Unogona Kutora Antibiotics Kune Utachiona Unotungamirira Kumadhipa Here?
Wakambotora antibiotics nokuda kwehutachiona here, asi kupedzisira uine chirwere chakaoma? Zvingave zvisina kuva hutachiwana kana chimwe chinhu chawakadya, chirwere chinogona kunge chakakonzerwa nemishonga inorwisa mabhakitiriya. Mashoko akanaka ndeokuti munguva dzakawanda, chirwere chinenge chichibuda chikazobuda apo maitiro erabiobioti apera uye kudya kwemazuva ose kunotanga zvakare. Kana zvikasadaro, chiremba anogona kubatsira mukurapa kurapwa kuti uwane mabhakitiriya mune chirwere chekudya uchidzoka muchienderana.
Overview
Kazhinji hutumbu hukuru hunochengetedza hutano hwakanaka nemabhiriyoni emabhakitiriya anogara mukati maro. Mazhinji aya aya "mabhakitiriya akanaka" uye ose ari maviri anobatsira mukudya uye kurwisa "bhakitiriya yakaipa" (mumatumbo ako ane zvimwe zvezvo, zvakare). Mishonga inorwisa mabhakitiriya inoshanda nekuuraya mabhakitiriya, asi haikwanisi kusiyanisa pakati pe "zvakanaka" uye "zvakaipa" mabhakitiriya. Somugumisiro, mabhakitiriya "akanaka" ari mumakoloni anoparadzwa, kuenzanisa kwakashata mumakoloni kunovhiringidzika, uye zvigaro zvakasununguka zvinogona kuva mugumisiro.
Mabhakitiriya Akaipa Anogona Kutora
Mu1% kusvika 2% muzana yevanhu vanotora mishonga inorwisa mabhakitiriya, rumwe rudzi rwe "mabhakitiriya" akaipa mukoni inogona kutanga kukura uye kutora. Iyi bhakitiriya inonzi Clostridium difficile , uye nhamba dzayo dzinowanzochengetwa kumazinga akaderera nemafuta ane utano mumvura. Apo munhu anorapwa nemishonga inorwisa mabhakitiriya uye chiyero chemabhakitiriya ane utano zvakaderera, C difficile inogona kutanga kuwedzera nekubudisa chinhu chinotyisa uye chinogona kukonzera chirwere.
Ichi chirwere chakakomba uye chinogona kuguma nehutano hwezvinetso zvinosanganisira kuwirirana kweC difficile -kubatanidzwa, pseudomembranous colitis (PMC), uye chirwere chinoparadza upenyu chinonzi megacolon inotyisa .
Ndeapi Maantibayoti Anoita Kurwisa?
Mishonga inorwisa mabhakitiriya inowanzobatwa nevakawanda inowanzowanzoshandiswa kana mamwe maantibiyoti anyoreswa panguva imwecheteyo, maantibioti anotorwa kwenguva yakareba, kana kuti simba rinoshandiswa, rinoshandiswa nemishonga inoshandiswa.
Dzimwe nguva, kunyange mishonga inorwisa mabhakitiriya inogona kuguma nekuchinja mumararamiro .
Kurapa
Chero nguva nguva chirwere chemashure kana zvipfeko zvakasununguka zvinowanikwa pavanotora antibiotics, chiremba uyo akarayira mushonga anofanira kuudzwa. Kazhinji, zvirwere zvinoshandiswa nemishonga inorwisa mabhakitiriya zvichavandudzika apo maitiro erabiobiotics apera. Dzimwe nguva zvinogona kudikanwa kutenderera kune rimwe remishonga inorwisa mabhakitiriya. Kana uchinge uine kurwadziwa kwepamuviri kana mawere , chirwere chinoramba chichienderera mberi kwemazuva matatu, pane ropa mune chigaro, kana pane fivha, usanonoka kudana chiremba wako.
Pamusoro pezviitiko zvakanyanya zveC difficile , mumwe mushonga unorwisa mabhakitiriya unogona kurongerwa. Metronidazole uye vancomycin mishonga inorwisa mabhakitiriya inouraya C difficile , iyo inobvumira mabhakitiriya ane utano kuti awedzere zvakare. Iyo C difficile iripo muzvigaro zvevanhu vane chirwere chinoshanda. Iyo bhakitiriya inogona kupararira kuburikidza nekubatana kwechigaro chemunhu ane utachiona, saka zvakanaka maitiro ekuchenesa maitiro anokosha zvikuru. Iyo mabhakitiriya anokwanisa kurarama kunze kwemuviri kwemwedzi kana kunyange makore.
Vanhu vazhinji vane zvirwere zvinowanzoguma vachinaya mvura. Kurapa kuderedza mvura kunosanganisira kunwa mvura yakawanda uye zvinwiwa zvemitambo, zvakadai seGatorade, Powerade, kana Pedialyte yevana.
Chicken uye nyama yemombe yemombe inobatsira kutsiva sodium, uye jisi yemichero uye soda pop kubatsira panzvimbo yakarasika potassium.
