Nā Hopena ʻAoʻao o Ciprofloxacin

He aha ka Ciprofloxacin a no ke aha ia e hoʻohana ʻia ai?

ʻO Ciprofloxacin (ʻike pinepine ʻia ma lalo o ka inoa inoa ʻo Cipro) he lāʻau antibiotic ikaika ia no ka papa o nā lāʻau i kapa ʻia ʻo fluoroquinolones. Hana ia ma ka hoʻōki ʻana i ka bacteria mai ka hoʻonui ʻana a me ka hoʻoponopono ʻana iā lākou iho, e pepehi ana iā lākou a hoʻopau i ka maʻi kumu.

Hoʻopaʻa kauka ia no nā ʻano maʻi bacteria koʻikoʻi ʻaʻole paha e pane i nā lāʻau antibiotic ʻē aʻe, e like me:

• Nā maʻi ʻākena urinary (UTIs)
• Nā maʻi ʻākena hanu e like me ka pneumonia
• Nā maʻi ʻili a me nā iwi
• Nā maʻi ʻākena ʻeha
• Typhoid fever
• Ka hopena i ka anthrax a me ka pepeiaio

He mea nui ka hoʻomanaʻo ʻana ʻo ciprofloxacin wale nō ka hopena i nā maʻi bacteria. ʻAʻohe ona hopena i nā maʻi ʻino, no laila ʻaʻole ia e kōkua i ke anuanu maʻamau, ka maʻi ʻenua, a i ʻole COVID-19.

He mea weliweli a pilikia paha ka lawe ʻana i ka ciprofloxacin?

Ke makemake ka U.S. Food and Drug Administration (FDA) e hōʻike i nā pilikia koʻikoʻi loa e pili ana i ka lāʻau lapaʻau, hoʻopuka ʻo ia i kahi "warning boxed" (ʻike ʻia hoʻi ʻo "black box warning"). ʻO kēia ka ʻōlelo aʻo palekana ikaika loa o ka ʻoihana, i mālama ʻia no nā hopena ʻaoʻao i hiki ke hoʻopau i ka mana, mau loa, a i ʻole pepehi kanaka. Uhi ka ciprofloxacin boxed warning i kekahi mau hopohopo nui āu e ʻike ai ma mua o ka hoʻomaka ʻana i ka lapaʻau.

1. Ka Wawahi ʻana o ke ʻAkaʻi a me Tendinitis

ʻO kekahi o nā pilikia koʻikoʻi i ʻike nui ʻia ʻo ka piʻi ʻana o ka tendency o ka tendinitis (ka pehu ʻana o ke akaʻi) a me ka wawahi ʻana o ke akaʻi (ka haehae ʻana i ke akaʻi). ʻOiai hiki ke hana kēia i kekahi akaʻi, ʻoi aku ka pinepine o ka akaʻi Achilles ma ke kua o kou kuʻekuʻe wāwae kumu.

Nā Hōʻailona e Nānā Ai:

• Ka ʻeha koke, ka pehu, a i ʻole ka ʻeleʻele i kahi akaʻi (e like me ka kuʻekuʻe wāwae, ka poʻohiwi, ka lima, a i ʻole ka kuʻe lima)
• He leo a ʻike paha o ka "paʻi" a i ʻole ka "pīpī" i loko o ka hono
• Ka hiki ʻole ke neʻe i ka hono i hoʻopilikia ʻia a i ʻole ke kaumaha

ʻOi aku ka nui o ka pilikia o ka ciprofloxacin tendon rupture no kekahi mau kānaka, me ka poʻe ma luna o 60, e lawe ana i nā lāʻau corticosteroid (e like me prednisone), a i ʻole i loaʻa ka puʻupaʻa, puʻuwai, a i ʻole ka māmā.

2. Peripheral Neuropathy (Ka Pōʻino o ke Aʻalolo)

Hiki i ka Ciprofloxacin ke hōʻeha i ka peripheral neuropathy—ka pōʻino o nā aʻalolo i kou mau lima, nā lima, nā wāwae, a i ʻole nā ​​wāwae. ʻO ka mea weliweli loa o kēia hopena ʻaoʻao paha ʻo ka hiki ke hana ʻia ka ciprofloxacin nerve damage i kēlā me kēia manawa i ka wā o ka lapaʻau a lilo paha ia i mea mau.

