ʻO Co-trimoxazole
Anter
- Ma mua o ka lawe ʻana i co-trimoxazole,
- Hiki i ka Co-trimoxazole ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
Hoʻohana ʻia ʻo Co-trimoxazole e mālama i kekahi mau maʻi bacteria, e like me ka pulumonia (kahi maʻi ʻaʻa), bronchitis (maʻi o nā paipu e alakaʻi ana i nā akemāmā), a me nā maʻi o ke kahe urinary, nā pepeiao, a me nā ʻōpū. Hoʻohana ʻia ia no ka mālama ʻana i ka diarrhea o ka poʻe huakaʻi. ʻO Co-trimoxazole kahi hui o trimethoprim a me sulfamethoxazole a aia i loko o kahi papa o nā lāʻau i kapa ʻia sulfonamides. Hana ia ma ka hoʻōki ʻana i ka ulu ʻana o nā bacteria. ʻAʻole pepehi nā antibiotic i nā virus i hiki ke hōʻeha i ke anu, flu, a i ʻole nā maʻi viral ʻē aʻe.
Hele mai ʻo Co-trimoxazole ma ke ʻano he papa a me kahi hoʻomaha (wai) e lawe ʻia e ka waha. Lawe ʻia ia i ʻelua manawa i ka lā akā lawe ʻia a i ʻehā mau manawa i ka lā ke hoʻohana ʻia e mālama i kekahi mau maʻi maʻi māmā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pololei i ka co-trimoxazole e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
E hoʻomaka ʻoe e ʻoi aku ka maikaʻi i nā lā mua o ka mālama ʻana me co-trimoxazole. Inā hoʻomaikaʻi ʻole kāu mau ʻōuli a i ʻole ke ʻino lākou, e kāhea i kāu kauka.
E hoʻoluliluli maikaʻi i ka wai ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau.
E lawe i ka co-trimoxazole a hiki i kou hoʻopau ʻana i ke kuhikuhi, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Mai hōʻoki i ka lawe ʻana i ka co-trimoxazole me ka walaʻau ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe koke ʻana i ka co-trimoxazole a i ʻole lele i nā lāʻau, ʻaʻole hiki ke mālama pono ʻia i kāu maʻi a hiki i ke kūpikipiki ke kūʻē i nā antibiotic.
Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i co-trimoxazole,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka co-trimoxazole, nā lāʻau ʻē aʻe, a i ʻole nā mea hana i nā papa co-trimoxazole a me ka hoʻomaha ʻana. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻike pono i ka mea aʻe: amantadine; ʻo ka angiotensin e hoʻohuli nei i nā mea hoʻopale enzyme e like me benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril Altace), a me trandolapril (Mavik); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); cyclosporine (Gengraf, Neoral, Sandimmune); nā lāʻau lapaʻau diabetes e like me glipizide (Glucotrol), glyburide (Diabeta, Glynase), metformin (Fortamet, Glucophage), pioglitazone (Actos), repaglinide (Prandin), rosiglitazone (Avandia); digoxin (Lanoxin); diuretics ('pills wai'); indomethacin (Indocin); leucovorin (Fusilev); nā lāʻau no ka hopu ʻana e like me phenytoin (Dilantin, Phenytek); memantine (Namenda); methotrexate (Trexall); pyrimethamine (Daraprim). a me nā antidepressants tricyclic e like me amitriptyline (Elavil), amoxapine (Asendin), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimontty ((Vivactil), Surmipiline). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa thrombositopenia (ma lalo o ka helu maʻamau o nā platelet) i hoʻokumu ʻia e ka lawe sulfonamides a i ʻole trimethoprim; megaloblastic anemia (ʻulaʻula ke koko ʻulaʻula) i hoʻokumu ʻia e ka hemahema folate (nā pae koko haʻahaʻa o ka folic acid), phenylketonuria (PKU, kahi ʻano hoʻoilina e pono ai e ukali ʻia kahi papaʻai kūikawā e pale ai i ka noʻonoʻo noʻonoʻo), a i ʻole ke akepaʻa a me nā maʻi puʻupaʻa. E haʻi paha kāu kauka iā ʻoe mai lawe i ka co-trimoxazole. ʻAʻole pono e hoʻohana ʻia ʻo Co-trimoxazole i nā keiki ma lalo o 2 mau makahiki.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i nā maʻi āpau loa; hānō; nā pae haʻahaʻa o ka waikawa folic i loko o ke kino e kumu ʻia e ka malnutrisi (ʻaʻole ʻoe e ʻai a hiki ʻole ke ʻeli i nā meaola e pono ai ke olakino maikaʻi); maʻi koʻohune (HIV) kanaka; porphyria (kahi maʻi koko hoʻoili e hiki ai ke hōʻeha i ka ʻili a i ʻole nā pilikia o ka ʻōnaehana); maʻi thyroid; aiʻole glucose-6-phosphate dehydrogenase (G-6-PD) hemahema (kahi maʻi koko hoʻoilina).
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana.Inā hāpai ʻoe i ka lawe ʻana i co-trimoxazole, e kāhea koke i kāu kauka. Hiki i ka Co-trimoxazole ke hōʻeha i ka fetus.
- e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hiki i ka Co-trimoxazole ke hana i kou ʻili i ka lā.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
E inu i nā wai i ka wā o kāu mālama ʻana me co-trimoxazole.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hiki i ka Co-trimoxazole ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- ka luaʻi
- nalo ʻai ʻole
Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
- hūwī
- ʻūlili
- eha ka 'ā'ī
- ke kunu a i ʻole ke anuanu
- diarrhea nui (ka wai a i ʻole nā kūpuna koko) e kū mai me ka ʻole o ke kuni a me nā ʻōpū o ka ʻōpū (hiki i 2 mau mahina a ʻoi paha ma hope o kāu lapaʻau ʻana)
- pokole o ka hanu
- ʻūhā
- ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
- melemele o ka ʻili a me nā maka
- paleness
- discolorations ʻulaʻula a poni paha
- ʻeha hui a ʻeha ʻeha paha
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane iā co-trimoxazole.
Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka co-trimoxazole.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. ʻAʻole hiki ke hoʻopiha hou ʻia kāu palapala kuhikuhi. Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ma hope o kou hoʻopau ʻana i ka co-trimoxazole, e kāhea i kāu kauka.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Bactrim® (i loaʻa ʻo Sulfamethoxazole, Trimethoprim)
- Bactrim® DS (loaʻa iā Sulfamethoxazole, Trimethoprim)
- Septra® (me Sulfamethoxazole, Trimethoprim)
- Septra® DS (loaʻa iā Sulfamethoxazole, Trimethoprim)
- Septra® Wehe ʻia (me Sulfamethoxazole, Trimethoprim)¶
- Sulphatrim® Wehe ʻia (me Sulfamethoxazole, Trimethoprim)
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 10/15/2017