Uburyo bumwe bwo kwemera kugura azithromycin kuri internet muri Amerika ni ukugira urupapuro rw’umuganga, kandi ubuvuzi bwo kuri internet bushobora kubikora mu munsi. Azithromycin ("Z-Pak") ni imiti yica udukoko, bityo na farumasi yemewe ntishobora kuyigurisha idafite urupapuro rw’umuganga, kandi ntabwo ari cyo gikoreshwa mu ngorane nyinshi zo kwitsamura no gukonja, kuko ari virusi. Mu gihe gikwiye, nk’uburwayi bwa klamidiya ndetse no kwiyahura kwa bamwe bateka imwe, gusura umuganga kuri internet ku mafaranga 39 bishobora kugusuzuma no kohereza urupapuro rw’umuganga kuri farumasi yawe mu munsi.

KWIFUZI

  • Azithromycin muri Amerika isaba urupapuro rw’umuganga; imbuga zitazibaza zidakurikiza amategeko kandi zishobora kohereza ibihimbano.

  • Ntabwo ivura byose: kwitsamura, gukonja, n’ibicurane byinshi biterwa na virusi kandi ntibizakize n’iyi miti.

  • Koresha neza ubuvuzi bwo kuri internet harimo kuvura klamidiya no kwiyahura kwa bamwe bateka imwe.

  • Ishobora kugira ingaruka ku guhonda k’umutima (QT prolongation), bityo gusuzumwa ni ngombwa kuri bamwe.

  • Kugura $39 kuri internet bishobora gutanga urupapuro rw’umuganga mu munsi igihe ariyo miti ikwiye.

Impamvu udashobora kugura azithromycin kuri internet nta rupapuro rw’umuganga

Itegeko ni kimwe ku miti yose yica udukoko, kandi ririnda umuti nawe. Imitsi yica udukoko ikoreshwa ku kibazo cy’ibinyoma, cyangwa kenshi kenshi, itera udukoko twihanganira imiti, ni cyo gituma Amerika itagurisha imiti yica udukoko ku baturage, nk’uko CDC ibivuga. Azithromycin yongera impamvu ihambaye: ishobora kurambura QT interval, ingaruka ku guhonda k’umutima bikomeye ku bantu bafite ibibazo bimwe by’umutima cyangwa bafata imiti ivanga, bityo gusuzumwa n’umuganga ntibikwiye kuba ubusa. Ni cyo gisubizo cy’ukuri kuri ibyo bashaka kugura azithromycin kuri internet nta rupapuro: izo mbuga ni farumasi zitujuje ibyangombwa, kandi gahunda ya FDA yo BeSafeRx isobanura uko zibona zitanga imiti ihimbano cyangwa idahagije. Inzira yemewe irihuta rwose, ibyo bituma inzira y’ubwoba idafite akamaro.

Ibyo azithromycin ivura rwose (nubwo itavura ibindi)

Kumenya urwego rw’ikibazo bibuza urupapuro rw’umuganga rudafite akamaro. Azithromycin ni igikoresho gikomeye ku burwayi bwihariye: ni umuti wa mbere ku burwayi bwa klamidiya mu bihe byinshi nk’uko ibiyoboro byo CDC STI bibivuga, ni amahitamo asanzwe ku kwiyahura kwa bamwe bateka imwe (cyane cyane kwiyahura gutera udukoko mu turere dushyirwamo), kandi ni amahitamo ku ndwara zimwe na zimwe zo mu bihumekero, amatwi, n’uruhu, akenshi ku bantu bafite uburwayi bwa penicilin. Ntabwo ari umuti w’ibicurane bisanzwe, ibicurane byinshi, bronchit nyinshi, cyangwa grippe, byose bikunze guterwa na virusi, aho azithromycin ntacyo itanga uretse kwongera ingaruka n’ubwigenge. Kugura "Z-Pak ku kwitsamura kose" ni ugukoresha nabi cyane ibyo ubuyobozi busabira, bityo gusura umuganga rimwe na rimwe birasoreza ko utabikeneye.

Ibyo ubuvuzi bwo kuri internet bukoresha cyane, mu magambo make

Kuko ibi ari byo bitera ibisabwa byinshi byemewe, hano hari ishusho yabyo buri kimwe. Klamidiya: azithromycin (cyangwa ikindi nka doksisikilini, bitewe n’inama za none n’ikibazo cyawe) ibavura neza, kandi ubuvuzi bwo kuri internet bubikora neza, butegura ibizamini no gutanga urupapuro rw’umuganga mu ibanga; inyigisho zacu zo [kwirinda klamidiya utagiye kwa muganga](internal: how-to-cure-chlamydia-without-going-to-the-doctor) zishyira mu gaciro inzira yose, harimo ibikorwa by’ingenzi byo kuvura abafatanyabikorwa no gusubira mu bizamini. Kwiyahura kwa bamwe bateka imwe: kugirira ingendo mu turere kwiyahura gutera udukoko kuko, umuganga ashobora gutanga urupapuro rw’umuganga rushobora kwifashishwa, ukoreshwa gusa niba ufite ibimenyetso byo kwemeza, ntabwo buri ndya ihungabana. Impamvu zombi ni izo urupapuro rw’umuganga mu munsi rubafasha rwose, kandi niho gusura umuganga biza.

