Ukujova kweChloramphenicol

-Delile

• Ngaphambi kokuthola umjovo we-chloramphenicol,
• Umjovo we-chloramphenicol ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

Umjovo we-chloramphenicol ungadala ukwehla kwenombolo yezinhlobo ezithile zamaseli egazi emzimbeni. Kwezinye izimo, abantu abathola lokhu kwehla kwamaseli egazi kamuva baba ne-leukemia (umdlavuza oqala kumaseli amhlophe egazi). Ungakuthola lokhu kwehla kwamaseli egazi noma ngabe welashwa nge-chloramphenicol isikhathi eside noma isikhathi esifushane. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: isikhumba esiphaphathekile; ukukhathala ngokweqile; ukuphelelwa umoya; isiyezi; ukushaya kwenhliziyo okusheshayo; ukulimaza noma ukopha okungavamile; noma izimpawu zokutheleleka ezifana nomphimbo obuhlungu, umkhuhlane, ukukhwehlela, nokubanda.

Udokotela wakho uzo-oda ukuhlolwa kwe-laboratory njalo ngesikhathi sokwelashwa kwakho ukubheka ukuthi ngabe inani lamaseli egazi emzimbeni wakho lehlile. Kufanele wazi ukuthi lezi zivivinyo azihlali zibona izinguquko emzimbeni ezingaholela ekwehleni unomphela kwenani lamaseli egazi. Kungcono ukuthi uthole umjovo we-chloramphenicol esibhedlela ukuze ukwazi ukubhekwa ngeso lokhozi ngudokotela wakho.

Umjovo we-chloramphenicol akufanele usetshenziswe lapho elinye i-antibiotic ikwelapha ukutheleleka kwakho. Akufanele isetshenziselwe ukwelapha ukutheleleka okuncane, imikhuhlane, imikhuhlane, ukutheleleka komphimbo noma ukuvimbela ukukhula kwesifo.

Khuluma nodokotela wakho ngezingozi zokuthola umjovo we-chloramphenicol.

Umjovo we-chloramphenicol usetshenziselwa ukwelapha izinhlobo ezithile zezifo ezibucayi ezibangelwa amagciwane uma amanye ama-antibiotics engakwazi ukusetshenziswa. Umjovo we-chloramphenicol usesigabeni semithi ebizwa ngama-antibiotics. Isebenza ngokumisa ukukhula kwamagciwane ..

Imithi elwa namagciwane efana nomjovo we-chloramphenicol ngeke isebenzele imikhuhlane, umkhuhlane, noma okunye ukutheleleka ngegciwane. Ukuthatha ama-antibiotic lapho kungadingeki kwandisa ingozi yakho yokuthola ukutheleleka kamuva okuphikisana nokwelashwa kwama-antibiotic.

Umjovo we-chloramphenicol uza njengoketshezi oluzofakwa emthanjeni ngudokotela noma ngumhlengikazi esibhedlela. Imvamisa inikezwa njalo emahoreni ayisithupha. Ubude bokwelashwa kwakho buncike ohlotsheni lokutheleleka okwelashwa. Ngemuva kokuba isimo sakho sesingcono, udokotela wakho angakushintshela komunye umuthi wokubulala amagciwane ongawuthatha ngomlomo ukuqedela ukwelashwa kwakho.

Kufanele uqale ukuzizwa ungcono phakathi nezinsuku ezimbalwa zokuqala zokwelashwa ngomjovo we-chloramphenicol. Uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, tshela udokotela wakho.

Sebenzisa umjovo we-chloramphenicol inqobo nje uma udokotela wakho ekutshela, noma ngabe uzizwa ungcono. Uma uyeka ukusebenzisa umjovo we-chloramphenicol maduzane noma weqe imithamo, ukutheleleka kwakho kungenzeka kungalashwa ngokuphelele futhi amabhaktheriya angamelana nemithi elwa namagciwane.

