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Yini iZ-Pak?

Imininingwane Yezidakamizwa

Ukucindezelwa kwesinus? Hlola. Ikhanda elibuhlungu? Hlola. Ama-lymph node akhulisiwe? Hlola. Z-Pak? Hlola.

Uma une-bacterial infection, udokotela wakho angakunika iZ-Pak. I-Z-Pak iyimithi elwa namagciwane evamise ukubekelwa ukutheleleka kwamagciwane, njengokungenwa yisinus, iso elibomvana, noma i-tonsillitis — hhayi ukutheleleka ngegciwane.

Yini iZ-Pak?

I-Z-Pak yigama lomkhiqizo lenkambo yezinsuku ezinhlanu ye-azithromycin yama-antibiotic elapha ukutheleleka kwamagciwane ngokumisa ukukhula kwamagciwane emzimbeni wakho.Isetshenziselwa ukutheleleka okuhlukahlukene kubandakanya i-pneumonia, ukutheleleka nge-sinus, kanye nokutheleleka ezindlebeni, isibonelo, kuchaza U-Amesh Adalja , MD, udokotela wezifo ezithathelwanayo oqinisekiswe yibhodi.

Lo muthi kadokotela wenziwa yiBOC Sciences, iSun Pharmaceuticals, iSandoz, Alembic, nePfizer, phakathi kwezinye izinkampani ezinkulu zemithi. Imikhiqizo ejwayelekile ye-azithromycin ifaka phakathi I-Zithromax Z-Pak kanye ne- I-Zithromax TRI-PAK . I-Azithromycin iyatholakala futhi njengethonsi leso, elibizwa nge-AzaSite.

I-azithromycin ejwayelekile ingabiza cishe ama- $ 37 ngaphandle komshwalense, kuyilapho kunegama lomkhiqizo I-Zithromax ingabiza ngaphezulu kwe- $ 200. Kodwa-ke, a Ikhuphoni le-SingleCare inganciphisa leyo ndleko ibe ngaphansi kwama- $ 10 we-Z-Pak ejwayelekile.

Ufuna intengo engcono kakhulu ku-azithromycin?

Bhalisela izexwayiso zentengo ye-azithromycin bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Isetshenziselwani iZ-Pak?

I-Z-Pak ingelapha izifo ezehlukene zamagciwane kubantu abadala nasezinganeni. Ezinye zezifo ezivame kakhulu zifaka:

Strep umphimbo
Izifo zesinus
Ukutheleleka ezindlebeni
Ukutheleleka kwesikhumba
I-pneumonia etholwe ngumphakathi
I-bronchitis
UChlamydia
I-Cervicitis
Pharyngitis
Amalaka athelelekile
Isifo samathambo emadodeni
Ukutheleleka ngomgudu womchamo
Isifo samaphaphu esingapheli (i-COPD)
ICystic fibrosis
Ukuvimbela ukutheleleka ezigulini ze-HIV ne-AIDS

Kulezi, i-strep throat ngesinye sezifo ezivame kakhulu ukuphathwa yi-Z-Pak. Ngoba amabhaktheriya abangela i-strep throat, i-Z-Pak ingavimbela ama-bacteria ukuthi akhule futhi yehlise ukusabalala kwesifo kwabanye abantu. Kungavimbela futhi i-strep throat ekuguqukeni kwesifo esibi kakhulu njenge-rheumatic fever, isimo esingalimaza ama-valve wenhliziyo yakho.

I-Z-Pak ayikwazi ukwelapha ukutheleleka ngegciwane, njengomkhuhlane noma umkhuhlane ojwayelekile, ngoba ukutheleleka ngegciwane akunakwelashwa ngama-antibiotic.

Isikali se-Z-pak

Bangu izinhlobo ezimbili eziyinhloko ze-azithromycin : uketshezi (kwifomu lokumiswa) namaphilisi. Amandla wesilinganiso se-liquid Zithromax yi-100 mg / 5 mL kanye ne-200 mg / 5 mL. Amandla esikali ajwayelekile kakhulu wamathebulethi angama-250 mg kanye no-500 mg. Kukhona amaphilisi ayisithupha ku-250 mg Z-Pak. I-Azithromycin iyatholakala futhi ngemithamo ephezulu njengefomu lempuphu futhi isetshenziselwa ukwelashwa kwezifo ezithathelwana ngocansi.

Yize i-Z-Pak iyindlela ethandwa kakhulu ye-azithromycin, kwesinye isikhathi odokotela banikeza iZithromax Tri-Pak, equkethe amaphilisi amathathu we-azithromycin 500 mg, futhi ithathwa kanye ngosuku izinsuku ezintathu. I-Tri-Pak ingahle inqunyelwe ukukhushulwa kwamagciwane okunamandla kuya kokulinganisela kwe-bronchitis engapheli, noma i-sinusitis ebukhali yebhaktheriya.

