Ezinye ii-Antibiotics Zingenza I-Loose Stools okanye Enye i-Infection
Ngamanye amaxesha i-Antibiotics iyimfuneko yokuphatha iintsholongwane ze-bacteria. Nangona kunjalo, kwiimeko ezithile, ukuthatha ikhosi yamayeza okubulala unyango lwe-urinary, ukusuleleka kwindlebe, okanye i-pneumonia ingaba nefuthe elingalindelekanga kwaye elide lihlala njalo. Ngaba i-antibiotics ingabangela urhudo kwaye kutheni kwenzeka?
Kutheni Ama-Antibiotics Edala I-Diarrhea?
Into yokuqala yokuyiqonda ngeebhaktheriya emizimbeni yethu kukuba akusiyo yonke "embi." Abo basibangela ukuba sisifo esiyingozi siyinto esingafuniyo.
Kodwa eqinisweni, intumbu enkulu iqulethe inamba ephezulu "yezinto ezilungileyo" zeebhaktheriya. Le yintsholongwane efunekayo ukuba ibe khona, kwaye iyadingeka ukuze kugcinwe kakuhle. Ezi bhaktheriya ziphule ukutya kwaye zincede ziyilo. Ngaphandle kwayo, ukutyalwa kwegazi akuhambanga kakuhle.
Ama-antibiotics abulale onke amaBhetriya
I-antibiotics ayikwazi ukuchaza umahluko phakathi kweebhaktheriya ezinceda umzimba kunye neebhaktheriya ezonakalisa umzimba-zibulala naziphi na iibhaktheriya eziyifumanayo. Ukuba ezinye iibhaktheriya zokutya ezincedo ezihlala emathunjini amakhulu zibulewe, i-balance of good / bad bacteria iphazamiseka. Ngaphandle kwazo zonke iibhugi ezilungileyo ukwenza ukugaya, i- diarrhea okanye izitulo ezivulekileyo kungaba yiphumo.
I-Clostridium difficile: Olunye uhlobo lweeBhakteria ezimbi
Sidinga ibhaktheriya encedo kwi-digestive tract, kodwa oko akuthethi ukuba zonke iibhaktheriya ezihlala apho zenza umsebenzi omuhle emizimbeni yethu. Kukho nakwiibhaktheriya ezinobungozi ezihlala kwiphepha lokutya.
Iindaba ezilungileyo kukuba ininzi yexesha, iintlobo ezintle zebhaktheriya zithintela ibhaktheriya eyingozi, ukugcina izinto ezimbi kwaye zikhusele ukuba zingabangela izifo.
Wonke umntu unaloo mabhaktheriya, kwaye ininzi yexesha abenzi nantoni na, kodwa ukuba zonke iinguqu emva kwenkqubo ye-antibiotics apho ibhaktheriya eluncedo libulawa.
Ku-1% ukuya kwi-2% yabantu, uhlobo olulodwa lweebhaktheriya ezinobungozi ezihlala kwikolon- iClostridium difficile -nokuqala ukuphindaphinda nokuthatha i-colon emva kwekhosi ye-antibiotics. Oku kungenzela ngelithuba leengxaki zonyango ezibandakanya:
- I-C echaphazelekayo-diarrhea
- I-Colitis (ukuvuvukala okuqhelekileyo kwekholoni)
- I-colitis epseudomembranous
- I-megacolon inetyhefu , engxamisekileyo yokutyhutyha ubomi
Ziziphi ii-antibiotics ezinokubangela iingxaki?
Nayiphi na i-antibiotics inokuphazamisa i-flora kwisibilini esikhulu kwaye ibangela ukuba i-bhakteria ife. Nangona kunjalo, akuwona wonke uhlobo lwe-antibiotic inomlinganiselo ofanayo wokuba negalelo kwi- C difficultile colitis. Nangona kuyi nyaniso ukuba ukuthatha nayiphi na i-antibiotic ingabangela ukubola kwe- C enzima , kukho i-antibiotics enomngcipheko ophezulu wokukwenza ngaphezu kwabanye.
