Mungathe kugonekedwa m'chipatala ndi matenda oopsa a bakiteriya, monga chibayo. Pachifukwa chotere, dokotala angakulembereni mankhwala otchedwa Azithromycin, omwe amaperekedwa kudzera m'mitsempha ndi saline. Uwu ndi mankhwala omwe tikukamba lero. Mwachidule, ndi mankhwala amphamvu kwambiri omwe amapha mabakiteriya. Koma kumbukirani, sachiza matenda opatsirana ndi mavairasi monga chimfine ndi fuluwenza.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanasankhe kukupatsani mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, muyenera kuuza dokotala wanu popanda kubisa.
- Matenda a chiwindi: Ngati muli ndi vuto lililonse la chiwindi, chonde tchulani.
- Matenda a impso: Ngati pali vuto lililonse ndi momwe impso zimagwirira ntchito.
- Matenda a mtima kapena kugunda kwa mtima kosasinthasintha: Ngati mwakhala ndi vuto ndi liwiro kapena kayimbidwe ka kugunda kwa mtima kwanu.
- Myasthenia Gravis: Ili ndi vuto lomwe limayambitsa kufooka kwa minofu. Ngati muli ndi matendawa, ndikofunikira kunena za matendawa.
- Matenda a magazi: Ngati muli ndi mbiri ya matenda okhudzana ndi magazi monga khansa ya m'magazi.
- Matenda a ziwengo: Izi ndizofunikira kwambiri. Uzani dokotala wanu ngati muli ndi ziwengo zilizonse ku Azithromycin kapena maantibayotiki ena a gulu lomwelo (maantibayotiki a macrolide), monga Erythromycin. Komanso, uzani dokotala wanu ngati muli ndi ziwengo zilizonse ku mankhwala ena, zakudya, kapena zosungira.
- Ngati muli ndi pakati kapena mukuyembekezera mwana: Uzani dokotala wanu ngati muli ndi pakati, kapena ngati mukufuna kutenga pakati posachedwa.
- Ngati ndinu mayi woyamwitsa: Muyeneranso kudziwitsa dokotala ngati mukuyamwitsa mwana wanu.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Jakisoni wa Azithromycin ndi mankhwala omwe amaperekedwa m'thupi kudzera mu mtsempha (kulowetsedwa m'mitsempha). Nthawi zambiri amaperekedwa kwa inu ndi ogwira ntchito zachipatala kuchipatala kapena ku chipatala. Nthawi zina zapadera, amathanso kuperekedwa kudzera muutumiki wosamalira kunyumba.
Chofunika kwambiri: Ndikofunikira kumwa mankhwalawa kwa masiku onse omwe dokotala wanu wakupatsani. Musasiye kumwa ngakhale mutamva bwino. Kuchita zimenezi kungayambitse matenda kubwerera.
Kodi mungachite chiyani ngati mlingo ukuwonjezeka?
Popeza izi zimaperekedwa kuchipatala, chiopsezo chogwiritsa ntchito mankhwala mopitirira muyeso n'chochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, dziwitsani ogwira ntchito nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) yapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, osati mankhwala olembedwa ndi dokotala okha, komanso mankhwala ogulitsidwa kunja kwa ofesi ya dokotala, mankhwala achikhalidwe, mavitamini, ndi zowonjezera. Mankhwala ena amatha kusokonezana ndi Azithromycin ndikuyambitsa zotsatirapo zoyipa.
| Mtundu wa mankhwala | Kufotokozera ndi chiopsezo |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi Azithromycin | |
| Cisapride, Dronedarone, Pimozide, Thioridazine | Izi zingayambitse mavuto aakulu a mtima akamwedwa ndi Azithromycin. |
| Mankhwala ena omwe angagwirizane ndi Azithromycin (ndikofunika kudziwitsa dokotala) | |
| Warfarin | Chochepetsa magazi. Kagwiridwe kake ka ntchito kangasiyane. |
| Digoxin, Cyclosporine, Phenytoin | Mlingo wa mankhwala awa ukhoza kukwera m'magazi. |
| Mapiritsi oletsa kubereka | Kugwira ntchito kwa mapiritsi oletsa kubereka kungachepe. |
| Mankhwala ena omwe amawonjezera nthawi ya QT | Mankhwala awa ndi omwe amakhudza kayendedwe ka mtima. Chiwopsezo chimawonjezeka akamwedwa ndi Azithromycin. |
Dziwani izi mukamamwa mankhwala.
- Zizindikiro: Ngati zizindikiro zanu sizikuchepa kapena zikuoneka kuti zikuipiraipira, uzani dokotala wanu.
- Matenda aakulu pakhungu: Izi ndi zinthu zofunika kusamala nazo kwambiri. Nthawi zina izi zimatha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwala. Uzani dokotala nthawi yomweyo ngati muli ndi ziphuphu zofiira kapena zofiirira pakhungu lanu zomwe zimakhala ndi zizindikiro monga malungo kapena chimfine, zomwe zimatuluka matuza ndi kuchotsedwa. Komanso, ngati muli ndi ziphuphu zofiira zomwe zimatupa pankhope, milomo, kapena ma lymph nodes otupa pakhosi kapena m'khwapa, chimenechonso ndi chizindikiro choopsa.
- Kutsegula m'mimba kwambiri: Anthu ena akhoza kukhala ndi vuto la matumbo akamamwa mankhwala. Komabe, ngati kutsegula m'mimba kwanu kuli koopsa ndipo kumatenga masiku opitilira awiri, musamwe mankhwala operekedwa ndi dokotala. Onetsetsani kuti mwadziwitsa dokotala wanu.
- Kumva kudzuwa: Khungu lanu likhoza kukhala lomva kudzuwa kwambiri kuposa masiku onse mukamamwa mankhwalawa. Choncho pewani kudzuwa kwambiri momwe mungathere. Ngati mutuluka panja, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, Azithromycin ingayambitse zotsatira zina zoyipa. Zina mwa izi ndi zazikulu, pomwe zina ndizofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Zotsatira za ziwengo / Angioedema | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime kapena miyendo, kuvutika kupuma kapena kumeza. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kumva kufooka, kupweteka pachifuwa, kuvutika kupuma. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, kutopa kosazolowereka. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa khungu (ngakhale mkati mwa pakamwa), malungo ndi kutupa kwa ma lymph nodes. |
| Kutsegula m'mimba kwambiri | Kutsegula m'mimba kwambiri, malungo. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Kutsegula m'mimba | Kuyenda bwino m'mimba. |
| Kusanza | Kumva ngati kusanza. |
| Kupweteka m'mimba | Kumva kupweteka pang'ono m'mimba. |
| Kusanza | Kusanza. |
Uthenga Wopita Nawo Kunyumba
- Azithromycin ndi mankhwala amphamvu opha tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito pochiza matenda a bakiteriya. Sachiritsa matenda a mavairasi.
- Musanayambe kumwa mankhwala, onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo, makamaka chiwindi, impso, ndi matenda a mtima, komanso ziwengo zilizonse zomwe muli nazo.
- Imwani mankhwala onse omwe dokotala wakupatsani. Musasiye kumwa mankhwala ngakhale mutamva bwino.
- Ngati mukuona zizindikiro monga matuza aakulu pakhungu, kutsegula m'mimba kwambiri, kapena kugunda kwa mtima kosazolowereka, musazengereze ndipo dziwitsani dokotala nthawi yomweyo.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, muyenera kufunsa dokotala amene akukuthandizani.
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