Dzimwe Mishonga Inorwisa Mishonga Inogona Kuita Kuti Zvigadziriswe Zvimwe Zvimwe Kana Zvimwe Zvimwe Zvirwere
Mishonga inorwisa mabhakitiriya dzimwe nguva inofanirwa kurapa zvirwere zvebhakitiriya. Zvisinei, pane dzimwe nguva, kutora nzira yemishonga inorwisa mabhakitiriya kuti iite urwere hwehutachiona hwehutachiona, hutachiona hwetende, kana pneumonia inogona kunge isina chinangwa chisingadi uye chinogara kwenguva refu. Ko mishonga inorwisa mabhakitiriya inokonzera chirwere uye nei ichiitika?
Nei Mishonga Inorwisa Mishonga Inokonzera Dhairrhea?
Chinhu chokutanga kunzwisisa nezvebhakitiriya mumitumbi yedu ndeyekuti hazvisi zvose "zvakaipa." Izvo zvinotitadzisa zvirwere zvinokuvadza ndizvo zvatisingadi.
Asi chaizvoizvo, mudumbu guru rine nhamba yakawanda ye "zvakanaka" marudzi emaabhakitiriya. Izvi ibhakitiriya inofanirwa kunge iripo, uye inofanirwa kugadzirisa zvakakodzera. Aya mabhakitiriya anokanganisa zvokudya uye anobatsira kukura. Pasina iyo, kudyiwa hakuendi zvakanaka.
Maantibayoti Anouraya Yose Bhakitiriya
An antibiotic haagoni kuudza musiyano pakati pemabhakitiriya anobatsira muviri nemabhakitiriya anokanganisa muviri-unouraya chero rudzi rwebhakitiriya rwunowana. Kana mamwe mabhakitiriya anobatsira ekugara ari mudumbu guru akaurawa, muyero webhakiteriya yakanaka / yakaipa unopwanyika. Pasina mishonga yose yakanaka yekuita, kudhara kana zvipfeko zvinogona kuva mugumisiro.
Clostridium difficile: Chimwe Chimwe Chezvakaipa Bhakitiriya
Tinoda bhakitiriya inobatsira mumagariro edu, asi izvozvo hazvirevi kuti mabhakitiriya ose anogara ikoko ari kuita basa rakanaka kumitumbi yedu. Kunewo mabhakitiriya anokuvadza anogara mumugwagwa wekudya.
Mashoko akanaka ndeokuti nguva yakawanda yenguva, tsvina yakanaka yebhakitiriya inodonha mabhakitiriya anokuvadza, kuchengetedza zvinhu zvakaipa uye kuidzivirira kubva pakukonzera zvirwere.
Munhu wose ane mabhakitiriya aya anokonzera matambudziko, uye nguva yakawanda iyo haaiti chero chinhu, asi iyo yose inoshandiswa mushure mekurapa kwemishonga inorwisa mabhakitiriya apo mabhakitiriya anobatsira anourawa.
Mu1% kusvika 2% yevanhu, rudzi rumwe rwemabhakitiriya anokuvadza anogara mucoloni- Clostridium difficile-anogona kutanga kuwedzera uye kutora chikoni mushure mokuraira maitiro erabiotic. Izvi zvinogona kushungurudza zvinokonzerwa nehutano hwezvinetso zvezvehutano zvinosanganisira:
- C yakaoma- yakasangana nemararamiro
- Colitis (kuvhiringidzika kwese kwekoloni)
- Pseudomembranous colitis
- Megacolon inotyisa, chirwere chinotyisa chinopisa upenyu
Ndeapi Antibiotics Anogona Kukonzera Matambudziko?
Chero mishonga inorwisa mabhakitiriya inogona kuvhiringidza maruva mumatumbo makuru uye inotungamirira mabhakitiriya anofira ipapo. Zvisinei, haisi mhando dzose dzehutachiona hunotakura huwandu hwakafanana hwekuzvipira kuC difficile colitis. Kunyange zvazvo chiri chokwadi kuti kutora chero mishonga inorwisa mabhakitiriya kunogona kuguma neC difficile colitis, kune mamwe maitiro anourayoti ane ngozi yakawanda yekuita kupfuura vamwe.
