Imipenem ne-Cilastatin Injection

-Delile

• Ngaphambi kokusebenzisa umjovo we-imipenem ne-cilastatin,
• Umjovo we-Imipenem ne-cilastatin kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Umjovo we-Imipenem ne-cilastatin usetshenziselwa ukwelapha izifo ezithile ezibucayi ezibangelwa amagciwane, kufaka phakathi i-endocarditis (ukutheleleka kolwelwesi lwenhliziyo nama-valve) kanye nomgudu wokuphefumula (kufaka phakathi inyumoniya), umgudu womchamo, isisu (indawo yesisu), izifo zabesifazane, igazi, isikhumba , izifo zamathambo, nezamalungu. I-Imipenem isekilasini lemithi ebizwa ngama-carbapenem antibiotics. Isebenza ngokubulala amagciwane. I-Cilastatin isekilasini lemithi ebizwa nge-dehydropeptidase inhibitors. Isebenza ngokusiza imipenem ukuthi ihlale isebenza emzimbeni wakho isikhathi eside.

Ama-antibiotic afana ne-imipenem kanye ne-cilastatin injection ngeke asebenzele imikhuhlane, umkhuhlane, noma okunye ukutheleleka ngegciwane. Ukuthatha ama-antibiotic lapho kungadingeki kwandisa ingozi yakho yokuthola ukutheleleka kamuva okuphikisana nokwelashwa kwama-antibiotic.

Umjovo we-Imipenem ne-cilastatin uza njengempuphu ezohlanganiswa noketshezi oluzofakwa ngaphakathi (emthanjeni) noma nge-intramuscularly (emsipheni). Lapho i-imipenem ne-cilastatin kufakwa ngomjovo, kuvamise ukufakwa (kujovwe kancane) esikhathini esiyimizuzu engama-20 kuya ehoreni eli-1 njalo emahoreni ayisithupha noma ayisishiyagalombili. Lapho i-imipenem ne-cilastatin inikezwa nge-intramuscularly, ifakwa emisipheni yezinqe noma ethangeni kanye njalo emahoreni ayi-12. Ubude bokwelashwa buxhomeke ohlotsheni lokutheleleka okwelashwa. Udokotela wakho uzokutshela ukuthi uzoyisebenzisa isikhathi esingakanani i-imipenem kanye ne-cilastatin injection. Ngemuva kokuba isimo sakho sesingcono, udokotela wakho angakushintshela komunye umuthi wokubulala amagciwane ongawuthatha ngomlomo ukuqedela ukwelashwa kwakho.

Ungathola umjovo we-imipenem ne-cilastatin esibhedlela, noma unganikeza umuthi ekhaya. Uma usebenzisa umjovo we-imipenem ne-cilastatin ekhaya, wusebenzise ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela ngokucophelela, bese ubuza udokotela wakho noma omunye umhlinzeki wezokunakekelwa kwempilo ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa umjovo we-imipenem ne-cilastatin njengoba kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Uma uzosebenzisa umjovo we-imipenem ne-cilastatin ekhaya, umhlinzeki wakho wezokunakekelwa kwezempilo uzokukhombisa ukuthi uwusebenzisa kanjani umuthi. Qiniseka ukuthi uyaziqonda lezi zinkomba, bese ubuza umhlinzeki wakho wezokunakekelwa kwezempilo uma unemibuzo. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi enzeni uma unezinkinga ngokujova imipenem nomjovo we-cilastatin.

Kufanele uqale ukuzizwa ungcono phakathi nezinsuku ezimbalwa zokuqala zokwelashwa ngomjovo we-imipenem kanye ne-cilastatin. Uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu, shayela udokotela wakho.

Sebenzisa umjovo we-imipenem kanye ne-cilastatin uze uqede incwadi kadokotela, noma ngabe uzizwa ungcono. Uma uyeka ukusebenzisa umjovo we-imipenem ne-cilastatin ngokushesha kakhulu noma uma weqa imithamo, ukutheleleka kwakho kungenzeka kungalashwa ngokuphelele futhi amabhaktheriya angamelana nemithi elwa namagciwane.

Umjovo we-Imipenem ne-cilastatin kwesinye isikhathi kusetshenziselwa ukwelapha iziguli ezinomkhuhlane futhi ezisengozini enkulu yokutheleleka ngoba zinenani eliphansi lamaseli amhlophe egazi. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokusebenzisa umjovo we-imipenem ne-cilastatin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-imipenem noma i-cilastatin; amanye ama-carbapenem antibiotic afana ne-doripenem (Doribax), i-ertapenem (i-Invanz), noma i-meropenem (i-Merrem); ama-anesthetics endawo afana ne-bupivacaine (Exparel, Marcaine, Sensorcaine), etidocaine (Duranest), lidocaine, mepivacaine (Carbocaine, Prolocaine), noma i-prilocaine (Citanest); i-cephalosporins efana ne-cefaclor (Ceclor), i-cefadroxil (i-Duricef), noma i-cephalexin (Keflex); amanye ama-antibiotics e-beta-lactam afana ne-penicillin noma i-amoxicillin (i-Amoxil, i-Trimox, i-Wymox); noma imiphi eminye imithi; noma yiziphi izithako kumjovo we-imipenem ne-cilastatin. Buza usokhemisi wakho noma hlola imininingwane yesiguli somkhiqizi ukuthola uhlu lwezithako.
• 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 yikuphi okulandelayo: i-ganciclovir, i-probenecid (i-Probalan), noma i-valproic acid (i-Depakene, i-Depakote). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma ngabe uke waba nezilonda ebuchosheni, waquleka, noma waba nesifo sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa umjovo we-imipenem ne-cilastatin, shayela udokotela wakho.

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

Umjovo we-Imipenem ne-cilastatin kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ikhanda
• ububomvu, ubuhlungu, noma ukuvuvukala endaweni yomjovo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• Uhudo olunzima (indle enamanzi noma enegazi) engahle yenzeke noma ingenayo imfiva kanye neziqubu zesisu (kungenzeka izinyanga ezi-2 noma ngaphezulu ngemuva kokwelashwa kwakho)
• isifuba
• ukulunywa
• ukuqubuka
• ukuphefumula kanzima noma ukugwinya
• amanabukeni esikhunjeni, emlonyeni, ekhaleni nasemehlweni
• ukukhwabanisa (ukuchitha) kwesikhumba
• ukudideka
• isithuthwane

Umjovo we-Imipenem ne-cilastatin kungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha 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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukudideka
• amajwabu amehlo alengayo
• isithuthwane

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho anga-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kumjovo we-imipenem kanye ne-cilastatin.f

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.

• I-Primaxin^® (equkethe iCilastatin, Imipenem)