Mlembi: Joan Hall
Tsiku La Chilengedwe: 1 Febuluwale 2021
Sinthani Tsiku: 20 Novembala 2024
Anonim
What a magic | සින්දුවෙන්ම ත්‍රිකෝණ ,සමචතුරස්‍ර ,සෘජුකෝණාස්‍ර ගණන  හොයපු හැටි😯😯😳 |චින්තක රන්මිණි
Kanema: What a magic | සින්දුවෙන්ම ත්‍රිකෝණ ,සමචතුරස්‍ර ,සෘජුකෝණාස්‍ර ගණන හොයපු හැටි😯😯😳 |චින්තක රන්මිණි

Zamkati

Itraconazole imatha kuyambitsa kulephera kwa mtima (momwe mtima sungapope magazi okwanira mthupi lonse). Uzani dokotala wanu ngati mwakhala mukulephera mtima kapena ayi. Dokotala wanu akhoza kukuwuzani kuti musatenge itraconazole. Muuzeni dokotala ngati mwadwalapo kapena mwakhalapo ndi vuto la mtima; kugunda kwamtima kosasintha; kapena mtundu wina uliwonse wamtima, mapapo, chiwindi kapena impso. Ngati mukumane ndi zizindikiro izi, lekani kumwa itraconazole ndipo itanani dokotala nthawi yomweyo: kupuma movutikira; kutsokomola phlegm yoyera kapena pinki; kufooka; kutopa kwambiri; kugunda kwamtima; kutupa kwa mapazi, akakolo, kapena miyendo; kudzuka usiku; ndi kunenepa mwadzidzidzi.

Musatenge cisapride (Propulsid) (sikupezeka ku US), disopyramide (Norpace), dofetilide (Tikosyn), dronedarone (Multaq), eplerenone (Inspra), mankhwala amtundu wa ergot monga dihydroergotamine (DHE, Migranal), ergotamine ( Ergomar, ku Cafergot, ku Migergot), methylergometrine (Methergine); felodipine (Plendil), irinotecan (Camptosar), ivabradine (Corlanor), levomethadyl acetate (Orlaam) (sikupezeka ku US), lovastatin (Altoprev, ku Advicor), lurasidone (Latuda), methadone (Dolophine, Methadose), midazolam otengedwa pakamwa), nisoldipine (Sular), pimozide (Orap), quinidine (ku Nuedexta), ranolazine (Ranexa), simvastatin (Zocor, ku Simcor, ku Vytorin), ticagrelor (Brilinta), ndi triazolam (Halcion) pomwe amatenga itraconazole komanso kwa masabata awiri pambuyo pake. Uzani dokotala wanu ngati muli ndi matenda a impso kapena chiwindi ndipo mukumwa mankhwala aliwonse awa: colchicine (Colcrys, Mitigare), fesoterodine (Toviaz), solifenacin (Vesicare), kapena telithromycin (Ketek). Kumwa mankhwalawa ndi itraconazole kumatha kuyambitsa mavuto akulu amtima kuphatikiza kutalika kwa QT (mtima wosasinthasintha wamtima womwe ungayambitse kukomoka, kutaya chidziwitso, kugwidwa, kapena kufa mwadzidzidzi).


Lankhulani ndi dokotala wanu za kuopsa kwakumwa itraconazole.

Makapisozi a Itraconazole amagwiritsidwa ntchito pochiza matenda am'mapapo omwe amatha kufalikira mthupi lonse. Makapisozi a Itraconazole amagwiritsidwanso ntchito kuthana ndi matenda a mafangasi a zikhadabo. Mapiritsi a Itraconazole ndi makapisozi amagwiritsidwa ntchito pochiza matenda opatsirana. Njira yothetsera mkamwa ya Itraconazole (madzi) imagwiritsidwa ntchito pochiza matenda yisiti mkamwa ndi pakhosi kapena pammero (chubu cholumikiza mmero mpaka m'mimba). Itraconazole ili mgulu la ma antifungals otchedwa triazoles. Zimagwira ntchito pochepetsa kukula kwa bowa komwe kumayambitsa matenda.