Uma une-strep throat futhi uxabana nemithi efana ne-penicillin noma amokfillin , udokotela wakho angakunika iZ-Pak yamaphilisi ayisithupha angama-250 mg. Uphuza amaphilisi amabili ngosuku lokuqala, alandelwe ithebhulethi eyodwa nsuku zonke osukwini olulodwa kulezi ezine ezisele.

Kubalulekile ukuthatha le mithi njengokuyalelwa ngudokotela wakho, imvamisa kanye ngosuku. Umthamo uzoncika ekuhlolweni kwakho. Ukuze uthole imiphumela emihle, phuza le antibiotic cishe ngesikhathi esifanayo nsuku zonke bese uqhubeka nokuyiphuza uze uqede inani eligcwele elibekiwe. Ukuyeka imithi kusenesikhathi kungadala ukuthi amagciwane akhule, nokutheleleka kwakho kubuye.

Uma uphuthelwa umthamo we-Z-Pak, wuthathe ngokushesha ngangokunokwenzeka. Uma cishe sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ongabanjwanga — akunconywa ukuthi uthathe imithamo emibili ngasikhathi sinye.

Imikhawulo ye-Z-pak

Ngenkathi i-Z-Paks ingasiza abantu abadala nezingane ukuthi balulame ezifweni ezibangelwa amagciwane, kunezindlela ezithile zokuqapha okufanele uzicabangele ngaphambi kokuthatha umuthi kadokotela. Tshela udokotela wakho uma:

iguliswa i-azithromycin noma amanye ama-antibiotic (lo muthi ungadala ukungezwani komzimba kwabanye abantu)
ophila nezinkinga zesibindi, isifo sezinso, noma i-myasthenia gravis
ukuthatha izidakamizwa ezingadala ukwandiswa kwe-QT, unezinkinga zenhliziyo, noma unomlando womndeni wokuboshwa okungazelelwe kwenhliziyo
uhlela ukuthola umuthi wokugoma kungekudala noma usanda kugonywa
ukuthatha ama-antacids, njengoba le mithi ingaphazamisa i-azithromycin
ukhulelwe
ukuncelisa (lesi sidakamizwa singadlula ubisi lwakho lwebele)

Ngokuqondile, khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nanoma ikuphi ukuxhumana nezidakamizwa zamanje ozithathayo. Le mithi elandelayo inokuxhumana okungalungile ne-Z-Paks:

I-Colchicine
Amiodarone
I-Disopyramide
I-Dofetilide
I-Dronedarone
Ibutilide
I-Pimozide
I-Procainamide
I-Quinidine
I-Sotalol
I-Warfarin

Qaphela: Akukho ukuxhumana kwezidakamizwa phakathi kwe-azithromycin neNyquil, ngakho-ke ungazithatha ngokuphephile lezi zidakamizwa ezimbili ukuze unciphise izimpawu zokukhwehlela, umphimbo obuhlungu, ikhanda elibuhlungu, umkhuhlane, ikhala eligobayo nokuthimula. Kodwa-ke, ngaphambi kokuthatha i-NyQuil noma enye imithi yokukhwehlela / yokubanda, hlola udokotela wakho noma usokhemisi ukuthi umuthi uphephile yini ukuwuthatha ngezimo zakho zezokwelapha noma eminye imithi oyiphuzayo. Imithi eminingi yokukhwehlela nemakhaza ayiphephile kubantu abane-high blood pressure noma i-glaucoma.

Yini imiphumela emibi ye-Z-Paks?

Imiphumela emibi kakhulu ye-Z-Pak yile:

Uhudo
Isicanucanu
Ubuhlungu besisu
Isiyezi
Ukukhathala noma ukukhathala
Ukuhlanza

Imiphumela emibi ye-Z-Paks ingafaka:

Ukulahlekelwa ukuzwa
Ukubona okufiphele
Kunzima ukukhuluma noma ukugwinya
Ubuthakathaka bemisipha
Isicanucanu esiqhubekayo noma ukuhlanza
Ubuhlungu obukhulu besisu

Funa usizo lwezokwelapha khona manjalo uma uquleka, uba nesiyezi, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, noma ukusabela okweqile. Kufanele futhi ufune ukwelashwa uma ngabe eminye yale miphumela emibi iqhubeka noma iba yimbi.

I-Azithromycin nayo idale izinguquko ezingajwayelekile ekusebenzeni kukagesi kwenhliziyo, okungaholela esigqi senhliziyo esingahle sibulale, ngokusho kwe-U.S. Food and Drug Administration (FDA). Iziguli ezisengcupheni yokuthola lesi simo zifaka phakathi lezo ezinamazinga aphansi egazi e-potassium noma i-magnesium, ezinenhliziyo encane, noma ezisebenzisa izidakamizwa ezelapha isigqi senhliziyo esingajwayelekile (i-arrhythmia).