Amachiza omzimba onoxanduva lwe- C difficultile colitis yilezo eziye zaqulunqwa ukubulala iintlobo ezahlukeneyo zebhaktheriya, nto leyo ingqiqo, kuba iya kuba nefuthe kwiintlobo ezahlukeneyo zebhaktheriya, kuquka ezilungileyo. Iintsholongwane ezininzi ezinxulumene ne- C difficile colitis zi:
- iziza-antibiotics ezibanzi (i-clindamycin, i-cephalosporins [cephalexin], i-fluoroquinolones),
- i-penicillins ebanzi (ampicillin, amoxicillin)
Amachiza okulwa neengxaki ezinokumodareyitha ziquka:
- imipenem
- tetracyclines
- macrolides
- sulfa-trimethoprim
Lezo antibiotics ezinomngcipheko ophantsi kakhulu:
- metronidazole
- vancomycin
- aminoglycosides
- sulfa
- nitrofurantoin
- linezolid
Ngaba Uncedo lweProbiotics lunokukhusela isifo sohudo?
Iiprobiotiki ziyafumaneka kwiivenkile kunye nezidlo zezilwanyana kodwa azidalwa ngokulinganayo. Zingaba neengxaki ezahlukeneyo zebhaktheriya kunye nezixa ezahlukileyo, kwaye zikhululekile kakhulu, nangona zikhona ezinye iimpawu ezinokuthembeka kunabanye. Okongeziweyo, ayinakunyulwa ukuba ngubani na onokukunceda, okanye nokuba yintoni efunekayo ukuba ithathwe.
Ngoko ke, akukho ngcebiso ngeengubo malunga nokuthatha i-probiotics emva kwekhosi ye-antibiotics. Kucetyiswa ukuba ngamanye amaxesha iprobiotiki inokunceda, kodwa ayiyi kuba yinyaniso kuzo zonke iimeko, kunye neendleko zeprobiotics kunye neyona nto inokulimaza enokubambisana nayo kufuneka iqwalaselwe.
Kubantu abanesifo sesibindi (IBD) , ikakhulukazi abo abane-ostomy okanye i- j-poch , kubalulekile ukuthetha nomdlavuza we- antibiotics. I-antibiotics inxulumene ne-IBD, kunye nesifo se-gastroenterologist sinokuba neziphakamiso malunga nokuba iprobiotiki iya kuba luncedo, kwaye yiyiphi ibhendi eya kuyisebenzisa.
ILizwi
Usulelo lwebhaktheriya lungadinga ukunyangwa ngamayeza, kwaye akukho ndlela yokuyijikeleza. Ukukhethwa kwee-antibiotics ezisetyenzisiweyo akuyi kuba kusekelwe ekubeni ingekho umngcipheko we- C worry colitis, kodwa kunokuba yiyiphi into efanelekileyo yokubulala ibhaktheriya ebangela ukusuleleka. Xa sele iqalile i-antibiotics, kufuneka igqitywe ukuphepha ukudala iingcinezelo ze-antibiotic-resistant bacteria.
Ukuba unenkxalabo malunga neengxaki zesifo sohudo emva kokuba uthathe amagciwane, khuluma nodokotela wakho. Kwezinye iimeko, kukho indlela eya kusebenza ngayo, kodwa kufuneka isebenze ngokubhekiselele kubhaktheriya obangela ukusuleleka. Ukuthatha ama-probiotics kunokukhethwa kwindlela yokubuyisela i-colon eneebhaktheriya ezintle, kodwa oko kufuneka kuxoxwe nodokotela, kuba kwakhona, kufuneka ukuba banyulwe.
Imithombo:
> Issa I, uMoucari R. "Iiprobioti ze-antibiotic-echaphazelekayo-diarrhea: Ngaba sinesigwebo?" Ihlabathi J Gastroenterol. 2014 uDis 21; 20: 17788-17795.
ISharhar DB, i-Walfish AE. "I-Clostridium difficile-Yenza i-Colitis." I-Merck Manual. Sep 2006.
Schroeder MS. "I-Clostridium difficile - isifo sohudo." I- Am Fam Physician . 1 uMar 2005.