I-Clarithromycin, Ithebhulethi Yomlomo

-Delile

• Amaphuzu avelele we-clarithromycin
• Imiphumela emibi ye-Clarithromycin
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Izexwayiso ezibalulekile
• Kuyini i-clarithromycin?
• Kungani kusetshenziswa
• Isebenza kanjani
• I-Clarithromycin ingaxhumana neminye imithi
• Izidakamizwa okungafanele uzisebenzise ne-clarithromycin
• Ukusebenzisana okwandisa ubungozi bemiphumela emibi
• Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle
• Izexwayiso ze-Clarithromycin
• Isexwayiso somzimba
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-clarithromycin
• Amafomu namandla
• Isilinganiso se-sinusitis enamandla
• Isilinganiso sokukhula okunamandla kwe-bronchitis engapheli
• Isikali se-pneumonia etholwe ngumphakathi
• Umthamo wezifo zesikhumba nolwakhiwo olungelula
• Isikali sokwelashwa nokuvinjelwa kwezifo zeMycobacterial
• Isilinganiso se-acute otitis media
• Umthamo wokutheleleka nge-helicobacter pylori nesifo sesilonda se-duodenal
• Isikali se-pharyngitis noma i-tonsillitis
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha lo muthi
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-clarithromycin

1. Ithebhulethi yomlomo yeCarlithromycin iyatholakala njengesidakamizwa esijwayelekile kanye nomuthi onegama lomkhiqizo. Igama lomkhiqizo: Biaxin.
2. Ithebhulethi yomlomo kaClarithromycin iza ifomu lokukhishwa ngokushesha kanye nefomu lokukhishwa okunwetshiwe. I-Clarithromycin nayo iza njengokumiswa ngomlomo.
3. Lesi sidakamizwa sisetshenziselwa ukuvimbela nokwelapha izifo ezithile ezibangelwa amagciwane.

Imiphumela emibi ye-Clarithromycin

Ithebhulethi yomlomo kaClarithromycin ayibangeli ukozela. Noma kunjalo, kungadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile yethebhulethi yomlomo ye-clarithromycin ingafaka:

• ubuhlungu besisu
• isifo sohudo
• isicanucanu
• ukuhlanza
• ukunambitheka okungavamile emlonyeni wakho

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Izinkinga zesibindi. Izimpawu zingafaka:
  • ukukhathala noma ubuthakathaka
  • ukulahlekelwa isifiso sokudla
  • ubuhlungu besisu
  • umchamo onombala omnyama
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• Izinkinga zokushaya kwenhliziyo. Izimpawu zingafaka:
  • ukushaya kwenhliziyo okusheshayo noma okunesiphithiphithi
• Ukungezwani komzimba noma i-hypersensitivity reaction. Izimpawu zingafaka:
  • ukusabela kwesikhumba njengokuqubuka okubuhlungu, izindawo ezibomvu noma nsomi esikhunjeni, noma amabhamuza
  • inkinga yokuphefumula
  • ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

Izexwayiso ezibalulekile

• Isexwayiso sezinkinga zesibindi: Lesi sidakamizwa singadala izinkinga zesibindi. Tshela udokotela wakho uma unezimpawu zezinkinga zesibindi. Lokhu kufaka umchamo onombala omnyama, ukulunywa, ubuhlungu besisu, ukulahlekelwa isifiso sokudla, noma ukuphuzi kwesikhumba sakho noma abamhlophe bamehlo akho.
• Isexwayiso sokwengezelwa kwe-QT: I-Clarithromycin ingadala inkinga yesigqi senhliziyo i-QT prolongation. Lesi simo singadala ukushaya kwenhliziyo okusheshayo, nokungahleleki.
• Isexwayiso sohudo: Cishe wonke ama-antibiotic, kufaka phakathi i-clarithromycin, angadala IClostridium difficile-uhudo oluhlobene. Lesi sifo singahle sibange kusukela ekubangeleni uhudo oluncane kuye ekuvukeleni okukhulu kwekholoni yakho. Lokhu kungabulala (kubangele ukufa). Shayela udokotela wakho uma unesifo sohudo ngesikhathi noma ngemuva kokwelashwa ngalo muthi.
• Isexwayiso sokufa kwabantu isikhathi eside: Isikhathi seminyaka eyi-1 kuye kwengu-10 ngemuva kokuthatha lo muthi, abantu abanesifo semithambo yenhliziyo bangaba sengozini enkulu yokufa nganoma yisiphi isizathu. Izinzuzo zalo muthi kufanele zikalwe ngale ngozi.

