Yini i-Spiramycin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokuningi

I-Spiramycin iyisibulala-magciwane se-macrolide esilwa nezifo zamagciwane emzimbeni wakho wonke. Lo muthi usebenza ngokumisa amagciwane ayingozi ukuthi angakhuli futhi azale, unikeza amasosha akho omzimba ithuba lokususa lesi sifo ngokwemvelo.

Ungase uthole i-spiramycin ngezindlela ezahlukene kuye ngesimo sakho esithile. Udokotela wakho angayibhala njengamaphilisi omlomo, imijovo, noma ama-suppositories e-rectal ngokusekelwe kulokho okusebenza kahle kakhulu esimweni sakho.

Isetshenziselwani i-Spiramycin?

I-Spiramycin iphatha izifo ezihlukahlukene zamagciwane, ikakhulukazi lezo ezithinta uhlelo lwakho lokuphefumula, isikhumba, nezicubu ezithambile. Ibaluleke kakhulu lapho ezinye izibulala-magciwane ezivamile zingase zingasebenzi kahle esifweni sakho esithile.

Udokotela wakho angase akubhalele i-spiramycin ngezifo zomgudu wokuphefumula njengomkhuhlane wamaphaphu, i-bronchitis, noma izifo ezinzima zomphimbo. Lo muthi futhi usiza ekwelapheni izifo zesikhumba nezicubu ezithambile, okuhlanganisa i-cellulitis nezifo zamanxeba ezingaphendulanga kwezinye izindlela zokwelapha.

Enye yezinto ezibaluleke kakhulu i-spiramycin eyisebenzisela ukwelapha i-toxoplasmosis ngesikhathi sokukhulelwa. Lolu hlobo lwesifo esibangelwa amapharasayithi lungaba yingozi ezinganeni ezisakhula, futhi i-spiramycin inikeza inketho yokwelapha ephephe kakhulu kumama abakhulelwe uma iqhathaniswa neminye imithi.

Ngezinye izikhathi odokotela babhala i-spiramycin ngezifo zamazinyo, ikakhulukazi amacala abucayi ahilela umhlathi noma izicubu eziwuzungezile. Lo muthi futhi ungasiza ekwelapheni izifo ezithile zesisu namathumbu kanye nezifo ezithathelwana ngocansi lapho ukwelashwa okujwayelekile kungafaneleki.

Isebenza Kanjani i-Spiramycin?

I-Spiramycin isebenza ngokugxambukela ekwazi kwamagciwane ukwenza amaprotheni awadingayo ukuze asinde futhi azale. Cabanga ngakho njengokuphazamisa imboni yangaphakathi yamagciwane, ukuwavimbela ukuthi angakhiqizi izingxenye ezibalulekile zokukhula.

Lo muthi wokulwa namagciwane uthathwa njengonamandla amaphakathi, uwela phakathi kwemithi yokulwa namagciwane emnene njenge-amoxicillin kanye nemithi enamandla njenge-vancomycin. Usebenza kahle ikakhulukazi ekulweni namagciwane athile e-gram-positive kanye nezinye izinhlobo ezingavamile ezibangela izifo zokuphefumula.

Lo muthi ugxila kahle ezicutshini zakho, ikakhulukazi emaphashini akho, esikhumbeni, nakwezinye izicubu ezithambile lapho izifo zivame ukwenzeka khona. Lokhu kungena kwezicubu kusiza i-spiramycin ukuthi ifinyelele endaweni yokutheleleka ngempumelelo futhi igcine amazinga okuphulukisa isikhathi eside.

Kufanele Ngiyithathe Kanjani I-Spiramycin?

Thatha i-spiramycin ngendlela eqondile udokotela wakho ayalela ngayo, ulandela imiyalelo ethile yendlela oyikhethile yokuphatha. Isikhathi nendlela kubaluleke kakhulu ukuze umuthi usebenze ngempumelelo ekulweni nesifo sakho.

Uma uthatha amaphilisi e-spiramycin ngomlomo, wagwinye wonke ngengilazi yamanzi egcwele. Ungawathatha la maphilisi ngaphandle noma ngaphandle kokudla, nakuba ukuwathatha ngokudla okulula kungasiza ukunciphisa isisu uma uhlangabezana nanoma yikuphi ukungakhululeki kokugaya ukudla.

Nge-spiramycin ejovwayo, uzothola lo muthi ochwepheshe bezempilo endaweni yezokwelapha. Umjovo uvame ukunikezwa emsipheni noma emthanjeni, kuye ngesimo sakho esithile kanye nobukhulu besifo sakho.

