Anthu ambiri omwe ali ndi COPD akhoza kuthamangira kuchipatala kukawa mankhwala opha tizilombo pamene akuyembekezera kuchulukitsidwa kwa COPD kudza, kapena kusunga mankhwala a antibiotics ngati akuyamba kuwona zizindikiro zovulaza. Koma kodi maantibayotiki amapindulitsadi wodwala aliyense ndi COPD? Yankho lanu lingadabwe nawe.
Kutsimikizira Bodza Ponena za Antibiotics ndi COPD
Mosiyana ndi chikhulupiliro chofala, maantibayotiki amagwira ntchito pochiza gulu lokha la odwala omwe akumana ndi kuchuluka kwa COPD.
Anthu mu gulu ili ndi omwe ali:
- Kuwonjezeka kwa dyspnea , chifuwa, ndi purulent sputum
- Zizindikiro ziwiri zomwe zatchulidwa kale, kuphatikizapo kuwonjezeka kwa sputum
- Zovuta kwambiri zomwe zimafuna kuti munthu asakhale wowopsa kapena wodutsa mpweya komanso amene ali ndi chimodzi mwa zizindikiro zomwe zatchulidwa kale
Nanga Bwanji Chithandizo cha Prophylactic ndi Antibiotics?
Kwa zaka zambiri, chizoloŵezi chogwiritsa ntchito antibiotic pofuna kuteteza kuchulukitsa kwa COPD kakhala nkhani yotsutsana. Kafukufuku waposachedwapa pogwiritsa ntchito azithromycin inasonyeza kuti antibiotic ya prophylactic inachepetsa kuchuluka kwa kuchulukitsa. Koma kafukufukuyu akuwonetsanso kuti mankhwala ophera tizilombo toyambitsa matenda amakhudzidwa ndi zotsatira zoipa zomwe zimaposa phindu. Pakadali pano, Global Initiative for Obstructive Lung Disease sikulangiza kugwiritsa ntchito tsiku ndi tsiku mankhwala opha tizilombo pochiza COPD, pokhapokha ngati matenda a bakiteriya akuchulukirapo.
Izi zinati, Odwala a COPD omwe akupitirizabe kuwonjezeka nthawi zambiri ngakhale kuti mankhwalawa ndi ovuta kwambiri kwa COPD (omwe ali ndi bronchodilator ndi odana ndi zotupa) angapangidwe antibiotic prophylaxis ndi azithromycin. Ngati mwalamula antibiotic, yang'anani zotsatirapo ndipo muuzeni dokotala nthawi yomweyo ngati muli ndi vuto lililonse.
Malangizo Othandiza Kugwiritsa Ntchito Mankhwala Osakaniza Mankhwala
Ngati mwalamulidwa ndi antibayotiki, apa ndi momwe mungapindulitsire mankhwalawa:
- Kumbukirani kuti maantibayotiki sagwira ntchito pochiza matenda omwe amabwera ndi kachilombo, monga chimfine kapena chimfine.
- Musatenge antibiotic ya wina aliyense. Chifukwa chakuti maantibayotiki ena amawongolera mabakiteriya ena, simungaganize kuti mankhwala a munthu angagwire ntchito pa matenda anu.
- Tengani mankhwala onse a antibiotics, ngakhale mutayamba kukhala bwino. Kutseka posachedwa kungayambitse mankhwala osakaniza ma antibiotic ndi kuwonjezeka kwa chikhalidwe chanu.
- Onetsetsani kuti muwerenge botolo la mankhwalawa mosamala ndikutsatira malangizo monga mwa malangizo a dokotala. Ngati simukumvetsa lemba la mankhwala, lankhulani ndi dokotala kapena katswiri wa mankhwala.
- Samalani makalata aliwonse odzitetezera omwe amapezeka ku botolo la mankhwala. Mwachitsanzo, chizindikiro chingakuuzeni kupewa kuwala kwa dzuwa kapena kumwa madzi ambiri panthawi ya mankhwala ophera antibiotic.
- Funsani dokotala wanu kapena wamankhwala ngati mutenga antibiotic yanu ndi chakudya kapena mimba yopanda kanthu. Izi ziyenera kuphatikizidwanso mu kulemba mankhwala.
- Funsani dokotala wanu momwe angagwiritsire ntchito zotsatira zake monga kunyowa ndi kutsekula m'mimba. Ngati ndinu mkazi, lankhulani ndi dokotala wanu za momwe mungathe kukhalira ndi matenda a yisiti pa mankhwala oletsa antibiotic komanso zomwe mungachite kuti muteteze kapena kuchiza.
Ngakhale mankhwala opha tizilombo asagwiritsidwe bwino ndi mankhwala a COPD, pali njira zina zothetsera zizindikiro zanu. Onani zinthu izi kuti mudziwe zambiri:
Njira Zothandizira Zokwanira Kwambiri COPD
Chotsatira Chokwanira kwa Chithandizo cha COPD
Mmene Mungapewere Kowonjezera kwa COPD
Mndandanda wa mankhwala a Common COPD
Zotsatira:
Albert RK, Connett J, Bailey WC, et al. Azithromycin popewera kuwonjezereka kwa COPD. N Engl J Med 2011; 365: 689
Briel M. et. al. Ma antibiotic omwe amagwiritsidwa ntchito ndi Procalcitonin ndi njira yovomerezeka ya matenda opatsirana odwala opaleshoni. Arch Intern Med. 2008 Oct 13; 168 (18): 2000-7; kukambirana 2007-8.
K. Kostikas1, AI ndi. al. Kuwonjezera kwa COPD kuchulukitsa? Kupuma. June 2008. Volume 4; Ayi 4.
Puhan MA, ndi. al. Kuwonjezera kwa matenda osokoneza bongo omwe amachititsa kuti matendawa asapitirire: Kodi maantibayotiki amasonyeza liti? Ndemanga yowonongeka. Yankhulani. 2007 Apr 4; 8:30.
Ram FS et. al. ZOTHANDIZA: Matenda a antibiotic omwe amachititsa kuti matenda obwera chifukwa cha matenda obwera m'mimba asapitirire. Cochrane Database Rev Rev 2011 Jan 19; (1): CD004403.
Stolz D. et. al. Chithandizo cha antibiotic cha kuchulukitsa kwa COPD: mayesero osasinthika, olamulidwa poyerekeza ndi procalcitonin-chitsogozo ndi mankhwala oyenera. Chifuwa. 2007 Jan; 131 (1): 9-19.