Ama-antibiotics ayimithi yokulondoloza impilo, futhi iziguli eziningi zegciwane zizothola ukutheleleka kwama-bacterium ngendlela yokutheleleka kwe-sinus, ukutheleleka kwamagciwane, noma ukutheleleka okuvamile futhi kunqunywe i-antibiotic. Lesi sihloko sibheka izinto ezibalulekile zokwazi mayelana nokuxhumana phakathi kwama-antibiotic e-fluoroquinolone njenge-Cipro kanye nokukwazi ukusebenzisana nemithi yakho ye-thyroid kanye nokwelashwa.
Kukhona ama-antibiotics angaphezu kwekhulu, kodwa iningi livela ezinhlotsheni ezimbalwa kuphela. Iningi lama-antibiotics anamagama amabili - igama lomkhiqizo (owaziwa nangokuthi igama lohwebo) negama elijwayelekile elisekelwe isigaba samakhemikhali / isakhiwo samakhemikhali.
Izigaba eziyinhloko zama-antibiotic zidweliswe lapha. Ukuze kubhekiswe, amagama wamagama atholakalayo, futhi amagama ajwayelekile aphansi.
- I-Aminoglycosides - i-Garamycin (i-gentamicin) ne-Tobrex (i-tobramycin)
- I-Cephalosporins - I-Keflex (i-cephalexin)
- Ama-Macrolide - E-Mycin (erythromycin), i-Biaxin (i-clarithromycin), iZithromax (i-azithromycin)
- Ama-penicillin - i-amoxicillin ne-penicillin
- I-Sulfonamides - i-Bactrim (i-co-trimoxazole) ne-Proloprim (trimethoprim)
- I-tetracycline - i-Sumycin (i-tetracycline) ne-Vibramycin (i-doxycycline)
- I-Fluoroquinolones - I- Cipro (ciprofloxacin) , i-Levaquin (levofloxacin), i- Floxin (i-ofloxacin)
Ama-Antibiotics Nemithi Yakho Ye-Thyroid
Ama-antibiotic e-Fluoroquinolone ngokuvamile ahlelwe ukutheleleka kwamagciwane, i-pneumonia, nezifo ezithathelwana ngocansi.
I-Cipro (ciprofloxacin) yayisezintabeni esikhathini esedlule ngenkathi i- anthrax isaba , inikwe ukusetshenziswa kwayo ekwelapheni kwe-anthrax exposure.
Iziphi iziguli ze-Thyroid ezidinga ukwazi
Amagama omuthi ajwayelekile we-fluoroquinolone ama-ciprofloxacin-amagama ahlanganisa i-Cipro, Proquin, Ciproxin, Ciprobay, Cirpoxine, ne-Ciflox - iboniswe ekunciphiseni kakhulu ukumuncwa kwe-levothyroxine, imithi ejwayelekile ye-hormone esikhundleni sokuthiwa (eyaziwa ngamagama wegama njenge-Synthroid, levoxyl, Tirosint .)
Nakuba ucwaningo lungacacile, abanye ochwepheshe bakholelwa ukuthi amanye ama-antibiotic - okufaka i-Levaquin (levofloxacin), i-Maxiquin (i-lomefloxacin), i-Avelox (moxifloxacin), i-Norox-In (i-norfloxacin) ne-Floxin (i -loxxacin) - ingabangela nokunciphisa ukumiswa kwe-levothyroxine
Kwenzekani nalezi zinqamuzana ukuthi zingaba nemiphumela eminingana:
- Kungase kube ukunciphisa ukungenisa kwakho kwe-levothyroxine oyithathayo, okuholela ekutheni amazinga wegazi ajikelezayo aphansi egazi lakho
- Zingase zandise izinga lapho umzimba wakho udibanisa khona futhi ulahle i-levothyroxine, futhi futhi kuholela ekutheni amazinga egazi we-thyroid ahamba kancane egazi lakho
- Bangashintsha indlela i-levothyroxine ebopha ngayo amaprotheni egazini lakho futhi uyangena, ephazamisa amazinga akho e-thyroid.
