Dab tsi yog Vancomycin siv rau
VANCOMYCE HWJ HUAMPuas yog ib qho tshuaj tiv thaiv feem ntau pab kho kab mob los ntawm cov kab mob tsis xws li no, tshwj xeeb yog cov muaj kab mob gram-zoo. Nws yog feem ntau tau muab tshuaj rau cov kab mob uas tiv taus lwm cov tshuaj tua kab mob, xws li penicillin lossis methicillin lossis methicillin lossis meticillin. Yog tias koj txaus siab nyob rau hauv Vancomycin, thov koj xav tiv tauj Xi'an Soniau.
Nov yog qee qhov kev siv ntawm cov khoom:
Tshuaj methicillin-resistant staphylococcus aureus (MRSA) yog siv los kho kab mob los ntawm MRSA, uas tiv thaiv ntau lwm cov tshuaj tua kab mob.
Cov kab mob ntawm cov nqaij mos mos thiab cov tawv nqaij tuaj yeem raug tshuaj rau cov kab mob ntawm daim tawv nqaij hnyav los ntawm cov kab mob uas tiv thaiv lossis cov qog nqaij hlav lossis cellulitis.
Kev kis mob ntawm lub plawv sab hauv yog lub npe hu ua Endocarditis, feem ntau tshwm sim los ntawm cov kab mob xws li Staphylococcus lossis streptococcus. Nws yog siv thaum cov kab mob no tiv taus lwm yam kev kho mob.
Nws tab tom kho hauv kev kho mob ntsws ntawm cov kab mob ntsws, tshwj xeeb tshaj yog cov kab mob uas cov kab mob tiv thaiv lwm cov tshuaj tua kab mob.
Clostridium yog qhov kev kis mob (C. Diff)
Sepsis: thaum muaj kis cov ntshav ntshav (sepsis) tshwm sim los ntawm cov kab mob gram-zoo, nws tuaj yeem siv ua ib feem ntawm kev kho mob.
Mob pob txha thiab sib koom ua ke: kis tus kab mob (asteomyelitis) lossis pob qij txha (tshwj xeeb yuav tsum muaj, tshwj xeeb yog thaum tiv thaiv cov kab mob tau koom nrog.
Kev ua nom
Nws tuaj yeem muab rau ib qho kev sib kis tau ib qho (rau C. Diff mob) lossis intravenously (iv) rau feem ntau lwm hom kev kis mob.
Cov Lus Tseem Ceeb:
Nws feem ntau tsuas yog tshwj tseg rau kev kis mob hnyav lossis thaum lwm cov tshuaj tua kab mob tsis muaj txiaj ntsig, vim tias nws tuaj yeem muaj kev phiv.
Kev hnov mob raum puas tsuaj thiab hnov tsis tau yog cov piv txwv ntawm cov kev mob tshwm sim (yog tias siv cov pob txiv neej siab), thiab "Rash uas tuaj yeem tshwm sim nrawm dua).
Vim tias lub peev xwm los tiv thaiv nws thiab nws cov kev mob tshwm sim, cov kws kho mob feem ntau siv nws thaum lwm yam, tsis tshua muaj zog tshuaj tua kab mob tsis zoo.
Raws li ib txwm muaj, nws yuav tsum tsuas yog siv nyob rau hauv kev coj ntawm tus kws kho mob.
Cov kab mob twg yog V MATTERCIN KHIAV
Nws ua haujlwm zoo rau ntau hom kab mob gram-zoo tshaj plaws, tshwj xeeb tshaj yog cov uas tiv taus lwm cov tshuaj tua kab mob. Nws ua haujlwm los ntawm kev tiv thaiv cov kab mob ntawm phab ntsa ntawm tes los ntawm kev sab sauv, uas yog qhov tseem ceeb rau cov kab mob muaj sia nyob.
Nov yog qee cov kab mob tseem ceeb uas Vancomycin kho mob:
1. Staphylococcus aureus (suav nrog Methicillin-resistant Staphylococcus aureus - MRSA)
Tshuaj methicillin-tiv taus staphylococcus aureus yog lub npe hu ua MRSA thiab lwm cov tshuaj tua kab mob. Feem ntau nws siv los kho cov kab mob MRSA loj, uas tuaj yeem suav cov tawv nqaij thiab cov mob ntsws, mob pob txha, thiab mob ntshav paug.
2. Streptococcus hom
Streptococcus pneumoniae: Cov kab mob no ua rau mob mob rau pneumonia, meningitis, thiab lwm yam kab mob. Nws qee zaum siv rau kev tiv taus.
