Clarithromycin

Qanacsan

• Kahor qaadashada clarithromycin,
• Clarithromycin wuxuu sababi karaa 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, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Clarithromycin waxaa loo isticmaalaa in lagu daaweeyo infekshannada bakteeriyada qaarkood, sida oof-wareenka (infekshinka sambabka), boronkiitow (infekshinka tuubooyinka u horseeda sambabaha), iyo infekshannada dhegaha, sinuska, maqaarka, iyo cunaha. Waxaa sidoo kale loo isticmaalaa in lagu daaweeyo lagana hortago faafinta Mycobacterium avium kakoobida (MAC) infekshanka [nooc ka mid ah infekshannada sambabaha oo inta badan ku dhaca dadka qaba fayraska difaaca jirka ee dadka (HIV).Waxaa loo isticmaalaa iskudarka daawooyinka kale si loo baabi'iyo H. pylori, Bakteeriya keenta boogaha. Clarithromycin wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'macrolide antibiotics'. Waxay ku shaqeysaa joojinta koritaanka bakteeriyada.

Antibiyootikada sida clarithromycin ayaan u shaqeyn doonin hargabka, ifilada, ama infekshannada kale ee fayraska keena. Qaadashada antibiyootikada markii aan loo baahnayn waxay kordhisaa halista aad u qaadi karto jeermis dambe oo iska caabiya daaweynta antibiyootigga.

Clarithromycin wuxuu u yimaadaa sida kaniiniga, kaniini dheereyn-sii-deyn ah (waqti dheer qaadanaya), iyo ganaax (dareere) ah oo afka laga qaato. Kaniiniga caadiga ah iyo dareeraha waxaa badanaa la qaataa ama cunto la'aan 8 (seddex jeer maalintii) ilaa 12 saacadood (laba jeer maalintii) 7 ilaa 14 maalmood. Kiniinka la sii-daayay waxaa badanaa lagu qaataa raashin 24 saacadood kasta (hal mar maalintii) 7 illaa 14 maalmood. Dhakhtarkaagu wuxuu kuu sheegi karaa inaad qaadato clarithromycin waqti dheer taas oo kuxiran xaaladaada. Qaado dawada loo yaqaan 'clarithromycin' 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 clarithromycin sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Si fiican u rux joojinta ka hor isticmaal kasta si aad ugu qaso daawada si siman.

Kiniinnada mudada dheer wada liqay; ha kala qaybin, calalin, ama burburin.

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

Qaado dawada loo yaqaan 'clarithromycin' illaa aad ka dhammeysid rijeetada laguu qoray, xitaa haddii aad fiicnaan dareento. Haddii aad dhakhso u joojiso qaadashada daawada 'clarithromycin', ama aad ka booddo qiyaasaha, infekshinkaaga gebi ahaanba lama daaweyn karo oo bakteeriyada ayaa iska caabin kara antibiyootikada.

