Izilonda zesisu ezibangelwa yi-H. pylori? Ake sifunde ngaleli philisi elinemithi emithathu (i-Bismuth Subcitrate Potassium; i-Metronidazole; i-Tetracycline)!

Ingabe uvame ukuba nobuhlungu esiswini esingaphezulu? Isikhathi esiningi, sicabanga ukuthi yi-gastritis. Kodwa-ke, ngezinye izikhathi imbangela yalokhu kungaba yibhaktheriya ebizwa ngokuthi i-H. pylori . Leli bhaktheriya linamathela olwelwesini lwesisu sakho futhi libangele izilonda lapho. Lezi zilonda yizo ezibangela ubuhlungu nokuvuvukala. Ngakho-ke, odokotela banikeza imithi ekhethekile yokubulala amagciwane e -H. pylori nokuphulukisa izilonda. Namuhla, sizokhuluma nge-capsule eyenziwe ngokuhlanganisa imithi emithathu enjalo eyinhloko. Iqukethe izinhlobo ezintathu zemithi ebizwa ngokuthi i-Bismuth Subcitrate Potassium, i-Metronidazole, ne-Tetracycline . Ungase uwazi lo muthi ngegama lomkhiqizo i-Pylera . Ake sibheke imininingwane yalo muthi.

Iyini ngempela le nhlanganisela yemithi?

Kalula nje, le nhlanganisela yama-capsule isetshenziselwa ukwelapha izilonda esiswini sakho noma emathunjini amancane (i-duodenum) ezibangelwa yibhaktheriya eshiwo ngenhla ebizwa ngokuthi i-H. pylori . Cabanga ngayo njengesitha esincane, uma ungayisusi, izilonda ngeke ziphole, futhi izinkinga zingaqhubeka zibuya.

Ngakho-ke ukuhlanganiswa kwale mithi emithathu kwenza umsebenzi obaluleke kakhulu. Ngakolunye uhlangothi, lo muthi ubulala amabhaktheriya, noma umise ukukhula kwawo. I-Tetracycline kulokhu iyi- antibiotic enamandla. Okusho ukuthi, umuthi obulala amabhaktheriya. I-Metronidazole ingenye i-antibiotic futhi umuthi osebenza futhi ngokumelene nezinye izimuncagazi. I-Bismuth Subcitrate I-Potassium isebenza ngokwakha ifilimu evikelayo esilondeni sesisu futhi isebenza futhi ngokumelene namabhaktheriya e-H. pylori . Uma zonke lezi ezintathu zihlanganisiwe, zisebenza kahle kakhulu ngokumelene namabhaktheriya e-H. pylori futhi zivimba indlela yokuthi izilonda ziphole.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi!

Kulungile, manje kunezinto ezimbalwa okudingeka uzitshele udokotela wakho noma umhlengikazi ngaphambi kokuba uqale ukuthatha lo muthi. Ungazifihli lezi zinto, kulungile? Ngoba yilapho udokotela enganquma khona ukuthi lo muthi ukufanele yini noma cha, nokuthi uwunikeza kanjani. Ukunikeza lolu lwazi kubaluleke kakhulu ekuphepheni kwakho.

Nazi izinto okufanele uzisho:

• Uma unesifo esingavamile sofuzo njenge -Cockayne syndrome .
• Uma uke waba nanoma yiziphi izinkinga zegazi esikhathini esidlule – isibonelo , i-sickle cell anemia ( isifo esithile segazi), i-anemia (isifo segazi esivamile), i-leukemia (umdlavuza wegazi).
• Uhlala uphuza utshwala.Uma ungumuntu ophuza utshwala. (Lokhu kubaluleke kakhulu, ngoba utshwala abusebenzi nhlobo nalomuthi!)
• Uma unenhliziyo engajwayelekile noma isigqi esingajwayelekile, okungukuthi, uma unezinkinga ngokushaya kwenhliziyo yakho ngendlela engajwayelekile.
• Uma unesifo sezinso (uma izinso zingasebenzi kahle, kungathinta indlela umuthi okhishwa ngayo emzimbeni).
• Uma unesifo sesibindi ( isibindi yisona esicubungula imithi eminingi emzimbeni).
• Uma ukuhlolwa kuthole ukuthi ezinye izingxenye zegazi ziphansi ( inani legazi eliphansi ).
• Uma uke waba nesifo sokuwa ngaphambili.
• Uma une-nding eminweni noma ezinzwaneni zakho, noma uma unezinye izinkinga zemizwa .
• Uma une-allergy ku -bismuth subcitrate potassium, i-metronidazole, i-tetracycline , noma yimuphi omunye umuthi kulo muthi, ekudleni, kumadayi okudla, noma kuma-preservatives okudla, okungukuthi, uma une -allergy .
• Uma ukhulelwe , noma uzama ukukhulelwa maduze. (Lokhu kubaluleke kakhulu, ngoba ezinye zezithako ezikulo muthi azilungele ingane).
• Uma ungumama oncelisayo ( lo muthi ungadluliselwa enganeni yakho ngobisi lwebele).