Uma udokotela wakho ekunikeza ama-suppositories e-rectal, geza izandla zakho kahle ngaphambi nangemva kokufaka. Lala ngohlangothi lwakho bese ufaka ngobumnene i-suppository emathunjini akho, uyicindezele cishe intshi eyodwa ngomunwe wakho.

Zama ukuthatha imithamo yakho ngezikhathi ezilinganayo usuku lonke. Lokhu kusiza ukugcina amazinga aqhubekayo omuthi ohlelweni lwakho, okubalulekile ekulweni nesifo ngempumelelo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Spiramycin?

Isikhathi sokwelashwa nge-spiramycin ngokuvamile sisuka ezinsukwini eziyi-7 kuya kweziyi-14 zokwelashwa kwamagciwane amaningi. Udokotela wakho uzoqoka isikhathi esiqondile ngokuya ngesimo sakho, ubunzima bokutheleleka kwakho, nokuthi usabela kanjani ekwelashweni.

Ezifweni zomgudu wokuphefumula, ngokuvamile uzothatha i-spiramycin izinsuku eziyi-10 kuya kweziyi-14. Izifo zesikhumba nezicubu ezithambile zingase zidinge izinsuku eziyi-7 kuya kweziyi-10 zokwelashwa, kuyilapho izifo ezinzima noma eziyinkimbinkimbi zingadinga izifundo ezinde.

Ukwelashwa kwe-Toxoplasmosis ngesikhathi sokukhulelwa kuvame ukudinga ukwelashwa okweluliwe, ngezinye izikhathi okuthatha amasonto amaningana noma izinyanga. Udokotela wakho uzokuqapha eduze kulo lonke leli thuba lokwelashwa elandisiwe ukuze aqinisekise ukuphepha kwakho kanye nenhlalakahle yengane yakho.

Ungalokothi uyeke ukuthatha i-spiramycin ngaphambi kwesikhathi, noma ngabe uqala ukuzizwa ungcono ngemva kwezinsuku ezimbalwa. Ukuyeka ama-antibiotics ngaphambi kwesikhathi kungaholela ekutheni ukutheleleka kubuye kube namandla kunakuqala, okungenzeka kudingeke ukwelashwa okujulile.

Yiziphi Imiphumela Eceleni ye-Spiramycin?

Njengayo yonke imithi, i-spiramycin ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi imnene futhi yesikhashana, inyamalala uma umzimba wakho uzivumelanisa nomuthi noma uma uqeda inkambo yakho yokwelashwa.

Imiphumela emibi evamile ongase uyithole ihlanganisa ukuphazamiseka kwesisu okuncane, isicanucanu, noma izitulo ezixekile. Lezi zimpawu zokugaya ngokuvamile zithuthuka uma uthatha umuthi nokudla noma zenzeka kaningi njengoba ukwelashwa kwakho kuqhubeka.

Nansi imiphumela emibi ebikwa kaningi engadingi ukunakekelwa kwezempilo ngokushesha:

• Isicanucanu esincane noma ukuphatheka kabi kwesisu
• Izitulo ezixekile noma isifo sohudo esincane
• Ukulahlekelwa isifiso sokudla okwesikhashana
• Ikhanda elincane
• Isiyezi esincane

Le miphumela evamile ngokuvamile iyazixazulula yona phakathi kwezinsuku ezimbalwa njengoba umzimba wakho uzivumelanisa nomuthi.

Imiphumela emibi ekhathazayo idinga ukunakekelwa kwezokwelapha ngokushesha, yize ivela kaningi. Xhumana nodokotela wakho uma uhlangabezana nobuhlungu obukhulu besisu, ukuhlanza okuqhubekayo, noma izimpawu zokungezwani komzimba.

Qaphela le miphumela emibi engathi sína edinga ukuhlolwa kwezokwelapha ngokushesha:

• Ukuqunjelwa okukhulu ngegazi noma amafinyila
• Ukugcwala okukhulu kwesisu
• Ukuqubuka kwesikhumba noma imihuzuko
• Ukuphefumula noma ukugwinya kanzima
• Ukuvuvukala kobuso bakho, izindebe, noma ulimi
• Ukushaya kwenhliziyo okungajwayelekile

Uma uqaphela noma yiziphi zalezi zimpawu ezingathi sína, yeka ukuthatha i-spiramycin futhi ufune usizo lwezokwelapha ngokushesha.

Ngokuvamile, i-spiramycin ingabangela izinkinga ezingathi sína ezinjengezinkinga zesibindi noma izinguquko ezingathi sína zesigqi senhliziyo. Udokotela wakho uzokuqapha ngale miphumela engavamile kodwa engaba yingozi, ikakhulukazi ngesikhathi sokwelashwa eside.

