Umbhali: Marcus Baldwin
Umhla Wokudalwa: 18 Isilimela 2021
Hlaziya Umhla: 16 Eyenkanga 2024
Anonim
Co-trimoxazole and sudden death in patients receiving inhibitors of the renin-angiotensin system
Ividiyo: Co-trimoxazole and sudden death in patients receiving inhibitors of the renin-angiotensin system

Umxholo

I-Co-trimoxazole isetyenziselwa ukunyanga usulelo oluthile lwebhaktiriya, njenge-pneumonia (usulelo lwemiphunga), i-bronchitis (usulelo lweetyhubhu ezikhokelela kwimiphunga), kunye nosulelo lomchamo, iindlebe kunye namathumbu. Ikwasetyenziswa ekunyangeni urhudo lwabahambi. I-Co-trimoxazole yindibaniselwano ye-trimethoprim kunye ne-sulfamethoxazole kwaye ikwiklasi yamayeza abizwa ngokuba yi-sulfonamides. Isebenza ngokumisa ukukhula kweentsholongwane. Amayeza okubulala iintsholongwane awazukuzibulala iintsholongwane ezinokubangela ukubanda, umkhuhlane, okanye olunye usulelo lwentsholongwane.

I-Co-trimoxazole iza njengecwecwe kunye nokumiswa (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa amaxesha amabini ngemini kodwa inokuthathwa ukuya kuthi ga kwimini xa isetyenziselwa ukunyanga usulelo oluthile lwemiphunga. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-co-trimoxazole ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Kuya kufuneka uqale uzive ungcono ngeentsuku zokuqala zonyango kunye ne-co-trimoxazole. Ukuba iimpawu zakho aziphucuki okanye ukuba ziya zisiba mbi, biza ugqirha wakho.


Hlanganisa ulwelo kakuhle ngaphambi kokuba usebenzise nganye ukuxuba amayeza ngokulinganayo.

Thatha i-co-trimoxazole de ugqibe ubugqirha, nokuba uziva ungcono. Sukuyeka ukuthatha i-co-trimoxazole ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ukuthatha i-co-trimoxazole kwakamsinya okanye weqe amathamo, usulelo lwakho alunakunyangwa ngokupheleleyo kwaye intsholongwane isenokunganyangeki kwiintsholongwane.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-co-trimoxazole,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uyaliwa yi-co-trimoxazole, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-co-trimoxazole kunye nokumiswa. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya oku kulandelayo: amantadine; I-angiotensin eguqula i-enzyme inhibitors enjenge benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon) I-Altace), kunye ne-trandolapril (Mavik); ii-anticoagulants (’izinciphisi zegazi’) ezifana ne-warfarin (Coumadin, Jantoven); icyclosporine (Gengraf, Neoral, Sandimmune); amayeza eswekile yomlomo afana ne-glipizide (Glucotrol), glyburide (Diabeta, Glynase), metformin (Fortamet, Glucophage), pioglitazone (Actos), repaglinide (Prandin), rosiglitazone (Avandia); idigoxin (Lanoxin); umchamo ('iipilisi zamanzi'); indomethacin (Indocin); leucovorin (Fusilev); amayeza okuxhuzula anje nge phenytoin (Dilantin, Phenytek); imemine (Namenda); imethotrexate (Trexall); pyrimethamine (iDaraprim). kunye ne-tricyclic antidepressants efana ne-amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ukhe wakha une-thrombocytopenia (ngaphantsi kwenani eliqhelekileyo leeplatelets) ezibangelwe kukuthatha i-sulfonamides okanye i-trimethoprim; i-megaloblastic anemia (iiseli zegazi ezibomvu ezingaqhelekanga) ezibangelwa kukusilela komntu (amanqanaba asezantsi egazi e-folic acid), i-phenylketonuria (i-PKU, imeko ezuzwe njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), okanye isibindi okanye isifo sezintso. Ugqirha wakho unokukuxelela ukuba ungathathi i-co-trimoxazole. I-Co-trimoxazole akufuneki isetyenziswe kubantwana abangaphantsi kweenyanga ezimbini ubudala.
  • xelela ugqirha wakho ukuba ngaba wakha wanamava okweva komzimba; umbefu; amanqanaba asezantsi e-folic acid emzimbeni anokubangelwa kukungondleki (awutyi okanye awukwazi ukucola izondlo ezifunekayo kwimpilo entle); usulelo lwe-immunodeficiency virus (HIV); i-porphyria (isifo segazi esizuzwe njengelifa esinokubangela ulusu okanye iingxaki kwinkqubo yovalo); isifo se-thyroid; okanye ukunqongophala kwe-glucose-6-phosphate dehydrogenase (G-6-PD) (isifo esifa njengelifa).
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa.Ukuba ukhulelwa ngelixa uthatha i-co-trimoxazole, tsalela umnxeba kwangoko. I-Co-trimoxazole inokonzakalisa umntwana ongekazalwa.
  • cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. I-Co-trimoxazole inokwenza ulusu lwakho lubuthathaka kwilanga.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.


Sela ulwelo oluninzi ngexesha lonyango nge-co-trimoxazole.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Co-trimoxazole inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • isicaphucaphu
  • ukugabha
  • Ukuphelelwa ngumdla wokutya

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

  • irhashalala
  • ukurhawuzelela
  • umqala obuhkungu
  • umkhuhlane okanye ukubanda
  • Uhudo olunzima (amanzi okanye izitya ezinegazi) ezinokuthi zenzeke kunye okanye ngaphandle komkhuhlane kunye nesisu esiswini (sinokuthi sifike kwiinyanga ezi-2 okanye ngaphezulu emva konyango lwakho)
  • ukuqhawukelwa ngumphefumlo
  • ukukhohlela
  • ukugruzuka okanye ukopha okungaqhelekanga
  • mthubi ulusu okanye amehlo
  • ubumhlophe
  • umbala obomvu okanye omfusa
  • intlungu edibeneyo okanye yemisipha

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).


Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zelebhu ukujonga impendulo yakho kwi-co-trimoxazole.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-co-trimoxazole.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Umyalelo wakho mhlawumbi awuyi kuphinda ugcwaliswe. Ukuba usenempawu zosulelo emva kokuba ugqibe i-co-trimoxazole, tsalela umnxeba ugqirha wakho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • IBactrim® (Equlathe iSulfamethoxazole, Trimethoprim)
  • IBactrim® I-DS (iqulethe iSulfamethoxazole, iTrimethoprim)
  • Septemba® (Equlathe iSulfamethoxazole, Trimethoprim)
  • Septemba® I-DS (iqulethe iSulfamethoxazole, iTrimethoprim)
  • Septemba® Ukurhoxiswa (okuqulathe iSulfamethoxazole, Trimethoprim)
  • Isulfurim® Ukurhoxiswa (okuqulathe iSulfamethoxazole, Trimethoprim)

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-10/15/2017

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