Sicela ukhumbule ukuthi kubaluleke kakhulu ekuphepheni kwakho ukunikeza udokotela wakho lolu lwazi ukuze akunike ukwelashwa okungcono kakhulu.

Ungayisebenzisa kanjani le mithi ngendlela efanele?

Lomuthi kufanele uphuzwe ngomlomo. Gwinya wonke ngengilazi yamanzi (okungenani ama-240 ml). Thatha nsuku zonke ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho noma usokhemisi. Ngokuvamile uzotshelwa ukuthi uthathe lo muthi kanye nokudla.

Into ebaluleke kakhulu ukuthi, ungayeki phakathi nendawo. Yeka kuphela uma udokotela wakho ekuyala. Ngisho noma uzizwa ungcono kancane, udinga ukuqeda inani elibekiwe lezinsuku, okungukuthi, inkambo . Ngaphandle kwalokho, igciwane le -H. pylori ngeke libulawe ngokuphelele, futhi lingase liphinde livuke, bese kuba nzima nakakhulu ukwelapha lesi sifo.

Okunye, uma unamaphilisi, ama-syrup, noma ama-antacid (imithi yezilonda zesisu) aqukethe amaminerali afana ne -aluminium, i-calcium, i-iron, i-magnesium, ne-zinc, ungawathathi ngesikhathi esifanayo nalomuthi. Kufanele uwathathe emahoreni amabili ngaphambi noma emahoreni amabili ngemva kokuthatha lomuthi. Ngoba lawo maminerali anciphisa ukumuncwa kwe -tetracycline kulomuthi. Uma unokungabaza ngalokhu, buza udokotela wakho noma usokhemisi ngokucacile.

Lo muthi awuvunyelwe ukusetshenziswa ezinganeni.Ngakho-ke udinga ukukhuluma nodokotela ngalokho futhi.

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu (umthamo oweqile): Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, okungukuthi, ngaphezu kwenani elibekiwe, ungalibali. Yiya emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi .

Sicela uqaphele: Lo muthi unikezwe wena wedwa. Ungawuniki omunye umuntu , noma ngabe unesifo esifana nesakho noma unezimpawu ezifanayo. Umuthi ofanele umuntu ngamunye ungase uhluke.

Wenzani uma uphuthelwa umthamo wemithi?

Uma ukhohlwa ngokuzumayo ukuthatha umthamo, ungakhathazeki. Thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, uma umthamo wakho olandelayo kufanele uthathwe emahoreni amabili noma amathathu), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe . Ukwenza kanjalo kwandisa ingozi yemiphumela emibi.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Manje lokhu nakho kubaluleke kakhulu. Lo muthi ungasebenzisana neminye imithi, amavithamini, kanye namakhambi owathathayo. Uma lokhu kwenzeka, ukusebenza kahle kwalo muthi kungancipha, noma kube nemiphumela emibi.

Ungazisebenzisi lezi kanye nalomuthi!

Uma uthatha le mithi, akukhuthazwa ukuthatha ama-capsule e-Pylera . Ngakho-ke, kufanele utshele udokotela wakho ngalokhu.

