Iimithi zonyango ziyilondolozo lokusindisa ubomi, kwaye izigulane ezininzi ze-thyroid ziya kufumana iintsholongwane ze-bacteria endleleni nokuba isifo se-sinus, ukusuleleka kwe-urinary, okanye esinye isifo sofayo kwaye simiselwe i-antibiotic. Eli nqaku lijonga izinto eziphambili zokwazi malunga nokusebenzisana phakathi kwama-antibiotics e-fluoroquinolone njenge-Cipro kunye nokukwazi ukusebenzisana neyeza lakho leyeza kunye nokonyango.
Kukho i-antibiotics engaphezu kwekhulu, kodwa ezininzi zivela kwiintlobo ezimbalwa kuphela. Uninzi lwamachiza omzimba lunamagama amabini - igama lomtshina (owaziwa ngokuba ligama loorhwebo) kunye negama eliqhelekileyo elisekelwe kwiklasi yamachiza / isakhiwo samachiza.
Iiklasi eziphambili ze-antibiotics zidweliswe apha. Ukubhekisela, amagama omnxeba atyunjwe, kwaye amagama angama-generic asezantsi.
- Aminoglycosides - i-Garamycin (gentamicin) kunye neTobrex (tobramycin)
- I-Cephalosporins - Keflex (cephalexin)
- I-Macrolides - E-Mycin (erythromycin), i-Biaxin (i-clarithromycin), i-Zithromax (i-azithromycin)
- I-penicillins - i-amoxicillin ne-penicillin
- I-Sulfonamides - iBactrim (co-trimoxazole) kunye neProloprim (trimethoprim)
- ITetracyclines - iSyycin (tetracycline) neVibramycin (doxycycline)
- Fluoroquinolones - Cipro (ciprofloxacin) , iLevaquin (levofloxacin), i-Floxin (ye -loxacin)
Iimithi zonyango kunye neMithi yakho ye-Thyroid
I-anti-antibiotic yeFluoroquinolone isoloko imiselwe ukuba i-urinary tract infections, i-pneumonia, kunye nezifo ezithathelwana ngesondo.
I-Cipro (ciprofloxacin) yayiye kwiindaba kwixesha elidlulileyo ngexesha le- anthrax lithemba , linikezelwa ekusebenzeni kwonyango lwe-anthrax exposure.
Ziziphi iimpilo ze-Thyroid ezifuna ukuzazi
Amagama aqhelekileyo e-fluoroquinolone antibiotic ciprofloxacin - amagama angama-brand aquka i-Cipro, Proquin, Ciproxin, Ciprobay, i-Cirpoxine kunye ne-Ciflox - iboniswe ekunciphiseni kakhulu ukuxutywa kwe-levothyroxine, i-thyroid i-hormone yonyango yokuguqula imithi (eyaziwa ngamagama amagama njenge Synthroid, Levoxyl, kunye Tirosint .)
Nangona uphando lungacacile, ezinye iingcali zikholelwa ukuba ezinye i-antibiotics - eziquka i-Levaquin (levofloxacin), i-Maxiquin (i-lomefloxacin), i-Avelox (moxifloxacin), i-Norox-In (norfloxacin) ne-Floxin (ye -loxacin) - inokubangela ukunciphisa ukungena kwe-levothyroxine
Kwenzeka ntoni ngala mayeza anokuthi banokuba nemiphumo emininzi:
- Basenokunciphisa ukutshatyalaliswa kwakho kwe-levothyroxine oyithathayo, ekubangeni kumanqanaba egazini egazini legazi legazi lakho kwigazi lakho
- Basenokunyusa izinga apho umzimba wakho udibanisa kwaye ulahla i-levothyroxine, kwakhona kubangele ukujikeleza kwegazi leyeza kwiyeza lakho
- Baya kutshintsha indlela i-levothyroxine ibopha ngayo iiprotheni egazini lakho kwaye ibandakanyeka, ichaphazela amazinga akho e-thyroid.
