Co-trimoxazole

Zamkati

• Musanayambe kumwa co-trimoxazole,
• Co-trimoxazole imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

Co-trimoxazole imagwiritsidwa ntchito pochiza matenda ena a bakiteriya, monga chibayo (matenda am'mapapo), bronchitis (matenda amachubu omwe amapita m'mapapo), ndi matenda am'magazi, makutu, ndi matumbo. Amagwiritsidwanso ntchito kuchiza kutsekula m'mimba kwa 'apaulendo. Co-trimoxazole ndi kuphatikiza kwa trimethoprim ndi sulfamethoxazole ndipo ali mgulu la mankhwala otchedwa sulfonamides. Zimagwira ntchito poletsa kukula kwa mabakiteriya. Maantibayotiki sangaphe ma virus omwe angayambitse chimfine, chimfine, kapena matenda ena amtundu.

Co-trimoxazole imabwera ngati piritsi komanso kuyimitsidwa (madzi) kutenga pakamwa. Nthawi zambiri amatengedwa kawiri patsiku koma amatha kumwa kamodzi kapena kanayi patsiku akagwiritsidwa ntchito pochiza matenda ena am'mapapo. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani co-trimoxazole chimodzimodzi monga momwe mwauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Muyenera kuyamba kumva bwino m'masiku ochepa oyambilira a chithandizo ndi co-trimoxazole. Ngati matenda anu sakusintha kapena akukulirakulira, itanani dokotala wanu.

Sambani madzi bwino musanagwiritse ntchito mankhwala osakanikirana.

Tengani co-trimoxazole mpaka mutha kumaliza mankhwala, ngakhale mutakhala bwino. Osasiya kumwa co-trimoxazole osalankhula ndi dokotala. Mukasiya kumwa co-trimoxazole posachedwa kapena kudumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanayambe kumwa co-trimoxazole,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la co-trimoxazole, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a co-trimoxazole ndi kuyimitsidwa. 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 mwatchula zotsatirazi: amantadine; angiotensin potembenuza ma enzyme inhibitors monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon) Altace), ndi trandolapril (Mavik); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); cyclosporine (Gengraf, Neoral, Sandimmune); mankhwala a shuga amlomo monga glipizide (Glucotrol), glyburide (Diabeta, Glynase), metformin (Fortamet, Glucophage), pioglitazone (Actos), repaglinide (Prandin), rosiglitazone (Avandia); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); mankhwala osokoneza bongo (Indocin); leucovorin (Fusilev); mankhwala ogwidwa monga phenytoin (Dilantin, Phenytek); memantine (Namenda); methotrexate (Trexall); pyrimethamine (Daraprim). ndi mankhwala opatsirana pogonana a tricyclic monga amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactiline). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi thrombocytopenia (yochepera kuposa manambala am'magazi) omwe amayamba chifukwa chotenga sulfonamides kapena trimethoprim; kuchepa kwa magazi mu megaloblastic (maselo ofiira ofiira am'magazi) omwe amayamba chifukwa cha kuperewera kwa magazi (folic acid), phenylketonuria (PKU, mkhalidwe wobadwa nawo womwe amafunika kutsatira chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), kapena matenda a chiwindi kapena impso. Dokotala wanu akhoza kukuwuzani kuti musatenge co-trimoxazole. Co-trimoxazole sayenera kugwiritsidwa ntchito kwa ana ochepera miyezi iwiri.
• auzeni dokotala ngati mwadwalapo kapena munayamba mwadwalapo; mphumu; kuchuluka kwa folic acid mthupi lomwe lingayambitsidwe ndi kuperewera kwa zakudya m'thupi (simumadya kapena simungathe kugaya zakudya zofunikira kuti mukhale ndi thanzi labwino); kachilombo ka HIV; porphyria (matenda obadwa nawo amwazi omwe angayambitse khungu kapena mavuto amanjenje); matenda a chithokomiro; kapena kuchepa kwa glucose-6-phosphate dehydrogenase (G-6-PD) (matenda obadwa nawo amwazi).
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa.Mukakhala ndi pakati mukatenga 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. Co-trimoxazole imapangitsa khungu lanu kukhala lowala ndi dzuwa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Imwani madzi ambiri mukamamwa mankhwala ndi co-trimoxazole.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• nseru
• kusanza
• kusowa chilakolako

Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• zidzolo
• kuyabwa
• chikhure
• malungo kapena kuzizira
• Kutsekula m'mimba (malo amadzi kapena amwazi) omwe amatha kuchitika kapena opanda malungo komanso kukokana m'mimba (kumatha miyezi iwiri kapena kuposerapo mutalandira chithandizo)
• kupuma movutikira
• chifuwa
• kuvulaza kapena kutuluka mwachilendo
• chikasu cha khungu kapena maso
• kutuwa
• khungu lofiira kapena lofiirira
• kulumikizana kapena kupweteka kwa minofu

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 ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone yankho lanu ku co-trimoxazole.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa co-trimoxazole.

Musalole kuti aliyense azimwa mankhwala anu. Mankhwala anu mwina sangabwererenso. Ngati muli ndi zizindikilo za matenda mukamaliza co-trimoxazole, itanani 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.

• Bactrim^® (yokhala ndi Sulfamethoxazole, Trimethoprim)
• Bactrim^® DS (yokhala ndi Sulfamethoxazole, Trimethoprim)
• Septra^® (yokhala ndi Sulfamethoxazole, Trimethoprim)
• Septra^® DS (yokhala ndi Sulfamethoxazole, Trimethoprim)
• Septra^® Kuyimitsidwa (komwe kuli Sulfamethoxazole, Trimethoprim)^¶
• Sulfatrim^® Kuyimitsidwa (komwe kuli Sulfamethoxazole, Trimethoprim)

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