I-Azithromycin

-Delile

• Ngaphambi kokuthatha i-azithromycin,
• I-Azithromycin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha i-azithromycin bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

I-Azithromycin iyodwa futhi ihlanganiswe neminye imishanguzo okwamanje ifundelwa ukwelashwa kwesifo se-coronavirus 2019 (COVID-19). Njengamanje, i-azithromycin isetshenziswe ne-hydroxychloroquine ukwelapha iziguli ezithile ezine-COVID-19. Kodwa-ke, kunemibiko exubile yokusebenza ngenkathi i-azithromycin isetshenziswa kanye neminye imithi yokwelapha ezinye izifo zokuphefumula ezibangelwa amagciwane. I-Azithromycin nayo isetshenziselwe ukwelapha ukutheleleka kwamagciwane ezigulini ezibhedlela ezine-COVID-19. Imininingwane eminingi iyadingeka ngaphambi kokuba kwenziwe noma iziphi iziphetho mayelana nezinzuzo nezingozi zokusebenzisa i-azithromycin kungaba iyodwa noma ihlanganiswe ne-hydroxychloroquine ezigulini ezine-COVID-19.

I-Azithromycin kufanele isetshenziswe KUPHELA ngaphansi kokuqondisa kukadokotela ekwelapheni i-COVID-19.

I-Azithromycin isetshenziselwa ukwelapha izifo ezithile ezibangelwa amagciwane, njenge-bronchitis; inyumoniya; izifo ezithathelwana ngocansi (STD); kanye nokutheleleka kwezindlebe, amaphaphu, amasinusi, isikhumba, umphimbo, nezitho zokuzala. I-Azithromycin nayo isetshenziselwa ukwelapha noma ukuvimbela ukusatshalaliswa I-Mycobacterium avium ukutheleleka okuyinkimbinkimbi (MAC) [uhlobo lokutheleleka kwamaphaphu okuvame ukuthinta abantu abanegciwane lesandulela ngculazi (i-HIV)]. I-Azithromycin isekilasini lemithi ebizwa ngama-macrolide antibiotics. Isebenza ngokumisa ukukhula kwamagciwane.

Imithi elwa namagciwane efana ne-azithromycin ngeke isebenzele imikhuhlane, umkhuhlane, noma okunye ukutheleleka ngegciwane. Ukusebenzisa ama-antibiotic lapho kungadingeki kwandisa ingozi yakho yokuthola ukutheleleka kamuva okuphikisana nokwelashwa kwama-antibiotic.

I-Azithromycin iza njengethebhulethi, ukumiswa okunwetshiwe (ukusebenza isikhathi eside) (uketshezi), nokumiswa (uketshezi) ukuthatha ngomlomo. Amathebulethi nokumiswa (iZithromax) kuvame ukuthathwa nokudla noma ngaphandle kokudla kanye ngosuku izinsuku eziyi-1-5. Uma isetshenziselwa ukuvimbela ukutheleleka kwe-MAC okusatshalalisiwe, amaphilisi e-azithromycin avame ukuthathwa nokudla noma ngaphandle kokudla kanye ngesonto. Ukumiswa kokukhishwa okunwetshiwe (i-Zmax) kuvame ukuthathwa esiswini esingenalutho (okungenani ihora eli-1 ngaphambi noma amahora amabili ngemuva kokudla) njengomthamo wesikhathi esisodwa. Ukukusiza ukuthi ukhumbule ukuthatha i-azithromycin, yithathe ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-azithromycin njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Nyakazisa uketshezi kahle ngaphambi kokusebenzisa ngakunye ukuxuba umuthi ngokulinganayo. Sebenzisa isipuni sokulinganisa, isirinji yomlomo, noma inkomishi yokulinganisa ukukala inani elifanele lemithi. Hlanza isisetshenziswa ngamanzi ngemuva kokuthatha umthamo ophelele wemithi.

