Vanhu vazhinji vane COPD vanogona kumhanyira kuna chiremba kunorwisa mabhakitiriya pavanofungidzira kuwedzera kweCOPD kuchiuya, kana kuchengetedza mishonga yemishonga inorwisa mabhakitiriya paruoko kana vakatanga kutora zviratidzo zvinowedzera. Asi ma antibiotics anonyatsobatsira varwere vose neCOPD here? Mhinduro yacho inogona kukushamisa iwe.
Kuchengetedza Nhema pamusoro pemishonga inorwisa mabhakitiriya neCOPD
Kusiyana nekutenda kwakakurumbira, mishonga inorwisa mabhakitiriya inoshanda mukurapa boka rega rega revarwere vanoona kuwedzera kweCOPD.
Vanhu vari muboka iri vanosanganisira avo vane:
- Kuwedzerwa kweDyspnea , kuhova, uye purulent sputum
- Zviratidzo zviviri zvakataurwa kare, kusanganisira kuwedzera mu purulent sputum
- Kuwedzera kwakanyanya kunoda kusina-invasive kana mechanical ventilation uye vane angave kana chimwe chezviratidzo zvambotaurwa
Ko Zvakadini neProphylactic Treatment NeAntibiotics?
Kwemakore, mutsika yekushandisa prophylactic antibiotics kudzivirira kukwidziridzwa kweCOPD kwange iri nyaya yepikisano. Zvidzidzo zvenguva pfupi achishandisa azithromycin zvakaratidza kuti prophylactic antibiotics yakaderedza kuwedzera kwekuwedzera. Asi tsvakurudzo inoratidzawo kuti prophylactic antibiotics inobatanidza nemigumisiro yakaipa iyo inopfuura yezvibereko. Kusvika iye zvino, Global Initiative for Obstructive Lung Disease haina kukurudzira kushandiswa kwemazuva ose emishonga inorwisa mabhakitiriya mukurapa kweCOPD, kunze kwekuda kwehutachiona hwehutachiona hunobatanidza nehuwandu hweCOPD.
Izvozvo zvakati, varwere veCOPD vanoenderera mberi vachiwanzoita nharo pasinei nehutano hwakanaka hweCOPD (pamwe nemaruvadilati uye anti-inflammatory agents) inogona kurongerwa antibiotic prophylaxis neAzithromycin. Kana uchitemerwa prophylactic antibiotic, nyatsocherechedza migumisiro yechirwere uye taurira chiremba wako pakarepo kana iwe uine dambudziko rakaipa.
Mazano Okutora Mishonga Yako Inorwisa Mishonga
Kana iwe wakagadzirirwa antibiotic, iyi ndiyo nzira yekuwana zvakanyanya kubatsirwa kubva pamishonga:
- Yeuka kuti maantibayotiki haabatsiri mukurapa zvirwere zvinokonzerwa nehutachiona, zvakadai sehuwandu hwehutano kana chirwere.
- Usambofa watora mishonga inorwisa mabhakitiriya. Nemhaka yokuti mamwe maantibhakitiriya anotarisa mamwe mabhakitiriya, haungambofungi kuti mumwe munhu mushonga unoshanda nokuda kwehutano hwako.
- Tora iyo yose yemishonga inorwisa mabhakitiriya, kunyange kana iwe ukatanga kunzwa uri nani. Kurumidza kukurumidza kunogona kutungamirira kumishonga inorwisa mabhakitiriya uye kuwedzera kwehutano hwako.
- Iva nechokwadi chekuverenga bhodhoro remakemikari zvakanyatsoteerera uye tevera mazano maererano nechirevo chechiremba wako. Kana iwe usinganzwisisi bhiza remishonga, taura nachiremba wako kana wemishonga.
- Funga nezvemhando ipi neipi yekuchengetedza iyo yakabatanidzwa bhodhoro remakemikari. Semuenzaniso, shanduro inogona kutaura kuti iwe usadzivirira zuva kana kunwa mvura yakawanda munguva yekurapa maantibiotic.
- Kumbira chiremba wako kana wemhizha kana iwe uchifanira kutora antibiotic yako nechikafu kana kuti pasimba risina chinhu. Izvi zvinofanirawo kuiswa mumushonga wezvinodhaka.
- Kumbira chiremba wako nezvekutarisana nemigumisiro yakadai seyeusea uye chirwere. Kana iwe uri mukadzi, taura nachiremba wako pamusoro pekukwanisa kuve nehutachiona hwehupusi panguva yekurapa maantibiotic uye zvaunogona kuita kuti uzvidzivirire kana kuti uzvichengete.
Kunyange kana mishonga inorwisa mabhakitiriya isingakodzeri kurapwa kwako kweCOPD, kune dzimwe nzira dzokudzivirira zviratidzo zvako. Tarisa izvi zvinyorwa kuti uwane mamwe mashoko:
9 Kurapa Zvokuda Kwakawanda Kwazvo COPD
Nzira yekudzivirira COPD Kuwedzera
Rwendo rweMagariro eCOPD Mishonga
Sources:
Albert RK, Connett J, Bailey WC, et al. Azithromycin yekudzivirira kuwedzerwa kweCOPD. N Engl J Med 2011; 365: 689
Briel M. et. al. Procalcitonin-inotungamirirwa nemishonga inorwisa maitiro nehutachiona hwehutachiona hwehutachiona hutachiona hwehutachiona huri muhutano hwekutanga. Arch Intern Med. 2008 Oct 13; 168 (18): 2000-7; hurukuro 2007-8.
K. Kostikas1, AI et. al. Chinoitika COPD kuwedzera? Fema. June 2008. Bhuku 4; Kwete 4.
Puhan MA, et. al. Kuwedzera kwechirwere chisingagadziriswi cheplmmineti: ma antibiotic anoratidzei? Kuongorora kwakarongeka. Respir Res. 2007 Apr 4; 8: 30.
Ram FS et. al. KUSARWA: Mishonga inorwisa mabhakitiriya ekuwedzera kwechirwere chisingaperi chinoparadza chirwere chepemonic. Cochrane Database Syst Rev. 2011 Jan 19; (1): CD004403.
Stolz D. et. al. Mishonga inorwisa mabhakitiriya yekuwedzera kweCOPD: chirongwa chisinganzwisisiki, chinodzorwa chichifananidza procalcitonin-kutungamirirwa nehutano hwemazuva ose. Chest. 2007 Jan; 131 (1): 9-19.