Uma unalokho kuzwa okushisayo nokudingeka kakhulu, ungakwazi kaningi ukuthola amaphilisi okubulala amagciwane omchamo ku-inthanethi ngaphandle kokuphuma ekhaya. Ngokutheleleka okuyinhloko kwamanyathela, umhlinzeki onelayisense angabuyekeza izimpawu zakho futhi athumele incwadi kadokotela ekhemisi lakho.

Lo mhlahlandlela udlula kulokho okuyisifo somchamo, ukuthi ungakwazi kanjani ukuthi unesifo, nokuthi inqubo ye-inthanethi isebenza kanjani. Ubuye uphinde uhlanganise ukuthi nini okufanele weqe ukunakekelwa okubonakalayo futhi ubone endaweni.

Yini isifo somchamo?

Isifo somchamo yisifo ohlelweni lwakho lomchamo, oluhlanganisa izinso zakho, imiboko yomchamo, amanyathela, nomngudu womchamo. Izimo eziningi zihlala ngaphansi ohlelweni, emanyathelweni nasengudwini yomchamo.

Zivamise ukuqala lapho amagciwane, avame ukuba yi-E. coli avela ezingxenyeni zokugaya ukudla, engena engudwini yomchamo futhi ayanda emanyathelweni. Lapho ziphathwa ngesikhathi, isifo somchamo siyanyamalala ngokushesha. Uma sishiywa singanakekelwa, isifo samanyathela singakhuphukela ezinso futhi sibe yinto ebucayi kakhulu, ngakho-ke ukusibona kusenesikhathi kubalulekile.

Uyini umehluko phakathi kwesifo somchamo esingelona elibi nesiyinkimbinkimbi?

Isifo somchamo esingelona elibi senzeka kumuntu onempilo, ongakhulelwe futhi sihlala emanyathelweni nasengudwini yomchamo. Lezi yizifo i-telehealth eyelapha kahle.

Isifo somchamo esiyinkimbinkimbi sihlanganisa izinso noma isimo esiyingozi kakhulu, njengokukhulelwa, isifo sikashukela, noma isimo esingajwayelekile somchamo. Lezo zidinga ukubonwa endaweni.

Uziqonda kanjani ukuthi unesifo somchamo?

Izimpawu zesifo somchamo zivamise ukuza kungazelelwe futhi zibe zimbi kakhulu ngosuku olulodwa noma ezimbili. Uma eziningana zalokhu zivela ndawonye, isifo somchamo cishe silapho.

Nansi into ongayibuka, kusukela ezimpawini ezitshela kakhulu kuya kulezo ezidinga ukunakwa kakhulu:

  • Ukushisa noma ukuluma lapho uchama, okuyisibonakaliso esijwayelekile.
  • Isidingo esingazelelwe, esiphuthumayo sokuya, noma ngabe amanyathela akho azizwa engena.
  • Ukuya kaningi kunokujwayelekile, uchama kancane kuphela njalo.
  • Ingcindezi ebuhlungu noma ukubaba ngezansi esiswini sakho.
  • Umchamo ongakhalanga noma onuka kabi.
  • Umchamo onsundu, obomvu, noma onombala we-cola, okusho ukuthi kukhona igazi elincane elivela ekubhebhekeni.

Ukuthola lezi zinto kusenesikhathi kukunika amathuba aphezulu okuthola usizo olusheshayo. Igazi emchameni lingabonakala liyesabisa, kodwa ngesifo somchamo esilula kuvame ukuba ukucasuka nje.

Ungathola amaphilisi okubulala amagciwane omchamo ku-inthanethi ngokuphepha?

Yebo. Ukuthola amaphilisi okubulala amagciwane omchamo ku-inthanethi kuphephile lapho usebenzisa inkundla ye-telehealth egunyaziwe, ehambisana ne-HIPAA. Insekiselwa imihlahlandlela yezokwelapha.

