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Anter

• Nā ʻōuli
• Nā kiʻi o ka maʻi ʻulaʻula kanaka
• Nā Kumu
• Nā kumu weliweli
• Ka hanana
• Lapaʻau
• Outlook

Hōʻike Overview

ʻO ka maʻi kanaka ʻulaʻula ka hopena maʻamau i ka lāʻau vancomycin (Vancocin). Kapa ʻia ia i kekahi manawa he maʻi ʻāʻī ʻulaʻula. Hele mai ka inoa mai ka ʻulaʻula e hoʻomohala ma ka maka, ka ʻāʻī, a me ke kino o ka poʻe i hoʻopilikia ʻia.

ʻO Vancomycin kahi antibiotic. Hoʻohana pinepine ʻia e mālama i nā maʻi koʻohune koʻikoʻi, e like me nā mea i hoʻokumu ʻia e staphylococci kūpaʻa methicillin, i kapa ʻia ʻo MRSA. Pale ka lāʻau i ka bacteria mai ka hana ʻana i nā paia o ke kolamu, kahi e make ai ka maʻi bacteria. Hoʻopili kēia i ka ulu hou a kāpae i ka hoʻolaha ʻana o ka maʻi.

Hiki ke hāʻawi ʻia ʻo Vancomycin i nā hanana ke loaʻa nā maʻi āpau i kekahi kanaka i nā ʻano antibiotic ʻē aʻe, e like me ka penicillin.

Nā ʻōuli

ʻO ka hōʻailona nui o ka maʻi ʻulaʻula kahi ʻulaʻula nui ma ka maka, ka ʻāʻī, a me ke kino kiʻekiʻe. Hana pinepine ia i ka manawa a ma hope paha o ka infravenous (IV) infusion o vancomycin. I nā manawa he nui, ʻo ka wikiwiki o ka hāʻawi ʻia ʻana o ka lāʻau, e ʻike ʻia ka hū.

ʻIke pinepine ka hū i loko o 10 a 30 mau minuke o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Ua ʻike ʻia kekahi mau hopena lohi i ka poʻe i loaʻa i nā infusions vancomycin no kekahi mau lā.

I nā manawa he nui, he haʻahaʻa loa ka hopena ma hope o ka vancomycin infusion e hele a ʻike ʻole ʻia. ʻIke pinepine ʻia hoʻi ka hōʻoluʻolu a me nā ʻano o ke ahi a me ka ʻaki. ʻO nā ʻōuli liʻiliʻi ʻoi aku ka nui akā ʻoi aku ka nui o nā ʻōuli koʻikoʻi:

• hypotension (haʻahaʻa ke koko,)
• pokole o ka hanu
• ʻūpā
• ʻeha poʻo
• haʻalulu
• fiva
• ʻeha ka umauma

Nā kiʻi o ka maʻi ʻulaʻula kanaka

Nā Kumu

Ua manaʻo mua nā kauka ua hana ʻia ka maʻi ʻulaʻula e nā impurities i ka hoʻomākaukau ʻana o ka vancomycin. I kēia manawa, ua kāhea pinepine ʻia ka maʻi maʻi e ka inoa kapakapa ʻo “Mud Misis.” Eia nō naʻe, ua hoʻomau ʻia ka maʻi o ke kanaka ʻulaʻula me ka nui o ka hoʻomaikaʻi ʻana i ka maʻemaʻe o nā hoʻomākaukau vancomycin.

ʻIke ʻia i kēia manawa ke kumu o ke kanaka ʻulaʻula e ka overstimulation o ke kikoʻī pilikino i loko o ke kino i ka pane ʻana i ka vancomycin. Pili kēia mau hunaola, i kapa ʻia nā mast mast, me nā hopena maʻi ʻaʻai. Ke hoʻonui ʻia, hana nā pūnaewele mast i nā nui he nui o kahi pūhui i kapa ʻia histamine. Alakaʻi ʻo Histamine i nā ʻōuli o ka maʻi ʻulaʻula kanaka.

ʻO kekahi mau ʻano antibiotic, e like me ciprofloxacin (Cipro), cefepime, a me rifampin (Rimactane, Rifadin), hiki ke hana i ka maʻi ʻulaʻula o ke kanaka ʻulaʻula i nā hihia maʻamau.

[CALLOUT: E aʻo hou aʻe: Nā hopena ʻē aʻe o nā antibiotic »]

Nā kumu weliweli

ʻO ka mea nui makaʻu no ka hoʻomohala ʻana i ka maʻi ʻulaʻula ke loaʻa wikiwiki ʻana i kahi infus vancomycin. I mea e hōʻemi ai i ka pilikia o ka hoʻomohala ʻana i ka maʻi ʻulaʻula, pono e lawelawe lohi ʻia ka vancomycin ma kahi o hoʻokahi hola.

