Azithromycin 98% TC
Mafotokozedwe Akatundu
Azithromycinndi Semisynthesis mamembala khumi ndi asanu mphete Macrolide mankhwala.White kapena pafupifupi woyera crystalline ufa;Palibe fungo, kukoma kowawa;Pang'ono hygroscopic.Izi zimasungunuka mosavuta mu methanol, acetone, chloroform, anhydrous ethanol kapena dilute hydrochloric acid, koma pafupifupi insoluble m'madzi.
Mapulogalamu
1. Pachimake pharyngitis ndi pachimake Tonsillitis chifukwa Streptococcus pyogenes.
2. Pachimake kuukira kwa sinusitis, Otitis TV, pachimake chibayo ndi matenda chifuwa chifukwa tcheru mabakiteriya.
3. Chibayo choyambitsidwa ndi Streptococcus pneumoniae, Haemophilus influenzae ndi Mycoplasma pneumoniae.
4. Urethritis ndi Cervicitis yoyambitsidwa ndi chlamydia trachomatis komanso non multidrug resistant neisseria gonorrhoeae.
5. Matenda a pakhungu ndi minofu yofewa omwe amayamba chifukwa cha mabakiteriya okhudzidwa.
Kusamalitsa
1. Kudya kungakhudze mayamwidwe aAzithromycin, kotero iyenera kutengedwa pakamwa 1 ola musanadye kapena maola awiri mutatha kudya.
2. Kusintha kwa mlingo sikofunikira kwa odwala omwe ali ndi vuto lochepa la aimpso (creatinine chilolezo> 40ml/mphindi), koma palibe deta yokhudzana ndi kugwiritsa ntchito azithromycin Erythromycin kwa odwala omwe ali ndi vuto lalikulu laimpso.Chisamaliro chiyenera kutengedwa popereka azithromycin Erythromycin kwa odwalawa.
3. Popeza dongosolo la hepatobiliary ndilo njira yaikulu yaAzithromycinexcretion, iyenera kugwiritsidwa ntchito mosamala odwala omwe ali ndi vuto la chiwindi, ndipo sayenera kugwiritsidwa ntchito kwa odwala omwe ali ndi vuto lalikulu la chiwindi.Kutsatira pafupipafupi ntchito ya chiwindi panthawi yamankhwala.
4. Ngati ziwengo zimachitika panthawi ya mankhwala (monga angioneurotic edema, zochitika za khungu, matenda a Stevens Johnson, ndi poizoni epidermal necrosis), mankhwala ayenera kuimitsidwa mwamsanga ndipo njira zoyenera ziyenera kutengedwa.
5. Panthawi ya chithandizo, ngati wodwala ali ndi zizindikiro za kutsekula m'mimba, pseudomembranous enteritis iyenera kuganiziridwa.Ngati matendawa akhazikitsidwa, njira zoyenera zothandizira ziyenera kuchitidwa, kuphatikizapo kusunga madzi, electrolyte balance, protein supplementation, etc.
6. Ngati zovuta zilizonse ndi/kapena zosokoneza zimachitika mukamagwiritsa ntchito mankhwalawa, chonde funsani dokotala.
7. Mukamagwiritsa ntchito mankhwala ena panthawi imodzimodzi, chonde dziwitsani dokotala.
8. Chonde chiyikeni kutali ndi ana.