Yu go mɔs go to dɔktɔ we yu gɛt fiva, kɔf, ɔ ɔda infekshɔn ɛn dɛn gi yu antibayɔtik, nɔto so? Wan spɛshal klas fɔ dɛn antibayɔtik ya dɛn kɔl am ‘Macrolides’. Sɔntɛm dɛn dɔn gi yu mɛrɛsin we gɛt dis nem bifo. So tide, lɛ wi tɔk bɔt wetin na dɛn makrolayd ya, us sik dɛn de yuz fɔ mɛn, ɛn wetin wi nid fɔ no we wi de yuz dɛn.
Wetin na dɛn makrolayd ya?
Fɔ tɔk am simpul wan, makrolayd na wan klas fɔ antibayɔtik. di men wok we dεn de du na fכ stכp di bכdi we dεn kכl baktri dεm we dεn go insay wi bכdi. Fɔ tɔk di kɔrɛkt tin, dɛn drɔgs ya de wok bay we dɛn de mek di bɔdi nɔ wok so dat dɛn nɔ go ebul fɔ skata ɔ gro mɔ.
Bɔt sɔntin de we rili impɔtant we wi ɔl nid fɔ ɔndastand na ya. Makrolayd antibayɔtiks de wok nɔmɔ agens baktriyal infɛkshɔn. Dɛn nɔ de mɛn vayral infɛkshɔn lɛk di kɔmɔn kol ɛn flu.
Dɔn bak, sɔm pipul dɛn kin gɛt alɛji fɔ ɔda antibayɔtiks lɛk penisilin. If dɛn kayn tin ya apin, dɔktɔ dɛn kin gi dɛn makrolayd as ɔda tin.
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 gi. Sɔntɛm yu sabi wan pan dɛn nem dɛn ya.
| Di Nem fɔ Drug | Wan shɔt introdukshɔn |
|---|---|
| Azitromaysin we dɛn kɔl | Dis na wan kayn makrolayd we bɔku pipul dɛn dɔn yɛri bɔt ɛn dɛn kin yuz am. |
| Klaritromaysin we dɛn kɔl | Dɛn kin yuz am fɔ trit difrɛn infɛkshɔn, lɛk baktri dɛm we kin mek pɔsin gɛt ɔlsa na in bɛlɛ. |
| Ɛritromaysin we dɛn kɔl | Wan ol kayn makrolayd we kin kam insay di fɔm fɔ tablɛt ɛn bak wan krim (jel) we dɛn kin put pan di skin. |
| Fidaksomisin we dɛn kɔl fidaxomicin | Dɛn kin yuz am mɔ fɔ C. diff infεkshɔn, we na wan bad bad infεkshɔn na di intestines. |
Us kɔndishɔn dɛn dɛn kin yuz makrolayd fɔ?
Dɛn kin yuz dɛn mɛrɛsin ya fɔ trit bɔku bɔku sik dɛn we gɛt baktri. Na sɔm ɛgzampul dɛn ya:
- Atypical nyumonia: Na spɛshal kayn nyumonia, we dɛn kin kɔl bak "walking pneumonia."
- Baktri ay infεkshכn: Infεkshכn we de mek yu gεt sכmtεm lεk rεd rεd εn wata we de kכmכt na yu yay.
- Infεkshכn na di skin: fכ kכndyushכn lεk akni, sכmtεm dεn kin gi wan jel we gεt Erythromycin fכ kכntrכl baktri dεm na di skin.
- Strep trot: Ɛspɛshali pan di wan dɛn we gɛt alɛji to penisilin.
- Whooping cough/Pertussis: Na infekshɔn we kin mek pɔsin kɔf bad bad wan ɛn we kin de fɔ lɔng tɛm.
- H. pylori infεkshכn: Dis na baktri we de mek yu bכdi כlsa. Dɛn kin trit am wit mɛrɛsin lɛk `(Clarithromycin)` we dɛn jɔyn wit ɔda mɛrɛsin dɛn.
- Infεkshכn dεm we dεn kin gεt wit mami ɛn dadi biznɛs: Fɔ infεkshכn dεm lεk Klamidia.
- Ɔda infɛkshɔn: Dɛn kin yuz dɛn bak fɔ trit infɛkshɔn we kin kam wit pusi skrach (Kat skrach fiva), difteria, ɛn travulman dayarɛa.
Aw dɛn kin yuz dɛn mɛrɛsin ya ɛn fɔ aw lɔng?
Makrolayd antibayɔtik dɛn kin kam insay difrɛn we dɛn.
- Pil dɛn we dɛn dɔn swɛla
- Likwid dɛn
- Gel ɔ sɔlvushɔn we dɛn kin put pan di skin
- Ɔntmɛnt dɛn
- Injɛkshɔn dɛn we dɔktɔ gi
Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, insay di doz we dɛn tɛl yu fɔ tek, ɛn fɔ di nɔmba we dɛn tɛl yu fɔ tek. Ɛspɛshali if na wata mɛrɛsin, yuz di mɛzhɔmɛnt divays nɔmɔ we de kam wit am. If yu mɛzhɔ wit ti spɔnj na os, dat nɔ go gi yu di rayt doz.
