Kungathatha ama-antibiotics we-Infection aholele ekuhudleni?
Uke wathatha ama-antibiotics ngokutheleleka, kuphela ukuphela kwesifo sohudo esibi? Kungenzeka ukuthi akuzange kube igciwane noma into oyidle, isifo sohudo kungenzeka sibangelwa ama-antibiotics. Izindaba ezinhle ukuthi ezimweni eziningi, isifo sohudo sizosula lapho inkambo yama-antibiotic iphelile futhi ukudla okujwayelekile kuphinda kuqaliswe. Uma kungenjalo, udokotela angasiza ekwenzeni ukwelashwa ukuze uthole amabhaktheriya ohlelweni lokugaya ukudla ngokuvumelana.
Sibutsetelo
Ngokuvamile amathumbu amakhulu agcina ibhalansi enesibindi namabhiliyoni amabhaktheriya ahlala ngaphakathi kuwo. Iningi lalawa "ama-bacteria amahle" futhi bobabili basiza ekugayeni futhi balwe "amabhaktheriya amabi" (amathumbu akho anezinye zazo). Ama-antibiotics asebenza ngokubulala ama-bacteria, kodwa awakwazi ukuhlukanisa phakathi "okuhle" namabhaktheriya "amabi". Ngenxa yalokho, amabhaktheriya "amahle" ekoloni abhujiswa, ibhalansi enesibindi emgqonyeni iphazanyiswa, futhi izitshalo ezivulekile kungaba umphumela.
Ibhaktheriya Embi Ingathatha Ngaphezu
Ku-1% kuya ku-2% wamaphesenti abantu abathola ama-antibiotic, uhlobo olulodwa lwamabhaktheriya "amabi" ekoloni angase aqale ukukhula nokuthatha. Lezi zingqikithi zibizwa ngeClostridium difficile , kanti izinombolo zazo zivame ukugcinwa emazingeni aphansi yi-flora enempilo emanzini. Uma umuntu ephathwa ngama-antibiotic futhi inani le-bacteria enempilo liyehla, uC difficile angase aqale ukwanda futhi akhiqize into enobuthi futhi ingabangela isifo sohudo.
Lesi yisimo esibi futhi singabangela izinkinga eziningana ezibandakanya uhudo oludakayo, olubandakanyekile, i-pseudomembranous colitis (PMC), kanye nesimo esiphuthumayo sokuhlinzwa esibizwa ngokuthi i-megacolon enobuthi .
Iziphi I-Antibiotics Yenza I-Diarrhea?
I-anti-virus ehambisana ne-antibiotic ivame kakhulu uma imithi eminingi elwa namagciwane ehlelwe ngesikhathi esifanayo, ama-antibiotic athathwe isikhathi esithile, noma isisombululo esinamandla nesibindi esikhulu.
Ngezinye izikhathi, ngisho ne-antibiotic emnene ingabangela ushintsho emisebenzini yemilenze .
Ukwelapha
Noma yisiphi isikhathi isifo sohudo noma izigqoko ezivulekile zihlangene uma uthatha ama-antibiotics, udokotela obeke umuthi kufanele utshelwe. Ngokuvamile, isifo sohudo ehambisana namagciwane sizothuthukisa uma inkambo yama-antibiotic igcwaliswa. Ngezinye izikhathi kungadingeka ukuthi ushintshe kwenye i-antibiotic. Uma uzwa ubuhlungu obukhulu besisu noma ubuhlungu besisu , uhudo luqhubeka izinsuku ezingaphezu kwezinsuku ezintathu, kukhona igazi esitokisini, noma kukhona umkhuhlane, unganqikazi ukubiza udokotela wakho.
Ezimweni eziphawulekayo ze- C difficile , omunye umuthi we-antibiotic ungabekwa. I-Metronidazole ne-vancomycin yimithi elwa namagciwane ebulala ngokuqondile i- C difficile , ezovumela ukuthi amabhaktheriya anempilo aphinde aphindwe. I- C difficile ikhona ezigodini zabantu abanezifo ezisebenzayo. Ama-bacteria angasakazwa ngokuxhumana nesitembu somuntu onegciwane, imikhuba emihle yokuhlanza izandla ibaluleke kakhulu. Amabhaktheriya angaphila ngaphandle komzimba izinyanga noma ngisho neminyaka.
Abantu abaningi abanesifo sohudo bavame ukuphelelwa amanzi. Ukwelapha ukungcola kwamanzi kuhlanganisa ukuphuza amanzi amaningi neziphuzo zezemidlalo, njengeGatorade, Powerade, noma iPedialyte yabantwana.
Inkukhu kanye nomhluzi wenkomo wusizo ukusiza esikhundleni se-sodium, nesithelo se-soda nokusizwa kwe-soda pop esikhundleni se-potassium elahlekile.
