Amokisiline n'inzoga: Urashobora kunywa, ariko dore igiciro ubabazwa n'ubukomezi bwawe

Yego. Amokisiline n'inzoga ntibihurana, kandi impapuro zemejwe na FDA ntizirimo iryo varo ryo kwirinda inzoga. Inzoga imwe ntizatera ikibazo cyangwa ngo ihagarike imiti yica udukoko ikora. Igiciro nyacyo ni ubukomezi bwawe: inzoga zigabanya imikorere y'ubwirinzi bw'umubiri ibikora kimwe cya kabiri hamwe n'imiti.

IBYAKWIYUMVISHAMURYO: Ibintu by'ingenzi

• Urashobora kunywa inzoga ufite amokisiline. Impapuro za FDA, MedlinePlus na NHS ntizirimo itegeko ry'inzoga.
• Ikinyoma utekereza kizana na metronidazole, ifite imikorere yo gutera ikibazo nk'iya disulfiram. Tinidazole na Bactrim na byo biri kuri urwo rutonde.
• Urugero ntacyo rutwaye. 250 mg, 500 mg, 875 mg, ibishimishirijwe no kwinjuguta n'ibinyobwa bifite igisubizo kimwe.
• Ikintu kimwe gusa cy'ibinywaho: niba imiti yawe ari amokisiline-clavulanate (Augmentin) kandi unywa cyane, uri kuruhisha umwijima kabiri icyarimwe.
• Nta gihe cyo gutegereza nyuma y'imyanya ya nyuma. Gutakambira uko wumva, atari amasaha ku masaha.

Oya, amokisiline n'inzoga ntibihurana mu mubiri wawe

Nta mikorere hagati ya amokisiline n'inzoga. Amakuru asanzwe yo kwandika yemejwe na FDA kuri DailyMed ntiyirimo iryo ryo kwirinda inzoga, kwirinda cyangwa guhurana ahantu hose mu rupapuro. Kunywa ntibizatera ikibazo gikomeye, kandi ntibihagarika imiti yica udukoko cyangwa ngo ihagarike kwica udukoko. Amokisiline ni penicillin, kandi penicilini ntizatera ikibazo nk'ikya disulfiram abantu batekereza.

Inyigisho z'abanyarugero zivuga kimwe mu magambo adasanzwe. MedlinePlus, kuva muri NIH National Library of Medicine, yibutsa abantu bafite amokisiline kugumana gahunda yabo isanzwe y'ibiribwa keretse umuganga abivuze, kandi ntirimo itegeko ry'inzoga mu mabwiriza yayo. NHS isubiza ikibazo mu buryo burambuye: yego, urashobora kunywa inzoga uri gufata amokisiline.

Bityo, ibyo abantu benshi bemera byose ni bibi. Inzoga ntizikora amokisiline kurenga, kandi inzoga ntiziyihagarika.

Igiciro nyacyo cyo kunywa ntikigutera ikibazo, ni ubukomezi buhoro

Mbese inzoga ihagarika imiti yica udukoko gukora? Oya, kandi ibyo bikwiriye gutandukanywa neza n'ikibazo cy'ingenzi. Imiti yica udukoko ikomeza kwica udukoko ku muvuduko umwe haba hari inzoga cyangwa itariho. Icyahinduka ni ingano y'akazi umubiri wawe ukora hamwe n'imiti.

Uru rugero rugaragara. Kugerageza kunywa inzoga cyane rimwe gusa bushobora gukandamiza ingendo za sitokini na kemokini hagati y'uturemangingo tw'ubwirinzi mu gihe cy'amasaha 24, bigabanya ubwirinzi bw'umubiri bwahagarika indwara. Iyo mbaraga zimwe zo bushakashatsi zerekana ko kunywa inzoga cyane cyangwa cyane kwangiza buri cyiciro cyo gukiza ibikomere no gusana imitsi, kandi bifitanye isano no kuguma mu bitaro igihe kirekire no kwiyongera kw'indwara nyuma yo kwihamwa.

Bikoresha icyemezo cyose. Impamvu yo kuguma hasi ni indwara y'umunwa cyangwa cellulitis irimo kuvurwa, atari imiti urimo uyifata. Ikirahure kimwe cy'imizabibu mu birori ntikiba kimwe n'intambwe enye ku wa gatandatu nijoro umubiri wawe urimo kugerageza guharanira kurinda, kandi inama y'ubwitonzi itandukanye hagati yabo.

Igihe uri mu ntambwe, porogaramu y'ubuvuzi nka August AI irashobora kugufasha kwinjiza uko ibimenyetso byawe bigenda ku munsi ku munsi, kugira ngo ihagarara ry'ubukomezi bwawe ryagaragare kare ahubwo mu cyumweru cya kabiri.

Wibagirwa na metronidazole, imiti yica udukoko itashobora guhurana na yo

Ibihurizo hagati ya amokisiline n'inzoga abantu batinya byarabayeho, ariko bibaho ku rundi rwiuti. MedlinePlus yigisha abafata metronidazole kwirinda inzoga n'ibintu byose birimo propylene glycol mu gihe cy'ivurwa kandi byibura iminsi itatu nyuma yo gufata imiti ya nyuma. Kubihuriza gutera isesemi, kuruka, kubabara mu gifu, umururumba no gutukura.

Imikorere ivuga impamvu amokisiline idafite. Metronidazole ihagarika aldehyde dehydrogenase, kugira ngo acetaldehyde y'inzoga yiyongere aho gukira, itere imibabaro nk'iyo disulfiram yandikiwe gutera. Amokisiline, penicillin, ntikora kuri iyo nzira mu rugero urwo ari rwo rwose.

Niba imiti yawe ari ikindi kintu na cyo, impamvu imwe irakoreshwa ku miti yose. Cephalexin n'inzoga ni ikindi kibazo abantu benshi bafite, kandi igisubizo kiracyeye kuruta icya metronidazole.

Inshuro ku rupapuro rwawe ntacyo itwaye, ikigabanyije cya kabiri ni cyo gitwaye

Urashobora kunywa inzoga n'amokisiline 500mg? Yego, kandi 500 mg ntabwo ari ikindi kintu. Inshuro 250 mg, 500 mg, 875 mg, ibishimishijwe no kwinjuguta n'ibinyobwa bifite igisubizo kimwe, kuko nta mikorere yo kuruta uko byari bimeze mu byukuri. Urwego rutera igihe gikomeye umubiri wawe ugikoresha, aho inzoga ishobora guhuza na yo.

Icyo gitandukanya gikomeye ni ijambo rimwe ryo mu rupapuro. Reba niba harimo amokisiline cyangwa amokisiline-clavulanate, igurishwa nka Augmentin. Ibitabo bya NIH's LiverTox bisobanura amokisiline-clavulanate nk'ikigereranyo cyateye indwara zo mu mubiri ziterwa n'imiti mu Burusiya n'Uburayi, ku rugero rwa 1 mu buri 2,000 y'inzoga. Irupapuro rya FDA kuri Augmentin ryibutsa abayandika guhagarika imiti niba ububabare bw'umwijima cyangwa indwara ya jaundis irangiye byagaragaye, kandi byagaragaye ko ishobora kugaragara mu gihe cyo kwirinda cyangwa nyuma y'icyumweru nyuma y'icyo.

Bigenze neza nk'ibyo ibyo ni ibyo. Ni ubwoko bw'imiti, atari guhurana kwemejwe hagati y'inzoga na clavulanate, kandi nta muntu wagaragaje ko inzoga yongera ko iryo rugero rwa 1-mu-2,000 ruzarushaho kwiyongera. Ni ukubera ko ari icyumweru kibi cyo gusaba umwijima wawe guhuza imiti yica udukoko itera ubwoba n'inzoga nyinshi icyarimwe.

Nta gihe ngombwa cyo gutegereza nyuma yo gufata dose ya nyuma

Ni kangahe nyuma ya amokisiline ushobora kunywa inzoga? Nta gihe cyo gutegereza cy'imiti, kuko nta cyo gutegereza. Amabwiriza ya metronidazole y'iminsi itatu nyuma yo gufata imiti ni amabwiriza nyayo avuye ku rupapuro rwa nyayo. Urubapuro rwa amokisiline ntirufite icyihwitswe, kandi kwiyibeshya kwako ntikugira kurs kw'imyanya irindi kuringanije.

