Pamene anthu omwe ali ndi chifuwa chachikulu cha mthupi amatha kuchepa, amakhala odwala. Matenda amodzi ndi chibayo . Ngati wokondedwa wanu akuganiza kuti ali ndi chibayo, mukhoza kufunsidwa funso ngati mukufuna antibiotics. Funso limeneli likhoza kudabwitsa mabanja ena chifukwa angaganize kuti ma antibayotiki amagwiritsidwa ntchito nthawi zonse ngati matendawa amadziwika.
Komabe, pali nthawi zomwe madokotala sangathenso kulangiza chithandizo chamankhwala a antibiotic.
Kodi Antibiotics Amaperekedwa Bwanji kwa Anthu?
Maantibayotiki ena amaperekedwa monga mapiritsi pakamwa, pamene ena ali ngati mawonekedwe a jekeseni (kuwombera). Mtundu wamphamvu kwambiri wa mankhwala opha tizilombo umayendetsedwa mwachindunji (IV). Zina mwa ma antibayotiki a IV amayenera kufufuza magazi ndi kuchipatala, ngakhale kuti nyumba zina zoyamwitsa (kuphatikizapo maulendo ochepetsetsa ndi omwe akukhalapo nthawi yaitali) zimatha kupereka ma antibiotic a IV.
Chifukwa cha chisokonezo kumapeto kwa chifuwa chachikulu, anthu omwe ali ndi IV akhoza kukhala otetezedwa (mwakuthupi kapena mwa mankhwala olimba mtima) chifukwa sangamvetse chifukwa cha IV ndikuyesera kuchichotsa.
Kodi Mankhwala Opanga Maantibayotiki Ali M'kupita kwa Nthawi Ambiri Akugwira Ntchito?
Kupenda kafukufuku wokhudza maantibayotiki kumasonyeza kuti maantibayotiki angagwiritsidwe ntchito mopitirira muyeso mu chifuwa chachikulu cha dementia. Kafukufuku wina anapeza anthu osowa pokhala omwe ali ndi matenda ovutika maganizo a m'mimba mwamsanga ndipo anapeza kuti pakati pa anthu amene anamwalira, oposa 40 peresenti analandira mankhwala opha tizilombo m'masabata awiri apitawo, ambiri mwa iwowa.
Kafukufuku akusonyeza kuti zosankha zokhudzana ndi kuchiza chibayo ndi antibiotic zimadalira cholinga cha chisamaliro. Kafukufuku woyerekeza ndi anthu okalamba omwe ali ndi chifuwa chachikulu cha dementia anapeza kuti maantibayotiki apangitsa kuti anthu azikhalabe ndi moyo koma asachepetseretu. Choncho, iwo adalangiza kuti kwa omwe ali ndi cholinga cha chitonthozo, mankhwala oletsa tizilombo toyambitsa matenda ayenera kunyalanyazidwa kapena kuperekedwa pamlomo, komanso kwa iwo omwe ali ndi cholinga chokhalitsa moyo, antibiotics ayenera kuperekedwa mwaukali.
Koma, kodi amagwiradi ntchito? Malingana ndi kafukufuku wambiri, kupambana kwa maantibayotiki kumapeto kwa chifuwa cha chifuwa cha chibayo ndi kokayikitsa. Magazini ya American Medical Directors inafalitsa kafukufuku amene anapeza kuti mankhwala opha tizilombo, pamene amagwiritsidwa ntchito kwa anthu omwe ali ndi matenda a maganizo ndi matenda opuma monga chibayo, moyo wowonjezereka, koma pafupipafupi ndi masiku angapo. Ofufuzawa anafotokoza kuti nkhaŵa yakuti maantibayotiki amatha kuchepetsa kufala kwa matenda, osati kuti athane ndi matendawa.
Zosankha
Ngati wokondedwa wanu ali m'nyumba yosungirako okalamba , mukhoza kukhala ndi ma antibayotiki amene amachitidwa ndi IV pomwepo. Phindu la izi ndikuti wokondedwa wanu sakanati asinthe kupita kuchipatala chosadziwika. Malo ena ali ndi mphamvu, pamene ena samatero. Wachibale wanu amatha kumwa mankhwala odziteteza pakamwa (pamlomo), koma mankhwala omwe amamwa mankhwala am'mimba sagwira bwino kwambiri polimbana ndi chibayo mu chifuwa chachikulu chaumtima.
Anthu ena, akakhala ndi chigamulo chogwiritsa ntchito kapena kuletsa mankhwala opha tizilombo toyambitsa matenda, amatha kusankha chisamaliro cholera kapena kuchipatala kuti awathandize popanga zisankho, komanso pokwaniritsa cholinga cha chisamaliro cha wokondedwa wawo.
Ubwino Wopangira Malangizo Achidokotala
Zingakhale zothandiza kufunsa mafunso okondedwa anu zokhudzana ndi chithandizo chamankhwala musanapitirire kugonana ndi thupi kuti mukhale ndi mtendere wamumtima, podziwa kuti mukuonetsetsa kuti zofuna zawo zikuchitika.
MUYENERA
** Chonde onani kuti mfundo zomwe zili pa webusaitiyi komanso zokhudzana ndi zonsezi komanso kuchokera pa webusaitiyi sizolangizidwa ndi zachipatala komanso ndi zothandiza komanso zowunikira. Ndayesetsa kufotokoza zambiri zomwe zili zogwirizana ndi zachipatala komanso zasayansi, koma izi sizilowe m'malo mwa chisamaliro ndi chitsogozo kuchokera kwa dokotala.
Zotsatira:
Archives of Internal Medicine. 2008 February 25; 168 (4): 357-362. Zitsanzo za Kusagwiritsa Ntchito Mankhwala Osokoneza Bongo Pakati pa Achikulire Anthu Omwe Ali ndi Chidziwitso Chochuluka. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670184/
New England Journal of Medicine, Oct. 15, 2009. Chipatala cha Advanced Dementia. http://www.nejm.org/doi/full/10.1056/NEJMoa0902234#t=dticleDiscussion
Archives of Internal Medicine. 2010 Jul 12; 170 (13): 1102-7. Kupulumuka ndi chitonthozo pambuyo pochizidwa ndi chibayo mu chifuwa chachikulu chaumtima. http://www.ncbi.nlm.nih.gov/pubmed/20625013
Journal ya American Geriatrics Society. Volume 54, Issue 2, 290-295, February 2006. Chiyambi ndi Chithandizo cha Pneumonia Yomwe Akuyembekezeka Kukhalitsa Anthu Omwe Athawa Kwambiri Nthawi Zambiri Akudya ndi Advanced Dementia. http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2005.00524.x/abstract
Journal of Association American Directors Association. 2012 Feb; 13 (2): 156-61. Mankhwala opha tizilombo ndi odwala m'thupi mwa odwala omwe ali ndi matenda ochepa opuma komanso matenda ovutika maganizo. http://www.ncbi.nlm.nih.gov/pubmed/21450193