Izikhombandlela Zithinta Ubani Ongahle Adinge Ukwelashwa Noma Angeke Adinge
Abantu abaye bahlinzwa ukujoyina ngokuhlanganyela bayengozini yokuthuthukisa izifo zamalungu abo afakiwe. Ezimweni ezinzima zokutheleleka, umuntu angase alahlekelwe ukusekelwa kwethambo ekufakweni futhi adinga ukuhlinzwa ukuze alungise.
Kungenxa yalesi sizathu odokotela benza konke okusemandleni ukululekwa iziguli zabo ngezindlela zokugwema ukutheleleka.
Kuyinkinga enkulu ephazamisa phakathi kwephesenti eyodwa kanye namaphesenti amane wabamukeli abambene phakathi nesikhathi sokuphila.
Ukuthi Ukutheleleka Kokufakelwa Okuhlangene Kwenzeka Kanjani
Indlela evamile kakhulu yokutheleleka kwebhaktheriya emzimbeni kungukuthi isikhumba esiphukile. Ngenkathi izicubu ezivamile zingazivikela ngokumelene namabhaktheriya ahlasela, izinto ezingenakuqhathaniswa ze-prosthesis ayikwazi. Kukhona ukuthi ukutheleleka kungakwazi ukuhlwanyela imbewu futhi kubangele umonakalo emathanjeni nasesiswini esizungezile.
Enye indlela ekhona ingabandakanya izifo zomlomo kanye nezinhlobo ezithile zomsebenzi wamazinyo. Phakathi nenqubo yamazinyo (noma noma iyiphi inqubo yezokwelapha engavamile, ngenxa yalolu daba), amagciwane angakwazi ukungena egazini uma izicubu ziphukile. Ngokuvikeleka okuncane kwamasosha omzimba , noma yikuphi ukutheleleka kwamadolo okuguqula indawo kanye nokwehla kwesikhumba kungashintsha kakhulu, kukhulise ingozi yokucindezeleka nokukhubazeka.
Ukuze ugweme lokhu, odokotela bavame ukuncoma inkambo yama-antibiotic ngaphambi kwanoma iyiphi inqubo engavamile.
Ngale ndlela, amabhaktheriya emvelo esikhumbeni noma emlonyeni ayosuswa ngokuphawulekayo. Nakuba lokhu kungase kuphakanyiswe ngaphambi kokuhlinzeka okukhulu, abantu abasebenzisa izinqubo ezithile zamazinyo bangase babe ngabalingani abafanelekayo.
Izincomo zamanje zamazinyo
Kuvame ukudideka (hhayi kuphela phakathi kweziguli kodwa odokotela, futhi) ukuthi ubani okufanele athole ama-antibiotic ngaphambi komsebenzi wamazinyo.
Esikhathini esidlule, ama-antibiotic ayevame ukuphathwa kuzo zonke izinqubo zamazinyo eminyakeni emibili yokuqala emva kokuhlinzwa okufakelwe. Le ncomo yenezelwa ngo-2009 kusukela eminyakeni emibili kuya ekuphileni.
Kwaphela iminyaka emithathu nje kuphela, ngo-2012, ukuthi i-American Academy of Orthopedic Surgeons (AAOS) ne-American Dental Association (ADA) yaguquka ngokugcwele kumgomo. Emihlahlandleleni yabo ebuyekeziwe, lezi zinhlangano zombili zihlangane ngokuthi ama-antibiotic akufanele abhekwe njengesibopho kubantu abasebenzisa umkhuba wamazinyo wesikole.
Ekuvikeleni isinqumo, kokubili i-AAOS ne-ADA yathi akukho bufakazi bokuthi ukulawulwa kwemithi yama-antibiotic kunciphisa ingozi yokutheleleka kokuhlanganyela okuhlangene. Ngokufanayo, izindikimba ezibusayo azikwazanga ukuvumela ukusetshenziswa kwama-antimicrobial ngomlomo ngaphambi komsebenzi wamazinyo futhi zifinyelele ekuvumelaneni ekuphakamiseni "ukuhlanzeka komlomo okunempilo" njengendlela yokuvikela okuphelele.
Izimo Ezikhethekile
Lokhu akusikhombisi ukuthi ama-antibiotic kufanele agwenywe noma ukuthi azikho izimo (njengezingqikithi ezinkulu) zeziphi ama-antibiotic ezingafanelekile.
Kukhona nabantu abathile abanobungozi obuphezulu bokutheleleka ngenxa yesimo sokuzivikela omzimba esibuthakathaka noma esingavamile.
Ezimweni eziningi, laba bantu abakwazi ukulwa nokutheleleka kuphela kodwa ukuyilawula uma kwenzeka. Ngakho-ke, ama-antibiotic angadinga ukuphathwa ngaphambi komsebenzi wamazinyo kubantu abanezimo ezilandelayo:
- I-arthritis ye-rheumatoid , i-lupus, nezinye izifo ezizimele ezenza ukuthi ukutheleleka kungabangela ukuvuvukala okukhulu kwamajoyina
- Abantu abanesifo sikashukela abanesifo sikashukela kanye ne- hemophiliacs abasengozini enkulu yokutheleleka ngegazi
- Abantu abangasondelene nabangasebenzi . kuhlanganise nabamukeli bezakhi zokufakelwa komzimba, abantu abaphethwe ukwelashwa kwemithi yesifo somdlavuza, nabantu abanesandulela ngculaza
- Abantu abaye bathola ukutheleleka kwangaphambilini kokufakelwa okuhlangene
Ama-Antibiotics anconyiwe
Lapho kunconywa ama-antibiotic , odokotela ngokuvamile bayomisa i-amoxicillin yomlomo ukuba ithathwe ihora elilodwa ngaphambi kokusebenza kwamazinyo.
Uma ungeke ukwazi ukubekezelela izidakamizwa zomlomo, udokotela wakho angancoma i-cefazolin noma i-ampicillin ejojelwe kungakapheli ihora lenqubo. Uma unesizathu salolu dakamizwa, i-clindamycin (noma ngomlomo noma injected) ingasetshenziswa.
> Umthombo:
> Hamedani, S. "Ukuvuselelwa Kwemitholampilo Ngomhlahlandlela Wamuva we-AAOS / ADA (Disemba 2012) ngokuvimbela ukutheleleka kwe-Orthopedic Infection kuma-Dental Patients." Journal of Dentistry. 2013; 14 (1): 49-52.