Mishonga inorwisa mabhakitiriya inopa mishonga inoponesa upenyu, uye varwere vakawanda vane utachiona vachawana zvirwere zvebhakitiriya munzira kana chirwere chechi sinus, zvirwere zvekuvhota, kana zvimwe zvirwere zvinowanikwa uye inorayirwa mishonga inorwisa mabhakitiriya. Ichi chinyorwa chinotarisa zvinhu zvinokosha kuti uzive nezvekubatana pakati pe fluoroquinolone mishonga inorwisa mabhakitiriya sePipro uye inogona kugarisana nemishonga yako yehutachiona uye kurapwa.
Iko kune anopfuura zana remishonga inorwisa mabhakitiriya, asi akawanda anouya kubva kune mashoma mashoma chaiwo. Mishonga yakawanda inorwisa mabhakitiriya ine mazita maviri - zita rezita (rinozivikanwawo sezita rezvokutengeserana) uye zita rinowanzobva pamishonga inorwisa mabhakitiriya emakirasi / chimiro.
Mazana makuru emishonga inorwisa mishonga inorongwa pano. Nekutaura, mazita echirwere akadzidzirwa, uye mazita ezvinyorwa ari muzasi.
- Aminoglycosides - Garamycin (gentamicin) uye Tobrex (tobramycin)
- Cephalosporins - Keflex (cephalexin)
- Macrolides - E-Mycin (erythromycin), Biaxin (clarithromycin), Zithromax (azithromycin)
- Penicillins - amoxicillin uye penicillin
- Sulfonamides - Bactrim (co-trimoxazole) uye Proloprim (trimethoprim)
- Tetracyclines - Sumycin (tetracycline) uye Vibramycin (doxycycline)
- Fluoroquinolones - Cipro (ciprofloxacin) , Levaquin (levofloxacin), Floxin (ofloxacin)
Mishonga inorwisa mabhakitiriya uye Thyroid yako Mishonga
Fluoroquinolone antibiotics inowanzotarisirwa kuvhara zvirwere, urwere, uye zvirwere zvepabonde.
Cipro (ciprofloxacin) yakanga iriwo munhau munguva yakapfuura panguva yechirwere cheanthrax , iyo yakashandiswa mukurapa kwekutsvaira anthrax.
Chii Chine Utachiona Vatinofanira Kuziva
Yakawanda inonzi fluoroquinolone antibiotic ciprofloxacin - mazita emagetsi anosanganisira Cipro, Proquin, Ciproxin, Ciprobay, Cirpoxine, uye Ciflox - yakaratidzwa kuti inoderedza kunyanya kushandiswa kwe levothyroxine, iyo inowanzoita utachiona hwemishonga inoshandiswa mishonga (inozivikanwa nemazita emazita akafanana neSyroid, Levoxyl, uye Tirosint .)
Kunyange zvazvo tsvakurudzo isinganzwisisiki, dzimwe nyanzvi dzinofunga kuti mamwe mishonga inorwisa mabhakitiriya - kusanganisira Levaquin (levofloxacin), Maxiquin (lomefloxacin), Avelox (moxifloxacin), Norox-In (norfloxacin) uye Floxin (ofloxacin) - inogonawo kukonzera kuderedzwa kwe levothyroxine
Chii chinoitika nemishonga inorwisa mabhakitiriya ndeyokuti vanogona kuva nemigumisiro yakawanda:
- Zvinogona kunge zvichideredza kupinza kwako kweLevothyroxine uri kuitora, zvichiita kuti kuwedzera kwehutachiona hwehutachiona hwehutano muropa rako
- Zvinogona kuwedzera mukana wako uyo muviri wako unogadzirisa uye unobvisa levothyroxine, zvakare zvichiita kuti kuwedzera kwehutachiona hwehutachiona hwehutachiona muropa rako
- Vanogona kuchinja nzira iyo levothyroxine inosunga kune mapuroteni muropa rako uye inowanikwa, inokanganisa utachiona hwako pamwe chete.
British Medical Journal Findings
Bhuku rinonzi British Medical Journal rakashuma nezvezviitiko zvakasiyana-siyana zvevasina kutsanangurwa hypothyroidism muzvirwere zvetroji (pane levothyroxine ) vaitora ciprofloxacin.
Vatsvakurudzi vakaona kuti muromo ciprofloxacin unobatanidza nevothyroxine (kureva, Synthroid, Levoxyl) kana akabatanidzwa pamwechete.
Mune imwe nyaya yakadzidza, mukadzi anotora 125 mcg pazuva re levothyroxine akatora ciprofloxacin (750 mg kaviri pazuva) uye tishini yake TSH yakasimuka kusvika makumi mana nemashure mana.
Kunyangwe apo muyero wake wakakwirirwa kusvika 200 mcg pazuva, TSH yake haina kupindura. Chero apo ciprofloxacin yakamira iyo TSH yakadzokera kune yakajairika.
Mune imwe nyaya, mumwe mukadzi akasimudzirwa pamamiriyoni 150 pazuva reLevothyroxine akamuona TSH achibva kubva pa6 kusvika ku19 mushure memasvondo matatu ekurapa ne ciprofloxacin pa 500 mg kaviri pazuva.
Chii Chaungaita?
Kana iwe uri murwere wehutachiona uri kutora ciprofloxacin, unofanira kuitei?
Chokutanga, zvakakosha kuziva kuti kunyange zvazvo nyevero iyi ichinyorwa mumashoko ako emishonga inyore, chiremba wako kana mhizha haatauri kufunga kana kutaura nezvekugona kusangana nemishonga yako yehutachiona paunenge uchiraira kana kuparadzira ma antibiotic.
Iwe unogonawo kuenda kune imwe nzvimbo yekufamba-in kana "Minute Clinic", uye inorayirwa ma antibiotic aya, pasina kuongororwa kwakakwana kwezvingaita zvekubatana nemishonga yako iripo.
Chechipiri, apo chiremba ari kutsanangura mishonga iyi, unofanira kutaura kuti uri kutora levothyroxine, uye bvunza nezve antibiotic isiri mumhuri ye fluoroquinolone. Mune dzimwe nguva, imwe yemamwe maantibayoti inogona kurongerwa.
Chechitatu, kana iwe uchida kutora mishonga iyi inorwisa mabhakitiriya, tsvakurudzo yakaratidza kuti utachiona hunongororwa kana varwere vachitora levothyroxine uye ciprofloxacin kwemaawa matanhatu kunze . Saka, kana uri pane levothyroxine, zvinonzwisisika kubvumira kwemaawa matanhatu pasina kutora ciprofloxacin yako. Uye kana iwe uchifanira kutora antibiotic kwenguva yakareba, iwe unofanirwa kukurukura zvinogona kuitika pane utachiona hwako nachiremba wako, uye kukumbira nguva yekuongorora utachiona kuti uone kuti utachiona hwehutachiona hauhutambudziki.
Zvimwe Zvokufunganya
Zvinofadza kuti pane zvakare mhemberero dzeanecdotal dzekushata kwakaipa kune dzimwe zvirwere zvinonzi anti-fluoroquinolone. IA FDA yakawedzera " Warayiti yeBlack Box " pamusoro pe fluoroquinolones yakakonzerwa nehuwandu hwehutachiona hutsika kana uchitora mishonga.
> Kwakabva:
> Cooper, John, "Ciprofloxacin inobatanidza nehutano hwekushandura therapy," British Medical Journal , 2005; 330: 1002 (30 April), Online