Gemifloxacin
Qanacsan
- Kahor qaadashada gemifloxacin,
- Gemifloxacin wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama mid ka mid ah astaamaha lagu sharaxay qaybta DIGNIIN MUHIIM AH, jooji qaadashada gemifloxacin isla markaana wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah:
Qaadashada gemifloxacin waxay kordhisaa halista ah inaad ku dhacdo tendinitis (barar unug unug ah oo xuub ah oo isku xira lafta muruqa) ama yeesho dillaac dillaac (jeex jeex ah unug xajiyeysan oo isku xira laf iyo muruq) inta lagu guda jiro daaweyntaada ama ilaa dhawr bilood ka dib. Dhibaatooyinkani waxay saameyn ku yeelan karaan jilicsanaanta garabkaaga, gacantaada, dhabarka canqowgaaga, ama qaybaha kale ee jirkaaga. Tendinitis ama dillaaca tendonku wuxuu ku dhici karaa dadka da 'kasta ha ahaadeene, laakiin halistu waxay ugu badan tahay dadka ka weyn da'da 60 sano. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa yeelatay kelyo, wadne, ama sambabka lagaa beddelayo; cudurka kalyaha; cillad wadajir ah ama jilicsan sida rheumatoid arthritis (xaalad jirku ku weeraro xubnaheeda, taasoo keenta xanuun, barar, iyo shaqeyn la'aan); ama haddii aad kaqeybqaadato jimicsi joogto ah. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanaysid steroids afka lagu durayo ama lagu duri karo sida dexamethasone, methylprednisolone (Medrol), ama prednisone (Rayos). Haddii aad isku aragto mid ka mid ah astaamaha soo socda ee loo yaqaan 'tendinitis', jooji qaadashada gemifloxacin, nasasho, isla markaana wac dhakhtarkaaga isla markiiba: xanuun, barar, danqasho, qallafsanaan, ama dhib ku ah dhaqaaqa muruqa. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ee dillaaca tendon, jooji qaadashada gemifloxacin oo aad hesho daaweyn caafimaad oo deg deg ah: maqal ama dareemid dhaqso ah ama boodbood ku dhaca aagga muruqyada, nabar nabar ka dib dhaawac ka soo gaadhay jilibka, ama awood u lahayn inuu dhaqaaqo ama culeys qaado aagga ay dhibaatadu saameysey.
Qaadashada gemifloxacin waxay sababi kartaa isbeddelo xagga dareenka iyo dhaawac dareemayaasha ah oo laga yaabo inaysan tagin xitaa ka dib markaad joojiso qaadashada daawada moxifloxacin. Dhaawacani wuxuu dhici karaa isla marka aad bilowdo qaadashada gemifloxacin. U sheeg dhakhtarkaaga haddii aad waligaa isku aragtay neuropathy durugsan (nooc ka mid ah waxyeellada neerfaha oo keenta xoqitaan, kabuubyo, iyo xanuun gacmaha iyo cagaha). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada gemifloxacin isla markaana wac dhakhtarkaaga isla markiiba: kabuubyo, xatooyo, xanuun, gubasho, ama daciifnimo gacmaha ama lugaha ah; ama isbeddel awoodaada ah inaad dareento taabasho fudud, gariir, xanuun, kuleyl, ama qabow.
Qaadashada gemifloxacin waxay saameyn ku yeelan kartaa maskaxdaada ama habdhiska dareenka waxayna sababi kartaa waxyeelo daran. Tani waxay dhici kartaa qiyaasta koowaad ee gemifloxacin ka dib. U sheeg dhakhtarkaaga haddii aad qabtid ama waligaa suuxdin, suuxdin, cerebral arteriosclerosis (cidhiidhiga marinnada dhiigga ee gudaha ama u dhow maskaxda ee u horseedi kara istaroog ama ministroke), istaroog, qaab-dhismeedka maskaxda oo isbeddelay, ama cudur kelyood. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada gemifloxacin oo isla markiiba wac dhakhtarkaaga: qalal; gariir; dawakhaad; madax wareer; madax xanuun aan tagaynin (aragga cakiran ama aan lahayn); dhibaato hurdo la'aan ama hurdo la'aan; riyooyin; inaadan aaminin dadka kale ama aad dareento inay dadka kale rabaan inay ku waxyeeleeyaan; dhalanteed (aragtida wax ama maqalka codad aan jirin); fikradaha ama ficillada ku saabsan dhaawaca naftaada ama naftaada; dareemid degganaan la'aan, walwal, walwal, niyad jab, ama jahwareer; dhibaatooyinka xusuusta, ama isbeddelada kale ee niyaddaada ama dhaqankaaga.
