Tej zaum koj yuav mus ntsib kws kho mob thaum koj kub taub hau, hnoos, lossis lwm yam kab mob thiab lawv muab tshuaj tua kab mob rau koj, puas yog? Ib pawg tshwj xeeb ntawm cov tshuaj tua kab mob no hu ua 'Macrolides'. Tej zaum koj tau txais tshuaj nrog lub npe no ua ntej lawm. Yog li hnub no, cia peb tham txog cov macrolides no yog dab tsi, cov kab mob twg lawv siv los kho, thiab peb yuav tsum paub dab tsi thaum siv lawv.
Cov macrolides no yog dab tsi?
Hais yooj yim xwb, cov tshuaj macrolides yog ib pawg tshuaj tua kab mob. Lawv lub luag haujlwm tseem ceeb yog tiv thaiv kev loj hlob ntawm cov kab mob uas tau nkag mus rau hauv peb lub cev. Yog hais kom meej, cov tshuaj no ua haujlwm los ntawm kev txwv tsis pub cov kab mob ua haujlwm kom lawv thiaj li tsis kis tau lossis loj hlob ntxiv.
Tiam sis muaj ib yam tseem ceeb heev uas peb txhua tus yuav tsum nkag siab ntawm no. Cov tshuaj tua kab mob Macrolide tsuas yog ua haujlwm tawm tsam cov kab mob bacterial xwb. Lawv tsis kho cov kab mob viral xws li mob khaub thuas thiab mob ntsws.
Tsis tas li ntawd xwb, tej zaum ib txhia neeg yuav ua xua rau lwm yam tshuaj tua kab mob, xws li penicillin. Yog li ntawd, cov kws kho mob thiaj li muab tshuaj macrolides hloov rau lwm yam tshuaj.
Cov tshuaj macrolides twg feem ntau siv?
Muaj ntau hom tshuaj macrolides uas cov kws kho mob feem ntau sau ntawv rau hauv Sri Lanka thiab thoob plaws ntiaj teb. Tej zaum koj yuav paub ib lub npe no.
| Lub Npe Tshuaj | Ib qho kev taw qhia luv luv |
|---|---|
| Azithromycin | Qhov no yog ib hom macrolide uas ntau tus neeg tau hnov txog thiab feem ntau siv. |
| Clarithromycin | Nws yog siv los kho ntau yam kab mob, suav nrog cov kab mob uas ua rau mob plab. |
| Erythromycin | Ib hom tshuaj macrolide qub dua uas muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab cov tshuaj pleev (gel) siv rau ntawm daim tawv nqaij. |
| Fidaxomicin | Nws yog siv tshwj xeeb rau kev kis tus kab mob C. diff, uas yog kev kis tus kab mob hnyav ntawm txoj hnyuv. |
Cov tshuaj macrolides siv rau cov mob twg?
Cov tshuaj no siv los kho ntau yam kab mob bacterial. Nov yog qee cov piv txwv:
- Kab mob ntsws tsis zoo li qub: Ib hom kab mob ntsws tshwj xeeb, tseem hu ua "kab mob ntsws taug kev."
- Kab mob qhov muag: Cov kab mob uas ua rau muaj cov tsos mob xws li liab thiab qhov muag ntws dej.
- Kab mob ntawm daim tawv nqaij: Rau cov mob xws li pob txuv, qee zaum yuav muab tshuaj gel uas muaj Erythromycin los tswj cov kab mob ntawm daim tawv nqaij.
- Kab mob caj pas: Tshwj xeeb tshaj yog rau cov neeg uas ua xua rau penicillin.
- Kab mob hnoos qeev/Hnoos qeev: Ib qho kab mob uas ua rau hnoos hnyav thiab ntev.
- Kev kis tus kab mob H. pylori: Qhov no yog ib hom kab mob uas ua rau mob plab loj. Nws raug kho nrog cov tshuaj xws li '(Clarithromycin)' ua ke nrog lwm cov tshuaj.
- Cov kab mob sib kis los ntawm kev sib deev: Rau cov kab mob xws li Chlamydia.
- Lwm yam kab mob: Lawv kuj siv los kho cov kab mob uas tshwm sim los ntawm kev khawb miv (mob ua npaws khawb miv), mob diphtheria, thiab mob raws plab ntawm cov neeg taug kev.
Cov tshuaj no siv li cas thiab siv tau ntev npaum li cas?
Cov tshuaj tua kab mob Macrolide muaj ntau hom sib txawv.
- Cov tshuaj ntsiav uas nqos lawm
- Cov kua
- Cov gels los yog cov tshuaj siv rau ntawm daim tawv nqaij
- Cov tshuaj pleev
- Cov tshuaj txhaj uas kws kho mob muab
Qhov tseem ceeb tshaj plaws yog noj tshuaj raws li koj tus kws kho mob qhia, raws li qhov ntau npaum li cas, thiab rau hnub uas tau teem tseg. Tshwj xeeb tshaj yog tias nws yog cov tshuaj ua kua, tsuas yog siv lub cuab yeej ntsuas uas los nrog nws. Kev ntsuas nrog diav hauv tsev yuav tsis muab qhov ntau npaum li cas rau koj.
