Xa unesifo esifana nomkhuhlane okanye ukukhwehlela, xa usiya kugqirha, bakunika iintlobo ezahlukeneyo zee-antibiotics, akunjalo? Ngamanye amaxesha usenokungazazi kakuhle ezi ziyobisi. Kaloku, udidi olubaluleke kakhulu lwee-antibiotics oogqirha abalucebisayo lubizwa ngokuba yiMacrolides. Ngoko ke namhlanje, masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, zithini ezi macrolides?
IiMacrolides ziluhlobo lwee-antibiotics ezisetyenziselwa ukunyanga izifo ezibangelwa ziibhaktheriya . Umsebenzi wazo ophambili kukuthintela ukukhula, okanye ukusasazeka kweebhaktheriya ezingene emizimbeni yethu.
Kubalulekile ukukhumbula ukuba la mayeza asebenza kuphela kwiintsholongwane ezibangelwa ziintsholongwane. Awazukunceda kwiintsholongwane ezibangelwa ziintsholongwane, ezifana nomkhuhlane okanye iflu.
Ugqirha wakho unokucebisa i-macrolide ukuba uvakalelwa kukuba lolona nyango lufanelekileyo losulelo lwakho. Kwakhona, abanye abantu bane-aleji kwezinye ii-antibiotics, ezifana ne-penicillin. Ii-macrolides zisetyenziswa njengenye indlela kwiimeko ezinjalo.
Ziziphi ii-macrolides ezisetyenziswa kakhulu?
Kukho iintlobo ezahlukeneyo zee-macrolides ezisetyenziswa kakhulu ngoogqirha eSri Lanka nakwihlabathi liphela. Makhe sizijonge kwitheyibhile engezantsi.
| Igama leziyobisi | Intshayelelo emfutshane |
|---|---|
| I-Azithromycin | Uhlobo oluqhelekileyo lwekhosi olunokugqitywa ngexesha elifutshane, njengeentsuku ezintathu ukuya kwezintlanu. |
| IClarithromycin | Ikwasetyenziswa nakwizifo zokuphefumla kunye nezinye izilonda zesisu. |
| I-Erythromycin | Iyeza elidala kancinci, kodwa elisebenza kakuhle kakhulu elisetyenziselwa izifo ezahlukeneyo. |
| I-Fidaxomicin | Isetyenziswa ngokukodwa kwi-C. diff infection, isifo esibi kakhulu samathumbu. |
Zeziphi izifo ezisetyenziselwa ii-macrolides?
La mayeza asetyenziswa ukunyanga iintlobo ngeentlobo zezifo ezibangelwa ziintsholongwane, ukusuka kwizifo zokuphefumla ukuya kwizifo ezidluliselwa ngesondo.
- "I-pneumonia ehambayo" (I-pneumonia engaqhelekanga): Imeko ye-pneumonia eyahlukileyo kancinci kwi-pneumonia eqhelekileyo kwaye ayibi mandundu kangako.
- Usulelo lwamehlo olubangelwa ziintsholongwane: Usulelo olubangela amehlo abomvu narhawuzelelayo.
- Umkhuhlane wokukrwela kwekati
- I-Diphtheria
- Usulelo lwe-H. pylori, olubangela izilonda zesisu: Olu nyango lunikwa kunye namanye amayeza.
- Izifo ezidluliselwa ngesondo: Umzekelo, iimeko ezifana neChlamydia.
- Usulelo lomphimbo (Strep throat): Ingakumbi kwabo bane-aleji kwi-penicillin.
- Iimeko zorhudo olunzima: Xa urhudo lomhambi luba nzima.
- Usulelo lomchamo (Urethritis)
- Ukukhohlela okungapheliyo (iPertussis)
Ukongeza, ngamanye amaxesha i-macrolide ebizwa ngokuba yi-'Erythromycin' isetyenziswa eluswini ngendlela yejeli ukunyanga i-acne. Isizathu soku kukuba ezinye iintlobo zeebhaktheriya eluswini lwethu zinegalelo ekudalweni kwe-acne. Le jeli ilawula ezo bhaktheriya.
Ndingayisebenzisa njani le yeza?
Ii-antibiotics ze-Macrolide ziza ngeendlela ezahlukeneyo.
- Iintlobo zeepilisi zokuginya
- Iintlobo zolwelo lokunkcenkceshela
- Ijeli okanye iloshini esetyenziswa eluswini
- Izithambiso ezisetyenziswa kwinwebu yangaphakathi yeliso
- Iigonyo ezinikwa ngugqirha
Eyona nto ibalulekileyo kukuthatha amayeza kanye njengoko ugqirha wakho ekuxelela, ngedosi efanelekileyo, ngexesha elifanelekileyo, nangenani elifanelekileyo leentsuku. Funda imiyalelo ekwileyibhile yeyeza ngononophelo. Ukuba awuqinisekanga, buza ugqirha wakho.
Ukuba unikwe iyeza lolwelo, sebenzisa kuphela indebe yokulinganisa okanye icephe eliza nalo. Musa ukusebenzisa iitisipuni zasekhaya okanye iitisipuni, kuba zisenokungakuniki idosi echanekileyo .