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuthatha i-Z-Pak ukuxoxa ngayo yonke imiphumela emibi engaba khona nokuhlangana kwezidakamizwa. Anganikeza iseluleko sezokwelapha sendlela yokugwema noma yokwelapha imiphumela emibi. Isibonelo, ukuthatha lo muthi ngokudla kungavimbela isisu esithukuthele.

Ngabe kukhona ezinye izindlela ezingasetshenziswa ku-Z-Pak?

Imithi kucofe noma I-Augmentin kwesinye isikhathi zisetshenziswa njengezinye izindlela ze-Z-Pak, ngokusho kukaChirag Shah, MD, udokotela wezokwelapha eziphuthumayo oqinisekisiwe kanye nomsunguli Push Health . Kodwa-ke, lezi ezinye izindlela ngeke zisebenze njalo ukwelapha ukutheleleka okunqunyelwe i-Z-Pak kwasekuqaleni, futhi ukubonisana nomhlinzeki wezokwelapha komuntu kuyanconywa ngaphambi kokushintsha imithi.

I-Azithromycin vs. i-amoxicillin

I-Amoxicillin iyindlela evamile ehlukile kune-azithromycin. I-Amoxicillin ingabekwa yodwa, noma njenge-Augmentin, equkethe i-amoxicillin ne-clavulanate. I-Clavulanate ingezwe ku-amoxicillin ukuvimbela ukumelana. Nakhu ukuqhathanisa okuhambisana nokuthi i-azithromycin ne-amoxicillin zihlangana kanjani.

	I-Azithromycin	I-Amoxicillin
Umkhiqizo (ojwayelekile)	I-Zithromax (azithromycin)	I-Amoxil (amoxicillin) I-Augmentin (amoxicillin / clavulanate)
Amafomu esikali	Ithebhulethi Ukumiswa Iphakethe lempuphu	Ithebhulethi I-Capsule Ithebhulethi eshibhile Ukumiswa
Imiphumela emibi ejwayelekile	Ukuhlanza, uhudo, ubuhlungu besisu	Uhudo, isicanucanu, ukuqubuka kwesikhumba, noma isifuba
Ijwayele ukusetshenziselwa i-	Ukwehla komphimbo, inyumoniya, ukutheleleka kwendlebe okuphakathi, i-bacterial conjunctivitis, i-gonorrhea, i-urethritis, nesifo sokuvuvukala okhalo	Ukutheleleka endlebeni, i-sinusitis, ukutheleleka okuphansi kokuphefumula, ukutheleleka kwe-urinary, amanxeba okuluma, umphimbo we-strep

Izindlela eziningi ze-Z-Pak

Ngaphezu kwe-amoxicillin, kunezinye izindlela ezingekho ku-Z-Paks, njenge:

I-Cipro (ciprofloxacin ): Le antibiotic engabizi iyasebenza ekwelapheni ukutheleleka kwamagciwane, kepha ingahle ibe nokuhlangana okungalungile nokudla nezidakamizwa uma kuqhathaniswa nezinye izindlela zeZ-Pak.
IVibramycin (i-doxycycline ): Le antibiotic iphatha izifo ezenziwa ngamagciwane, njengezinduna, futhi ivimbela umalaleveva. Kodwa-ke, kungakwenza uzwele kakhulu ekukhanyeni kwelanga futhi kuphumele ekushisweni yilanga noma ukuqubuka.
I-Keflex (cephalexin ): Ngokungafani nezinye izindlela ze-Z-Pak, i-cephalexin ivame ukuthathwa kaningi ngosuku, okungaba nzima ukuyikhumbula kwabanye abantu. Iphatha ukutheleleka kwamathambo, ama-UTIs, ukutheleleka kwesikhumba, kanye nokutheleleka kwendawo yokuhlinzwa, phakathi kokunye ukutheleleka kwamagciwane.
UCleocin (clindamycin ): Lesi sidakamizwa sisebenza ekwelapheni izinduna lapho sisetshenziswa ngokwezihloko, ikakhulukazi uma sihlanganiswa neminye imithi yezinduna. Ingasetshenziswa futhi ngomlomo ngezifo ezinzima zesikhumba noma ezithambile zezicubu. Kwezinye izimo, i-clindamycin ingadala isifo sohudo esibi, esingaba sibi kakhulu noma sibulale.
I-Levaquin (levofloxacin ): Lo muthi, osesigabeni esifanayo neCipro, welapha izifo ezahlukahlukene zamagciwane.
I-Bactrim (sulfamethoxazole-trimethoprim ): Lo muthi welapha ukutheleleka ngamagciwane, kepha ukuthatha lo muthi kungakwenza uthambekele ekushisweni yilanga.