• I-Acitretin ( umuthi wesifo sesikhumba)
• Utshwala noma yisiphi isiphuzo noma ukudla okuqukethe utshwala (sizoxoxa ngalokhu ngokuningiliziwe kamuva, lokhu kuyingozi kakhulu!)
• I-Cisapride (umuthi osetshenziselwa izinkinga zesisu, ongasasetshenziswa kakhulu)
• I-Disulfiram (umuthi onikezwa abantu abayimilutha yotshwala)
• I-Dronedarone ( umuthi wokushaya kwenhliziyo)
• I-Pimozide ( umuthi wesifo sengqondo)
• I-Thioridazine (umuthi wesifo sengqondo)

Kukhona ithuba lokungqubuzana nalokhu futhi.

Lo muthi ungase uhlangane nalezi zinto, ngakho-ke uma usebenzisa lezi zinto, yazisa udokotela wakho.

• Ama-antacid ( uketshezi/amaphilisi asetshenziselwa ukwelapha izilonda zesisu), amavithamini, noma eminye imikhiqizo equkethe i-aluminium, i-calcium, i-iron, i-magnesium, noma i-zinc (njengoba kushiwo ngaphambili, lokhu kunciphisa ukumuncwa komuthi).
• I-Busulfan (umuthi wokulwa nomdlavuza).
• Eminye imithi evimbela ukujiya kwegazi, njenge -warfarin , ingandisa ingozi yokopha uma ithathwa kanye nalo muthi.
• I-Cimetidine ( elinye ikhambi lezilonda zesisu).
• Ama-hormone e-estrogen noma e-progestin (atholakala kumaphilisi okuvimbela inzalo kanye nokwelashwa ngama-hormone).
• I-Lithium ( umuthi wesifo sengqondo).
• Eminye imithi ethinta isigqi sokushaya kwenhliziyo.
• I-Phenobarbital (umuthi osetshenziselwa ukwelapha ukuxhuzula).
• I-Phenytoin (umuthi osetshenziselwa ukwelapha ukuxhuzula).

Lolu hlu alubandakanyi konke. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi engabhalwanga ngudokotela, amakhambi, kanye nezithasiselo zokudla, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa . Ezinye zalezi zingase zihlangane nalo muthi.

Izinto okufanele uzikhumbule lapho uthatha lo muthi

Kunezinto ezimbalwa okufanele uziqaphele uma usebenzisa lo muthi. Uma uzinaka lezi zinto, unganciphisa kakhulu ingozi yezinkinga.

• Uma izimpawu zakho (njengobuhlungu besisu nokuqunjelwa) zingabi ngcono , noma uma ziba zimbi kakhulu, tshela udokotela wakho. Umuthi ungase ungasebenzi kahle, noma kungase kube nenye inkinga.
• Uma unesifo sohudo , ungathathi imithi ethengwa ngaphandle kwemithi kadokotela. Uma unesifo sohudo isikhathi esingaphezu kwezinsuku ezimbili, noma uma indle yakho inamanzi amaningi, uma unesifo sohudo esihambisana nomkhuhlane, noma uma ubona igazi esithweni sakho, kufanele utshele udokotela wakho ngokushesha.
• Isikhumba sakho singase sibe nomuzwa welanga ngenkathi uthatha lo muthi. Lokhu kusho ukuthi isikhumba sakho singase sibe bomvu ngokushesha, sishise, noma sibe amabala uma sichayeka elangeni. Lokhu kubangelwa yi -tetracycline . Ngakho-ke, gwema ukukhanya kwelanga okuqondile emini ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezimboza umzimba wakho kahle, gqoka isigqoko esibanzi, bese usebenzisa i-sunscreen (SPF 30 noma ngaphezulu). Gwema izibani zelanga noma imibhede/amadokodo okushiswa kwelanga ngokuphelele.
• Amantombazane kufanele aqaphele lokhu ikakhulukazi: Uma uthatha amaphilisi okuvimbela inzalo aqukethe i-estrogen kanye/noma i-progestin ("iphilisi"), ukusebenza kwalawo maphilisi kungancipha ngenkathi uthatha i-Pylera . Lokhu kusho ukuthi unamathuba amaningi okukhulelwa . Ngakho-ke, kufanele usebenzise njalo indlela eyengeziwe yokuvimbela, njengekhondomu , ngenkathi uthatha lo muthi kanye nesonto elilodwa ngemuva kokuyeka umuthi. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko esifanele.
• Utshwala: I-Metronidazole, umuthi okuleli qembu lemithi, ingabangela ukusabela okubi kakhulu nokungajabulisi uma ihlanganiswa notshwala. Lokhu kubizwa ngokuthi ukusabela okufana ne-Disulfiram . Izimpawu zingafaka phakathi ukushaqeka, ikhanda elibuhlungu, isicanucanu, ukuhlanza, ubuhlungu besifuba, ubunzima bokuphefumula, ukujuluka, ukoma ngokweqile, kanye nokushaya kwenhliziyo okusheshayo. Lokhu kusabela kungahlala kusukela kumaminithi angu-30 kuya emahoreni amaningana futhi ngezinye izikhathi kungaba yingozi kakhulu. Ngakho-ke , gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi futhi okungenani izinsuku ezi-3 ngemva kokuyeka umuthi . Qaphela futhi ngamakhekhe, ushokoledi, kanye nezinye izinto zokuhlanza umlomo eziqukethe utshwala.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu ozobhekana nayo, kodwa kuhle ukuqaphela uma kwenzeka. Eminye imiphumela emibi iyingozi futhi kufanele ibikwe kudokotela wakho ngokushesha. Eminye ayibi kakhulu futhi izophela ezinsukwini ezimbalwa.

