MunaMarch 2013, US Food and Drug Administration yakabudisa nyevero pamusoro pematambudziko emwoyo pamwe nemishonga inorwisa mabhakitiriya azithromycin. Nyevero yakaratidza kuti vamwe vanhu vanogona kuva nehuwandu hwekufa kamwe kamwe pavanotora ichi chirwere, kunyanya vanhu vane mamwe marudzi ezvirwere zvemoyo.
Dhiyabhorosi ye FDA yakatungamirira kuhuwandu hwemashoko ehuwandu, uye hunozivikanwa neZ-Pack (iyo inorayirirwa inofungidzirwa kanokwana mamiriyoni makumi matanhatu pagore), iyo yakaitawo kuti vanhu vakawanda vawedzere kutya uye kuvhunduka pakati pevarwere uye vanachiremba zvakafanana.
Kungoita Njodzi Zvakadini Azithromycin?
Azithromycin inhengo yemhuri inorwisa mabhakitiriya, pamwe ne erythromycin uye clarithromycin. Iyo yakave ichizivikanwa kwenguva refu kuti zvese macrolide antibiotics inokonzera kuwedzerwa kwemukati we QT , chiyero chakaitwa kubva kune electrocardiogram . Uye mune vamwe vanhu-avo vanozvarwa vane maitiro akasiyana kwenguva refu eEVT syndrome , iyo iine maitiro anokonzera kukanganisa kwemwoyo - chinhu chipi nechipi chinoita kuti nguva yeKT iwedzere inogona kuwedzera njodzi yegadziriro inotyisa inonzi ventricular tachycardia .
Zvenguva refu zvekutanga kweTT zvingavewo zvine ngozi kune vanhu vane mamwe marudzi ehutano hwemwoyo, kunyanya kuronta arteri zvirwere nekushaya mwoyo .
Nenzira yakanaka, iyo yakawanda yekutengesa ngozi yakagadzirisa neAitithromycin yakanyanya kuduku - chimwe chinhu chakafanana neyezviuru zviviri.
Azithromycin inobatanidza rurefu rwemishonga inogona kupedzera nguva yeKT, uye iyo inogonawo kuwedzera njodzi yekufa kamwe-kamwe kune vanhu vanogona kuve nekusiyana kwe-long-QT syndrome kana chirwere chemwoyo.
Iyi mishonga, pamwe nemishonga inorwisa mabhakitiriya, inosanganisira mishonga yakasiyana-siyana yemishonga inorwisa mishonga (zvinodhaka izvo, zvinoshamisa, zvinofanira kudzivirira arrhythmias), zvinodhaka zvinodhaka zvinodhaka, uye mishonga yakawanda inoshandiswa pakugadzirisa zviratidzo.
Heino urongwa hwemishonga inowedzera nguva yeKT, yakachengetedzwa neCreditdibleMeds, yunivhesiti-yakagadzirwa uye inobhadharwa neFederation for Education uye Research pamusoro peTherapeutics.
Hapana chikonzero chekufunga kuti azithromycin inonyanya kutyisa kupfuura imwe yemimwe mishonga iri mune urongwa hurefu: kureva, kune vanhu vane mararamiro erefu kwenguva refu eEtT syndrome kana marudzi akasiyana ezvirwere zvemoyo, chero ipi zvayo yemishonga iyi inogona kunge inogona inotyisa. Kune chero ani zvake, zvinodhaka izvi zvinogona kutorwa pasina kunyunyuta pamusoro pemagirthmias anokonzerwa nenguva yakareba-QT.
Maitiro Evanhu Avo Vari Pangozi Inogona Kuzivikanwa
Zvizhinji zvezviratidzo zvezvese zvakave zvichiratidzwa izvo zvinoratidza vazhinji vevanhu vanogadziriswa, uye zvimwe zviratidzo zvakadaro zviri kuwanikwa nguva yose. Chero ani zvake ane rimwe remararamiro aya anofanirwa kuchengetedza azithromycin uye chero mimwe mishonga iri mune urongwa. Zvinosuruvarisa, kuongorora mazita ekuberekesa hakusi nzira yakajairika, uye vanhu vazhinji vane mararamiro akareba-QT havazivi kuti vari pangozi.
Vazhinji vanachiremba nhasi vanodzivisa kushandisa chero ipi zvayo yemishonga iyi yeTT-interval-prolonging kuvanhu vakaziva kwenguva yakareba-QT syndrome, mumhuri dzemhuri yevanhu vane nguva refu-QT, kana kune vanhu vane zviitiko zvisina kufanirwa zvekusungwa kwemoyo kana syncope . Kana pane kusava nechokwadi kwekusiyana kwe-QT, kuongororwa kwepfungwa kunogona kushandiswa sekuongorora kuongorora. (Nguva yeKT inogona kuramba ichiwedzera panguva yekurovedza muviri muvanhu vanogona kutadza.)
Asi kupa huripo huno hutano hwehutano, kunyanya vanachiremba vachapa mishonga yakadai seAzithromycin, kana ichidiwa, kune ani zvake asina chirwere chepfungwa asina ruzivo rwemunhu kana yemhuri yakabatana ne-long-QT syndrome, uye uyo anonzi electrocardiogram yekutanga anowanikwa - zvikurukuru kana (sezvakaitika iwe) mushonga wacho wakatove uchishandiswa kakawanda pasina chiratidzo chechinetso.
Zviri pachena kuti, kunyange zvakadaro, chinhu chakanakisisa chaunofanira kuita ndechekutaura nachiremba wako pamusoro pekuti iwe unokwanisa here kupfuurira kushandiswa kwese nguva yeAzithromycin zvakachengeteka.
> Sources:
> Ray WA, Murray KT, Hall K, et al. Azithromycin uye Njodzi yeCardiovascular Death. N Engl J Med 2012; 366: 1881.
> US Food and Drug Administration. Azithromycin (Zithromax kana Zmax): Drug Safety Communication - Ngozi yePentially Fatal Heart Rhythms. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm343350.htm?source=govdelivery