Likokoana-hloko ke meriana e pholosang bophelo, 'me bakuli ba bangata ba qoqotho ba tla fumana tšoaetso ea baktheria ho sa tsotellehe tšoaetso ea sinus, tšoaetso ea moriana kapa mafu a mang a tloaelehileng' me ba behoe lithibela-mafu. Sehlooho sena se shebile lintho tsa bohlokoa tse lokelang ho tseba ka ho sebelisana pakeng tsa lithibela-mafu tsa fluoroquinolone joaloka Cipro le monyetla oa ho sebelisana le meriana ea hau ea thyroid le phekolo.
Ho na le lithibela-mafu tse fetang lekholo, empa tse ngata li tsoa mefuteng e seng mekae feela. Meriana e mengata ea lithibela-mafu e na le mabitso a mabeli - lebitso la lebitso (hape le tsejoa e le lebitso la khoebo) le lebitso le tloaelehileng le thehiloeng meriana ea lithibela-mafu ea lik'hemik'hale.
Lihlopha tse ka sehloohong tsa lithibela-mafu li thathamisitsoe mona. Bakeng sa boitsebiso, mabitso a marang-rang a ahloloa, 'me mabitso a tloaelehileng ha a boemong bo tlase.
- Aminoglycosides - Garamycin (gentamicin) le Tobrex (tobramycin)
- Cephalosporins - Keflex (cephalexin)
- Macrolides - Mycin (erythromycin), Biaxin (clarithromycin), Zithromax (azithromycin)
- Penicillin - amoxicillin le penicillin
- Sulfonamides - Bactrim (co-trimoxazole) le Proloprim (trimethoprim)
- Tetracycline - Sumycin (tetracycline) le Vibramycin (doxycycline)
- Fluoroquinolones - Cipro (ciprofloxacin) , Levaquin (levofloxacin), Floxin (ofloxacin)
Likokoana-hloko le Meriana ea Hao ea Thyroid
Likokoana-hloko tsa Fluoroquinolone li atisa ho behoa bakeng sa tšoaetso ea meriana, pneumonia le mafu a tšoaetsanoang ka thobalano.
Cipro (ciprofloxacin) le eona e ne e le litabeng tsa nakong e fetileng nakong ea ha likokoana-hloko li tšaba , ha li sebelisoa kalafo bakeng sa ho hlahisa manonyeletso.
Seo Makuli a Thyroid a Lokelang ho se Tseba
Mabitso a tloaelehileng a fluoroquinolone a ciprofloxacin - mabitso a marang-rang a kenyelletsa Cipro, Proquin, Ciproxin, Ciprobay, Cirpoxine, le Ciflox - e bontšitsoe ho fokotseha haholo ha levothyroxine, e tloaelehileng ea qoqotho ea li-hormone (substitutes), e tsejoang ka mabitso a kang Synthroid, Levoxyl, le Tirosint .)
Le hoja lipatlisiso li sa hlake hantle, litsebi tse ling li lumela hore likokoana-hloko tse ling - tse akarelletsang Levaquin (levofloxacin), Maxiquin (lomefloxacin), Avelox (moxifloxacin), Norox-In (norfloxacin) le Floxin (ofloxacin) - li ka boela tsa etsa hore levothyroxine e fokotsehe
Ho etsahala'ng ka lithibela-mafu tsena ke hore ba ka ba le liphello tse 'maloa:
- Ba ka 'na ba fokotseha ha u noa levothyroxine eo u e nkang, e leng se etsang hore meriana ea qoqotho e fokotsehe ka tlase ka mali a hao.
- Ba ka 'na ba eketsa tekanyo eo' mele oa hau o sebetsang ka eona le ho felisa levothyroxine, hape e tlisa liphello tse fokolang tsa meriana ea qoqotho ea mali ka tlase ea mali.
- Ba ka 'na ba fetola tsela eo levothyroxine e tlamang liprotheine ka mali a hao' me e kenngoa ka matla, e ama tsela ea thyroid ea hao hape.
