Kana uine chirwere chakadai sefivha kana kukosora, paunoenda kuna chiremba, vanokupa mhando dzakasiyana dzemishonga inorwisa mabhakitiriya, handiti? Dzimwe nguva ungasanyatsoziva mishonga iyi. Ehe, boka rakakosha remishonga inorwisa mabhakitiriya iro vanachiremba vanowanzo kurudzira rinonzi Macrolides. Saka nhasi, ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, macrolides aya chii?
Macrolides rudzi rwemishonga inorwisa mabhakitiriya inoshandiswa kurapa hutachiona hunokonzerwa nemabhakitiriya . Basa rayo guru nderekumisa kukura, kana kupararira, kwemabhakitiriya anopinda mumiviri yedu.
Zvakakosha kuyeuka kuti mishonga iyi inoshanda chete pazvirwere zvemabhakitiriya. Haizobatsiri pazvirwere zvemavhairasi, zvakaita sedzihwa kana furuu.
Chiremba wako anogona kukurudzira mushonga we macrolide kana achifunga kuti ndiwo mushonga wakanakisa wehutachiona hwako. Zvakare, vamwe vanhu vane allergy kune mamwe ma antibiotics, akadai se penicillin. Macrolides anoshandiswa senzira yekurapa mumamiriro ezvinhu akadaro.
Ndeapi macrolides anonyanya kushandiswa?
Kune mhando dzakasiyana dzemacrolides anoshandiswa zvakanyanya navanachiremba muSri Lanka nepasi rose. Ngatizvitarisei patafura iri pazasi.
| Zita reMushonga | Sumo pfupi |
|---|---|
| Azithromycin | Kosi inowanzoitwa nevanhu vakawanda inogona kupedzwa munguva pfupi, senge mazuva matatu kusvika mashanu. |
| Clarithromycin | Inoshandiswawo pazvirwere zvekufema uye mamwe maronda emudumbu. |
| Erythromycin | Mushonga wekare, asi uchiri kushanda zvakanaka unoshandiswa pakurapa zvirwere zvakasiyana-siyana. |
| Fidaxomicin | Inoshandiswa kunyanya pahutachiona hweC. diff, hutachiona hwakakomba hwemudumbu. |
Ndezvipi zvirwere zvinoshandiswa nema macrolides?
Mishonga iyi inoshandiswa kurapa zvirwere zvakasiyana-siyana zvemabhakitiriya, kubva kuzvirwere zvekufema kusvika kuzvirwere zvepabonde.
- "Chibayo chinofamba" (Chibayo chisingaperi): Chirwere chepneumonia chakasiyana zvishoma nechirwere chepneumonia chakajairika uye chisina kunyanya kuipa.
- Mabhakitiriya emaziso: Mabhakitiriya anokonzera maziso matsvuku, anokwenya.
- Fivha yekukwenya katsi
- Diphtheria
- Utachiona hweH. pylori, hunokonzera maronda emudumbu: Izvi zvinopihwa pamwe chete nemimwe mishonga.
- Zvirwere zvinotapuriranwa pabonde: Semuenzaniso, zvirwere zvakaita seChlamydia.
- Utachiona hwehuro (Strep throat): Kunyanya kune avo vane allergies ku penicillin.
- Matambudziko emudumbu akanyanya: Kana manyoka emufambi akanyanya.
- Utachiona hwemunzira weti (Urethritis)
- Kukosora kwechikosoro (Pertussis)
Pamusoro pezvo, dzimwe nguva macrolide inonzi `Erythromycin` inoiswa paganda muchimiro chegel kurapa mapundu. Chikonzero cheizvi ndechekuti mamwe marudzi emabhakitiriya ari paganda redu anobatsira mukuumbwa kwemapundu. Gel iyi inodzora mabhakitiriya iwayo.
Ndinofanira kushandisa mushonga uyu sei?
Mishonga inorwisa mabhakitiriya yeMacrolide inouya nenzira dzakasiyana.
- Mhando dzemapiritsi ekumedza
- Mhando dzemvura yekudiridza
- Gel kana lotion inoiswa paganda
- Mafuta anozorwa mukati meziso
- Majekiseni anopiwa nachiremba
Chinhu chinonyanya kukosha kutora mushonga wacho sezvawaudzwa nachiremba wako, muchiyero chakakodzera, panguva yakakodzera, uye kwemazuva akakodzera. Verenga mirairo iri papepa remushonga nokungwarira. Kana usina chokwadi, bvunza chiremba wako.
Kana wakanyorerwa mushonga wemvura, shandisa kapu yekuyeresa kana chipunu chete chinouya nawo. Usashandise zvipunu zvemumba kana zvipunu, sezvo zvingasakupa mushonga wakakodzera .
Kukosha kwekupedza kosi yekurapa
Hazvina mhosva kuti chiremba akakurayira mazuva mangani, unofanira kutora mushonga wacho kwemazuva iwayo chaiwo. Unogona kunzwa zviri nani mushure memazuva maviri kana matatu ekutora mushonga. Asi usarega kutora mushonga nekuti wanzwa zviri nani. Kana ukarega, mabhakitiriya asara mumuviri wako haazoparadzwe zvachose. Mushure mechinguva, mabhakitiriya achava nesimba zvakare, uye chirwere chinogona kudzoka.
