Umbhali: Virginia Floyd
Umhla Wokudalwa: 10 Eyethupha 2021
Hlaziya Umhla: 14 Eyenkanga 2024
Anonim
Azithromycin
Ividiyo: Azithromycin

Umxholo

I-Azithromycin iyodwa kwaye idibene namanye amayeza ngoku ifundwayo kunyango lwe-coronavirus disease 2019 (COVID-19). Okwangoku, i-azithromycin isetyenzisiwe ne-hydroxychloroquine ukunyanga abaguli abathile abane-COVID-19. Nangona kunjalo, kukho iingxelo ezixubeneyo zokusebenza xa i-azithromycin yayisetyenziswa kunye namanye amayeza ukunyanga usulelo lokuphefumla kwintsholongwane. I-Azithromycin ikwasetyenziselwa ukunyanga usulelo lwebacteria kwizigulana ezibhedlele ezine-COVID-19. Olunye ulwazi luyafuneka ngaphambi kokuba kwenziwe nasiphi na isigqibo malunga nezibonelelo ezinokubakho kunye nomngcipheko wokusebenzisa i-azithromycin nokuba iyodwa okanye idityaniswe nehydroxychloroquine kwizigulana ezine-COVID-19.

I-Azithromycin kufuneka isetyenziswe KUPHELA phantsi kolawulo lukagqirha kunyango lwe-COVID-19.

I-Azithromycin isetyenziselwa ukunyanga izifo ezithile zebacteria, ezinjenge-bronchitis; ukukrala kwemiphunga; izifo ezidluliselwa ngeentlobano zesini (STD); kunye nosulelo lweendlebe, imiphunga, isono, ulusu, umqala, kunye namalungu okuzala. I-Azithromycin ikwasetyenziselwa ukunyanga okanye ukunqanda ukusasazwa Mycobacterium avium Usulelo oluntsonkothileyo (i-MAC) [uhlobo losulelo lwemiphunga oluhlala luchaphazela abantu abanentsholongwane kaGawulayo (i-HIV)]. I-Azithromycin ikudidi lwamayeza abizwa ngokuba yi-macrolide antibiotics. Isebenza ngokumisa ukukhula kweentsholongwane.


Amayeza okubulala iintsholongwane afana ne-azithromycin ayizukusebenzela ingqele, umkhuhlane, okanye olunye usulelo lwentsholongwane. Ukusebenzisa i-antibiotics xa kungadingeki kwandisa umngcipheko wokufumana usulelo kamva oluchasayo unyango lwe-antibiotic.

I-Azithromycin iza njengethebhulethi, ukukhutshwa okwandisiweyo (ukusebenza ixesha elide) ukumiswa (ulwelo), kunye nokumiswa (ulwelo) ukuthatha ngomlomo. Iitafile kunye nokumiswa (iZithromax) zihlala zithathwa kunye okanye ngaphandle kokutya kube kanye ngemini kangangeentsuku eziyi-1-5. Xa zisetyenziselwa ukuthintela ukusasazeka kosulelo lwe-MAC, iipilisi ze-azithromycin zihlala zithathwa kunye okanye ngaphandle kokutya kube kanye ngeveki. Ukumiswa kokukhutshwa okwandisiweyo (i-Zmax) kuhlala kuthathwa kwisisu esingenanto (ubuncinci iyure enye ngaphambi okanye kwiiyure ezi-2 emva kwesidlo) njengedosi yexesha elinye. Ukukunceda ukhumbule ukuthatha i-azithromycin, yithathe ngexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-azithromycin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Hlanganisa ulwelo kakuhle ngaphambi kokuba usebenzise nganye ukuxuba amayeza ngokulinganayo. Sebenzisa i-spoon yedosi, isirinji yomlomo, okanye ikomityi yokulinganisa ukulinganisa inani elifanelekileyo lamayeza. Hlanganisa isixhobo sokulinganisa ngamanzi emva kokuthatha idosi epheleleyo yamayeza.