Txawm tias koj xav tias zoo dua los xij, koj yuav tsum noj tshuaj kom tag nrho cov hnub uas tus kws kho mob tau sau tseg. Yog tsis ua li ntawd, tus kab mob yuav tsis kho tau tag nrho, thiab tej zaum yuav muaj tej kab mob me me nyob hauv lub cev, ua rau tus kab mob rov qab los dua. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum noj tshuaj kom tiav.
Cov tshuaj macrolides puas muaj cov kev mob tshwm sim?
Ib yam li lwm yam tshuaj tua kab mob, cov tshuaj macrolides tuaj yeem ua rau muaj kev phiv me me. Qhov feem ntau yog mob plab.
- Xeev siab thiab ntuav
- Mob plab los yog mob
- Mob raws plab
Cov kev mob tshwm sim no feem ntau tsis loj heev. Txawm li cas los xij, lawv qhov xwm txheej yuav txawv nyob ntawm hom tshuaj macrolide uas koj noj. Koj tus kws kho mob yuav qhia koj txog qhov no.
Tsis tas li ntawd xwb, cov tshuaj macrolides 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, cov vitamins, thiab cov tshuaj ntxiv uas koj noj. Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj haus cawv. Qee zaum koj yuav tsum tsis txhob haus cawv thaum noj cov tshuaj no.
Txawm hais tias tsis tshua muaj los xij, qee tus neeg yuav muaj kev tsis haum tshuaj. Cov tsos mob feem ntau yog pob khaus ntawm daim tawv nqaij. Tsis tshua muaj, cov mob hnyav ntawm daim tawv nqaij xws li Stevens-Johnson syndrome tuaj yeem tshwm sim.
Puas muaj peev xwm hloov pauv lub plawv dhia (arrhythmias) tau?
Qhov no kuj tsis tshua muaj, tab sis tseem ceeb heev uas yuav tsum paub txog. Qee cov macrolides muaj kev pheej hmoo me me ntawm kev ua rau lub plawv dhia tsis zoo (arrhythmias). Qhov no yog vim tias cov tshuaj no tuaj yeem ua rau lub sijhawm hu ua QT ntev dua. Hais yooj yim, nws siv sijhawm ntev me ntsis rau cov leeg nqaij plawv kom cog lus thiab tom qab ntawd so. Qhov no tuaj yeem ua rau lub plawv dhia txaus ntshai hu ua Torsades de Pointes.
Yog koj muaj mob plawv, tus kws kho mob yuav xav txog qhov ntawd thiab yuav sau tshuaj tua kab mob sib txawv yog tias tsim nyog.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham hauv cov xwm txheej hauv qab no.
| Lub cib fim | Kev piav qhia |
|---|---|
| Thaum muaj teeb meem zoo li no, nrog kws kho mob tham. | |
| Cov lus nug txog kev noj tshuaj li cas | Yog tias koj tsis paub meej txog cov khoom xws li kev noj tshuaj thiab lub sijhawm. |
| Kev tsis xis nyob vim muaj cov kev mob tshwm sim | Yog tias nws nyuaj dhau los noj tshuaj vim yog tej yam xws li xeev siab thiab ntuav. |
| Tsis muaj kev txo qis ntawm cov tsos mob | Yog tias koj tus mob tsis tau kho txawm tias tom qab ua tiav kev kho mob lawm los xij. |
| Cov tsos mob ntawm kev ua xua | Yog muaj ib yam dab tsi zoo li pob khaus ntawm daim tawv nqaij tshwm sim. |
| Thaum muaj xwm txheej zoo li no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. | |
| Raws plab hnyav heev | Yog tias koj raws plab ua dej ntau zaus hauv ib hnub lossis yog tias koj muaj cov cim qhia tias koj lub cev qhuav dej. |
| Kev ua xua hnyav heev | Yog tias koj muaj cov tsos mob ntawm anaphylaxis, xws li ua pa nyuaj thiab o ntsej muag, qhov no yog qhov xwm txheej ceev heev. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Macrolides yog ib hom tshuaj tua kab mob uas siv los kho cov kab mob bacterial . Lawv tsis ua haujlwm tawm tsam cov kab mob viral xws li mob khaub thuas.
- Noj cov tshuaj kom tag nrho raws li koj tus kws kho mob tau hais kom noj, rau tag nrho cov hnub . Tsis txhob tsum noj ib nrab hnub.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj thiab lwm yam mob uas koj muaj (tshwj xeeb yog kab mob plawv).
- Tej zaum yuav muaj tej yam mob me me xws li mob plab, tab sis yog tias koj raws plab hnyav, tawv nqaij tawm pob, lossis ua pa nyuaj , nrhiav kev pab kho mob tam sim ntawd.
- Yog tias koj muaj cov tsos mob ua xua hnyav lossis lub cev qhuav dej uas xav tau kev kho mob tam sim ntawd, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.











💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus