Cirbadeynta co-trimoxazole

Qanacsan

• Kahor intaadan helin duritaanka co-trimoxazole,
• Cirbadeynta co-trimoxazole waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Cirbadeynta co-trimoxazole waxaa loo isticmaalaa in lagu daaweeyo infekshannada qaarkood ee ay sababaan bakteeriyada sida infekshanka xiidmaha, sambabaha (oof-wareenka), iyo kaadi mareenka. Co-trimoxazole looma isticmaali karo carruurta da'doodu ka yar tahay 2 bilood. Cirbadeynta co-trimoxazole waxay ku jirtaa nooc ka mid ah daawooyinka loo yaqaan sulfonamides. Waxay ku shaqeysaa dilka bakteeriyada.

Antibiyootikada sida cirbadeynta co-trimoxazole uma shaqeyn doonto hargabka, ifilada, ama infekshannada kale ee fayraska. Qaadashada antibiyootikada markii aan loo baahnayn waxay kordhisaa halista aad u qaadi karto jeermis dambe oo iska caabiya daaweynta antibiyootigga.

Cirbadeynta co-trimoxazole waxay u timaaddaa sidii xalka (dareeraha) in lagu qaso dareere dheeri ah oo lagu durayo xididka (xididka) in ka badan 60 illaa 90 daqiiqo. Waxaa badanaa la siiyaa 6, 8, ama 12 saacadood kasta. Dhererka daaweyntaadu waxay kuxirantahay nooca cudurka aad qabtid iyo sida jirkaaga uga jawaab celiyo daawada.

Waxaa laga yaabaa in lagugu mudo irbadda co-trimoxazole ee isbitaalka ama waxaad ku daaweyn kartaa guriga. Haddii lagaa siin doono irbadda co-trimoxazole ee gurigaaga, bixiyahaaga daryeelka caafimaad ayaa ku tusi doona sida loo isticmaalo daawada. Hubso inaad fahantay tilmaamahan, oo weydii daryeel caafimaad bixiyahaaga haddii aad wax su'aalo ah qabtid.

Waa inaad bilowdaa inaad ladnaan dareento inta lagu jiro maalmaha ugu horreeya ee daaweynta cirbadeynta co-trimoxazole. Haddii calaamadahaagu aysan fiicnayn ama ka sii darayn, wac dhakhtarkaaga.

Isticmaal cirbadeynta co-trimoxazole illaa aad ka dhammeysid rijeetada laguu qoray, xitaa haddii aad fiicnaan dareento. Haddii aad joojiso isticmaalka duritaanka co-trimoxazole sida ugu dhakhsaha badan ama aad ka boodo qiyaasaha, infekshinkaaga gebi ahaanba lama daaweyn karo bakteeriyada ayaana iska caabin kara antibiyootikada.

Cirbadeynta co-trimoxazole ayaa sidoo kale mararka qaar loo isticmaalaa in lagu daaweeyo infekshannada kale ee halista ah ee bakteeriyada. Kala hadal dhakhtarkaaga khataraha aad u leedahay isticmaalka dawadan xaaladaada.