Streptococcus Pyogenes: Cov hom no ua rau kub taub hau zoo li kub ntxhov, thiab ua npaws thiab tsis tuaj yeem ua rau muaj kab mob hnyav li necrotizing fastomis fastomitis firmitis. Nws tuaj yeem siv cov mob hnyav, tshwj xeeb tshaj yog cov kab mob tiv thaiv.
3. Cov hom enterococcus (tshwj xeeb tshaj yog VANCOMYCIN-Resistant Interococcus - VRE)
Thaum Enterococci feem ntau muaj kev cuam tshuam rau nws, qee hom hlab, zoo li VRE, tiv taus nws. Txawm li cas los xij, nws tseem zoo rau cov neeg mob facalis thiab enterococcus faecium hauv kev kho mob tso zis, endocarditis, thiab lwm yam kis tau tus mob.
4. Clostridium difficile (C. Diff)
C. Kev mob strifficile feem ntau kho nrog cov tshuaj tua kab mob ntawm qhov ncauj, tshwj xeeb tshaj yog thaum muaj lwm txoj kev kho mob zoo li metronidazole tsis ua tiav. Tus kab mob no ua rau mob plab zom mov, xws li raws plab thiab mob plab.
5. Lesteria Monocytogenes
Nws tuaj yeem raug siv los ua ib feem ntawm kev kho mob rau cov kab mob letermosis, kis tau tus kab mob los ntawm Listeria Monocytogenes, tshwj xeeb hauv cov neeg mob Listeria MonocyTly hauv cov neeg mob ntsws uas muaj kev pheej hmoo ntawm cov teeb meem.
6. Bacillus hom
Qee hom bacillus (xws li, bacillus cerus) yuav raug rau nws, tshwj xeeb yog qhov uas tus mob hnyav heev.
7. CyNEneBacterium hom
Nws yuav siv tau los kho kab mob tshwm sim los ntawm qee hom Condekebacterium, tshwj xeeb tshaj yog tias tus kab mob hnyav heev.
8. Peptostreptococcus hom
Cov kab mob anaerobic no, feem ntau pom nyob rau hauv kev kis mob ntawm lub qhov ncauj thiab kev ua pa ua pa, qee zaum tuaj yeem kho nrog nws, tshwj xeeb yog tias lwm cov tshuaj tua kab mob tsis muaj txiaj ntsig.
Cov ntawv tseem ceeb ntawm kev tsis kam:
Thaum lub sij hawm nws ua tau zoo tawm tsam ntau cov kab mob gram-zoo, kev tawm tsam yog kev txhawj xeeb loj zuj zus. Piv txwv li, Vancomycin-resistant enterococus (Vancomycin-resistant staphylococcus aureus (VRSA) yog hom uas tau tsim tawm tsam nws. Yog li ntawd, feem ntau nws tshwj tseg rau cov kab mob uas lwm cov tshuaj tua kab mob tsis zoo, thiab nws yog siv kom tsis txhob muaj kev txhawb nqa tsis kam.
Hauv cov ntsiab lus, nws feem ntau siv los kho cov kab mob hnyav, tshwj xeeb yog cov uas tiv taus lwm cov tshuaj tua kab mob. Nws yog qhov tseem ceeb tshaj plaws hauv kev kho mob tshwm sim los ntawm MRSA thiab qee hom kev sib zog ntawm Enterococci thiab C. Difficile.
Sai npaum li cas Vancomycin ua haujlwm
Nws ib txwm pib ua haujlwm tau sai sai tom qab nws tau muab, tab sis lub sijhawm rau pom tau raws li kev mob hnyav npaum li cas thiab siv tshuaj yeeb npaum li cas.
Qhov ncauj viancomycin: Thaum noj qhov ncauj lus, feem ntau yog siv rau cov kab mob kis hluav taws xob zoo li cov kab mob clostridium (C. Diff). Kev txhim kho feem ntau pom nyob rau hauv 248 teev, raws li cov kev ua yeeb tshuaj ncaj qha rau cov kab mob hauv plab.
Hauv ob qho xwm txheej no, qhov ceev ntawm kev rov qab yog yog feem ntau yog yam xws li tus kab mob, thiab tus neeg mob hnyav dua. Txawm hais tias koj pib zoo sai, nws yog ib qho tseem ceeb kom ua tiav cov txheej txheem tshuaj tua kab mob raws li tau lees tias tus kab mob tau kho.
Yog tias koj xav paub txog tus nqi ntawm Vancomycin zog, yog xav nyob rau Xi'an Sonwu, lossis muaj lwm cov lus nug txog cov khoom, tsis txhob yig tau hu rau Xi'an Soniauu.