Chii chinonzi Ethambutol: Zvazvinoshandiswa, Mishonga, Mativi eMuviri, nezvimwe

Ethambutol mushonga weantibiotic wakagadzirirwa kurwisa mabhakitiriya eTB (tuberculosis). Inoshanda nekumisa mabhakitiriya aya anokuvadza kubva pakuvaka madziro avo ekudzivirira masero, izvo zvinovaderedza uye zvinobatsira immune system yako kubvisa hutachiona zvakanyanya.

Mushonga uyu unogara uchishandiswa pamwe chete nemimwe mishonga yeTB nekuti mabhakitiriya eTB akanyanya kuoma uye anogona kuita kuramba kumishonga imwe chete. Funga nezvazvo sechikamu chekushanda pamwe chete uko mushonga wega wega unorwisa mabhakitiriya nenzira yakasiyana, zvichiita kuti zviome zvikuru kuti hutachiona hupone.

Chii chinonzi Ethambutol chinoshandiswa?

Ethambutol inonyanya kunyorerwa kurapa zvirwere zveTB zvinoshanda mumapapu ako kana dzimwe nhengo dzemuviri wako. Inoonekwa sechikamu chakakosha chechirongwa chekurapa TB chemazuva ese icho vanachiremba pasi rose vanovimba nacho kuti varape hutachiona hwebhakitiriya hunotyisa.

Chiremba wako angangonyorawo ethambutol kudzivirira TB kubva pakukura kana iwe wakambosangana nemhando dzemabhakitiriya anoramba mishonga. Iyi nzira yekudzivirira yakakosha zvikuru kune vanhu vane immune system yakaderera avo vari panjodzi huru yekukura chirwere cheTB chinoshanda.

Mune zvimwe zviitiko, ethambutol inogona kushandiswa kurapa zvimwe zvirwere zvisiri zveTB mycobacterial, izvo zvinokonzerwa nemabhakitiriya ane hukama neTB asi kwete zvakafanana. Zvirwere izvi zvinogona kukanganisa mapapu ako, lymph nodes, kana dzimwe nhengo, kunyanya kana immune system yako yakakanganiswa.

Ethambutol inoshanda sei?

Ethambutol inoonekwa seantibiotic yakasimba zvine mwero inoshanda nekukanganisa kugona kwemabhakitiriya eTB kuvaka madziro avo masero. Inonyanya kuvharira enzyme inonzi arabinosyl transferase, iyo mabhakitiriya anoda kuvaka chivharo chavo chekudzivirira chekunze.

Kana mabhakitiriya asingakwanisi kuvaka madziro emaseru akakodzera, anova anowanikwa nyore uye anozofa. Maitiro aya anotora nguva, ndosaka kurapwa kweTB kazhinji kuchitora mwedzi yakati wandei. Mushonga haushande husiku humwe, asi unoderedza mabhakitiriya zvishoma nezvishoma kwemavhiki nemwedzi ekushandisa nguva dzose.

Chinonyanya kukosha ethambutol ndechekuti inorwisa mabhakitiriya zvakasiyana nemamwe madhiragi eTB seisoniazid kana rifampin. Iyi nzira yakawanda inodzivirira mabhakitiriya kubva pakuvandudza kuramba uye inovimbisa kubviswa kwakakwana kwehutachiona.

Ndingatora Sei Ethambutol?

Tora ethambutol sezvinorayirwa nachiremba wako, kazhinji kamwe pazuva negirazi remvura izere. Unogona kuitora uine chikafu kana usina, kunyangwe kuitora uine chikafu kungabatsira kuderedza dumbu kana uine kusagadzikana kwemudumbu.

Zvakanakisa kutora mushonga wako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana emushonga muropa rako. Vanhu vazhinji vanoona zvichibatsira kubatanidza kutora mushonga wavo kune tsika yezuva nezuva, senge kudya kwemangwanani kana kukwesha mazino avo, kudzivirira kupotsa mishonga.

Medza mahwendefa ese pasina kuapwanya, kuatsenga, kana kuapwanya. Kana uine dambudziko rekumedza mapiritsi, taura nachiremba wako nezveimwe nzira, asi usachinje mahwendefa wega sezvo izvi zvinogona kukanganisa mashandiro emushonga.