Itraconazole imabwera ngati kapisozi, piritsi, ndi yankho (madzi) kuti mutenge pakamwa. Ngati mukumwa itraconazole kuti muzitha kuchiza matenda m'mafupa, makapisozi amatengedwa nthawi yayitali kapena atangomaliza kudya kamodzi kapena kawiri patsiku kwa miyezi itatu. Komabe, ngati mukumwa itraconazole kuti muchepetse matenda opatsirana a mafangasi m'mapapu, makapisozi amatha kumwa katatu patsiku kwa masiku atatu oyambilira ndikumwa kamodzi kapena kawiri patsiku ndikudya pang'ono 3 miyezi. Ngati mukumwa itraconazole kuchiza matenda opatsirana ndi zala (kuphatikizapo kapena opanda matenda azizindikiro), makapisozi kapena mapiritsi nthawi zambiri amatengedwa kamodzi patsiku ndi chakudya chokwanira kwa milungu 12. Ngati mukumwa itraconazole kuti muchepetse matenda a mafangasi a zikhadabo okha, ma capsules nthawi zambiri amatengedwa kawiri patsiku ndi chakudya chathunthu kwa sabata limodzi, amalumpha kwa milungu itatu, kenako amatengedwa kawiri patsiku ndikudya kwa sabata. Yankho la m'kamwa la Itraconazole nthawi zambiri limatengedwa m'mimba yopanda kanthu kamodzi kapena kawiri patsiku kwa milungu 1 kapena 4 kapena nthawi zina. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani itraconazole ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.


Kumeza makapisozi itraconazole lonse; osatsegula, kutafuna, kapena kuwaphwanya.

Dokotala wanu angakuuzeni kuti mutenge makapisozi a itraconazole ndi chakumwa choledzeretsa cha cola ngati muli ndi matenda enaake kapena mukumwa mankhwala aliwonse otsatirawa: cimetidine; famotidine (Pepcid); nizatidine (Axid); proton-pump inhibitors monga esomeprazole (Nexium, ku Vimovo), lansoprazole (Prevacid, ku Prevpac), omeprazole (Prilosec, ku Zegerid), pantoprazole (Protonix), rabeprazole (AcipHex), kapena ranitidine (Zantac). Tsatirani malangizowa mosamala.

Kuti mutenge njira yothetsera mkamwa ya itraconazole yamatenda am'kamwa kapena kukhosi, swish 10 milliliters (pafupifupi supuni 2) yankho mkamwa mwanu kwa masekondi angapo ndikumeza. Bwerezani ngati kuli kofunikira kuti mutenge mlingo wanu wonse.

Makapisozi a Itraconazole ndi yankho la m'kamwa amalowetsedwa mthupi m'njira zosiyanasiyana ndikugwira ntchito kuti athetse mavuto osiyanasiyana. Osalowetsa makapisozi m'malo mwa madzi kapena madzi a makapisozi. Onetsetsani kuti wazamankhwala wanu amakupatsani mankhwala a itraconazole omwe dokotala wanu adakupatsani.


Ngati mukumwa itraconazole kuchiza matenda amisomali, misomali yanu mwina siziwoneka yathanzi mpaka misomali yatsopano ikule. Zitha kutenga miyezi isanu ndi umodzi kukula kwa chikhadabo chatsopano komanso mpaka miyezi 12 kukula chala chatsopano, chifukwa chake simuyenera kuyembekezera kuwona kusintha mukamalandira chithandizo kapena miyezi ingapo pambuyo pake. Pitilizani kumwa itraconazole ngakhale simukuwona kusintha kulikonse.

Pitirizani kumwa itraconazole mpaka dokotala atakuuzani kuti muime ngakhale mutakhala bwino. Osasiya kumwa itraconazole osalankhula ndi dokotala. Mukasiya kumwa itraconazole posachedwa, matenda anu amatha kubwerera patangopita nthawi yochepa.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Itraconazole imagwiritsidwanso ntchito pochizira mitundu ina ya matenda a fungus komanso kupewa matenda a mafangasi kwa anthu omwe ali ndi kachilombo ka HIV (kachilombo ka HIV) kapena adapeza matenda a immunodeficiency (AIDS). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe itraconazole,