Nā Hōʻailona o ka Pōʻino o ke Aʻalolo e Pū ʻia ʻo:

• Ka ʻeha, ka ʻā, a i ʻole ka ʻūhū ʻana
• Ka nalowale o ka manaʻo a i ʻole ka nawaliwali
• Ka hoʻololi ʻana i ka manaʻo i ka hoʻopā māmā, ka ʻeha, a i ʻole ka mahana

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona pili i ke aʻalolo, pono ʻoe e kāhea koke i kāu kauka. Hiki iā lākou ke aʻo iā ʻoe i ka wā e hoʻōki ai i ka lawe ʻana i ka ciprofloxacin e pale ai i ka pōʻino paʻakikī.

3. Nā Hopena o ka Pūnaehana Ola Koʻikoʻi (CNS)

Hiki i kēia lāʻau antibiotic ke hele i ka pale koko-lolo a hoʻopili i kou pūnaehana nerve koʻikoʻi. Hiki i kēia mau hopena CNS ke ʻano mai ka maʻalahi a hiki i ka koʻikoʻi loa.

Nā Hopena CNS Pono e ʻIke ʻia kumu:

• Ka huikau, ka huikau, a i ʻole ka nalowale o ke ala
• Ka hopohopo, ka huhū, a i ʻole ka makaʻu
• Nā hallucinations a i ʻole ka paranoia
• Ka hopena, a i kekahi manawa, ka manaʻo a hana paha i ka pepehiʻana i kekahi
• Nā hōʻeha a i ʻole nā ​​haʻalulu

Inā ʻoe a i ʻole kekahi mea aloha e ʻike i kekahi mau hoʻololi nui i kou ʻano, ʻano, a i ʻole ke ʻano noʻonoʻo i ka wā e hoʻohana ana i kēia lāʻau, he mea nui ke ʻimi koke i ke kōkua lapaʻau. He mau ciprofloxacin warnings nui kēia ʻaʻole pono e nānānā ʻole ʻia.

4. Ka Hoʻonui ʻia o Myasthenia Gravis

ʻO Myasthenia gravis kahi maʻi maʻi maʻi maʻi mau loa e hoʻonāwaliwali ai nā ʻiʻo. Hiki i nā lāʻau antibiotic fluoroquinolone e like me ciprofloxacin ke hoʻonui i kēia nawaliwali a alakaʻi i nā pilikia hanu koʻikoʻi i nā poʻe maʻi me kēia maʻi. ʻAʻole pono e lawe nā kānaka me ka mōʻaukala o myasthenia gravis i ka ciprofloxacin.

He aha nā hopena ʻaoʻao maʻamau o ciprofloxacin?

ʻOiai he koʻikoʻi ka poʻe i kaʻalo boxed, he mea nui ka ʻike ʻana ʻo ka hapanui o ka poʻe e lawe ana i ka ciprofloxacin e ʻike i nā hopena ʻaoʻao maʻalahi a maʻalahi hoʻi. ʻO nā common ciprofloxacin side effects pili mua i ka ʻōnaehana hoʻoheheʻe.

• ʻO ka ʻōpua ʻeha: ʻO kēia kekahi o nā hoʻopiʻi pinepine loa. ʻO ka lawe ʻana i kāu dosis me ka ʻai (akā ʻaʻole wale me ka waiū—ʻoi aku ma hope!) Hiki ke kōkua i ka hoʻomaha ʻana o kou ʻōpū.
• Ka maʻi ʻākena: Hiki i nā lāʻau antibiotic ke hoʻopilikia i ka bacteria maikaʻi i loko o kou ʻōpū, alakaʻi i nā ʻōpala palupalu. E noho hydrated ma ka inu ʻana i ka wai nui. Inā koʻikoʻi ka maʻi ʻākena, wai, a i ʻole loaʻa ke koko, e kāhea koke i kāu kauka, no ka mea he hōʻailona ia o ka maʻi koʻikoʻi i kapa ʻia ʻo C. diff.
• Ka luaʻi a me ka ʻeha ʻōpū: E like me ka ʻōpua ʻeha, hiki i ka lawe ʻana i ka pahu me ka ʻai ke hoʻemi i kēia mau hōʻailona.
• Ka ʻeha poʻo: Hiki ke ʻeha poʻo māmā. Hiki i nā lāʻau ʻeha ʻole ke kōkua, akā e nīnau i kāu mea kūʻai lāʻau e hōʻoia i ka palekana o ka lawe ʻana me ka ciprofloxacin.
• Ka ʻili ʻili: Hiki ke ʻili ʻili māmā. Eia naʻe, he pilikia lapaʻau ka ʻili ʻili koʻikoʻi me ka ʻōhū a i ʻole ka ʻili.

ʻO kēia mau Cipro side effects pinepine lākou e nalowale ma hope o ka pau ʻana o kāu lapaʻau. Eia naʻe, e hoʻomau mau i ka hoʻomaopopo ʻana i kāu kauka e pili ana i kekahi hopena ʻaoʻao āu e ʻike ai.

