We yu gɛt sik lɛk fiva ɔ kɔf, we yu go to dɔktɔ, dɛn kin gi yu difrɛn kayn antibayɔtik, nɔto so? Sɔntɛnde, yu nɔ kin rili no bɔt dɛn mɛrɛsin ya. Wɛl, wan rili impɔtant klas fɔ antibayɔtik we dɔktɔ dɛn kin advays bɔku tɛm, dɛn kɔl am Makrolayd. So tide, lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dɛn makrolayd ya?
Makrolayd na wan klas fɔ antibayɔtik we dɛn kin yuz fɔ mɛn infɛkshɔn we baktri dɛn kin mek . Di men wok we dɛn de du na fɔ stɔp di bɔdi we di bɔdi we dɔn kam insay wi bɔdi nɔ de gro, ɔ we de skata.
I impɔtant fɔ mɛmba se dɛn mɛrɛsin ya de wok fɔ baktri infɛkshɔn nɔmɔ. Dɛn nɔ go ɛp wit vayral infɛkshɔn, lɛk di kɔmɔn kol ɔ flu.
Yu dɔktɔ kin tɛl yu fɔ tek makrolayd if dɛn fil se na di bɛst tritmɛnt fɔ yu infekshɔn. Dɔn bak, sɔm pipul dɛn kin gɛt alɛji fɔ ɔda antibayɔtiks lɛk penisilin. Dɛn kin yuz makrolayd as ɔda we fɔ du dɛn kayn tin ya.
Wetin na di makrolayd dɛn we dɛn kin yuz mɔ?
Bɔku kayn makrolayd dɛn de we dɔktɔ dɛn na Sri Lanka ɛn ɔlsay na di wɔl kin yuz. Lɛ wi tek wan luk pan dɛn na di tebul we de dɔŋ ya.
| Di Nem fɔ Drug | Wan shɔt introdukshɔn |
|---|---|
| Azitromaysin we dɛn kɔl | Wan kayn kɔs we rili kɔmɔn we pɔsin kin dɔn insay shɔt tɛm, lɛk tri to fayv dez. |
| Klaritromaysin we dɛn kɔl | Dɛn kin yuz am bak fɔ infɛkshɔn we gɛt fɔ du wit di we aw pɔsin de blo ɛn sɔm ɔlsa na di bɛlɛ. |
| Ɛritromaysin we dɛn kɔl | Wan mɛrɛsin we dɔn ol smɔl, bɔt stil rili wok we dɛn kin yuz fɔ difrɛn infɛkshɔn dɛn. |
| Fidaksomisin we dɛn kɔl fidaxomicin | Dɛn kin yuz am mɔ fɔ C. diff infɛkshɔn, we na wan siriɔs intestinal infɛkshɔn. |
Us sik dɛn dɛn kin yuz makrolayd fɔ?
Dɛn kin yuz dɛn mɛrɛsin ya fɔ trit bɔku bɔku baktri dɛm, frɔm di sik dɛm we pɔsin kin gɛt we i de blo to di sik dɛm we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.
- "Walking pneumonia" (Atypical pneumonia): Na nyumonia we difrɛn smɔl frɔm nɔmal nyumonia ɛn nɔr kin siriɔs.
- Baktri ay infεkshכn: Infεkshכn we de mek yu yay rεd, it.
- Kat skrat fiva
- Difteria we pɔsin kin gɛt
- H. pylori infεkshכn, we de mek yu bכdi כlsa: Dεn kin gi dis wit כda mεdikeshכn dεm.
- Infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs: Fכ egzampl, kכndyushכn dεm lεk Klamidia.
- Trot infekshɔn (Strep throat): Ɛspɛshali fɔ di wan dɛn we gɛt alɛji to penisilin.
- Sivɛri dayarɛa kɔndishɔn: We travulman in dayarɛa kin kam bad bad wan.
- Infεkshכn na di urinary tract (Urethritis) .
- Kɔf we de mek pɔsin kɔf (Pertussis) .
apat frכm dat, sכmtεm dεn kin put wan makrolayd we dεn kכl `Erythromycin` pan di skin in fכm fכ jel fכ trit akni. Di rizin fɔ dis na bikɔs sɔm kayn baktri dɛm na wi skin kin ɛp fɔ mek akni. Dis jel de kɔntrol dɛn baktri dɛn de.
Aw a fɔ yuz dis mɛrɛsin?
Makrolayd antibayɔtik dɛn kin kam insay difrɛn we dɛn.
- Di kayn pils dɛn we yu fɔ swɛla
- Di kayn wata we dɛn kin yuz fɔ wata di wata
- Gel ɔ loshan we dɛn kin put pan di skin
- Ɔntmɛnt dɛn we dɛn kin put na di insay mɛmbran na di yay
- Vaysin dɛn we dɔktɔ gi
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, insay di rayt doz, di rayt tɛm, ɛn fɔ di rayt nɔmba fɔ de. Rid di instrɔkshɔn dɛn we de na di mɛrɛsin lɛbl gud gud wan. If yu nɔ shɔ, aks yu dɔktɔ.
If dɛn dɔn gi yu wan mɛrɛsin we gɛt wata, yuz di kɔp ɔ spun nɔmɔ we de wit am. Nɔ yuz ti spɔnj ɔ tebul spɔnj we yu kin yuz na os, bikɔs dɛn nɔ kin gi yu di rayt doz.