Abantu bavame ukuzibuza ukuthi ingabe udokotela angabeka incwadi kadokotela ngaphandle kwesampuli yomchamo. Imihlahlandlela evela ku-ACOG kanye ne-Infectious Diseases Society of America iqinisekisa ukuthi isifo samanyathela esingelona elibi singatholakala ezimpawini zakho zodwa. Umhlinzeki ubheka ingxubevange ejwayelekile yokushisa, ukuphindaphinda, nesidingo, ngenkathi eqinisekisa izimpawu zesifo izinso noma i-STI.

Ungawathola kanjani amaphilisi okubulala amagciwane omchamo ku-inthanethi, isinyathelo nesinyathelo?

Inqubo iyashesha futhi ivamise ukuthatha izinyathelo ezimbalwa kuphela. Iningi labantu liqeda ngemizuzu kusuka ocingweni lwabo.

Nansi indlela ezihamba ngayo ngokuvamile kusuka ekuqaleni kuye emthamo wokuqala:

  1. Gcwalisa ifomu lokungena eliphephile eligubungela izimpawu zakho, isimo sokukhulelwa, izinto ezibangela ukungezwani nemithi (ikakhulukazi i-penicillin noma i-sulfa), nanoma yiziphi izimo zokuhlala isikhathi eside.
  2. Xhuma nomhlinzeki onelayisense esifundeni sakho, ngevidiyo, ngomsindo, noma ngokubuyekezwa okubhaliwe.
  3. Lapho sekugunyaziwe, incwadi kadokotela yakho iyahamba uye ekhemisi lakho lendawo ukuze ithathwe ngalolo suku.
  4. Qedela inkambo egcwele, noma ngabe uzizwa kangcono ngosuku. Ukuyeka ngaphambi kwesikhathi kuvumela amagciwane aqine kakhulu ukuba aphile futhi abuye.

Lesi sikhathi sokugcina sibaluleke kakhulu kunalokho esibonakala ngaso. Ukuthatha wonke umthamo yikho okwenza ukuthi isifo singabuyi sinamandla.

Yimaphi amaphilisi okubulala amagciwane odokotela abavame ukuwahlalela?

Umhlinzeki wakho ukhetha imithi ngokusekelwe ezinkingeni zakho, umlando wakho wezempilo, namaphethini okumelana nezindawo. Lezi amaphilisi okubulala amagciwane wangempela, hhayi amaphilisi e-cranberry noma izidambisi zokubuhlungu ezifana ne-AZO, ezimane nje zikhiphe ubuhlungu ngaphandle kokuphatha isifo.

Izinketho zokubhekana nazo zihlanganisa:

  • I-Nitrofurantoin (Macrobid), okuyilona okuhloswe ngalo ngezifo ezilula zamanyathela. Umthamo ojwayelekile ngu-100 mg kabili ngosuku izinsuku ezingu-5.
  • I-Sulfamethoxazole-trimethoprim (Bactrim DS), ithebhulethi eyodwa enamandla aphindwe kabili kabili ngosuku izinsuku ezingu-3. Ayikwazi ukusetshenziswa uma unokungezwani ne-sulfa.
  • I-Fosfomycin (Monurol), isikhwama esisodwa somthamo, esiwusizo uma isimiso sezinsuku eziningi sinzima ukusilandela.
  • I-Cephalexin (Keflex) noma i-amoxicillin-clavulanate (Augmentin), ezinye izindlela uma unokungezwani nezinketho ezingenhla, noma ngesikhathi sokukhulelwa kwangaphambili.

Lezi zihlanganisa iningi lezifo zomchamo ezingelona elibi. Umhlinzeki wakho uzokufanisa nelilungile kuwe.

Nini okufanele ubone udokotela mathupha esikhundleni?

Ezinye izimpawu zisho ukuthi isifo somchamo singase sabhebhula noma sibe yingozi. Kulezi zimo, sicela weqe ukunakekelwa okubonakalayo futhi ubone mathupha.

