Maantibayotiki ndiwo mankhwala opulumutsa moyo, ndipo odwala ambiri a chithokomiro amatha kutenga matenda opatsirana pogonana ngati matenda a sinus, matenda a mkodzo, kapena matenda ena omwe amawagwiritsira ntchito. Nkhaniyi ikuwunika zinthu zofunika kuzidziwitsa za kugwirizana pakati pa mankhwala a fluoroquinolone monga Cipro komanso zomwe mungachite ndi mankhwala anu a chithokomiro ndi mankhwala.
Pali zoposa 100 antibayotiki, koma ambiri amachokera ku mitundu yochepa chabe. Ma antibiotic ambiri ali ndi mayina awiri - dzina lake (lomwe amadziwikanso ndi dzina la malonda) ndi dzina lachibadwa limene limachokera ku antibiotic's class class / structure.
Maphunziro akuluakulu a maantibayotiki alembedwa apa. Kuti muwone, maina a chizindikiro ali pamutu, ndipo mayina achibadwa ali ochepa.
- Aminoglycosides - Garamycin (gentamicin) ndi Tobrex (tobramycin)
- Cephalosporins - Keflex (cephalexin)
- Macrolides - Mycin (erythromycin), Biaxin (clarithromycin), Zithromax (azithromycin)
- Penicillin - amoxicillin ndi penicillin
- Sulfonamides - Bactrim (co-trimoxazole) ndi Proloprim (trimethoprim)
- Tetracyclines - Sumycin (tetracycline) ndi Vibramycin (doxycycline)
- Fluoroquinolones - Cipro (ciprofloxacin) , Levaquin (levofloxacin), Floxin (ofloxacin)
Maantibayotiki ndi Mankhwala Anu a Chithokomiro
Ma antibiotic a Fluoroquinolone nthawi zambiri amatchulidwa chifukwa cha matenda a mkodzo, chibayo, ndi matenda opatsirana pogonana.
Cipro (ciprofloxacin) inalinso ndi nkhani m'mbuyomo panthawi yomwe anthrax ankaopseza , pogwiritsa ntchito mankhwala kuchipatala cha anthrax.
Zomwe Tizilombo Tiyenera Kudziwa
Maina a mtundu wotchedwa fluoroquinolone antibiotic ciprofloxacin - maina a chizindikiro amaphatikizapo Cipro, Proquin, Ciproxin, Ciprobay, Cirpoxine, ndi Ciflox - atsimikiziridwa kuti amachepetsa kwambiri kuchepa kwa levothyroxine, mankhwala omwe amachititsa kuti asamakhale ndi mankhwala enaake (omwe amadziwika ndi mayina monga Synthroid, Levoxyl, ndi Tirosint .)
Ngakhale kuti kafukufukuyo sadziwika bwino, akatswiri ena amakhulupirira kuti mankhwala ena ophera majeremusi - monga Levaquin (levofloxacin), Maxiquin (lomefloxacin), Avelox (moxifloxacin), Norox-In (norfloxacin) ndi Floxin (ofloxacin) - amachititsanso kuchepetsa kutaya kwa levothyroxine
Chimachitika ndi mankhwalawa ndikuti akhoza kukhala ndi zotsatira zingapo:
- Angakhale akuchepetsa kuchepetsa kuthamanga kwa levothyroxine yomwe mukuyitenga, zomwe zimapangitsa kuti magazi anu asakanikire m'magazi anu.
- Zingawonjezere mlingo umene thupi lanu limagwiritsa ntchito poyambitsa matenda ndi kuchotsa levothyroxine, komanso kumapangitsa kuti magazi asamadzipangitse m'magazi anu.
- Angasinthe njira yomwe levothyroxine imamangirira kwa mapuloteni m'magazi anu ndipo imakhudzidwa, ndipo imakhudzanso chithokomiro chanu.
British Medical Journal Zopezeka
Bungwe la British Medical Journal linanena za matenda angapo osadziwika a hypothyroidism odwala chithokomiro (pa levothyroxine ) omwe ankatenga ciprofloxacin.
Ochita kafukufuku apeza kuti ciprofloxacin imayankhula ndi levothyroxine (kutanthauza Synthroid, Levoxyl) ngati itengedwa limodzi.
Panthawi ina, mayi yemwe amatenga 125 mcg tsiku la levothyroxine anatenga ciprofloxacin (750 mg kawiri pa tsiku) ndipo mlingo wake wa TSH unayambira mpaka 44 pambuyo pa milungu inayi.
Ngakhale pamene mlingo wake unakwezedwa kufika 200 mcg tsiku, TSH yake sanayankhe. Pokhapokha pamene ciprofloxacin inaimitsidwa kodi TSH imabwereranso mwachibadwa.
Mulimanso lina, mayi yemwe adakhazikika pa 150 mcg tsiku la levothyroxine adamuwona TSH akupita kuchokera pa 1.6 mpaka 19 patatha masabata atatu akuchiritsidwa ndi ciprofloxacin pa 500 mg kawiri pa tsiku.
Kodi Mungatani?
Ngati muli ndi matenda a chithokomiro omwe akutenga ciprofloxacin, muyenera kuchita chiyani?
Choyamba, ndizofunika kudziwa kuti ngakhale kuti chenjezoli likhoza kuphatikizidwa muzomwe mukugwiritsa ntchito mankhwala osokoneza bongo, dokotala wanu kapena mankhwala sayenera kutchula kapena kutchula momwe mungagwiritsire ntchito mankhwala anu a chithokomiro polemba kapena kupereka mankhwalawa.
Mukhozanso kupita ku malo oyendamo kapena ku "Minute Clinic", ndipo muwalembere mankhwalawa, popanda kufufuza mokwanira za momwe mungagwiritsire ntchito mankhwala anu omwe alipo.
Chachiwiri, pamene dokotala akufotokoza mankhwalawa, muyenera kutchula kuti mukutenga levothyroxine, ndipo funsani za antibiotic yomwe siili mumtundu wa fluoroquinolone. Nthaŵi zambiri, amodzi mwa maantibayotiki angapangidwe.
Chachitatu, ngati mutenge mankhwalawa, mafukufukuwa adanena kuti kuyesa kwa chithokomiro kumakhala kozoloŵera ngati odwala atenga levothyroxine ndi ciprofloxacin osachepera maola asanu pambali . Choncho, ngati muli pa levothyroxine, n'zomveka kulola maola asanu ndi limodzi popanda kutenga ciprofloxacin. Ndipo ngati mukuyenera kutenga antibiotic kwa nthawi yayitali, muyenera kukambirana momwe chithokomiro chanu chingakhudzire ndi dokotala wanu, ndipo pemphani nthawi yowonongeka kuti muonetsetse kuti chithandizo chanu cha chithokomiro sichinakhudzidwe.
Zochita Zowonjezereka
Chochititsa chidwi n'chakuti palinso mauthenga osokoneza bongo omwe amachititsa kuti anthu asamagwiritse ntchito ma antibiotic ena a fluoroquinolone. A FDA anawonjezera " Chenjezo la Black Box " za fluoroquinolones chifukwa chiopsezo chachikulu cha tendon ruptures pamene mutenga mankhwala.
> Chitsime:
> Cooper, John, "Ciprofloxacin ikugwirizana ndi chithandizo cha chithokomiro m'malo mwa chithokomiro," British Medical Journal , 2005; 330: 1002 (30 April), Online