Co-trimoxazole jekeseni

Zamkati

• Asanalandire jakisoni wa co-trimoxazole,
• Co-trimoxazole jekeseni imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Jakisoni wa Co-trimoxazole amagwiritsidwa ntchito pochiza matenda ena omwe amayamba chifukwa cha bakiteriya monga matenda am'matumbo, mapapo (chibayo), ndi thirakiti. Co-trimoxazole sayenera kugwiritsidwa ntchito kwa ana ochepera miyezi iwiri. Co-trimoxazole jakisoni ali mgulu la mankhwala otchedwa sulfonamides. Zimagwira ntchito popha mabakiteriya.

Maantibayotiki monga co-trimoxazole jakisoni sagwira ntchito chimfine, chimfine, kapena matenda ena a ma virus. Kutenga maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.

Jakisoni wa Co-trimoxazole amabwera ngati yankho (madzi) kuti asakanikirane ndi madzi ena oti alowe mu jakisoni (mumtsempha) kupitirira mphindi 60 mpaka 90. Nthawi zambiri amaperekedwa maola 6, 8, kapena 12 aliwonse. Kutalika kwa chithandizo chanu kumadalira mtundu wa matenda omwe muli nawo komanso momwe thupi lanu limayankhira mankhwalawo.

Mutha kulandira jakisoni wa co-trimoxazole kuchipatala kapena mutha kupereka mankhwala kunyumba. Ngati mukulandira jakisoni wa co-trimoxazole kunyumba, wothandizira zaumoyo wanu akuwonetsani momwe mungagwiritsire ntchito mankhwalawa. Onetsetsani kuti mumvetsetsa izi, ndipo funsani omwe akukuthandizani ngati muli ndi mafunso.

Muyenera kuyamba kumva bwino m'masiku ochepa oyambilira akuchipatala ndi jakisoni wa co-trimoxazole. Ngati zizindikiro zanu sizikukula kapena kuwonjezeka, itanani dokotala wanu.

Gwiritsani ntchito jakisoni wa co-trimoxazole mpaka mutha kumaliza mankhwala, ngakhale mutakhala bwino. Mukasiya kugwiritsa ntchito jakisoni wa co-trimoxazole posachedwa kapena kudumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki.

Co-trimoxazole jakisoni amagwiritsidwanso ntchito pochiza matenda ena oyambitsa mabakiteriya. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Asanalandire jakisoni wa co-trimoxazole,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi sulfamethoxazole, trimethoprim, benzyl mowa, mankhwala ena aliwonse a sulfa, mankhwala ena aliwonse, kapena china chilichonse mu jakisoni wa co-trimoxazole. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amantadine (Symmetrel), angiotensin otembenuza ma enzyme monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), ), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), ndi trandolapril (Mavik); anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin); cyclosporine (Gengraf, Neoral, Sandimmune); mankhwala akumwa ashuga; digoxin (Digitek, Lanoxicaps, Lanoxin); okodzetsa ('mapiritsi amadzi'); mankhwala osokoneza bongo (Indocin); leucovorin (Fusilev); methotrexate (Rheumatrex, Trexall); phenytoin (Dilantin, Phenytek); pyrimethamine (Daraprim); ndi tricyclic antidepressants (ma elevator elevator) monga amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), prripactine (Surmontil). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi thrombocytopenia (yochepera kuchuluka kwa mapaleti) omwe amayamba chifukwa chotenga sulfonamides kapena trimethoprim kapena megaloblastic anemia (maselo ofiira amwazi) omwe amayamba chifukwa cha kuchepa kwa magazi (folic acid). Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa co-trimoxazole.
• uzani dokotala wanu ngati mumamwa kapena mumamwa mowa wambiri, ngati muli ndi vuto la malabsorption (mavuto akumwa chakudya), kapena mukumwa mankhwala kuti muthane nawo. Uzani dokotala wanu ngati mwakhalapo ndi mphumu, kuchepa kwa folic acid mthupi, chifuwa chachikulu, kusowa kwa glucose-6-phosphate dehydrogenase (G-6-PD) (matenda obadwa nawo amwazi), kachilombo ka HIV. Matenda a HIV), phenylketonuria (PKU, mkhalidwe wobadwa nawo momwe chakudya chapadera chiyenera kutsatiridwa kuti muchepetse kuchepa kwamaganizidwe), porphyria (matenda obadwa nawo amwazi omwe angayambitse khungu kapena mavuto amanjenje), kapena chithokomiro, chiwindi, kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa co-trimoxazole, itanani dokotala wanu mwachangu. Co-trimoxazole ikhoza kuvulaza mwana wosabadwayo.
• konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Jekeseni wa Co-trimoxazole amatha kupangitsa khungu lanu kukhala lowala ndi dzuwa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Imwani madzi ambiri mukamalandira chithandizo ndi jakisoni wa co-trimoxazole.

Co-trimoxazole jekeseni imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kusowa chilakolako
• kutsegula m'mimba
• kulumikizana kapena kupweteka kwa minofu
• kupweteka kapena kukwiya pamalo obayira

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• zotupa kapena kusintha kwa khungu
• khungu losenda kapena lotupa
• ming'oma
• kuyabwa
• khungu lofiira kapena lofiirira
• kubwerera kwa malungo, zilonda zapakhosi, kuzizira, kapena zizindikiro zina za matenda
• chifuwa
• kupuma movutikira
• Kutsekula m'mimba (malo amadzi kapena amwazi) omwe amatha kuchitika kapena opanda malungo komanso kukokana m'mimba (kumatha miyezi iwiri kapena kuposerapo mutalandira chithandizo)
• kugunda kwamtima mwachangu
• njala, kupweteka mutu, kutopa, kutuluka thukuta, kugwedezeka kwa gawo lina la thupi lanu lomwe simungathe kulilamulira, kukwiya, kusawona bwino, kuvuta kuyang'ana, kapena kutaya chidziwitso
• chikasu cha khungu kapena maso
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza
• kutuluka mwachilendo kapena kuphwanya
• kutuwa
• kutupa pamalo obayira
• kuchepa pokodza
• kulanda

Co-trimoxazole jakisoni imatha kubweretsanso mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kusowa chilakolako
• nseru
• kusanza
• chizungulire
• mutu
• Kusinza
• chisokonezo
• malungo
• magazi mkodzo
• chikasu cha khungu kapena maso
• kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti awone kuyankha kwa thupi lanu ku jakisoni wa co-trimoxazole.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukulandira jakisoni wa co-trimoxazole.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Bactrim^® Jekeseni (wokhala ndi Sulfamethoxazole, Trimethoprim)^¶
• Septra^® Jekeseni (wokhala ndi Sulfamethoxazole, Trimethoprim)^¶

• Co-trimoxazole jekeseni
• Jekeseni wa SMX-TMP

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.