Ukuba ufumana i-azithromycin powder yokunqunyanyiswa (iZithromax) kwidosi enye, ipakethi ye-1-gram, kufuneka uqale uyixube namanzi ngaphambi kokuba uthathe iyeza. Hlanganisa umxholo wepakethi ye-1-gram kunye ne-1/4 yekomityi (60 ml) yamanzi kwiglasi kwaye uyisebenzise yonke imixholo ngoko nangoko. Yongeza enye indebe ye-1/4 (60 ml) yamanzi kwiglasi enye, xuba, kwaye usebenzise konke okuqulathiweyo ukuqinisekisa ukuba ufumana idosi yonke.

Ukuba ufumana i-azithromycin eyandisiweyo yokukhutshwa ukunqunyanyiswa (iZmax) njengomgubo owomileyo, kufuneka kuqala ukongeze amanzi kwibhotile ngaphambi kokuba uthathe amayeza. Vula ibhotile ngokucinezela ezantsi ikepusi nokujija. Ukulinganisa i-1/4 yekomityi (60 ml) yamanzi, kwaye ungeze kwibhotile. Vala ibhotile ngokuqinileyo, kwaye ushukumise kakuhle ukuxuba. Sebenzisa i-azithromycin eyandisiweyo-yokukhutshwa kokumiswa ngaphakathi kweeyure ezili-12 zokuyifumana ekhemesti okanye emva kokongeza amanzi kumgubo.


Ukuba uyagabha emva kweyure emva kokuba uthathe i-azithromycin, tsalela umnxeba kwangoko. Ugqirha wakho uya kukuxelela ukuba ufuna ukuthatha elinye idosi. Musa ukuthatha elinye idosi ngaphandle kokuba ugqirha akuxelele ukuba wenze njalo.

Kuya kufuneka uqale uzive ungcono ngeentsuku zokuqala zonyango kunye ne-azithromycin. Ukuba iimpawu zakho aziphucuki, okanye ziba mbi, tsalela ugqirha wakho.

Thatha i-azithromycin de ugqibezele ukumiselwa, nokuba uziva ungcono. Sukuyeka ukuthatha i-azithromycin ngaphandle kokuba ufumana iziphumo ebezingalindelekanga ezichazwe kwicandelo le-SIDE EFFECTS. Ukuba uyeka ukuthatha i-azithromycin ngokukhawuleza okanye weqe amathamo, usulelo lwakho alunakuphathwa ngokupheleleyo kwaye ibhaktiriya inokumelana namayeza okubulala iintsholongwane.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