I-British Medical Journal Findings
I- British Medical Journal yabika ngamacala amaninzi okungaxelwanga kwe-hypothyroidism kwizigulane ze-thyroid (kwi- levothyroxine ) ababethatha i-ciprofloxacin.
Abaphandi baye bafumanisa ukuba i-ciprofloxacin yomlomo inxibelelana ne levothyroxine (oko kukuthi, i-Synthroid, i-Levoxyl) xa ithathwa ndawonye.
Kwimeko enye yafundwa, ibhinqa elithatha i-125 mcg ngosuku lwe-levothyroxine lithatha i-ciprofloxacin (750 mg kabini ngosuku) kunye nezinga layo le-TSH linyuka ukuya kuma-44 emva kweeveki ezine.
Nangona i-dosage yakhe iphakanyisiwe ibe yi-200 mcg ngosuku, uTSH yakhe ayizange iphendule. Kuphela xa i-ciprofloxacin ivaliwe ukuba i-TSH ibuyele eqhelekileyo.
Kwesinye iimeko, ibhinqa elazinzileyo kwi-150 mcg ngosuku lwe-levothyroxine yabona i-TSH ihamba ukusuka kwi-1.6 ukuya kwe-19 emva kweveki ezi-3 zonyango nge-ciprofloxacin kwi-500 mg kabini ngosuku.
Ungenzani?
Ukuba unesifo se-thyroid esithatha i-ciprofloxacin, kufuneka uyenze ntoni?
Okokuqala, kubalulekile ukwazi ukuba ngelixa isilumkiso singabandakanywa kwisilathisi sakho solwazi lwezilwanyana, ugqirha wakho okanye umphathiswa we-pharmist angakhange acinge ngqalelo okanye akhulume ukuba unokusebenzisana nemithi yakho ye-thyroid xa ubeka okanye uhambisa le antibiotics.
Ungaphinde uye kwindawo yokuhamba okanye kwindawo ethi "Minute Clinic", kwaye unqunywe la mayeza, ngaphandle kokuvavanywa ngokuthe ngangoko kwintsebenziswano yamachiza akho akhoyo.
Okwesibini, xa ugqirha echaza ezi zi yobisi, kufuneka uthethe ukuba uthatha i-levothyroxine, kwaye ubuze malunga ne-antibiotic engekho kwintsapho ye-fluoroquinolone. Kwiimeko ezininzi, enye yezinye i-antibiotics inokumiselwa.
Okwesithathu, ukuba kufuneka uthathe le antibiotics ethile, uphando luye lwaphakamisa ukuba iimvavanyo ze-thyroid ziqhelekile ukuba izigulane zithatha i-levothyroxine kunye ne-ciprofloxacin ubuncinane ngeeyure ezintandathu . Ngoko, ukuba u-levothyroxine, kunengqiqo ukuvumela ubuncinane iiyure ezintandathu ngaphandle kokuthatha i-ciprofloxacin yakho. Kwaye ukuba kufuneka uthathe i-antibiotic ixesha elide, kufuneka uxoxe ngefuthe elichaphazelekayo kwi-thyroid yakho kunye nogqirha wakho, kunye nokucela ixesha lokuvavanya i -roid ukuqinisekisa ukuba unyango lwakho lwe-thyroid aluchaphazeli.
Iinkxalabo ezongezelelweyo
Kuyathakazelisa ukuba kukho iingxelo ezingekho phantsi kweempawu zokungalunganga kwamanye ama-antibiotics e-fluoroquinolone. I-FDA yongeze " isilumkiso seBhokisi eliMnyama " malunga ne-fluoroquinolones ngenxa yengozi yokwanda kwetoni xa uthatha isiza.
> Umthombo:
> Cooper, uJohn, "I-Ciprofloxacin inxibelelana ne-thyroid yonyango," i- British Medical Journal , ngo-2005; 330: 1002 (30 uEpreli), i-Intanethi