Ivin if yu fil fayn, yu fɔ tek di mɛrɛsin fɔ di ful nɔmba fɔ di de dɛn we di dɔktɔ gi yu. If nɔto dat, di sik nɔ go wɛl ɔl, ɛn sɔm bɔdi kin de na di bɔdi, ɛn dis kin mek di sik kam bak. So, i impɔtant fɔ dɔn di kɔs fɔ mɛrɛsin.
Yu tink se makrolayd dɛn gɛt sayd ɛfɛkt?
Lɛk ɛni antibayɔtik, makrolayd kin mek smɔl smɔl sayd ɛfɛkt dɛn. Di tin we kin apin mɔ na we yu bɛlɛ kin at.
- Nɔs ɛn vɔmit
- Bɛlɛ de at ɔ pen
- Rɔnbɛlɛ
Bɔku tɛm, dɛn sayd ɛfɛkt ya nɔ kin siriɔs. Bɔt dɛn kayn tin kin difrɛn difrɛn wan bay di kayn makrolayd we yu de tek. Yu dɔktɔ go tɛl yu bɔt dis.
Apat frɔm dat, makrolayd kin intarakt wit ɔda mɛrɛsin dɛn we yu de tek. So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Dɔn bak, tɛl yu dɔktɔ if yu de drink rɔm. Sɔntɛnde, yu kin nid fɔ avɔyd fɔ drink rɔm we yu de tek dis mɛrɛsin.
Pan ɔl we i nɔ kin apin so ɔltɛm, sɔm pipul dɛn kin gɛt alɛji. 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.
Yu tink se di hat rit chenj (arithmias) kin apin?
Dis na tin bak we nɔ kin apin so ɔltɛm, bɔt i impɔtant fɔ no bɔt. sכm makrolayd dεm gεt rili sכm risk fכ mek di at ritm dεm we nכ nכmal (arrhythmias). Dis na bikɔs dɛn mɛrɛsin ya kin mek sɔntin we dɛn kɔl QT intaval lɔng. Fɔ tɔk am simpul wan, i kin tek smɔl tɛm fɔ mek di at mɔsul kɔntrakt ɛn afta dat i kin rilaks. Dis kin mek yu gɛt wan denja at ritm we dɛn kɔl Torsades de Pointes.
If yu gɛt at sik, di dɔktɔ go tek dat na kɔna ɛn gi yu difrɛn antibayɔtik if nid de.
Ustɛm yu nid fɔ go to dɔktɔ?
I rili impɔtant fɔ tɔk to yu dɔktɔ pan dɛn tin ya.
| Chans | Tɔk bɔt |
|---|---|
| We dis kayn tin apin, tɔk to di dɔktɔ. | |
| Kwɛstyɔn dɛn bɔt aw fɔ tek mɛrɛsin | If yu nɔr klia bɔt tin dɛm lɛk doz ɛn tɛm. |
| Diskɔmfɔt bikɔs ɔf di sayd ɛfɛkt dɛn | If i tu tranga fɔ tek di mɛrɛsin bikɔs ɔf tin dɛn lɛk nɔs ɛn vɔmit. |
| Nɔ ridyus pan di simptom dɛm | If yu sik nɔr dɔn wɛl ivin afta yu dɔn kɔmplit di kɔs fɔ di mɛrɛsin. |
| Di sayn dɛn we de sho se pɔsin gɛt alɛji | If sɔntin lɛk skin rash de apia. |
| If dis kayn tin apin, go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. | |
| Sivɛri dayarɛa | If yu gɛt wata dayarɛa bɔku tɛm insay di de ɔ if yu gɛt sayn dɛn fɔ se yu nɔ gɛt wata na yu bɔdi. |
| Sivɛri alɛji | If yu gɛt sɔm sayn dɛm fɔ anafilaksis, lɛk wae yu nɔr kin ebul fɔ blo fayn ɛn yu fes kin swel, dis na siriɔs imejensi. |
Mɛsej we dɛn kin kɛr go na os
- Makrolayd na wan kayn antibayɔtik we dɛn kin gi fɔ trit baktriyal infɛkshɔn . Dɛn nɔ de wok agens vayral infɛkshɔn lɛk di kɔmɔn kol.
- Tek di ful amount of di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek, fɔ di ful nɔmba fɔ di dez . Nɔ stɔp fɔ tek am af-af.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda mɛrɛsin we yu gɛt (espɛshali at sik).
- Smɔl sayd ɛfɛkt dɛn lɛk we yu bɛlɛ at kin apin, bɔt if yu gɛt siriɔs dayarɛa, yu skin de rɔsh, ɔ yu nɔ kin ebul fɔ blo , go to dɔktɔ wantɛm wantɛm.
- If yu gɛt siriɔs alɛji ɔ yu nɔ gɛt wata we yu nid fɔ gɛt tritmɛnt kwik kwik wan, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
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