Kwenzekani uma ungawaqedi ama-antibiotics?

Imfundo Yezempilo

Udokotela wakho ukunikeze inkambo yezinsuku eziyi-10 yama-antibiotic yalelo cala elibi le-bronchitis, kodwa uzizwa ungcono ngemuva kwezinsuku ezinhlanu. Ngabe kusamele uqhubeke nokuthatha incwadi kadokotela? Akungcono yini hhayi thatha imithi ongayidingi ngempela?

Yebo, yebo ... futhi cha! Ama-antibiotic yimithi enamandla eyenzelwe ukubulala amabhaktheriya — cabanga i-strep throat, ukutheleleka kwezindlebe, kanye nokutheleleka ngomgudu womchamo, phakathi kokunye — kepha akukuhle ekulweni nezifo ezibangelwa amagciwane. Ukuphuza i-antibiotic uma unegciwane elinjengomkhuhlane ovamile noma umkhuhlane ngeke kukusize futhi, okubi nakakhulu, kungadala ingozi ethile.

Ukuthatha ama-antibiotics ngomkhuhlane [kungenye yezinto] okubanga ukumelana nama-antibiotic, kusho uNatalie Long, MD, ongudokotela womndeni wase-University of Missouri Health Care. Uma wenza lokho, wonke amabhaktheriya angenabungozi emzimbeni wakho ahlangabezana ne-antibiotic futhi angakwazi ukuzivumelanisa noma aguquke, okwenza kube nzima ukuthi babulawe yi-antibiotic ngokuzayo.

Lokho kusho ukuthi, uma une-bacterial infection, kungenzeka ukuthi udinga i-antibiotic ukuze uyiqede-futhi yebo, udinga ukuphuza iphilisi ngalinye, kungakhathalekile ukuthi uqala ukuzizwa usheshe kangakanani. Nakhu ukuthi kungani.

Asebenza kanjani ama-antibiotic?

Ngokusho kukaGwen Egloff-Du, Pharm.D., At Summit Medical Group eNew Jersey, kunezinhlobo ezimbili zama-antibiotic: i-bacteriostatic ne-bactericidal. Ama-antibiotics e-bacteriostatic, afana azithromycin futhi umagazine , yeka ukukhula kwamagciwane. Imithi elwa namagciwane, njenge amokfillin futhi cephalexin , bulala amagciwane uqobo.

Uma ukhombisa ukuthi uyagula ehhovisi lomhlinzeki wakho wezokunakekelwa kwempilo, umhlinzeki wakho wezokunakekelwa kwempilo uhlola umlando wakho wezimpawu ukunquma ukuthi ukugula kwakho kunegciwane noma yigciwane. Uma unesifo segciwane esidinga ukwelashwa ngama-antibiotic, kusho uLong, uzocubungula uhlelo lomzimba oluthintekile. Izingxenye ezahlukahlukene zomzimba ziphethe izinhlobo ezahlukahlukene zamagciwane ajwayelekile kuleyo ndawo, ngakho-ke abahlinzeki bezokunakekelwa kwezempilo banikeza ama-antibiotic anethuba elihle lokusebenza lapho (okungukuthi, ukutheleleka kwezindlebe kubangelwa amagciwane ahlukile kune-UTIs, futhi kuzodinga uhlobo oluhlukile i-antibiotic).

Ngabe umhlinzeki wakho wezokunakekelwa kwezempilo unquma kanjani ubude bemithi elwa namagciwane?

Kwesinye isikhathi uphuza i-antibiotic izinsuku ezinhlanu, kodwa kwesinye isikhathi iba ngu-14. Yini enikezayo?

U-Long uthi izindlela zokwelapha ziyahlukahluka ngokususelwa ezicini ezithile, nobude besikhathi sokwelashwa ngama-antibiotic yinto ethile kubuye kubuye kudokotela nabaphenyi .

Okunye ukutheleleka kunqunywe ngokusobala, njengokungenwa yizindlebe, nobude besikhathi buhlelekile, uyachaza. Abanye, njengama-UTIs, banezinhlobo ezahlukahlukene ukusuka ezinsukwini ezintathu kuya kwezingu-14 ngokuya ngokuthi ugula kangakanani, noma ngabe udinga ukwelashwa esibhedlela, nokuthi uphendula ngokushesha kangakanani kulo muthi. Esinye isici esibalulekile sokunquma ukuthi yiziphi ezinye izimo ezingamahlalakhona ongaba nazo ngokungapheli, njenge-asthma, isifo sikashukela, noma isifo senhliziyo.

Kodwa ngizizwa ngingcono… kwenzekani uma ungawaqedi ama-antibiotic?

UDkt Egloff-Du uthi kunezizathu ezimbili zokuthi kungani udinga ukuthatha ukwelashwa okugcwele okunqunyiwe kwama-antibiotic. Okokuqala kusobala: Umhlinzeki wakho wezokunakekelwa kwempilo ukhethe ukwelashwa ngesizathu, futhi lokho kukuthola uphilile futhi. Isizathu sesibili? Umuthi owesabekayo wama-antibiotic esishilo ekuqaleni.

Ngokuqedela indlela yakho yokwelashwa, wandisa amathuba okubulala wonke amabhaktheriya abangela ukugula kwakho kwamanje, esho. Uma umisa ukwelashwa kusenesikhathi, uvumela ingxenye encane yamagciwane ukuthi ihlale emzimbeni wakho nokuthi amabhaktheriya anamandla okuqinisa, aguqule futhi akhe ukumelana.

Ngakho-ke noma ngabe uzizwa ungcono ngemuva kwezinsuku ezimbalwa, lokho akusho konke kwamagciwane akwenze wagula empeleni ahambile. Ngokwe- Izikhungo Zokulawulwa Kwezifo (CDC), ukumelana nemithi elwa namagciwane kuyingozi enkulu yezempilo yomphakathi ethinta abantu abangaphezulu kwezigidi ezi-2 minyaka yonke.

Izinsuku eziyi-14 yisikhathi eside! Kwenzekani uma uphuthelwa usuku lwama-antibiotic?

Bheka, sonke besikhona — lapho kufanele wenze okuthile kabili ngosuku amasonto amabili, akunzima ukukhohlwa ngakho okungenani kanye. Eqinisweni, kuvame kakhulu ukuthi uDkt Long uthi uyakucabangela lokhu lapho enikeza iziguli ama-antibiotic ezivamile (ngoba kulula ukukhumbula iphilisi elilodwa ngosuku uma kuqhathaniswa neline!).

Ngakho-ke yini okufanele uyenze uma uphuthelwa umthamo wama-antibiotic? Lokho kuya ngokuthi kukuthatha isikhathi esingakanani ukubona iphutha lakho.

Uma ufike sekwephuzile emahoreni ambalwa ekuphuzeni i-antibiotic yakho, yiphuze ngokushesha nje lapho ukhumbula, kweluleka uDkt Egloff-Du. Kepha uma umthamo wakho olandelayo usufanele maduzane, ungaphindi kabili.

Umthetho ojwayelekile uwukuthi uma ungaphezu kuka-50% wendlela eya kumthamo wakho olandelayo, kufanele weqe. Ngakho-ke ngokwesibonelo, uma kufanele uthathe i-antibiotic yakho njalo emahoreni ayi-12, ungayithatha uma kungaphansi kwamahora ayisithupha kude nomthamo wakho olandelayo ohleliwe.Uma kungaphezu kwamahora ayisithupha, mane uthathe umthamo olandelayo uma usufanele, uqonde ukuthi ukwelashwa kwakho kuzodinga ukwandiswa ukufaka umthamo owuphuthelwe. (Uma ungaqiniseki ukuthi wenzeni, khumbula ukuthi ungacela usizo kumhlinzeki wakho wezokunakekelwa kwempilo noma usokhemisi njalo.) Kubantu abakuthola kunzima ukukhumbula imithi yabo, uDkt Egloff-Du unikeza izeluleko ezimbalwa eziwusizo.

Iziguli eziningi zithola amabhokisi amaphilisi elusizo kanti ezinye zibeka ama-alamu kumakhalekhukhwini wazo, esho. Ukuhlanganisa [umthamo wakho] nomunye wemikhuba yakho yansuku zonke, njengokuyithatha lapho udla ibhulakufesi ngo-8 ekuseni njalo ekuseni, nakho kungasiza.

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Uma uphuthelwa imithamo eminingana noma izinsuku zokwelashwa nganoma yisiphi isizathu, uDkt Egloff-Du uyanezela, kubalulekile ukukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo; Ngokufanayo, uma imiphumela engemihle yemithi elwa namagciwane ikuvimbela ekuthatheni incwadi kadokotela, kufanele futhi uthathe ifoni — umhlinzeki wakho wezokunakekelwa kwempilo angakwazi ukuphakamisa enye indlela yokwelashwa.