Abaantu benshi barumva barushijeho kuba beza hashize amasaha 48 kugeza 72 kuva bafashe umuti wa mbere wa amokisiline. Uyu muti ugera ku rwego rwo hejuru mu maraso mu masaha 1 kugeza 2 kandi utangira kwica za bagiteri ako kanya, ariko ubudahangarwa bw'umubiri wawe buzakenera umunsi cyangwa ibiri ngo bukureho ububyimbirwe n'ububore bukwirakwiza ibimenyetso byawe.

TL;DR: Ibintu by'ingenzi ugomba kwibuka

  • Amokisiline itwara igihe kingana iki ngo ibeho? Za bagiteri zitangira gupfa mu masaha make, ariko impinduka ushobora kumva neza ziza nyuma y'amasaha 48 kugeza 72.
  • Ibyiheru bya mbere bigabanuka. Umuvunja, gufungana n'isohorwa byo birasigara ku munsi cyangwa ibiri, kandi ibitsitse cyangwa kurembana bishobora kugera mu cyumweru cya kabiri.
  • Kumva warushijeho kuba meza ku munsi wa gatatu ni uruhushya rwo gukomeza, ntabwo ari uruhushya rwo guhagarara. Impirwabyi ikomeye ikeneye byibuze iminsi 10.
  • Kutagira impinduka na gato nyuma y'amasaha 48 kugeza 72 bisaba kongera gusuzuma, ntabwo bisaba kwihangana kurushaho.
  • Kuvunja mu maso cyangwa mu muhogo, kugorana guhumeka, urushwago ruhinduka urubyimba cyangwa impiswi n'amaraso bisaba kwitabwaho na vuba.

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Oya. Amoxicillin ushobora kuyifata wariye cyangwa utariye, kandi kurya ntibihutisha gukira. Kunywa imiti ukoresheje agafunguro gake bishobora kugabanya isesemi kandi bigatuma byorohera umubiri wawe kuyirangiza, ibyo bikaba ari byo by'ingenzi kuruta kumenya igihe ibyo kurya byinjiriye mu mubiri. Icyo ugomba kwitaho ni ukunywa buri dose ku gihe cyagenwe kugira ngo urugero rw'umuti mu maraso rukomeze kuba ruringaniye.

Muri rusange siko bimeze. Amoxicillin igenda vuba mu mubiri: imara amasaha ari nka rimwe n'igice (iminota 61.3) kugira ngo igabanuke ku gice, kandi nyuma y'amasaha 8 iba yatangiye kugabanuka cyane. Hafi ya 60% by'umuti usohoka mu nkari mu gihe cy'amasaha 6 kugeza ku 8 nk'uko amabwiriza ya FDA abivuga. Bityo, igisubizo ku kibazo cy'uko "amoxicillin imara igihe kingana iki kugira ngo ikore" gipimwa mu masaha, ariko gukira nyako gupimwa mu minsi. Ubwirinzi bw'umubiri wawe ni bwo burangiza akazi ko gukiza.

Amokisiline itwara igihe kingana iki ngo ibeho? Itangira kwica za bagiteri mu gihe cy'isaha imwe, ariko ntuzabyumva mu minsi ibiri

Amokisiline itwara igihe kingana iki ngo ibeho? Za bagiteri zitangira gupfa mu masaha make nyuma yo gufata idosi ya mbere, ariko abantu benshi ntibumva ko barushijeho kuba beza mu gihe cy'amasaha 48 kugeza 72. Ingano ya mg 250 na 500 mu bikapu bigera ku rwego rwo hejuru mu maraso mu gihe cy'isaha 1 kugeza 2 nyuma yo gufata idosi, nk'uko byanditswe mu amakuru yo kwa muganga yo kwa FDA yerekeranye na amokisiline, kandi MedlinePlus irabigira inama ko ugomba gutangira kumva warushijeho kuba meza mu minsi ya mbere yo kuvura.

