Azithromycin

Zamkati

• Musanatenge azithromycin,
• Azithromycin ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa azithromycin ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

Azithromycin yokha komanso kuphatikiza ndi mankhwala ena pano akuphunziridwa pochizira matenda a coronavirus 2019 (COVID-19). Pakadali pano, azithromycin imagwiritsidwa ntchito ndi hydroxychloroquine kuchiza odwala ena omwe ali ndi COVID-19. Komabe, pali malipoti osakanikirana a zothandiza pamene azithromycin idagwiritsidwa ntchito limodzi ndi mankhwala ena kuchiza matenda ena opatsirana a virus. Azithromycin yagwiritsidwanso ntchito pochiza matenda a bakiteriya omwe ali mchipatala omwe ali ndi COVID-19. Zambiri zimafunikira musanapange lingaliro lililonse pokhudzana ndi phindu ndi zoopsa zogwiritsa ntchito azithromycin nokha kapena kuphatikiza ndi hydroxychloroquine mwa odwala a COVID-19.

Azithromycin iyenera kugwiritsidwa ntchito YOKHA motsogozedwa ndi dokotala pochiza COVID-19.

Azithromycin imagwiritsidwa ntchito pochiza matenda ena a bakiteriya, monga bronchitis; chibayo; matenda opatsirana pogonana (STD); ndi matenda am'makutu, m'mapapu, m'mphuno, khungu, mmero, komanso ziwalo zoberekera. Azithromycin imagwiritsidwanso ntchito pochizira kapena kupewa kufalitsa Mycobacterium avium Matenda ovuta (MAC) [mtundu wamatenda am'mapapo omwe nthawi zambiri amakhudza anthu omwe ali ndi kachilombo ka HIV (HIV)]. Azithromycin ali mgulu la mankhwala otchedwa macrolide antibiotics. Zimagwira ntchito poletsa kukula kwa mabakiteriya.

Maantibayotiki monga azithromycin sangagwire ntchito ya chimfine, chimfine, kapena matenda ena a virus. Kugwiritsa ntchito maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.

Azithromycin imabwera ngati piritsi, kuyimitsidwa kwanthawi yayitali (kuyimitsidwa kwa nthawi yayitali) (madzi), ndi kuyimitsidwa (madzi) kutenga pakamwa. Mapiritsi ndi kuyimitsidwa (Zithromax) nthawi zambiri amatengedwa popanda chakudya kamodzi patsiku kwa masiku 1-5. Pogwiritsidwa ntchito popewera kufalitsa matenda a MAC, mapiritsi a azithromycin nthawi zambiri amatengedwa kapena opanda chakudya kamodzi pamlungu. Kuyimitsidwa kwakanthawi (Zmax) nthawi zambiri kumatengedwa m'mimba yopanda kanthu (osachepera ola limodzi musanadye kapena maola awiri mutadya) ngati nthawi imodzi. Kukuthandizani kukumbukira kukumbukira kutenga azithromycin, imwani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani azithromycin ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Sambani madzi bwino musanagwiritse ntchito mankhwala osakanikirana. Gwiritsani ntchito supuni ya dosing, jakisoni wam'kamwa, kapena chikho choyezera kuti muyese kuchuluka kwa mankhwala. Muzimutsuka ndi choyezera ndi madzi mukamwa mankhwala.

Ngati mulandira azithromycin powder for suspension (Zithromax) mu mlingo umodzi, paketi imodzi ya gramu, muyenera kusakaniza ndi madzi musanamwe mankhwala. Sakanizani zomwe zili mu paketi ya gramu imodzi ndi chikho cha 1/4 (60 mL) chamadzi mugalasi ndikudya zonse zomwe zili mkatimo nthawi yomweyo. Onjezerani chikho chimodzi cha 1/4 (60 mL) chamadzi pagalasi yemweyo, sakanizani, ndikudya zonse zomwe zili mkatimo kuti muwonetsetse kuti mulandila mlingo wonsewo.

Ngati mulandira kuyimitsidwa kwakanthawi kwa azithromycin (Zmax) ngati ufa wouma, muyenera kuwonjezera madzi mu botolo musanamwe mankhwala. Tsegulani botolo mwa kukanikiza pansi pa kapu ndikupotoza. Pezani 1/4 chikho (60 ml) ya madzi, ndikuwonjezera ku botolo. Tsekani botolo mwamphamvu, ndikugwedeza bwino kuti musakanize. Gwiritsani ntchito kuyimitsidwa kotulutsidwa kwa azithromycin mkati mwa maola 12 mutalandira kuchokera ku pharmacy kapena mutathira madzi ku ufa.

Mukasanza pasanathe ola limodzi mutatenga azithromycin, pitani kuchipatala nthawi yomweyo. Dokotala wanu angakuuzeni ngati mukufuna kumwa mankhwala ena. Musatenge mlingo wina pokhapokha dokotala wanu atakuuzani kuti muchite zimenezo.

Muyenera kuyamba kumva bwino m'masiku ochepa oyamba a azithromycin. Ngati matenda anu sakukula, kapena kukulirakulira, itanani dokotala wanu.

Tengani azithromycin mpaka mutsirize mankhwala, ngakhale mutakhala bwino. Osasiya kumwa azithromycin pokhapokha mutakumana ndi zovuta zomwe zafotokozedwa mgawo la SIDE EFFECTS. Mukasiya kumwa azithromycin posachedwa kapena kudumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki.