I-diarrhea empeleni ikhonza inhloso-isisiza ukuqeda umzimba we-bacteria "amabi". Ngakho-ke, odokotela ngokuvamile abaqapheli imishanguzo yokwelapha . Uma izidakamizwa zivunyelwe ukuba zihlale emzimbeni, zingabangela izinkinga eziningi, ngakho-ke kungcono ukuvumela umzimba ukuthi uzixoshe.
Indima yamaProbiotics
Ucwaningo luye lwabonisa ukuthi ukushintsha amabhaktheriya amahle emathunjini kungasiza futhi ekunakekeleni uhudo. I-Lactobacillus yi-bacteria etholakala kwenye i-yogurt nase-asiophilus ubisi.
Bheka i-yogurt "ngamasiko asebenzayo," aqukethe i- Lactobacillus . I-Lactobacillus nayo ingathathwa ngendlela yepilisi. I-cocktail ye-probiotics eziningana (i- Lactobacillus casei, i-Lactobacillus bulgaricus, ne- Streptococcus thermophilus ) nayo iboniswe ukuthi iyasiza ekuvimbeleni ihudo eliphathelene nokulwa namagciwane, ikakhulukazi kubantu abangaphezu kweminyaka engama-50.
Ukuvimbela
I-antiardial-ehambisanayo yokuhuda ehlotshaniswayo iyatholakala, kangcono, njalo njalo uxhumane nodokotela wakho uma ubona ushintsho emikhumeni yamathumbu phakathi kwamasonto ayisithupha ukuthatha inkambo yama-antibiotic.
Ama-antibiotics awasizi usizo olubandayo noma umkhuhlane, okubili kokungenwa yi-viral. Uma ubona udokotela ngalezi zimo, ungagcizelela inkambo yama-antibiotic, ngoba ngeke akusize, futhi kungaholela ekuhuleni kwesifo sohlobo lwe-antibiotic.
Njalo Uqede Zonke I-Antibiotics
Uma ngabe ulwa namagciwane ngama-bacterial infection, landela imiyalelo kadokotela bese uthatha imithi yakho ngesikhathi. Njalo uqedele inkambo yama-antibiotics ngaphandle kokuthi udokotela echaza ukuthi uzokuyeka . Ukuyeka ama-antibiotics ngaphambi kokutheleleka kwebhaktheriya kususiwe kungabangela ukudala uhlobo olusha lwamabhaktheriya alwisana nemithi elwa namagciwane. Lokhu kuzokwenza ukuthi kusetshenziswe amanye ama-antibiotic, ukudala umbuthano ononya.
Ukutheleleka nge- C difficile yiyona ehola ukutheleleka kwamathumbu ehambisana nesibhedlela emhlabeni wonke. Ingozi yokuthola ukutheleleka iphakeme kubantu abahlala esibhedlela isikhathi eside, futhi kulabo abanomuntu ohlala naye one- C bacile bacteria. Ngakho-ke, kubalulekile ukuthi abasebenzi bezempilo bahlanze izandla zabo phakathi kweziguli futhi bahlaziye noma yiziphi izinsimbi. Uma ungene esibhedlela, khumbuza abanakekeli bakho ukuba bageze izandla zabo.
Izwi elivela
Akungabazeki ukuthi ama-antibiotics enza okuhle kakhulu ngokususa izifo ezivame ukuqeda izimpilo zabantu. Kodwa-ke, ama-antibiotic adinga ukusetshenziselwa ngokuthembeka nangokunakekelwa. Kwezinye izimo, odokotela bangase batuse ukuthi ama-probiotic angase anikezwe ekudleni noma njengengxenye yokudla ngemva kokuthatha ama-antibiotics. Ukuhlanza ngesandla kubalulekile ekuvimbeleni ukutheleleka okuqhubekayo kubantu abathatha ama-antibiotic, ikakhulukazi kulabo abasesibhedlela. Ukuhuda kwesifo esibi kakhulu emva kwemithi elwa namagciwane kumele kuxoxwe njalo nodokotela uma kwenzeka ukwelashwa okuqhubekayo.
Imithombo:
Schroeder MS. "I-Clostridium difficile-I-Diarrhea Ehlanganisiwe." I-American Academy of Family Family 01 Mar 2005.
Bartlett JG. "Umkhuba wokwelapha." "Uhudo oluhlobene ne-antibiotic." N Engl J Med Jan 31 2002.
UHickson M, D'Souza AL, Muthu N, et al. "Ukusetshenziswa kweprobiotic Lactobacillus ukulungiselela ukuvimbela isifo sohudo ehlotshaniswa nama-antibiotics: isilingo esilawulwa yi-placebo esilawulwa ngokungahleliwe." BMJ 14 Jul 2007.
Beniwal RS, Arena VC, Thomas L, Narla S, Imperiale TF, Chaudhry RA, Ahmad UA. "Isivivinyo esingahleliwe se-yogurt sokuvimbela isifo sohudo ehambisana namagciwane." Dig Dis Sci Okthoba 2003.