Zithromax wuxuu daweeyaa noocyo badan oo ah bakteeriyada.
Zithromax waa antibiyootiko badan oo loo isticmaalo in lagu daaweeyo noocyo badan oo infekshin ah, oo ay ku jiraan infakshan maqaarka, infekshanka dhegaha, infekshannada neefsiga, iyo caabuqyada galmada la isugu gudbiyo. Waxaa la heli karaa kiniin ama cirbad.
Mechanism
Daawada antibiotic Zithromax (azithromycin) waxaa laga soo qaatay jadeecada, nooc kale oo antibiyootiko ah. Inkasta oo labadaba "macrolid," farsamo ahaan Zithromax waa cillad, iyo erythromycin waa macrolide.
Marka la eego kiimikada, Zithromax waxay wadaagaan qaabka lactose-macrolide-da oo sida saxda ah ee loo yaqaan 'erythromycin' oo keliya marka laga reebo caarada nitrogen ee maadada lactone.
Farqigaasi yar wuxuu u dhigmaa xaddiga bakteeriyada ee Zithromax waxana uu si isdaba-mar ah u beddelayaa wadadii metabolism. Halkaas erythromycin waxaa lagu qiyaasaa nidaamka cytochrome P450, Zithromax ma aha. Sidaa daraadeed, Zithromax waxa ay la falgalaysaa daawooyin yar, oo aan ka duwanayn erythromycin, ma yeelan doonaan is-dhexgalka daroogo-daroogo leh daweyn (sida, Zocor ama Crestor).
Sidii kale ee macrolide-erythromycin iyo cadithromycin-Zithromax waxay u shaqaysaa iyada oo la xakameynayo bakteeriyada 50S ee ribosomal-ka taas oo faragalin ku leh kartida bakteeriya ee soo saarida borotiinka. Bakteeriyadu waxay u baahan yihiin inay soo saaraan borootiin si ay u noolaadaan. (Iyadoo ku xiran qiyaasta, macrolide waxay noqon kartaa bacteriostatic ama bacteriocidal.)
Caymiska
Waa kuwan qaar ka mid ah bakteeriyada Zithromax u dagaalameysa:
- Qalabka Mycobacterium avium (MAC)
- Toxoplasmosis gondii
- Hargabka Haemophilus
- Streptococcus iyo staphylococcus (waxoogaa ka yar firfircoon ka yar erythromycin)
- Helicobacter
- Moraxella catarrhalis
- Borrelia burgdorferi
- Chlamydia
Halkan waxaa ku yaal qaar ka mid ah isticmaalka kiliiniga ee Zithromax:
- Infekshinka neef-mareenka
- Maqaarka iyo infekshannada kale ee jilicsan
- Caabuqyada bakteeriyada ee daran ee COPD
- Warbaahinta Otitis
- Bulsho-qabasho oof-wareen ah
- Dhibaatada bakteeriyada (cudurka indhaha)
- Xanuunka Mycobacterium avium ama MAC (cudur infekshin leh oo loo yaqaan AIDS)
- Chancroid
- Bakteeriyada
- Toonillitis
- Cudurka 'Chlamydial' iyo 'urethritis' (cudurada galmada la isugu gudbiyo)
Waa in la ogaadaa in heerarka sare ee caabuqa antibiyootiggu uu Zithromax ka dhigayo doorasho liidata oo lagu daweeyo cudurrada qaarkood sida pneumonia, oogada maqaarka (caabuq dhegaha) iyo sinusitis. Qoraal gaar ah, Zithromax waa wax aan fiicneyn oo lagula dagaallamo infakshanka MRSA, oo ah superback with antidepressive antibacterial resistance.
Iyadoo ku xiran dariiqa maamulka, Zithromax ayaa laga heli karaa kiniiniyada, joojinta afka, irbadaha, iyo xalalka indhthalmic.
In kasta oo aan awoodin in laga gudbo barashada dhiigga (iyo daaweynta meningitis), Zithromax si qoto dheer ayuu uga hortagayaa unugyada. Daawadani sidoo kale si tartiib ah ayaa loo sii daayaa wareegga wareegga dhiigga waxayna leedahay nus nus ilaa 48 saacadood. Noocyada daaweyneed ee la qaadan karo waxay awood u leeyihiin inay daaweeyaan daawooyinka si ay u maamulaan daroogada si aan caadi ahayn. (Nolosha badhkeed waxaa loola jeedaa wakhtiga ay qaadato mudnaanshaha daroogada dhiigga si loo yareeyo kala badhka Haddii noloshu tahay 48 saacadood, ka dib 48 saacadood ka dib maamulka , kala badh daawada ayaa laga saaray dhiigga.)