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

Azithromycin imagwiritsidwanso ntchito nthawi zina kuchiza H. pylori matenda, kutsegula m'mimba kwa apaulendo, ndi matenda ena am'mimba; Matenda a Legionnaires (mtundu wa matenda am'mapapo); pertussis (kutsokomola; matenda akulu omwe angayambitse chifuwa chachikulu); ndi babesiosis (matenda opatsirana omwe amapezeka ndi nkhupakupa). Amagwiritsidwanso ntchito kupewa matenda amtima mwa anthu omwe ali ndi mano kapena njira zina, komanso kupewa matenda opatsirana pogonana mwa omwe agwiriridwa. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge azithromycin,

• uzani dokotala ndi wazamankhwala ngati muli ndi vuto la azithromycin, clarithromycin (Biaxin, ku Prevpac), dirithromycin (sikupezeka ku US), erythromycin (EES, ERYC, Erythrocin), telithromycin (Ketek; sikupezeka ku US), iliyonse mankhwala ena, kapena chilichonse chosakaniza m'mapiritsi a azithromycin kapena kuyimitsidwa (madzi). 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: maanticoagulants ('opopera magazi') monga warfarin (Coumadin, Jantoven); colchicine (Colcrys, Gloperba); cyclosporine (Neoral, Sandimmune); digoxin (Lanoxin); dihydroergotamine (DHH 45, Migranal); ergotamine (Ergomar); mankhwala a kugunda kwamtima mosasinthasintha monga amiodarone (Cordarone, Pacerone), dofetilide (Tikosyn), procainamide (Procanbid), quinidine, ndi sotalol (Betapace, Sorine); nelfinavir (Viracept); phenytoin (Dilantin); ndi terfenadine (sikupezeka ku U.S.). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa maantacid okhala ndi aluminium hydroxide kapena magnesium hydroxide (Maalox, Mylanta, Tums, ena), muyenera kulola nthawi kuti idutse pakati mukamwa mankhwalawa komanso mukamwa mapiritsi a azithromycin kapena madzi . Funsani dokotala wanu kapena wamankhwala kuti ndi maola angati musanamwe kapena mutamwa mankhwala a azithromycin. Kuyimitsidwa kotulutsidwa kumatha kutengedwa nthawi iliyonse ndi ma antiacids.
• uzani dokotala wanu ngati munakhalapo ndi matenda a jaundice (achikasu pakhungu kapena maso) kapena mavuto ena a chiwindi mukamamwa azithromycin. Dokotala wanu angakuuzeni kuti musatenge azithromycin.
• auzeni adotolo ngati inu kapena aliyense m'banja mwanu mwakhalapo kapena mwakhalapo ndi nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi) kapena kugunda kwamphamvu, kosafulumira, kapena kosasintha, ndipo ngati magulu otsika a magnesium kapena potaziyamu m'magazi anu; ngati muli ndi matenda a magazi; mtima kulephera; enaake fibrosis; myasthenia gravis (vuto la minofu ndi minyewa yomwe imawalamulira); kapena ngati muli ndi matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga azithromycin, itanani dokotala wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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.

Azithromycin ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutsegula m'mimba
• kusanza
• kupweteka m'mimba
• mutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa azithromycin ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• chizungulire
• kukomoka
• kufulumira ndi kutentha thupi kapena wopanda malungo
• matuza kapena khungu
• malungo ndi mafinya odzaza mafinya, onga matuza, kufiira, ndi kutupa kwa khungu
• ming'oma
• kuyabwa
• kupuma kapena kupuma movutikira kapena kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kusanza kapena kukwiya mukamadyetsa (makanda ochepera milungu isanu ndi umodzi)
• Kutsekula m'mimba (malo amadzi kapena amwazi) omwe amatha kuchitika kapena opanda malungo komanso kukokana m'mimba (kumatha miyezi iwiri kapena kuposerapo mutalandira chithandizo)
• chikasu cha khungu kapena maso
• kutopa kwambiri
• kutuluka mwachilendo kapena kuphwanya
• kusowa mphamvu
• kusowa chilakolako
• kupweteka kumtunda chakumanja kwam'mimba
• zizindikiro ngati chimfine
• mkodzo wamtundu wakuda
• kufooka kwapadera kwa minofu kapena kuvutika ndi kuwongolera minofu
• pinki ndi maso otupa

Azithromycin ingayambitse mavuto ena. 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 mapiritsi a azithromycin, kuyimitsidwa, ndi kuyimitsidwa kwakanthawi kotalikirapo komanso kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Osazizira kapena kuimitsa kuyimitsidwa kwakanthawi. Chotsani kuyimitsidwa kulikonse kwa azithromycin komwe kwatsala pakadutsa masiku 10 kapena sikufunikanso. Chotsani kuyimitsidwa kulikonse kosagwiritsidwa ntchito kosagwiritsidwa ntchito kwa azithromycin mukamaliza kumwa mankhwala kapena patadutsa maola 12 mutakonzekera.

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.

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

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 akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku azithromycin.

Musalole kuti aliyense azimwa mankhwala anu. Mankhwala anu mwina sangabwererenso. Ngati muli ndi zizindikiro za matenda mukamaliza azithromycin, 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.

• Zithromax^®
• Zithromax^® Mapaketi Amodzi Amodzi
• Zithromax^® Tri-Paks^®
• Zithromax^® Z-Paks^®
• Zmax^®