Clarithromycin sidoo kale waxaa mararka qaarkood loo isticmaalaa in lagu daaweeyo noocyada kale ee infekshannada oo ay ku jiraan cudurka Lyme (infekshan ku dhici kara qofka markuu qaniino shilinta), cryptosporidiosis (infekshan keena shuban), cudurka xoqida bisadda (infekshin oo laga yaabo inuu soo baxo qofka bisadu qaniinto ama xoqdo), cudurka Legionnaires, (nooca infekshanka sambabka), iyo xiiq-dheerta (xiiq-dheerta, infekshan daran oo sababi kara qufac daran). Waxaa sidoo kale mararka qaarkood loo isticmaalaa in looga hortago infekshinka wadnaha ee bukaanka qaba ilkaha ama habab kale. 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 clarithromycin,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay clarithromycin, azithromycin (Zithromax, Zmax), erythromycin (EES, Eryc, Erythrocin, PCE, kuwa kale), telithromycin (oo aan laga heli karin Maraykanka; Ketek), dawooyin kale, ama mid ka mid ah waxyaabaha ku jira diyaarinta 'clarithromycin'. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanayso cisapride (Propulsid; oo aan laga heli karin Maraykanka), colchicine (Colcrys, Mitigare) haddii aad qabto kelyo ama cudur beerka, dihydroergotamine (DHE 45, Migranal), ergotamine (Ergomar, Cafergot, in Migergot), lomitapide (Juxtapid), lovastatin (in Advicor), pimozide (Orap), ama simvastatin (Flolipid, Zocor, in Vytorin). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan clarithromycin haddii aad qaadanaysid mid ama in kabadan oo daawooyinkan ah.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa cagaarshow (maqaarka ama indhaha oo jaale noqota) ama dhibaatooyin kale oo beerka ah inta aad qaadanaysid clarithromycin. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan clarithromycin.
• 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: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); qaarkood benzodiazepines sida alprazolam (Xanax), midazolam, iyo triazolam (Halcion); bromocriptine (Parlodel); kaalsiyamka xanibaada sida amlodipine (Norvasc, in Caduet, in Lotrel), diltiazem (Cardizem, Cartia, Tiazac), nifedipine (Adalat, Afeditab CR), iyo verapamil (Calan, Verelan, in Tarka, kuwa kale); carbamazepine (Epitol, Tegretol, Teril, kuwa kale); colchicine (Colcrys, Mitigare); daawooyinka qaarkood ee HIV sida atazanavir (Reyataz), didanosine (Videx), efavirenz (Sustiva, in Atripla), etravirine (Intelence), nevirapine (Viramune), nelfinavir (Viracept), ritonavir (Norvir, Kaletra) (savina) ), iyo zidovudine (AZT, Retrovir); dawooyinka qaarkood ee garaaca wadnaha oo aan joogto ahayn sida amiodarone (Pacerone), sibbramramide (Norpace), dofetilide (Tikosyn), procainamide, quinidine (in Nuedexta), iyo sotalol (Betapace, Sorine); daawooyinka kalastarolka ka yareeya (statins) sida atorvastatin (Lipitor, in Caduet), iyo pravastatin (Pravachol); cilostazol; cyclosporine (Gengraf, Neoral, Sandimmune); darifenacin (Enablex); digoxin (Digitek, Lanoxin); erlotinib (Tarceva); eszopiclone (Lunesta); fluconazole (Diflucan); insulin; itraconazole (Onmel, Sporanox); maraviroc (Selzentry); methylprednisolone (Medrol); omeprazole (Prilosec); daawooyinka afka laga qaato ee sonkorowga sida nateglinide (Starlix), pioglitazone (Actos, in Actoplus Met, in Duetact), repaglinide (Prandin, in Prandimet), iyo rosiglitazone (Avandia, in Avandamet, in Avandaryl); phenobarbital; phenytoin (Dilantin, Phenytek); quetiapine (Seroquel); ranitidine (Zantac); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, gudaha Rifater, Rifamate); rifapentine (Priftin); sildenafil (Revatio, Viagra); tacrolimus (Astagraf, Prograf); theophylline (Elixophyllin, Theo-24, Theochron); tadalafil (Adcirca, Cialis); tolterodine (Detrol); valproate (Depacon); vardenafil (Levitra, Staxyn); iyo vinblastine. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara clarithromycin, markaa u sheeg dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa qaadatay qadar dheeri ah oo QT ah (dhibaato wadnaha oo dhif ah oo sababi karta suuxdin ama garaaca wadnaha oo aan joogto ahayn), marinka wadnaha oo aan caadi ahayn (wadna garaac aan caadi ahayn), heer hoose oo magnesium ama potassium ah dhiiggaaga, myasthenia gravis ( MG; cilad ku timaadda habdhiska neerfaha ee sababa daciifnimada muruqyada), ama haddii aad leedahay ama aad waligaa yeelatay garaaca wadnaha oo aan joogto ahayn, cudurka halbowlayaasha wadnaha (yareynta xididdada dhiigga ee dhiigga siiya wadnaha), ama kilyaha, ama cudurka beerka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato inta aad qaadanaysid clarithromycin, wac dhakhtarkaaga. Clarithromycin wuxuu waxyeelleyn karaa uurjiifka.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadanayso clarithromycin.
• waa inaad ogaataa in clarithromycin ay kaa dhigi karto dawakhaad, wareer, ama jahwareer. 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.

Clarithromycin wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• shuban
• lallabbo
• matagid
• calool xanuun
• laabjeex
• gaaska
• beddel dhadhanka
• madax xanuun

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

• laabta oo xanuunta, neefta oo ku qabata, neefsashada oo dhib ku ah, xanuun ama daciifnimo ku timaadda dhinaca jidhkaaga, ama hadal dabacsan
• shuban daran oo leh saxaro biyo ah ama dhiig leh (ilaa 2 bilood daaweyntaada kadib)
• finan
• finan
• cuncun
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• neefsashada ama wax liqidda oo ku adkaata
• xabeeb
• xoqidda ama maqaarka oo bararaya
• qandho
• hurdi maqaarka ama indhaha
• daal xad dhaaf ah
• dhiigbax ama nabar aan caadi ahayn
• tamar la’aan
• cunto xumo
• xanuun qeybta kore ee midig ee caloosha
• kaadi midab madow
• astaamaha hargabka oo kale ah
• dhakhso, garaacid, ama wadno garaac aan caadi ahayn
• daciifnimada muruqyada sida dhibaatada cunista, hadalka, ama qabashada howlo maalmeedka
• aragti labalaab ah

Clarithromycin 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. Kiniiniyada ku keydi heerkulka qolka oo ka fog iftiinka, kuleylka xad-dhaafka ah, iyo qoyaanka (ha ku dhigin musqusha). Qaboojiyaha ha dhigin. Ku hay heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan. Tuur wixii ganaax ah ee 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:

• calool xanuun
• lallabbo
• matagid
• shuban

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu dalban karaa tijaabooyin shaybaarro qaarkood ah si loo hubiyo jawaabta jirkaaga ee clarithromycin.

Kiniiniga sii-daaya ee dheereeya ma ku milmo caloosha ka dib markuu wax liqo. Waxay si tartiib tartiib ah u sii deysaa daawada markay u dhex marto habka dheef-shiidkaaga. Waxaad dareemi kartaa dahaadhka kiniinka ee saxarada ku jira. Tani waa wax caadi ah oo macnaheedu maahan inaadan helin qaddarka buuxa ee daawada.

Ha u ogolaan qof kale inuu qaato daawadaada. Takhtarka laguu qoray ayaa laga yaabaa inaan dib loo buuxin karin. Haddii aad wali leedahay calaamado infekshan kadib markaad dhameysid clarithromycin, 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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