  • auzeni dokotala ndi wazamankhwala ngati simukugwirizana ndi itraconazole; mankhwala ena oletsa mafungal monga fluconazole (Diflucan), ketoconazole (Nizoral), kapena voriconazole (Vfend); mankhwala aliwonse, kapena chilichonse chosakaniza ndi mankhwala a itraconazole. Ngati mukumwa mankhwala amlomo a itraconazole, uzani adotolo ngati simukugwirizana ndi mankhwala a saccharin kapena sulfa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • uzani adotolo ndi wazamankhwala ngati mukumwa mankhwala otsatirawa kapena mumamwa m'masabata awiri apitawa musanayambe kumwa mankhwala ndi itraconazole: carbamazepine (Epitol, Tegretol, Teril, ena); efavirenz (Sustiva, ku Atripla); isoniazid (Laniazid, ku Rifamate, ku Rifater); rifabutin (Mycobutin); rifampicin; nevirapine (Viramune); phenobarbital; ndi phenytoin (Dilantin, Phenytek).
  • Uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala awa: aliskiren (Tekturna, ku Amturnide, Tekamlo, ndi Tekturna HCT), apixaban (Eliquis), axitinib (Inlyta), colchicine (Colcrys, Mitigare), dabrafemob (Taflinar), darifenacin (Enablex), dasatinib (Sprycel), everolimus (Afinitor, Zortress), ibrutinib (Imbruvica), nilotinib (Tasigna), rivaroxaban powder (Xarelto), salmeterol (Serevent), sildenafil (mtundu wa Revatio wokhawo womwe umagwiritsidwa ntchito pa matenda am'mapapo), simepreoir ), sunitinib (Sutent), tamsulosin (Flomax, ku Jalyn), temsirolimus (Torisel), trabectedin (Yondelis), ndi vardenafil (Staxyn, Levitra). Dokotala wanu angakuuzeni kuti musamamwe mankhwalawa mukamachiza komanso kwa milungu iwiri mutalandira chithandizo cha itraconazole.
  • auzeni adotolo ndi asayansi yanu mankhwala ena omwe mungalandire kapena osakulemberani, mavitamini, zowonjezera zakudya ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe atchulidwa mgulu la CHENJEZO CHENJEZO ndi zina mwa izi: mankhwala a maantibayotiki monga ciprofloxacin (Cipro), clarithromycin (Biaxin, ku PrevPac), erythromycin (EES Ery-Tab, ena), ndi telithromycin (Ketek) ; anticoagulant ('' magazi owonda '') monga warfarin (Coumadin, Jantoven); alprazolam (Xanax); Aprepitant (Emend); aripiprazole (Limbikitsani); atorvastatin (Lipitor, ku Caduet, ku Liptruzet); bortezomib (Velcade); chifuwa (Tracleer); budesonide (Entocort EC, Pulmicort, Uceris); buprenorphine (Buprenex, Butrans, ku Bunavail; ena); busipulo; ciclesonide (Alvesco, Omnaris, Zetonna); cilostazol (Pletal); cinacalcet (Sensipar); cyclosporine (Gengraf, Neoral, Sandimmune); dabigatran (Pradaxa); dexamethasone; diazepam (Valium); digoxin (Lanoxin); docetaxel (Docefrez, Taxotere); eletriptan (Relpax); erlotinib (Tarceva); fentanyl (Actiq, Duragesic, Fentora, Subsys, ena); fesoterodine (Toviaz); fluticasone (Flovent, ku Advair); gefitinib (Iressa); haloperidol (Haldol); HIV protease inhibitors kuphatikiza indinavir (Crixivan), darunavir (Prezista) yotengedwa ndi ritonavir, fosamprenavir (Lexiva) yotengedwa ndi ritonavir, ndi saquinavir (Invirase); imatinib (Gleevac); ixabepilone (Ixempra Kit); lapatinib (Tykerb); nthawi (Selzentry); meloxicam (Mobic); methylprednisolone (Medrol); nadolol (Corgard, ku Corzide); oxybutynin (Ditropan XL, Oxytrol); oxycodone (Oxaydo, Oxycontin, ku Percodan; ena); ponatinib (Iclusig); praziquantel (Biltricide); quetiapine (Seroquel); mphukira (Rozerem); repaglinide (Prandin, ku Prandimet); ziphuphu (Adempas); risperidone (Risperdal); saxagliptin (Kombiglyze XR, Onglyza); mankhwala (Rapamune); solifenacin (Vesicare); tacrolimus (Astagraf, Prograf); tadalafil (Adcirca, Cialis); mavitamini (Detrol); vardenafil (Levitra, Staxyn); verapamil (Calan, Covera, Verelan PM, ku Tarka), vinblastine, vincristine (Marqibo Kit), ndi vinorelbine (Navelbine). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi itraconazole, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • ngati mukumwa mankhwala opha tizilombo, tengani ola limodzi musanatenge orraconazole.
  • Uzani dokotala wanu ngati mwakhalapo ndi zikhalidwe zotchulidwa mu gawo LOFUNIKITSA CHENJEZO ,, cystic fibrosis (matenda obadwa nawo omwe amayambitsa mavuto kupuma, chimbudzi, ndi kubereka), vuto lililonse lomwe limachepetsa kuchuluka kwa asidi m'mimba mwanu, kapena HIV.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kumwa itraconazole kuti muzichiza bowa wa msomali ngati muli ndi pakati kapena mutha kutenga pakati. Mutha kuyamba kumwa itraconazole kuti muchiritse bowa wamisomali tsiku lachiwiri kapena lachitatu lokha mukakhala ndi msambo mukatsimikiza kuti mulibe pakati. Muyenera kugwiritsa ntchito njira yolerera yoyenera mukamalandira chithandizo komanso kwa miyezi iwiri pambuyo pake. Mukakhala ndi pakati mukatenga itraconazole kuti muthane ndi vuto lililonse, itanani dokotala wanu.
  • muyenera kudziwa kuti itraconazole imatha kukupangitsani kukhala ozunguzika kapena kukuwonetsani kapena kuwona kawiri. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Lankhulani ndi dokotala wanu za kumwa zakumwa zamadzimadzi mukamamwa mankhwalawa.