Uko wabona azithromycin yanditswe kuri internet mu ntambwe 3

Inzira yemewe irihuta. Intambwe ya mbere, usobanura ikibazo cyawe kuri August, umufasha wa AI wa mudasobwa, kugira ngo wemeze ko gusura umuganga bikwiye mbere yo kwishyura na gato. Intambwe ya kabiri, wemeze gusura umuganga ku mafaranga 39 yihariye [→ /telehealth/chlamydia-treatment ubuzima bw’ubwoko bw’indwara zandurira mu mibonano, cyangwa ubuvuzi bwihutirwa kuri internet kugira ngo utegure ingendo], aho umuganga wemewe muri Amerika asuzuma ibimenyetso byawe cyangwa kwandura cyangwa gahunda y’urugendo rwawe, amateka yawe y’umutima n’imiti (kugira ngo hagenzurwe QT), n’uburwayi bwawe. Intambwe ya gatatu, niba azithromycin, cyangwa imiti yica udukoko iruta iyindi, ikwiye, urupapuro rw’umuganga rugera kuri farumasi yawe mu munsi. Gusura umuganga ntibihamya urupapuro rw’umuganga; aho wagura azithromycin birahagarara kwibazwa igihe urupapuro rw’umuganga rwemewe ruba rurimo ku farumasi yawe isanzwe, kandi niba imiti yica udukoko itari ngombwa, uzabwirwa ibindi bifasha.

Inzira yo kwita ku guhonda k’umutima igomba kumenywa

Ni iryo kimenyetso cy’umutekano gitandukanya azithromycin n’umuti wahozeho. Azithromycin ishobora kurambura QT interval, kandi rimwe na rimwe bitera indwara zikomeye z’umutima, akaga gakomeye ku bantu bafite QT prolongation iriho, ibibazo bimwe by’umutima, kalisiyumu nke cyangwa magnesium, cyangwa abafata indi miti irambura QT, ibyo FDA [kwemeza: link QT communication] yabitangajeho. Kubantu benshi beza kwifashisha igihe gito ni akaga gato, ni cyo gituma ikoreshwa cyane, ariko ni cyo gituma umuganga abaza ku mutima wawe n’urwandiko rw’imiti aho kurihereza ahubwo. Gerageza kwirinda guhonda k’umutima, kwegura, cyangwa kuzungera bikomeye mugihe cy’ivuriro, kandi wizeye ko umuganga wese azi urwandiko rwose rw’imiti yawe.

IBIBAZWA KENSKIBAZWA

Aho nagura azithromycin mu buryo bwemewe?
Muri farumasi iyo ari yo yose yo muri Amerika, ufite urupapuro rw’umuganga. Nta hantu hagurishirizwa ku baturage cyangwa nta rupapuro rw’umuganga muri Amerika, kandi imbuga zibizana nta rupapuro rw’umuganga ntizujuje ibyangombwa. Gusura umuganga kuri internet bikuguza urupapuro rw’umuganga rw’ukuri mu munsi igihe azithromycin ikwiye.

Nshobora kugura azithromycin kuri internet ntarebye umuntu?
Ntabwo mu buryo bwemewe cyangwa mu buryo bw’umutekano; umuganga wemewe agomba kugusuzuma, kimwe no gusuzuma ingaruka ku mutima n’uburwayi bwawe. Ubuvuzi bwo kuri internet burahindura gusura umuntu, ariko si umuganga. Imbuga zivuga imiti nta muganga zikora mu gice cy’amategeko.

Ese Z-Pak irakwiriye gusohora cyangwa gukonja?
Akenshi ntabwo; kwitsamura, gukonja, n’ibicurane byinshi bikunze guterwa na virusi, kandi azithromycin ntigira icyo ikora ku virusi mugihe yongera ingaruka n’ubwigenge. Umuganga ashobora kumenya niba indwara yawe ari iy’udukoko ishobora kwemera.

Nshobora kubona azithromycin kuri internet kugira ngo mvure klamidiya?
Yego, iki ni ikoreshwa risanzwe kandi rikwiriye ry’ubuvuzi bwo kuri internet. Umuganga ashobora gutegura ibizamini no gutanga imiti mu ibanga, akurikije inama za STI za none (zisaba azithromycin cyangwa ikindi). Kuvura abafatanyabikorwa no gusubira mu bizamini ni ibice by’ingenzi byo kwirinda.

Nshobora kubyihutisha?
Mu munsi ni ibisanzwe igihe bikwiye: amasegonda ku kumenya kwa mudasobwa, amasaha yo gusura umuganga ku mafaranga 39, hanyuma urupapuro rw’umuganga rw’ikoranabuhanga kuri farumasi yawe. Ububiko bwa farumasi yawe n’amasaha bikwiye bikwiye gutanga igihe cyo kwakira.

Ese azithromycin ni nziza ku mutima wanjye?
Kubantu benshi beza, igihe gito ni akaga gato, ni cyo gituma ikoreshwa cyane. Inzira irakomeye kubafite ibibazo bimwe by’umutima, ibibazo bya electrolyte, cyangwa imiti ivanga, ni cyo gituma umuganga asuzuma. Vuga amateka yawe yose.

Nyakubahwa njya hanze gufata azithromycin ku kwiyahura kwa bamwe bateka imwe?
Rimwe na rimwe; kugirira uturere bimwe umuganga ashobora gutanga urupapuro rw’umuganga rushobora kwifashishwa, rukoreshwa gusa niba ibimenyetso byo kwemeza bibonetse. Kwiyahura gato kubikeneye amazi na loperamid, kandi kwiyahura kw’amaraso cyangwa ibicurane bikomeye bikenera kwita ku buvuzi, bityo gahunda y’urugendo rwawe n’ubuzima bikwiriye gutanga igisubizo.

Nshobora gukoresha azithromycin yasigaye mbere?
Oya. Umubare w’icyarimo ushobora kuba utuzuye, imiti yica udukoko ikwiriye irashobora kuba itandukanye, kandi kwivura ubwawe biratesha gusuzuma ingaruka ku mutima n’ubuvuzi. Ibibazo by’ubushya bikenera gusuzumwa, kandi ubuvuzi bwo kuri internet burabukora.