Thaum koj muaj mob xws li kub taub hau lossis hnoos, thaum koj mus ntsib kws kho mob, lawv muab ntau hom tshuaj tua kab mob rau koj, puas yog? Qee zaum koj yuav tsis paub txog cov tshuaj no zoo. Zoo, ib pawg tshuaj tua kab mob tseem ceeb heev uas cov kws kho mob feem ntau pom zoo hu ua Macrolides. Yog li hnub no, cia peb tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.
Hauv lwm lo lus, cov macrolides no yog dab tsi?
Cov tshuaj Macrolides yog ib pawg tshuaj tua kab mob uas siv los kho cov kab mob uas tshwm sim los ntawm cov kab mob me me . Lawv lub luag haujlwm tseem ceeb yog tiv thaiv kev loj hlob, lossis kev kis tus kab mob uas tau nkag mus rau hauv peb lub cev.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj no tsuas yog ua haujlwm rau cov kab mob bacterial xwb. Lawv yuav tsis pab nrog cov kab mob viral, xws li mob khaub thuas lossis mob ntsws.
Koj tus kws kho mob yuav pom zoo kom siv tshuaj macrolide yog tias lawv xav tias nws yog kev kho mob zoo tshaj plaws rau koj tus kab mob. Tsis tas li ntawd, qee tus neeg ua xua rau lwm yam tshuaj tua kab mob, xws li penicillin. Cov tshuaj macrolides raug siv ua lwm txoj hauv kev rau cov xwm txheej zoo li no.
Cov tshuaj macrolides twg feem ntau siv?
Muaj ntau hom tshuaj macrolides uas cov kws kho mob feem ntau siv hauv Sri Lanka thiab thoob plaws ntiaj teb. Cia peb saib lawv hauv lub rooj hauv qab no.
| Lub Npe Tshuaj | Ib qho kev taw qhia luv luv |
|---|---|
| Azithromycin | Ib hom chav kawm uas siv ntau heev uas ua tiav tau hauv lub sijhawm luv luv, xws li peb txog tsib hnub. |
| Clarithromycin | Nws kuj tseem siv rau kev kis kab mob ua pa thiab qee qhov mob plab. |
| Erythromycin | Ib yam tshuaj qub me ntsis lawm, tab sis tseem siv tau zoo heev rau ntau yam kab mob. |
| Fidaxomicin | Nws yog siv tshwj xeeb rau kev kis tus kab mob C. diff, uas yog kev kis tus kab mob hnyav hauv plab hnyuv. |
Cov tshuaj macrolides siv rau cov kab mob twg?
Cov tshuaj no yog siv los kho ntau yam kab mob bacterial, txij li cov kab mob ua pa mus rau cov kab mob sib kis los ntawm kev sib deev.
- "Kab mob ntsws uas taug kev" (Kab mob ntsws uas tsis zoo li qub): Ib qho mob ntsws uas txawv me ntsis ntawm kab mob ntsws ib txwm muaj thiab tsis hnyav npaum li.
- Kab mob qhov muag: Cov kab mob uas ua rau qhov muag liab, khaus.
- Kab mob khawb miv
- Kab mob diphtheria
- Kev kis tus kab mob H. pylori, uas ua rau mob plab: Qhov no yog muab ua ke nrog lwm cov tshuaj.
- Cov kab mob sib kis los ntawm kev sib deev: Piv txwv li, cov mob xws li Chlamydia.
- Kab mob caj pas (Strep throat): Tshwj xeeb tshaj yog rau cov neeg uas ua xua rau penicillin.
- Cov mob raws plab hnyav: Thaum tus neeg taug kev raws plab hnyav zuj zus.
- Kev kis kab mob ntawm txoj hlab zis (Urethritis)
- Kab mob hnoos qhuav (Pertussis)
Ntxiv mus, qee zaum cov tshuaj macrolide hu ua 'Erythromycin' raug siv rau ntawm daim tawv nqaij ua cov tshuaj gel los kho pob txuv. Qhov laj thawj rau qhov no yog vim muaj qee hom kab mob ntawm peb daim tawv nqaij ua rau muaj pob txuv. Cov tshuaj gel no tswj cov kab mob ntawd.
Kuv yuav tsum siv cov tshuaj no li cas?
Cov tshuaj tua kab mob Macrolide muaj ntau hom sib txawv.
- Hom tshuaj ntsiav uas yuav tsum nqos
- Hom dej ntws
- Gel los yog tshuaj pleev rau ntawm daim tawv nqaij
- Cov tshuaj pleev rau sab hauv ntawm lub qhov muag
- Cov tshuaj tiv thaiv kab mob uas kws kho mob muab
Qhov tseem ceeb tshaj plaws yog noj tshuaj raws li koj tus kws kho mob qhia rau koj, noj kom raug, raws sijhawm, thiab raws li pes tsawg hnub. Nyeem cov lus qhia ntawm daim ntawv lo tshuaj kom zoo zoo. Yog tias koj tsis paub meej, nug koj tus kws kho mob.
Yog koj tau txais tshuaj ua kua, tsuas yog siv lub khob ntsuas lossis diav uas los nrog nws xwb. Tsis txhob siv cov diav me me lossis diav me me hauv tsev, vim tias lawv yuav tsis muab cov tshuaj kom raug rau koj.