Kuyini i-clarithromycin?

Ithebhulethi yomlomo yeClarithromycin ngumuthi kadokotela otholakala njengomuthi wegama lomkhiqizo I-Biaxin. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza kancane. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengenguqulo yegama lomkhiqizo.

Ithebhulethi yomlomo kaClarithromycin iza ifomu lokukhishwa ngokushesha kanye nefomu lokukhishwa okunwetshiwe. I-Clarithromycin nayo iza njengokumiswa ngomlomo.

Kungani kusetshenziswa

I-Clarithromycin isetshenziselwa ukuvimbela nokwelapha izifo ezithile ezibangelwa amagciwane.

I-Clarithromycin ingasetshenziswa nezinye izidakamizwa (i-ethambutol, i-rifampin, i-amoxicillin, i-lansoprazole, i-omeprazole, noma i-bismuth) ukwelapha izilonda zesisu noma izifo ze-mycobacterial.

Isebenza kanjani

I-Clarithromycin ingeyesigaba semithi ebizwa ngama-antibiotic (macrolides). Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Clarithromycin isebenza ngokumisa amabhaktheriya abangela ukutheleleka ekuphindaphindeni.

Lesi sidakamizwa kufanele sisetshenziselwe kuphela ukwelapha noma ukuvimbela ukutheleleka kwamagciwane. Akufanele isetshenziselwe ukwelapha amagciwane afana nomkhuhlane ovamile.

I-Clarithromycin ingaxhumana neminye imithi

Ithebhulethi yomlomo kaClarithromycin ingasebenzisana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izidakamizwa okungafanele uzisebenzise ne-clarithromycin

Ukuthatha izidakamizwa ezithile nge-clarithromycin kungadala imiphumela eyingozi emzimbeni wakho. Izibonelo zemithi okungafanele uyithathe nge-clarithromycin zifaka:

• I-Colchicine. Uma unezinkinga zezinso noma zesibindi, akufanele uthathe i-colchicine ne-clarithromycin ndawonye. Abantu abanezinkinga zesibindi bangaba namazinga aphezulu we-colchicine emzimbeni wabo. Ukuthatha le mithi ndawonye kungandisa ingozi yemiphumela emibi.
• Izidakamizwa ezisetshenziselwa ukwelapha i-cholesterol (izimiso), njenge simvastatin futhi umabhebhana. Ukuthatha le mithi nge-clarithromycin kungadala izinkinga ezinkulu zemisipha.
• Sildenafil, tadalafil, futhi vardenafil. Ukuthatha le mithi nge-clarithromycin kungadala amazinga ayo ukuba akhe emzimbeni wakho futhi kudale imiphumela emibi eminingi.
• I-Ergotamine futhi i-dihydroergotamine. Ukuthatha le mithi nge-clarithromycin kungadala ukuncipha okungazelelwe kwemithambo yegazi yakho (i-vasospasm). Kungadala nokuncipha kokugeleza kwegazi ezandleni nasezinyaweni zakho.
• I-Pimozide. Ukuthatha lesi sidakamizwa nge-clarithromycin kungahle kube nemiphumela yenhliziyo ebucayi, engajwayelekile.
• Izidakamizwa ze-HIV, njenge atazanavir, lopinavir, nelfinavir, ritonavir, indinavir, futhi sphiwe. Le mithi ingakha emzimbeni wakho noma ibangele ukuthi i-clarithromycin yakhe emzimbeni wakho. Lokhu kungadala imiphumela emibi eminingi noma kubangele ukuthi noma imuphi umuthi ungasebenzi kahle.
• Imithi yokutheleleka ngegciwane le-Hepatitis C, njenge ombitasvir, telaprevir, futhi umabhebhana. Le mithi ingakha emzimbeni wakho noma ibangele ukuthi i-clarithromycin yakhe emzimbeni wakho. Lokhu kungadala imiphumela emibi eminingi noma kubangele ukuthi noma imuphi umuthi ungasebenzi kahle.
• Izidakamizwa zefungal, njenge itraconazole, ketoconazole, futhi voriconazole. Le mithi ingakha emzimbeni wakho noma ibangele ukuthi i-clarithromycin yakhe emzimbeni wakho. Lokhu kungadala imiphumela emibi eminingi noma kubangele ukuthi noma imuphi umuthi ungasebenzi kahle.
• Amanye ama-antibiotic, njenge umabhebhana. Le mithi ingakha emzimbeni wakho noma ibangele ukuthi i-clarithromycin yakhe emzimbeni wakho.Lokhu kungadala imiphumela emibi eminingi noma kubangele ukuthi noma imuphi umuthi ungasebenzi kahle.

