Oya, nitrofurantoin idarandikiwe na muganga ntiboneka ahantu na hamwe muri Amerika. Nitrofurantoin, izwi cyane ku izina rya Macrobid, ni antibiyotike igomba kwandikirwa na muganga muri 50 yose ya leta, nk’uko antibiyotike zose zimeze. Amakuru meza rwose ni aya: ku ndwara za UTI ziboroheje yivuza, kwandikirwa na muganga ubu ni akazi gakorerwa ku munsi. Umuganga wujuje ibisabwa ashobora gusuzuma ibimenyetso byawe kuri interineti ku mafranga 39 yihariwe, kandi, mu gihe bikwiriye, Macrobid ishobora kuba iri ku iriba ryawe ry’imiti mu masaha make.

IBYAVUGIWEMO BYIHUSE

  • Nitrofurantoin (Macrobid) isabwa kwandikirwa na muganga hose muri Amerika; nta antibiyotike igurishwa idarandikiwe.

  • Nta kintu kiri ku mfuruka y’ibiti mu iriba ry’imiti kivura UTI; AZO irahosha ububabare ariko indwara iracyariho.

  • Itegeko ryo kwandikisha riguhindurira nawe: imikorere y’impyiko n’iherezo ry’ubwitegure byihinduranya ku buryo iyo miti ari myiza.

  • Kwihugana kuri interineti kwa $39 bishobora kubona ko wanditseho ibintu binyuze ku mugaragaro ku munsi ku UTI idafite ibibazo.

  • Ibishongora, ububabare mu mugongo, kuruka, cyangwa amaraso mu nkari bisobanura kwivuza mu buryo bwa kamere, aho kugura imiti.

Impamvu nta nitrofurantoin idarandikiwe

Iri tegeko rirakoreshwa kuri antibiyotike zose, kandi iyi miti yongera impamvu zayo. Impamvu rusange: buri antibiyotike ifatwa ku kibazo cy’ibinyoma, cyangwa ikarangizwa hakiri kare, irigisha bagiteri kwihanganira, ari yo mpamvu Amerika idacuruza antibiyotike na gato idarandikiwe, nk’uko CDC ibitegetswe yo gukoresha antibiyotike neza. Impamvu ijyanye na nitrofurantoin: iyi miti igabanuka mu nkari kugira ngo ikore umurimo wayo, bikayirinda indwara zo mu ruhu kandi ikaba itari myiza ku ndwara z’impyiko, kandi biterwa n’imikorere y’impyiko yawe, bityo ikaba ihungirwa igihe impyiko zitameze neza cyane. Nanone ihungirwa mu gihe cy’ubwitegure bw’iherezo. Umuntu wanditse ashobora gusuzuma ibyo ntacyo byonyine ko ari ibikoresho; ni itandukaniro riri hagati y’umuti mwiza n’uw’ubusa kandi udateje akaga. Ni yo mpamvu gushakisha nitrofurantoin idarandikiwe bigera ku musozi mu ntara zose.

Ibizashoboka ku iriba ry’imiti kuri UTI, byakuriweho gato

Dore ibyo iriba ry’imiti rishobora kandi ridashobora gukora mu gihe ugikomeza gushaka icyo wandikiwe. Phenazopyridine (AZO Urinary Pain Relief) irahosha rwose ububabare mu gihe cy’umunsi cyangwa ibiri kandi igahindura inkari z’umuhondo; bifite akamaro ku maruhuko, ariko ntibishobora kwica bagiteri. Ibikoresho by’akame bifite ubuhamya buciriritse bwo kwirinda UTI zigenda zisubira, ariko ntibyirinda UTI irimo gukora. AZO test strips ishobora gushyigikira inkuru yawe ariko ntishobora gusimbura icyemezo. Amazi n’ikintu gisushyushya bifasha mu kwihanganira. Ibyo byose ntibishobora gukiza indwara, kandi akaga ko kwishingikiriza ku kwihosha mu gihe kirekire kariho: indwara ya UTI idavuwe ishobora kuzamuka ikajya ku mpyiko, ikagusimbuza ikibazo cy’iminsi itatu indwara ikomeye cyane. Kwihosha gutanga amasaha, si kuvura.

Ibyo wakora, uyu munsi

Kuko iduka ridashobora kugurisha kuvura, gutanga vuba kwa resept yemewe ni byose. Kwivuza UTI kuri interineti kwa August bizakugwa amafranga 39, gutangirira ku gusuzuma ibimenyetso bya AI kubuntu kugirango ushimangire ko ibimenyetso byawe bikwiriye UTI idafite ibibazo mbere yo kwishyura. Umuganga wemewe w’Umwamerika asuzuma ibimenyetso byawe, ibyo utihanganira, amateka y’impyiko, n’ubwitegure, kandi niba nitrofurantoin, cyangwa antibiyotike ifite ubwoko bwiza, bikwiriye, resept izagera ku iriba ry’imiti yawe ku munsi. Gusura ntibihamagarira resept; niba ibibazo byawe bigaragaza indwara y’impyiko cyangwa indwara isa na yo nko mu mihango, uzajyanwa ku buvuzi bukwiriye. Niba ufata antibiyotike, rarangiza igihe cyose, na nubwo wumva woroheje ku munsi wa kabiri.

