Mwina mwapatsidwa mankhwala opha tizilombo toyambitsa matenda mukapita kwa dokotala. Ena mwa mankhwala amenewa ndi amphamvu kwambiri ndipo amatha kuchiza matendawa mwachangu. Koma kodi mumadziwa kuti pali mankhwala ena amphamvu omwe angakhale ndi zotsatirapo zoyipa kwambiri? Fluoroquinolones ndi gulu la mankhwala omwe amagwiritsidwa ntchito pokhapokha pazochitika zapadera. Lero, tikambirana za chilichonse m'njira yosavuta komanso yomveka bwino. Kodi ma fluoroquinolones awa ndi chiyani?
Mwachidule, awa ndi gulu la maantibayotiki omwe amagwiritsidwa ntchito pochiza kapena kupewa matenda enaake a bakiteriya. Ngakhale kuti anapezeka m'zaka za m'ma 1960, madokotala anayamba kuwagwiritsa ntchito kwambiri m'zaka za m'ma 1970 ndi 1980. Panthawiyo, mankhwala awa anali otchuka kwambiri. Anali othandiza kwambiri pochiza matenda osiyanasiyana, kuyambira matenda a mkodzo mpaka chibayo. Anali osavuta kumwa ngati piritsi kamodzi kapena kawiri patsiku, zomwe zinapangitsa kuti zikhale zosavuta kumwa. Madokotala ankawafuna kwambiri chifukwa ankapereka chithandizo mwachangu ngakhale maantibayotiki ena sankagwira ntchito. Komabe, vuto linali lakuti anthu ena anayamba kukumana ndi zotsatirapo zoyipa kuchokera ku mankhwalawa. Komanso, chifukwa ankagwiritsidwa ntchito mosafunikira pa matenda aliwonse, mabakiteriya ena anayamba kukana mankhwala awa (kukana maantibayotiki). Kodi mankhwalawa amagwira ntchito bwanji?
Ganizirani za bakiteriya ngati makina okopera. Amapitiriza kupanga makope ake, zomwe zimawonjezera kuchuluka kwa matenda m'thupi lathu. Kuti apange makope awa, bakiteriyayo amafunika kutambasula majini ake, ndiko kuti, DNA yake. Ma enzyme apadera amawathandiza kutambasula DNA iyi. Fluoroquinolones imaletsa ma enzyme omwe amatambasula DNA. Kenako mabakiteriya sangathe kupanga makope, ndiko kuti, sangathe kubereka. Umu ndi momwe mankhwala awa amalamulira kufalikira kwa matendawa. Kodi fluoroquinolones imagwiritsidwa ntchito pa matenda otani?
Choyamba, tiyeni tiwone matenda omwe amagwiritsidwa ntchito kawirikawiri omwe mankhwalawa sayenera kugwiritsidwa ntchito . Kawirikawiri, sikoyenera kugwiritsa ntchito pa matenda otsatirawa omwe angachiritsidwe ndi maantibayotiki ena osavuta:Chofunika kwambiri ndichakuti fluoroquinolones si mankhwala "oyamba". Ayenera kugwiritsidwa ntchito kokha pa matenda akuluakulu kapena ovuta, makamaka pamene maantibayotiki ena sanagwire ntchito kapena pamene mabakiteriya ayamba kukana mankhwalawo.
Nazi zina mwazochitika zomwe dokotala angakupatseni mankhwala awa:- Matenda ovuta a mkodzo (UTIs)
- Chibayo
- Matenda a Prostate (Prostatitis)
- Kutsegula m'mimba komwe kumachitika chifukwa cha mabakiteriya ena
- Matenda oopsa omwe majeremusi amalowa m'magazi, monga sepsis
Madokotala a mano angawalimbikitsenso pa matenda ena a mano. Amagwiritsidwanso ntchito kwa anthu omwe ali ndi vuto la ziwengo ku maantibayotiki ena kapena pamene palibe njira zina. Ndi mankhwala ati omwe ali m'gulu la fluoroquinolone?
Mwina mukudziwa dzina limodzi mwa mayina awa. Awa ndi mitundu ya fluoroquinolones yomwe imagwiritsidwa ntchito kwambiri. | Dzina lachibadwa | Chitsanzo cha Dzina la Brand |
|---|
| Ciprofloxacin | Kupuro |
| Levofloxacin | Levaquin |
| Moxifloxacin | Avelox |
| Ofloxacin | Floxin |
| Gemifloxacin | Factive |
Kodi zotsatirapo zake zoopsa ndi ziti?