Uma lezi zinto zenzeka, bona udokotela ngokushesha!

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho ngokushesha, noma uye esibhedlela esiseduze.

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba okungazelelwe, ukuqubuka, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi, kanye nomphimbo (lokhu kungabangela ubunzima bokuphefumula).
• Ukuzungeza, ukuzizwa sengathi ulahlekelwa ibhalansi noma ukuhlangana kahle lapho uhamba, ukudideka, ukukhuluma okungacacile, kanye nobunzima bokuhamba.
• Ukucindezeleka okukhulu okuzungeze ubuchopho — Ikhanda elibuhlungu, umbono ofiphele, izinguquko ezisheshayo embonweni, isicanucanu, ukuhlanza.
• Ubuhlungu ezithweni zomzimba, ukungazweli noma ukulahlekelwa umuzwa , ubuthakathaka bemisipha, ubunzima bokuhamba, ukulahlekelwa ibhalansi (lokhu kungahle kube ngenxa yemiphumela emizweni).
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node (kungaba yisimo esibi njenge-DRESS syndrome).
• Ukubomvu, ukuqubuka, ukuqhekeka noma ukuqhekeka kwesikhumba (kungenzeka ngaphakathi emlonyeni noma ezindebeni - lokhu kungaba yisimo esibi njenge-Stevens-Johnson syndrome).
• Ukuquleka .
• Uhudo olunzima (izikhathi eziningana ngosuku, olunamanzi), umkhuhlane, ubuhlungu obukhulu besisu (lokhu kungaba olunye uhlobo lohudo olubangelwa yibhaktheriya iClostridium difficile).
• Kwabesifazane: Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane (umbala ongavamile, iphunga), ukulunywa (lokhu kungaba ukutheleleka kwemvubelo).

Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho.

Le miphumela emibi ivame ukuphela ezinsukwini ezimbalwa, kodwa uma iqhubeka noma ikukhathaza kakhulu, tshela udokotela wakho.

• Indle emnyama - Lokhu kuyisibonakaliso somuthi.Kungase kubangelwe yi-bismuth, kodwa ngokuvamile akukho okufanele ukhathazeke ngakho. Kuphela uma uyeka ukuthatha umuthi.
• Ukushintsha kombala wamazinyo (kungenzeka uma uthatha i-tetracycline , ikakhulukazi lapho kuvela amazinyo angunaphakade engane yakho, kodwa lawa ma-capsule e-Pylera awabantu abadala kuphela).
• Ulimi luba mnyama noma lube mnyama – Lokhu kungabangelwa yi -bismuth , futhi kungancipha phakathi kolimi. Ungakhathazeki.
• Uhudo (uma lungelubi kakhulu, njengokuphuma kwendle).
• Ukunambitheka kwensimbi emlonyeni - Lokhu kungase kubangelwe yi -metronidazole . Ukuhlanza umlomo wakho ngemva kokudla kungasiza ekunciphiseni lokhu kancane.
• Isicanucanu, mhlawumbe ukuhlanza (lokhu kungancishiswa ngokuthatha umuthi kanye nokudla).
• Ukuzwela ukukhanya (njengoba kushiwo ngaphambili).