Qaadashada gemifloxacin waxay sii xumeyn kartaa daciifnimada muruqyada dadka qaba cudurka 'myasthenia gravis' (cillad ku dhacda habdhiska dareemayaasha oo keena daciifnimo muruq) waxayna u keentaa neefsasho dhib weyn ama dhimasho. U sheeg dhakhtarkaaga haddii aad qabtid cudurka myasthenia gravis. Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan qaadan gemifloxacin. Haddii aad qabtid cudurka myasthenia gravis oo dhakhtarkaagu kuu sheegayo inaad qaadato gemifloxacin, wac dhakhtarkaaga isla markiiba haddii aad la kulanto daciifnimo muruq ama neefsashada oo kugu adkaata inta daaweyntaadu socoto.
Takhtarkaaga kala hadal halista qaadashada gemifloxacin.
Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) marka aad bilowdo daaweynta gemifloxacin. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.
Gemifloxacin waxaa loo isticmaalaa in lagu daaweeyo oof wareenka. Gemifloxacin sidoo kale waa loo isticmaali karaa in lagu daaweeyo boronkiitada laakiin waa in aan loo isticmaalin xaaladan haddii ay jiraan xulashooyin daaweyn kale. Gemifloxacin wuxuu ku jiraa fasal antibiyootig ah oo loo yaqaan fluoroquinolones. Waxay ku shaqeysaa iyada oo la dilayo bakteeriyada keenta infekshannada.
Antibiyootikada sida gemifloxacin uma shaqeeyaan hargabka, ifilada, ama infekshannada kale ee fayraska keena. Isticmaalka antibiyootikada markii aan loo baahnayn waxay kordhisaa halista aad u qaadi karto jeermis dambe oo iska caabiya daaweynta antibiyootikada.
Gemifloxacin wuxuu u yimaadaa kiniin afka laga qaato. Waxaa badanaa la qaataa ama cunno la'aan maalintii hal mar 5 ama 7 maalmood. Dhererka daaweyntaadu waxay kuxirantahay nooca cudurka aad qabtid. Dhakhtarkaaga ayaa kuu sheegi doona muddada aad qaadanayso gemifloxacin. Qaado gemifloxacin waqti isku mid ah maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado gemifloxacin sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.
Ha ku qaadan gemifloxacin waxyaabaha caanaha laga sameeyo sida caanaha ama caano fadhi, ama kali kalsiyaano leh. Si kastaba ha noqotee, waxaad ku qaadan kartaa gemifloxacin cunto ay ku jiraan cuntooyinkan ama cabitaanadan.
Kiniiniyada waxaad ku liqdaa biyo badan; ha kala qaybin, calalin, ama burburin.
Waa inaad bilowdaa inaad fiicnaato inta lagu jiro maalmaha ugu horreeya ee daaweynta gemifloxacin. Haddii calaamadahaagu aysan fiicnayn ama ay ka sii darayaan, wac dhakhtarkaaga.
Qaado gemifloxacin illaa aad ka dhammeysid rijeetada laguu qoray, xitaa haddii aad fiicnaan dareento. Ha u joojin qaadashada gemifloxacin adigoon la hadlin dhaqtarkaaga ilaa aad la kulanto waxyeelo daran oo gaar ah oo ku taxan qaybaha DIGNIINKA MUHIIMKA AH iyo SAAMAYNTA Dhinac. Haddii aad joojiso qaadashada gemifloxacin dhaqso ama aad ka boodo qiyaasaha, infekshinkaaga si buuxda looma daaweyn karo bakteeriyaduna waxay u adkeysan kartaa antibiyootikada.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor qaadashada gemifloxacin,
- u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad leedahay ama aad dareen-celin daran ku yeelatay gemifloxacin ama quinolone ama antibiyootiko kale sida ciprofloxacin (Cipro), delafloxacin (Baxdela), levofloxacin (Levaquin), moxifloxacin (Avelox), iyo ofloxacin; daawooyin kale; ama haddii aad xasaasiyad ku leedahay mid ka mid ah maaddooyinka ku jira diyaarinta gemifloxacin. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada 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 dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); dawooyinka lidka diiqadda qaarkood; daawada dhimirka (daawooyinka lagu daaweeyo cudurka maskaxda); cisapride (Propulsid) (aan laga heli karin Mareykanka); durayaasha ('kaniiniyada biyaha'); erythromycin (E.E.S., Eryc, Erythrocin, kuwa kale); daaweynta beddelka hoormoonka; insulin ama dawooyin kale oo lagu daaweeyo sonkorowga sida chlorpropamide, glimepiride (Amaryl, in Duetact), glipizide (Glucotrol), glyburide (DiaBeta), tolazamide, iyo tolbutamide; daawooyinka qaarkood ee garaaca wadnaha aan caadiga ahayn sida amiodarone (Nexterone, Pacerone), procainamide, quinidine (in Nuedexta), iyo sotalol (Betapace, Betapace AF, Sorine, Sotylize); daawooyinka nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin, kuwa kale) iyo naproxen (Aleve, Naprosyn, kuwa kale); ama probenecid (Probalan in Col-Probenecid). Dhakhtarkaagu wuxuu u baahan doonaa inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
- haddii aad qaadanayso antacids ay ku jiraan aluminium hydroxide ama magnesium hydroxide (Maalox, Mylanta, kuwa kale); ama dawooyinka qaarkood sida xalka didanosine (Videx); ama fiitamiin ama kaabis macdan ah oo ay ku jiraan macdanta birta, magnesium, ama zinc, qaado gemifloxacin ugu yaraan 2 saacadood ka hor ama 3 saacadood ka dib markaad daawooyinkaas qaadato.
