Ese imyanda iterwa n’imiti ya antibiyotike? Ibimenyetso, Intandaro, n’Ubuvuzi

Immyanda iterwa n’imiti ya antibiyotike ni ukubabara kw’ibihagaze, amazi menshi mu byo umuntu avomera, bibaho iyo ufashe imiti ya antibiyotike. Iyi ngaruka isanzwe ibaho kuko imiti ya antibiyotike ihungabanya ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu cyawe.

Abantu bagera kuri 10-25% bafata imiti ya antibiyotike bagira iyi ndwara. Nubwo bishobora kuba bibi kandi bikaba bibangamira, ingaruka nyinshi ziba ntoya kandi zikira ubwazo igihe cy’imiti ya antibiyotike kirangiye.

Ese imyanda iterwa n’imiti ya antibiyotike ni iki?

Immyanda iterwa n’imiti ya antibiyotike ibaho iyo imiti ya antibiyotike yica udukoko twangiza tugamije guhangana n’ubuzima bwiza mu gifu cyawe. Amara yawe asanzwe abamo udukoko twiza dutera miliyoni dufasha mu gusya ibiryo no kubungabunga udukoko twangiza.

Iyo imiti ya antibiyotike igabanya utwo dukoko turinda, uburyo bwawe bw’igifu buhungabana. Ubuhungabane bushobora gutera kubabara mu mara yawe no guhindura uburyo amara yawe asya ibiryo n’amazi, bigatuma uba ufite imyanda myinshi.

Iyi ndwara ishobora kugenda kuva ku myanda mike kugeza ku myanda ikomeye. Abantu benshi babona ibimenyetso mu minsi mike nyuma yo gutangira imiti ya antibiyotike, nubwo rimwe na rimwe ishobora kuba nyuma y’ibyumweru byinshi nyuma yo kurangiza kuvurwa.

Ese ibimenyetso by’imyanda iterwa n’imiti ya antibiyotike ni ibihe?

Ibimenyetso by’ingenzi bisanzwe bigenda buhoro buhoro kandi bishobora gutandukana ukurikije umuntu. Dore ibyo ushobora guhura na byo:

• Immyanda myinshi, amazi menshi, inshuro 3 cyangwa zirenze ku munsi
• Kubabara mu nda gake cyangwa kubabara
• Kubyimbagira no kubabara mu nda
• Isesemi cyangwa kubura ubwishyu
• Ubushyuhe buke mu mubiri mu bihe bimwe na bimwe

Ibimenyetso byinshi birashobora kuvurwa kandi ntibibangamira cyane imirimo ya buri munsi. Ariko kandi, bamwe bashobora kugira ibimenyetso bikomeye bisaba ubuvuzi.

Mu bihe bitoroshye, indwara ikomeye yitwa C. difficile colitis ishobora kubaho, ikaba itera ibimenyetso bikomeye nko kubabara cyane mu nda, ubushyuhe bukabije, imyanda ifite amaraso, no gucika amazi. Ibi bibaho iyo udukoko twangiza C. difficile twiyongera cyane nyuma yo kuvurwa na antibiyotike.

Ese ubwoko bw’imyanda iterwa n’imiti ya antibiyotike ni ubuhe?

Hari ubwoko bubiri nyamukuru bw’imyanda iterwa n’imiti ya antibiyotike, buri bwoko bufite intandaro zitandukanye n’uburemere.

Immyanda isanzwe iterwa n’imiti ya antibiyotike ni yo isanzwe. Ibaho iyo imiti ya antibiyotike ihungabanya udukoko twiza mu gifu cyawe idaha udukoko twangiza amahirwe yo kwiganza. Ubu bwoko busanzwe butera imyanda mike cyangwa yo hagati kandi ikagenda mu minsi mike nyuma yo kurangiza imiti ya antibiyotike.

Immyanda iterwa na C. difficile ni nke ariko ikaba ikomeye. Ibi bibaho iyo udukoko twa C. difficile, dusanzwe tuba mu mara y’abantu bamwe, twiyongera cyane nyuma y’uko imiti ya antibiyotike yishe udukoko duhanganye na byo. Ubu bwoko bushobora gutera kubabara cyane mu mara kandi busaba ubuvuzi bwihariye.