Iyi ndi gawo lofunika kwambiri m'nkhaniyi. Si aliyense amene amalandira zotsatirapo zoyipa kuchokera ku fluoroquinolones. Komabe, kwa anthu ena, zotsatirapo zake zingakhale zazikulu mokwanira kuti ziwononge kwamuyaya. Chifukwa chake ndikofunikira kudziwa izi. Zotsatirapo zina zingawonekere patangopita maola ochepa kuchokera pamene mankhwala ayamba. Zina zingawonekere milungu kapena miyezi mutasiya kumwa mankhwalawa. Zina mwa zotsatirapo zoyipa kwambiri ndi izi:- Mavuto a tendon: Mnofu, makamaka tendon ya Achilles yomwe ili kumbuyo kwa chidendene, imatha kutupa, kupweteka, kapena kuphulika.
- Kuwonongeka kwa mitsempha: Izi zimatchedwa peripheral neuropathy. Zizindikiro zake zitha kuphatikizapo dzanzi, kumva kuwawa, komanso kumva kuwawa m'miyendo. Izi nthawi zina zimatha kukhala zosatha.
- Mavuto amisala: Nkhawa, kusokonezeka maganizo, chisokonezo, kuvutika maganizo, kuona zinthu molakwika, komanso ngakhale kuganiza zodzipha.
- Kuwonongeka kwa mtsempha wamagazi: Ichi ndi vuto losowa kwambiri koma loopsa kwambiri. Lingayambitse kung'ambika kapena kugawanika kwa mtsempha wamagazi (aortic dissection).
- Kusintha kwa shuga m'magazi: Shuga m'magazi imatha kutsika kapena kukwera kwambiri mwa anthu odwala matenda ashuga komanso athanzi.
- Kwa odwala matenda a myasthenia gravis: Kufooka kwa minofu kungawonjezeke mwa anthu omwe ali ndi matendawa.
Zotsatira zina zoyipa za fluoroquinolones
| - Kusanza ndi kusanza | - Kutupa ndi kupweteka kwa mafupa |
| - Kugwedezeka | - Kumva kutentha kwa dzuwa (kupsa ndi dzuwa) |
| - Khunyu | - Kuvutika m'mimba komanso kutsegula m'mimba kwambiri |
| - Kusagwira bwino ntchito kwa mtima | - Clostridium difficile (C. diff) ndi matenda otsegula m'mimba kwambiri |
Kodi mumatani ngati mukukumana ndi chizindikiro chonga ichi?
Ngati mukukumana ndi zizindikiro zotsatirazi mukumwa fluoroquinolone, siyani kumwa mankhwalawo ndipo imbani dokotala nthawi yomweyo. Ngati mukumva kupweteka kwambiri kapena mukuvutika kupuma, pitani kuchipatala mwamsanga.- Kupweteka mwadzidzidzi, kutupa, kapena kuuma kwa minofu, mafupa, kapena minofu.
- Kusanza, kumva kuwawa, kapena kumva kukwawa m'miyendo.
- Nkhawa, chisokonezo, kapena kusintha kwa maganizo.
- Kumva chizungulire kapena kugunda kwa mtima kosakhazikika.
- Kutsegula m'mimba komwe kumakhala ndi ululu waukulu m'mimba.
Musaiwale, chitetezo chanu ndicho chinthu chofunika kwambiri. Ngati mukumva china chake chachilendo, musachinyalanyaze. Funsani upangiri wa dokotala nthawi yomweyo.
Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
1. Kodi mankhwala a fluoroquinolones ndi oletsedwa?
Ayi. Mankhwalawa akugwiritsidwabe ntchito. Koma tsopano akulangizidwa kokha pa matenda oopsa komanso ovuta, osati matenda osavuta. Komanso, ndi njira yofunika kwambiri kwa anthu omwe ali ndi vuto la maantibayotiki ena. 2. Kodi Bactrim ndi fluoroquinolone?
Ayi. Bactrim ndi kuphatikiza kwa maantibayotiki awiri osiyana (sulfamethoxazole ndi trimethoprim). Siili m'gulu la fluoroquinolone. 3. Kodi Amoxicillin ndi fluoroquinolone?
Ayi. Amoxicillin ndi mankhwala opha tizilombo omwe ali m'gulu la penicillin. Si fluoroquinolone. Uthenga Wopita Nawo Kunyumba
- Fluoroquinolones ndi gulu lamphamvu la maantibayotiki omwe amagwiritsidwa ntchito pochiza matenda akuluakulu a bakiteriya.
- Sizovomerezeka pa matenda ofala monga chimfine, sinusitis, kapena matenda osavuta a mkodzo.
- Mankhwalawa angayambitse mavuto aakulu komanso osatha okhudzana ndi minofu, mitsempha, ndi thanzi la maganizo.
- Ngati mwapatsidwa fluoroquinolone, siyani kumwa mankhwalawo nthawi yomweyo ndipo dziwitsani dokotala wanu ngati mukumva kupweteka kosazolowereka, dzanzi, kapena kusintha kwa maganizo.
- Musagwiritse ntchito maantibayotiki amphamvu ngati amenewa popanda upangiri wa dokotala.
No comments yet. Be the first to share your question or experience below.