Ukusebenzisana okwandisa ubungozi bemiphumela emibi

Ukuthatha i-clarithromycin ngemithi ethile kungadala imiphumela emibi eminingi. Izibonelo zale mithi zifaka:

• I-Benzodiazepines, njenge phumzile futhi midazolam. Uma uthatha le mithi ndawonye, ​​ungazizwa uhlezi kakhulu futhi uzele.
• I-insulini futhi ezithile izidakamizwa zesifo sikashukela ngomlomo, njenge nateglinide, pioglitazone, repaglinide, futhi mthombeni. Ungase ube nokwehla okuphawulekayo emazingeni kashukela egazini lakho. Ungadinga ukuqapha amazinga kashukela egazini lakho eduze ngenkathi uthatha le mithi ndawonye.
• I-Warfarin. Ungase uphume kakhulu. Udokotela wakho uzokuqapha eduze uma uthatha le mithi ndawonye.
• Izidakamizwa ezisetshenziselwa ukwelapha i-cholesterol (izimiso), njenge mthombeni futhi pravastatin. Ukuthatha le mithi ndawonye kungadala izinkinga zemisipha. Udokotela wakho angashintsha umthamo we-statin yakho uma udinga ukuthatha le mithi ndawonye.
• I-Quinidine futhi umabhebhana. Ukuthatha le mithi ndawonye kungadala isigqi senhliziyo esingajwayelekile. Udokotela wakho angaqapha isigqi senhliziyo yakho namazinga e-quinidine noma i-disopyramide emzimbeni wakho.
• Izidakamizwa zomfutho wegazi (ama-calcium channel blockers), afana ne-verapamil, amlodipine, diltiazem, futhi umabhebhana. Ukuthatha le mithi ndawonye kungadala ukwehla kwengcindezi yegazi nezinkinga zezinso.
• Theophylline. Udokotela wakho angaqapha amazinga akho egazi le-theophylline.
• I-Carbamazepine. Udokotela wakho angaqapha amazinga egazi lakho le-carbamazepine.
• I-Digoxin. Udokotela wakho angaqapha amazinga akho egazi e-digoxin.
• I-Quetiapine. Ukuthatha lesi sidakamizwa nge-clarithromycin kungadala ukulala, umfutho ophansi wegazi lapho umile, ukudideka, nezinkinga zesigqi senhliziyo. Udokotela wakho kufanele akuqaphele eduze nale nhlanganisela.

