Tiyeni tiphunzire za mankhwala otchedwa Erythromycin? (Erythromycin Yochedwa Kutulutsidwa)

Mukapita kwa dokotala muli ndi chimfine, chifuwa, ndi malungo, dokotalayo mwina anakupatsani mankhwala otchedwa ``Erythromycin''. Kapena mwina anakupatsani mankhwala awa a matenda ena a bakiteriya. Kotero mwina mukudabwa kuti mankhwalawa ndi chiyani, amagwira ntchito yanji, komanso momwe angagwiritsire ntchito bwino. Tiyeni tikambirane za izi lero, chabwino?

Ndiye kodi Erythromycin iyi ndi chiyani?

Mwachidule, Erythromycin ndi mankhwala opha tizilombo toyambitsa matenda . Izi zikutanthauza kuti mankhwalawa amatha kupha kapena kuletsa kukula kwa mabakiteriya ena owopsa omwe amalowa m'thupi mwathu. Taganizirani ngati thupi lathu lili ngati munda waukulu. M'munda uno, muli zomera zabwino komanso udzu woipa. Mofananamo, erythromycin iyi imathandiza kuchotsa mabakiteriya oipa omwe ali m'thupi mwathu.

Koma chinthu chimodzi choyenera kukumbukira. Mankhwalawa amagwira ntchito kokha pa matenda a bakiteriya . Sachiritsa matenda oyambitsidwa ndi mavairasi monga chimfine, fuluwenza, ndi chifuwa. Chifukwa chake, mankhwalawa amaperekedwa pokhapokha dokotala atamufufuza wodwalayo ndikutsimikizira kuti ndi matenda a bakiteriya.

Piritsi lomwe mudalandira lingakhale la mtundu wa "kuchedwa kutulutsidwa". Izi zikutanthauza kuti piritsi silisungunuka nthawi yomweyo likalowa m'mimba, koma limasungunuka pang'onopang'ono, zomwe zimapangitsa kuti mankhwalawo alowe m'thupi. Izi zikutanthauza kuti m'malo mowamwa kangapo patsiku, mutha kumwa nthawi imodzi.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa?

Musanayambe kumwa erythromycin, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Ngati simuwauza, mutha kukhala ndi zotsatirapo zoyipa kuchokera ku mankhwalawa.

• Kodi muli ndi matenda a chiwindi? Chiwindi ndiye chiwalo chachikulu chomwe chimatsuka thupi lathu ndi mankhwala. Choncho ngati pali vuto lililonse ndi chiwindi, mankhwala awa sangatulutsidwe bwino ndipo angasonkhanitsidwe, zomwe zingabweretse mavuto.
• Kodi muli ndi vuto lotchedwa myasthenia gravis? Ili ndi matenda osowa kwambiri amitsempha omwe amayambitsa kufooka kwa minofu. Erythromycin ingapangitse zizindikirozi kukhala zovuta kwambiri.
• Kodi munayamba mwakhalapo ndi vuto la erythromycin, maantibayotiki ena, mankhwala ena aliwonse, chakudya, utoto, kapena zosungira? Matenda a ziwengo amatha kuyambira kuyabwa pang'ono mpaka kuvutika kupuma kwambiri. Ichi ndichifukwa chake izi ndizofunikira kwambiri.
• Kodi muli ndi pakati pakadali pano? Kapena mukuyembekeza kutenga mimba posachedwa? `(Muli ndi pakati kapena mukufuna kutenga mimba)` Mankhwala ena amatha kukhudza mwana m'mimba. Chifukwa chake, ndikofunikira kuuza dokotala wanu za izi.
• Kodi ndinu mayi woyamwitsa?`(Kuyamwitsa)` Mankhwala ena amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. Chifukwa chake, muyeneranso kulankhula ndi dokotala wanu za izi.

Dokotala akadziwa zonsezi, akhoza kusankha ngati kuli koyenera kukupatsani erythromycin kapena ayi, kapena ngati akupatseni mankhwala ena, kapena kusintha mlingo.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Chabwino, tsopano tiyeni tiwone momwe tingamwere mapiritsi/makapisozi a erythromycin awa.

