Fluconazole

Qanacsan

• Kahor qaadashada fluconazole,
• Fluconazole 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 astaamaha soo socda, wac takhtarkaaga isla markiiba ama u hel daaweyn degdeg ah:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Fluconazole waxaa loo isticmaalaa in lagu daaweeyo infekshannada fungal, oo ay ku jiraan caabuqa khamiirka ee xubinta taranka haweenka, afka, cunaha, hunguriga (tubada ka soo baxda afka ilaa caloosha), caloosha (aagga u dhexeeya laabta iyo dhexda), sambabaha, dhiigga, iyo xubnaha kale. Fluconazole waxaa sidoo kale loo isticmaalaa in lagu daaweeyo qoorgooyaha (infekshan ku dhaca xuubabka daboolaya maskaxda iyo lafdhabarta) ee uu keeno fangaska. Fluconazole waxaa sidoo kale loo isticmaalaa in looga hortago infekshinka khamiirka ee bukaanada ay u badan tahay inuu ku dhaco cudurka maxaa yeelay waxaa lagu daaweeyaa kemotherabi ama daaweynta shucaaca ka hor inta aan la tallaalin dhuuxa lafta (beddelka unugyada lafdhabarta ah ee aan caafimaad qabin ee ku dhex jira lafaha oo leh unug caafimaad qaba) Fluconazole wuxuu ku jiraa fasal ka mid ah antifungals loo yaqaan 'triazoles'. Waxay ku shaqeysaa iyada oo hoos u dhigeysa koritaanka fangaska ee sababa infekshinka.

Fluconazole waxay u timaadaa sidii kiniin iyo ganaax (dareere) ah oo afka laga qaato. Waxaa badanaa la qaataa hal mar maalintii, iyada oo aan la cunin ama aan la cunin. Waxaa laga yaabaa inaad u baahato inaad qaadato hal qiyaas oo keliya oo ah fluconazole, ama waxaad u baahan kartaa inaad qaadato fluconazole dhowr toddobaad ama ka badan. Dhererka daaweyntaadu waxay kuxirantahay xaaladaada iyo sida ugu wanaagsan ee aad uga jawaab celiso fluconazole. 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 fluconazole sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad qaadatid laba jibbaar oo ah fluconazole maalinta ugu horreysa ee daaweyntaada. Raac tilmaamahan si taxaddar leh.

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

Waa inaad bilowdaa inaad ladnaan dareento inta lagu jiro maalmaha ugu horreeya ee lagu daaweynayo fluconazole. Haddii calaamadahaagu aysan fiicnayn ama ka sii darayn, wac dhakhtarkaaga.