Irodhirhea ndiyo inoshumira chinangwa-iri kubatsira kubvisa muviri we "mabhakitiriya" akaipa. Nokudaro, vanachiremba havawanzo kupa mishonga yekurwisa mishonga . Kana iipi inobvumirwa kugara mumuviri, inogona kukonzera mamwe matambudziko, saka zvakanakisisa kuti muviri ugovaendesa.
Basa reProbiotics
Dzidzo dzakaratidza kuti kuisa bhakitiriya akanaka mumatumbo kunogona kubatsirawo mukurapa chirwere. Lactobacillus ibhakitiriya inowanikwa mune imwe yogurt uye mumukaka wa acidophilus.
Tarisa yogurt ne "mararamiro anorarama," ane Lactobacillus . Lactobacillus inogonawo kutorwa mufomu yemapiritsi. Imiti yakawanda yemapurobiyiti akawanda ( Lactobacillus casei, Lactobacillus bulgaricus, uye Streptococcus thermophilus ) yakaratidzawo kuti inobatsira mukudzivirira zvirwere zvinosangana nemishonga inorwisa mabhakitiriya, zvikurukuru kuvanhu vanopfuura makore makumi mashanu.
Kudzivirira
Nguva pfupi inorwisa mabhakitiriya-inosangana nehutachiona inowanikwa, inonzwisisika, saka nguva dzose taura nachiremba wako kana iwe ukacherechedza kuchinja kwehutano mukati memavhiki matanhatu ekutora maitiro emishonga inorwisa mabhakitiriya.
Mishonga inorwisa mabhakitiriya haibatsiri nehuwandu hwehutachiona kana chirwere, izvo zvinokonzerwa nehutachiwana. Kana iwe ukaona chiremba nokuda kwemamiriro aya, usaomerera pane imwe nzira yemishonga inorwisa mabhakitiriya, sezvo isingakubatsiri, uye inogona kutungamirira kumaradhi anouraya-anosangana.
Nguva dzose Anopedza Zvose Mishonga inorwisa mabhakitiriya
Kana iwe wakanyorwa ma antibiotics nokuda kwekutapukirwa kwebhakitiriya, tevera mirairo yachiremba uye tora mishonga yako nenguva. Nguva dzose gedzisa nzira yemishonga inorwisa mabhakitiriya kunze kwekuti kurayira chiremba kukuudza kuti urege kudzivirira . Kuvhara ma antibiotic pamberi pokutapukirwa kwebhakitiriya kunotswa kunogona kuguma mukugadzira dambudziko idzva remabhakitiriya risingagadziri nemishonga inorwisa mabhakitiriya. Izvi, zvakare, zvichaguma nekushandiswa kwemishonga inorwisa mabhakitiriya, zvichigadzira denderedzwa rakaipa.
Kuvharirwa neC difficile ndiyo inotungamirira kuchipatara-inobatana nehutachiona hwehutachiwana munyika yose. Mungozi yekuwana chirwere ichi chakakwirira kune vanhu vane nguva refu yekugara muchipatara, uye kune avo vane unogara naye ane utachiona hweC difficile . Nokudaro, zvinokosha kuti vashandi vehutano vashambidze maoko avo pakati pevarwere uye kuti vashandise mamwe maitiro. Kana iwe uri muchipatara, chiyeuchidza vatarisi vako kuti vashambidze maoko avo.
Shoko Rinobva
Hapana mubvunzo kuti mishonga inorwisa mabhakitiriya inobatsira zvikuru nekudzivirira zvirwere izvo zvaiwanzogumisa hupenyu hwevanhu. Zvisinei, mishonga inorwisa mabhakitiriya inoda kushandiswa zvine musoro uye nehanya. Mune zvimwe zviitiko, vanachiremba vanogona kukurudzira kuti mapurobioti angave akawedzerwa kuzvokudya kana sekuwedzera pakutora ma antibiotic. Kugeza maoko kunokosha pakudzivirira humwe hutachiona muvanhu vanotora maantibiotic, kunyanya kune avo vari muchipatara. Dhairrhea yakaoma mushure memaitiro emishonga inorwisa mabhakitiriria inofanira kugara ichikurukurwa nachiremba kana zvichizodiwa kurapwa kunodiwa.
Sources:
Schroeder MS. "Clostridium difficile-Yakabatana Dhairrhea." American Academy of Family Physicians 01 Mar 2005.
Bartlett JG. "Chipatara. N Engl J Med Jan 31 2002.
Hickson M, D'Souza AL, Muthu N, et al. "Kushandiswa kwemaprobiotic Lactobacillus kugadzirira kudzivirira zvirwere zvinosanganiswa nemishonga inorwisa mabhakitiriya: randomized blindbobo placebo controlled control." BMJ 14 Jul 2007.
Beniwal RS, Arena VC, Thomas L, Narla S, Imperiale TF, Chaudhry RA, Ahmad UA. "Muedzo unogadziriswa we yogurt wokudzivirira zvirwere zvinoshandiswa nemishonga inorwisa mabhakitiriya." Dig Dis Sci Oct 2003.