Famba nepakati pemigwagwa yepafarisi yako yekune imwe nyika, uye iwe uchacherechedza zvakasiyana zve-anti-anti-antibiotics nenzira yekrisamu, salves, uye mafuta (funga Neosporin nePolsporin). Zvisinei, nekuda kwekuti iwe unogona kusununguka kutenga zvigadzirwa izvi uye unozvishandisa ad adbitum hazvireve kuti zvinoshanda zvakanaka. Uyezve, kushandiswa zvisina kunaka kwemashoko emishonga inorwisa mabhakitiriya kunogona kukanganisa utano hwehutano huri muhupenyu hwekuwedzera maantibiotic resistance .
Kakawanda, maitiro anorwisa mabhakitiriya ane zvishoma zvakakodzera (uchapupu-hwakagadziriswa) hunoshandisa.
Acne
Kana ikashandiswa kurapa mazino, mapurogiramu etipiyoti haafaniri kushandiswa semushonga chete (monotherapy) kwemwedzi inopfuura 3.
Zvinyoro zvishoma nezvishoma zvinokonzerwa nemakemikari zvinogona kurapwa nemishonga inorwisa mabhakitiriya yakadai se clindamycin, erythromycin, uye tetracycline kuwedzera kune benzoyl peroxide. Kana yakashandiswa pamwe chete. bhenzoyl peroxide uye mishonga inorwisa mabhakitiriya inoderedza ngozi yokuti Propionibacterium acnes (P. acnes) ichabuda. Yezvinyorwa, P. acnes ibhakitiriya inokura-inokura, gram-positive iyo inobatsira pakugadzirwa kwemakwenzi.
Clindamycin inogona kunge yakashanda kupfuura erythromycin apo inorapwa nemapurisa kwenguva refu. Uyezve, clindamycin yakabatanidzwa nekuderera muhuwandu hwemashizha (comedones uye microcomedones) zvakafanana nemakwenzi. Mukuwedzera pakubatanidzwa ne benzoyl peroxide, clindamycin inogonawo kusanganiswa ne tretinoin yekurapa mazinya.
Imwe mishonga inorwisa mabhakitiriya inogona kushandiswa kuporesa mashekeri kana ari oga kana pamwe chete nemimwe mishonga inonzi dapsone. Sezvineiwo, dapsone yakatanga kushandiswa kurapa vanhu vane maperembudzi apo vanachiremba vakacherechedza kuti yakaderedzawo maitiro. Kusiyana neshoko remuromo dapsone rinogona kukonzera kutyisa hemolytic anemia kuvanhu vane G6PD kukwana; zvisinei, zvinyorwa zvemashoko dapsone zvakachengeteka nokuti hazvisi kupinda muropa.
Pane imwe nhoroondo inofananidzwa, iyo inoshandiswa kurapa mazino, mamwe maitiro anorwisa mabhakitiriya anongorwisana nehutachiona hwehutachiona asi anowedzera kudonha.
Mavanga
Muma1960 ne1970, vanachiremba vakawana kuti kushandiswa kwemashoko emishonga inorwisa mabhakitiriya kumavanga ekuvhiya zvinoshamisa kuderedza dambudziko rehutachiona. Uyezve, nzvimbo yakanyorova mune chimwe chikamu chakagadzirirwa nekushandiswa kwemashoko anonzi antibiotics anokurudzira kuporesa. Munguva pfupi yapfuura, hupupuri hupfupi hunoti hutachiona hwemusoro hunodzivirira hutachiona mumaonda. Kunyange zvakadaro, ma pharmikisi mazhinji achiri kutengesa mishonga yemishonga inopikisa nemhiko yokuti vanobatsira kurwisa utachiona.
Pamusana pezvikonzero zviviri, kushandiswa kwemashoko ekurwisa mishonga inogona kunge isina ngozi. Chokutanga, mapurogiramu anorwisa mabhakitiriya nemamwe maantibayoti anoshandiswa nekuchengetwa kwemaonda kunobatsira kubuda kwemishonga inorwisa mabhakitiriya, zvikurukuru MRSA . Chechipiri, vanhu vanowanzotanga kukurudzira maitiro emishonga inorwisa mabhakitiriya seyeomycin uye bacitracin. Izvozvo zvinokonzerwa nemagetsi zvinoratidzika sedermatitis kana kuputika kweganda uye zvinogona kuwedzera kuburikidza nekushandiswa kwemashoko anonzi antibiotics, anowanzowanzoitika nekuchengetwa kwevanga.
Chisarudzo chingave chekushandisa maitiro emishonga inorwisa mabhakitiriya ekuchengetwa kwevanga inofanira kunge yakasara kune chiremba wako. Pakupedzisira, mishonga inorwisa mabhakitiriya inogona kungobatsira chete zviduku zvidiki zvevarwere vane maronda akadai avo vasingazivikanwi kana vane chirwere cheshuga.
Uyezve, nemavanga maduku ekuvhiya-maronda akaumbwa munguva yeAaseptic nzira yakadai seganda bhiopsy-topical antibiotic zvichida isingawaniki.
Impetigo
Impetigo inowanzoonekwa neganda kana utachiona hutachiona hunokonzerwa ne staph kana strep mabhakitiriya. Muma1980 nema1991, mishonga inorwisa mabhakitiriya mupirocin yaifungidzirwa zviri nani kudarika neomycin kana polymyxin pakurapa impetigo. Mazuva ano, nekuda kwekumuka kweMMSA nemamwe marudzi emakirakitiriya asingagoni kurwisa, mupirocin haigoneki mumatambudziko mazhinji empetigo. Zvechokwadi, kana iwe une ganda kana utachiona hutachiona, chiremba wako angangokupa iwe mishonga inorwisa mabhakitiriya seKeflex kana Trimethoprim-Sulfamethoxazole (TMP-SMX) iyo inoshanda kuMRSA.
Mukupedzisa, mishonga inorwisa mabhakitiriya inoshandiswa zvishoma nezvoutano. Zvakanakisisa, apo iwe unotenga mishonga inorwisa mabhakitiriya kuti uzviitire kurapa, iwe unogona kunge uchideredza mari yako. Pakaipisisa, iwe uri kupa mishonga yekurapa mabhakitiriya uye ganda rinokonzera.
Sources:
Bhatia A, Maisonneuve JF, Persing DH. PROPIONIBACTERIUM ACNES NECHRONIC MATENDA. Mune: Institute of Medicine (US) Forum pamusoro peChirangaridzo cheMacrobble; Knobler SL, O'Connor S, Lemon SM, et al., Vaparidzi. Zvinotapukira Etiology yezvirwere Zvisingaperi: Kurondedzera Ukama, Kuvandudza Tsvakurudzo, uye Kuderedza Mitemo: Chidzidzo Chekudzidzisa. Washington (DC): National Academies Press (US); 2004. Inowanikwa kubva: http://www.ncbi.nlm.nih.gov/books/NBK83685/
Chinyorwa chakanzi "Kuvandudzwa kwemashoko emishonga inorwisa mabhakitiriya mune dermatology" naR CR Drucker rakabudiswa muDermatologic Therapy muna 2012.