Ngaba Unokuthatha ii-Antibiotics malunga neNtsholongwane yokuLawula isifo sohudo?
Ngaba uke wathatha i-antibiotics ukuba usuleleke, kuphela ukuphela kwesifo sohudo? Kungenzeka ukuba ingenayo intsholongwane okanye into oyidlayo, isifo sohudo singabangelwa yimithi elwa neyeza. Iindaba ezilungileyo kukuba ngamaxesha amaninzi, urhudo luya kucinywa xa ikhosi yamayeza ephelile kwaye ukutya okuqhelekileyo kuqaliswa kwakhona. Ukuba akunjalo, ugqirha unokunceda ekumisela unyango ukuze ufumane iibhaktheriya kwinkqubo yokugaya ngokuvumelana.
Sibanzi
Ngokuqhelekileyo umathumbu omkhulu ugcina ibhalansi enesibindi kunye neebhiliyoni zeebhaktheriya ezihlala ngaphakathi kuyo. Uninzi lwezi zi "bhaktheriya ezintle" kwaye zombini zibanceda ukugaya kunye nokulwa "neebhaktheriya ezimbi" (intlungu yakho inamanye awo, ngokunjalo). I-antibiotics isebenza ngokubulala ama-bacteria, kodwa ayikwazi ukwahlula phakathi kwe "intle" kunye neebhaktheriya "ezimbi". Ngenxa yoko, iibhakteria "ezilungileyo" kwikholoni ziyabhujiswa, ukulinganisela okukrakra kwikholoni kuphazamiseka, kwaye izitulo ezivulekileyo zingabangela.
Iibhaktiriya ezimbi zingathatha
Kwi-1% ukuya kwi-2% ekhulwini labantu abathatha ii-antibiotics, uhlobo oluthile lweebhaktheriya "ezimbi" kwikholoni zingaqala ukukhula nokuthatha. Le bhaktheriya ibizwa ngokuba yiClostridium difficile , kwaye amaninzi ayo agcinwe kumazinga aphantsi ngamanzi entle emanzini. Xa umntu uphathwa ngamayeza okulwa ne-antibiotics kwaye inani le-bacteria enempilo liyancipha, i- C difficile ingaqala ukuphindaphinda kwaye ivelise into enobuthi kwaye inokubangela ukuba uhudo.
Le yimeko ebalulekileyo kwaye inokubangela ubuninzi beengxaki ezinokuquka i-C e-difficult- linked diarrhea, i-pseudomembranous colitis (PMC), kunye noxinzelelo olusongela ubomi olubizwa ngokuba yi- megacolon enetyhefu .
Ziziphi ii-antibiotics ezibangela ukuhanjiswa kwe-diarrhea?
I-antiartictic-associated associated diarrhea ngokuqhelekileyo iyaxhaphaka xa i-antibiotics echazwe ngexesha elifanayo lexesha, i-antibiotics ithathwa ixesha elide, okanye i-antibiotics enamandla.
Ngamanye amaxesha, nokuba ne-antibiotiki elula ingabangela utshintsho kwimikhwa yobomi .
Unyango
Nanini na ixesha lokurhoxisa okanye izitulo ezivulekileyo xa zithatha i-antibiotics, ugqirha oye wachaza isiza kufuneka uxelelwe. Ngokuqhelekileyo, urhudo oluchaphazelekayo luya kuphucula xa ikhosi ye-antibiotics igqityiwe. Ngamanye amaxesha kunokuba kuyimfuneko ukutshintshela kwenye i-antibiotics. Ukuba unesihlungu esiswini okanye isisu, i-diarrhea iyaqhubeka ngaphezu kweentsuku ezintathu, kukho igazi kwi-stool, okanye kukho umkhuhlane, unganqikazi ukubiza ugqirha wakho.
Kwiimeko ezinzima zeC difficile , enye i-antibiotic inokumiselwa. I-Metronidazole kunye ne-vancomycin ziyi-antibiotics ezibulala ngokuthe ngqo iC difficile , eziya kwenza ukuba i- bacteria ephilileyo iphinde iphindwe kwakhona. I- C difficile ikhona kwizihlalo zabantu abanezifo ezikhutheleyo. Ibhaktheriya inokusasazeka ngoqhagamshelwano kunye nesitulo somntu osulelekileyo, ngokunjalo iindlela ezintle zokuhlamba izandla zibaluleke kakhulu. Ibhaktheriya inokuhlala ngaphandle komzimba iinyanga okanye neminyaka.
Abantu abaninzi abanesifo sohudo badla ngokuphelelwa ngumzimba. Ukuphathwa kokungcoliswa kwamanzi kubandakanya ukusela amanzi amaninzi kunye neziphuzo zezemidlalo, ezifana neGatorade, Powerade, okanye iPedialyte kubantwana.
Inkukhu kunye nomhluzi wenkomo kunceda ukutshintsha i-sodium, kunye nejusi yezithelo kunye nesistim sokuncedisa i-soda endaweni yokutshintsha i-potassium elahlekileyo.