Iki kiruhuko ntabwo ari umuti wawo ugenda gahoro. Amokisiline yica urukuta rw'ibice by'abagiteri, kandi za bagiteri zigahagarara kwiyongera vuba. Ibyiheru, igitutu, kubyimbirwa n'ububore ubona ni akazi ko kwoza kwa sisitemu y'ubudahangarwa bwawe, kandi akazi ko kwoza karasigara ku munsi cyangwa ibiri inyuma yo kwica.

Kigeragezwa ry'amasaha 48 na ryo ntirivugwa gusa. Mu bana bavuwe indwara y'ibihaha iterwa n'ibinyabuzima mu muryango, 47% bari barashyize ibyishuye hasi mu gihe cy'amasaha 12, 74% mu gihe cy'amasaha 24, na 96% mu gihe cy'amasaha 48. Izo ni imibare y'ibihaha, ntabwo ari uruvange rwose rwo kuvura, ariko ni ubuhanga bukoraho amabwiriza akoreshwa mu kurwanya indwara zose: niba ibimenyetso by'indwara bitangiye guhinduka nyuma y'amasaha 48, umurwayi agomba gusuzumwa.

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Muri rusange siko bimeze. Nywa doze wibagiwe ako kanya, keretse niba igihe cyo kunywa iyakurikiyeho kigeze hafi, aho ushobora kuyireka ugakomeza gahunda yawe isanzwe. Ntukigere unywa doze ebyiri icyarimwe ngo wishyure iyo wibagiwe. Ikibazo nyacyo ni ukwibagirwa kenshi, kuko kutagira urugero ruhoraho rw'umuti mu maraso ari kimwe mu bituma indwara yongera kugaruka.

Oya. Guhitwa guke ni ingaruka isanzwe y'amoxicillin kandi ntibivuze ko indwara itarimo gukira. Komeza unywe umuti kandi unywe amazi menshi. Iyo guhitwa gukomeje cyane, cyangwa hakazamo amaraso, icyo gihe ni ikibazo gikomeye kandi kigomba kwitabwaho n'abaganga, ndetse n'iyo byaba byatangiye hashize ibyumweru wararangije kunywa umuti.

Kumva warushijeho kuba meza ku munsi wa gatatu ni ikigeragezo, ntabwo ari uruvange

Gukira nyuma y'amasaha 48 kugeza 72 bisobanura ko umuti urimo ukora. Ntabwo bisobanura ko indwara yavuyeho, kandi itandukaniro niho abantu benshi bakosa.

Ku ndwara ziterwa na Streptococcus pyogenes, nk'ibirwara by'uruhongore, ikimenyetso cya FDA kigaragaza byibuze iminsi 10 yo kuvura uko uruhongore rwawe yumva ryoroheje, cyane cyane kugira ngo wirinde indwara ya rubagimpande ikomeye. MedlinePlus ivuga neza ku ngingo rusange: koresha imiti yose yandikiwe igihe hose ibimenyetso byawe byarushijeho kuba byiza, kuko guhagarara kare cyangwa gusiba idosi bituma indwara idavurwa neza kandi bikarushaho gukora uburwayi. CDC yishingira ikoreshwa nabi ry'imiti nk'umuti mubi, idosi y'umuti mubi, cyangwa umuti wafashwe igihe kirekire cyane.

Igiciro gitera bimwe muri ibi. Niba guhagarika imiti mu buryo bwa nyuma byakugoye, birakwiriye kumenya ingano y'amafaranga amokisiline itwara idafite ubwishingizi mbere yuko uyihagarika mbere igihe.

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Oya. Ikigo gishinzwe kurwanya indwara (CDC) ntikigira inama yo kubika imiti y'amoko ya antibiyotike ngo uzayikoreshe mu gihe kizaza. Imiti isigaye akenshi iba atari yo, yaba ari ku rugero rukwiye, cyangwa irimo kunywerwa igihe kitari cyo, ibyo bikaba ari byo bituma umuti utagira icyo umara. Kunywa igice cy'umuti bishobora guhishira ibimenyetso by'indwara bigatuma isuzuma ritinda, mu gihe udukoko dutera indwara twapfa gusa dushobora gukomera (resistance).

