Abantu abaningi abane- COPD bangabaleka kudokotela ngezinqubo zokulwa nezibulala uma bekulindele ukukhushulwa kwe-COPD okuqhubekayo, noma bagcine imithi ye- antibiotics esandleni uma beqala ukuzwa izimpawu ezimbi. Kodwa ingabe ama-antibiotics azuzisa ngempela wonke isiguli nge-COPD? Impendulo ingase isimangaze.
Ukusekela i-Myth About Antibiotics ne-COPD
Ngokuphambene nenkolelo evamile, ama-antibiotic ayasebenza ekuphatheni iqembu elilodwa kuphela leziguli ezibhekana nokukhushulwa kwe-COPD.
Abantu kuleli qembu bahlanganisa nalabo abanakho:
- Ukwanda kwesikhumba se-dyspnea , ukukhwehlela nesipulumenti
- Izimpawu ezimbili ezikhulunywe ngaphambilini, kuhlanganise nokwanda kwesikhubhu esiphuthumayo
- Ukucindezela okukhulu okudinga umoya ongenawo umonakalo noma ongenawo umshini futhi obani okungenani oyedwa wezimpawu ezibhekiswe ngaphambili
Kuthiwani Nge-Prophylactic Treatment With Antibiotics?
Phakathi neminyaka, umkhuba wokusebenzisa ama-antibiotic we-prophylactic ukuvimbela ukukhushulwa kwe-COPD kuye kwaba yindaba yokuphikisana. Ucwaningo lwamuva olwenziwe nge-azithromycin lubonise ukuthi ama-antibiotic e-prophylactic anciphisa izinga lokukhushulwa. Kodwa ucwaningo lubuye lubonise ukuthi ama-antibiotic e-prophylactic ahlobene nemiphumela emibi engaphezu kwemihlomulo. Kuze kube manje, i-Global Initiative for Obstructive Lung Disease ayincomo ukusetshenziswa nsuku zonke kwama-antibiotic ekwelapheni kwe-COPD, ngaphandle uma kwenzeka ukutheleleka kwebhaktheriya kuhlotshaniswa nokukhwabanisa kwe-COPD.
Lokho kusho ukuthi iziguli ze-COPD eziqhubeka nokuqhuma okuqhubekayo naphezu kokwelashwa okunamandla kwe-COPD (nge-bronchodilators nama-anti-inflammatory agents) zingabekwa i-antibiotic prophylaxis nge-azithromycin. Uma kunqunywe i-prophylactic antibiotic, qaphela imiphumela emibi bese utshela udokotela wakho ngokushesha uma unemiphumela emibi.
Amathiphu okuthatha ama-Antibiotics wakho
Uma ngabe unqunywe i-antibiotic, nansi indlela yokuthola inzuzo enkulu emithini:
- Khumbula ukuthi ama-antibiotic awasebenzanga ekwelapheni izifo ezibangelwa igciwane, njenge-cold common or flu.
- Ungalokothi uthathe ama-antibiotics omunye umuntu. Ngenxa yokuthi amanye ama-antibiotic ahlose amabhaktheriya athile, awukwazi neze ukucabanga ukuthi imithi yomuntu izosebenza ngokugula kwakho.
- Thatha yonke inkambo yama-antibiotics, ngisho noma uqala ukuzizwa ungcono. Ukuyeka ngokushesha kungaholela ekuphikeleni kwama-antibiotic kanye nokwanda kwesimo sakho.
- Qinisekisa ukuthi ufunde ibhodlela le-prescription ngokucophelela futhi ulandele izikhombisi-ndlela ngokulandela imiyalelo kadokotela wakho. Uma ungayiqondi ilebula lezidakamizwa, khuluma nodokotela wakho noma umuthi wemithi.
- Khumbula noma yimaphi amalebula okuqapha afakwe ebhodini lokugoma. Isibonelo, ilebuli ingase ithi kuwe ukugwema ukukhanya kwelanga noma ukuphuza amanzi amaningi ngenkathi ukwelashwa kwama-antibiotic.
- Buza udokotela wakho noma umuthi wemithi uma kufanele uthathe i-antibiotic yakho ngokudla noma ngesisu esingenalutho. Lokhu kufanele kuhlanganiswe nokubhaliswa kwezidakamizwa.
- Buza udokotela wakho ukuthi angabhekana kanjani nemiphumela emibi njenge-nausea kanye nesifo sohudo. Uma ungowesifazane, khuluma nodokotela wakho mayelana nokuthi kungenzeka yini ukuthuthukisa ukutheleleka kwemvubelo ngesikhathi ukwelashwa kwama-antibiotic nokuthi yini ongayenza ukuvimbela noma ukuyiphatha.
Ngisho noma ama-antibiotic akalungile ukwelashwa kwakho kwe-COPD, kunezinye izindlela zokulawula izimpawu zakho. Hlola lezi zinsiza ukuze uthole olunye ulwazi:
Izinketho zokwelapha ze-COPD enamandla kakhulu
Qedela Umhlahlandlela we-COPD Treatment
Ungavimbela kanjani ukukhuphuka kwe-COPD
Uhlu lwemithi ejwayelekile ye-COPD
Imithombo:
Albert RK, Connett J, Bailey WC, et al. I-Azithromycin yokuvimbela ukukhushulwa kwe-COPD. N Engl J Med 2011; 365: 689
UBriel M. et. al. Ukusetshenziswa kwe-anti-antibiotics ka-Procalcitonin vs indlela ejwayelekile yezifo ezinzima zokuphefumula ekunakekelweni okuyinhloko. I-Arch Intern Med. 2008 Okthoba 13; 168 (18): 2000-7; ingxoxo 2007-8.
K. Kostikas1, AI et. al. Ukukhwabanisa okujwayelekile kwe-COPD? Phefumla. Juni 2008. Umqulu 4; Cha 4.
I-Puhan MA, et. al. Ukukhushulwa kwesifo se-chronic obstructive pulmonary: i-antibiotics iboniswe nini? Ukubuyekezwa okuhlelekile. I-Respir Res. 2007 Apr 4; 8: 30.
I-Ram FS et. al. UKUKHOLEKILE: Amagciwane okulwa nezifo ezithathelwanayo zesifo se-pulmonary chronic obstructive. Cochrane Database Syst Rev. 2011 Jan 19; (1): CD004403.
Stolz D. et. al. Ukwelashwa kwama-antibiotic okukhushulwa kwe-COPD: isilingo esingahleliwe, esilawulwayo sokuqhathanisa ne-procalcitonin-isiqondiso nge-standard treatment. Isifuba. 2007 Jan; 131 (1): 9-19.