Ungangoenda kuna chiremba kana uine fivha, kukosora, kana chimwe chirwere uye vakakupa mushonga unorwisa mabhakitiriya, handiti? Rudzi rumwe rwemishonga iyi inonzi 'Macrolides'. Ungangove wakambopiwa mushonga une zita iri kare. Saka nhasi, ngatitaurei nezvema macrolides aya, zvirwere zvaanoshandiswa kurapa, uye zvatinofanira kuziva patinenge tichiashandisa.
Ndezvipi macrolides aya?
Zvichitaurwa zviri nyore, macrolides iboka remishonga inorwisa mabhakitiriya. Basa rayo guru nderekumisa kukura kwebhakitiriya inopinda mumiviri yedu. Kutaura chokwadi, mishonga iyi inoshanda nekudzivisa kushanda kwebhakitiriya kuitira kuti isapararire kana kukura zvakanyanya.
Asi pane chimwe chinhu chakakosha chatinofanira kunzwisisa pano. Mishonga inorwisa mabhakitiriya yeMacrolide inoshanda chete pakurwisa hutachiona hwemabhakitiriya. Hairape hutachiona hwemavhairasi hwakaita sedzihwa nefuruu.
Uyewo, vamwe vanhu vanogona kunge vaine allergies kune mamwe maantibiotic, akadai sepenicillin. Muzviitiko zvakadaro, vanachiremba vanopa macrolides seimwe nzira.
Ndeapi macrolides anonyanya kushandiswa?
Kune mhando dzakasiyana dzemacrolides anowanzo nyorwa navanachiremba muSri Lanka nepasi rose. Ungave uchiziva rimwe remazita aya.
| Zita reMushonga | Sumo pfupi |
|---|---|
| Azithromycin | Iyi imhando ye macrolide iyo vanhu vazhinji vakanzwa nezvayo uye inoshandiswa zvakanyanya. |
| Clarithromycin | Inoshandiswa kurapa zvirwere zvakasiyana-siyana, kusanganisira mabhakitiriya anokonzera maronda emudumbu. |
| Erythromycin | Rudzi rwekare rwemacrolide runouya muchimiro chemapiritsi pamwe nekirimu (gel) inoiswa paganda. |
| Fidaxomicin | Inoshandiswa kunyanya pahutachiona hweC. diff, hutachiona hwakakomba hwemudumbu. |
Ma macrolides anoshandiswa mumamiriro ezvinhu api?
Mishonga iyi inoshandiswa kurapa hutachiona hwakasiyana-siyana hwemabhakitiriya. Heano mimwe mienzaniso:
- Mapundu asingawanzoitiki: Rudzi rwakakosha rwemapundu, runozivikanwawo se "mapundu anofamba."
- Utachiona hwemaziso hunokonzerwa nemabhakitiriya: Utachiona hunokonzera zviratidzo zvakaita sekutsvuka uye maziso ane mvura.
- Utachiona hweganda: Kune zvirwere zvakaita semapundu, gel ine Erythromycin dzimwe nguva inonyorerwa kudzora mabhakitiriya paganda.
- Kurwara nehuro: Kunyanya kune avo vane allergies ku penicillin.
- Chikosoro cheWhooping/Pertussis: Utachiona hunokonzera kukosora kwakanyanya uye kwenguva refu.
- Utachiona hweH. pylori: Uhu hunokonzera maronda emudumbu zvakanyanya. Hunorapwa nemishonga yakaita se`(Clarithromycin)` pamwe chete nemimwe mishonga.
- Zvirwere zvinotapuriranwa pabonde: Kune zvirwere zvakaita seChlamydia.
- Zvimwe zvirwere: Zvinoshandiswawo kurapa zvirwere zvinokonzerwa nekukwenywa kwekatsi (Cat scratch fever), diphtheria, uye manyoka ekufamba.
Mishonga iyi inoshandiswa sei uye kwenguva yakareba sei?
Mishonga inorwisa mabhakitiriya yeMacrolide inouya nenzira dzakasiyana.
- Mapiritsi akamedzwa
- Zvinwiwa
- Majeli kana mishonga inoshandiswa paganda
- Mafuta ekuzora
- Majekiseni anopiwa nachiremba
Chinhu chinonyanya kukosha ndechekutora mushonga sezvawakaudzwa nachiremba wako, muhuwandu hwawakarairwa, uye kwemazuva akatarwa. Kunyanya kana uri mushonga wemvura, shandisa mudziyo wekuyera chete unouya nawo. Kuyera nechipunu kumba hakuzokupi mushonga chaiwo.