Ukusebenzisana okungenza ukuthi imishanguzo yakho ingasebenzi kahle

Lapho izidakamizwa ezithile zisetshenziswa nge-clarithromycin, kungenzeka zingasebenzi futhi. Lokhu kungenxa yokuthi inani lale mithi emzimbeni wakho lingehla. Isibonelo sale mithi sifaka i-zidovudine. Kufanele uthathe i-clarithromycin ne-zidovudine okungenani amahora ama-2 ngokuhlukana.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Clarithromycin

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Clarithromycin ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• isifuba
• inkinga yokuphefumula
• ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo

Shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduzane uma uthuthukisa lezi zimpawu. Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Izexwayiso zabantu abanezimo ezithile zempilo

Okwabantu abanesifo semithambo yenhliziyo: Iminyaka eyi-1 kuye kwengu-10 ngemuva kokuthatha lo muthi, ungaba sengozini enkulu yokufa nganoma yisiphi isizathu. Abaphenyi abakasitholi isizathu sale ngozi. Ngaphambi kokuthatha lesi sidakamizwa, khuluma nodokotela wakho ngezinzuzo zalo muthi uma uqhathanisa nale ngozi.

Kubantu abanezinkinga zezinso: Lesi sidakamizwa sidilizwa izinso zakho. Uma izinso zakho zingasebenzi kahle, lo muthi ungakha emzimbeni wakho. Lokhu kungadala imiphumela emibi eminingi. Uma unezinkinga ezinzima zezinso, ungadinga umthamo ophansi noma ungadinga uhlelo oluhlukile.

Okwabantu abane-myasthenia gravis: Uma une-myasthenia gravis (isimo esidala ubuthakathaka bemisipha), lesi sidakamizwa singenza izimpawu zakho zibe zimbi kakhulu.

Kubantu abanomlando wesigqi senhliziyo esingajwayelekile: Khuluma nodokotela wakho mayelana nokuthi lo muthi uphephile yini kuwe. Lesi sidakamizwa singandisa ingozi yokufa okuhlobene nenhliziyo.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Clarithromycin yisigaba C somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

1. Ukucwaninga ngezilwane kukhombise imiphumela emibi embungwini lapho umama ethatha umuthi.
2. Akuzange kube nezifundo ezanele ezenziwe ebantwini ukuze kuqinisekiswe ukuthi umuthi ungawuthinta kanjani umbungu.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. I-Clarithromycin kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona ibeka ingozi.

Kwabesifazane abancelisayo: I-Clarithromycin idlulela ebisini lwebele futhi ingadala imiphumela emibi enganeni enceliswa ibele. Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwezingane: Lesi sidakamizwa asiboniswanga ukuthi siphephile futhi sisebenza kubantu abangaphansi kweminyaka eyi-18 ekwelashweni kokuqina okukhulu kwe-bronchitis engapheli kanye nokutheleleka kwe-Helicobacter pylori kanye nesifo sesilonda se-duodenal. Ukuphepha kwe-clarithromycin akukaze kufundwe kubantu abangaphansi kwezinyanga ezingama-20 nge-mycobacterium avian complex. Lesi sidakamizwa asikaze sifundwe ezinganeni ezingaphansi kwezinyanga eziyi-6 ukuthola ezinye izifo. Akufanele isetshenziswe ezinganeni ezingaphansi kwezinyanga eziyisithupha.

Ungayithatha kanjani i-clarithromycin

Lolu lwazi lokulinganisa olwenzelwe ithebhulethi yomlomo ye-clarithromycin. Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu namandla

Umkhiqizo: I-Biaxin

• Ifomu: ithebhulethi ekhishwa ngokushesha ngomlomo
• Amandla: 250 mg no-500 mg

Okujwayelekile: I-Clarithromycin

• Ifomu: ithebhulethi ekhishwa ngokushesha ngomlomo
• Amandla: 250 mg, 500 mg

• Ifomu: ithebhulethi ekhishwa isikhathi eside yomlomo
• Amandla: 500 mg

Isilinganiso se-sinusitis enamandla

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Ithebhulethi yomlomo: 500 mg ithathwa njalo emahoreni ayi-12 izinsuku eziyi-14
• Ithebhulethi yomlomo ekhishwe enwetshiwe: 1,000 mg ethathwa njalo emahoreni angama-24 izinsuku eziyi-14

Isilinganiso sengane (iminyaka yobudala engu-6 – iminyaka eyi-17)

Umthamo wansuku zonke onconywayo ngu-15 mg / kg / ngosuku. Kufanele inikezwe ngemithamo emibili yansuku zonke, eyodwa njalo emahoreni ayi-12, izinsuku eziyi-10 (kuze kufike kumthamo wabantu abadala).