Ese ni iki gitera imyanda iterwa n’imiti ya antibiyotike?

Intandaro nyamukuru ni ukubangamira ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu cyawe. Amara yawe abamo ubwoko bw’udukoko twiza amagana atandukanye dukora hamwe kugira ngo bungabunge ubuzima bw’igifu kandi bukumire udukoko twangiza kudafata umwanya.

Imiti ya antibiyotike ntishobora gutandukanya udukoko twiza n’utwangiza, bityo ikuraho udukoko twiza hamwe n’indwara ivura. Ibi biha udukoko twangiza amahirwe yo kwiyongera cyangwa uburyo bwawe bw’igifu bukora nabi.

Imiti imwe ya antibiyotike ishobora gutera imyanda kurusha indi. Imiti ya antibiyotike ifite akagero kanini nka amoxicillin-clavulanate, fluoroquinolones, na clindamycin ishobora gutera ihungabana ry’igifu kuko igira ingaruka ku dukoko twinshi.

Uko imiti ya antibiyotike yifashishwa n’igihe cyo kuvurwa na yo ni ingenzi. Ibiyiko byinshi n’igihe kirekire cyo kuvurwa byongera ibyago byo kugira imyanda. Gukoresha imiti myinshi ya antibiyotike icyarimwe bishobora kongera guhungabanya ubusugire bw’ubuzima bw’ubwonko mu gifu cyawe.

Ni ryari ukwiye kujya kwa muganga kubera imyanda iterwa n’imiti ya antibiyotike?

Ukwiye kuvugana n’abaganga bawe niba imyanda yawe ikomeye cyangwa niba ufite ibimenyetso bibangamira. Ingaruka nyinshi ntoya ntizisaba ubuvuzi bw’ibanze, ariko ibimenyetso bimwe na bimwe ntibikwiye kwirengagizwa.

Shaka ubuvuzi niba ufite ububabare bukomeye mu nda, ubushyuhe burenze 101°F (38.3°C), amaraso cyangwa umuse mu myanda yawe, cyangwa ibimenyetso byo gucika amazi nko guhinda umutwe, umunwa wumye, cyangwa kugabanuka kw’inkari. Ibi bimenyetso bishobora kugaragaza indwara ikomeye isaba ubuvuzi bw’ibanze.

Ukwiye kandi guhamagara muganga wawe niba imyanda ikomeza iminsi myinshi nyuma yo kurangiza imiti ya antibiyotike, cyangwa niba ari myinshi ku buryo ibangamira imirimo yawe ya buri munsi. Ntugahagarike gufata imiti ya antibiyotike yagutegetswe na muganga ataguhaye uruhushya.

Ese ibyago byo kugira imyanda iterwa n’imiti ya antibiyotike ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yo kugira iyi ndwara. Gusobanukirwa ibyo byago bishobora kugufasha wowe n’abaganga bawe gufata ibyemezo byiza bijyanye no kuvurwa na antibiyotike.

• Imyaka irengeje 65 cyangwa iri munsi y’imyaka 2
• Kuba wararwariye mu bitaro cyangwa mu kigo cyita ku bantu bakuze vuba aha
• Kuba waragize imyanda iterwa n’imiti ya antibiyotike mbere
• Gukoresha imiti myinshi ya antibiyotike cyangwa imiti ya antibiyotike ifite akagero kanini
• Kugira ubudahangarwa bw’umubiri buke
• Indwara z’igifu nka inflammatory bowel disease
• Kubagwa mu nda vuba aha
• Gukoresha proton pump inhibitors kubera acid reflux

Abantu bafite ubudahangarwa bw’umubiri buke, nka barwayi ba kanseri cyangwa abafata imiti igabanya ubudahangarwa bw’umubiri, bafite ibyago byinshi. Imibiri yabo ifite ubushobozi buke bwo kubungabunga ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu.

Kugira ibyago byinshi ntibibuza ko uzagira imyanda, ariko bisobanura ko ukwiye kwitondera ibimenyetso n’ingamba zo kwirinda mu gihe cyo kuvurwa na antibiyotike.