Uma kwenzeka kuba nempi yebhayoloji, umjovo we-chloramphenicol ungasetshenziswa ukwelapha nokuvikela izifo eziyingozi ezisatshalaliswa ngamabomu njengesifo, i-tularemia, ne-anthrax yesikhumba noma yomlomo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthola umjovo we-chloramphenicol,

• Tshela udokotela kanye nosokhemisi wakho uma une-allergen kumjovo we-chloramphenicol noma omunye umuthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’’ ama-thinner egazi ’’) njenge-warfarin (i-Coumadin); i-aztreonam (i-Azactam); ama-cephalosporin antibiotic afana ne-cefoperazone (Cefobid), i-cefotaxime (i-Claforan), i-ceftazidime (i-Fortaz, i-Tazicef), ne-ceftriaxone (i-Rocephin); i-cyanocobalamin (uvithamini B₁₂); i-folic acid; izithako zensimbi; imithi ethile yomlomo yesifo sikashukela efana ne-chlorpropamide (i-Diabinese) ne-tolbutamide; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifampin (i-Rimactane, i-Rifadin); nemithi engadala ukwehla kwenani lamaseli egazi emzimbeni. Buza udokotela wakho noma usokhemisi ukuthi ngabe yimiphi imithi oyiphuzayo engadala ukwehla kwenani lamaseli egazi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo ingaxhumana nomjovo we-chloramphenicol, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho ukuthi wake welashwa ngomjovo we-chloramphenicol phambilini, ikakhulukazi uma uhlangabezana nemiphumela emibi kakhulu. Udokotela wakho angakutshela ukuthi ungasebenzisi umjovo we-chloramphenicol.
• tshela udokotela wakho uma uke waba nesifo sezinso noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthola umjovo we-chloramphenicol, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola umjovo we-chloramphenicol.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Umjovo we-chloramphenicol ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• izilonda zolimi noma zomlomo
• ikhanda
• ukudana
• ukudideka

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• isifuba
• ukuqubuka
• ukulunywa
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ubunzima bokugwinya noma ukuphefumula
• indle enamanzi noma enegazi (kufika ezinyangeni ezimbili ngemuva kokwelashwa kwakho)
• amajaqamba esiswini
• ubuhlungu bemisipha noma ubuthakathaka
• ukujuluka
• imizwa yokundikindiki, ubuhlungu, noma ukuncinza engalweni noma emlenzeni
• izinguquko ezingazelelwe embonweni
• ubuhlungu nokunyakaza kwamehlo

Umjovo we-chloramphenicol ungadala isimo esibizwa nge-grey syndrome ezinganeni ezingaphambi kwesikhathi nezisanda kuzalwa. Kubuye kwaba nemibiko ye-grey syndrome ezinganeni ezineminyaka engaphansi kwengu-2 nasezinganeni ezisanda kuzalwa omama babo abaphathwa ngomjovo we-chloramphenicol ngesikhathi sokubeletha. Izimpawu, ezivame ukwenzeka ngemuva kwezinsuku ezintathu kuya kwezingu-4 zokwelashwa, zingabandakanya: ukuqunjelwa yisisu, ukuhlanza, izindebe eziluhlaza okwesibhakabhaka nesikhumba ngenxa yokushoda komoya-mpilo egazini, umfutho ophansi wegazi, ukuphefumula kanzima nokufa. Uma ukwelashwa kumiswa lapho kuqala uphawu lwanoma yiziphi izimpawu, izimpawu zingaphela, futhi usana lungalulama ngokuphelele. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesikhathi sokubeletha noma ukwelapha izingane nezingane ezincane.

Umjovo we-chloramphenicol ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Buza udokotela wakho noma yimiphi imibuzo onayo ngomjovo we-chloramphenicol. Uma usenezimpawu zokutheleleka ngemuva kokuqeda umjovo we-chloramphenicol, khuluma nodokotela wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

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