Dore ibyo abenshi bashobora kutakubwira: inama ikwirakwira yo gutegereza amasaha 48 kugeza 72 nyuma y'imyanya yawe ya nyuma ntikurikira mu bisubizo byo kwandika. Ni inama rusange yo gusubiramo ivugwa mu buryo bw'ikimenyetso cyo kwirinda imiti, kandi izo ebyiri ntaho zihuriye.

Koresha itegeko ushobora gukoresha. Gutakambira uko wumva, atari amasaha kuva ku gihe cya nyuma: gukama kwabayeho, kurya no kunywa bisanzwe, ibimenyetso birimo gusubiramo ahubwo bikomeza kuba nk'ibisanzwe. Uko kunywa inzoga by'umwanya munini bishobora kugabanya ingendo z'ubwirinzi bw'umubiri mu gihe cy'amasaha 24, igisubizo cy'ubwitonzi ku gihe kirekire nyuma ya amokisiline urashobora kunywa inzoga ni kugeza ubwo wiyumva neza koko, niba ibyo bibaho mbere y'uko imiti irangira cyangwa icyumweru nyuma y'icyo.

Inzoga ntabwo ari yo ituma abantu bajya mu bitaro bafite amokisiline

Urashobora kunywa inzoga ufite amokisiline utajya mu bitaro? Yego, kandi ibimenyetso bisaba ubuvuzi bwihutirwa ntaho bibanye n'ibyo wanyweye. Ikibazo cyo kwirinda amokisiline gishobora kubaho haba ufite inzoga cyangwa utayifite, kandi inzoga ntibizatera. Fata ibikurikira nk'ibidasanzwe ku kirahure cyawe.

Hamagara 911 cyangwa jya mu bitaro by'ihutirwa ubu niba:

• Ufite uburibwe mu maso, iminwa, ururimi cyangwa ijosi, cyangwa ugorwa no guhumeka no kunywa. Ibi ni anaphylaxis.
• Hagaragara uruhu ruhindagurika rw'uruhu rufite uburibwe cyangwa rushya.
• Ufite impiswi ikomeye cyangwa amaraso afite ubushyuhe n'imitsi mu gihe cyangwa nyuma yo kwirinda, bishobora kwerekana indwara ya *C. difficile* colitis.
• Uruhu rwawe cyangwa amaso bihinduka umuhondo, inkari zawe zihinduka umwijima, cyangwa ufite ububabare bukomeye mu nda, ibimenyetso byose by'ububabare bw'umwijima kandi byihutirwa kuri Augmentin.

Fata igihembo mu cyumweru gitaha niba:

• Ibibimenyetso byawe ntibirimo gusubiramo nyuma y'amasaha 48 kugeza 72 ufite imiti yica udukoko.
• Hagaragara uruhu rucye rutagize uburibwe cyangwa gutekereza.
• Isesemi cyangwa impiswi bigorana kurangiza imiti.

Ganira n'umuganga mbere yo gutangira niba:

• Ufite indwara y'umwijima yose.
• Urifata metronidazole, tinidazole cyangwa Bactrim.
• Uri inda.
• Unywa buri munsi cyangwa cyane.
• Uwandikiwe amokisiline-clavulanate aho kugira ngo amokisiline isanzwe.

Niba utazi muri ibyo byiciro, August AI Symptom Checker yo kubuntu irashobora kugufasha guhitamo ubuvuzi bwihutirwa n'ibisanzwe mbere yo guhitamo gutakamba.

Inshuro za buri gihe bibazwa

Nari maze kunywa inzoga hanyuma nibuka ko mfite amokisiline. Nkeneye gukora ikintu?