Di impɔtant tin fɔ dɔn di kɔs fɔ mɛrɛsin
I nɔ mata ɔmɔs dez di dɔktɔ dɔn tɛl yu, yu fɔ tek di mɛrɛsin jɔs fɔ da nɔmba de. Yu kin fil fayn afta tu ɔ tri dez we yu dɔn tek di mɛrɛsin. Bɔt nɔ stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu fil fayn. If yu stɔp, di bɔdi we lɛf na yu bɔdi nɔ go pwɛl kpatakpata. Afta sɔm tɛm, di bɔdi go strɔng bak, ɛn di sik kin kam bak.
Ɛni bad bad tin dɛn de we kin apin to am?
Yɛs, lɛk ɛni mɛrɛsin, makrolayd kin mek smɔl smɔl sayd ɛfɛkt dɛn. Bɔt nɔ wɔri, bɔku pan dɛn tin ya nɔ kin siriɔs. Di sayd ɛfɛkt dɛn we kin apin mɔ na we yu bɛlɛ kin at.
- Nɔs ɛn vɔmit
- Bɛlɛ de at ɔ pen
- Rɔnbɛlɛ
Di chans fɔ gɛt dɛn sayd ɛfɛkt ya kin difrɛn difrɛn wan bay di kayn makrolayd we dɛn gi yu. Yu dɔktɔ go ɛksplen dis to yu.
Wan ɔda impɔtant tin na dat dɛn mɛrɛsin ya kin miks wit ɔda mɛrɛsin dɛn we yu de tek. So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn). Dɔn bak, if yu de drink rɔm, tɛl am bɔt am. Dɛn kin advays yu fɔ avɔyd fɔ drink rɔm we yu de tek dis mɛrɛsin.
Na smɔl tɛm nɔmɔ, alɛji kin apin. Di sayn we kin apin pas ɔl na we yu gɛt rɔsh na yu skin. Na sכm tεm, siriכs skin kכndyushכn lεk Stevens-Johnson syndrome kin apin.
Dis mɛrɛsin kin afɛkt di at ritm?
Dis nɔ kin apin bak, bɔt i impɔtant fɔ mek wi no bɔt am. sכm makrolayd dεm kin mek chenj dεm na di ilektrikal aktiviti na di at (QT intaval prolongation). Dis kin mek yu gɛt smɔl risk fɔ mek yu gɛt abnɔmal at ritm (ari ritmia).
Bɔt nɔ wɔri bɔt dis sɛf. Dɔktɔ dɛn no bɔt dis. If yu gɛt hat ritm disɔda lɛk ``Long QT syndrome'', yu dɔktɔ go gi yu wan antibayɔtik we sef instead ɔf dis mɛrɛsin.
Ustɛm a fɔ go to dɔktɔ?
I rili impɔtant fɔ tɔk to yu dɔktɔ pan dɛn tin ya.
| We aw tin bi naw | Wetin fɔ du |
|---|---|
| If yu gɛt kwɛstyɔn bɔt aw fɔ tek yu mɛrɛsin. | Tɔk to di dɔktɔ ɛn no di rayt tin. |
| If yu gɛt prɔblɛm fɔ tek mɛrɛsin bikɔs ɔf di sayd ɛfɛkt dɛn (e.g. fɔ vɔmit). | Nɔ stɔp fɔ tek di mɛrɛsin, bɔt kɔl yu dɔktɔ fɔ advays. |
| If di sayn dɛm stil de afta di kɔs fɔ di mɛrɛsin dɔn. | Si di dɔktɔ bak. |
| If yu gɛt skin iritashɔn ɔ alɛji simptom. | Notis di dɔktɔ wantɛm wantɛm. |
| Situeshɔn dɛn we yu nid fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) kwik kwik wan | |
| If yu gɛt wata dayarɛa bɔku tɛm insay di de ɔ if yu de sho sayn dɛn fɔ se yu nɔ gɛt wata (dray yu mɔt, yu yay dɔn sink, yu nɔ de pis bɛtɛ). | Go na di ETU na di ɔspitul we de nia yu wantɛm wantɛm. |
| If yu gɛt sayn dɛm fɔ siriɔs alɛji (Anaphylaxis), lɛk fɔ gɛt prɔblɛm fɔ blo ɛn fɔ swel na yu fes ɛn lip. | Dis na imejensi. Go na di ETU wantɛm wantɛm. |
Yu tink se Klindamaysin sɛf na Makrolayd?
Nɔ. `Klindamaysin` nɔto makrolayd. I de pan ɔda klas antibayɔtik we dɛn kɔl `Lincosamides`. Bɔt da drɔg de kin stɔp bak di baktri dɛn we de gro di sem we lɛk aw makrolayd dɛn kin gro.
Fɔ dɔn, makrolayd na pawaful wɛpɔn fɔ fɛt baktriyal infɛkshɔn. Bɔt dɛn fɔ yuz dis wɛpɔn strikt wan nɔmɔ, ɛn na ɔnda dɔktɔ in advays nɔmɔ.
Mɛsej we dɛn kin kɛr go na os
- Makrolayd na wan kayn antibayɔtik we dɛn kin yuz fɔ mɛn baktriyal infɛkshɔn.Dɛn tin ya nɔ de mɛn vayral sik dɛn lɛk di kɔmɔn kol.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔda mɛrɛsin dɛn we yu de tek, alɛji we yu gɛt, ɛn ɔda mɛrɛsin (espɛshali at sik).
- Ivin if yu sik dɔn stɔp, dɔn di ful kɔs fɔ di mɛrɛsin we yu dɔktɔ dɔn tɛl yu. If yu stɔp af-af, dat kin mek di sik kam bak, ɛn i kin rili bad.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni siriɔs sayd ɛfɛkt, lɛk fɔ gɛt bad bad dayarɛa, fɔ gɛt siriɔs rɔsh na yu skin, ɔ fɔ mek yu nɔ ebul fɔ blo fayn.
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