Metronidazole - mapiritsi, omwe ali ndi antimicrobial ndi antiprotozoal effect. Zotsatira za mankhwalawa zimadalira kuti gulu la nitro la mankhwala limalowetsa mndandanda wa kupuma wa protozoa ndi anaerobes, chifukwa cha kupuma komwe kumasokonezeka mu tizilombo tizilombo ndi tizilombo toyambitsa matenda timamwalira.
Zizindikiro za kugwiritsa ntchito mapiritsi a Metronidazole
Zizindikiro za kugwiritsa ntchito mapiritsi a Metronidazole ndi protozoinfections. Ndi chithandizo chawo mungathe kuchiza:
- matumbo a m'mimba;
- giardiasis;
- chodetsa leishmaniasis;
- feteleza ambiasis;
- Trichomonas vaginitis;
- chotsitsa;
- balantidiasis.
Kugwiritsiridwa ntchito kwa mapiritsi a Metronidazole kumatchulidwa mu matenda omwe ayambitsidwa ndi mabakiteriya anaerobic. Izi ndi izi:
- Matenda a m'mimba (mwachitsanzo, peritonitis kapena abscess pachiwindi);
- matenda opatsirana;
- Kugonjetsedwa kwa mabakiteriya, mafupa ndi dongosolo la manjenje.
Kulandila kwa mankhwalawa kukulimbikitsidwa kuti:
- chibayo;
- mphoma;
- kupuma kwa mapapo;
- sepsis;
- bakiteriya endocarditis.
Metronidazole m'mapiritsi amagwiritsidwanso ntchito pazifukwa zotsatirazi:
- matenda osokoneza bongo ;
- chisokonezo chachikulu;
- ululu;
- kupewa zovuta za postoperative.
Metronidazole ya thrush
Metronidazole ndi wothandizira antibacterial. Koma mapiritsi awa amalepheretsa zotsatira za mitundu ina ya bowa:
- Kandachime Pseudotropicalis;
- Chithandizo;
- Candida lusitaniae.
Ichi ndi chifukwa chake mapiritsi a Metronidazole amatchulidwa kawirikawiri. Koma pa fungi la banja la Candida (tizilombo toyambitsa matenda a yisiti) mankhwalawa sangathe kukhala oyenera, motero amagwiritsidwa ntchito ndi mtundu wambiri wa matenda mwa amayi. Mankhwalawa ayenera kuphatikizapo maantibayotiki, mankhwala osakaniza komanso mankhwala osokoneza bongo. Pachifukwa chilichonse, mlingowo umasankhidwa payekha, chifukwa mumagulu a milkwoman, Metronidazole ayenera kupeweratu matenda osiyanasiyana komanso othandizira.
Njira ya Metronidazole
Musanayambe mapiritsi a Metronidazole, muyenera kukayezetsa ma laboratory ndikufunsana ndi dokotala kuti atsimikizire kuti matendawa ndi olondola. Izi ndi zofunika, chifukwa mlingo wa mankhwalawa umadalira matenda.
Metronidazole imathandizira zotsatira za ma antiticoagulants osadziwika bwino ndipo zimayambitsa kusagwirizana kwa ethanol. Sungagwiritsidwe ntchito pa mankhwala ndi disulfiram, chifukwa izi zingayambitse maonekedwe a ubongo. Chifukwa cha chiopsezo chachikulu cha mankhwalawa, Metronidazole ingagwiritsidwe ntchito pamapiritsi pokhapokha wodwala atasiya kuchotsa cimetidine, kukonzekera kwa lithiamu ndi othandizira zomwe zimayambitsa michere ya microsomal oxidation. Ngati wodwala nthawi zambiri ali ndi chizungulire, ataxia ndi kuwonjezereka kwa thupi, mankhwalawa ndi mankhwalawa ayenera kuimitsidwa.
Zotsutsana ndi zotsatira za Metronidazole
Musagwiritsire ntchito mapiritsi a Metronidazole ndi mphamvu za mankhwala omwe amapanga mankhwala. Komanso, kulandila kwawo kumatsutsana pamene:
- leukopenia;
- zitsulo zakuthengo za dongosolo lamanjenje;
- pa lactation;
- kulephera kwa renal (mawonekedwe aakulu);
- mimba.
Ngati mumapitirira mlingo wa mapiritsi a Metronidazole, zotsatira zake zingachitike:
- chisokonezo;
- kusanza;
- kukoma;
- mphutsi;
- mutu;
- mawu a syncopal;
- kukwiya;
- kufooka;
- zovuta za kugona;
- chiwonongeko cha m'mimba;
- zovuta zosiyana siyana.
Ndi kulandira kwa nthawi yaitali, mankhwalawa amachititsa kuyesa kwachinyengo kwa Nelson ndipo amadetsa mkodzo mumdima wakuda.