Sulfamethoxazole and trimethoprim ေဆး

ဆရာ ကြၽန္ေတာ္စစ္ကိုင္းကပါ။ အသက္ ၃၁ ႏွစ္ပါ။ ကြၽန္ေတာ္ကို ဆရာတေယာက္က ART ေဆးမေသာက္ရေသးခင္အခု Actrim-DS ေသာက္ခိုင္းပါတယ္။ အခုဝမ္းသြားေနပါတယ္။ အရင္တုန္းကေတာ့ Disento ေသာက္ရင္ေပ်ာက္ပါတယ္။ အခုမေပ်ာက္လို႔ပါ။ Actrim-DS ျဖတ္ထားရင္ေကာင္းမလား၊ ဆက္ေသာက္ရေကာင္းမလားဆရာ။

Actrim-DS ေဆးဟာ Sulfamethoxazole and trimethoprim ေဆးျဖစ္တယ္။ ဗက္တီးရီးယားေတြကိုႏိုင္တဲ့ ေဆး (၂) မ်ိဳးတြဲထားတာျဖစ္တယ္။ အသံုးမ်ားတယ္။ SXT, TMP-SMX, TMP-SMZ, or TMP-sulfa အတိုေကာက္လည္းေရးတယ္။ Co-trimoxazole, Septra, Septram, Septrin, Bactrim DS, Bactrim, Bactrimel, Bactrom, Bibactin, Biseptol, Cotrim, Graprima Forte Kaplet, Infectrin, Primotren, Polytrim, Trisul, Respri, Sanprima, Sulfatrim, Trisul, Vactrim နာမည္အမ်ိဳးမ်ိဳးရွိတယ္။

ေရာဂါအမ်ိဳးမ်ိဳးအတြက္သံုးတယ္။ နားပိုးဝင္ျခင္း၊ ဆီးလမ္းပိုးဝင္ျခင္း၊ ေလျပြန္ေရာင္ျခင္း၊ ခရီးသြားဝမ္းပ်က္ေရာဂါ၊ ဝမ္းကိုက္ေရာဂါ၊ အသက္ရွဴလမ္းပိုးဝင္ျခင္း၊ ႏူမိုးနီးယားအမ်ိဳးမ်ိဳး၊ အာေခါင္ေရာင္ျခင္း၊ ဦးေႏွာက္ေျမွးေရာင္ျခင္း၊ ဆီးက်ိတ္ေရာင္ျခင္း၊ ဆိုင္းနပ္စ္ေရာဂါ။

လူၾကီးေတြအတြက္
• Pneumocystis Pneumonia
15 to 20 mg/kg/day (trimethoprim) orally or IV in 3 to 4 equally divided doses every 6 to 8 hours; 14 to 21 days;

• Pneumocystis Pneumonia Prophylaxis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally once a day or 3 times a week

• Urinary Tract Infection
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 10 to 14 days
8 to 10 mg/kg/day (trimethoprim) IV in 2 to 4 equally divided doses every 6, 8, or 12 hours for up to 14 days; maximum recommended dose is 960 mg (trimethoprim) per day

• Pyelonephritis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 7 to 14 days

• Bronchitis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 14 days

• Traveler's Diarrhea
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 5 days

• Shigellosis
Oral: Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 5 days
IV: 8 to 10 mg/kg/day (trimethoprim) IV in 2 to 4 equally divided doses every 6, 8, or 12 hours for 5 days; maximum recommended dose is 960 mg (trimethoprim) per day

• Otitis Media
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 10 to 14 days

• Cystitis Prophylaxis
Trimethoprim-sulfamethoxazole 80 mg-400 mg orally once a day or 3 times a week at bedtime or 3 times a week, whichever is less frequent.

