Nā lāʻau antibiotic Fluoroquinolone: ​​E ʻike pono kākou e pili ana i nā pilikia a me nā hopena ʻaoʻao

Ua kuhikuhi ʻia paha ʻoe i kahi lāʻau antibiotic no kahi maʻi bacteria i kou hele ʻana i ke kauka. He ikaika loa kekahi o kēia mau mea a hiki ke ho'ōla koke i ka maʻi. Akā ua ʻike anei ʻoe aia kekahi mau lāʻau antibiotic ikaika aʻe e hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi? ʻO Fluoroquinolones kahi papa o nā lāʻau lapaʻau i hoʻohana wale ʻia i nā hihia kūikawā. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a maopopo.

He aha kēia mau fluoroquinolones?

I ka ʻōlelo maʻalahi, he hui kēia o nā antibiotics i hoʻohana ʻia e mālama a pale aku paha i kekahi mau maʻi bacteria. ʻOiai ua ʻike ʻia lākou i nā makahiki 1960, ua hoʻomaka nā kauka e hoʻohana nui iā lākou i nā makahiki 1970 a me 1980. I kēlā manawa, ua kaulana loa kēia mau lāʻau. He kūpono loa lākou i ka mālama ʻana i nā ʻano maʻi like ʻole, mai nā maʻi urinary tract a hiki i ka pneumonia. He maʻalahi lākou e lawe ma ke ʻano he pila i hoʻokahi a ʻelua paha i ka lā, e maʻalahi ai ke lawe. Ua makemake nui ʻia lākou i waena o nā kauka no ka mea ua hāʻawi lākou i ka hōʻoluʻolu wikiwiki ʻoiai ʻaʻole i hana nā antibiotics ʻē aʻe. Eia naʻe, ʻo ka pilikia , ua hoʻomaka kekahi poʻe e ʻike i nā hopena koʻikoʻi mai kēia mau lāʻau. Eia kekahi, no ka mea ua hoʻohana pono ʻole ʻia lākou no kēlā me kēia maʻi, ua kūʻē kekahi mau bacteria i kēia mau lāʻau (antibiotic resistance).

Pehea e hana ai kēia lāʻau lapaʻau?

E noʻonoʻo i kahi bacteria e like me ka mīkini kope. Hoʻomau ia i ka hana kope ʻana iā ia iho, kahi e hoʻonui ai i ka nui o nā maʻi i loko o ko kākou kino. No ka hana ʻana i kēia mau kope, pono ka bacteria e hoʻolōʻihi i kāna code genetic, ʻo ia hoʻi, kāna DNA. Kōkua nā enzymes kūikawā iā ia e hoʻolōʻihi i kēia DNA. Hoʻōki nā Fluoroquinolones i nā enzymes e hoʻolōʻihi i ka DNA. A laila ʻaʻole hiki i nā bacteria ke hana kope, ʻo ia hoʻi, ʻaʻole hiki iā lākou ke hana hou. Penei ke kāohi ʻana o kēia mau lāʻau i ka laha ʻana o ka maʻi.

He aha nā maʻi e hoʻohana ʻia ai nā fluoroquinolones?

ʻO ka mea mua, e nānā kākou i nā maʻi maʻamau e pono ʻole ai ke hoʻohana ʻia kēia lāʻau lapaʻau. Ma keʻano laulā, ʻaʻole ia e ʻōlelo ʻia no nā kūlana e hiki ke mālama ʻia me nā lāʻau antibiotic maʻalahi ʻē aʻe:

• ʻO ka sinusitis koʻikoʻi
• ʻO ka bronchitis koʻikoʻi (bronchitis koʻikoʻi)
• Nā maʻi ʻaʻai mimi paʻakikī ʻole (UTIs)

Eia kekahi o nā kūlana e hiki ai i ke kauka ke kuhikuhi i kēia lāʻau lapaʻau:

• Nā maʻi ʻōpū mimi paʻakikī (UTIs)
• Pneumonia
• Ka maʻi prostate (Prostatitis)
• ʻO ka maʻi kahe i hoʻokumu ʻia e kekahi mau bacteria
• Nā kūlana koʻikoʻi kahi e komo ai nā germs i ke koko, e like me ka sepsis

Hiki i nā kauka niho ke ʻōlelo aku iā lākou no kekahi mau maʻi niho. Hoʻohana ʻia nō hoʻi lākou no ka poʻe i maʻi i nā lāʻau antibiotic ʻē aʻe a i ʻole ke ʻole nā ​​koho ʻē aʻe.

He aha nā lāʻau lapaʻau e pili ana i ka hui fluoroquinolone?