Liphetho tsa British Medical Journal
British Medical Journal e tlalehile ka liketsahalo tse 'maloa tsa hypothyroidism tse sa hlalosang bakuli ba qoqotho (ka levothyroxine ) ba neng ba nkile ciprofloxacin.
Bafuputsi ba fumane hore ciprofloxacin ea molomo e sebelisana le levothyroxine (ke hore, Synthroid, Levoxyl) haeba e nkiloe hammoho.
Ketsahalong e 'ngoe, mosali ea nkang mcg 125 letsatsing la levothyroxine o ile a nka ciprofloxacin (750 mg ka makhetlo a mabeli ka letsatsi)' me tekanyo ea hae ea TSH e nyolohela ho 44 ka mor'a libeke tse 'nè.
Esita le ha tekanyo ea hae e nyolohela ho 200 mcg ka letsatsi, TSH ea hae ha ea arabela. Ke feela ha ciprofloxacin e emisitsoe ha TSH e khutlela ho tloaelehileng.
Ketsahalong e 'ngoe, mosali ea tsitsitseng mcg ka 150 lekholong la levothyroxine o ile a mo bona a tloha ho 1.6 ho isa ho 19 ka mor'a libeke tse tharo a phekoloa ka ciprofloxacin ka 500 mg habeli ka letsatsi.
U ka Etsa'ng?
Haeba u le mokuli oa qoqotho ea nkang ciprofloxacin, u lokela ho etsa'ng?
Ntlha ea pele, ke habohlokoa ho tseba hore le hoja temoso ena e kenyelletsoa ho kenya lintlha tsa lithethefatsi, ngaka ea hau kapa setsebi sa meriana e ka 'na ea se ke ea bua kapa ea bua ka monyetla oa ho sebelisana le meriana ea hau ea qoqotho ha u beha kapa u fana ka lithibela-mafu tsena.
U ka boela ua ea setsing sa ho tsamaea kapa "Minute Clinic", 'me u laeloa lithibela-mafu tsena, ntle le tlhahlobo e feletseng ea monyetla oa ho sebelisana le meriana ea hau e teng.
Ea bobeli, ha ngaka e hlalosa lithethefatsi tsena, u lokela ho bolela hore u nka levothyroxine, 'me u botse ka lithibela-mafu tse seng malapeng a fluoroquinolone. Maemong a mangata, e meng ea lithibela-mafu e ka behoa.
Ntlha ea boraro, haeba u tlameha ho nka lithibela-mafu tsena, lipatlisiso li bontšitse hore liteko tsa qoqotho li tloaelehile haeba bakuli ba nka levothyroxine le ciprofloxacin bonyane lihora tse tšeletseng ka thōko . Kahoo, haeba u le levothyroxine, hoa utloahala ho lumella bonyane lihora tse tšeletseng ntle le ho nka ciprofloxacin ea hau. 'Me haeba u lokela ho nka lithibela-mafu ka nako e telele, u lokela ho buisana ka tšusumetso e ka' nang ea e-ba teng ho thyroid ea hau le ngaka ea hau, 'me u kope tlhahlobo ea qoqotho ho netefatsa hore phekolo ea hau ea qoqotho ha e amehe.
Litšeho tse ling hape
Hoa thahasellisa hore ho na le litlaleho tsa anecdotal tsa liketso tse mpe ho li-antibiotics tse ling tsa fluoroquinolone. FDA e kenyelelitse " Tlhokomeliso ea Lebokose le Letšo " mabapi le fluoroquinolones ka lebaka la kotsi e eketsehileng ea ho phatloha ha litone ha u noa meriana.
> Mohloli:
> Cooper, John, "Ciprofloxacin e sebelisana le phekolo ea phekolo ea qoqotho," British Medical Journal , 2005; 330: 1002 (30 April), Inthaneteng