• Mankhwalawa ayenera kumwedwa pakamwa . Nthawi zambiri amalangizidwa kuti amwedwe ndi kapu ya madzi.
• Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani molondola . Imwani kuchuluka kwa mankhwala omwe mwapatsidwa, panthawi yomwe mwapatsidwa, monga momwe mwalangizidwira.
• Musamatafuna kapena kuphwanya mapiritsi/makapisozi awa, makamaka mtundu wa ``Delayed-Release``, chifukwa kutero kungapangitse kuti mankhwalawo alowe m'thupi mwachangu kwambiri ndikuyambitsa zotsatirapo zoyipa. Mezani onse.
• Mankhwalawa angatengedwe pamimba yopanda kanthu, ndi chakudya, kapena ndi mkaka . Nthawi zina, ngati mukumva kupweteka pang'ono m'mimba mukamamwa pamimba yopanda kanthu, ndi bwino kumwa pamodzi ndi chakudya.
• Ndikofunikira kwambiri kumwa mankhwala anu panthawi yoyenera. Ngati akuti 8 koloko m'mawa kapena 8 koloko madzulo, yesani kumwa nthawi imeneyo momwe mungathere.
• Musamwe mowa wochuluka kuposa momwe dokotala wanenera .
• Chofunika kwambiri ndikumwa mankhwala onse omwe dokotala wanu wakupatsani. Ngakhale mutamva bwino patatha masiku awiri kapena atatu, musasiye kumwa mankhwalawo. Ngati mutatero, mabakiteriya omwe atsala m'thupi lanu akhoza kukhala amphamvu ndipo matendawo angabwererenso. Zikatero, mankhwalawo sangagwire ntchito motsutsana ndi mabakiteriya amenewo. Chifukwa chake, musasiye kumwa mankhwalawo popanda upangiri wa dokotala.
• Ngati mupereka mankhwalawa kwa ana aang'ono , muyenera kusamala kwambiri. Dokotala adzasankha mlingo weniweni kutengera kulemera ndi zaka za mwanayo.
• Ngati mwamwa mankhwala ochulukirapo mwangozi (overdose) , imbani chipatala chapafupi kapena malo owongolera poizoni nthawi yomweyo.

Chinthu china: Mankhwalawa amaperekedwa kwa inu nokha. Ngakhale mnzanu kapena wachibale wanu ali ndi matenda ofanana ndi anu, musawapatse mankhwala anu. Mavuto a aliyense ndi osiyana. Dokotala ayenera kukupatsani mankhwala.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Nthawi zina timaiwala kumwa mankhwala athu. Ngati mwaphonya mlingo wa erythromycin, imwani mwamsanga mukangokumbukira . Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira ikafika nthawi yomwe mwakumbukira (mwachitsanzo, mkati mwa maola awiri kapena atatu), dumphani mlingo womwe mwaphonya ndikumwa womwewo panthawi yanu yotsatira . Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya . Kuchita izi kungayambitse zotsatirapo zoyipa.

Ndi zinthu zina ziti zomwe zingachitike ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Erythromycin imatha kuyanjana ndi mankhwala ena, zitsamba, ndi zakudya zina zomwe mukumwa ndipo zimayambitsa mavuto. Izi zikutanthauza kuti kugwira ntchito kwa erythromycin kungachepe, kuchuluke, kapena zotsatirapo zina zatsopano zingachitike.

Musamwe erythromycin pamodzi ndi mankhwala awa:

Kumwa erythromycin pamodzi ndi mankhwala ena omwe ali pamndandandawu kungayambitse zotsatirapo zoyipa kwambiri , choncho samalani kwambiri.