Oya. Nta kintu kibereye gukorwa, kandi nta kintu kizakora. Kuko urashobora kunywa inzoga ufite amokisiline utagize ikibazo cy'imyuka, inzoga wanyweye mbere yo kwibuka imiti yawe ni ikintu kidafite agaciro. Ntukizibwire cyangwa kwikuba inshuro yawe ikurikira kugira ngo uyikomeze. Fata nk'uko byakoreshejwe, kunywa amazi, kandi urangize imiti nk'uko byanditswe.

Mbese inzoga ihagarika amokisiline kwishyurwa neza?

Oya. Uzabona ko inzoga ihagarika kwishyurwa kwa amokisiline mu bisubizo by'ibitabo byinshi bikomeye by'ubuzima, buri gihe nta n'ibimenyetso, ingano y'ingaruka, cyangwa amakuru yavuzwe mu buryo bw'ubuvuzi. Kwishyurwa buhoro ntabwo ari kwishyurwa kuke, kandi nta kintu cyari mu rupapuro rwa FDA cyangwa amabwiriza y'abanyarwanda y'abanyarugero ni ibyo kutagira icyo byagera.

Biterwa n'inshuro y'inzoga, cyangwa imizabibu, kandi ni iki kitarenze?

Oya. Ethanoli ni ethanoli, kandi igipimo gisanzwe cy'inzoga muri Amerika bivuga litiro 12 z'inzoga isanzwe, inzoga 5 z'imizabibu, cyangwa litiro 1.5 z'inzoga. Abantu bakunze kubaza cyane niba urashobora kunywa inzoga n'amokisiline 500mg, nk'aho umubare wahinduye umubare. Ntabwo bihuye. Umupaka w'ibintu ni umupaka usanzwe wo kunywa by'umugereka: igikombe kimwe ku munsi ku bagore, bibiri ku bagabo.

Nshobora kugifata imiti yanjye ya amokisiline niba ndi mu rwego rwo kwihana?

Yego. Genda. Kumva kurakazwa ni ubusa no kurakara, atari impamvu yo kwirinda, kandi kwirinda imiti ni kimwe kiyirenganya mu gihe cyo kwirinda imiti yica udukoko. Niba isesemi ari imbogamizi, fata imiti hamwe n'ibiryo n'amazi. Niba utashobora kugumana imiti cyane kurenza umunsi, hamagara umuganga wawe aho kwihisha.

Birakomeye kunywa inzoga ufite amokisiline mu gihe cy'inda?

Oya, nubwo impamvu yabyo idafite aho ibanye n'imiti yica udukoko. Nta kintu cyemejwe cy'inzoga ntakibazo kigize igihe cyose cy'inda, ku buryo igisubizo cyaba kimwe n'imiti yica udukoko idahari. Niba uri inda kandi wandikiwe imiti yica udukoko iyariyo yose, menya igihe wizera ku muganga wawe, cyane cyane niba ari amokisiline-clavulanate.

Imigani myiza

Amokisiline n'inzoga ntibihurana, ku buryo inzoga izagufasha cyangwa izagabanya imiti. Icyo izakora ni uguhagarika uburwayi urimo kwihutisha, ni bwo bwigome bw'inyuma bw'inyuma burinda gusomerwa n'ibimenyetso. Ibintu bibiri by'ukuri ni inzoga nyinshi kuri amokisiline-clavulanate, aho uri kuruhisha ibimenyetso bibiri by'umwijima, no kwibeshya imiti yawe na metronidazole, itera rwose ikibazo.

Urangize buri dose utitaye ku kintu wanyweye. Niba ikibazo cyawe nyacyo ari ku miti yandi kuruta inzoga, soma kuri ibindi bikorwa by'amokisiline bikwiriye kumenya, kandi porogaramu y'ubuvuzi nka August AI irashobora kugufasha kwinjiza ibimenyetso no kubaza ibibazo by'inyuma hagati y'igihe.

Inyandiko: Iki gitabo ni icy'amakuru gusa kandi ntikigize inama y'ubuvuzi. Burya hamagara umuganga ufite ubumenyi kugira ngo ubone ubuvuzi n'ibyemezo byo kwirinda. Niba ufite ikibazo gikomeye cy'ubuvuzi, hamagara 911 cyangwa jya mu bitaro by'ihutirwa byawe.