Nā Hopena ʻAoʻao Koʻikoʻi ʻē aʻe e Pono ai ka Mālama Lapaʻau Koke

Ma waho aʻe o nā ʻōlelo aʻo boxed, aia kekahi mau serious side effects of ciprofloxacin ʻē aʻe e pono ai ka mālama lapaʻau koke. Inā ʻike ʻoe i kekahi o kēia mau mea, e kāhea i kāu kauka a i ʻole e ʻimi i ke kōkua pilikino koke.

• Nā Hopena Maʻi Koʻikoʻi (Anaphylaxis): Hiki i ka ciprofloxacin allergic reaction ke hoʻopilikia i ke ola. ʻO nā hōʻailona ka ʻōhū, ka pehu ʻana o kou alo, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī, a me ka pilikia o ka hanu ʻana a i ʻole ka ʻai ʻana. Kāhea i ka 911 inā hana kēia.
• Ka Pōʻino o ke Kīpī: ʻOiai he kakaikahi, hiki i ka ciprofloxacin ke hōʻeha i nā pilikia o ke akepau. ʻO nā hōʻailona ka melemele ʻana o ka ʻili a me nā maka (jaundice), ka mimi ʻeleʻele, ka ʻeha ʻōpū koʻikoʻi, a me ka luhi ʻino kumu.
• Nā Hopena ʻIli Koʻikoʻi: E nānā no nā hōʻailona o Stevens-Johnson syndrome a i ʻole toxic epidermal necrolysis, ka mea e hoʻomaka me nā hōʻailona maʻi ʻenua i ukali ʻia e kahi ʻeha ʻeha e laha ana a ʻōhū. He pilikia lapaʻau kēia.
• Nā Hoʻololi Hōʻeha o ka Puʻuwai (QT Prolongation): Hiki i ka Ciprofloxacin ke hōʻeha i kahi pilikia o ka puʻuwai e hiki ai i ka puʻuwai wikiwiki a haʻalulu. ʻO nā hōʻailona ka manaʻo lele i loko o kou umauma, ka pōkole o ka hanu, ka huikau koke, a i ʻole ka hala ʻana.
• Ka Maʻi Clostridioides difficile (C. diff): E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka maʻi ʻākena wai nui, a i ʻole ka maʻi ʻākena me ke koko (ʻo ka hala ʻana o ʻelua mahina ma hope o ka pau ʻana o ka lāʻau antibiotic) hiki ke hōʻailona i kahi maʻi ʻōpū weliweli e pono ai ka lapaʻau.
• Aortic Aneurysm: I kekahi mau hihia, ua pili nā fluoroquinolones i ka piʻi ʻana o ka pilikia o ka aortic aneurysm a i ʻole ka dissection (ka haehae ʻana i ka aʻa nui mai kou puʻuwai). E ʻimi i ke kōkua lapaʻau pilikino no ka ʻeha koke, koʻikoʻi, a mau loa i loko o kou umauma, ʻōpū, a i ʻole ke kua.

Hiki ke hoʻoweliweli ka papa inoa o nā long-term ciprofloxacin side effects, akā ʻo ka ʻike ka ala maikaʻi loa e pale ai iā ʻoe iho. ʻO ka ʻike i ka mea e nānā ai e hiki ai iā ʻoe ke hana wikiwiki inā pilikia.

Nā Pono Hoʻomalu Koʻikoʻi a me nā Pili Pono e ʻIke

No ka hoʻohana pono ʻana i ka ciprofloxacin, pono ʻoe e ʻike i ka pili ʻana o ia me ka lā, nā lāʻau ʻē aʻe, a me kekahi mau meaʻai.

Ka Sensitiviteti i ka Lā (Photosensitivity)

ʻO kekahi pono hoʻomalu nui ka ciprofloxacin and sun sensitivity. Hiki i kēia lāʻau ke hoʻonui i kou ʻili i ka mālamalama UV, alakaʻi i ka ʻā ʻana o ka lā koʻikoʻi. ʻOiai e lawe ana i ka lāʻau a me kekahi mau lā ma hope, pono ʻoe e:

• E pale i ka lā pololei a me nā moe tanning.
• E hoʻohana i ka lāpale pale ākea me ka SPF kiʻekiʻe.
• E hoʻokomo i nā lole pale, me nā lima lōʻihi, nā lole, a me ka pāpale ākea.

Nā Pili Lāʻau o Ciprofloxacin

Hiki i kēia lāʻau antibiotic ke pāʻani me nā lāʻau ʻē aʻe. He mea nui loa e ʻike kāu kauka a me ka mea kūʻai lāʻau i nā mea āpau āu e lawe ai, me nā lāʻau kuhikuhi, nā lāʻau ma luna o ka counter, a me nā mea hoʻohui.