• Diverticulitis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours in combination with metronidazole 500 mg orally every 6 hours for 7 to 10 days

• Epiglottitis
2.5 mg/kg (trimethoprim) IV every 6 hours or 3.3 mg/kg (trimethoprim) IV every 8 hours or 5 mg/kg (trimethoprim) IV every 12 hours

• Granuloma Inguinale
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally twice a day for at least 3 weeks

• Infection Prophylaxis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally twice a day

• Meningitis
5 mg/kg (trimethoprim) IV every 6, 8, or 12 hours for 21 days to 6 weeks

• Pneumonia
2.5 mg/kg (trimethoprim) orally or IV every 6 hours or 3.3 mg/kg (trimethoprim) orally or IV every 8 hours or 5 mg/kg (trimethoprim) orally or IV every 12 hours for 21 days; pneumococcal pneumonia may be completely treated in 7 to 10 days

• Prostatitis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for acute, 10 to 14 days; for chronic, 1 to 3 months

• Sinusitis
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours for 10 to 14 days; in some cases of recurrent or refractory sinusitis, therapy may be required for up to 3 to 4 weeks

• Toxoplasmosis
5 mg/kg (trimethoprim) IV every 12 hours for 4 weeks to 6 months or more, depending on the nature and severity of the infection; patients with AIDS are usually given high dose therapy for 4 to 6 weeks then maintained on oral trimethoprim-sulfamethoxazole for life

• Toxoplasmosis - Prophylaxis
Trimethoprim-sulfamethoxazole 160 mg-800 mg or 80 mg-400 mg orally once a day

• Upper Respiratory Tract Infection
Trimethoprim-sulfamethoxazole 160 mg-800 mg orally every 12 hours

• ကေလးေတြအတြက္ Otitis Media
2 months or older: 4 mg/kg (trimethoprim) orally every 12 hours for 10 days

• ကေလးေတြအတြက္ Urinary Tract Infection
2 months or older: Oral: 4 mg/kg (trimethoprim) orally every 12 hours for 10 to 14 days
IV: Severe infection: 8 to 10 mg/kg/day (trimethoprim) IV in 2 to 4 equally divided doses every 6, 8, or 12 hours for up to 14 days; maximum recommended dose is 960 mg (trimethoprim) per day

• ကေလးေတြအတြက္ Shigellosis
2 months or older: Oral: 4 mg/kg (trimethoprim) orally every 12 hours for 5 days
8 to 10 mg/kg/day (trimethoprim) IV in 2 to 4 equally divided doses every 6, 8, or 12 hours for 5 days; maximum recommended dose is 960 mg (trimethoprim) per day

• ကေလးေတြအတြက္ Pneumocystis Pneumonia
2 months or older: 15 to 20 mg/kg/day (trimethoprim) orally or IV in 3 to 4 equally divided doses every 6 to 8 hours for 14 to 21 days

• ကေလးေတြအတြက္ Pneumocystis Pneumonia Prophylaxis
2 months or older: 75 mg/m2 (trimethoprim) orally twice a day, on 3 consecutive days per week
The total daily dose should not exceed 320 mg (trimethoprim).

ေဆးေသာက္ျပီးမွ ဝမ္းေလွ်ာရင္၊ ဝမ္းထဲေသြးပါရင္၊ ေဆးဆက္မေသာက္သင့္ပါ။ ေဘးထြက္ဆိုးက်ိဳးေတြက ပ်ိဳ႕-အန္ခ်င္၊ အစားပ်က္၊ အနည္ငယ္ယားယံတာသာျဖစ္မယ္။ ေဆးေသာက္ရင္ ေရမ်ားမ်ားေသာက္ရမယ္။

အသည္း (သို႔) ေက်ာက္ကပ္မေကာင္းသူေတြ၊ ေဖါလစ္အက္စစ္နည္းေရာဂါရွိသူေတြ၊ ေသြးမံႈနည္းသူေတြ မသံုးသင့္ပါ။ တခုက (ဆာလ္ဖါ) ေဆးျဖစ္လို႔ မတည့္သူေတြ တသက္လံုးေရွာင္ထားရမယ္။ G6PD ရွိသူ၊ လည္ပင္းၾကီးေရာဂါရွိသူနဲ႔ HIV-AIDS ရွိသူေတြကသတိထားရမယ္။ ကိုယ္ဝန္ေဆာင္မွာ မေပးရပါ။ ကေလးႏို႔တိုက္ခ်ိန္မွာလည္း ေရွာင္သင့္တယ္။ ကေလးအသက္ ၂ လေအာက္မေပးသင့္ပါ။

ေဒါက္တာတင့္ေဆြ
၁၈-၄-၂ဝ၁၆

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