Isilinganiso sengane (iminyaka yobudala engu-0-5 izinyanga)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kwezinyanga eziyisithupha.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Isilinganiso sokukhula okunamandla kwe-bronchitis engapheli

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Ithebhulethi yomlomo: Ama-250 noma ama-500 mg athathwa njalo emahoreni ayi-12 izinsuku eziyi-7-14 kuya ngohlobo lwama-bacteria abangela ukutheleleka
• Ithebhulethi yomlomo ekhishwe enwetshiwe: 1,000 mg ethathwa njalo emahoreni angama-24 izinsuku eziyi-7

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lesi sidakamizwa asiboniswanga ukuthi siphephile futhi sisebenza kubantu abangaphansi kweminyaka engu-18 kulesi simo.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Isikali se-pneumonia etholwe ngumphakathi

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Ithebhulethi yomlomo: 250 mg uthathwa njalo emahoreni ayi-12 izinsuku eziyi-7-14 kuya ngohlobo lwama-bacteria abangela ukutheleleka
• Ithebhulethi yomlomo ekhishwe enwetshiwe: 1,000 mg ethathwa njalo emahoreni angama-24 izinsuku eziyi-7

Isilinganiso sengane (iminyaka yobudala engu-6 – iminyaka eyi-17)

Umthamo wansuku zonke onconywayo ngu-15 mg / kg / ngosuku. Kufanele inikezwe ngemithamo emibili yansuku zonke, eyodwa njalo emahoreni ayi-12, izinsuku eziyi-10 (kuze kufike kumthamo wabantu abadala).

Isilinganiso sengane (iminyaka yobudala engu-0-5 izinyanga)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kwezinyanga eziyisithupha.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Umthamo wezifo zesikhumba nolwakhiwo olungelula

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Ithebhulethi yomlomo: 250 mg uthathwa njalo emahoreni ayi-12 izinsuku eziyi-7-14

Isilinganiso sengane (iminyaka yobudala engu-6 – iminyaka eyi-17)

Umthamo wansuku zonke onconywayo ngu-15 mg / kg / ngosuku. Kufanele inikezwe ngemithamo emibili yansuku zonke, eyodwa njalo emahoreni ayi-12, izinsuku eziyi-10 (kuze kufike kumthamo wabantu abadala).

Isilinganiso sengane (iminyaka yobudala engu-0-5 izinyanga)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kwezinyanga eziyisithupha.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Isikali sokwelashwa nokuvinjelwa kwezifo zeMycobacterial

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Ithebhulethi yomlomo: 500 mg ithathwa kabili ngosuku

Isilinganiso sengane (iminyaka yobudala engu-6 – iminyaka eyi-17)

Umthamo onconywayo ngu-7.5 mg / kg njalo emahoreni ayi-12, kufika kuma-500 mg njalo emahoreni ayi-12.

Isilinganiso sengane (iminyaka yobudala engu-0-5 izinyanga)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kwezinyanga eziyisithupha.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Isilinganiso se-acute otitis media

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Lo muthi awusetshenziswanga kule minyaka yobudala kulesi simo.

Isilinganiso sengane (iminyaka yobudala engu-6 – iminyaka eyi-17)

Umthamo wansuku zonke onconywayo ngu-15 mg / kg / ngosuku. Kufanele inikezwe ngemithamo emibili yansuku zonke, eyodwa njalo emahoreni ayi-12, izinsuku eziyi-10 (kuze kufike kumthamo wabantu abadala).