Ibimenyetso byerekana ko ikora byoroheje kuruta uko watekereza: ibyihiriro bibanza kugabanuka mbere y'ububabare

Ibimenyetso byerekana ko amokisiline ikora byoroheje kuruta uko abantu benshi babitekereza, kandi biza mu gihe gikomeye aho kuba icyarimwe. Ibimenyetso bisobanutse byerekana ko amokisiline ikora bisa gutya:

  • Iminsi 1 kugeza 2: umubiri utangira kugabanuka kandi ugakomeza gusinzira neza. Umuvunja uba woroheje mu gihe cy'amasaha 24 kugeza 48, kandi abana bafite indwara z'amatwi barakomeza kudakomera amatwi mu gihe cy'imyaka ibiri.
  • Uminsi 3: ububabare buroroshye cyane kandi ubushake bwo kurya buratangira kugaruka.
  • Iminsi 4 kugeza 5: isohoka mu mazuru cyangwa mu matwi iroroshye kandi igahinduka iryoshye, kandi imbaraga ziriyongera.
  • Uminsi 7 na nyuma yawo: gusubira ku rwego rwa mbere, ibitsitse cyangwa kurembana bikunze gusigara inyuma.

Dore ibyo ibice byinshi bitakubwira: ibimenyetso byerekana ko amokisiline ikora ni uguhinduka, ntabwo ari urufunguzo. Igihe kibi cyane mu cyumweru cyiza kiracyarimo, kandi gukira kw'ibimenyetso byose bishobora gufata iminsi 7 kugeza 10 n'ubwo imiti y'ikirwanya indwara y'ibirwanya indwara ikora ibyo yagombaga gukora.

Icyitegererezo kimwe kiratandukanye. Niba ibyishuye byawe byarahagaze ariko ahantu hamwe karushije kuba kararushije kubabaza, kubyimbirwa cyangwa kwerura, ibyo ntabwo ari ukubona intambwe igana imbere. Ibyo ni ugutanga ubuyobozi bukomeye bushobora kugaragaza ikibazo, kandi bigomba kugira aho bigarukira mu bibazo bibiri bikurikira aho kuba umunsi wundi wo gutegereza.

Nta rutonde rumwe rw'igihe amokisiline itwara: indwara igena igihe

Ku ndwara yo mu mazuru, igihe amokisiline itwara ngo ibeho bisanzwe ni iminsi 2 kugeza 3 mbere yuko igitutu no gufungana bigabanyuka, naho igice cyo kuvura gikomeza neza nyuma yaho. Ababyeyi babaza igihe amokisiline itwara ngo ibeho ku ndwara y'amatwi bakagombye guteganya ububabare buke no kwinyagamburiza nijoro mu gihe cy'amasaha 48 kugeza 72 ku bana. Impirwabyi ikomeye ikunze kwumva neza mu gihe cy'iminsi 1 kugeza 2, nyamara igice cyo kuvura gikomeza byibuze iminsi 10. Imirimo ihuza iy'H. pylori ikora hafi ibyumweru bibiri, bityo kubayirimbanya n'igihe cyo kuvura indwara y'ubuhumekero bizakwirenza akaga.

Ibyo gusobanura, kuko bitera urujijo rw'ukuri: amokisiline-clavulanate (Augmentin) ntabwo ari umuti wa vuba. Uruvanga rwa bagiteri nyinshi. Kwimukira kuri yo bitera amasaha 48 kugeza 72 yo gusuzuma ubwa gatatu aho gutanga igisubizo cy'ijoro.

Urakigundagura ku munsi wa gatatu? Gutegereza icyumweru cyose ni ikosa

Niba ukigundagura nyuma y'iminsi 3 ya amokisiline, gutegereza icyumweru cyose ni ikosa. Kutaragira ikimenyetso cy'impinduka nyuma y'amasaha 48 kugeza 72 ni igihe abaganga basuzuma bagasuzuma kongera kuvura, ntabwo ari igihe cyo kuyiha igihe kirenze.