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.

Itraconazole imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kutsegula m'mimba
  • kudzimbidwa
  • mpweya kapena kuphulika
  • kutentha pa chifuwa
  • zosasangalatsa kukoma
  • zilonda zopweteka kapena zotuluka magazi
  • mutu
  • chizungulire
  • thukuta
  • kupweteka kwa minofu kapena kufooka
  • kupweteka pamodzi
  • Kuchepetsa chilakolako chogonana kapena kuthekera
  • manjenje
  • kukhumudwa
  • chimfine ndi zina zozizira
  • malungo
  • kutayika tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

  • kusawona bwino kapena masomphenya awiri
  • kulira m'makutu
  • kulephera kuwongolera kukodza kapena kukodza kuposa masiku onse

Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, siyani kumwa itraconazole ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

  • kutopa kwambiri
  • kusowa chilakolako
  • nseru
  • kupweteka m'mimba
  • kusanza
  • chikasu cha khungu kapena maso
  • mkodzo wakuda
  • mipando yotumbululuka
  • kumva dzanzi, kumva kulasalasa, kumenyedwa, kutentha, kapena kukwawa pakhungu
  • kutaya kumva
  • kuchulukitsa chidwi cha kuwala
  • Matenda owopsa pakhungu
  • kutaya kumva
  • zidzolo
  • ming'oma
  • kuyabwa
  • kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, akakolo, kapena miyendo yakumunsi
  • ukali
  • kuvuta kupuma kapena kumeza

Chimodzi mwazomwe zimaphatikizidwa mu njira ya mkamwa ya itraconazole imayambitsa khansa m'mitundu ina ya nyama zasayansi. Sizikudziwika ngati anthu omwe amamwa mankhwala a itraconazole ali pachiwopsezo chachikulu chotenga khansa. Lankhulani ndi dokotala wanu za kuopsa kwakumwa njira ya itraconazole.

Itraconazole imatha kubweretsa 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. Sungani pa firiji komanso kutali ndi kutentha, kuwala, 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 itraconazole.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu. Ngati muli ndi zizindikilo za matenda mukamaliza itraconazole, 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.

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Idasinthidwa Komaliza - 11/15/2017

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