Sezvo vanhu vane dhementia vachiderera kusvika kumatanho ekupedzisira , vanowanzoita zvirwere. Chimwe chirwere chinowanzoitika pneumonia . Kana munhu wako waunofungidzirwa achifungidzirwa kuti ane hutachiona, unogona kubvunzwa mubvunzo wekuti iwe unoda maantibayoti anotungamirirwa. Mubvunzo uyu unogona kushamisa mamwe mhuri nokuti vanogona kufunga kuti ma antibiotic anoshandiswa nguva dzose kana utachiona hunoonekwa.
Zvisinei, pane nguva apo vanachiremba vangave vasina kugadzirisa kurapwa kwemishonga inorwisa mabhakitiriya.
Mishonga Inonzi Antibiotics Inopiwa Sei Vanhu?
Mamwe maantibayoti anopiwa semapiritsi nemuromo, asi vamwe vari muchimiro chejojo (kupfura). Rudzi rwakasimba kupfuura mamwe ose rwemishonga inorwisa mabhakitiriya inotarisirwa mukati-kati (IV). Mamwe aya aya emishonga inorwisa mabhakitiriya anowanzodikanwa kuongororwa ropa uye kuchera, kunyange zvazvo mamwe misha yevanamukoti (kusanganisira sub-acute rehab uye nguva refu yekuchengetedza nzvimbo) vanogona kupa ma antibiotic IV.
Pamusana pekuvhiringidzika pakupera kwekutsungirira kwekuora mwoyo, vanhu vane IV vanogona kunge vachida kudzivirirwa (kunyangwe mumuviri kana kuburikidza nemishonga yakasimba yakanyarara) sezvo vangave vasina kunzwisisa chikonzero chei IV uye vanoedza kuibvisa.
Ko maantibhakitiriya ari muDate Stage Dementia Anoshanda Zvechokwadi Here?
Kuongororwa kwekutsvakurudza nezvemishonga inorwisa mabhakitiriya kunoratidza kuti maantibayoti angangowanzoshandiswa pakuwedzerwa kwekuita demoti. Chimwe chidzidzo chakacherechedza dzimba dzevanamukoti vane dambudziko rekushaya mamiriro ekupedzisira uye vakaona kuti pakati peavo vakafa, vanopfuura 40 kubva muzana vakagamuchira mishonga inorwisa mabhakitiriya mumavhiki maviri ekupedzisira ehupenyu, vazhinji vavo vari mukati.
Kutsvakurudza kunoratidza kuti zvisarudzo pamusoro pekurapa pneumonia nemishonga inorwisa mabhakitiriya inofanirwa nechinangwa chekutarisira. Chidzidzo chekuenzanisa misha yevanamuchengetedzeka vane dhementi yakadzama yakawana kuti ma antibiotic akavandudza hupenyu hwehupenyu asi akaderedza mararamiro ehutano. Nokudaro, vakaratidza kuti kune avo vane chinangwa chenyaradzo kuchengetedza, ma antibiotics vanofanira kuregererwa kana kungopiwa mumiriri, uye kune avo vane chinangwa chekuwedzera hupenyu, maantibioti anofanirwa kushandiswa zvine utsinye.
Asi, vanonyatsoshanda here? Maererano neongororo dzakasiyana-siyana, kubudirira kwemishonga inorwisa mabhakitiriya mumakamuri ekupedzisira ekudengenyeka kwemuviri kwepineumonia inopokana. Magazini yeAmerican Medical Directors yakabudisa chidzidzo chakawana kuti maantibayoti, kana achishandiswa kuvanhu vane chirwere chepfungwa nehutachiona hwezvirwere zvakadai sepneumonia, upenyu hwakawedzerwa, asi paavhareji kwemazuva mazhinji. Ava vatsvakurudzo vakaratidza kunetseka kuti ma antibiotics ekupedzisira kwekutenda kwemagariro anongowedzera nguva yekufa, panzvimbo yekugadzirisa zvakakwana utachiona.
Sarudzo
Kana iwe waunoda ari mumusha unochengeterwa vakwegura , unogona kuva nemishonga inorwisa mabhakitiriya e IV inotungamirirwa neAV pane izvozvi. Kubatsirwa kweizvi ndechokuti mudiwa wako haafaniri kuita shanduko kune imwe nzvimbo yezvipatara. Zvimwe zvivako zvine izvi, asi vamwe havasi. Nhengo yako yemhuri inogona kukwanisa kutaura (nemuromo) maantibiotic, asi kazhinji mishonga inorwisa mishonga haisi yakakosha mukurwisa pneumonia mukutenda kwekuita demoa.
Vamwe vanhu, pavanotarisana nechisarudzo chekushandisa kana kubvisa mishonga inorwisa mabhakitiriya, vanogonawo kusarudza kuchengetedza kurapa kana kuchengetwa kwekuchengetedza vachengeti kuti vabatsire nekutora maitiro, uye nekusangana nechinangwa chokunyaradza kuchengetedza avo vaanoda.
Kubatsirwa Kwekurapa Mazano Okurapa
Zvinogona kubatsira kubvunza mibvunzo yako yaunoda pamusoro pezvokurapa zvavanoda zvisati zvaitika kukura kwepanyama uye kwepfungwa kuitira kuti iwe uve nerunyararo rwepfungwa, uchiziva kuti iwe uri kuvimbisa kuti zvido zvavo zvinoitwa.
TARIDZA
** Ndapota cherechedza kuti ruzivo rwakabatanidzwa pawebsite ino uye rwakabatanidzwa kune vose uye kubva kune ino yepaiti haisi mazano ezvokurapa uye ndeyekutungamirirwa uye ruzivo chete. Ndakaita zvose zvese kuti ndiratidze ruzivo rwakarurama rwesayenzi uye tsvakurudzo yakatsvakurudzwa, asi izvi hazvirevi kutarisira uye kutungamirirwa kubva kunechiremba. **
Sources:
Archives of Internal Medicine. 2008 February 25; 168 (4): 357-362. Mienzaniso yeAntimicrobial Use Pakati Pekuchengetwa Kwekuchengetera Musha Vagari Vane Dhementia Yakanyanya. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670184/
New England Journal of Medicine, Gumiguru 15, 2009. The Clinical Course of Advanced Dementia. http://www.nejm.org/doi/full/10.1056/NEJMoa0902234#t=articleDhidziso
Archives of Internal Medicine. 2010 Jul 12; 170 (13): 1102-7. Kupona uye kunyaradzwa mushure mekurapwa kwepineumonia mune kukurumidza kuora mwoyo. http://www.ncbi.nlm.nih.gov/pubmed/20625013
Nyaya yeAmerican Geriatrics Society. Bhuku 54, Nyaya 2, 290-295, February 2006. Occurrence uye Kuchirwa Kwechirwere Chirwere Chirwere muVashandi Venguva Yakareba Vanogara Kudya neAdvanced Dementia. http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2005.00524.x/abstract
Nyaya yeAmerican Medical Directors Association. 2012 Feb; 13 (2): 156-61. Mishonga inorwisa mabhakitiriya uye kufa kune varwere vane chirwere chekudzivirira kuputika uye kukura kwekutenda. http://www.ncbi.nlm.nih.gov/pubmed/21450193