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile noma ekhathazayo, tshela udokotela wakho.

Kufanele uwugcine kanjani umuthi wakho?

Kubaluleke kakhulu ukugcina lo muthi kude nezingane nezilwane ezifuywayo .

• Gcina endaweni yokushisa yegumbi. Okungukuthi, phakathi kuka-20°C no-25°C (68°F no-77°F). Vikela ekushiseni okukhulu, umswakama, kanye nokukhanya kwelanga okuqondile. Ungagcini endaweni emanzi, njengasendlini yokugezela.
• Ungasebenzisi umuthi ophelelwe yisikhathi . Hlola usuku lokuphelelwa yisikhathi ephaketheni lemithi. Lahla noma yimuphi umuthi odlule lolo suku.

Uyilahla kanjani imithi engasetshenziswanga nephelelwe yisikhathi?

Lokhu kubalulekile futhi. Ukuphonsa umuthi ngokunganaki emgqonyeni kadoti noma endlini yangasese kungalimaza imvelo.

• Into engcono kakhulu ongayenza ukuya ohlelweni lokubuyisela imithi endaweni yakini bese ubanika lona. Ungathola ngalezi zindawo ekhemisi lakho, esibhedlela, noma mhlawumbe emaphoyiseni.
• Uma kungekho ndlela yokuyibuyisela, hlola iphakethe elingaphakathi kwephakethe lemithi ukuze ubone ukuthi linemiyalelo yokuthi kufanele yini ulahle umuthi emgqonyeni kadoti noma uwulahle endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ungawulahla emgqonyeni kadoti (futhi udinga ukukwenza lokhu ngokucophelela), khipha umuthi kuma-capsule (uchotshoziwe uma kungenzeka), uwuxube kahle nento engadliwa muntu futhi engakhangi izilwane, njengodoti wekati osetshenzisiwe, inhlabathi, noma ikhofi ebolile, uwufake esikhwameni sepulasitiki esivalwe kahle noma ethini elidala, bese uwulahla emgqonyeni kadoti kude nezingane.

Izinto okufanele uzikhumbule kafushane

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho. Lezi yizinto ezizosiza ekwenzeni ukwelashwa kwakho kuphumelele.

• Leli qoqo lemithi (I-Bismuth subcitrate potassium; i-metronidazole; i-tetracycline - i-Pylera) inikezwa ukwelapha izilonda zesisu ezibangelwa yibhaktheriya i-H. pylori .
• Thatha umuthi njengoba nje udokotela ekutshela, ngomthamo ofanele, ngesikhathi esifanele, isikhathi esifanele . Ungayeki ukuwuthatha , noma ngabe uzizwa ungcono.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (yezinye izifo, amavithamini, amakhambi), noma yiziphi ezinye izifo onazo, kanye nanoma yikuphi ukungezwani komzimba onakho .
• Ungaphuzi utshwala ngenkathi uthatha lo muthi, futhi ungaphuzi utshwala okungenani izinsuku ezintathu ngemva kokuyeka umuthi.
• Uma ukhulelwe, ukhulelwe, noma ungumama oncelisayo, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuthatha lo muthi.
• Nakekela isikhumba sakho uma uphuma elangeni. Sebenzisa isithako sokuvikela ilanga.
• Uma uthatha amaphilisi okuvimbela inzalo , sebenzisa olunye uhlobo lokuvimbela inzalo (njengekhondomu) ngenkathi uthatha lo muthi.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu (njengokusabela okukhulu kokungezwani komzimba, uhudo olubi, ukuxhuzula), bona udokotela ngokushesha .

Uma usebenzisa lo muthi ngendlela efanele, ungalapha izilonda zesisu sakho futhi ususe amagciwane e-H. pylori . Khumbula, lokhu kuwulwazi olujwayelekile kuphela. Udokotela wakho kuphela ongakunikeza iseluleko esingcono kakhulu ngesimo sakho. Ngakho-ke, ungesabi ukukhuluma nodokotela wakho noma nosokhemisi uma unemibuzo noma ukukhathazeka. Ngikufisela ukululama okusheshayo!

` H. pylori, izilonda zesisu, i-Pylera, i-Bismuth Subcitrate Potassium, i-Metronidazole, i-Tetracycline, ama-antibiotic