Kodi Kutenga Antibiotics kwa Matenda Kumayambitsa Matenda?
Kodi munayamba mwatenga mankhwala opha tizilombo, kuti mutha kutsekula m'mimba? Mwinamwake simunakhale ndi kachilombo kapena chinachake chomwe mudadya, kutsekula m'mimba kumayambitsidwa ndi antibiotics. Nkhani yabwino ndi yakuti nthawi zambiri, kutsekula m'mimba kudzatuluka pamene mankhwala a antibiotic atha ndipo chakudya chokhazikika chimayambiranso. Ngati sizitero, dokotala angathandize kuthandizira mankhwala kuti mabakiteriya atsatire dongosolo la kugaya.
Mwachidule
Kawirikawiri matumbo akuluakulu amakhalabe ndi mabiliyoni mabakiteriya omwe amakhala mkati mwake. Zambiri mwazi ndi "mabakiteriya wabwino" ndipo onsewa amathandiza kuchimake ndi kumenyana ndi "mabakiteriya oipa" (matumbo anu ali nawo ena, komanso). Maantibayotiki amagwira ntchito popha mabakiteriya, koma sangathe kusiyanitsa pakati pa "zabwino" ndi mabakiteriya "oipa". Chotsatira chake, mabakiteriya "abwino" mu coloni amawonongeka, kusungunuka kosasunthika mu colon kumasokonezeka, ndipo zotayirira zimakhala zotsatira.
Mabakiteriya Oipa Angathe Kudutsa
Mu 1% mpaka 2 peresenti ya anthu omwe amatenga maantibayotiki, mtundu umodzi wa mabakiteriya "oipa" mu coloni ukhoza kuyamba kukula ndikupita. Mabakiteriyawa amatchedwa Clostridium difficile , ndipo mawerengero ake amasungidwa pamtunda wochepa ndi zomera zabwino m'matumbo. Pamene munthu amachiza ma antibayotiki ndi kuchuluka kwa mabakiteriya wathanzi akucheperachepera, C difficile angayambe kuchulukana ndikupanga mankhwala omwe ali poizoni ndipo akhoza kuyambitsa kutsekula m'mimba.
Izi ndizovuta kwambiri ndipo zingabweretse mavuto osiyanasiyana kuphatikizapo kutsekula m'mimba kwa C difficile , pseudomembranous colitis (PMC), ndi matenda oopsa omwe amawopsa kwambiri omwe amawatcha megacolon .
Ndi Ma antibayotiki Otani Amene Amachititsa Kutsekula M'mimba?
Matenda otsekula m'magulu oteteza maantibayotiki amavomerezeka kwambiri ngati mankhwala oposa ma antibiotic amalembedwa panthawi imodzimodziyo, maantibayotiki amatengedwa kwa nthawi yaitali, kapena amagwiritsidwa ntchito ndi ma antibiotic amphamvu.
Nthaŵi zina, ngakhale mankhwala olimbitsa thupi angapangitse kusintha kwa mikodzo .
Chithandizo
Nthawi iliyonse kutsegula m'mimba kapena zotayirira zimakhalapo pamene akumwa mankhwala opha tizilombo, adokotala omwe adalamula mankhwalawa ayenera kuuzidwa. Kawirikawiri, kutsekula m'mimba komwe kumagwirizanitsa mabakiteriya kumakhala kovuta pamene mankhwala a antibiotic amatha. Nthawi zina zingakhale zofunikira kusintha kwa antibiotic ina. Ngati mukumva kupweteka kwambiri m'mimba kapena m'mimba , kutsegula m'mimba kumapitirira masiku atatu, pali magazi mu mpando, kapena pali malungo, musazengereze kutchula dokotala wanu.
Pazochitika zazikulu za C difficile , mankhwala ena amatha kuperekedwa. Metronidazole ndi vancomycin ndi maantibayotiki omwe amapha C difficile mwachangu , zomwe zidzalola mabakiteriya kuti azichulukanso. C difficile ali pamabedi a anthu omwe ali ndi matenda othandiza. Mabakiteriya akhoza kufalikira kupyolera mwa chiyanjano cha munthu yemwe ali ndi kachilomboka, choncho njira zabwino zotsuka m'manja ndizofunika kwambiri. Mabakiteriya akhoza kukhala kunja kwa thupi kwa miyezi kapena zaka.
Anthu ambiri amene amatsekula m'mimba nthawi zambiri amatha kutaya madzi. Kuchiza kuchepa madzi m'thupi kumaphatikizapo kumwa madzi ambiri ndi zakumwa za masewera monga Gatorade, Powerade, kapena Pedialyte kwa ana.
Nkhuku ndi msuzi wophika mchere zimathandizira m'malo mwa sodium, ndi madzi a zipatso ndi soda popatsira potassium.