I-diarrhea empeleni ikhonza injongo-iyakusiza ukulahla umzimba webhakteria "embi". Ngako oko, oogqirha abaqhelekanga ukuba banikeze imishanguzo yokulwa neyeza . Ukuba izidakamizwa zivumelekile ukuba zihlale emzimbeni, zinokubangela iingxaki ezininzi, ngoko kukulungele ukuvumela umzimba ukuba uzixoshe.
Indima yeProbiotics
Ucwaningo luye lwabonisa ukuba ukutshintshwa kweebhaktheriya ezintle emanzini kunokuba luncedo ekuphatheni uhudo. I-Lactobacillus ibhaktheriya efumaneka kwi-yogurt kunye nobisi lwe-acidophilus.
Khangela i-yogurt "ngamasiko asebenzayo," aqukethe uLactobacillus . I-Lactobacillus ingathathwa kwakhona kwifom yepilisi. I-cocktail yeeprobioti ezininzi ( iLactobacillus casei, iLactobacillus bulgaricus, ne- Streptococcus thermophilus ) iye yaboniswa ukuba luncedo ekukhuseleni i- antiartic acid-related diarrhea, ngakumbi kubantu abangaphezu kweminyaka engama-50.
Thintelo
I-antiartictic-associated associated diarrhea inokuthi ixilongwe, ithetele, njalo udibanise ugqirha wakho xa ubona utshintsho kwimigca yesilonda kwiiveki ezintandathu zokuthatha ikhosi yeziza-antibiotics.
I-antibiotics ayincedi ngokubandayo okanye umkhuhlane, ezi zigulo zentsholongwane. Ukuba ubona ugqirha kule miqathango, ungagxininisi kwikhosi ye-antibiotics, njengoko ayiyi kukunceda, kwaye inokukhokelela kwi-antiartictic-diarrhea echaphazelekayo.
Uhlala uqedela zonke ii-Antibiotics
Ukuba unikwe imishanguzo ye-antibiotics ngenxa yentsholongwane ye-bhakteria, landela imiyalelo yesigqirha kwaye uthathe amayeza akho ngexesha. Qhubeka uqeda ikhosi yamayeza okubulala ngaphandle kokuba ugqirha ugunyazisa ukuba uziyeke . Ukuyeka iintsholongwane ngaphambi kokusuleleka kwintsholongwane kubangelwa ukudala uhlobo olutsha lwebhaktheriya olunqandekiyo kumagciwane. Oku, kuya kubangela ukusetyenziswa kwee-antibiotics ezininzi, ukudala isangqa esichukumisayo.
Usulelo lwe- C difficile lukhokelo oluphambili lwezonyango oluxhatshazwayo esibhedlele lonke. Umngcipheko wokufumana intsholongwane iphakamileyo kubantu abahlala esibhedlele eside, kunye nalabo abanomntu ohlala naye osuleleke yi- C bacile bacteria. Ngoko ke, kubalulekile ukuba abasebenzi bezempilo bahlambe izandla zabo phakathi kwezigulane kwaye bahlaziye izixhobo zokusebenza. Ukuba uhlala esibhedlele, khumbuza abanonophelo ukuba bahlambe izandla.
ILizwi
Akungabazeki ukuba ama-antibiotics enza okulungileyo kakhulu ngokucima izifo ezazisetyenziswa ekupheliseni ubomi babantu. Nangona kunjalo, i-antibiotic imele isetyenziswe ngokufanelekileyo kwaye ingqalelo. Kwezinye iimeko, oogqirha banokucombisa ukuba i-probiotics ingenakongezwa ekudleni okanye njengesongezelelo emva kokuthatha ii-antibiotics. Ukuhlamba izandla kubalulekile ekuthintela ukusuleleka kwezifo ezithintekayo kubantu abasebenzisa i-antibiotic, ngakumbi kulabo ababhedlele. I-diarrhea enzima emva kwekhosi ye-antibiotics kufuneka ihlale ixoxwa nodokotela xa kwenzeka unyango olungakumbi.
Imithombo:
Schroeder MS. "I-Clostridium difficile-Idibaniselwano edibeneyo." I-American Academy yeeNgcali zoLuntu 01 Mar 2005.
Bartlett JG. "Ukwenziwa kwintsholongwane. N Engl J Med Jan 31 2002.
Hickson M, D'Souza AL, Muthu N, et al. "Ukusetyenziswa kweprobiotics uLactobacillus ukulungiselela ukukhusela isifo sohudo olubandakanya iziza-antibiotics: ityala elilawulwa yinto elawulwa yi-placebo." BMJ 14 Julayi 2007.
Beniwal RS, Arena VC, Thomas L, Narla S, i-Imperiale TF, i-Chaudhry RA, i-Ahmad UA. Uvavanyo olungenangqondo lwe-yogurt ukwenzela ukukhusela i-antiartic acid-related diarrhea. " Dig Dis Sci Oct 2003.