Antibiyootikada waa daawooyinka nafaha lagu badbaadiyo, bukaanjiif badan oo qaba cudurka thyroid badanaa waxay qaadi doonaan infekshanka bakteeriyada iyadoo loo marayo infekshinka sanbabada, infekshinka kaadida, ama cudurada kale ee caadiga ah laguna qoro antibiotic. Maqaalkani wuxuu eegayaa waxyaabaha muhiimka ah ee lagu ogaanayo isdhexgalka ka dhasha antibiyootikada fluoroquinolone sida Cipro iyo suurtogalnimada isdhexgalka daaweynta dheef-shiid kiimikaadkaaga iyo daaweyntaada.
Waxaa jira in ka badan boqol antibiyootiko ah, laakiin intooda badani waxay ka yimaadaan noocyo gaar ah oo keliya. Antibiyootigyada intooda badani waxay leeyihiin laba magacyo - magaca caanka ah (sidoo kale loo yaqaan magaca ganacsiga) iyo magac guud oo ku saleysan heerka fasalka kiimikada / qaab dhismeedka kiimikada.
Qeybaha ugu muhiimsan ee antibiyootikadu waxay ku qoran yihiin halkan. Wixii tixraac ah, magacyada calaamaduhu waa kuwo ballaadhan, magacyada guudna waxay ku jiraan xaalad yar.
- Aminoglycosides - Garamycin (gentamicin) iyo Tobrex (tobramycin)
- Cephalosporins - Keflex (cephalexin)
- Macrolides - E-Mycin (erythromycin), Biaxin (cadithromycin), Zithromax (azithromycin)
- Penicillins - amoxycillin iyo penicillin
- Sulfonamides - Bactrim (co-trimoxazole) iyo Proloprim (trimethoprim)
- Tetracyclines - Sumycin (tetracycline) iyo Vibramycin (doxycycline)
- Fluoroquinolones - Cipro (ciprofloxacin) , Levaquin (levofloxacin), Floxin (ofloxacin)
Antibiyootikada iyo Dawadaada Thyroid-ka
Antibiotecada Fluoroquinolone waxaa badanaa loo qoraa infekshinka kaadida, nuumooniya, iyo cudurrada galmada lagu kala qaado.
Cipro (ciprofloxacin) ayaa sidoo kale ku jirtay warka hore ee waqtiga cabsida kudka , ee loo isticmaalo daaweynta cudurka kudka.
Waa maxay bukaan-socodka bukaanka qaba ee loo baahan yahay in la ogaado
Ciprofloxacin-antibiyootiko caadi ah - magaca Cipro, Proquin, Ciproxin, Ciprobay, Cirpoxine, iyo Ciflox - ayaa lagu muujiyay inay si weyn u yareeyaan nuugista levothyroxine, daaweynta hormoonada hormoonnada hormoonka ah ee tayroodhka (oo loo yaqaano magacyada magacooda sida Synthroid, Levoxyl, iyo Tirada .)
Iyadoo cilmi-baaristu aanay caddeyn, khubarada qaarkood waxay aaminsan yihiin in antibiyootigyada kale - oo ay ku jiraan Levaquin (levofloxacin), Maxiquin (lomefloxacin), Avelox (moxifloxacin), Norox-In (norfloxacin) iyo Floxin (ofloxacin) - waxay sidoo kale keeni kartaa nuugista niyadjabka levothyroxine
Maxaa ku dhacaya antibiyootigaani waa in ay yeelan karaan saameyno dhowr ah:
- Waxay hoos u dhigi karaan nuugistaada levothyroxine ee aad qaadanayso, taasoo keenta in dhiig-hoosaadka hoose ee daawada thyroid-ka ee dhiiggaaga
- Waxay kordhin karaan qiyaasta jirkaagu uu metabay oo uu ka saari doono levothyroxine, oo mar labaad keena heerarka dhiigga wareega dhiigga ee daawada thyroid ee dhiiggaaga
- Waxay bedeli karaan habka levothyroxine ee ku xirma borotiinka ku jira dhiiggaaga waxaana la nuugay, oo saameynaya heerarkaaga tirtirka.