Kahor intaadan helin duritaanka co-trimoxazole,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay sulfamethoxazole, trimethoprim, aalkolo benzyl, dawooyin kale oo sulfa ah, dawooyin kale oo kasta, ama mid ka mid ah waxyaabaha ku jira irbadda co-trimoxazole. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: amantadine (Symmetrel), angiotensin beddelaya enzyme inhibitors sida benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Uvas) ), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), iyo trandolapril (Mavik); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin); cyclosporine (Gengraf, Neoral, Sandimmune); daawooyinka afka laga qaato ee sonkorowga; digoxin (Digitek, Lanoxicaps, Lanoxin); durayaasha ('kaniiniyada biyaha'); indomethacin (Indocin); leucovorin (Fusilev); methotrexate (Rheumatrex, Trexall); phenytoin (Dilantin, Phenytek); pyrimethamine (Daraprim); iyo tricyclic antidepressants (nalka wiishka) sida amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Surmontil). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qabtay thrombocytopenia (wax ka yar tirada caadiga ah ee platelet) oo ay sababtay qaadashada sulfonamides ama trimethoprim ama dhiigga dhiigga ee loo yaqaan 'megaloblastic anemia' (unugyada dhiigga cas ee aan caadiga ahayn) ee ay sababtay yaraanta folate (heerarka dhiigga ee hooseeya ee folic acid). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan isticmaalin irbadda co-trimoxazole.
• u sheeg dhakhtarkaaga haddii aad cabto ama aad waligaa cabto qamri aad u tiro badan, haddii aad qabto cilladda malabsorption syndrome (dhibaatooyinka nuugista cuntada), ama aad qaadanayso daawo lagu daweeyo qalal. U sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa qabtid neef, xaddiga folic acid ee jirka ku yar, xasaasiyad daran, gulukoos-6-fosfate dehydrogenase (G-6-PD) oo yar (cudur dhiig oo la iska dhaxlo), fayraska difaaca jirka ee bini'aadamka ( Cudurka HIV), phenylketonuria (PKU, xaalad la iska dhaxlo oo ah in cunno gaar ah la raaco si looga hortago dib u dhac maskaxeed), porphyria (cudur dhiig oo la iska dhaxlo oo sababi kara maqaarka ama dhibaatooyinka nidaamka neerfaha), ama tayroodh, beerka, ama cudur kalyaha.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad isticmaaleyso cirbadeynta co-trimoxazole, isla markiiba wac dhakhtarkaaga. Co-trimoxazole waxay waxyeelayn kartaa uurjiifka.
• qorsheyso inaad iska ilaaliso soo-gaadhista qorraxda aan loo baahnayn ama daba dheeraatay iyo inaad xidhato dhar ilaaliya, muraayadaha indhaha, iyo muraayadda qorraxda. Cirbadda co-trimoxazole ayaa laga yaabaa inay maqaarkaaga u nuglaato iftiinka qoraxda.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Cab cabitaanno fara badan inta lagu guda jiro daaweyntaada cirbada co-trimoxazole.

Cirbadeynta co-trimoxazole waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• lallabbo
• matagid
• cunto xumo
• shuban
• kalagoys ama muruq xanuun
• xanuun ama cuncun goobta duritaanka

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

• finan ama isbeddel maqaarka ah
• xoqidda ama maqaarka oo bararaya
• finan
• cuncun
• midab casaan ama guduud midab leh
• soo noqoshada qandhada, cunaha oo xanuuna, dhaxan, ama calaamadaha kale ee infekshanka
• qufac
• neefta oo ku qabata
• shuban daran (saxaro biyo ah ama dhiig leh) oo ku dhici kara xummad ama aan lahayn iyo calool xanuun (waxay dhici kartaa ilaa 2 bilood ama ka badan daaweyntaada ka dib)
• garaaca wadnaha
• gaajo, madax xanuun, daal, dhidid, ruxitaanka qayb ka mid ah jirkaaga oo aadan xakamayn karin, xanaaqa, aragga oo aan fiicnayn, feejignaanta oo adkaata, ama miyir beelid
• hurdi maqaarka ama indhaha
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• xabeeb
• neefsashada ama wax liqidda oo ku adkaata
• dhiigbax ama nabar aan caadi ahayn
• cirro
• barar goobta duritaanka
• kaadida oo yaraatay
• qalal

Cirbadda co-trimoxazole waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• cunto xumo
• lallabbo
• matagid
• dawakhaad
• madax xanuun
• lulmid
• jahwareer
• qandho
• dhiig kaadida ku jira
• hurdi maqaarka ama indhaha
• miyir beelid

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee cirbadeynta co-trimoxazole.

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso irbadda co-trimoxazole.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Bakteeriyada^® Cirbadda (oo ay ku jirto Sulfamethoxazole, Trimethoprim)^¶
• Septra^® Cirbadda (oo ay ku jirto Sulfamethoxazole, Trimethoprim)^¶

• Cirbadeynta co-trimoxazole
• Duritaanka SMX-TMP

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.