Usambomira kutora ethambutol kamwe kamwe, kunyangwe ukatanga kunzwa zviri nani. Mabhakitiriya eTB anogona kurarama mumuviri wako kwemwedzi, uye kumisa kurapwa kare kunogona kutungamira mukuramba kwemishonga uye kudzoka kwehutachiona.

Ndingatora Ethambutol Kwenguva Yakareba Sei?

Vanhu vazhinji vanotora ethambutol kwemwedzi miviri yekutanga yekurapwa kwavo kweTB, kunyangwe vamwe vachigona kuida kwenguva yakareba zvichienderana nemamiriro avo chaiwo. Kureba kwese kunoenderana nezvinhu zvakaita senharaunda yehutachiona hwako, maitiro ako ekurapa, uye kana uine TB inodzivirira mishonga.

Chiremba wako achatarisa kufambira mberi kwako kuburikidza nekutarisa nguva dzose, bvunzo dzesputum, uye X-rays yechipfuva kuti aone kana zvakachengeteka kumisa mushonga. Bvunzo idzi dzinobatsira kuona kuti mabhakitiriya abviswa zvachose mumuviri wako usati wapedza kurapwa.

Muzviitiko zveTB zvinodzivisa zvinodhaka, unogona kuda kutora ethambutol kwemwedzi mitanhatu kana kupfuura. Kurapa uku kwakawedzerwa kunodiwa nekuti mabhakitiriya anodzivisa akaoma kubvisa uye anoda kurapwa kwakanyanya, kwenguva refu kudzivirira hutachiona kubva pakudzoka.

Ndezvipi Zvakaipa zveEthambutol?

Vanhu vazhinji vanotsungirira ethambutol zvakanaka, asi semishonga yese, inogona kukonzera mhedzisiro. Chinhu chakanyanya kukosha chekutarisa ndiko kuchinja kwekuona kwako, sezvo ichi chiri chimwe chezvinhu zvakanyanya kukosha zvinogona kukonzerwa nemushonga uyu.

Heano mhedzisiro yakajairika yaungasangana nayo paunenge uchitora ethambutol:

• Kusagadzikana mudumbu kana kusvotwa
• Kutemwa nemusoro
• Dizziness
• Kurwadziwa kwemajoini kana kuoma
• Kuvhiringidzika kana kusanzwisisa
• Kuvhiringidzika kweganda kana kukwenya

Izvi zvinowanzoitika zvinowanzoitika zvinyoro uye zvinowanzoita zviri nani sezvo muviri wako uchigadzirisa kumushonga. Zvisinei, usazeze kubata chiremba wako kana vakava vanonetsa kana kuramba.

Mhedzisiro yakanyanya kukosha yekuziva ndeye optic neuritis, iyo inokanganisa kuona kwako. Mamiriro ezvinhu aya anogona kukonzera kuona kusina kujeka, kuoma kuona mavara (kunyanya tsvuku negirinhi), kana nzvimbo dzisina kuona mumunda wako wekuona. Kunyange zvichishamisa, zvichiitika mune vanenge 1-2% yevanhu vanotora ethambutol, zvakakosha kuti utaure chero shanduko dzekuona kuchiremba wako nekukurumidza.

Zvimwe zvakakomba asi zvisingawanzoitiki zvinosanganisira maitiro akakomba ekuita allergic, matambudziko echiropa, uye peripheral neuropathy (kuneta kana kunzwa mumawoko ako netsoka). Chiremba wako achakutarisa nguva dzose kuti abate chero nyaya idzi kare.

Ndiani Asingafaniri Kutora Ethambutol?

Ethambutol haikodzere munhu wese, uye pane mamiriro akati wandei apo chiremba wako angasarudza mushonga wakasiyana. Chinhu chakanyanya kukosha ndechokuti une matambudziko emaziso aripo kana nyaya dzekuona.

Haufaniri kutora ethambutol kana uine allergic kumushonga kana uine optic neuritis. Vanhu vane matambudziko eitsvo vangada kugadzirisa dosi sezvo mushonga uchibviswa nemitsvo, uye kuungana kunogona kuwedzera njodzi yemigumisiro.