Ese ingaruka zishoboka z’imyanda iterwa n’imiti ya antibiyotike ni izihe?

Nubwo ingaruka nyinshi zikira zidafite ingaruka, bamwe bashobora kugira ibibazo bikomeye. Ingaruka isanzwe ni ukubuza amazi mu mubiri, cyane cyane niba imyanda ari myinshi cyangwa iramara igihe kirekire.

Gucika amazi mu mubiri bishobora gutera intege, guhinda umutwe, kubabara umutwe, no kugabanuka kw’inkari. Gucika amazi mu mubiri bikabije bishobora gusaba ubuvuzi bukoresha amazi mu mitsi, cyane cyane mu bantu bakuze, abana bato, cyangwa abantu bafite izindi ndwara.

Ingaruka ikomeye ariko nke ni C. difficile colitis, ishobora gutera toxic megacolon, gucika kw’amara, cyangwa indwara ikomeye itera urupfu. Iyi ndwara isaba ubuvuzi bw’ibanze kandi rimwe na rimwe ishobora kugaruka nubwo yavuwe neza.

Bamwe bashobora kugira ibibazo by’igifu igihe kirekire, harimo imyanda ikomeza, kubyimbagira, cyangwa guhindura imikorere y’amara bikomeza ibyumweru cyangwa amezi nyuma yo kurangiza imiti ya antibiyotike.

Ese imyanda iterwa n’imiti ya antibiyotike ishobora kwirindwa gute?

Gukoresha probiotics mu gihe cyo kuvurwa na antibiyotike no nyuma yaho bishobora gufasha kubungabunga ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu. Probiotics ni udukoko twiza dufasha gusubiza ubusugire bw’amara yawe, nubwo ibimenyetso by’ingaruka zayo bitandukanye.

Tegereza gukoresha probiotics irimo Lactobacillus cyangwa Bifidobacterium, izwi cyane kuri uyu murimo. Tangira probiotics hakiri kare mu gihe cyo kuvurwa na antibiyotike kandi ukomeze iminsi mike nyuma yo kurangiza kuvurwa.

Fata imiti ya antibiyotike gusa iyo yagutegetswe na muganga wawe kandi urangize igihe cyose nk’uko yabitegetse. Ntugatangire imiti ya antibiyotike ku bandi cyangwa usige imiti usigaye uyikoresha mu gihe kizaza, kuko bishobora gutera ubudahangarwa bw’imiti ya antibiyotike no kuvurwa nabi.

Komeza isuku nziza, cyane cyane gukaraba intoki, kugira ngo wirinde indwara zishobora gusaba kuvurwa na antibiyotike. Funga indyo yuzuye irimo ibintu byinshi by’imiti n’ibiribwa byavuye mu mbuto kugira ngo ufashe ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu cyawe.

Ese imyanda iterwa n’imiti ya antibiyotike imenyekanwa gute?

Muganga wawe asanzwe amenya iyi ndwara hashingiwe ku bimenyetso byawe no gukoresha imiti ya antibiyotike vuba aha. Uburyo igihe cyo gutangira imiti ya antibiyotike no kugira imyanda bisanzwe bigaragaza uko iyi ndwara imenyekana.

Muganga wawe azakubaza ibibazo ku bimenyetso byawe, harimo kenshi uba ufite imyanda, uko imyanda iba imeze, kubabara mu nda, ubushyuhe, n’amaraso mu myanda yawe. Azareba kandi imiti uheruka gukoresha n’amateka yawe y’ubuzima.

Niba ibimenyetso byawe bikomeye cyangwa bikomeza, muganga wawe ashobora gutegeka ko ukorerwa ibizamini by’imyanda kugira ngo arebe udukoko twa C. difficile cyangwa udukoko twangiza utundi. Ibizamini by’amaraso bishobora gukorwa kugira ngo harebwe ibimenyetso by’indwara cyangwa gucika amazi mu mubiri.

