Pamwe wakambonzwa nezve "mishonga yesulfa." Pamwe chiremba akakunyorera kirimu yeganda rako ndokuti, "Uyu mushonga wesulfa." Asi chii chinonzi sulfonamides? Ingori mishonga inorwisa mabhakitiriya here? Kwete, nyaya yacho yakakura kupfuura izvozvo. KuNirogi Lanka, tinoda kukubatsira kunzwisisa izvi zvakajeka uye nemazvo.
Muchidimbu, chii chinonzi sulfonamides?
Sulfonamides iboka remishonga yakagadzirwa murabhoritari; haingoitiki yega yega. Mushonga wega wega uri mukirasi iyi une chinhu chinonzi "sulfur" mukati mechimiro chawo chemakemikari, ndiyo nzira iyo zita rekuti "sulfonamide" rakatanga.
Ngationei mashandiro azvo. Kana zvichishandiswa kurapa hutachiona hwemabhakitiriya , mishonga iyi inodzivirira mabhakitiriya kugadzira " folate " ( folate ). Tinozivawo folate sevhitamini B9 . Funga nezvazvo nenzira iyi: mabhakitiriya anoda chikafu ichi kuti ararame uye awedzere. Kana sulfonamides ikapinda mumuviri, inovhara mabhakitiriya kugadzira folate iyi. Kufanana nekushaya chikafu nenzara, mabhakitiriya anoshaya simba zvishoma nezvishoma ofa.
Ungazvibvunza kuti, "Izvi zvinokuvadza miviri yedu here?" Mhinduro ndeyekuti kwete. Izvi zvinodaro nekuti vanhu vanowana folate yavanoda kubva muchikafu chatinodya; isu hatizvigadzirire isu pachedu mumasero edu. Nokudaro, mishonga iyi kazhinji haikanganisi masero emuviri wedu nenzira imwecheteyo.
Penicillin ( penicillin ) isati yawanikwa muma1930, sulfonamides yaive pakati pemishonga yakanakisisa yekurapa hutachiona hwemabhakitiriya. Yakaita basa guru mukuderedza zvakanyanya kufa kunokonzerwa nezvirwere zvinotapukira . Zvisinei, nhasi uno, inoshandiswa zvinopfuura hutachiona hwemabhakitiriya chete, ichibatsirawo pakurapa mamwe mamiriro ezvinhu akawanda ehutano .
Ndezvipi zvirwere zvinorapwa ne sulfonamides?
Kare, mishonga iyi yainyanya kushandiswa kurapa nekudzivirira hutachiona hwemabhakitiriya. Nhasi, mhando iyi yemishonga yashanduka zvakanyanya. Sulfonamides ikozvino inoshandiswa kurapa zvirwere zvakasiyana-siyana, zvinosanganisira chirwere cheshuga cherudzi rwechipiri, BP, hutachiona hweHIV, uye kunyange mamwe marudzi ekenza yeganda akadai se melanoma.
Ngatitarisei mhando dzemishonga iri mukirasi iyi uye mashandisirwo ayo, zvakakamurwa mumapoka maviri kuti zvive nyore.
1. Sulfonamides inoshandiswa semishonga inorwisa mabhakitiriya
Izvi zvinonyanya kunyorerwa kurapa hutachiona hwemabhakitiriya.
| Mhando dzeMishonga Inorwisa Mabhakitiriya yeSulfonamide |
|---|
| Mafenide (Sulfamylon®) |
| Sulfadiazine (Silvadene® kana Thermazene®) – (Inoshandiswa zvakanyanya pamaronda ekutsva) |
| Sulfamethizole |
| Sulfisoxazole |
| Sulfasalazine (Azulfidine®) – (Inoshandiswawo pakurapa chirwere chemudumbu chinonzi ulcerative colitis) |
| Sulfadoxine – (Inoshandiswa kurapa malaria) |
2. Mishonga Isina Mishonga Inorwisa Mabhakitiriya inonzi Sulfonamides
Izvi hazvishandiswi kuuraya mabhakitiriya asi zvinoshandiswa kurapa mamwe marudzi ezvirwere. Kunyange zvazvo rondedzero yacho yakakura, inoratidza kuti mishonga iyi inoshanda zvakasiyana-siyana.
| Zita reMushonga | Mashandisirwo |
|---|---|
| Acetohexamide, Chlorpropamide, Tolazamide, Tolbutamide | Chirwere cheshuga cherudzi rwechipiri |
| Furosemide (Lasix®), Bumetanide, Torsemide, Chlorthalidone, Hydrochlorothiazide, Indapamide | Mishonga inobvisa mvura mumuviri (mapiritsi emvura). Inoshandiswa pakurapa BP yakakwira (BP) uye kuzvimba (edema) nekuda kwekushaya simba kwemoyo. |
| Celecoxib (Celebrex®) | Marwadzo emapfupa nekuzvimba kwakafanana nekwearthritis. |
| Darunavir (Prezista®) | Mishonga yekudzivirira hutachiona hweHIV. |
| Sumatriptan (Imitrex®) | Musoro wemusoro unorwadza. |
| Sildenafil (Viagra®, Revatio®) | Kusashanda zvakanaka kwenhengo dzemudumbu uye BP yemapapu. |
| Tamsulosin (Flomax®) | Matambudziko eweti anokonzerwa ne benign prostatic hyperplasia (prostate yakakura). |
| Zonisamide (Zonegran®) | Kubatwa nepfari kunokonzerwa nepfari. |
Unogona here kuva neallergy kune sulfonamides?