Ubani Ongafanele Athathwe I-Spiramycin?

I-Spiramycin ayifanele wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zidinga ukucatshangelwa okukhethekile ngaphambi kokuqala lo muthi. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ukuze aqinisekise ukuthi i-spiramycin iphephile kuwe.

Kufanele ugweme i-spiramycin uma uke waba nokungezwani komzimba kulo muthi noma amanye ama-antibiotics e-macrolide afana ne-erythromycin, i-clarithromycin, noma i-azithromycin. Ngisho nokusabela okuncane kwangaphambilini kungaba kubi kakhulu ngokuvezwa okuphindaphindiwe.

Abantu abanezifo zesibindi ezingathi sína badinga ukuqapha okukhethekile nge-spiramycin, njengoba umuthi usetshenzwa ngesibindi. Udokotela wakho angase akhethe i-antibiotic enye noma alungise umthamo wakho uma unezinkinga ezinkulu zesibindi.

Uma unezinkinga zesigqi senhliziyo, ikakhulukazi isimo esibizwa ngokuthi i-QT prolongation, udokotela wakho uzohlola ngokucophelela izinzuzo nezingozi ze-spiramycin. Lo muthi ungenza buthaka izifo ezithile zesigqi senhliziyo.

Xoxa nodokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwemvume kadokotela kanye nezithasiselo. I-Spiramycin ingase isebenzisane nemithi yokunciphisa igazi, imithi ethile yenhliziyo, kanye neminye imithi elwa namagciwane, okungenzeka idale imiphumela eyingozi.

Amagama Omkhiqizo we-Spiramycin

I-Spiramycin itholakala ngaphansi kwamagama amaningi omkhiqizo emhlabeni wonke, nakuba ukutholakala kwayo kuhluka ngokuya ngezwe nesifunda. Igama lomkhiqizo elivamile yi-Rovamycine, etholakala kabanzi emazweni amaningi.

Amanye amagama omkhiqizo ahlanganisa i-Selectomycin ne-Spiramycine, kuye ngomkhiqizi nendawo ohlala kuyo. Ezinye izindawo zingase zibe namanye amagama omkhiqizo noma izinguqulo ezivamile ezitholakala ngohlelo lwazo lwezempilo.

Usokhemisi wakho angakusiza ukuthi uthole umkhiqizo othile noma inguqulo evamile etholakala endaweni yakho. Isithako esisebenzayo sihlala sifana kungakhathaliseki igama lomkhiqizo, ngakho ukusebenza kahle kufanele kube okulinganayo kubakhiqizi abahlukene.

Ezinye izindlela ze-Spiramycin

Imithi elwa namagciwane eminingi enye ingelapha izifo ezifanayo uma i-spiramycin ingakulungele. Udokotela wakho uzokhetha enye indlela engcono kakhulu ngokusekelwe esifweni sakho esithile, umlando wakho wezokwelapha, kanye nanoma yikuphi ukungezwani kwemithi ongase ube nakho.

Eminye imithi elwa namagciwane ye-macrolide efana ne-azithromycin, i-clarithromycin, noma i-erythromycin ingavame ukushintsha i-spiramycin ekwelapheni izifo zokuphefumula nezesikhumba. Le mithi isebenza ngendlela efanayo kodwa ingase ibe nemiphumela ehlukene noma amashejuli okulinganisa.

Ezifweni ezinzima, udokotela wakho angase ancome imithi elwa namagciwane eqinile efana ne-amoxicillin-clavulanate, i-cephalexin, noma i-fluoroquinolones. Lezi ezinye izindlela zingase zifaneleke kakhulu uma isifo sakho sibangelwa amagciwane angasabeli kahle kuma-macrolides.

Ukukhetha okunye kuncike kakhulu emabhaktheriya athile abangela ukutheleleka kwakho kanye nemiphumela yanoma yiziphi izivivinyo zamasiko udokotela wakho azenzile. Okusebenza kahle kumuntu oyedwa kungase kungabi kuhle komunye, ngisho nangohlobo olufanayo lokutheleleka.

Ingabe i-Spiramycin ingcono kune-Azithromycin?

Kokubili i-spiramycin ne-azithromycin ziyizibulala-magciwane ze-macrolide ezisebenzayo, kodwa zinamandla ahlukene nezicelo. Akukho noyedwa ongcono kunomunye - ukukhetha kuncike ekuthelelekeni kwakho okuthile kanye nezimo zomuntu ngamunye.