Kutagira akamaro kwa amokisiline bisanzwe bigaragara mu kintu kimwe muri bitatu. Indwara ishobora kuba impirwabyi, aho umuti w'ikirwanya indwara utazayirukana. Cyangwa za bagiteri zishobora kwanga cyangwa ziri hanze y'ubushobozi bwa amokisiline. Cyangwa indwara ishobora kuba yarafunzwe mu cyuho cyangwa mu gikoma cy'amazi umuti w'ubwoko ubwo ari bwo bwose udashobora kugera ku rugero rwikwiye.

Umuganga abisoza asuzuma, afata ikizamini cyangwa ikizamini cyihuse, akimurira kuri amokisiline-clavulanate cyangwa ubundi bwoko, cyangwa asuzuma aho hantu kugira ngo arebe ikibibanza. Mu gihe ubigenzura, komeza imiti yawe uretse niba wategetswe ibindi, unywe amazi menshi, uruhuke, kandi ukoreshe imiti y'ibicuruzwa bya over-the-counter n'imiterere, hamwe n'insinga za saline ku bimenyetso byo mu mazuru. Kutagira akamaro kwa amokisiline ntibikunda kuba impamvu yo kwiyongera ku bidosi cyangwa kongera imiti yasigaye kugira ngo yihute.

Niba utabona gahunda ya saa munsi, igana yo kwa muganga ya online ya August y'amadolari 39 ikuganisha ku muganga ufite uruhushya rwo muri Leta Zunze Ubumwe z'Amerika wemeza ibimenyetso byawe n'imiti yawe kandi akemeza niba imiti cyangwa impinduka bifatika. Ba réaliste ku ngaruka: gusura binyuze kuri videwo ntibishobora gusuzuma amatwi cyangwa uruhongore rwawe, gufata ikizamini cy'uruhongore, cyangwa gukura ikibibanza. Ibyo bisaba ko bashiraho amaboko.

Bimwe mu bikoresho bya amokisiline ntibishobora gutegereza ko umuti ukora

Hamagara 911 cyangwa jya mu cyumba cy'ibitaro byihutirwa ubu niba:

  • Uruyuki rwawe, iminwa, ururimi, uruhongore cyangwa amaso bibyimbirwa, urushotora, cyangwa ugorwa no guhumeka cyangwa kumeza (ibimenyetso bya anaphylaxis).
  • Kugaragara ku ruhu rw'ibirere bifite ibibyimba cyangwa bikenda.
  • Ufite impiswi ikomeye cyangwa impiswi y'amazi, harimo n'imyaka nyuma yo kurangiza imiti (bishobora kuba indwara ya C. difficile).
  • Ufite ibyishuye byinshi by'umubiri hamwe n'ububabare mu gatuza cyangwa kwitiranwa. MedlinePlus irabigaragaza nk'ibibazo byihutirwa.

Kwiyandikisha gusura mu cyumweru gitaha niba:

  • Ubona ko nta mpinduka, cyangwa urushubikira, nyuma y'amasaha 48 kugeza 72 utangiye.
  • Ibyimenyetso byagarutse nyuma yo kurangiza imiti.
  • Ugomba kuba ufite urubyimba rugufi rutafite ibimenyetso byo guhumeka.
  • Ububabare cyangwa kubyimbirwa bikomeza nyuma yuko ibyishuye bigabanutse.

Ganira n'umuganga mbere yo gutangira niba: waba warigeze kugira ikibazo kuri penicilline cyangwa cephalosporine, ufite indwara y'impyiko cyangwa mononucleosis, waba waragize C. difficile mbere, uri mukangavu cyangwa usama, cyangwa ufata imiti y'abarwayi yanditse.

Ntube utaziko urwego uriho? August AI Symptom Checker irashobora kugufasha gutandukanya ibyihutirwa n'ibisanzwe mbere yuko uhitamo aho ugomba kujya.

Bimwe na bimwe bibazwa cyane

Kufata amokisiline n'ibiryo bituma ibyo ikora vuba?