I-British Medical Journal Findings
I- British Medical Journal ibike ngezimo eziningana ze-hypothyroidism engaqondakali ezigulini ze-thyroid (ku- levothyroxine ) ezazithatha i-ciprofloxacin.
Abacwaningi bathole ukuthi i-ciprofloxacin yomlomo ixhumana ne-levothyroxine (ie, Synthroid, Levoxyl) uma ithathwe ndawonye.
Kwesinye isifundo esifundwe, owesifazane othatha 125 mcg ngosuku lwe-levothyroxine wathatha i-ciprofloxacin (750 mg kabili ngosuku) kanti izinga lakhe le-TSH laphakama laba ngama-44 ngemuva kwamasonto amane.
Ngisho nalapho umthamo wakhe ukhuliswe ku-200 mcg ngosuku, uTSH wakhe akaphendulanga. Kuphela lapho i-ciprofloxacin ivaliwe i-TSH ibuyele evamile.
Kwesinye isikhathi, owesifazane owaqiniswa ngo-150 mcg ngosuku lwe-levothyroxine wabona uTSH wakhe esuka ku-1.6 ukuya ku-19 ngemuva kwamasonto amathathu ukwelashwa nge-ciprofloxacin ku-500 mg kabili ngosuku.
Yini Ongayenza?
Uma unesifo se-thyroid esithatha ciprofloxacin, yini okufanele uyenze?
Okokuqala, kubalulekile ukwazi ukuthi ngenkathi lesi sixwayiso singeniswa ekufakweni kolwazi lwezidakamizwa, udokotela wakho noma umuthi wezokwelapha angase angakucabangi noma akhulume ukuthi kungenzeka yini ukuxhumana nemithi yakho yegciwane lapho ubeka noma uhambisa lezi antibiotics.
Ungase futhi uye endaweni yokungena noma "I-Minute Clinic", bese ubeka lezi antibiotics, ngaphandle kokuhlola okuphelele kokukwazi ukusebenzisana nemithi yakho ekhona.
Okwesibili, uma udokotela ebeka lezi zidakamizwa, kufanele usho ukuthi uthatha i-levothyroxine, bese ubuza mayelana nemithi elwa namagciwane engekho emndenini we-fluoroquinolone. Ezimweni eziningi, elinye lamanye ama-antibiotic angabekwa.
Okwesithathu, uma kufanele uthathe lawa ma-antibiotics, ucwaningo luye lwaphakamisa ukuthi izivivinyo ze-thyroid zijwayelekile uma iziguli zithatha i-levothyroxine ne-ciprofloxacin okungenani amahora ayisithupha ngaphandle . Ngakho-ke, uma u-levothyroxine, kunengqondo ukuvumela okungenani amahora ayisithupha ngaphandle kokuthatha i-ciprofloxacin yakho. Futhi uma kufanele uthathe imithi yokwelapha isikhathi eside, kufanele uxoxe ngomthelela ongase ube khona kwi-thyroid yakho nodokotela wakho, futhi ucele isikhathi sokuhlolwa kwe -roid ukuqinisekisa ukuthi ukwelashwa kwakho kwe-thyroid akuthintekile.
Izinkathazo ezingeziwe
Kuyathakazelisa ukuthi kukhona nemibiko ye-anecdotal yokuphendula okubi kwamanye ama-antibiotic e-fluoroquinolone. I-FDA yanezela " Isixwayiso seBlack Black " mayelana ne-fluoroquinolones ngenxa yengozi eyengeziwe yokwephulwa kwetendon lapho ithatha lesi sidakamizwa.
> Umthombo:
> Cooper, uJohn, "I-Ciprofloxacin ixhumane ne-thyroid yokuguqula indawo," i- British Medical Journal , ka-2005; 330: 1002 (30 Ephreli), ku-intanethi