Vana vari pasi pemakore gumi nematatu havawanzo gamuchira ethambutol nekuti havangakwanisi kutaura shanduko dzekuona zvinobudirira. Zvisinei, mumamiriro ezvinhu eTB inodzivisa zvinodhaka, vanachiremba dzimwe nguva vanoiraira vana vaduku vaine kutarisisa kwakanyanya.

Kana uri nepamuviri kana kuyamwisa, kurukura njodzi nemabhenefiti nachiremba wako. Kunyange ethambutol ichionekwa seyakachengeteka kupfuura mamwe mishonga yeTB panguva yekuzvitakura, chiremba wako achayera mabhenefiti achipesana nenjodzi ipi zvayo inogona kuitika kwauri nemwana wako.

Mazita eEthambutol Brand

Ethambutol inowanikwa pasi pemazita akati wandei emhando, Myambutol ndiyo inonyanya kuzivikanwa muUnited States. Mamwe mazita emhando anosanganisira Etibi naServambutol, zvichienderana nenzvimbo yako uye mugadziri wemishonga.

Mhando dzakajairika dzeethambutol dzakawanda uye dzinoshanda zvakanyanya semhando dzemhando. Pharmacy yako inogona kutsiva vhezheni yakajairika kunze kwekunge chiremba wako achinyatsokumbira mushonga wemhando.

Zvisinei nekuti ndeipi vhezheni yaunogamuchira, chinhu chinoshanda uye kushanda zvinoramba zvakafanana. Kana uine mibvunzo yekuchinja pakati pemhando uye vhezheni dzakajairika, kurukura izvi nemupharmacist wako kana chiremba.

Zvimwe Zvinhu zveEthambutol

Kana usingakwanisi kutora ethambutol nekuda kwemigumisiro kana zvinopesana, mishonga yakati wandei inogona kushandiswa sechikamu chekurapa kwako TB. Sarudzo inoenderana nezvinhu zvakaita semaitiro ekuramba mishonga, hutano hwako hwese, uye kuti unotsungirira sei mishonga yakasiyana.

Streptomycin imwe nzira inoshandiswa dzimwe nguva, kunyanya muzviitiko uko ethambutol isingakodzeri. Zvisinei, inoda jekiseni uye ine yayo migumisiro inogona kuitika, kusanganisira matambudziko ekunzwa uye nyaya dzezvikwama.

YeTB inodzivisa mishonga, mishonga mitsva yakaita sebedaquiline, delamanid, kana pretomanid inogona kuva sarudzo. Mishonga iyi inowanzo chengeterwa nyaya dzakaoma uko mishonga yakajairika isingashande kana isingakwanisi kushandiswa.

Chiremba wako achashanda pamwe nenyanzvi dzeTB kuti vaone nzira yakanakisisa yekurapa mamiriro ako chaiwo. Chinangwa nguva dzose kuwana musanganiswa wemishonga unonyatso kurapa hutachiona hwako uchideredza migumisiro.

Ko Ethambutol Ari Nani Kudarika Streptomycin?

Ethambutol ne streptomycin zvose zvinoshanda mishonga yeTB, asi zvine zvazvinobatsira nezvazvinokanganisa zvakasiyana. Ethambutol inowanzo fambiswa nekuti inotorwa nemuromo, zvichiita kuti ive nyore zvikuru kurapwa kwenguva refu.

Streptomycin inoda majekiseni ezuva nezuva, ayo anogona kurwadza uye kusagadzikana, kunyanya kurapwa kwemwedzi yakawanda iyo TB inoda. Inotakurawo njodzi yakakwirira yekurasikirwa kwekunzwa uye kukuvadzwa kwezvikwama zvichienzaniswa nekunetsa kukuru kweethambutol kwekuchinja kwechiono.

Zvisinei, streptomycin inogona kusarudzwa mumamiriro ezvinhu chaiwo, sekunge mumwe munhu asingakwanisi kutora ethambutol kana ane TB inodzivisa mishonga inopindura zviri nani ku streptomycin. Chiremba wako achafunga nezvemamiriro ako ega paachasarudza kuti ndeyipi mishonga iri nani kwauri.

