Lefamulin
Zamkati
- Asanatenge lefamulin,
- Lefamulin amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
Lefamulin amagwiritsidwa ntchito pochizira chibayo chomwe chimapezeka mderalo (matenda am'mapapo omwe amapezeka mwa munthu yemwe sanali mchipatala) amayambitsidwa ndi mitundu ina ya mabakiteriya. Lefamulin ali mgulu la mankhwala otchedwa pleuromutilin antibiotics. Zimagwira ntchito pochepetsa kukula kapena kupha mabakiteriya omwe amayambitsa matenda.
Maantibayotiki monga lefamulin sangagwire ntchito ya chimfine, chimfine, kapena matenda ena a tizilombo. Kutenga maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.
Lefamulin amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa maola 12 aliwonse osadya kanthu (osachepera ola limodzi musanadye kapena maola awiri mutadya) kwa masiku 5 kapena masiku otsalawo akalandira mankhwalawa kudzera mumitsempha. Tengani lefamulin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani lefamulin ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Kumeza mapiritsi athunthu ndi kapu yamadzi (6 mpaka 8 oz); osagawana, kutafuna, kapena kuwaphwanya.
Muyenera kuyamba kumva bwino m'masiku ochepa oyambilira akuchipatala ndi lefamulin. Ngati zizindikiro zanu sizikukula kapena kuwonjezeka, itanani dokotala wanu.
Tengani lefamulin mpaka mutha kumaliza mankhwala, ngakhale mutakhala bwino. Mukasiya kumwa lefamulin posachedwa kapena kudumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanatenge lefamulin,
- Uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la lefamulin, retapamulin (Altabax), mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a lefamulin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- Uzani dokotala wanu ngati mukumwa pimozide (Orap). Dokotala wanu angakuwuzeni kuti musatenge lefamulin ngati mukumwa mankhwalawa.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: alprazolam (Xanax); mankhwala a antipsychotic (mankhwala ochizira matenda amisala); amiodarone (Nexterone, Pacerone); diltiazem (Cardizem, Tiazac, ena); erythromycin (EES, Eryc, Erythrocin); ketoconazole; moxifloxacin (Avelox); procainamide, quinidine (mu Nuedexta); rifampin (Rifadin, Rimactane, ku Rifamate, Rifater); simvastatin (Flolopid, Zocor, ku Vytorin); sotalol (Betapace, Sorine); tricyclic antidepressants monga amitriptyline, desipramine (Norpramin), clomipramine (Anafranil), imipramine (Tofranil), nortriptyline, kapena trimipramine (Surmontil); vardenafil (Levitra, Staxyn); ndi verapamil (Calan, Verelan, ku Tarka). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi lefamulin, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- Uzani dokotala wanu ngati mwakhalapo ndi nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), mitundu ina ya kugunda kwamtima kosafunikira, kapena matenda a chiwindi. Uzani dokotala wanu ngati muli ndi matenda a impso ndipo mukulandira chithandizo cha dialysis.
- Uzani dokotala wanu ngati muli ndi pakati, kapena konzekerani kutenga pakati. Muyenera kukhala ndi mayeso olakwika okhudzana ndi mimba musanayambe kumwa mankhwala ndi lefamulin. Gwiritsani ntchito njira zakulera mukamachiza komanso masiku awiri mutamwa. Mukakhala ndi pakati mukatenga lefamulin, itanani dokotala wanu mwachangu.
- Uzani dokotala wanu ngati mukuyamwitsa. Dokotala wanu angakuuzeni kuti musamamwe mkaka mukamamwa mankhwala, komanso masiku awiri mutapatsidwa mankhwala omaliza.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa lefamulin.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati mulingo wotsatira ukukwanira munthawi yochepera maola 8, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Lefamulin amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kutsegula m'mimba
- nseru
- kusanza
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
- Kutsekula m'mimba (malo amadzi kapena amwazi) omwe amatha kuchitika kapena opanda malungo komanso kukokana m'mimba (kumatha miyezi iwiri kapena kuposerapo mutalandira chithandizo)
Lefamulin amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa 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).
Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
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.
Sungani maimidwe onse ndi dokotala wanu.
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.
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