Uma uthola i-azithromycin powder yokumiswa (i-Zithromax) ku-single-dose, 1-gram packet, kufanele uqale uyixube namanzi ngaphambi kokuthatha umuthi. Hlanganisa okuqukethwe kwephakethe elingu-1-gram ne-1/4 inkomishi (60 ml) yamanzi engilazini bese uqeda konke okuqukethwe ngokushesha. Faka enye indebe ye-1/4 (60 mL) yamanzi engilazini efanayo, hlanganisa, bese usebenzisa konke okuqukethwe ukuqinisekisa ukuthi uthola wonke umthamo.

Uma uthola ukumiswa kwe-azithromycin enwetshiwe (njenge-powder eyomile, kufanele uqale ungeze amanzi ebhodleleni ngaphambi kokuthatha umuthi. Vula ibhodlela ngokucindezela phansi kukepisi nokusonta. Linganisa inkomishi ye-1/4 (60 ml) yamanzi, bese ufaka ebhodleleni. Vala ngokuqinile ibhodlela, bese uxukuza kahle ukuxuba. Sebenzisa ukumiswa kokukhishwa okwandisiwe kwe-azithromycin kungakapheli amahora ayi-12 uyitholile ekhemisi noma ngemuva kokufaka amanzi empuphu.

Uma uhlanza kungakapheli ihora ngemuva kokuthatha i-azithromycin, shayela udokotela wakho ngokushesha. Udokotela wakho uzokutshela uma udinga ukuthatha omunye umthamo. Ungathathi omunye umthamo ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze njalo.

Kufanele uqale ukuzizwa ungcono phakathi nezinsuku ezimbalwa zokuqala zokwelashwa nge-azithromycin. Uma izimpawu zakho zingathuthuki, noma ziba zimbi kakhulu, shayela udokotela wakho.

Thatha i-azithromycin uze uqede incwadi kadokotela, noma ngabe uzizwa ungcono. Ungayeki ukuthatha i-azithromycin ngaphandle kokuthi uhlangabezana nemiphumela emibi kakhulu echazwe esigabeni se-SIDE EFFECTS. Uma uyeka ukuthatha i-azithromycin ngokushesha noma weqe imithamo, ukutheleleka kwakho kungenzeka kungalashwa ngokuphelele futhi amabhaktheriya angamelana nemithi elwa namagciwane.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

I-Azithromycin nayo isetshenziswa kwesinye isikhathi ukwelapha H. pylori ukutheleleka, uhudo lwabahambi, nezinye izifo zesisu; Isifo seLegionnaires (uhlobo lokutheleleka kwamaphaphu); i-pertussis (ukukhwehlela); ukutheleleka okungathi sína okungadala ukukhwehlela okukhulu); ne-babesiosis (isifo esithathelwanayo esithwalwa imikhaza). Ibuye isetshenziselwe ukuvikela ukutheleleka kwenhliziyo kubantu abanezinqubo zamazinyo noma ezinye, nokuvikela i-STD kuzisulu zokuhlukunyezwa ngokocansi. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-azithromycin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-azithromycin, i-clarithromycin (i-Biaxin, e-Prevpac), i-dirithromycin (ayitholakali e-US), i-erythromycin (i-EES, i-ERYC, i-Erythrocin), i-telithromycin (i-Ketek; ayitholakali e-US), noma yikuphi eminye imithi, noma iziphi izithako ezibhebheni ze-azithromycin noma ukumiswa (uketshezi). Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: ama-anticoagulants (’ama-thinner egazi’) njenge-warfarin (i-Coumadin, i-Jantoven); i-colchicine (iColcrys, iGloperba); i-cyclosporine (iNeoral, iSandimmune); i-digoxin (i-Lanoxin); i-dihydroergotamine (i-DHH 45, i-Migranal); i-ergotamine (Ergomar); imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone, Pacerone), i-dofetilide (Tikosyn), i-procainamide (i-Procanbid), i-quinidine, ne-sotalol (i-Betapace, i-Sorine); i-nelfinavir (i-Viracept); i-phenytoin (iDilantin); ne-terfenadine (ayitholakali e-U.S.). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• uma uthatha ama-antacids aqukethe i-aluminium hydroxide noma i-magnesium hydroxide (Maalox, Mylanta, Tums, others), kuzodingeka uvumele isikhathi esithile sidlule phakathi kokuthatha umthamo walezi zinhlwathi nalapho uthatha umthamo wamaphilisi we-azithromycin noma uketshezi . Buza udokotela wakho noma usokhemisi ukuthi mangaki amahora ngaphambi noma ngemuva kokuthatha i-azithromycin ongayiphuza le mithi. Ukumiswa kokukhishwa kwesikhathi eside kungathathwa nganoma yisiphi isikhathi ngama-antacids.
• Tshela udokotela wakho uma uke waba ne-jaundice (ukuphuzi kwesikhumba noma amehlo) noma ezinye izinkinga zesibindi ngenkathi uthatha i-azithromycin. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-azithromycin.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho enesikhathi eside se-QT (inkinga engavamile yenhliziyo engadala ukushaya kwenhliziyo okungajwayelekile, ukuquleka, noma ukufa okungazelelwe) noma ukushaya kwenhliziyo okusheshayo, okuhamba kancane, noma okungajwayelekile, futhi uma amazinga aphansi we-magnesium noma i-potassium egazini lakho; uma unesifo segazi; ukwehluleka kwenhliziyo; i-cystic fibrosis; i-myasthenia gravis (isimo semisipha nezinzwa ezilawulayo); noma uma unesifo sezinso noma sesibindi.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-azithromycin, shayela udokotela wakho.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Azithromycin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• isifo sohudo
• ukuhlanza
• ubuhlungu besisu
• ikhanda

