Zithromax amachitira mitundu yambiri ya matenda opatsirana.
Zithromax ndi mankhwala ochiritsira omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana, kuphatikizapo matenda a khungu, matenda a khutu, matenda opuma, komanso matenda opatsirana pogonana. Amapezeka ngati mapiritsi kapena jekeseni.
Njira
Mankhwala a antibiotic Zithromax (azithromycin) amachokera ku erythromycin, mtundu wina wa maantibayotiki. Ngakhale kuti "macrolides", zithandizi Zithromax ndi azalide, ndipo erythromycin ndizovuta.
Zithromax amagawana chimodzimodzi ndi lactose-macrolide structure monga erythromycin kupulumutsa kwa jekeseni wa methylated nayitrogeni mu mphete ya lactone.
Kusiyana kwakukulu kumeneku kumapangitsa kuti tizirombo ta Zithromax tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Ngakhale kuti erythromycin imagwiritsidwa ntchito ndi dongosolo la cytochrome P450, Zithromax si. Choncho, Zithromax imagwirizana ndi mankhwala ochepa chabe, ndipo mosiyana ndi erythromycin, sangakhale ndi mankhwala osokoneza bongo ndi statin (mwachitsanzo, Zocor kapena Crestor).
Monga macrolide-erythromycin ndi clarithromycin-Zithromax amagwira ntchito pomangirira mabakiteriya 50S ribosomal subunit motero amalepheretsa kuti mabakiteriya athe kupanga mapuloteni. Mabakiteriya ayenera kupanga mapuloteni kuti apulumuke. (Malinga ndi mlingo, macrolides akhoza kukhala bacteriostatic kapena bacteriocidal.)
Zolemba
Nazi zina mwa mabakiteriya omwe Zithromax amamenyana:
- Mycobacterium avium complex (MAC)
- Toxoplasmosis gondii
- Haemophilus influenza
- Streptococcus ndi staphylococcus (kuchepa pang'ono kuposa erythromycin)
- Helicobacter
- Moraxella catarrhalis
- Borrelia burgdorferi
- Chlamydia
Nazi zina zomwe amagwiritsa ntchito pa Zithromax:
- Matenda opatsirana opuma
- Khungu ndi matenda ena opatsirana
- Kuwonjezera kwa bakiteriya kuwonjezeka kwa COPD
- Otitis media
- Chibayo chopezeka m'midzi
- Bacterial conjunctivitis (matenda a maso)
- Mycobacterium avium complex kapena MAC (matenda opatsirana opatsirana odwala AIDS)
- Chancroid
- Pharyngitis
- Matonillitis
- Chlamydial cervicitis ndi urethritis (matenda opatsirana pogonana)
Zindikirani kuti ma ARV ambiri amachititsa kuti Zithromax zisasokoneze matenda ena monga chibayo chopezeka pakati pa anthu, otitis (matenda a khutu) ndi sinusitis. Zothromax sizingatheke polimbana ndi matenda omwe amachitidwa ndi MRSA, ndipo amatha kutsutsidwa kwambiri ndi antibacterial resistance.
Malingana ndi njira ya kayendetsedwe ka zithromax, imapezeka m'mapiritsi, pamlomo, pamakina, komanso pa njira zothandizira.
Ngakhale kuti sangathe kuwoloka malire a ubongo (ndi kuteteza meningitis), Zithromax kwambiri imayambitsa minofu yathu. Mankhwalawa amamasuliridwanso pang'onopang'ono ku machitidwe a machitidwe ndipo amakhala ndi theka la maola 48. Mavitaminiwa amathandiza kuti madokotala azigwiritsa ntchito mankhwalawa mobwerezabwereza. (Nusu ya moyo imatanthawuza nthawi imene mankhwala amagazi amachepetseka ndi theka. Ngati hafu ya moyo ndi maola 48, ndiye kuti maola 48 atatha maulamuliro , theka la mankhwala lidzachotsedwa ku mwazi.)
Ponena za cervicitis ndi urethritis zomwe zimayambitsa matenda a chlamydia, mlingo umodzi (jekeseni) wa Zithromax umagwiranso ntchito ngati doxycycline masiku asanu ndi awiri, choncho kuchepetsa mankhwala osagwirizana . (CDC imalimbikitsa kuti madokotala amachiza matenda a gonorrhea ndi chlamydia pamodzi, omwe amatchedwa "awiri".) Choncho, wodwala amafotokoza kuti mfuti ya cephalosporin Rocephin imathandizira kuti mukhale ndi matenda otsekemera.) Chonde dziwani kuti mukuzindikira mwanzeru ngati kuti akuchitireni Zithromycin ndi mlingo wotani. Ngati mukufuna, chonde tchulani chithandizo chotero ndi dokotala wanu.
Zotsatira Zoipa
Ngakhale kuti si ovuta kwambiri monga erythromycin, Zithromycin amachititsanso kuti m'mimba mukhale ndi nkhawa ngati kunyowa kapena kusanza. Zotsatira zosafunikazi zingathe kuchepetsedwa mwa kudya zakudya musanayambe kumwa mankhwala a Zithromycin.
Mawu Ochokera
Ngati inu kapena wokondedwa wanu muli ndi matenda a mtima, zingakhale bwino kugonjera Zithromycin. Mankhwala awa amadziwika kuti amachititsa QT-prolongation, arrhythmia, ndi imfa mwadzidzidzi. Zindikirani, QT-prolongation imasokoneza maimidwe ozungulira.
Chinthu chabwino pa Zithromycin ndi chakuti kutalika kwa theka la moyo ndi kuchepa kwa mlingo kumachepetsa kusagwirizana. Mwachitsanzo, mlingo umodzi wa mankhwalawa omwe watengedwa ku ofesi ya dokotala ndi mankhwala ochiritsira; koma, ngati mutenga doxycycline nokha kwa sabata, mukhoza kuiwala kapena kusiya.
Komabe, pamene zinalembedwa Zithromycin za matenda opuma, kupweteka kwa khosi ndi zina zotero, ndizofunika kuti tiwone machiritso. Pamene talephera kuthetsa mankhwala ndi kukhetsa mabakiteriya athunthu m'thupi lathu, mabakiteriya omwe sagonjetsedwa amapulumuka ndikufalikira - kuwuza ena, kubwezeretsanso, ndikutsutsa mabakiteriya ena.
Chonde kumbukirani kuti mwa kudumpha mankhwala oletsa tizilombo toyambitsa matenda, timathandizira kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda, zomwe ndi vuto lonse. Nkhondo yolimbana ndi maantibayotiki ndi imodzi mwazomwe zikupitirirabe ndipo zimayenda, ndipo ambiri mwa omwe tinapambana kuchipatala anatsuka. Tonsefe tiyenera kuyesetsa kuthetsa ma antibayotiki.
> Zosowa
> Deck DH, Winston LG. Chaputala 44. Tetracyclines, Macrolides, Clindamycin, Chloramphenicol, Streptogramins, & Oxazolidinones. Mu: Katzung BG, Masters SB, Trevor AJ. eds. Basic & Clinical Pharmacology, 12e . New York, NY: Hill ya McGraw; 2012.
> Buku la Mosby la Drug Reference for Health Professionals, Edition Yachiwiri yolembedwa ndi Elsevier mu 2010.
> O'Donnell MR, JW Saukkonen. Mutu 168. Antimycobacterial Agents. Mu: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. Mfundo za Harrison za Internal Medicine, 18e . New York, NY: Hill ya McGraw; 2012.