Isilinganiso sengane (iminyaka yobudala engu-0-5 izinyanga)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kwezinyanga eziyisithupha.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Umthamo wokutheleleka nge-helicobacter pylori nesifo sesilonda se-duodenal

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Ithebhulethi yomlomo: Umthamo wakho uncike kuziphi izidakamizwa othatha i-clarithromycin ngazo.
• Nge-amoxicillin ne-omeprazole noma i-lansoprazole: 500 mg uthathwa njalo emahoreni ayi-12 izinsuku eziyi-10 kuya kwezi-14
• Nge-omeprazole: 500 mg ithathwa njalo emahoreni ayisishiyagalombili izinsuku eziyi-14

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lesi sidakamizwa asiboniswanga ukuthi siphephile futhi sisebenza kubantu abangaphansi kweminyaka engu-18 ubudala kulesi simo.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Isikali se-pharyngitis noma i-tonsillitis

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Ithebhulethi yomlomo: 250 mg uthathwa njalo emahoreni ayi-12 izinsuku eziyi-10

Isilinganiso sengane (iminyaka yobudala engu-6 – iminyaka eyi-17)

Umthamo wansuku zonke onconywayo ngu-15 mg / kg / ngosuku. Kufanele inikezwe ngemithamo emibili yansuku zonke, eyodwa njalo emahoreni ayi-12, izinsuku eziyi-10 (kuze kufike kumthamo wabantu abadala).

Isilinganiso sengane (iminyaka yobudala engu-0-5 izinyanga)

Akuqinisekisiwe ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kwezinyanga eziyisithupha.

Ukucatshangelwa okukhethekile

Abantu abanezinkinga zezinso: Uma imvume yakho ye-creatinine (umaka wokusebenza kwezinso) ingaphansi kwama-30 ml / min, udokotela wakho uzokunika uhhafu wesilinganiso esijwayelekile.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo kaClarithromycin isetshenziselwa ukwelashwa kwesikhashana. Kuza nezingozi uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha lo muthi noma ungawuthathi nhlobo: Uma ungawuthathi lo muthi, ukutheleleka kwakho kungenzeka kungathuthuki noma kungahle kube kubi kakhulu.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zingafaka:

• ubuhlungu besisu
• isifo sohudo
• isicanucanu
• ukuhlanza

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Izimpawu zakho zokutheleleka kwakho nokutheleleka kwakho kufanele kuphele uma lo muthi usebenza.

Ukucatshangelwa okubalulekile kokuthatha lo muthi

Gcina lokhu kubheka engqondweni uma udokotela wakho ekuchazela ithebhulethi yomlomo ye-clarithromycin.

Jikelele

• Ungaphuza amaphilisi akhishwa ngokushesha ngokudla noma ngaphandle kokudla. Kufanele uthathe amaphilisi akhishwe isikhathi eside ngokudla.
• Ungawaphula amaphilisi akhululiwe. Akufanele usike uqede amaphilisi akhishwa ngokushesha. Gwinya konke.

Isitoreji

• Gcina i-clarithromycin ephakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Ungafaki noma yiziphi izinhlobo zalo muthi esiqandisini.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-x-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha ibhokisi elinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Wena nodokotela wakho kufanele niqaphele izinkinga ezithile zezempilo. Lokhu kungasiza ukuthi uqiniseke ukuthi uhlala uphephile ngenkathi usebenzisa lo muthi. Lokhu kuqapha kungenziwa kusetshenziswa:

• Ukuhlolwa kokusebenza kwesibindi. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi isibindi sakho sisebenza kahle kangakanani. Uma isibindi sakho singasebenzi kahle, udokotela wakho angakwenza ukuthi uyeke ukuthatha lo muthi.
• Ukuhlolwa kokusebenza kwezinso. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi izinso zakho zisebenza kahle kangakanani. Uma izinso zakho zingasebenzi kahle, udokotela wakho angakunika isilinganiso esincane somuthi.
• Isibalo samangqamuzana amhlophe egazi. Udokotela wakho angenza ukuhlolwa kwegazi ukuze abheke ukuthi umzimba wakho kanye nemithi yakho kulwa kangakanani nokutheleleka. Uma amazinga akho engathuthuki, kungenzeka ukuthi udokotela wakho uyeke ukuthatha lo muthi bese uncoma omunye.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.