- haddii aad qaadanayso sucralfate (Carafate), qaado ugu yaraan 2 saacadood ka dib markaad qaadato gemifloxacin.
- u sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ahi uu leeyahay ama uu waligiis soo maray qadar dheeri ah oo QT ah (dhibaato wadnaha oo dhif ah oo u horseedi karta garaaca wadnaha oo aan joogto ahayn, suuxdin, ama dhimasho lama filaan ah). Sidoo kale, u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa yeelatay garaaca wadnaha oo gaabis ah ama aan caadi ahayn, wadno-qabad, aneurysm aortic ah (barar xididdada weyn ee dhiigga ka qaada wadnaha ilaa jirka), cadaadis dhiig oo sarreeya, xannuunnada xididdada dhiigga ( wareega wareega ee xididdada dhiigga), Marfan syndrome (xaalad hidde oo saameyn ku yeelan karta wadnaha, indhaha, xididdada dhiigga iyo lafaha), ama Ehlers-Danlos syndrome (xaalad hidde oo saameyn ku yeelan karta maqaarka, kala-goysyada, ama xididdada dhiigga). Sidoo kale, u sheeg dhakhtarkaaga haddii dhiiggaagu ku jiro heer hoose oo ah macdanta potassium ama magnesium.
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid gemifloxacin, wac dhakhtarkaaga.
- baabuur ha wadin, ha ku shaqeynin mashiinno, ama ha ka qeybgalin howlaha u baahan feejignaanta ama isku-duwidda illaa aad ka ogaato sida ay daawadani kuu saameyneyso.
- qorsheyso inaad iska ilaaliso soo-gaadhista qorraxda ama iftiinka ultraviolet (qorraxda ama sariiraha maqaarka) oo aan loo baahnayn ama daba dheeraanayn oo aad xidhato dharka difaaca, muraayadaha indhaha, iyo shaashadda qorraxda Gemifloxacin ayaa laga yaabaa inuu maqaarkaaga u nugleeyo iftiinka qoraxda ama iftiinka ultraviolet. Haddii maqaarkaagu casaan noqdo, bararo, ama bararo, sida qoraxdu u xumaato, wac dhakhtarkaaga.
Hubso inaad cabto biyo badan ama cabitaanno kale maalin kasta inta aad qaadanayso gemifloxacin.
Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha ku qaadan wax ka badan hal qiyaas oo ah gemifloxacin hal maalin.
Gemifloxacin wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
- shuban
- lallabbo
- calool xanuun
- matagid
- daal aan caadi ahayn
Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama mid ka mid ah astaamaha lagu sharaxay qaybta DIGNIIN MUHIIM AH, jooji qaadashada gemifloxacin isla markaana wac dhakhtarkaaga isla markiiba ama hel gargaar caafimaad oo degdeg ah:
- 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)
- finan
- finan
- cuncun
- xoqidda ama finanka maqaarka
- qandho
- bararka indhaha, wajiga, afka, dibnaha, carrabka, cunaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
- xabeeb ama cidhiidhi cunaha
- neefsashada ama wax liqidda oo ku adkaata
- qufac socda ama kasii daraya
- hurdi maqaarka ama indhaha; maqaarka cirro leh; kaadi madow; ama saxaro midab khafiif ah leh
- harraad daran ama gaajo; maqaarka cirro leh; dareemid gariir ama gariir; wadnaha oo dhakhso ama ruxruxa; dhidid; kaadi joogta ah; gariiraya; aragga oo xumaada; ama walaac aan caadi ahayn
- miyir beelid ama miyir beelid
- xanuun kedis ah oo ku dhaca laabta, caloosha, ama dhabarka
Gemifloxacin wuxuu sababi karaa dhibaatooyin lafaha, kala-goysyada, iyo unugyo ku wareegsan kala-goysyada carruurta. Gemifloxacin lama siinayo carruurta da'doodu ka yar tahay 18 sano.
Gemifloxacin wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.
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).
Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog iftiinka iyo kuleylka badan iyo qoyaanka (ha ku jirin musqusha).
Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org
Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.
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.
Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood ah si loo hubiyo jawaabta jirkaaga ee gemifloxacin. Haddii aad qabtid sonkorow, dhakhtarkaaga ayaa laga yaabaa inuu kaa codsado inaad iska hubiso sonkorta dhiiggaaga inta badan inta aad qaadanayso gemifloxacin.
Ha u ogolaan qof kale inuu qaato daawadaada. Takhtarka laguu qoray ayaa laga yaabaa inaan dib loo buuxin karin. Haddii aad wali leedahay astaamaha infekshinka kadib markaad dhameysato qaadashada gemifloxacin, wac dhakhtarkaaga.
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.
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