Pane mimwe migumisiro yakaipa here?
Ehe, semushonga upi zvawo, macrolides anogona kukonzera migumisiro midiki. Asi musazvidya mwoyo, mizhinji yacho haisi yakanyanya kuipa. Migumisiro inowanzo itika ndeyekurwadziwa mudumbu.
- Kusvotwa nekurutsa
- Kurwadziwa kwemudumbu kana kurwadziwa
- Manyoka
Mikana yemigumisiro iyi inogona kusiyana zvichienderana nerudzi rwemacrolide aunopihwa. Chiremba wako achakutsanangurira izvi.
Chimwe chinhu chakakosha ndechekuti mishonga iyi inogona kushanda pamwe chete nemimwe mishonga yauri kutora. Saka, iva nechokwadi chekuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nezvimwe zvinovaka muviri). Zvakare, kana ukanwa doro, muudze nezvazvo. Unogona kukurudzirwa kuti usanwa doro paunenge uchitora mushonga uyu.
Kashoma kuti pave ne allergic reactions. Chiratidzo chinowanzoitika ipundu paganda. Kashoma kuti pave nematambudziko eganda akadai seStevens-Johnson syndrome.
Mushonga uyu unogona kukanganisa kurova kwemoyo here?
Izvi hazviwanzoitiki, asi zvakakosha kuziva nezvazvo. Mamwe macrolides anogona kukonzera shanduko mukushanda kwemagetsi kwemoyo (QT interval prolongation). Izvi zvinogona kukonzera njodzi diki yekuva nemoyo usingashande zvakanaka (arrhythmias).
Asi musazvidya mwoyo nezvenyaya iyi futi. Vanachiremba vanoziva nezvazvo. Kana uine chirwere chemwoyo chakadai se "Long QT syndrome", chiremba wako achakupa mushonga unorwisa mabhakitiriya wakachengeteka panzvimbo pemushonga uyu.
Ndinofanira kuona chiremba rini?
Zvakakosha zvikuru kutaura nachiremba wako mumamiriro ezvinhu anotevera.
| Mamiriro ezvinhu | Zvekuita |
|---|---|
| Kana muine mibvunzo nezvekuti mungatora sei mushonga wenyu. | Taura nachiremba uzive chaizvo. |
| Kana uchinetseka kutora mushonga nekuda kwemigumisiro yakaipa (semuenzaniso kurutsa). | Usarega kutora mushonga, asi fonera chiremba wako kuti akupe mazano. |
| Kana zviratidzo zvichiripo mushure mekunge mushonga wapera. | Ona chiremba zvakare. |
| Kana ukatanga kuva nekutsamwa kweganda kana zviratidzo zvekusawirirana neganda. | Zivisa chiremba nekukasika. |
| Mamiriro ezvinhu apo unofanira kuenda kuETU (Emergency Treatment Unit) nekukasika | |
| Kana uine manyoka ane mvura kakawanda pazuva kana kuti uri kuratidza zviratidzo zvekupererwa nemvura mumuviri (muromo wakaoma, maziso akanyura, weti shoma). | Enda kuETU yechipatara chiri pedyo nekukasika. |
| Kana ukaona zviratidzo zvekurwara zvakanyanya (Anaphylaxis), zvakaita sekunetseka kufema uye kuzvimba kwechiso nemiromo. | Izvi zvinonetsa. Enda kuETU nekukasika. |
Clindamycin iMacrolide zvakare here?
Kwete. `Clindamycin` haisi macrolide. Iri mune imwe mhando yemishonga inorwisa mabhakitiriya inonzi `Lincosamides`. Zvisinei, mushonga iwoyo unomisawo kukura kwebhakitiriya nenzira imwecheteyo nemacrolides.
Mukupedzisa, macrolides chombo chine simba mukurwisa hutachiona hwemabhakitiriya. Asi chombo ichi chinofanira kushandiswa chete, uye chete pasi pekurairwa nachiremba.
Mharidzo Yekuenda Nayo Kumba
- Macrolides rudzi rwemishonga inorwisa mabhakitiriya inoshandiswa kurapa hutachiona hwebhakitiriya.Izvi hazvirapi zvirwere zvemavhairasi zvakaita sedzihwa.
- Iva nechokwadi chekuzivisa chiremba wako nezvemimwe mishonga yauri kutora, allergies dzaunadzo, nezvimwe zvirwere (kunyanya chirwere chemwoyo).
- Kunyangwe zviratidzo zvako zvikadzikira, pedza mushonga wese wawakanyorerwa nachiremba wako. Kumira pakati pechirwere kunogona kukonzera kuti chirwere chidzoke, uye chiwedzere kuipa.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akakomba, akadai semanyoka akanyanya, mapundu eganda akanyanya, kana kufema zvakaoma.
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