Ukubaluleka kokugqiba izifundo zobugqirha
Nokuba ugqirha ukunike iintsuku ezingaphi, kufuneka usele amayeza kanye ngaloo mhla. Ungaziva ungcono emva kweentsuku ezimbini okanye ezintathu usela amayeza. Kodwa ungayeki ukuwasela amayeza kuba nje uzive ungcono. Ukuba uyayeka, iintsholongwane eziseleyo emzimbeni wakho aziyi kutshatyalaliswa ngokupheleleyo. Emva kwexesha elithile, iintsholongwane ziya kuba namandla kwakhona, kwaye isifo sinokuphinda sibuye.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Ewe, njengayo nayiphi na iyeza, ii-macrolides zinokubangela iziphumo ebezingalindelekanga ezincinci. Kodwa ungakhathazeki, uninzi lwazo alusoloko lubi kakhulu. Iziphumo ebezingalindelekanga eziqhelekileyo kukuphazamiseka kwesisu.
- Isicaphucaphu nokuhlanza
- Intlungu yesisu okanye isisu
- Urhudo
Amathuba ezi ziphumo ebezingalindelekanga anokwahluka ngokuxhomekeke kuhlobo lwe-macrolide oyinikwayo. Ugqirha wakho uza kukuchazela oku.
Enye into ebalulekileyo kukuba la mayeza anokusebenzisana namanye amayeza owasebenzisayo. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye nezongezo). Kwakhona, ukuba usela utywala, mxelele ngalo. Ungacetyiswa ukuba ungasebenzisi utywala xa usebenzisa la mayeza.
Amaxesha amaninzi, ii-allergy zinokwenzeka. Uphawu oluqhelekileyo kukuqhambuka kwesikhumba. Amaxesha amaninzi, iimeko ezinzima zesikhumba ezifana neStevens-Johnson syndrome zinokwenzeka.
Ngaba eli yeza lingayichaphazela indlela intliziyo ebetha ngayo?
Oku nako kunqabile kakhulu, kodwa kubalulekile ukukwazi. Ezinye ii-macrolides zinokubangela utshintsho kumsebenzi wombane wentliziyo (i-QT interval prolongation). Oku kunokukhokelela kumngcipheko omncinci kakhulu wokuphuhlisa izingqisho zentliziyo ezingaqhelekanga (i-arrhythmias).
Kodwa ungakhathazeki ngale nto. Oogqirha bayayazi le nto. Ukuba unesifo sentliziyo esifana ne-"Long QT syndrome", ugqirha wakho uza kukunika i-antibiotic ekhuselekileyo endaweni yale mayeza.
Ndifanele ndimbone nini ugqirha?
Kubaluleke kakhulu ukuthetha nogqirha wakho kwezi meko zilandelayo.
| Imeko | Kwenziwe ntoni |
|---|---|
| Ukuba unemibuzo malunga nendlela yokusebenzisa amayeza akho. | Thetha nogqirha uze ufumane ngokuchanekileyo. |
| Ukuba unengxaki yokusebenzisa amayeza ngenxa yeziphumo ebezingalindelekanga (umz. ukuhlanza). | Musa ukuyeka ukusebenzisa amayeza, kodwa fowunela ugqirha wakho ukuze akunike ingcebiso. |
| Ukuba iimpawu zisekhona emva kokuba amayeza egqityiwe. | Bona ugqirha kwakhona. |
| Ukuba uqalisa ukurhawuzelelwa lusu okanye iimpawu zokunganyamezelani. | Yazisa ugqirha ngoko nangoko. |
| Iimeko apho kufuneka uye kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngokukhawuleza | |
| Ukuba urhudo olumanzi izihlandlo ezininzi ngemini okanye ukuba ubonisa iimpawu zokuphelelwa ngamanzi emzimbeni (umlomo owomileyo, amehlo atshonileyo, ukuchama okunciphileyo). | Yiya kwi-ETU yesibhedlele esikufutshane ngoko nangoko. |
| Ukuba ufumana iimpawu ze-allergy enzima (i-Anaphylaxis), ezinje ngobunzima bokuphefumla kunye nokudumba kobuso nemilebe. | Le yimeko engxamisekileyo. Yiya kwi-ETU ngoko nangoko. |
Ngaba iClindamycin nayo yiMacrolide?
Hayi. I-'Clindamycin' ayisiyo-macrolide. Ikwelinye iklasi yee-antibiotics ezibizwa ngokuba yi-'Lincosamides'. Nangona kunjalo, elo yeza likwathintela ukukhula kweebhaktheriya ngendlela efanayo ne-macrolides.
Ukuqukumbela, ii-macrolides zizixhobo ezinamandla ekulweni nosulelo lweentsholongwane. Kodwa esi sixhobo kufuneka sisetyenziswe kuphela ngokungqongqo, kwaye kuphela phantsi kwengcebiso kagqirha.
Umyalezo Wokuya Ekhaya
- IiMacrolides luhlobo lwe-antibiotic olusetyenziselwa ukunyanga usulelo lweebhaktheriya.Ezi azinyangi izifo ezibangelwa yintsholongwane ezifana nomkhuhlane oqhelekileyo.
- Qiniseka ukuba uyamxelela ugqirha wakho ngamanye amayeza owasebenzisayo, ii-allergies onazo, kunye nezinye izifo (ingakumbi isifo sentliziyo).
- Nokuba iimpawu zakho ziyancipha, gqiba yonke imithi oyinikwe ngugqirha wakho. Ukuma phakathi kunokubangela ukuba isifo sibuye, size sibe nzima ngakumbi.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga, ezinje ngorhudo olunzima, ukurhawuzelela okukhulu kolusu, okanye ubunzima bokuphefumla.
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