Hamba ngeedisesi ze-pharmacy yakho yasekuhlaleni, kwaye uya kuphawula uluhlu lwee-antibiotics ezingaphezu kwe-anti-anti-form (i-salves, i-salves, kunye neoli) (cinga i- Neosporin ne-Polysporin). Nangona kunjalo, ngenxa yokuba unokuthenga ngokuthe ngileyo ezi mveliso kwaye uyisebenzise isikhangiso se-libitum asisho ukuba zisebenza kakuhle. Ukongezelela, ukusetyenziswa kakubi kwee-antibiotiki zengqungquthela kungabangela ingozi yempilo yoluntu ngendlela yokwanda kwamachiza okulwa namagciwane .
Ngokubanzi, iintsholongwane zee-antibiotic zincinci kakhulu (ubuchule-based-based) busebenzisa.
Acne
Xa zisetyenziselwa ukunyanga umgudu, i-antibiotics ye-antibiotics ayifanele isetyenziswe njengonyango kuphela (i-monotherapy) kwiinyanga ezingaphezu kwe-3.
I-acne ye-acety to moderate iyakwazi ukuphathwa ngamachiza e -antibiotics njenge-clindamycin, i-erythromycin, ne-tetracycline ngaphezu kwe-benzoyl peroxide. Xa isetyenziswe ngokudibeneyo. i-benzoyl peroxide kunye namayeza e-antibiotics anciphisa umngcipheko we- Propionibacterium acnes (P. acnes) . Ingqalelo, uP. acnes yi-bacteria ekhula ngokukhawuleza, egazini-gama enegalelo ekuphuhliseni i-acne.
I-Clindamycin mhlawumbi iphumelele ngakumbi kune-erythromycin xa unyanga i-acne ixesha elide. Ngaphezu koko, i-clindamycin idibene nokuncipha kwinani lamnyama (i-comedones kunye ne-microcomedones) efana ne-acne. Ukongeza kokuhlanganiswa ne-benzoyl peroxide, i-clindamycin ingadibaniswa ne-tretinoin ukwenzela unyango lwe-acne.
Enye i-antibiotics engasetyenziswayo ukuphatha unyango okanye yodwa kunye kunye nezinye iziyobisi i-dapsone. Okuthakazelisayo kukuba, i-dapsone yayisetyenziselwa ukuphatha abantu abaneqhenqa xa oogqirha beqaphela ukuba kwanciphise i-acne. Ngokungafani ne-dapsone yomlomo engabangela ukuba i-héemolytic anemia ibulawe kubantu abanokulahleka kwe-G6PD; Nangona kunjalo, i-dapsone ye-headical ikhuselekile kuba ayifakwe kwigazi.
Kwinqaku edibeneyo, xa isetyenziselwa ukuphatha i-acne, ezinye iintsholongwane ze-antibiotic azigcini nje ukulwa nosulelo lwebhaktheriya kodwa zinciphisa ukuvuvukala.
Amanxeba
Kwiminyaka yama-1960 kunye neye-1970, oogqirha bafumanisa ukuba ukusetyenziswa kwezixhobo zokulwa neengqungquthela kwiilonda zokugonywa ngokuphawulekayo kwanciphisa umngcipheko wokusuleleka. Ukongezelela, indawo eshushuyo inxalenye esekelwe ukusetyenziswa kweengqungquthela ze-antibiotics zakhuthaza ukuphulukiswa. Ngoku kutshanje, ubungqina obuncinane bubonisa ukuba amayeza e-antibiotics avimbela ukusuleleka kumaxhoba. Nangona kunjalo, ii-pharmacy ezininzi zisathengisa i-antibiotics esichengeni kunye nesithembiso sokuba banceda ukulwa nosuleleko.
Kuba ubuncinane izizathu ezibini, ukusetyenziswa kwezixhobo zokulwa neengqungquthela ezinokuthi zingakhuselekanga. Okokuqala, iintsholongwane ze-antibiotic kunye nezinye iziza-antibiotics ezisetyenziselwa ukunakekelwa kwilonda kunceda ekuveleni kwee-bacteria ezingamelana ne-antibiotic, ikakhulukazi i- MRSA . Okwesibini, abantu bavame ukuhlakulela i-antibiotic kwi-antibiotic njenge-neomycin kunye ne-bacitracin. Ezi mpembelelo ezibonakalayo zibonakala njenge-dermatitis okanye i-skin inflammation kwaye ingahlaziywa ngokuqhubekayo kwezixhobo zokulwa neengqungquthela, ezisoloko zenzeka ngokunyamekelwa kwilonda.
Isigqibo sokuba kusetyenziswe i-antibiotics ye-antibiotics kwinkathalo yelonda kufuneka ihlale isele kudokotela wakho. Ekugqibeleni, iintsholongwane ze-antibiotics zibanceda nje kuphela i-subset encinci yezigulane ezinamaxhoba afana nalawo angenayo i-immunocompromised okanye i-diabetes.
Ukongezelela koko, amaninzi amanxeba okugula-amanxeba adalwe ngexesha le-aseptic enjenge-skin biopsy-antiical antibiotics.
Impetigo
I-Impetigo yikhumba eqhelekileyo okanye isifo esicubileyo se-tissu esivame ukubangelwa yi-staph okanye strep bactteria. Kwiminyaka ye-1980 kunye neye-1990, i-antipiotiki mupirocin yayicatshangelwa ingcono kune-neomycin okanye i-polymyxin ekunyangeni impetigo. Namhlanje, ngenxa yokunyuka kwe- MRSA kunye nezinye iintlobo ze-antibiotic-resistant bacteria, i-mupirocin ayinakwenzeka kwiimeko ezininzi ze-impetigo. Enyanisweni, ukuba unesifo okanye usulelo oluthambileyo lwesifo, ugqirha wakho uya kubeka umyalelo wempuphu yomlomo njengoKeflex okanye i-Trimethoprim-Sulfamethoxazole (TMP-SMX) esebenzayo ne-MRSA.
Ekugqibeleni, i-antibiotic yeengqungquthela isetyenziswa kakhulu kwiyeza. Kulungile, xa uthengela amayeza e-antibiotic ukuze unyango lwakho, mhlawumbi uchitha imali yakho. Okona kunzima, unomdla kwi-antibiotic resistance and skinergy.
Imithombo:
Bhatia A, Maisonneuve JF, Persing DH. I-PROPIONIBACTERIUM AMA-ACNES NEMISEBENZI YEZIKRONI. Ku: Iziko leZiko leMithi (i-US) kwiSikhuselo seMicrobial; Knobler SL, O'Connor S, i-Lemon SM, kunye ne-al, abahleli. I-Etiology ejongene noGawulayo yezifo ezingapheliyo: Ukuchazwa koBudlelwane, ukuphucula uPhando, kunye nokunciphisa iziphumo: I-Summary Summary. IWashington (DC): I-National Academy Press (US); 2004. Ifumaneka apha: http://www.ncbi.nlm.nih.gov/books/NBK83685/
I-Article ethi "Ukuhlaziywa kwii-antibiotics kwi-dermatology" yi-CR Drucker epapashwe kwi-Dermatologic Therapy ngo-2012.