• Mankhwala ena omwe amagwiritsidwa ntchito pa ziwengo (monga `Astemizole`, `Terfenadine` - awa sagwiritsidwanso ntchito kwambiri, koma ndibwino kudziwa)
• Mankhwala ena omwe amagwiritsidwa ntchito kuchepetsa cholesterol (monga atorvastatin, cerivastatin, lovastatin, simvastatin)
• Mankhwala ena a matenda a bowa (monga fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika (arrhythmia) (monga amiodarone, disopyramide, dronedarone, flecainide, procainamide, propafenone, quinidine)
• Mankhwala ena a matenda amisala (monga mesoridazine, pimozide, thioridazine)
• Chloroquine yochizira malungo
• Cisapride, yomwe imaperekedwa pamavuto ena am'mimba
• `Droperidol` (mankhwala ochizira nseru ndi kusanza)
• `Eplerenone` (mankhwala a kuthamanga kwa magazi ndi matenda a mtima)
• Ma alkaloid a Ergot (monga ergotamine, dihydroergotamine) omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala
• `Methadone` (mankhwala operekedwa kwa anthu omwe amamwa mankhwala osokoneza bongo)
• Mankhwala ena opha tizilombo (monga `grepafloxacin`, `sparfloxacin`)
• Mpunga wofiira wa yisiti (womwe ena amagwiritsa ntchito pochiza cholesterol)
• Sirolimus (mankhwala operekedwa kuti athetse chitetezo chamthupi pambuyo poika chiwalo china)
• `Vinblastine` (mankhwala oletsa khansa)

Izi zingayambitsenso zotsatirapo zoyipa ndi erythromycin:

Monga mndandanda womwe uli pamwambapa, mankhwala omwe ali pansipa angayambitse mavuto akamwedwa ndi erythromycin.

• `Alfentanil` (mankhwala amphamvu ochepetsa ululu omwe amaperekedwa panthawi ya opaleshoni)
• Mapiritsi oletsa kubereka : Erythromycin ingapangitse kuti mapiritsi oletsa kubereka asagwire bwino ntchito. Choncho, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga makondomu) mukamamwa erythromycin ndipo kwa pafupifupi sabata imodzi pambuyo pake.
• Bromocriptine (mankhwala ogwiritsidwa ntchito pa matenda a Parkinson ndi mavuto ena a mahomoni)
• `Carbamazepine` (mankhwala ogwiritsidwa ntchito pa khunyu ndi ululu wa mitsempha)
• Mankhwala ena oletsa nkhawa kapena kusowa tulo
• Mankhwala omwe amaletsa magazi kuundana (monga `warfarin`) - Erythromycin ikhoza kuwonjezera mphamvu ya izi ndikuyambitsa kutuluka magazi.
• Cyclosporine (mankhwala operekedwa pambuyo poika ziwalo zina, pa matenda ena odziteteza ku matenda a autoimmune)
• `Digoxin` (mankhwala ogwiritsidwa ntchito pa matenda a mtima ndi matenda a mtima)
• `Dofetilide` (mankhwala ochizira matenda a mtima)
• Mankhwala ena omwe amatalikitsa nthawi ya `QT interval` ya mtima (izi zimakhudza kugunda kwa mtima)
• `Phenytoin` (mankhwala a khunyu)
• Theophylline (mankhwala a mphumu)
• `Valproate` (mankhwala ogwiritsidwa ntchito pa matenda a khunyu ndi matenda ena amisala)
• Ziprasidone (mankhwala ogwiritsidwa ntchito pochiza matenda ena amisala)

Mndandandawu sunathe. Pali mankhwala ena ambiri omwe angagwirizane ndi erythromycin. Chifukwa chake, ndikofunikira kuuza dokotala wanu kapena wamankhwala za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, omwe amagulitsidwa ndi mankhwala azitsamba, mavitamini, kapena zowonjezera zina). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Izi zingagwirizane ndi mankhwalawa.

Ndi chiyani chinanso chomwe muyenera kusamala nacho mukamamwa erythromycin?

Muyeneranso kusamala pang'ono ndi vuto lanu mukamagwiritsa ntchito mankhwalawo.

• Ngati zizindikiro zanu sizikusintha, kapena ngati zikuoneka kuti zikuipiraipira mutamwa mankhwala kwa masiku angapo , dziwitsani dokotala wanu nthawi yomweyo.
• Nthawi zina erythromycin ingayambitse kutsegula m'mimba. Komabe, ngati kutsegula m'mimba kumatenga masiku opitilira awiri, kapena ngati kutsegula m'mimba kuli ndi madzi ambiri kapena koopsa , musatenge nokha ku pharmacy. Pitani kwa dokotala nthawi yomweyo. Ichi chikhoza kukhala chizindikiro cha matenda ena omwe amabwera chifukwa cha mankhwalawa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, erythromycin ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amalandira mankhwalawa, koma ena amalandira.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukumva zizindikiro izi, siyani kumwa mankhwalawo ndipo pitani kwa dokotala nthawi yomweyo.