Mishonga inorwisa mabhakitiriya inonyanya kutarisana neC difficile colitis ndiyo iyo yakagadzirirwa kuuraya mabhakitiriya akasiyana-siyana, anonzwisisika, nokuti achava nemigumisiro pamarudzi akasiyana-siyana emaaktheria, kusanganisira zvakanaka. Mishonga inorwisa mabhakitiriya inowanzobatana neC difficile colitis ndeyikuti:
- mishonga yakawanda-yakakura yakawanda (clindamycin, cephalosporins [cephalexin], fluoroquinolones),
- penicillin yakakura (ampicillin, amoxicillin)
Mishonga inorwisa mabhakitiriya inotakura ngozi yakawanda inosanganisira:
- imipenem
- tetracyclines
- macrolides
- sulfa-trimethoprim
Mishonga inorwisa mabhakitiriya ine njodzi yakaderera ndeyekuti:
- metronidazole
- vancomycin
- aminoglycosides
- sulfa
- nitrofurantoin
- linezolid
Ko Probiotics Inogona Kubatsira Kudzivirira Dhairarhea Here?
Probiotics inowanikwa mune zviporoti uye mabhizimisi asi hazvisi zvose zvakasikwa zvakaenzana. Zvinogona kunge dzine mararamiro akasiyana emabhakitiriya nemari yakasiyana, uye inonyanya kusabvumirwe, kunyange pane mamwe marongerwo anovimbika kudarika vamwe. Uyezve, hazvisati zvatemwa kuti ndezvipi zvingabatsira, kana kuti yakawanda sei inofanira kutorwa.
Nokudaro, hapana mazano ekuvhenekera pamusoro pekutora maitiro anonzi probiotics mushure mokunge maitiro emishonga inorwisa mabhakitiriya. Zvinotaurwa kuti pane dzimwe nguva chirongwa chinonzi probiotic chinogona kubatsira, asi hachisi kuzova chechokwadi mumatambudziko ose, uye mari yezvinonzi probiotics uye ingangova neipi inogona kuwirirana inofanirawo kufungwa.
Kune vanhu vane chirwere chinoputika chirwere (IBD) , kunyanya avo vane ostomy kana j-pouch , zvinokosha kutaura ne gastroenterologist nezvemishonga inorwisa mabhakitiriya. Mishonga inorwisa mabhakitiriya yave ichibatanidzwa neBD-flare-ups, uye gastroenterologist inogona kunge iine mazano pamusoro pekuti chirwere chinonzi probiotic chingabatsira, uye chepi iyo inoshandiswa.
Shoko Rinobva
Chirwere chebhakitiriya chinogona kudiwa kurapwa nemishonga inorwisa mabhakitiriya, uye pangave pasina nzira yekufamba nayo. Kusarudzwa kwemishonga inorwisa mabhakitiriya inoshandiswa hakuzove kwakagadzirirwa kana kuti haina ngozi yakanyanya yeC difficile colitis, asi panzvimbo yeiyo chisarudzo chakanaka chokuuraya mabhakitiriya ari kukonzera utachiona. Kamwe imwe nzira yemishonga inorwisa mabhakitiriya inotanga, inoda kupedzisira isingaiti kugadzira mishonga yemishonga inorwisa mabhakitiriya.
Kana uchinetseka pamusoro pekutambudzika nehurwere mushure mekutora ma antibiotics, taura nachiremba wako. Mune zvimwe zviitiko, pane nzira inogona kuva neimwe nzira iyo antibiotic inoshandisa nayo, asi inofanira kunge ichibudirira kupikisa mabhakitiriya ari kukonzera utachiona. Kutora probiotics kunogona kuva sarudzo yekudzokorora korooni nemaabhakitiriya akanaka, asi iyo inofanira kukurukurwa nachiremba, nokuti zvakare, avo vakarurama vanoda kusarudzwa.
Sources:
> Issa I, Moucari R. "Maprojekiti emishonga inorwisa mishonga inorwisa mabhakitiriya: Tine mutongo here?" World J Gastroenterol. 2014 Dec 21; 20: 17788-17795.
Sachar DB, Walfish AE. "Clostridium difficile-Yakakosha Colitis." Merck Manual. Sep 2006.
Schroeder MS. "Clostridium difficile - chirwere chinosanganiswa." Am Phys Physician . 1 Mar 2005.