Hamba uye ezindaweni zokunakekelwa okuphuthumayo noma esibhedlela uma ubona noma yiziphi zalokhu:

  • Ubuhlungu obukhali noma obushaya ohlangothini lwakho noma emhlane ongezansi, okungakhomba ezinso.
  • Umkhuhlane ongaphezu kuka-101°F, ukubandayo, ukujuluka, noma ukuhlanza.
  • Ukukhulelwa, ngoba isifo somchamo ngaleso sikhathi sidinga ukuhlolwa komchamo nokugadwa eduze.
  • Izici eziyingozi kakhulu, njengokuba yindoda ngokobulili, umlando wokuba namatshe ezinso, i-catheter, noma isimiso somzimba esibuthakathaka.
  • Izimpawu ezingathuthuki, noma eziba zimbi kakhulu, ngemuva kwamahora angu-48 emithini yokubulala amagciwane.

Akuyona enye yale nto eyenzelwe ukukwesabisa. Lezi zimpawu ziwumgqomo wakho wokuthi ukunakekelwa okungokoqobo kuyisinqumo esiphephile.

Ungavimbela kanjani izifo zomchamo ukuba zingabuyi?

Imikhuba embalwa elula inganciphisa amathuba akho okuba nesifo somchamo esilandelayo. Izinguquko ezincane zansuku zonke zandisa ngokuhamba kwesikhathi.

Lezi yizo ezisiza kakhulu:

  • Phuza amanzi njalo usuku ukuze uhlanze amagciwane.
  • Sula kusuka phambili uye emuva ukuze ugcine amagciwane kude nengudwini yomchamo.
  • Chama ngokushesha ngemuva kocansi ukuze uhlanze noma yini eyangeniswa ngesikhathi salo.
  • Cabanga kabusha ngezinsizakalo zokuvikela inzalo noma ama-gels okubulala inzalo, angakhuthaza amagciwane.
  • Gwema izifutho ezinamakha, ama-douche, kanye nezigelezi zenhlanganisela endaweni yezitho zangasese.
  • Gqoka izimfihlo zikakotini eziphefumulayo futhi ugweme ukuhlala ugeza noma ugoqene.

Awusoze uvimbele zonke izifo zomchamo, futhi kulungile. Le mikhuba nje ivula amathuba ekuhambeni kwakho.

Imibuzo ejwayelekile ukubuzwa

Kuphephile yini ukuthola amaphilisi okubulala amagciwane omchamo ku-inthanethi ngaphandle kokuhlolwa komchamo?

Yebo, ngokusebenzisa inkundla ye-telehealth egunyaziwe. Izifo zomchamo ezingelona elibi zingatholakala ngokunembile kusukela ezimpawini zakho. Uma uthola izifo zomchamo njalo, umhlinzeki wakho kufanele ancome ukuhlolwa komchamo ukuze kugwenywe ukumelana namaphilisi okubulala amagciwane.

Ngingawathola nini amaphilisi okubulala amagciwane omchamo ku-inthanethi?

Ngezinkundla ezicela njalo, kusuka ekungeneni kuya ekugunyazweni kungathatha imizuzu. Ungaqala umthamo wakho wokuqala phakathi kwehora elilodwa kuya kwamabili kusuka ekuvakasheni kwakho.

Nginga-oda amaphilisi okubulala amagciwane omchamo ku-inthanethi uma ngingenamshwalense?

Yebo. Izinkundla eziningi zinikeza ukubonisana ngezimali ezibekiwe, futhi amaphilisi okubulala amagciwane ajwayelekile njenge-Macrobid ne-Bactrim abiza cishe u-R4 kuya ku-R15 emakhemisi amaningi.

Nini lapho kuyingozi ukufuna amaphilisi okubulala amagciwane ku-inthanethi?

Yeqa i-telehealth bese uthola ukunakekelwa mathupha uma unomkhuhlane ongaphezu kuka-101°F, ukubandayo okubandayo, ubuhlungu obunzima emhlane noma ohlangothini, isicanucanu, noma uma ukhulelwe. Amadoda ngokobulili kanye nabantu abanomswakama womzimba obuthakathaka badinga futhi ukuhlolwa komchamo mathupha.