• Matenda a ziwengo : Ziphuphu pakhungu, ziphuphu, kuyabwa kwambiri, kufiira thupi lonse, kutupa kwa nkhope, milomo, lilime kapena pakhosi, kuvutika kupuma. Izi zitha kukhala zoopsa.
• Kusintha kwa kayimbidwe ka mtima : Kugunda kwa mtima mofulumira mwadzidzidzi, kugunda kwa mtima kosasinthasintha, kupweteka pachifuwa, chizungulire, kukomoka, kupweteka pachifuwa, komanso kupuma movutikira.
• Zizindikiro za kuvulala kwa chiwindi : Kupweteka kumtunda kwa mimba, kusowa chilakolako cha chakudya, nseru, kusanza, ndowe zoyera (monga ndowe zoyera), mkodzo wachikasu kapena bulauni wakuda, chikasu cha maso kapena khungu (jaundice), kutopa kwambiri, ndi kufooka.
• Matenda aakulu a pakhungu : Kufiira kwa khungu, kutupa, kutuluka kwa khungu, zilonda mkamwa kapena pamilomo.
• Kutsegula m'mimba kwambiri, komwe kumayenderana ndi malungo : Si kutsegula m'mimba kwachibadwa, koma ngati kuli ndi madzi kangapo patsiku.
• Kwa akazi : Kutuluka madzi m'mimba kosazolowereka, kuyabwa, kapena fungo loipa.

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

Izi nthawi zambiri zimatha patatha masiku ochepa, koma ngati zikupitirira, uzani dokotala wanu .

• Kutsegula m'mimba (kwabwinobwino, osati koopsa monga tafotokozera pamwambapa)
• Mutu
• Kutentha pamtima, kutentha pamtima
• Kusanza

Mndandandawu uli ndi zotsatirapo zina zomwe zimafala kwambiri. Ngati muwona chilichonse chachilendo kapena muli ndi zizindikiro zatsopano, lankhulani ndi dokotala wanu za izo.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Ndikofunikanso kwambiri kusunga mankhwala moyenera.

• Sungani pamalo omwe ana aang'ono ndi ziweto sangafikire.
• Sungani pamalo otentha (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit). Musasunge pamalo otentha kwambiri, dzuwa lachindunji, kapena chinyezi chambiri, monga m'bafa.
• Tsekani pakamwa pa botolo/paketi ya mankhwala .
• Musagwiritse ntchito mankhwala omwe atha ntchito. Tayani.

Uthenga Wopita Nawo Kunyumba

Chabwino, tsopano takambirana zambiri zokhudza erythromycin. Pomaliza, kumbukirani izi:

• Erythromycin ndi mankhwala opha tizilombo omwe amagwiritsidwa ntchito pochiza matenda a bakiteriya . Sagwira ntchito polimbana ndi mavairasi.
• Imwani mankhwala monga momwe dokotala wanu wanenera, kwa nthawi yonse (mpaka nthawi yonse yogwiritsira ntchito itatha). Musasiye kumwa ngakhale mutamva bwino.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, matenda ena aliwonse omwe muli nawo, ndi ziwengo zilizonse zomwe muli nazo .
• Ngati mukukumana ndi zotsatirapo zoyipa (zomwe takambirana pamwambapa), pitani kwa dokotala nthawi yomweyo.
• Mankhwalawa ndi a inu nokha . Musawapatse ena.
• Sungani mankhwala pamalo oyenera omwe ana sangawafikire .

Ngati muli ndi mafunso ena okhudza erythromycin, musazengereze kufunsa dokotala wanu kapena wamankhwala. Ndikukufunirani kuti muchire mwachangu!

Erythromycin , maantibayotiki, maantibayotiki, matenda a bakiteriya, kuchedwa kutulutsidwa, zotsatira zake zoyipa, mankhwala, mankhwala