• Tizanidine (Zanaflex): ʻAʻole pono ʻoe e lawe i ka ciprofloxacin me kēia lāʻau hoʻomaha ʻiʻo. Hiki i ka hui ke hoʻohua i ka iho nui o ke koko kumu.
• Nā Antacid, Nā Huaʻi, a me nā Huahana Hōʻolālā Minela: Hiki i nā huahana i loaʻa ka calcium, hao, zinc, magnesium, a i ʻole aluminum ke hoʻopili me ka ciprofloxacin i loko o kou ʻōpū a pale iā ia mai ka lawe ʻia ʻana. No ka pale ʻana i kēia, e lawe i ka ciprofloxacin 2 mau hola ma mua a i ʻole 6 mau hola ma hope o ka lawe ʻana i kēia mau mea hoʻohui.
• Nā Lāʻau ʻē aʻe: E hōʻoia i ka kūkākūkā ʻana i nā ciprofloxacin drug interactions hiki ke kū mai inā lawe ʻoe i nā lāʻau hoʻoheheʻe koko (e like me warfarin), kekahi mau lāʻau maʻi diabetes, theophylline, a i ʻole NSAIDs.

Nā Pili Meaʻai a me ka Inoa

• Nā Huahana Waiū a me ka Calcium: ʻAʻole pono ʻoe e lawe i ka ciprofloxacin me nā huahana waiū (waiū, yogurt) a me ka wai huaʻai i hoʻoikaika ʻia me ka calcium na lākou iho. Eia naʻe, maikaʻi maʻamau ka ʻai ʻana i kēia mau meaʻai ma ke ʻano he ʻāpana o ka ʻai nui ke lawe ʻoe i kāu dosis.
• Caffeine: Hiki i ka Ciprofloxacin ke hoʻolohi i ka haki ʻana o ka caffeine i kou kino, e ʻoi aku ka hopohopo a hoʻonui i kāna mau hopena. Makemake paha ʻoe e hoʻemi i kāu kofe, kī, a me ka soda i ka wā e hoʻohana ana i ka lāʻau.

Ka Pilikia i Nā Pūʻulu Kūikawā

Pono kekahi mau hui e makaʻala hou. ʻOi aku ka nui o nā pilikia e pili ana i ka ciprofloxacin and elderly patients, ʻoi aku hoʻi no ka wawahi ʻana o ke akaʻi a me nā hopena CNS. Pono ka poʻe maʻi maʻi diabetes e nānā pono i ko lākou kō koko, no ka mea hiki i ka lāʻau ke hoʻohua i nā fluctuations nui. ʻAʻole maʻa mau ka ʻōlelo aʻo ʻia ʻo Ciprofloxacin no nā keiki ma muli o ka pilikia o nā pilikia honi.

Panina: Ka Kaulike ʻana i ka Lāʻau Mana me ka Palekana o ka Maʻi

ʻO Ciprofloxacin kahi lāʻau antibiotic pono ia e pāʻani nui i ka mālama ʻana i nā maʻi koʻikoʻi. Eia naʻe, maopopo leʻa ʻo nā ciprofloxacin side effects e hiki ai ke koʻikoʻi a pono e lawe nui ʻia. Mai ka ʻeha ʻōpū maʻamau a hiki i nā long-term ciprofloxacin side effects e like me ka pōʻino i wehewehe ʻia i loko o nā ʻōlelo aʻo a FDA, ʻo ka ʻike ka pale maikaʻi loa.

ʻO ka mea nui loa ka mālama ʻana i ka kamaʻilio wehe me kāu mea mālama ola. E hoʻomaopopo i nā hōʻailona o ka hopena koʻikoʻi, a mai kānalua ʻoe e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe iā lākou. ʻOiai hiki ke maʻalahi kekahi Cipro side effects, ʻo kekahi ʻo nā hōʻailona maopopo o when to stop taking ciprofloxacin a kāhea i kāu kauka.

Mai hoʻōki i kāu ala lapaʻau antibiotic ma mua me ka ʻae ʻole o kāu kauka, no ka mea hiki ke alakaʻi i ka pale ʻana i ka lāʻau antibiotic. Akā inā he mau hopohopo ʻoe a manaʻo paha ʻaʻole maikaʻi kekahi mea, e hilinaʻi i kou naʻauao. Hiki i kahi kūkākūkā me kāu kauka a mea kūʻai lāʻau ke hāʻawi i ka hoʻopaʻa ʻana a me ke alakaʻi āu e pono ai e hoʻopau pono i kāu lapaʻau.