Mishonga yese miviri inoshanda zvakaenzana kana ichishandiswa sechikamu chekurapa TB kwakakodzera. Sarudzo pakati pavo inowanzouya pasi pekunyaradza, maitiro emigumisiro, uye mamiriro ako chaiwo ekurapa.

Mibvunzo Inowanzo Bvunzwa Nezve Ethambutol

Q1. Ethambutol Yakachengeteka Kune Vanhu vane Chirwere cheShuga here?

Hongu, ethambutol inowanzo chengeteka kune vanhu vane chirwere cheshuga, asi kuongorora kwakawanda kunogona kudiwa. Chirwere cheshuga chinogona kuwedzera njodzi yako yekuvandudza peripheral neuropathy, uye njodzi iyi inogona kunge yakakwira zvishoma kana uchitora ethambutol.

Chiremba wako achanyatso tarisa chero zviratidzo zvekuneta kana kunzwa mumawoko ako netsoka. Vanogona zvakare kuongorora mazinga eshuga yeropa rako zvakanyanya, sezvo mimwe mishonga yeTB inogona kukanganisa kudzora glucose, kunyangwe ethambutol isingawanzo kukonzera shanduko huru yeshuga yeropa.

Q2. Ndingaita Sei Kana Ndikatora Ethambutol Yakawandisa Netsaona?

Kana netsaona ukatora ethambutol yakawanda kupfuura yakarairwa, taura nachiremba wako kana nzvimbo yekudzora chepfu nekukasira. Kutora zvakanyanya kunogona kuwedzera njodzi yako yematambudziko ekuona nemimwe migumisiro.

Usaedze kugadzirisa overdose nekusvetuka mushonga wako unotevera. Pane kudaro, tevera mirairo yachiremba wako yekudzokera pane yako yenguva dzose yekushandisa. Chengeta zvekuti wakatora mushonga wakawedzerwa riini kuitira kuti upe ruzivo urwu kumupi wako wehutano.

Q3. Ndingaita Sei Kana Ndikarasikirwa nemushonga weEthambutol?

Kana ukakanganwa mushonga weethambutol, tora nekukasira paunorangarira, kunze kwekunge yava nguva yemushonga wako unotevera. Muchiitiko ichocho, svetuka mushonga wakarasika uye uenderere mberi nehurongwa hwako hwenguva dzose.

Usambofa wakatora mishonga miviri panguva imwe chete kuti ugadzirise mushonga wakarasika, sezvo izvi zvinogona kuwedzera njodzi yako yemigumisiro. Kana iwe uchikanganwa mishonga kazhinji, funga kumisa zviyeuchidzo zvefoni kana kushandisa murongi wepiritsi kuti akubatsire kuti urambe uri munzira.

Q4. Ndingamira riini kutora Ethambutol?

Regai kumwa mushonga we ethambutol chete kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Sarudzo iyi inobva pamhinduro yako kumushonga, mhedzisiro yebvunzo inoratidza kuti mabhakitiriya abviswa, uye rudzi rweTB rwaunaro.

Vanhu vazhinji vanogona kumira ethambutol mushure memwedzi miviri yekutanga yekurapa, asi vamwe vangada kuitora kwenguva refu. Chiremba wako achashandisa bvunzo dzemate, maX-ray emapapu, uye kumwe kuongorora kuti aone nguva yakakodzera yekumisa mushonga.

Q5. Ndinganwe Doro Ndiri Kumwa Ethambutol Here?

Zvakanaka kudzivisa doro uchimwa ethambutol nemimwe mishonga yeTB. Doro rinogona kuwedzera njodzi yako yematambudziko echiropa, kunyanya kana rakasanganiswa nemimwe mishonga yeTB yakaita seisoniazid uye rifampin iyo inowanzo torwa pamwe chete ne ethambutol.

Doro rinogonawo kuwedzera mamwe matambudziko akadai sedzungu uye kuvhiringika. Kana ukasarudza kunwa dzimwe nguva, taura izvi nachiremba wako kutanga uye gonesa kunwa kwako kuti uderedze mikana yekudyidzana nematambudziko.