Sii wad inaad qaadato fluconazole ilaa dhakhtarkaagu kuu sheego inaad joojiso, xitaa haddii aad ladnaan dareento. Ha u joojin qaadashada fluconazole adiga oo aan la hadlin dhakhtarkaaga. Haddii aad si dhakhso leh u joojiso qaadashada fluconazole, infekshankaaga ayaa laga yaabaa inuu ku soo laabto waqti yar kadib.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Fluconazole sidoo kale mararka qaar waxaa loo isticmaalaa in lagu daaweeyo infekshannada fungal ee halista ah ee ka bilaabma sambabada waxayna ku faafi karaan jirka iyo caabuqyada fungal ee indhaha, maqaarka iyo ciddiyaha. Fluconazole sidoo kale mararka qaarkood waxaa loo isticmaalaa in looga hortago infekshinka fungal ee dadka ay u badan tahay in uu ku dhaco cudurka sababtoo ah waxay leeyihiin fayraska difaaca jirka ee aadanaha (HIV) ama kansarka ama qalliin lagu tallaalay (qalliin looga saarayo xubin laguna beddelayo deeq bixiye ama xubin macmal ah) . Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee u isticmaalka daawadan xaaladdaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada fluconazole,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay fluconazole, daawooyinka kale ee antifungal sida itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), ama voriconazole (Vfend), daawooyin kale, ama mid ka mid ah maaddooyinka ku jira kiniiniyada fluconazole ama ganaax Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanayso astemizole (Hismanal) (oo aan laga heli karin Maraykanka), cisapride (Propulsid) (oo aan laga heli karin Maraykanka), erythromycin (E.E.S, E-Mycin, Erythrocin); pimozide (Orap), quinidine (Quinidex), ama terfenadine (Seldane) (oo aan laga heli karin Maraykanka). Dhakhtarkaaga ayaa u badan inuu kuu sheego inaadan qaadan fluconazole haddii aad qaadato mid ka mid ah daawooyinkan.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso, ama qorsheyneyso inaad qaadato. Sidoo kale waa inaad u sheegtaa dhakhtarkaaga inaad qaadatay fluconazole ka hor intaadan bilaabin inaad daawooyin cusub qaadato 7 maalmood gudahood ee helitaanka fluconazole.Hubso inaad sheegto mid ka mid ah kuwan soo socda: amitriptyline; amphotericin B (Abelcet, AmBisome); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); kaalsiyamka kahortaga sida amlodipine (Norvasc, in Caduet, in Lotrel, kuwa kale), felodipine, isradipine, iyo nifedipine (Adalat, Afeditab, Procardia); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); celecoxib (Celebrex, Consensi); daawooyinka kalastarolka ka yareeya (statins) sida atorvastatin (Lipitor, in Caduet), fluvastatin (Lescol), iyo simvastatin (Zocor, in Vytorin); cyclophosphamide; cyclosporine (Gengraf, Neoral, Sandimmune); diuretics ('kaniiniyada biyaha') sida hydrochlorothiazide (Microzide, Diovan HCT, Tribenzor, kuwa kale); fentanyl (Actiq, Duragesic, Fentora, Sublimaze, Subsys, kuwa kale); isoniazid (Laniazid, Rifamate, Rifater); losartan (Cozaar, oo ku taal Hyzaar); methadone (Methadose); midazolam (Seizalam); nevirapine (Viramune); daawooyinka nonsteroidal anti-inflammatory (NSAIDS) sida ibuprofen (Advil, Motrin, kuwa kale) iyo naproxen (Aleve, Anaprox, Naprelan, in Treximet, in Vimovo); p-pillerka (kaniiniyada xakameynta dhalmada); dawada afka ee sonkorowga sida glipizide (Glucotrol), glyburide (Diabeta, Glynase), iyo tolbutamide; nortriptyline (Pamelor); phenytoin (Dilantin, Phenytek); prednisone (Rayos); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); saquinavir (Invirase); sirolimus (Rapamune); tacrolimus (Astagraf, Prograf); theophylline (Elixophyllin, Theo-24, Theochron); tofacitinib (Xeljanz); triazolam (Halcion); valproic acid (Depakene, Depakote); vinblastine; vincristine (Marqibo); fitamiin A; voriconazole (Vfend); iyo zidovudine (Retrovir, Combivir, Trizivir). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara fluconazole, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa kansar qabtid; cudurka cilladda difaaca jirka (AIDS); garaaca wadnaha oo aan joogto ahayn; heerka dhiigga ee kaalshiyamka, sodium, magnesium, ama potassium oo dhiiggaaga ku jirta; xaalado dhif ah, xaalado la iska dhaxlo oo jirku uusan u dulqaadan karin laaktooska ama sukrose; ama wadnaha, kilyaha, ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, gaar ahaan haddii aad ku jirto saddexda bilood ee ugu horreeya uurkaaga, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad isticmaasho ka hortagga uurka si looga hortago uurka inta lagu jiro daaweyntaada iyo 1 toddobaad ka dib qiyaastaada ugu dambeysa. Haddii aad uur yeelato inta aad qaadanaysid fluconazole, wac dhakhtarkaaga. Fluconazole waxay waxyeeleyn kartaa uurjiifka.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso fluconazole.
• waa inaad ogaataa in fluconazole ay ku dawakhi karto ama suuxdin kugu keeni karto. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.

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

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.

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

• madax xanuun
• dawakhaad
• shuban
• calool xanuun
• laabjeex
• beddelidda awoodda dhadhaminta cuntada

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, wac takhtarkaaga isla markiiba ama u hel daaweyn degdeg ah:

• lallabbo
• matagid
• daal xad dhaaf ah
• nabar ama dhiig bax aan caadi ahayn
• tamar la’aan
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• hurdi maqaarka ama indhaha
• astaamaha hargabka oo kale ah
• kaadi madow
• saxaro cirro leh
• qalal
• finan
• maqaarka oo bararaya ama fiiqan
• finan
• cuncun
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• neefsashada ama wax liqidda oo ku adkaata

Fluconazole waxay sababi kartaa 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 kuleylka iyo qoyaanka badan (ha ku jirin musqusha). Tuur wixii daawo dareere ah oo aan la isticmaalin 14 maalmood kadib.

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.

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

• dhalanteed (aragtida wax ama maqalka codad aan jirin)
• cabsi aad u daran in dadka kale ay isku dayayaan inay waxyeello kuu geystaan

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood ah si loo hubiyo jawaabtaada fluconazole.

Ha u ogolaan qof kale inuu isticmaalo daawadaada. Weydii farmashiistahaaga haddii aad qabtid su'aalo ku saabsan dib u soo celinta daawada laguu qoray. Haddii aad wali leedahay calaamadaha cudurka kadib markaad dhamaysato qaadashada fluconazole, 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.

• Diflucan^®