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha i-azithromycin bese ushayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukushesha, ukushaya ngamandla, noma ukushaya kwenhliziyo okungajwayelekile
• isiyezi
• ukuquleka
• ukuqubuka noma ngaphandle komkhuhlane
• amabhamuza noma ukuxebuka
• umkhuhlane nokugcwala ubomvu, izilonda ezinjengebhamuza, ubomvu, nokuvuvukala kwesikhumba
• isifuba
• ukulunywa
• ukuphefumula noma ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuhlanza noma ukucasuka lapho usondla (ezinganeni ezingaphansi kwamasonto ayisithupha ubudala)
• Uhudo olunzima (indle enamanzi noma enegazi) engahle yenzeke noma ingenayo imfiva kanye neziqubu zesisu (kungenzeka izinyanga ezi-2 noma ngaphezulu ngemuva kokwelashwa kwakho)
• ukuphuzi kwesikhumba noma kwamehlo
• ukukhathala ngokweqile
• ukopha okungajwayelekile noma ukulinyazwa
• ukungabi namandla
• ukulahlekelwa isifiso sokudla
• ubuhlungu engxenyeni engenhla kwesokudla yesisu
• izimpawu ezinjengomkhuhlane
• umchamo onombala omnyama
• ubuthakathaka bemisipha obungavamile noma ubunzima bokulawulwa kwemisipha
• amehlo abomvana futhi avuvukile

I-Azithromycin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina amaphilisi e-azithromycin, ukumiswa, kanye nokumiswa kokukhishwa okwandisiwe ekamelweni lokushisa futhi kude nokushisa okwedlulele nomswakama (hhayi endlini yangasese). Ungafaki esiqandisini noma umise ukumiswa kokukhishwa okunwetshiwe. Lahla noma ikuphi ukumiswa kwe-azithromycin okusele ngemuva kwezinsuku eziyi-10 noma okungasadingeki. Lahla noma yikuphi ukumiswa kokukhishwa kwe-azithromycin okusetshenzisiwe okungasetshenziswanga ngemuva kokuqedwa kokulinganisa noma amahora ayi-12 ngemuva kokulungiswa.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile zebhu ukuze ahlole impendulo yomzimba wakho ku-azithromycin.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Isidakamizwa sakho kungenzeka ukuthi asigcwaliseki. Uma usenezimpawu zokutheleleka ngemuva kokuqeda i-azithromycin, shayela udokotela wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Zithromax^®
• I-Zithromax^® Amaphakethe Wedosi Elilodwa
• I-Zithromax^® I-Tri-Paks^®
• I-Zithromax^® Z-Paks^®
• Zmax^®