I-Azithromycin ikwasetyenziswa ngamanye amaxesha ukunyanga H. pylori usulelo, urhudo lwabahambi, kunye nezinye izifo zesisu; Isifo seLegionnaires (uhlobo losulelo lwemiphunga); i-pertussis (ukukhwehlela, isifo esosulelayo esinokubangela ukukhohlela kakhulu); kunye ne-babesiosis (isifo esosulelayo esithwalwa ngamakhalane). Isetyenziselwa ukuthintela usulelo lwentliziyo kubantu abanezinyo okanye ezinye iinkqubo, kunye nokukhusela i-STD kumaxhoba okuhlaselwa ngokwesondo. Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-azithromycin,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-azithromycin, i-clarithromycin (i-Biaxin, kwi-Prevpac), i-dirithromycin (ayifumaneki e-US), i-erythromycin (i-EES, i-ERYC, i-Erythrocin), i-telithromycin (Ketek; ayifumaneki e-US), nayiphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-azithromycin okanye ukumiswa (ulwelo). 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 nayiphi na kwezi zinto zilandelayo: i-anticoagulants ('i-blood thinner') efana ne-warfarin (Coumadin, Jantoven); icolchicine (iiColcrys, iGloperba); i-cyclosporine (iNeoral, iSandimmune); idigoxin (Lanoxin); dihydroergotamine (DHE 45, Migranal); ergotamine (Ergomar); amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), procainamide (Procanbid), quinidine, kunye ne-sotalol (iBetapace, iSorine); i-nelfinavir (iViracept); phenytoin (Dilantin); kunye ne-terfenadine (ayifumaneki e-U.S. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • ukuba uthatha ii-antacids ezine-aluminium hydroxide okanye i-magnesium hydroxide (Maalox, Mylanta, Tums, others), kuya kufuneka uvumele ixesha elithile ukuba lidlule phakathi kokuthatha idosi ye-antacids kwaye xa uthatha idosi yeepilisi ze-azithromycin okanye ulwelo . Buza ugqirha wakho okanye usokhemesti ukuba zingaphi iiyure ngaphambi okanye emva kokuba uthathe i-azithromycin ungawathatha la mayeza. Ukunqunyanyiswa okwandisiweyo kunokuthathwa nangaliphi na ixesha nee-antacids.
  • xelela ugqirha wakho ukuba ukhe waba ne-jaundice (tyheli kolusu okanye amehlo) okanye ezinye iingxaki zesibindi ngelixa uthatha i-azithromycin. Ugqirha wakho uya kukuxelela ukuba ungathathi i-azithromycin.
  • xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho unethuba elide le-QT (ingxaki yentliziyo enqabileyo enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukuphelelwa ngamandla, okanye ukufa ngesiquphe) okanye ukubetha kwentliziyo okukhawulezayo, okucothayo, okanye okungaqhelekanga. amanqanaba asezantsi e-magnesium okanye i-potassium egazini lakho; ukuba unesifo segazi; ukumelwa yintliziyo; icystic fibrosis; I-myasthenia gravis (imeko yezihlunu kunye neerway ezibalawulayo); okanye ukuba unesifo sezintso okanye sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-azithromycin, tsalela umnxeba ugqirha wakho.

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

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

  • isicaphucaphu
  • urhudo
  • ukugabha
  • isisu esibuhlungu
  • intloko ebuhlungu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, yeka ukuthatha i-azithromycin kwaye ubize ugqirha ngoko nangoko okanye ufumane unyango olungxamisekileyo:

  • ngokukhawuleza, ukubetha, okanye ukubetha kwentliziyo okungaqhelekanga
  • isiyezi
  • isiqaqa
  • ukukhawuleza kunye okanye ngaphandle komkhuhlane
  • i-blisters okanye i-peeling
  • umkhuhlane kunye ne-pus-egcwele izilonda ezinjenge-blister, ubomvu kunye nokudumba kwesikhumba
  • urhwebo
  • ukurhawuzelela
  • ukuvutha okanye ubunzima bokuphefumla okanye ukugwinya
  • ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
  • ukudinwa
  • ukugabha okanye ukucaphuka xa usondla (kwiintsana ezingaphantsi kweeveki ezi-6 ubudala)
  • 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)
  • mthubi ulusu okanye amehlo
  • ukudinwa kakhulu
  • ukopha okungaqhelekanga okanye ukugruzuka
  • ukunqongophala kwamandla
  • Ukuphelelwa ngumdla wokutya
  • iintlungu kwinxalenye ephezulu yesisu
  • Iimpawu ezinjengomkhuhlane
  • umchamo omnyama-mnyama
  • ubuthathaka bemisipha engaqhelekanga okanye ubunzima ekulawuleni izihlunu
  • epinki kwaye edumbile

I-Azithromycin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

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. Gcina iicwecwe ze-azithromycin, ukumiswa, kunye nokumiswa okukhululwe kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Sukufaka efrijini okanye ukhenkce ukunqunyanyiswa okwandisiweyo. Lahla nakuphi na ukumiswa kwe-azithromycin okuseleyo emva kweentsuku ezili-10 okanye akusafuneki. Lahla naluphi na ulwandiso lwe-azithromycin olungasetyenziswanga olungasetyenziswanga emva kokuba idosi igqityiwe okanye iiyure ezili-12 emva kokulungiswa.

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.

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

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 unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-azithromycin.

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

  • Zithromax®
  • Zithromax® Iipakethi zedosi enye
  • Zithromax® Tri-Paks®
  • Zithromax® Z-Paks®
  • Zmax®
Ukuhlaziywa kokugqibela-04/15/2020

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