Impamvu iyi antibiyotike itandukanye igishyirwa mu bikorwa kenshi

Kumenya gato biratuma ikiganiro cy’ibyo wanditseho ibintu gikomeye. Nitrofurantoin ni igikoresho cy’ibanze ku ndwara za UTI ziboroheje mu nama ngishwanama z’ubuvuzi bw’ubuhumyi ku buryo bwiza: imyaka myinshi yo gukoresha, n’ibipimo by’ubudahangarwa byagumye hasi kuruta ibindi bikoresho bimwe na bimwe, cyane ko ikomeza kugwira mu mwanya w’ubuhumyi aho kwiruka mu mubiri wose. Ibintu bisanzwe bibaho ni byoroheje, gushegama ni ikintu gikunze kubaho, kandi kubifata n’ibiryo bifasha. Impamvu ebyiri zuboneye umuntu wanditse azakomeza: ni igikoresho kibosa igihe indwara igera ku mpyiko, n’ibintu by’urubyaro rw’ibihaha n’umwijima biba ku gukoresha igihe kirekire ni yo mpamvu amashyirwa mu bikorwa kugeza igihe cyagenwe azakoresha igenzura nyayo aho kugura busanzwe.

Ibimenyetso bibabaza bikwirukana iriba ry’imiti n’ikizamini kuri videwo

Ibyiyumvo bimwe bisobanura ko ikibazo cyarenze iriba ry’imiti na telehealth. Kubona ubuvuzi bwa kure ku munsi ku bw’ibishongora cyangwa ibikonoshwa, ububabare mu mugongo cyangwa mu gice cyo hejuru, gushegama cyangwa kuruka, amaraso aboneka mu nkari, cyangwa ibimenyetso bya UTI mu gihe cy’ubwitegure; ibi bishobora kwerekana indwara y’impyiko, ibyo bikenera antibiyotike zitandukanye kandi rimwe na rimwe bikenera gusuzumwa. Abagabo n’abana bafite ibimenyetso bya UTI na bo bakenera gusuzumwa mu buryo bwa kure. Kandi niba wararangije igihe kandi ibimenyetso bikagaruka, icyo gihe ni ikibazo cyo gusuzuma neza, aho gusubiramo imiti imwe.

IBIBANZA

Nitrofurantoin idarandikiwe mu ntara iyariyo yose?
Oya. Amategeko mashya y’intara yafunguye inzira ku miti imwe na imwe ntabwo irimo antibiyotike. Nitrofurantoin isabwa kwandikirwa muri 50 yose y’intara, kandi kubura ubudahangarwa bw’antibiyotike ni yo mpamvu ibyo bidashobora kwihinduranya.

Ushobora kugura Macrobid kuri interineti utarandikiwe?
Urubuga rutanga antibiyotike zidafite resept ntirwuzuzanya amategeko, kandi antibiyotike z’impimbano cyangwa izo bashiriyemo ibipimo bibi ni ikibazo cyanditswe. Resept ya telehealth yashyikirijwe ku iriba ry’imiti ryawe isanzwe ni nko kwihuta kandi ni nziza rwose.

AZO ni nk’antibiyotike?
Oya, kandi urujijo rutwara abantu iminsi. Ikintu cya AZO gikora gihosha ububabare mu mihango; ntikica bagiteri. Ni byiza ku maruhuko mu gihe uri kuvurwa, ariko indwara irakomeza kugeza antibiyotike ibonye.

Ushobora gukoresha Macrobid yasigaye kuva ku UTI yawe iheruka?
Irinde. Gusiba akenshi ni bwo burangizwa, umuti w’umwiza ushobora kuba utandukanye icyo gihe, kandi kwivuza wenyine bigakuraho igenzura ku bibazo by’impyiko. Ibimenyetso bishya bikwiye gusuzumwa neza, kandi telehealth irabikora neza.

Kuki badashobora kuyandikira niba utwite?
Uburenganzira bwahinduranya ibizamini n’umuti watoranijwe; nitrofurantoin irarenganya ku mpera y’ubwitegure. UTIs mu bwitegure bikirwa gusabwa kwivuza vuba, ariko binyuze ku muganga wawe w’abagore cyangwa ubuvuzi bwa kure, hamwe n’ibyo utwite bikwiriye kandi bikurikirwa.

Bite se niba impyiko zanjye zitameze neza?
Nitrofurantoin isabwa imikorere myiza y’impyiko kugirango igere ku ruhago mu bipimo bifatika, bityo impyiko zidakomeye zisaba antibiyotike itandukanye. Vuga amateka y’impyiko mu gusura kwawe; irahindura resept nyayo.

Nzamara igihe kingana iki numva neza kuri yo?
Abantu benshi barakomeye neza mu gihe cy’amasaha 24 kugeza 48 nyuma yo gutangira antibiyotike nyayo. Niba utaroroheje nyuma y’amasaha 48, cyangwa ugize ibishongora cyangwa ububabare mu mugongo, ni ngombwa kuvugana na muganga vuba aho kugira ngo uguma gukoresha.

Macrobid igura angahe hamwe no gusura?
Gusura kwa August ni amafranga 39, nta insurance ikenewe, kandi nitrofurantoin rusange irakunda guhendutse hamwe na card yo kugabanyirizwa ibiciro mu iriba ry’imiti [shiraho: ibiciro by’ubu]. Kuri rusange birashobora kuba biri hasi kuruta kwishyura kwa muganga wihutirwa hamwe n’igihe cyatakaye.