Co-trimoxazole

Qanacsan

• Kahor qaadashada co-trimoxazole,
• Co-trimoxazole waxay sababi kartaa 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, isla markiiba wac dhakhtarkaaga:

Co-trimoxazole waxaa loo isticmaalaa in lagu daaweeyo infekshinka bakteeriyada qaarkood, sida oof wareenka (infekshinka sambabka), boronkiitow (infekshinka tuubbooyinka keena sambabada), iyo infekshannada kaadi mareenka, dhegaha, iyo xiidmaha. Waxaa sidoo kale loo isticmaalaa in lagu daaweeyo 'shuban-biyoodka socdaalka'. Co-trimoxazole waa isku-darka trimethoprim iyo sulfamethoxazole waxayna ku jiraan noocyo daawooyin ah oo loo yaqaan sulfonamides. Waxay ku shaqeysaa joojinta koritaanka bakteeriyada. Antibiyootikadu ma dili doonto fayrasyada sababi kara hargabka, ifilada, ama infekshannada kale ee fayraska keena.

Co-trimoxazole wuxuu u yimaadaa kiniin ahaan iyo ganaax (dareere) ah oo afka laga qaato. Badanaa waxaa la qaataa laba jeer maalintii laakiin waxaa laga yaabaa in la qaato ilaa afar jeer maalintii markii loo isticmaali jiray in lagu daaweeyo infekshannada sambabada ee daran qaarkood. 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 wada-timoxazole sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Waa inaad bilowdaa inaad dareentid fiicnaan inta lagu guda jiro maalmaha ugu horreeya ee daaweynta co-trimoxazole. Haddii calaamadahaagu aysan fiicnayn ama ay ka sii darayaan, wac dhakhtarkaaga.

Dareeraha si fiican u rux kahor intaan la isticmaalin si aad ugu qaso daawada si siman.

Qaado co-trimoxazole ilaa aad ka dhammeysid rijeetada laguu qoray, xitaa haddii aad fiicnaan dareento. Ha u joojin qaadashada co-trimoxazole adigoon la hadlin dhakhtarkaaga. Haddii aad joojiso qaadashada co-trimoxazole si dhakhso leh ama aad ka boodo qiyaasaha, infekshinkaaga gebi ahaanba lama daaweyn karo bakteeriyaduna waxay iska caabin kartaa antibiyootikada.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada co-trimoxazole,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay co-trimoxazole, daawooyin kale, ama walxo ku jira kiniiniyada co-trimoxazole iyo ganaax. 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 waxyaabaha soo socda: amantadine; angiotensin badalida enzyme inhibitors sida benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (quinapril) Altace), iyo trandolapril (Mavik); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); cyclosporine (Gengraf, Neoral, Sandimmune); dawooyinka sonkorowga ee afka laga qaato sida glipizide (Glucotrol), glyburide (Diabeta, Glynase), metformin (Fortamet, Glucophage), pioglitazone (Actos), repaglinide (Prandin), rosiglitazone (Avandia); digoxin (Lanoxin); durayaasha ('kaniiniyada biyaha'); indomethacin (Indocin); leucovorin (Fusilev); dawooyinka qalalaasaha sida phenytoin (Dilantin, Phenytek); memantine (Namenda); methotrexate (Trexall); pyrimethamine (Daraprim). iyo daawada murugada leh ee 'tricyclic antidepressants' sida amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), iyo trim 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; megaloblastic anemia (unugyada dhiigga cas ee aan caadiga ahayn) oo ay sababto yaraanta folate (heerarka dhiigga ee folic acid oo hooseeya), phenylketonuria (PKU, xaalad la iska dhaxlo oo cunno gaar ah loo baahan yahay in la raaco si looga hortago dib-u-dhac maskaxeed), ama beerka ama cudurka kelyaha. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan co-trimoxazole. Co-trimoxazole looma isticmaali karo carruurta da'doodu ka yar tahay 2 bilood.
• u sheeg dhakhtarkaaga haddii aad leedahay ama waligaa aad xasaasiyad daran ku yeelatay; neefta; heerarka folic acid ee ku jira jirka oo sababi kara nafaqo daro (ma cuneysid ama ma liqi kartid nafaqooyinka caafimaad ee wanaagsan) fayraska difaaca jirka (HIV); porphyria (cudur dhiig oo la iska dhaxlo oo sababi kara maqaarka ama dhibaatooyinka nidaamka neerfaha); cudurka qanjirka 'thyroid'; ama yaraanta gulukooska-6-fosfate dehydrogenase (G-6-PD) (cudur dhiig oo la iska dhaxlo).
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso.Haddii aad uur yeelato inta aad qaadanaysid 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. Co-trimoxazole ayaa laga yaabaa inuu maqaarkaaga u nuglaado iftiinka qoraxda.

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

Cab cabitaanno fara badan inta lagu daaweynayo co-trimoxazole.

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 qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

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

Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:

• finan
• cuncun
• cune xanuun
• qandho ama dhaxan
• 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)
• neefta oo ku qabata
• qufac
• nabar ama dhiig bax aan caadi ahayn
• hurdi maqaarka ama indhaha
• cirro
• midab casaan ama guduud midab leh
• kalagoys ama muruq xanuun

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 kuleylka iyo qoyaanka badan (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 amri doonaa tijaabooyinka shaybaarrada qaarkood si loo hubiyo jawaabtaada wada-timoxazole.

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

Ha u ogolaan qof kale inuu qaato daawadaada. Takhtarka laguu qoray ayaa laga yaabaa inaan dib loo buuxin karin. Haddii aad wali leedahay calaamadaha cudurka kadib markaad dhameysid co-trimoxazole, 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.

• Bakteeriyada^® (ka kooban Sulfamethoxazole, Trimethoprim)
• Bakteeriyada^® DS (oo ka kooban Sulfamethoxazole, Trimethoprim)
• Septra^® (ka kooban Sulfamethoxazole, Trimethoprim)
• Septra^® DS (oo ka kooban Sulfamethoxazole, Trimethoprim)
• Septra^® Hakinta (ay kujirto Sulfamethoxazole, Trimethoprim)^¶
• Sulfatrim^® Hakinta (oo ay ku jirto Sulfamethoxazole, Trimethoprim)

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