Kutsegula m'mimba kwenikweni kumatumikira cholinga-kumathandiza kuchotsa mabakiteriya "oipa". Choncho, madokotala nthawi zambiri samapereka mankhwala ochepetsa matenda opatsirana pogonana . Ngati poizoni amaloledwa kuti akhalebe m'thupi, angayambitse mavuto ambiri, choncho ndibwino kuti thupi liwathetsedwe.
Udindo wa Maantibiotiki
Kafukufuku wasonyeza kuti kusintha mabakiteriya abwino m'matumbo kungathandizenso kuthetsa kutsekula m'mimba. Lactobacillus ndi mabakiteriya omwe amapezeka mu yogurt ina komanso mu mkaka wa acidophilus.
Fufuzani yogurt ndi "miyambo yogwira ntchito," ili ndi Lactobacillus . Lactobacillus ingatengedwenso piritsi. Maseŵera ambiri a maantibiobi ( Lactobacillus casei, Lactobacillus bulgaricus, ndi Streptococcus thermophilus ) awonetsedwanso kuti ndi othandiza poletsa kutsekula m'mimba kwa antibiotic, makamaka kwa anthu opitirira zaka 50.
Kupewa
Mankhwala okhudzana ndi maantibayotiki omwe amapezeka posachedwa amapezeka, bwino, choncho kambiranani ndi dokotala wanu nthawi zonse mukawona kusintha kwa ziwalo za m'mimba mkati mwa masabata asanu ndi limodzi kuti mutenge antibiotic.
Maantibayotiki samathandiza ndi chimfine kapena chimfine, zomwe zimayambitsa matendawa. Ngati muwona dokotala pazifukwazi, musaumirire mankhwala oletsa tizilombo toyambitsa matenda, chifukwa sangakuthandizeni, ndipo angayambitse matenda otsekula m'mimba.
Nthawi Zonse Amatha Kuthetsa Ma antibayotiki
Ngati mwauzidwa mankhwala opha tizilombo toyambitsa matenda, tsatirani malangizo a dokotala ndipo mutenge mankhwala anu nthawi. Nthawi zonse mutsirizitse mankhwala oletsa antibiotics pokhapokha ngati dokotala akukuuzani kuti muzisiye . Kuletsa maantibayotiki musanayambe kudwala matenda a bakiteriya kumatulutsidwa kungayambitse kupanga mabakiteriya atsopano omwe sagonjetsedwa ndi maantibayotiki. Izi, zowonjezereka, zidzatha kugwiritsa ntchito mankhwala ambiri opha tizilombo, kupanga chizunguliro choipa.
Kugonjetsedwa ndi C difficile ndi matenda okhudzana ndi mimba m'madera onse a chipatala. Kuopsa kwa kutenga kachilomboko ndikokwanira kwa anthu omwe ali ndi chipatala chokhala ndi nthawi yayitali, komanso omwe ali ndi ogona naye amene ali ndi kachilombo ka HIV. Choncho, ndikofunikira kuti ogwira ntchito zachipatala azisamba m'manja pakati pa odwala komanso kuti azigwiritsa ntchito mankhwala osokoneza bongo. Ngati mwakhala m'chipatala, kumbutsani osamala kuti asambe m'manja.
Mawu Ochokera
Palibe kukayika kuti maantibayotiki amapindulitsa kwambiri mwa kuchotsa matenda omwe ankathetsa miyoyo ya anthu. Komabe, mankhwala opha tizilombo amayenera kugwiritsa ntchito moyenera komanso mosamala. Nthaŵi zina, madokotala angalimbikitse kuti maantibiobio akhoza kuwonjezeredwa ku zakudya kapena monga chowonjezera pakutha mankhwala opha tizilombo. Kusamba m'manja ndi kofunika kuti tipewe matenda ena mwa anthu omwe amatenga antibiotics, makamaka omwe ali m'chipatala. Kutsekula m'mimba komwe kuli koopsa pambuyo pa mankhwala ophera tizilombo kuyenera kuyankhulana ndi dokotala ngati mankhwala akufunika kwambiri.
Zotsatira:
Schroeder MS. "Clostridium difficile-Wothandizidwa Kutsekula." American Academy of Family Physicians 01 Mar 2005.
Bartlett JG. "Kupita kuchipatala. Kutsekula m'mimba kwa antibiotic." N Engl J Med Jan 31 2002.
Hickson M, D'Souza AL, Muthu N, ndi al. "Kugwiritsira ntchito maantibiotiki Lactobacillus kukonzekera kuteteza kutsekula m'mimba kumene kumagwiritsidwa ntchito ndi maantibayotiki: mayesero omwe amachititsa kuti awonongeke." BMJ 14 Jul 2007.
Beniwal RS, Arena VC, Thomas L, Narla S, Imperiale TF, Chaudhry RA, Ahmad UA. "Mayeso ovuta a yogurt oletsa kutsekula kwa maantibayotiki." Dig Dis Sci Oct 2003.