Ehe, zvechokwadi. Ungave wakanzwa vanhu vachiti, "Ndine allergy kune sulfa." Vanhu vanosvika 3% kusvika 8% pasi rose vane allergy kune imwe mhando yemishonga ine sulfa. Izvi zvakafanana nekuwanda kweallergies yepenicillin.
Chinonyanya kukosha ndeichi:Kungoti une allergy kune imwe sulfonamide, hazvirevi hazvo kuti une allergy kune mishonga yese iri mukirasi iyi. Ichi ichokwadi chinozivikanwa zvakanyanya nevezvekurapa.
Saka, kana wakambosangana neallergy mushure mekushandisa sulfonamide kare, iva nechokwadi chekuzivisa chiremba wako usati watanga chero mushonga mutsva. Vachakwanisa kusarudza mushonga wakachengeteka uye wakakodzera iwe.
Ndezvipi zvingangoitika pamishonga iyi?
Kufanana nemishonga chero ipi zvayo, sulfonamides inogona kuva nenjodzi uye migumisiro yakaipa. Inonyanya kuzivikanwa inosanganisira:
- Kusabatwa nemabhakitiriya: Kana mushonga mumwe chete uyu ukashandiswa kakawanda nekufamba kwenguva, mamwe mabhakitiriya anogona kudzidza kutsungirira. Izvi zvinoreva kuti mushonga wacho unomira kushanda kurwisa mabhakitiriya iwayo. MaSulfonamides anowanikwawo panjodzi imwecheteyo.
- Kusashanda zvakanaka pakurwisa mamwe mabhakitiriya: Mamwe mabhakitiriya anoramba mishonga iyi kubva pakutanga.
- Migumisiro yakaipa: Kunyange hazvo isingawanzoitiki , vamwe vanhu vanogona kusangana nezvirwere zvakakomba zveganda, zvakaita seStevens -Johnson syndrome kana chepfu epidermal necrolysis .
Migumisiro iyi inosiyana zvakanyanya zvichienderana nemunhu uye mushonga wacho. Saka, chiremba wako ndiye anonyanya kukupa ruzivo nezvenjodzi nemabhenefiti emushonga wako. Usazeze kuvabvunza chero mibvunzo yaungave nayo.
Ko Bactrim™ isulfonamide zvakare here?
Ehe, muchikamu. Bactrim™ ine sulfamethoxazole, rudzi rwe sulfonamide. Inewo trimethoprim, mumwe mushonga. Izvi zvinoshanda pamwe chete kurwisa hutachiona.
Celebrex® isulfonamide here?
Ehe. Celecoxib (inowanzozivikanwa nezita rekuti Celebrex®), iyo inoshandiswa pakurwadziwa kwearthritis, ndeyeboka resulfonamide.
Mishonga iyi inogona kukonzera makristaro muweti here?
Ehe, mimwe mishonga yesulfa inogona kukonzera kuumbwa kwemakristaro madiki muweti. Kunyange hazvo izvi zvisiri mhedzisiro yakajairika, chiremba wako achapa gwara rekuti izvi zvingave njodzi here kwauri uye matanho ekutora - akadai sekugara uine mvura yakakwana - kudzivirira izvi.
Mharidzo Yekuenda Nayo Kumba Kubva kuNirogi Lanka
- MaSulfonamides haasi mishonga inorwisa mabhakitiriya chete; imhando yakakura yemishonga inoshandiswa kurapa zvirwere zvakasiyana-siyana.
- Mishonga iyi inoshandiswa pazvinhu zvose kubva pakutapukirwa nemabhakitiriya kusvika pakurapa chirwere cheshuga, BP, uye migraine.
- Kunyange hazvo kurwara nesulfa kuchigona kuitika, kurwara nemushonga mumwe chete hazvirevi kuti une allergy kune mushonga wese.
- Usati watanga chero mushonga mutsva, gara uchizivisa chiremba wako nezvezvirwere zvako zviripo uye nhoroondo yako yekusawirirana nemishonga. Kana ukasangana nedambudziko rakakura, tsvaga rubatsiro nekukasika kudhipatimendi rekukurumidzira riri pedyo newe kana kufonera 911.
Sulfonamides, mishonga yesulfa, mishonga inorwisa mabhakitiriya, allergy yemishonga, Stevens-Johnson syndrome, Bactrim, Celebrex, Lasix