Mu bihe bitoroshye aho ibimenyetso bikomeye cyangwa ntibikira, muganga wawe ashobora kugutegeka ko ukorerwa ibizamini byiyongereye nka colonoscopy kugira ngo arebe amara yawe neza kandi akureho izindi ndwara.

Ese ubuvuzi bw’imyanda iterwa n’imiti ya antibiyotike ni ubuhe?

Ubuvuzi biterwa n’uburemere bw’ibimenyetso byawe niba hari indwara ya C. difficile. Ku ngaruka nke, kwita ku buzima no gutegereza ko ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu cyawe busubira uko byari bimeze bisanzwe bihagije.

Muganga wawe ashobora kugutegeka gukomeza gufata imiti ya antibiyotike yagutegetswe niba ivura indwara ikomeye, kuko kuyihagarika bishobora kongera kuba nabi uburwayi bwawe bwambere. Immyanda isanzwe ikira iyo urangije imiti ya antibiyotike.

Ku myanda isanzwe iterwa n’imiti ya antibiyotike, ubuvuzi bugamije kwirinda gucika amazi mu mubiri no kuvura ibimenyetso. Muganga wawe ashobora kugutegeka probiotics kugira ngo afashe gusubiza ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu, nubwo ingaruka zayo zishobora gutandukana.

Niba indwara ya C. difficile yemewe, uzakenera ubuvuzi bwihariye bwa antibiyotike bukoresheje imiti nka vancomycin cyangwa fidaxomicin. Iyi miti ya antibiyotike igamije C. difficile idahungabanya ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu.

Ibibazo bikomeye bishobora gusaba kujya mu bitaro kugira ngo bahabwe amazi mu mitsi, kongera ibyo umubiri ukeneye, cyangwa gukurikiranwa cyane. Mu bihe bitoroshye cyane bya C. difficile colitis, kubagwa bishobora kuba ngombwa.

Uko wakwitwara mu rugo ufite imyanda iterwa n’imiti ya antibiyotike

Kuguma ufite amazi ahagije mu mubiri ni ingenzi cyane mu kuvura imyanda mu rugo. Nunya amazi menshi meza nka amazi, amasupu meza, cyangwa ibinyobwa byuzuza ibyo umubiri ukeneye kugira ngo ubone amazi n’ibintu by’ingenzi byabuze.

Funga ibiryo biryoshye, byoroshye gusya nka bananes, umuceri, applesauce, na toasts (indyo ya BRAT) iyo wumva ukeneye kurya. Ibi biryo bishobora gufasha guhagarara imyanda kandi biroroshye mu gifu cyawe.

Irinde ibikomoka ku mata, ibiryo bifite amavuta menshi, ibiryo byinshi by’imiti, na kafe mu gihe ufite imyanda, kuko bishobora kongera kuba nabi ibimenyetso. Subira ku mirire yawe isanzwe uko ibimenyetso byawe bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda bigenda.

Ntufata imiti igabanya imyanda nka loperamide utabanje uvuze na muganga wawe, cyane cyane niba ufite ubushyuhe cyangwa amaraso mu myanda yawe. Iyi miti rimwe na rimwe ishobora kongera kuba nabi ubwoko bumwe bw’indwara.

Ruhukira uhagije kandi wirinde imirimo ikomeye kugeza igihe ibimenyetso byawe bikize. Kora isuzuma ku bimenyetso byawe kandi uhamagare muganga wawe niba bikomeye cyangwa ntibikira mu minsi mike.

Uko wakwitegura kujya kwa muganga

Mbere yo kujya kwa muganga, andika ibimenyetso byawe byose, harimo igihe byatangiye, kenshi uba ufite imyanda, n’ubundi bubabare ubona. Andika imiti ya antibiyotike ufashe n’igihe wayitangiye.

Zana urutonde rw’imiti yose n’ibindi byuzuza ufashe, harimo probiotics. Muganga wawe akeneye kumenya byose bishobora kugira ingaruka ku gifu cyawe.

Komeza ukore isuzuma ku mazi unywa n’ibimenyetso byo gucika amazi mu mubiri nko guhinda umutwe, umunwa wumye, cyangwa kugabanuka kw’inkari. Aya makuru afasha muganga wawe gusuzuma uburemere bw’uburwayi bwawe.