Ua kamaʻāina paha ʻoe i kekahi o kēia mau inoa. ʻO kēia nā ʻano fluoroquinolones i hoʻohana nui ʻia. Hele mai kēia ma ke ʻano o nā pila, nā inikini IV, nā kulu pepeiao, a me nā kulu maka.

He aha nā hopena ʻaoʻao koʻikoʻi o kēia mau lāʻau lapaʻau?

ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. ʻAʻole loaʻa i nā kānaka a pau nā hopena ʻaoʻao mai nā fluoroquinolones. Eia nō naʻe, no kekahi poʻe, hiki i nā hopena ʻaoʻao ke koʻikoʻi e hōʻeha mau loa. No laila he mea nui e makaʻala i kēia. Hiki ke ʻike ʻia kekahi mau hopena ʻaoʻao i loko o nā hola o ka hoʻomaka ʻana o ka lāʻau. Hiki ke ʻike ʻia kekahi mau hebedoma a i ʻole nā ​​mahina ma hope o ka hoʻōki ʻana i ka lāʻau. ʻO kekahi o nā hopena ʻaoʻao maʻamau a koʻikoʻi hoʻi:

• Nā pilikia aʻalolo: ʻO ke aʻalolo, ʻoiai ke aʻalolo Achilles ma ke kua o ke kuʻekuʻe wāwae, hiki ke pehu, ʻeha, a haki paha.
• ʻO ka hōʻino ʻana o ke aʻalolo: Ua kapa ʻia kēia he neuropathy peripheral. Hiki i nā hōʻailona ke komo pū me ka mae ʻana, ka ʻūlū ʻana, a me ka ʻike ʻana i ke ʻūlū ʻana ma nā lālā. I kekahi manawa hiki ke mau loa kēia.
• Nā pilikia olakino noʻonoʻo: Hiki ke kū mai ka hopohopo, ka hoʻonāukiuki, ka huikau, ke kaumaha, nā hallucinations, a me nā manaʻo pepehi kanaka.
• Ka hōʻino ʻana i ka aorta: He kūlana kakaikahi loa kēia akā he mea weliweli loa. Hiki iā ia ke hana i ka haehae a i ʻole ka māhele ʻana i loko o ka aorta (aortic dissection).
• Nā loli i nā pae kō koko: Hiki i nā pae kō koko ke lilo i haʻahaʻa a kiʻekiʻe paha i mea weliweli i nā poʻe maʻi diabetes a me nā poʻe olakino.
• No nā maʻi myasthenia gravis: Hiki ke ʻoi aku ka nāwaliwali o nā ʻiʻo i ka poʻe me kēia maʻi.

He aha kāu e hana ai inā ʻike ʻoe i kahi hōʻailona e like me kēia?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e lawe ana i ka fluoroquinolone, e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a kāhea koke i kāu kauka. Inā loaʻa iā ʻoe ka ʻeha nui a i ʻole ka paʻakikī o ka hanu ʻana, e hele koke i ka lumi pilikia o ka haukapila (ETU).

• ʻEha koke, pehu, a ʻoʻoleʻa paha i nā aʻalolo, nā hono, a i ʻole nā ​​​​ʻiʻo.
• Ka mae ʻana, ke ʻūlū ʻana, a i ʻole ke kolo ʻana o nā lālā.
• Hopohopo, huikau, a i ʻole loli i ke kūlana noʻonoʻo.
• Manaʻo poniuniu a i ʻole ka puʻuwai puʻuwai kūpono ʻole.
• Ka maʻi kahe me ka ʻeha nui o ka ʻōpū.

Nā Nīnau i Nīnau Pinepine ʻia (FAQs)

1. Ua pāpā ʻia nā fluoroquinolones?

ʻAʻole. Ke hoʻohana mau ʻia nei kēia mau lāʻau. Akā, ua ʻōlelo ʻia lākou i kēia manawa no nā maʻi koʻikoʻi a paʻakikī wale nō, ʻaʻole no nā maʻi maʻalahi. Eia kekahi, he koho koʻikoʻi lākou no ka poʻe i maʻi āpau i nā lāʻau antibiotic ʻē aʻe.

2. He fluoroquinolone anei ʻo Bactrim?

ʻAʻole. He hui pū ʻana ʻo Bactrim o ʻelua mau lāʻau antibiotic like ʻole (sulfamethoxazole a me trimethoprim). ʻAʻole ia no ka papa fluoroquinolone.

3. He fluoroquinolone anei ʻo Amoxicillin?

ʻAʻole. He lāʻau antibiotic ʻo Amoxicillin no ka hui penicillin. ʻAʻole ia he fluoroquinolone. ʻO Fluoroquinolones, antibiotics, Ciprofloxacin, Levofloxacin, nā hopena ʻaoʻao, nā maʻi bacteria, nā hopena ʻaoʻao antibiotic