I-Spiramycin inikeza izinzuzo ekwelapheni izifo ezithile zokuphefumula futhi ibaluleke kakhulu ku-toxoplasmosis ngesikhathi sokukhulelwa. Ivame ukugxila kahle ezicutshini zamaphaphu futhi ingasebenza kahle kakhulu kumabhaktheriya athile angajwayelekile abangela umshiso wamaphaphu.

I-Azithromycin, ngakolunye uhlangothi, ivame ukukhethwa ngenxa yeshejuli yayo elula yokulinganisa kanye nokutholakala okubanzi. Ivame ukunqunywa njenge-Z-pack enezinsuku ezinhlanu nje zokwelashwa, okwenza kube lula ezigulini ukuqeda inkambo yazo ephelele.

Udokotela wakho uzocabangela izinto ezinjengamabhaktheriya athile abangela ukutheleleka kwakho, umlando wakho wezokwelapha, nanoma yikuphi ukwelashwa kwangaphambilini ngama-antibiotic lapho ekhetha phakathi kwalawo machiza. Zombili zingaba izinqumo ezinhle uma zisetshenziswa ngendlela efanele ezimweni ezifanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Spiramycin

Q1. Ingabe i-Spiramycin iphephile ngesikhathi sokukhulelwa?

I-Spiramycin ngokuvamile ithathwa njengephephile ngesikhathi sokukhulelwa futhi empeleni iyindlela yokwelapha ekhethwayo ye-toxoplasmosis kubantu besifazane abakhulelwe. Ngokungafani nama-antibiotic amaningi, i-spiramycin ineprofayili ephephile yomama nengane ekhulayo.

Udokotela wakho uzokuqapha ngokucophelela ngesikhathi sokwelashwa ukuze aqinisekise ukuthi wena nengane yakho nihlala ninempilo. Umuthi ngokuvamile awuweli ngaphesheya kwe-placenta ngamanani amakhulu, okusiza ukuvikela ingane yakho ekhulayo emiphumeleni engaba khona.

Umbuzo 2. Kufanele Ngenzeni Uma Ngisebenzisa I-Spiramycin Eningi Ngengozi?

Uma ngengozi uthatha i-spiramycin eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Nakuba ukweqisa okukhulu kungavamile, ukuthatha okuningi kungakhuphula ingozi yakho yemiphumela engemihle efana nesicanucanu esibi, ukuhlanza, noma izinkinga zesigqi senhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ochwepheshe bezokwelapha. Kunalokho, phuza amanzi futhi ufune iseluleko sezokwelapha ngokushesha ukuze unqume ukuthi ngabe kukhona yini okunye ukwelashwa okudingekayo.

Umbuzo 3. Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Spiramycin?

Thatha umthamo owuphuthelwe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Uma kusele amahora angaphansi kwangu-4 ngaphambi komthamo wakho olandelayo, weqa umthamo owuphuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe umthamo ophindwe kabili ukuze ulungise lowo owuphuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela engemihle. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqeni.

Umbuzo 4. Ngingayeka Nini Ukuthatha I-Spiramycin?

Yeka kuphela ukuthatha i-spiramycin uma udokotela wakho ekutshela ukuthi wenze njalo, ngisho noma uzizwa ungcono ngokuphelele. Ukuqeda inkambo ephelele yama-antibiotics kubalulekile ukuqinisekisa ukuthi ukutheleleka kuqedwe ngokuphelele futhi kuvimbele ukuthi kungabuyi.

Ukwenza ngaphambi kwesikhathi kungaholela ekumelaneni nama-antibiotics, okwenza ukutheleleka okuzayo kube nzima ukukwelapha. Uma uhlangabezana nemiphumela engemihle emibi, xhumana nodokotela wakho ukuze uxoxe ngezindlela ezingezinye kunokuyeka wedwa.

Umbuzo 5. Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Spiramycin?

Ngenkathi i-spiramycin ingenayo ukusebenzisana okuqondile notshwala njengama-antibiotics athile, ngokuvamile kungcono ukugwema ukuphuza ngenkathi ulwa nokutheleleka. Utshwala bunganciphisa amasosha akho omzimba futhi bungase buqhubekise imiphumela engemihle efana nesicanucanu noma isiyezi.

Uma ukhetha ukuphuza ngezikhathi ezithile, zinciphise ezingxenyeni ezincane futhi unake indlela ozizwa ngayo. Yeka ukuphuza ngokushesha uma uqaphela ukwanda kwemiphumela emibi noma uzizwa ungazizwa kahle.