Natiijooyinka Caafimaadka ee Britishka
Jariidada Caafimaadka ee Britishka ayaa ku warramay dhowr xaaladood oo ah cudurka hypothyroidism ee aan la garanayn ee bukaannada tayroodhka (on levothyroxine ) kuwaas oo qaadanayay ciprofloxacin.
Cilmi-baadhayaashu waxay ogaadeen in ciprofloxacin-afka oo wax ka qabta levothyroxine (ie, Synthroid, Levoxyl) haddii la isu geeyo.
Hal xaalad oo la soo bartay, haweeney qaadaneysa 125 mcg maalintii levotyroxine waxay qaadatay ciprofloxacin (750 mg laba goor maalintii) heerkeeduna wuxuu kor u kacay 44 illaa afar toddobaad kadib.
Xitaa marka qiyaasta qiyaasta kor loogu qaado 200 mcg maalintii, ayay Qabadkeeda ka jawaabi wayday. Kaliya marka ciprofloxacin la joojiyo ma wuxuu celceliska dib ugu soo noqdey.
Xaalad kale, haween ah oo xasilisay 150 mcg maalintii levothyroxine waxay aragtay Qiigeeda ka kacda 1.6 illaa 19 kadib 3 asbuuc oo lagu daaweeyo ciprofloxacin 500 mg laba jeer maalintii.
Maxaad qaban kartaa?
Haddii aad tahay bukaan-socodka thyroid oo qaadanaya ciprofloxacin, maxaad sameyneysaa?
Marka hore, waxaa muhiim ah in la ogaado in inkastoo digniintanas lagu darayo qoraaga daroogadaada, dhakhtarkaaga ama farmashiistu ma sheegi karo suurtagalnimada isdhexgalka daaweyntaada thyroid-ka marka la qorayo ama la siinayo antibiyootigaan.
Waxa kale oo aad tagi kartaa goob lagu tago ama "Clinic Clinic" nooca nooca ah, oo laguu qoro dawooyinkaas antibiyootigga, adigoon qiimeyn buuxda ka helin isdhexgalka daawooyinka jira.
Marka labaad, marka dhakhtarku qorayo daroogooyinkaas, waa inaad sheegtaa inaad qaadatid levothyroxine, oo weydiiso antibiyootiko aan ku jirin qoyska fluoroquinolone. Xaaladaha badankood, mid ka mid ah antibiyootigyada kale ayaa loo qori karaa.
Saddexaad, haddii aad qaadato antibiyootigyada gaarka ah, cilmi-baaristu waxay soo jeedisay in baaritaannada tayroodhka ay caadi noqdaan haddii bukaanadu qaataan levothyroxine iyo ciprofloxacin ugu yaraan lix saacadood . Sidaas awgeed, haddii aad ku jirto levothyroxine, waxay macno u leedahay in ugu yaraan lix saacadood ka baxsan tahay inaad qaadato ciprofloxacin. Haddii aad qaadatid daawada antibiyootikada mudo dheer, waa inaad kala hadashaa saameynta ku iman karta dhakhtarkaaga, oo aad codsatid mudada baaritaanka tirtiridda si loo hubiyo in daaweyntaada qanjidhadaada aan wax saameyn ah lahayn.
Walaacyada Dheeraadka ah
Waxaa xiiso leh, sidoo kale waxaa jira warar anekdotal ah oo ku saabsan falcelin xun ee antibiotics kale ee fluoroquinolone. FDA waxay ku dartay " Box Smoking " oo ku saabsan fluoroquinolones sababtoo ah khatarta sii kordheysa ee dillaacayaasha marka la qaato daroogada.
> Isha:
> Cooper, John, "Ciprofloxacin waxay la xiriirtaa daaweynta beddelidda tayroodh," Journal of Medical Medical , 2005; 330: 1002 (30 Abriil), Online