikagwiritsidwa ntchito mosakanikirana, imayikidwa mu minofu ya ntchafu kapena ntchafu kamodzi pa maola 12 alionse. Kutalika kwa chithandizo kumadalira mtundu wa matenda omwe akuchiritsidwa. Dokotala wanu angakuuzeni nthawi yayitali kuti mugwiritse ntchito jekeseni wa imipenem ndi cilastatin. Mkhalidwe wanu utakula, dokotala wanu akhoza kukusinthani kupita ku maantibayotiki ena omwe mungamwe pakamwa kuti mumalize kumwa mankhwala.

Mutha kulandira jekeseni wa imipenem ndi cilastatin kuchipatala, kapena mutha kupereka mankhwalawa kunyumba. Ngati mukugwiritsa ntchito imipenem ndi jekeseni wa cilastatin kunyumba, muzigwiritsa ntchito nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndipo funsani dokotala wanu kapena wothandizira zaumoyo kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito jekeseni wa imipenem ndi cilastatin ndendende monga mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukugwiritsa ntchito imipenem ndi jakisoni wa cilastatin kunyumba, wothandizira zaumoyo wanu akuwonetsani momwe mungagwiritsire ntchito mankhwalawa. Onetsetsani kuti mumvetsetsa izi, ndipo funsani omwe akukuthandizani ngati muli ndi mafunso. Funsani omwe amakuthandizani azaumoyo kuti achite chiyani ngati muli ndi vuto loba jakisoni wa imipenem ndi jakisoni wa cilastatin.

Muyenera kuyamba kumva bwino m'masiku ochepa oyambilira akuchipatala ndi jekeseni wa imipenem ndi cilastatin. Ngati matenda anu sakusintha kapena akukulirakulira, itanani dokotala wanu.

Gwiritsani ntchito jakisoni wa imipenem ndi cilastatin mpaka mutha kumaliza mankhwala, ngakhale mutakhala bwino. Mukasiya kugwiritsa ntchito imipenem ndi jekeseni wa cilastatin posachedwa kapena mukadumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kukhala olimba ku maantibayotiki.

Imipenem ndi jekeseni wa cilastatin amagwiritsidwanso ntchito pochiza odwala omwe ali ndi malungo ndipo ali pachiwopsezo chachikulu chotenga matenda chifukwa ali ndi maselo oyera oyera ochepa. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito jekeseni wa imipenem ndi cilastatin,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la imipenem kapena cilastatin; maantibayotiki ena a carbapenem monga doripenem (Doribax), ertapenem (Invanz), kapena meropenem (Merrem); mankhwala opha tizilombo monga bupivacaine (Exparel, Marcaine, Sensorcaine), etidocaine (Duranest), lidocaine, mepivacaine (Carbocaine, Prolocaine), kapena prilocaine (Citanest); cephalosporins monga cefaclor (Ceclor), cefadroxil (Duricef), kapena cephalexin (Keflex); maantibayotiki ena a beta-lactam monga penicillin kapena amoxicillin (Amoxil, Trimox, Wymox); mankhwala ena aliwonse; kapena chilichonse chosakaniza mu imipenem ndi jekeseni wa cilastatin. Funsani wamankhwala wanu kapena onani zomwe wodwala akupanga kuti muwone mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: ganciclovir, probenecid (Probalan), kapena valproic acid (Depakene, Depakote). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwadwalapo ubongo, khunyu, kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa imipenem ndi cilastatin, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Imipenem ndi jekeseni wa cilastatin zimatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• mutu
• kufiira, kupweteka, kapena kutupa pamalo obayira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• Kutsekula m'mimba (malo amadzi kapena amwazi) omwe amatha kuchitika kapena opanda malungo komanso kukokana m'mimba (kumatha miyezi iwiri kapena kuposerapo mutalandira chithandizo)
• ming'oma
• kuyabwa
• zidzolo
• kuvuta kupuma kapena kumeza
• matuza pakhungu, mkamwa, mphuno, ndi maso
• kutsetsereka (kukhetsa) kwa khungu
• chisokonezo
• kugwidwa

Imipenem ndi jekeseni wa cilastatin zimatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• chisokonezo
• zikope zothothoka
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira imipenem ndi jakisoni wa cilastatin.f

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Primaxin^® (yokhala ndi Cilastatin, Imipenem)