Tegura ibibazo bijyanye n’uko ukwiye gukomeza gufata imiti ya antibiyotike, ibimenyetso byo kwirinda, n’igihe ibimenyetso bisanzwe bimara. Baza ibibazo kuri probiotics n’ibyo kurya bishobora kugufasha.

Icyingenzi ku myanda iterwa n’imiti ya antibiyotike

Immyanda iterwa n’imiti ya antibiyotike ni ingaruka isanzwe kandi ishobora kuvurwa yo kuvurwa na antibiyotike. Ingaruka nyinshi ziba ntoya kandi zikira ubwazo iyo ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu cyawe busubira uko byari bimeze.

Icyingenzi ni ukuguma ufite amazi ahagije mu mubiri, gusuzuma ibimenyetso byawe, no kumenya igihe ukwiye gushaka ubuvuzi. Nubwo iyi ndwara ishobora kuba mbi, ntabwo ikunda kuba ikomeye iyo ivuwe neza.

Wibuke ko gufata imiti ya antibiyotike nk’uko yagutegetswe ari ingenzi mu kuvura indwara yawe yambere. Ntuyihagarike utabanje kuvugana na muganga wawe, nubwo waba ufite imyanda.

Shyira imbaraga mu kuvura, harimo amazi ahagije mu mubiri, guhindura imirire, no kuruhuka. Abantu benshi barakira neza mu minsi mike cyangwa ibyumweru nyuma yo kurangiza imiti ya antibiyotike.

Ibibazo byakunda kubazwa ku myanda iterwa n’imiti ya antibiyotike

Ese nshobora gufata probiotics mu gihe mfata antibiyotike?

Yego, abaganga benshi bagira inama yo gufata probiotics mu gihe cyo kuvurwa na antibiyotike kugira ngo bafashe kubungabunga ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu. Fata probiotics byibuze amasaha 2 uvuye ku miti ya antibiyotike kugira ngo wirinde ko imiti ya antibiyotike yica udukoko twiza mu byuzuza probiotics.

Ese imyanda iterwa n’imiti ya antibiyotike imara igihe kingana iki?

Ingaruka nyinshi z’imyanda isanzwe iterwa n’imiti ya antibiyotike zikira mu minsi 2-7 nyuma yo kurangiza imiti ya antibiyotike. Ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu cyawe busanzwe busubira uko byari bimeze mu byumweru bike. Ariko kandi, bamwe bashobora kugira impinduka mu gifu igihe kirekire ibyumweru byinshi.

Ese nakwiye guhagarika gufata antibiyotike niba mfite imyanda?

Ntugahagarike gufata imiti ya antibiyotike yagutegetswe utabanje kuvugana na muganga wawe. Guhagarika antibiyotike vuba bishobora gutera ubudahangarwa bw’imiti ya antibiyotike kandi bishobora kudakira neza indwara yawe yambere. Muganga wawe ashobora kugufasha gupima inyungu n’ibyago byo gukomeza kuvurwa.

Ese imyanda iterwa n’imiti ya antibiyotike yandura?

Immyanda isanzwe iterwa n’imiti ya antibiyotike iterwa no guhungabana kw’ubuzima bw’ubwonko bwiza mu gifu ntirandura. Ariko kandi, niba imyanda yawe iterwa n’indwara ya C. difficile, ibi bishobora kwandura binyuze mu guhuza n’ibintu byanduye cyangwa kudakaraba intoki neza. Komeza ukaraba intoki neza uko byagenda kose.

Ese ni ibihe biryo nakwiye kurya mfite imyanda iterwa n’imiti ya antibiyotike?

Funga ibiryo biryoshye, byoroshye gusya nka bananes, umuceri, applesauce, toasts, n’amasupu meza. Yogurt irimo udukoko twiza ishobora gufasha gusubiza ubusugire bw’ubuzima bw’ubwonko bwiza mu gifu. Irinde ibikomoka ku mata (usibye yogurt), ibiryo bifite amavuta menshi, ibiryo byinshi by’imiti, kafe, na alcool kugeza igihe ibimenyetso byawe bikize.