Nthawi zina ma antibiotic amagwiritsidwa ntchito kuti athetse IBD kapena Pouchitis
Ciprofloxacin ndi mtundu wa maantibayotiki omwe amagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya matenda. Ndilo m'kalasi la maantibayotiki ambiri otchedwa fluoroquinolones. Mankhwala oterewa amagwiritsidwa ntchito pochiza matenda ndi mabakiteriya onse a gram-negative ndi gram.
Maantibayotiki ayenera kugwiritsidwa ntchito pokhapokha ngati akufunikira chifukwa cha chiopsezo cha zotsatirapo komanso chifukwa cha chiopsezo chopanga mabakiteriya omwe sagonjetsedwa.
Zotsatira za ciprofloxacin zimasiyana kwambiri ndipo zimasiyana ndi munthu wina. Kawirikawiri, anthu omwe amatenga ciprofloxacin alibe zotsatira zoopsa za kumwa mankhwalawa.
Chenjezo la Black Box
Ciprofloxacin ili ndi chenjezo lakuda "lakuda" monga lamulo la Food and Drug Administration (FDA). Chenjezo lakuda la bokosi limayikidwa mu paketi ya chidziwitso cha odwala pakadalitsidwa kuti pali kuthekera koopsa. Bungwe lakuda lakuda la ciprofloxacin limachenjeza likunena za tendonitis ndi tendon kupasuka. Ngati mukumva zizindikiro za tendinitis, funsani kwa dokotala ndipo funsani dokotala yemwe analamula ciprofloxacin kuti adziwe momwe angapitirire.
Mafluoroquinolones, kuphatikizapo CIPRO®, akukhudzidwa ndi chiopsezo chowonjezeka cha tendinitis ndi tendon kupasuka mu mibadwo yonse. Izi zimawonjezeka kwambiri kwa okalamba omwe ali oposa zaka 60, odwala omwe amatenga mankhwala a corticosteroid, komanso odwala omwe ali ndi impso, kusintha kwa mtima kapena mapapo ...
Antibiotics ndi IBD
Ciprofloxacin nthawi zina amagwiritsidwa ntchito pofuna kuchiza matenda a Crohn ndi kuchiza pouchitis mwa anthu omwe achita opaleshoni ya j-poch (ileal pouch-anal anastomosis, kapena IPAA) kuti adziwe matenda awo odwala ulcerative . Mankhwala oteteza maantibayotiki ayenera kugwiritsidwa ntchito mosamala, komabe muyenera kuchenjeza anthu omwe apezeka ndi matenda otsekula m'mimba chifukwa cha chiwopsezo cha kutsekula m'mimba komanso chiopsezo chotenga kachilombo koyambitsa matenda a bacteria wotchedwa Clostridium difficile (kapena C difficile ) .
Anthu omwe ali ndi IBD akhoza kukhala ndi chiopsezo chachikulu chotenga matendawa atalandira mankhwala opha tizilombo.
Machenjezo a Nurological ndi Central Central machenjezo
Mu May 2016, a FDA adachenjeza za zotsatira zina zomwe zakhala zikugwirizana ndi ciprofloxacin, kuphatikizapo zomwe zingakhudze matenda, minofu, ziwalo, mitsempha, ndi pakatikati. Pali kudandaula kuti mankhwalawa akugwiritsidwa ntchito monga chithandizo choyamba pa matenda opatsirana. Mwa kuyankhula kwina, a FDA akufunsa madokotala kuti asiye kulemba mankhwalawa kuti akhale ndi matenda osavuta, monga matenda a mkodzo, pamene mankhwala ena osagwiritsidwa ntchito otetezeka angagwiritsidwe ntchito m'malo mwake.
Malinga ndi a FDA, mavuto ena omwe amafotokozedwa kuti ali okhudzana ndi ciprofloxacin akuphatikizapo "tendon, ophatikizana ndi kupweteka kwa minofu," mapepala ndi singano "kumangirira kapena kusokoneza maganizo, kusokonezeka, ndi kukhumudwa." Zotsatirazi, kapena zotsatira zina zomwe zimasokoneza ziyenera kuuzidwa kwa dokotala nthawi yomweyo, monga mankhwalawa angafunikire kuimitsidwa.
Zotsatira Zogwirizana
Afunseni dokotala ngati zotsatirapo zotsatirazi zikupitirira kapena zikuvutitsa:
- Kudwala m'mimba (wofatsa)
- kutsekula m'mimba (wofatsa)
- kusanza
- ululu wamimba
- mutu
- kupuma
Zosasunthika Pang'ono Kapena Zotsatira Zambiri
Afunseni dokotala ngati zotsatirapo zotsatirazi zikupitirira kapena zikuvutitsa:
- kusintha moyenera mwa kukoma
- kuwonjezeka kwa khungu kwa dzuwa
Nthawi zonse Mudziwitse Dokotala Wotsatila Awa Otsatira
Zosagwirizana kwambiri
- khungu la khungu
- kumverera kwa khungu loyaka
- kuyabwa khungu, kuthamanga, kufiira, kapena kutupa
Kawirikawiri
- kuthamanga kwa khungu
- kuyabwa
- ming'oma
- kupuma kupuma kapena kumeza
- Kutupa kwa nkhope kapena mmero
- khungu la khungu kapena maso
- mitsempha yamdima
- zotupa kapena zakuda
- magazi mu mkodzo
- kutopa kwachilendo
- Kutentha kwa dzuwa kapena kutentha
- kugwidwa kapena kugwedezeka
- kachilombo ka HIV
- masomphenya amasintha
- ululu, kutupa, kapena kutuluka kwa tendon
Zotsatira zina zosawerengedwera pamwambazi zingakhalenso ndi odwala ena. Mukawona zotsatira zina zilizonse, funsani dokotala wanu. Mfundoyi imangokhala ngati chitsogozo - Nthawi zonse funsani dokotala kapena wamankhwala kuti mudziwe zambiri zokhudza mankhwala oyenera.
Chitsime:
Bayer HealthCare Pharmaceuticals. Chiprofloloacacin (Cipro) wodwala. " Bayer HealthCare Pharmaceuticals Inc. Mwezi 2008.
Crohn & Colitis Foundation ya America. "Maantibayotiki." CCFA.org. 22 Mar 2011.
> Utsogoleri wa US Food and Drug Administration. "FDA Drug Safety Communication: FDA imalangiza kuletsa kugwiritsa ntchito mankhwala a antibiotic a fluoroquinolone kwa matenda ena osavuta; imachenjeza za kuvulaza zotsatira zomwe zingachitike palimodzi." FDA.gov. 7 March 2018.