Abantu abaninzi abaneCOPD bangabaleka kumgqirha kwiimithi zonyango xa bekulindele ukukhushulwa kwe- COPD ezayo, okanye bagcine imithi ye- antibiotics esandleni xa beqala ukufumana iimpawu ezimbi. Kodwa ngaba i-antibiotics inenzuzo ngempela yonke isigulane neCOPD? Impendulo inokumangalisa.
Ukucwangcisa Inkolelo-mbono Ngee-Antibiotics kunye neCOPD
Ngokuchasene neenkolelo ezithandwayo, i-antibiotics isebenza ngokuphumelelayo ekuphatheni kuphela iqela elikhethileyo lezigulane ezitholakalayo.
Abantu abakweli qela baquka abo:
- Ukwanda kwe- dyspnea , ukukhwehlela, kunye ne- sputum
- Iimpawu ezimbini ezikhankanywe ngaphambili, kubandakanywa ukwanda kwe-sputum
- Ukugqithisa okuninzi okufuna ukungena emzimbeni okanye ukungena kwemishini kunye nabani na ubuncinane bezinye iimpawu ezikhankanywe ngaphambili
Kuthiwani Ngonyango lweProphylactic kunye neeAntiyotics?
Kule minyaka, umkhuba wokusebenzisa i-prophylactic antibiotics ukukhusela ukukhushulwa kwe-COPD yinto yokuphikisana. Uphando olutshanje usebenzisa i-azithromycin lubonise ukuba i-prophylactic antibiotics yanciphise izinga lokunciphisa. Kodwa uphando lubonisa ukuba i-prophylactic antibiotics inxulumene nemiphumo emibi engaphezulu kwayo. Okwangoku, i-Global Initiative ye-Lung Dungase i-Lung Disease ayikucebisi ukusetyenziswa kwimihla ngemihla yamachiza okubulala unyango lweCOPD, ngaphandle kweziganeko zentsholongwane yebhaktheriya ezinxulumene nokukhushulwa kwe-COPD.
Oko kwathiwa, izigulane zeCOPD eziqhubekayo zixakeka rhoqo nangona kukho unyango olufanelekileyo kwiCOPD (kunye ne-bronchodilators kunye nama-anti-inflammatory agents) inokumiselwa i-antibiotic prophylaxis nge-azithromycin. Ukuba unqunywe i-prophylactic antibiotic, qaphela ingqalelo kwimiphumo emibi kwaye utshele ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi.
Iingcebiso zokuthatha ii-Antibiotics zakho
Ukuba unqunywe i-antibiotiki, nantsi indlela yokufumana inzuzo eninzi ngaphandle kweyeza:
- Khumbula ukuba i-antibiotics ayinakuphumelela ekuphatheni izifo ezibangelwa yi-ntsholongwane, njengobanda obuqhelekileyo okanye umkhuhlane.
- Ungalokothi uthathe i-antibiotic yomnye umntu. Ngenxa yokuba i-antibiotics ethile ijolise kwiibhaktheriya ezithile, awukwazi ukucinga ukuba unyango lomntu luya kusebenza ngokugula kwakho.
- Thatha lonke ikhosi ye antibiotics, nokuba uqala ukuziziva ungcono. Ukuyeka ngokukhawuleza kunokukhokelela ekuchaseni i-antibiotics kunye nokunyuka kwesimo sakho.
- Qiniseka ukuba ufunde ibhotile yegciwane ngokucophelela kwaye ulandele izikhokelo njengokuba ulandelwa ngogqirha wakho. Ukuba awuyiqondi iileyibhile yezilwanyana, xela ugqirha okanye wezemithi.
- Khawukhumbule nayiphi na iileyibhile zokuqapha ezifakwe kwibhotile yegciwane. Ngokomzekelo, iilebula inokuthi kuwe ukuba ugweme ukukhanya kwelanga okanye uphuze amanzi amaninzi ngexesha lolwaphulo lwe-antibiotic.
- Buza ugqirha wakho okanye umasipala ukuba ufanele uthathe i-antibiotic yakho ngokutya okanye kwisisu esingenalutho. Oku kufanele kufakwe kwi-labeling label.
- Buza ugqirha wakho malunga nendlela yokujongana nemiphumo emibi efana nesicefe kunye nesifo sohudo. Ukuba ungumfazi, xela ugqirha wakho malunga nokuphuhliswa kwesifo semvubelo ngexesha lonyango lwe-antibiotic kunye nento ongayenza ukukhusela okanye ukuyiphatha.
Nangona i-antibiotics ayilungile unyango lwakho lweCOPD, kukho ezinye iindlela zokulawula iimpawu zakho. Khangela ezi zixhobo ngolwazi olungakumbi:
Izinketho zokwelapha kwiCOPD kakhulu
Gqibelela Isikhokelo kuCOPD Treatment
Indlela yokukhusela i-COPD Exacerbation
Imithombo:
Albert RK, Connett J, Bailey WC, et al. I-Azithromycin yokuthintela ukunyanzeliswa kweCOPD. N Engl J Med 2011; 365: 689
UBriel M. et. al. Ukusetyenziswa kwe-antibiotic ekhokelwa yiProcalcitonin ngokubhekiselele kwindlela eqhelekileyo yezifo ezithintekayo zokuphefumula kwindawo yokunyamekela. Arch Intern Med. 2008 ngo-Oktobha 13; 168 (18): 2000-7; ingxoxo 2007-8.
K. Kostikas1, AI et. al. Ukunyanzeliswa kweCOPD ngokuqhelekileyo? Phefumla. Juni 2008. Umqulu 4; Hayi 4.
Puhan MA, kunye. al. Ukugqithisa kwesifo esingasasigxina se-pulmonary disease: nini i-antibiotics iboniswe? Uhlolo oluhlelekile. Res Res Res. 2007 uMatshi 4; 8: 30.
Ram FS kunye. al. UKUSETYENZISWA: Iziza-antibiotics ezixinzeleleko zesifo esingapheliyo se-pulmonary disease. I-Cochrane Database Syst Rev. 2011 Jan 19; (1): CD004403.
Stolz D. et. al. Ulwaphulo lwe-Antibiotic lwee-exacerbation ze-COPD: ityala elingahleliyo, elilawulwayo ngokungalinganiyo, ngokuthelekisa i-procalcitonin-isikhokelo kunye neyeza eliqhelekileyo. Esifubeni. 2007 Jan; 131 (1): 9-19.