Kunyangwe uchinzwa zviri nani, unofanira kutora mushonga kwemazuva ese akataurwa nachiremba. Zvikasadaro, chirwere chingasapora zvachose, uye mamwe mabhakitiriya anogona kuramba ari mumuviri, zvichiita kuti chirwere chidzoke zvakare. Saka, zvakakosha kuti upedze mushonga.
Ma macrolides ane migumisiro yakaipa here?
Kufanana nechero mushonga unorwisa mabhakitiriya, macrolides anogona kukonzera migumisiro midiki. Chinonyanya kuitika ndechekushungurudzika kwemudumbu.
- Kusvotwa nekurutsa
- Kurwadziwa kwemudumbu kana kurwadziwa
- Manyoka
Migumisiro iyi inowanzova isina kuipa. Zvisinei, hunhu hwayo hunogona kusiyana zvichienderana nerudzi rwemacrolide auri kutora. Chiremba wako achakuudza nezveizvi.
Pamusoro pezvo, macrolides anogona kushanda pamwe chete nemimwe mishonga yauri kutora. Saka, iva nechokwadi chekuudza chiremba wako nezvemishonga yese, mavhitamini, uye zvekudya zvinovaka muviri zvauri kutora. Zvakare, udza chiremba wako kana uchinwa doro. Dzimwe nguva ungangoda kurega doro paunenge uchitora mushonga uyu.
Kunyangwe zvisingawanzoitiki, vamwe vanhu vanogona kusangana neallergy. Chiratidzo chinowanzoitika mapundu paganda. Kashoma, matambudziko eganda akadai seStevens-Johnson syndrome anogona kuitika.
Kuchinja kwekurova kwemoyo (arrhythmias) kunogona kuitika here?
Izvi hazviwanzoitiki, asi zvakakosha kuziva. Mamwe macrolides ane mukana mudiki wekukonzera kurova kwemoyo zvisina kujairika (arrhythmias). Izvi zvinodaro nekuti mishonga iyi inogona kuwedzera nguva inonzi QT. Zvichitaurwa zviri nyore, zvinotora nguva yakati rebei kuti tsandanyama dzemoyo dzigadzikane dzozozorora. Izvi zvinogona kukonzera kurova kwemoyo kune njodzi kunonzi Torsades de Pointes.
Kana uine chirwere chemwoyo, chiremba achafunga nezvazvo uye achakupa mushonga wekurwisa mabhakitiriya wakasiyana kana zvichidikanwa.
Unofanira kuona chiremba rini?
Zvakakosha zvikuru kutaura nachiremba wako mumamiriro ezvinhu anotevera.
| Mukana | Tsananguro |
|---|---|
| Mumamiriro ezvinhu akadaro, taura nachiremba. | |
| Mibvunzo yekuti ungatora sei mushonga | Kana usina kujeka nezvezvinhu zvakaita semupimo nenguva. |
| Kusagadzikana nekuda kwemigumisiro yakaipa | Kana zvakaoma kunwa mushonga uyu nekuda kwezvinhu zvakaita sekusvotwa nekurutsa. |
| Hapana kuderedzwa kwezviratidzo | Kana chirwere chako chisina kurapwa kunyangwe mushure mekupedza mushonga. |
| Zviratidzo zveAllergy | Kana paine chimwe chinhu chakaita semapundu paganda. |
| Kana zvakadaro, enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. | |
| Manyoka akanyanya | Kana uine manyoka anobuda mvura kakawanda pazuva kana uine zviratidzo zvekupererwa nemvura mumuviri. |
| Kurwara kwakanyanya | Kana ukaona zviratidzo zve anaphylaxis, zvakaita sekuoma kufema uye kuzvimba kwechiso, iyi idambudziko guru. |
Mharidzo Yekuenda Nayo Kumba
- Macrolides rudzi rwemishonga inorwisa mabhakitiriya inopiwa kurapa hutachiona hwemabhakitiriya . Haishande pakurwisa hutachiona hwakaita sedzihwa.
- Inwa mushonga wose wawakanyorerwa nachiremba wako, kwemazuva ese . Usarega kuutora pakati.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora uye chero zvimwe zvirwere zvaunazvo (kunyanya chirwere chemwoyo).
- Matambudziko madiki akadai sekushungurudzika mudumbu anogona kuitika, asi kana ukanzwa manyoka akanyanya, mapundu paganda, kana kufema zvakaoma , tsvaga rubatsiro rwechiremba nekukasika.
- Kana ukava nezviratidzo zvakakomba zveallergy kana kupera mvura mumuviri izvo zvinoda kurapwa nekukasika, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
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