Vancomycin wata kwayar cutar ce ta karshe
Vancomycin wata kwayar cutar ce ta ƙarshe da aka saba amfani dasu don magance cututtuka na miyagun ƙwayoyi. Vancomycin an ware shi ne daga samfurori na kasar Borne fiye da shekaru 50 da suka shige. Da farko, 'yan kananan likitoci sunyi amfani da vancomycin maimakon fi son wasu maganin maganin rigakafin da ake zaton sun fi tasiri (vancomycin yana da tsayi don yin aiki fiye da penicillin) da ƙasa da mai guba.
Duk da haka, farawa a farkon shekarun 1980, likitoci da wasu masu sana'a na kiwon lafiya sun fara bayyana sabon sha'awar wannan magani. Wannan sha'awar sabuntawa ya kasance ne kawai saboda ikon vancomycin na yaki da Staphylococcus aureus na Methicillin (MRSA) da kuma iya magance pseudomembranous colitis. Harshen Pseudomembranous abu ne mai cututtuka na ciwon (cututtukan) wanda ke riƙe bayan magani tare da wasu maganin rigakafi da suka kashe daji na kwakwalwa.
Hanyar Vancomycin na aikin
Vancomycin yana da glycopeptide tricyclic. Yana ɗaure ga kwayoyin kwayoyin halitta da kuma alters cell membrane permeability. Har ila yau yana shafar kwayoyin RNA synthesis.
A lokacin da yafi yawan kwayoyin halitta kamar staphylococci da streptococci, ayyukan vancomycin ne bacteriocidal. A wasu kalmomi, vancomycin yana aiki ne don kashe kwayoyin gram-positive. Duk da haka, a lokacin da ake fada da kwayoyin cuta, wani nau'i na kwayoyin halitta, ka'idodin vancomycin ne bacteriostatic, kuma yana aiki don hana kwayoyin haifuwa.
Vancomycin ɗaukar hoto
Ana amfani da Vancomycin don yaƙin da dama na kwayoyin pathogens, da dama daga cikinsu akwai maganin wasu nau'in maganin rigakafi ciki har da:
- babban cututtuka mai tsanani a cikin mutanen da ke fama da rashin lafiyar penicillin
- methicillin-resistant Staphylococcus aureus (MRSA)
- methicillin-resistant Staphylococcus epidermidis
- magani-resistant Streptococcus pneumoniae
- Babban cututtuka na cututtuka a cikin mutanen da ke fama da rashin lafiyar penicillin
- cututtuka masu ciwo mai tsanani da suka kamu da cutar penicillin
- Viridans streptococci
- Multi-magani resistant Corynebacterium jeikeium
- Clostridium wuya
Cutar da aka yi da vancomycin
Ana amfani da Vancomycin zuwa wasu nau'i na kamuwa da cuta mai tsanani kamar:
- cututtuka na numfashi na numfashi;
- kashi, fata da laushi-nama;
- peritonitis;
- endocarditis (cututtukan zuciya);
- enterocolitis da kuma pseudomembranous colitis (ciwon daji);
- prophylaxis lokacin da jurewa hakori, biliary, GI, numfashi da kuma cututtuka na genitourinary;
- ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa
- cututtuka na tsawon lokaci (kashe-lakabi);
- meningitis (kashe-lakabin amfani).
Masanin Vancomycin da sashi
Saboda ciwon gastrointestinal yana cike da vancomycin, yawanci ana gudanar da shi azaman allura. Duk da haka, idan aka yi amfani da su don ciwon cututtuka da kuma pseudomembranous colitis, duka cututtuka na gastrointestinal, marasa lafiya suna ɗaukan maganganun vancomycin.
Ana amfani da Vancomycin a cikin saiti na asibiti (asibiti). Domin dosing yana da rikitarwa kuma yana dogara da ƙwanƙwasa da ƙwararru, yawancin magungunan ƙwayoyin magunguna suna kira akan lissafi.
Bugu da ƙari, saboda vancomycin an cire shi da kodan, yin amfani da wannan miyagun ƙwayoyi ya fi rikitarwa a cikin mutane tare da raunin gaza.
Dama Vancomycin
Abubuwa masu illa masu cututtuka da suka danganci vancomycin sune mahimmanci, kuma mummunar sakamako na vancomycin shine iyakancewa ko rashin lafiya. Duk da haka, vancomycin zai iya zama nephrotoxic kuma ya lalata kodan musamman lokacin da aka gudanar da aminoglycosides, wani nau'i na kwayoyin halitta. Bugu da ƙari, idan aka gudanar tare da aminoglycosides ko haɗari mai ƙarfi na erythromycin, kuma wani nau'i na kwayoyin, vancomycin zai iya lalata sauraron (alamomi).
A ƙarshe, vancomycin zai iya haifar da hyperemia ko ja-man syndrome, wani nau'i na flushing; Irin wannan flushing za a iya ragewa idan wanda aka yi haƙuri ya fara bada antihistamines.
Maganin Vancomycin yana haifar da damuwa sosai tsakanin magunguna, masu bincike da magungunan wariyar launin fata. Domin vancomycin yana daya daga cikin layinmu na karshe na kare lafiyar cutar da kuma maganin miyagun ƙwayoyi, har da cewa ba zai ƙara yin aiki don magance kamuwa da cuta ba shine abin tsoro mai ban tsoro kuma ya bar mu da wasu ƙananan zaɓuka (tunani Zosyn da ceftaroline). Musamman, ƙwayoyin maganin vancomycin resistant mai cike da ƙwayar cuta a cikin asibitoci a duniya. Domin ana amfani da vancomycin ne a asibitoci, wuraren kiwon lafiya (SKFs), gidaje masu noma da sauransu, yana da mahimmanci cewa masu kula da lafiyar jiki sunyi matakai don iyakance irin maganin vancomycin kamar magance labarun rubutu da kuma taƙaita yaduwar maganin vancomycin tsakanin marasa lafiya ta hanyar haƙuri rabu da tsabta da tsabta.
Sakamakon Zaɓuɓɓuka
Guglielmo B. Anti-Ingantive Chemotherapeutic & Agent antibiotic. A cikin: Papadakis MA, McPhee SJ, Rabow MW. eds. Sanarwar Asibiti na Yanzu da Jiyya 2015 . New York, NY: McGraw-Hill; 2014. Samun damar Afrilu 07, 2015.
Maganin Moto na Mosby ga Ma'aikatan Lafiya, Ɗabi'ar Biyu da Masallaci / Elsevier ya wallafa a shekarar 2010.