Marka la eego ilmagaleenka iyo dhuun xanuunka uu keeno infakshanka chlamydia, hal qiyaas oo ah (duritaanka) ee Zithromax ayaa si siman waxtar u leh sida koorsada toddobada maalmood ah ee doxycycline, sidaas darteed, xaddididda dawooyinka aan xannibneyn . (CDC waxay ku talinaysaa in daaweeyayaashu daaweeyaan gonorrhea iyo chlamydia, oo loo yaqaan "dual" therapy. Sidaa darteed, kiliinikada ayaa caadi ahaan xakameyneysa tallaalka cephalosporin Rocephin si loogu daaweeyo xuubka gonorrhea, sidoo kale.) Fadlan ogow in ay ku jirto takhtarkaaga go'aankiisa haddii si laguu daweeyo Zithromycin iyo qiyaasta qiyaasta. Haddii aad xiisaynayso, fadlan kala hadal daaweyntan oo kale dhakhtarkaaga.
Waxyeellada xun
In kasta oo aan sida ugu daran ee loo daaweeyo erythromycin, Zithromycin wuxuu sidoo kale u keeni karaa caloolxumada caloosha sida lallabbo ama matag. Saameynahan aan loo baahnayn waxaa lagu yareyn karaa adigoo cunaya cunto ka hor intaadan qaadan qiyaas afka ah ee Zithromycin.
Ereyga
Haddii adiga ama qofka aad jeceshahay uu qabo cudurka wadnaha, waxaa laga yaabaa inuu noqdo fikrad wanaagsan inaad ka fogaato Zithromycin. Daawadaas waxaa loo yaqaanaa inay QT sii dheeraato, marmarka qaarkood, iyo dhimasho lama filaan ah. Xasuusta, QT-sii-dheeraynta waxay dhexgaleysaa qowmiyadaha casriga ah.
Waxyaabaha ugu fiican ee ku saabsan Zithromycin waa in nolosheeda nuska ah iyo qiyaasta daawooyinka yaryar ay xadidan yihiin. Tusaale ahaan, hal daroogo oo ah daroogadan oo lagu qaato xafiiska dhakhtarka waa daaweyn dhammeystiran; Hase yeeshee, haddii ay tahay inaad qaadato doxycycline adiga keligaa hal toddobaad, waad iska illoobi kartaa ama joojin kartaa.
Si kastaba ha noqotee, marka loo qoro Zithromycin oo loogu talagalay infekshannada neefsashada, xanuunka dhuunta iyo wixii la mid ah, waxaa noo xilsaaran in aan aragno daaweyn. Markaan ku guuldareysano in aan dhameystirno daaweynta iyo dhamaystirnaanta jeermiska dilaaga ee jirkeena, bakteeriyada adkeysiga difaacata oo sii faafaya - qaadida dadka kale, dib u cusboonaysiinta, iyo bixinta caabuqyada bakteeriyada kale.
Fadlan xusuuso in adigoo iska dhaafaya daaweynta antibiyootikada, waxaanu wax ku darsannaa iska caabinta antibiyootigga, taas oo ah dhibaato caalami ah. Dagaalka ka soo horjeeda antibiyootigga waa mid ka mid ah ebb oo joogto ah oo socod ah, iyada oo qaar badan oo ka mid ah guulaheena caafimaad hore loo dhaqay. Waa inaanu dhamaanteen ku dadaalnaa sidii aan ula dagaalami lahayn caabbinta antibiyootigga.
> Isha
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> Tixraaca Mukhaadaraadka Mukhaadaraadka ee Xirfadleyda Caafimaadka, daabacaadda Labaad waxaa daabacay Elsevier 2010.
> O'Donnell MR, Saukkonen JJ. Cutubka 168. Wakiilada Antimycobacterial. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. Mabaadii'da Harrison ee Daawooyinka gudaha, 18e . New York, NY: McGraw-Hill; 2012.