Oya. Amokisiline ishobora gufatwa n'ibiryo cyangwa idafite, kandi ibiryo ntibish Shumisha guhumeka kw'ibimenyetso. Kufata idosi hamwe n'ibiryo byoroheje bishobora gutunganya isesemi kandi bigatuma imiti irushijeho kuba byoroshye kurangiza, ibyo bikaba bifite akamaro kuruta igihe cyo kwinjira mu mubiri. Ibyo biteza imbere igihe cyawe ni ugufata buri idosi ku gihe gikwiye kugira ngo urwego rwa serum ruba ruhagije hagati y'idosi.

Amokisiline ikomeza gukora nyuma yo gufata idosi ya nyuma?

Ntabwo bisanzwe. Amokisiline iracyira vuba: igice cy'ubuzima ni hafi amasaha 61.3, urwego rwa serum rugaragara mu gihe cy'amasaha 8, kandi hafi 60% by'idosi irasohoka mu mpyiko mu gihe cy'amasaha 6 kugeza 8, nk'uko byanditswe mu ikimenyetso cya FDA. Rero, igisubizo kuri "Amokisiline itwara igihe kingana iki ngo ibeho" gikubiye mu minsi mugihe umuti ubwawo ugizwe mu masaha. Sisitemu yawe y'ubudahangarwa irarangiza ibyo kwiruka.

Idosi imwe yabuze izahagarika igihe cya amokisiline?

Ntabwo bisanzwe. Fata idosi yabuze igihe ubyibutse, keretse niba hafi igihe cyo gufata idosi ikurikira, muri icyo gihe uzihagarike kandi usubire ku rutonde rwawe rusanzwe. Ntugafate idosi ebyiri icyarimwe kugira ngo uhagendere. Amadosi yabuze kenshi ni ikibazo rwose, kuko urwego rudahengamye rw'amaraso ni bumwe mu buryo indwara zagaruka.

Impiswi mugihe ufata amokisiline bivuga ko itagikora?

Oya. Impiswi yoroheje ni ingaruka zikunze kubaho za amokisiline kandi ntacyo ivuga ku bintu by'uko indwara irimo ivaho. Komeza gufata imiti kandi ugumane amazi menshi. Impiswi ikomeye, y'amazi cyangwa y'amaraso ni ikindi kintu kandi ni ikimenyetso cyihutirwa cyavuzwe haruguru, harimo n'igihe itangira nyuma y'imyaka nyuma y'idosi yawe.

Nshobora gukoresha amokisiline yasigaye mu miti ya mbere kugira ngo ntangire vuba?

Oya. CDC irabibuza kwizigama imiti yo gukoresha nyuma, kuko imiti yasigaye igizwe na buri gihe n'umuti mubi, idosi mibi cyangwa igihe kibi, kandi ari byo bisobanura ikoreshwa nabi. Igice cy'umuti gishobora gupfukira ibimenyetso bihagije kugira ngo uhagarike ubugenzuzi mugihe ukomeza indwara ikiriho kandi uhitamo bagiteri zihangana.

Ibyo wabwirwa ku mpera y'inyandiko

Rero, amokisiline itwara igihe kingana iki ngo ibeho? Za bagiteri zitangira gupfa mu masaha make, wumva itandukaniro nyuma y'amasaha 48 kugeza 72, kandi indwara ntirangira kugeza igihe imiti yanditse yuzuye. Koresha umunsi wa gatatu nk'ikigeragezo: byiza bisobanura gukomeza, ntibyavuguruwe bisobanura gusuzumwa, byarushijeho kuba bibi bisobanura kubonwa.

Ikirengavyo: Inyandiko iyi ni ngombwa gusa kandi ntabwo ivuguruza inama z'ubuvuzi. Wize kugisha inama umuganga ufite ubuhanga kugira ngo ubashe kwemeza no kuvura. Niba ufite ikibazo cy'ubuvuzi cyihutirwa, hamagara 911 cyangwa ujye ku bitaro byegereye byihutirwa ako kanya.