Ua ʻike ʻia ka maʻi o ke kanaka ʻulaʻula e hana pinepine ʻia i ka poʻe ʻōpio ma mua o 40 mau makahiki, ʻo ia hoʻi i nā keiki.

Inā ua hoʻomohala mua ʻoe i ka maʻi ʻulaʻula o ke kanaka ʻula i ka pane ʻana i ka vancomycin, ʻoi aku paha ka hoʻomohala hou ʻana iā ʻoe i nā wā o ka mālama ʻana o ka vancomycin. ʻAʻole like ka nui o nā ʻōuli ma waena o ka poʻe i ʻike i ka maʻi ʻulaʻula o ke kanaka i ka wā i hala a me ka poʻe ʻike iā ia no ka manawa mua.

Hiki ke hoʻonui ʻia nā ʻōuli o ka maʻi ʻulaʻula ke mālama ʻia ʻoe me nā lāʻau ʻē aʻe, e like me:

• nā ʻano antibiotic ʻē aʻe, e like me ciprofloxacin a i ʻole rifampin
• kekahi mau painkillers
• kekahi mau hoʻomaha hoʻomaha puʻupuʻu

ʻO kēia no ka mea hiki i kēia mau lāʻau ke hoʻomāhuahua i nā hunaola like ʻole me vancomycin, e hiki ai i kahi hopena ikaika.

ʻO ka manawa infus vancomycin lōʻihi e hōʻemi ai i ka makaʻu e hoʻomohala ʻoe i ka maʻi ʻulaʻula kanaka. Inā makemake ʻia nā mālama ʻana he nui i nā vancomycin, pono e hāʻawi pinepine ʻia i nā infusions pinepine ma kahi mea haʻahaʻa.

Ka hanana

Aia nā hōʻike like ʻole e pili ana i ka maʻi o ke kanaka ʻulaʻula. ʻIke ʻia e hana ma nā wahi āpau mai 5 a 50 pakeneka o ka poʻe i mālama ʻia me ka vancomycin i ka haukapila. ʻAʻole hōʻike pinepine ʻia nā hihia ʻoluʻolu loa, kahi e hōʻike ai i ka ʻokoʻa nui.

Lapaʻau

ʻO ka hū e pili pū ana me ka maʻi ʻulaʻula o ke kanaka e ʻike ʻia i ka wā a i ʻole ma hope koke iho o ka infus vancomycin. I ka manawa e hoʻomohala ai nā ʻōuli, mau ka 20 mau minuke i ka maʻi o ke kanaka ʻulaʻula. I kekahi mau hihia, mau paha ia no kekahi mau hola.

Inā ʻike ʻoe i ka maʻi ʻulaʻula o ke kanaka ʻula, e hoʻopau koke kāu kauka i ka mālama ʻana i ka vancomycin. Hāʻawi lākou iā ʻoe i ka huina waha o kahi antihistamine e kōkua i ka mālama ʻana i kāu mau ʻōuli. I nā hihia ʻoi aku ka paʻakikī, e like me nā mea e pili ana i ka hypension, pono ʻoe i nā wai IV, nā corticosteroids, a i ʻole ʻelua paha.

E kali kāu kauka no kāu mau hōʻailona e hoʻomaikaʻi ai ma mua o ka hoʻomaka hou ʻana i kāu lāʻau lapaʻau vancomycin. Na lākou e lawelawe i ke koena o kāu kau ma ka wikiwiki e hoʻemi i kou makaʻi i kahi hopena ʻē aʻe.

Outlook

Kū pinepine ka maʻi o ke kanaka ʻulaʻula ke hoʻokomo koke ʻia ʻo vancomycin, akā hiki ke hana ʻia ke hāʻawi ʻia ka lāʻau e nā ala ʻē aʻe pū kekahi. ʻO ka hōʻailona maʻamau ka ʻulaʻula ʻulaʻula e hoʻomohala ma luna o ke kino o luna, me kahi aniani a i ʻole ke ahi e ʻā.

ʻAʻole koʻikoʻi nā hōʻailona o ka maʻi ʻulaʻula, akā hiki iā lākou ke hōʻoluʻolu ʻole. ʻO nā ʻōuli maʻamau ka lōʻihi o ka manawa a hiki ke hoʻokele ʻia me nā antihistamines. Inā ua hoʻomohala ʻoe i ka maʻi ʻulaʻula kanaka ma mua, e hoʻomohala hou paha ʻoe iā ia. E hoʻomaopopo i kāu kauka ma mua o ka loaʻa ʻana o kahi infus vancomycin inā loaʻa kēia hopena iā ʻoe i ka wā i hala.