Qhov tseem ceeb ntawm kev ua tiav chav kawm tshuaj
Txawm tus kws kho mob tau sau ntawv rau koj pes tsawg hnub los xij, koj yuav tsum noj tshuaj raws nraim li ntawd. Tej zaum koj yuav zoo dua tom qab ob lossis peb hnub noj tshuaj. Tab sis tsis txhob tsum noj tshuaj tsuas yog vim koj xav tias zoo dua xwb. Yog koj tsum, cov kab mob uas tseem tshuav hauv koj lub cev yuav tsis raug rhuav tshem tag nrho. Tom qab ib pliag, cov kab mob yuav rov muaj zog dua, thiab tus kab mob yuav rov tshwm sim dua.
Puas muaj tej yam tshwm sim tsis zoo?
Yog, zoo li lwm yam tshuaj, cov tshuaj macrolides tuaj yeem ua rau muaj kev phiv me me. Tab sis tsis txhob txhawj, feem ntau ntawm cov no feem ntau tsis loj heev. Cov kev phiv feem ntau yog mob plab.
- Xeev siab thiab ntuav
- Mob plab los yog mob
- Mob raws plab
Qhov feem pua ntawm cov kev mob tshwm sim no yuav txawv nyob ntawm hom tshuaj macrolide uas koj tau txais. Koj tus kws kho mob yuav piav qhia qhov no rau koj.
Ib qho tseem ceeb ntxiv yog tias cov tshuaj no tuaj yeem cuam tshuam nrog lwm cov tshuaj uas koj noj. Yog li, nco ntsoov qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ntxiv). Tsis tas li ntawd, yog tias koj haus cawv, qhia rau nws txog nws. Tej zaum koj yuav raug qhia kom tsis txhob haus cawv thaum noj cov tshuaj no.
Tsis tshua muaj, tej zaum yuav muaj kev tsis haum tshuaj. Cov tsos mob feem ntau yog pob khaus ntawm daim tawv nqaij. Tsis tshua muaj, tej zaum yuav muaj cov mob hnyav ntawm daim tawv nqaij xws li Stevens-Johnson syndrome.
Cov tshuaj no puas cuam tshuam rau lub plawv dhia?
Qhov no kuj tsis tshua muaj, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog. Qee cov tshuaj macrolides tuaj yeem ua rau muaj kev hloov pauv hauv kev ua haujlwm hluav taws xob ntawm lub plawv (QT interval prolongation). Qhov no tuaj yeem ua rau muaj kev pheej hmoo me me ntawm kev mob plawv dhia tsis zoo (arrhythmias).
Tiamsis tsis txhob txhawj txog qhov no thiab. Cov kws kho mob paub txog qhov no. Yog tias koj muaj teeb meem plawv dhia tsis zoo li "Long QT syndrome", koj tus kws kho mob yuav muab tshuaj tua kab mob uas muaj kev nyab xeeb dua rau koj es tsis txhob muab cov tshuaj no.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham hauv cov xwm txheej hauv qab no.
| Qhov xwm txheej | Yuav ua li cas |
|---|---|
| Yog koj muaj lus nug txog yuav ua li cas noj koj cov tshuaj. | Tham nrog kws kho mob thiab nrhiav seb puas yog li ntawd. |
| Yog koj muaj teeb meem noj tshuaj vim muaj cov kev mob tshwm sim (piv txwv li ntuav). | Tsis txhob tsum noj tshuaj, tab sis hu rau koj tus kws kho mob kom tau lus qhia. |
| Yog tias cov tsos mob tseem muaj tom qab noj tshuaj tas lawm. | Mus ntsib kws kho mob dua. |
| Yog koj daim tawv nqaij khaus lossis ua xua. | Qhia rau kws kho mob tam sim ntawd. |
| Cov xwm txheej thaum koj xav tau mus rau ETU (Emergency Treatment Unit) sai sai | |
| Yog tias koj raws plab ua dej ntau zaus hauv ib hnub lossis yog tias koj qhia tias koj lub cev qhuav dej (qhov ncauj qhuav, qhov muag poob qis, tso zis tsawg dua). | Mus rau ETU ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd. |
| Yog tias koj muaj cov tsos mob ntawm kev ua xua hnyav (Anaphylaxis), xws li ua pa nyuaj thiab o ntawm lub ntsej muag thiab daim di ncauj. | Qhov no yog ib qho xwm txheej ceev. Mus rau ETU tam sim ntawd. |
Puas yog Clindamycin kuj yog Macrolide?
Tsis yog. 'Clindamycin' tsis yog ib hom tshuaj macrolide. Nws yog ib hom tshuaj tua kab mob hu ua 'Lincosamides'. Txawm li cas los xij, cov tshuaj ntawd kuj tiv thaiv kev loj hlob ntawm cov kab mob ib yam li cov macrolides.
Xaus lus, cov tshuaj macrolides yog ib yam riam phom muaj zog heev hauv kev tawm tsam cov kab mob bacterial. Tab sis cov riam phom no tsuas yog siv nruj me ntsis xwb, thiab tsuas yog raws li kev qhia ntawm tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Macrolides yog ib hom tshuaj tua kab mob siv los kho cov kab mob bacterial.Cov no tsis kho tau cov kab mob viral xws li mob khaub thuas.
- Nco ntsoov qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj, kev ua xua uas koj muaj, thiab lwm yam mob (tshwj xeeb tshaj yog kab mob plawv).
- Txawm tias koj cov tsos mob ploj mus lawm los, noj tag nrho cov tshuaj uas koj tus kws kho mob tau sau tseg. Yog koj tsum noj ib nrab ntawm cov tshuaj no ces tej zaum yuav ua rau tus kab mob rov qab los thiab ua rau mob hnyav dua.
- Nrhiav kev kho mob tam sim ntawd yog tias koj muaj tej yam kev mob tshwm sim loj heev, xws li raws plab hnyav, tawv nqaij tawm pob khaus hnyav, lossis ua pa nyuaj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus