I-Bactrim Ne-Macrobid: Yisiphi isithuthwane esifanele i-Urinary Tract Infection Yakho?

Uma udokotela wakho ekutholile ukuthi une-urinary tract infection, ungase uzibuze ukuthi i-Bactrim noma i-Macrobid ingcono yini kuwe. Zombili izidakamizwa zisebenza kahle ekwelapheni ama-UTI, kodwa zisebenza ngendlela eyahlukene emzimbeni wakho futhi zilungele izimo ezahlukene. Udokotela wakho ukhetha okungcono kakhulu ngokusekelwe emlandweni wakho wezokwelapha, uhlobo lwebhaktheriya elibangela isifo sakho, kanye nendlela umzimba wakho uphendula ngayo emithini.

Yini i-Bactrim ne-Macrobid?

I-Bactrim iyi-antibiotic ehlanganisiwe equkethe imithi emibili: i-sulfamethoxazole ne-trimethoprim. Le mithi emibili isebenza ndawonye ukuze ivimbele amabhaktheriya ukuthi angakhiqizi izakhamzimba abazidingayo ukuze baphile futhi bazalisane. Uma amabhaktheriya angakwazi ukukhiqiza lezi zakhi ezibalulekile, ekugcineni ayashona, lokhu kusiza umzimba wakho ukuthi ukhiphe isifo.

I-Macrobid, ngakolunye uhlangothi, iqukethe i-nitrofurantoin ngefomula ekhethekile yokukhulula kancane. Le-antibiotic igxila ngqo emchameni wakho kunokuba isakazeke kulo lonke umzimba wakho. Icekela phansi i-DNA yamabhaktheriya futhi iphazamisa amandla abo okukhiqiza amandla, okuyikho okubabulala lapho isifo sihlala khona emgudwini wakho womchamo.

Zombili le mithimithi ziye zasetshenziswa iminyaka eminingi ukwelapha izifo zomgudu womchamo. Ngayinye inamandla ayenza ilungele abantu abahlukene nezinye izimo. Ukuqonda lezi mehluko kukusiza ubone ukuthi kungani udokotela wakho angakhetha enye kunenye yecase yakho ethile.

Zisebenza kanjani ngendlela eyahlukene lezi zithuthwane emzimbeni wakho?

I-Bactrim ingena egazini lakho futhi ihambe kulo lonke umzimba wakho. Lokhu kusho ukuthi ingalapha izifo ezindaweni ezahlukene, kufaka phakathi umgudu wakho womchamo, amaphaphu, uhlelo lokugaya ukudla, ngisho nesikhumba. Umzimba wakho uyisebenzisa ngesibindi sakho nezinso zakho, futhi uvamise ukuyiphuzela kabili ngosuku nengilazi ephelele yamanzi.

I-Macrobid isebenza ngendlela egxile kakhulu. Ngemuva kokuyigwinya, umzimba wakho uyakwazi ukuyimunca futhi uyihluze ngokushesha ngezinso zakho ikhishwe emchameni wakho. Ifinyelela amazinga aphezulu lapho isifo sakho somgudu womchamo senzekayo khona. Le ndlela eqondile kusho ukuthi isebenza ikakhulukazi ezifweni zesinye kunokuphikisana nezifo kwezinye izindawo emzimbeni wakho.

Indlela umuthi ngamunye ohamba ngayo ohlelweni lwakho kuthinta ukuthi usebenza kahle kangakanani kwezinhlobo ezahlukene zezifo. I-Bactrim ingafinyelela izinso zakho futhi iphathe izifo ezinzima kakhulu lapho. I-Macrobid isebenza kangcono ezifweni zesinye ngoba igxila emchameni wakho kodwa ayifinyeleli amazinga aphezulu ngokwanele esicupheni sezinso ukuphatha izifo izinso ngempumelelo.

Izinso zakho zidlala indima enkulu ekusebenzeni kahle kwalemishanguzo. Uma izinso zakho zingasebenzi ngokugcwele, i-Macrobid ingase ingagxili kahle emchameni wakho. I-Bactrim isengasebenza ezinkingeni ezincane zezinso, kodwa odokotela badinga ukulungisa umthamo ngokucophelela noma bakhethe enye i-antibiotic uma umsebenzi wezinso zakho wehlelwa kakhulu.

Yiziphi izifo ngalunye olwelapha kangcono?

I-Macrobid ikhanya kakhulu lapho iphathelene nezifo ezingezona eziyinkimbinkimbi zesinye, ezibizwa odokotela ngokuthi yi-cystitis. Lena yi-UTI elula lapho amabhaktheriya esehlele isinye sakho kodwa angakafezi izinso zakho noma igazi. Uma uba nokushisa lapho uchama, ukufuna ukuya njalo, kanye nobuhlungu esifubeni esingezansi, i-Macrobid ngokuvamile iphatha lezi zifo ezigxile esinye kahle.

I-Bactrim inikeza ukuguquguquka okwengeziwe ngoba ifinyelela amazinga ezokwelapha kulo lonke umzimba wakho. Udokotela wakho angakhetha yona ngezifo zesinye, izifo izinso (pyelonephritis), noma lapho kunezimo eziyinkinga njengoshukela noma izinkinga zokwakheka kumgudu wakho womchamo. Iphinde iphathe izifo ngaphandle kohlelo lomchamo, okwenza ilunge uma udokotela wakho esola izinkinga eziningi noma isifo esiyinkimbinkimbi.

Ngezifo izinso ikakhulukazi, i-Bactrim ngokuvamile iyona ekhethwayo. Lapho amabhaktheriya edlula esinye aya ezinso zakho, udinga i-antibiotic efinyelela amazinga afanele esicupheni sezinso. I-Macrobid ayikwazi ukufinyelela lokhu, ngakho odokotela ngokuvamile bayigcina kuphela ezifweni zomgudu ongaphansi womchamo ezilinganiselwe esinye.

Uma unezifo zomgudu womchamo eziphindaphindayo, udokotela wakho angase anikele noma yimiphi imithi ukuze uvimbele, nakuba besondela ngendlela eyahlukene. I-Macrobid ingasetshenziswa ngomthamo ophansi esikhathini eside ukuze kuvinjwe izifo zesinye. I-Bactrim ingasebenza noku ukwelapha, kodwa odokotela balinganisa izinzuzo ngokumelene nemiphumela emibi eqinisekile ngokucophelela ngenxa yemiphumela yayo ebanzi emzimbeni wakho.

Yimiphi imiphumela emibi ongayithola kulo munye umuthi?

Wonke umuthi uhambisana nemiphumela emibi engenzeka, futhi ukwazi ukuthi yini ongayilindela kukusiza uzizwe ulungile kunokuba ukhathazeke. Abantu abaningi bamukela kahle kokubili i-Bactrim ne-Macrobid, kodwa umzimba wakho ungase uphendule ngendlela eyahlukene kwakulunye.

Nge-Macrobid, ungase uqaphele ukuphazamiseka okuthambile kokugaya njengoba umzimba wakho ujwayela umuthi. Nansi imiphumela ejwayelekile abantu abayitholayo:

• Ukuzwakalisa noma ukuphazamiseka okuncane kwesisu, ikakhulukazi uma uyidla ngesikhathi esingenalutho

• Ikhanda elivame ukuzizwa lilula futhi lidlula ngokushesha

• Ukulahlekelwa isifiso sokudla phakathi nenkambo yokwelapha

• Umbala womchamo omnyama, obukeka ukhathaza kodwa unobuhle futhi wesikhashana

• Isizunguzane noma ukuzizwa ukhanyekanye kancane lapho usukuma

Le micabango ngokuvamile ihlala ilula futhi iyathuthuka njengoba umzimba wakho ujwayela umuthi. Ukuthatha i-Macrobid ngokudla kuvame ukunciphisa ukuzwakalisa kakhulu.

I-Bactrim ingabangela izimpawu ezifanayo zokugaya, kodwa futhi inezinye izinto okufanele kucatshangwe ngazo ngoba ithinta umzimba wakho wonke kunokuba igxile nje kumgudu wakho womchamo. Izimpawu ezijwayelekile zihlanganisa:

• Ukuzwakalisa, ukuhlanza, noma ukuphazamiseka okujwayelekile kwesisu

• Ukulahlekelwa isifiso sokudla okungase kuzizwe kuqine kakhulu kunokwe-Macrobid

• Ukuzwela okuncane kwesikhumba ekukhanyeni kwelanga, okukwenza ube sengozini yokushiswa yilanga

• Amakhanda asuka kwelula kuya kwelibukhali

• Isizunguzane noma ukuzizwa ukhanyekanye ngokwengqondo

Abantu abaningi bayiphatha le micabango ngaphandle kwezinkinga eziningi, kodwa ukuhlala ugcwele amanzi futhi uyidla umuthi ngokudla kusiza umzimba wakho ukuthi uwusebenzise kahle.

Zikhona yini izimpawu ezibucayi okufanele uzibheke?

Ngenkathi abantu abaningi beyiphuza lezi zithuthwane ngaphandle kwezinkinga ezinkulu, kungenzeka izindlela ezingavamile kodwa ezinzima. Ukwazi izimpawu zokuxwayisa kusho ukuthi ungathola usizo ngokushesha uma kukhona okungajwayelekile okuthuthukayo.

Nge-Macrobid, izindlela ezingavamile ezikhathazayo ezihlanganisa amaphaphu nesibindi sakho. Abanye abantu bathola ukuvuvukala kwamaphaphu, odokotela abakubiza ngokuthi i-pulmonary toxicity. Lokhu kungenzeka ngokushesha ngemuva kwemithamo embalwa noma kuthuthuke kancane uma uyiphuza isikhathi eside. Bheka ukuphefumula okusha, ukukhwehlela okuqhubekayo, ubuhlungu besifuba, noma ukungaphefumuli. Lezi zimpawu zidinga ukunakekelwa kwezempilo ngokushesha.

Izinkinga zesibindi ziyinye ingozi engavamile kodwa ebucayi nge-Macrobid. Isibindi sakho siyasebenza umuthi, futhi kwezinye izikhathi ezingavamile, singavuvuka. Izimpawu zihlanganisa ukujikijela komthamo esikhumbeni sakho noma amehlo akho (jaundice), umchamo omnyama obukeka njenge-tea, umqundu ongaphaphathekile, ukukhathala okukhulu, noma ubuhlungu esifubeni sakho esingezansi ngakwesokudla. Uma uqaphela lezi zimpawu, thintana nodokotela wakho ngokushesha.

Umonakalo wezinzwa, nakuba uyivelakancane, ungase ube khona ngokusebenzisa i-Macrobid isikhathi eside. Ungase uzizwe ukuluma, ukubhajama, noma imizwa engajwayelekile ezandleni noma ezinyaweni zakho. Lokhu kwenzeka kakhulu kubantu abayisebenzisa izinyanga kunokuqeda isonto elilodwa. Udokotela wakho uqapha le ngozi uma udinga ukwelashwa isikhathi eside.

I-Bactrim inezingozi zayo ezingavamile kodwa ezibucayi ezifanelwe ukunakwa kwakho. Izindlela ezibucayi zokungezwani komzimba zenzeka kakhulu nge-Bactrim kunokwe-Macrobid, ikakhulukazi kubantu abane-sulfa drugs. Lezi zindlela zingahlukahluka kusuka emaphethini amancane kuya ezimweni ezingagcina ukulwisana nokuphilayo.

I-Stevens Johnson syndrome yiyona imiphumela eyingozi yesikhumba engenzeka nge-Bactrim. Lesi simo esiyivelakancane siqala ngezimpawu ezifana ne-flu ezilandelwa yiphethini ebuhlungu esakazeka futhi iqhakaze. Isikhumba sakho singase sicwebe, futhi ungathola izilonda emlonyeni wakho, emehlweni akho, noma ezithweni zakho zangasese. Lesi simo esiphuthumayo sezokwelapha sidinga ukunakekelwa esibhedlela ngokushesha. Yeka ukusebenzisa umuthi bese ufuna usizo oluphuthumayo uma uthola noma yimuphi uphethini osakazeka ngokushesha namaqhaza noma isikhumba esicwebe.

Izinkinga zamaseli egazi zingathuthuka nge-Bactrim ngoba ithinta indlela amathambo akho akhiqiza ngayo amaseli egazi. Ungase uthole amazinga aphansi amaseli amhlophe egazi, amaseli abomvu egazi, noma ama-platelets. Izimpawu zokuxwayisa zihlanganisa ukuphathwa okungajwayelekile noma ukopha, ukukhathala okukhulu, isikhumba esingaphaphathekile, umkhuhlane, noma umphimbo obuhlungu. Udokotela wakho angase acele izivivinyo zegazi ngaphambi nangaphakathi kokwelashwa uma uyisebenzisa i-Bactrim isikhathi esingaphezu kwezinsuku ezimbalwa.

Amazinga aphezulu e-potassium angavela nge-Bactrim, ikakhulukazi uma usunezinkinga zezinso noma usebenzisa eminye imithi. I-potassium eningi kakhulu ithinta isigqi senhliziyo yakho. Tshela udokotela wakho uma uzwa isigqi senhliziyo esingavamile, ubuthakathaka bemisipha, noma imizwa yokuluma. Abantu abanezifo zezinso noma abasebenzisa imithi egcina i-potassium badinga ukuqaphelwa okwengeziwe.

Ukuvuvuka kwesibindi kungenzeka nge-Bactrim futhi, okufana ne-Macrobid. Izimpawu zokuxwayisa ezifanayo ziyasebenza: i-jaundice, umchamo omnyama, umqundu ongaphaphathekile, noma ubuhlungu esifubeni esingezansi. Nakuba kungavamile, le nkinga kusho ukuyeka umuthi ngokushesha.

Ngubani okufanele agweme umuthi ngalunye?

Izimo ezithile zezempilo zenza umuthi owodwa uphephe kunowunye kuwe. Udokotela wakho ucabangela isithombe sakho esiphelele sezempilo ngaphambi kokunikeza noma yimuphi umuthi.

Akufanele usebenzise i-Macrobid uma izinso zakho zingawuhluphi kahle udoti. Lapho umsebenzi wezinso wehla ngaphansi kwelizinga elithile, i-Macrobid ayikwazi ukugxila kahle emchameni wakho ukuze ibulale amabhaktheriya. Futhi iqoqana egazini lakho ngemithamo engaba yingozi. Udokotela wakho uhlola umsebenzi wezinso zakho ngezivivinyo zegazi ngaphambi kokukuyala.

Isikhathi sokukhulelwa sibalulekile nge-Macrobid. Ngokuvamile kuphephile phakathi nesikhathi esiningi sokukhulelwa, kodwa odokotela bayayigwema eduze nosuku lwakho lokubeletha. Umuthi ungabangela izinkinga kubantwana ezinsukwini zabo zokuqala, ikakhulukazi uma benokushoda kwe-enzyme okudluliswa emalungwini athile omndeni. Uma usesinyangeni sakho sokugcina sokukhulelwa noma usuzobelethe, udokotela wakho uzokhetha enye i-antibiotic.

Abantu abane-glucose 6 phosphate dehydrogenase deficiency, odokotela abayibiza ngokuthi i-G6PD deficiency, akufanele basebenzise i-Macrobid. Lesi simo esivamile sithinta amaseli abomvu egazi, futhi i-Macrobid ingabangela ukuthi aqhekeke ngokushesha. Lokhu kudala i-anemia ebucayi edinga ukwelashwa ngokushesha. Lesi simo sivame kakhulu kubantu abangabantu base-Afrika, baseMedithera, noma abase-Asia.

I-Bactrim inemikhawulo ehlukile odokotela bakho abayinganayo ngokucophelela. Uma ungalwazi kahle imithi ye-sulfa, i-Bactrim ayikho ngoba iqukethe i-sulfamethoxazole. Ukungezwani komzimba kwe-Sulfa kungabangela noma yini kusuka emaphethini amancane kuya ezimweni ezibucayi, ezingagcina ukuphila. Njalo tshela udokotela wakho nganoma yiziphi izindlela zangaphambilini zemithi ye-sulfa noma izithuthwane.

Ukukhulelwa nokuncelisa kudinga ukuqapha okwengeziwe nge-Bactrim. Ingaphazamisa i-metabolism ye-folic acid, abantwana abayidingayo ukuze bathuthuke kahle. Odokotela ngokuvamile bayayigwema phakathi kwesithathu sokuqala nesikhathi sokubeletha. Ngenkathi incelisa, i-Bactrim idlula emncwambeni womama futhi ingathinta umntwana wakho, ikakhulukazi izinsana ezisencane noma izinsana ezizalwe ngaphambi kwesikhathi.

Isifo esibucayi sesibindi senza i-Bactrim ibe yingozi eyengeziwe ngoba isibindi sakho sisiza ukucubungula umuthi. Uma isibindi sakho singakwazi ukukwenza lokhu kahle, umuthi uqoqana futhi ukwandisa ingozi yezimpawu ezisemaceleni. Udokotela wakho uqapha umsebenzi wesibindi sakho ngokucophelela noma ukhetha esinye uma unezinkinga ezinkulu zesibindi.

Abantu abanezifo ezithile zegazi kufanele basebenzise i-Bactrim ngokucophelela noma bangayisebenzisi nhlobo. Uma unezinga eliphansi lamaseli egazi, izinkinga zamathambo, noma i-anemia ngenxa yokushoda kwe-folate, i-Bactrim ingalokhu ibhebhezela lezi zimo. Udokotela wakho ubuyekeza izibalo zakho zegazi nomlando wakho wezokwelapha ngokucophelela ngaphambi kokukuyala.

Uyisebenzisa kanjani ngendlela efanele imithi ngayinye?

Ukuphuza umuthi wakho ngendlela owunikezwe ngayo ngokuyikho kwenza usebenze kahle futhi kunciphise ingozi yezimpawu ezisemaceleni. Umuthi ngamunye unama-ayikhohlwa alinganiselayo athuthukisa indlela osebenza ngayo emzimbeni wakho.

I-Macrobid iza ngama-capsule owavame ukuyiphuza kabili ngosuku, cishe amahora ayishumi nambili ahlukene. Ukuphuza ngokudla kusiza umzimba wakho ukuthi uwumunce kangcono futhi kunciphisa kakhulu ukuzwakalisa. Zama ukuphuza ngokudla noma ukudla okudla okwanele kunokuba usuku olungenalutho. Gwinya i-capsule yonke ngaphandle kokuyichoboza, ukuyiluma, noma ukuvula ngoba isihlungi esikhethekile sikhulula umuthi kancane ohlelweni lwakho.

Izifo eziningi zesinye zidinga izinsuku ezinhlanu kuya kweziyisikhombisa zokwelashwa nge-Macrobid. Ungase uqale uzizwe kangcono ngemuva kwezinsuku ezimbalwa, kodwa ukuqedela inkambo ephelele kuqinisekisa ukuthi wonke amabhaktheriya ayashona. Ukuyeka ngaphambi kwesikhathi kuvumela amabhaktheriya ayakwazi ukumelana nokuzalisa, okungakubuyisela isifo sakho sibe namandla kunangaphambili.

Ukuphuza amanzi amaningi ngenkathi uyisebenzisa i-Macrobid kusiza ukugeza amabhaktheriya emgudu wakho womchamo futhi kukugcina ujabule. Zihlose izinkomishi eziyisithupha kuya kweziyisishiyagalombili nsuku zonke ngaphandle uma udokotela wakho ekunikeze imiyalelo eyahlukene yokudla ukudla. Ukuhlala ugcwele amanzi kuphinde kusize ukuvimbela ezinye izimpawu.

Amaphilisi e-Bactrim ngokuvamile aza ngezinga elivamile noma eliphindwe kabili. Udokotela wakho ukuyala umthamo ngokusekelwe ohlotsheni lwesifo sakho nobukhali bayo. Izifo eziningi zomgudu womchamo zidinga umuthi kabili ngosuku, cishe amahora ayishumi nambili ahlukene. Njenge-Macrobid, ukuphuza i-Bactrim ngokudla kunciphisa ukuphazamiseka kwesisu futhi kukusiza ukuthi uyibambe kangcono.

Ukuphuza amanzi engeziwe nge-Bactrim kubaluleke kakhulu ngoba kusiza ukuvimbela ukwakheka kwamadayisi ezinso. Zama ukuphuza ingilazi ephelele yamanzi nenye nomthamo bese ugcina ukujubalisa okuhle usuku lonke. Lesi sinyathelo esilula sinciphisa kakhulu ingozi yezimpawu ezihlobene nezinso.

Isikhathi sokwelashwa nge-Bactrim sihlukahluka kuye ngesifo sakho. Izifo zesinye ezilula zingadinga izinsuku ezintathu kuya kwezinhlanu, kuyilapho izifo izinso zivame ukudinga izinsuku ezilishumi kuya kweziyishumi nambili. Izifo eziyinkimbinkimbi zingase zidinge izinkambo eziningi. Udokotela wakho ukhetha ubude obufanele be-specific situation yakho.

Ukubeka izikhumbuzi zefoni kukusiza ukuthi ukhumbule imithamo ngesikhathi esifanele. Isikhathi esihle sigcina amazinga emithi ezinzile emzimbeni wakho, okubulala amabhaktheriya ngempumelelo kakhudlwana. Uma uphuthelwa umthamo, uwuphuze ngokushesha lapho uwukhumbula ngaphandle uma cishe sekuyisikhathi somthamo wakho olandelayo. Ungalokothi uphindaphinde imithamo ukuze ubuyekeze ngoba lokhu kukwandisa ingozi yezimpawu ngaphandle kokusiza umuthi usebenze kangcono.

Uzizwa kangakanani ngokushesha?

Mhlawumbe ufisa ukuzwa impumuzo ezimpawini zakho ezibuhlungu. Ukuqonda isikhathi kukusiza ukwazi ukuthi yini ongayilindela njengoba umuthi uqala ukusebenza.

Abantu abaningi baqaphela intuthuko ethile phakathi kosuku olulodwa kuya kwezimbili zokuqala ukusebenzisa noma iyiphi i-antibiotic. Umuzwa wakho wokushisa ungase unciphe, futhi ungase ungazali ngaso sonke isikhathi ukufuna ukuya njalo njengoba ubukade ukhathazekile. Lezi zithuthuko zakuqala zibonisa ukuthi umuthi ufike kumgudu wakho womchamo futhi uqala ukubulala amabhaktheriya.

Ukuthola impumuzo ephelele ejwayelekile kuthatha izinsuku ezintathu kuya kweziyisihlanu ngalo munye umuthi. Ngalesi sikhathi, amabhaktheriya amaningi aye aShonile, ukuvuvukala esinye sakho kuyaphela, futhi umgudu wakho womchamo uyelulama. Kufanele uzizwe kangcono kakhulu noma ubuyele esimweni sakho njengoba wawunjalo.

Uma ungaziboni intuthuko nganoma iyiphi indlela ngemuva kwezinsuku ezimbili kuya kwezintathu, thintana nodokotela wakho. Lokhu kungase kusho ukuthi amabhaktheriya abangela isifo sakho ayakwazi ukumelana ne-antibiotic oyisebenzisayo. Udokotela wakho angakushintshela kwenye imithi noma acele izivivinyo ezengeziwe ukuze aziqaphele amabhaktheriya athile nokuwohloka kwawo.

Ngezinye izikhathi uzizwa kangcono ngokuphelele ngaphambi kokuqedela inkambo yakho ye-antibiotic. Lokhu kungakulingeka ukuthi uyeke ukuyiphuza, kodwa sicela uyeke lokho kulingeka. Amabhaktheriya angase abe khona ngisho nalapho izimpawu zinyamalala. Ukuqedela inkambo ephelele kuvimbela isifo ukuthi singabuyi futhi kunciphisa amathuba okuba namabhaktheriya ayakwazi ukumelana ne-antibiotic.

Ungathola yini ukumelana nalezi zithuthwane?

Ukumelana ne-antibiotic kwenzeka lapho amabhaktheriya eqala ukumelana nemithi eyayinikeze ibabulala kalula. Le nkinga ekhulayo ithinta kokubili i-Bactrim ne-Macrobid, nakuba ngezindlela ezahlukene ezindaweni ezahlukene.

Ukumelana ne-Bactrim kuye kwanda eminyakeni eminingi ezindaweni eziningi. Amabhaktheriya abangela izifo zomgudu womchamo, ikakhulukazi i-E. coli (isizathu esivame kakhulu), aye athola izindlela zokuphila ngemva kokuchayeka kule-antibiotic. Amazinga okumelana ahlukahluka ngendawo, kodwa kwezinye izifunda, kuze kufike kumaphesenti angamashumi amabili kuya kwamashumi amathathu amabhaktheriya abangela ama-UTI angamelana ne-Bactrim.

Lokhu akusho ukuthi i-Bactrim ayisebenzi. Udokotela wakho uvame ukuyala i-urine culture ngaphambi kokukuyala, ikakhulukazi uma unezifo eziphindaphindayo. Lesi sivivinyo siqonda amabhaktheriya athile abangela isifo sakho futhi sibonise ukuthi yimaphi ama-antibiotics azobulala ngempumelelo. Uma isitifiketi sakho sibonisa ukuzwela ku-Bactrim, sizosebenza kahle kuwe.

I-Macrobid iye yagcina ukusebenza okungcono ngokumelene namabhaktheriya avamile e-UTI. Amazinga okumelana ahlala ephansi kakhulu uma eqhathaniswa nezinye izithuthwane, okwenza kube inketho eyigugu. Indlela ehlukile yokuphila komgudu wakho womchamo kanye nezindlela zayo eziningi zokubulala amabhaktheriya kwenza kube nzima kakhulu kumabhaktheriya ukuthuthukisa ukumelana.

Ungasiza ukuvimbela ukumelana ngokuyiphuza imithi yakho njengoba inikezwe. Ungalokothi uphuthelwe imithamo, uyeke ngaphambi kwesikhathi, noma ugcine amaphilisi ashiziwe esikhathini esizayo. Lezi zindlela zinikeza amabhaktheriya amathuba okuzivumelanisa nokusinda. Ukusebenzisa izithuthwane kuphela lapho zidingeka kakhulu ngezifo zamabhaktheriya kunokuba izifo zamagciwane nakho kusiza ukonga ukusebenza kwazo.

Yisiphi isithuthwane esibiza kakhulu?

Izindleko ziyabaluleka lapho udinga umuthi, ikakhulukazi uma ukhokha ngaphandle komshwalense noma uneziqashi eziphezulu. Bobabili i-Bactrim ne-Macrobid bayatholakala njenge-generics, okubenza bagcineke kakhulu uma beqhathaniswa nezithuthwane ezintsha.

I-Generic Bactrim, ethengiswa njenge-sulfamethoxazole trimethoprim, ngokuvamile ibiza kancane kuneyi-generic Macrobid (nitrofurantoin). Inkambo ejwayelekile ye-generic Bactrim ingase ibe kusuka emadola ambalwa kuphela kuye kumadola ayishumi nanhlanu ngaphandle komshwalense, kuye nge-pharmacy yakho nendawo yakho. Ngomshwalense, i-copay yakho ingase ibe yancane kakhulu.

I-Generic Macrobid ibiza kancane kodwa isalokhu iyatholakala kakhulu. Inkambo ejwayelekile ivame ukusuka kumadola ayishumi kuye kumadola angamashumi amathathu ngaphandle komshwalense. Juba, umshwalense ngokuvamile uwunciphisa ube i-copay encane. Umehluko enanini phakathi kwalokhu okubili uvame ukuba mkhulu futhi akufanele ube isici esikhulu ekukhetheni ukwelashwa kwakho.

Izinguqulo ezingasebenza ngomkhiqizi zibiza kakhulu, kodwa amakhemisi amaningi ngokuzenzakalelayo ashintshanisa i-generic ngaphandle uma udokotela wakho achaza ukuthi i-brand iyadingeka ngokwezokwelapha. Ama-antibiotics asebenzayo anezinto ezifanayo ezisebenzayo futhi asebenza ngendlela efanayo namagama omkhiqizi, ngakho-ke ahlinzeka ngenani elihle kakhulu.

Amakhemisi amaningi ahlinzeka ngezinhlelo zokonga imiyalelo noma amakhadi esaphulelo anciphisa izindleko kakhulu. Uma inani liyinto ekhathazayo, khuluma nodokotela wakho nomphatisi mayelana nenkinga ethengekayo kakhulu ezophatha isifo sakho ngempumelelo. Bavame ukuthola izindlela zokwenza umuthi wakho ufinyeleleke kakhudlwana.

Zisebenza kanjani ezinye izithuthwane nalemithuthwane?

Bobabili i-Bactrim ne-Macrobid bangasebenza nezinye izithuthwane oziphuza zona. Ukwazi lezi zindlela kukusiza wena nodokotela wakho ukuvimbela izinkinga ngaphambi kokuba ziqale.

I-Macrobid isebenza nezinye izithuthwane ezimbalwa kakhulu, okwenza kube lula ukuyisebenzisa kanye nezinye izindlela. Kodwa-ke, ezinye izindlela ezibalulekile zifanelwe ukuqashelwa. Izidambisi eziqhakazayo zinganciphisa ukuthi umzimba wakho uwumunce kangakanani i-Macrobid. Uma udinga izidambisi, uzithathe okungenani amahora amabili ngaphambi noma ngemuva komthamo wakho we-antibiotic.

Ezinye izithuthwane ezithinta indlela isisu sakho esikhipha ngayo zingaphazamisa ukumunca kwe-Macrobid. Lokhu kufaka phakathi imithi efana ne-propantheline, egcina ukudla kancane esiswini. Lapho i-Macrobid ihlala esiswini sakho isikhathi eside, ingabangela ukuzwakalisa okwengeziwe, futhi umzimba wakho ungase ungayimunci kahle.

I-Bactrim inamandla amaningi okusebenza ngoba ithinta umzimba wakho wonke futhi iyakha indlela isibindi sakho esicubungula ngayo eminye imithi. Izindlela eziningana ezibalulekile zidinga ukuqapha okucophelela noma ukulungiswa komthamo.

Izidambisi zegazi ezifana ne-warfarin zisebenza kakhulu ne-Bactrim. I-antibiotic ingathuthukisa imiphumela ye-warfarin, okwandisa ingozi yokopha. Uma uyisebenzisa i-warfarin, udokotela wakho uzoqapha izikhathi zakho zokopha kakhulu futhi angase alungise umthamo wakho we-warfarin okwesikhashana ngenkathi uyisebenzisa i-Bactrim.

Imithi yesishukela, ikakhulukazi i-sulfonylureas efana ne-glyburide noma i-glipizide, ingaba namandla kakhulu lapho ihlanganiswa ne-Bactrim. Lokhu kungase kwehlise ushukela wegazi lakho kakhulu, kubangele i-hypoglycemia. Hlola ushukela wegazi lakho kakhulu uma uyisebenzisa le mithimithi ndawonye, ​​futhi ubheke izimpawu ezifana nokuzamazama, ukujuluka, ukudideka, noma isifiso sokudla esingajwayelekile.

I-Methotrexate, esetshenziselwa izimo ezizenzakalelayo nezinye izinhlobo zomdlavuza, iba yingozi kakhulu lapho ithathwa ne-Bactrim. Zombili izithuthwane zithinta i-folate metabolism, futhi ukuzihlanganisa kunganciphisa kakhulu amazinga akho amaseli egazi futhi kubangele ezinye izinkinga ezibucayi. Udokotela wakho ngokuvamile uzokhetha enye i-antibiotic uma uyisebenzisa i-methotrexate njalo.

Ezinye izithuthwane zokucindezela igazi ezibizwa nge-ACE inhibitors noma i-angiotensin receptor blockers zingahlanganiswa ne-Bactrim ukuze zikhuphule amazinga akho e-potassium aphezulu kakhulu. Lokhu kuthinta isigqi senhliziyo yakho. Udokotela wakho angase aqaphele amazinga akho e-potassium ngezivivinyo zegazi uma uyisebenzisa le mithimithi ndawonye.

Ama-Diuretics, ikakhulukazi amaphilisi amanzi afana ne-hydrochlorothiazide, angasebenza ne-Bactrim ukuze abangele ukuguquka kwezibalo zamaseli egazi noma ukungalingani kwe-electrolyte. Udokotela wakho ulinganisa lezi zingozi ngokucophelela uma udinga zombili izithuthwane ngesikhathi esisodwa.

Yini okufanele uyitshele udokotela wakho ngaphambi kokusebenzisa noma iyiphi i-antibiotic?

Udokotela wakho udinga isithombe esiphelele sezempilo yakho ukuze akhethe i-antibiotic ephephe kakhulu, futhi esebenza kahle kuwe. Ukwabelana ngolwazi olubanzi kusiza ukuvimbela izinkinga futhi kuqinisekisa ukuthi ukwelashwa kwakho kusebenza kahle.

Qala ngokufaka ohlwini zonke izithuthwane oziphuzayo njengamanje, okubandakanya imithi ebekiwe, imithi ethengiswa ngaphandle, amavithamini, kanye nezithasiselo zemifino. Ezinye izithasiselo zingasebenze ne-antibiotics noma zifihle izimpawu udokotela okufanele azi ngazo. Phatha izibhadlana zakho zemithi lapho uya kudokotela noma ugcine uhlu olubuyekezwe ocingweni lwakho.

Khuluma nganoma yiziphi izindlela zangaphambilini zokungezwani komzimba nemithi, noma ngabe zazincane. Amaphethini, ama-hives, ukuvuvukala, ukungaphefumuli, noma ukulunywa okukhulu konke kubalulekile. Tshela udokotela wakho ikakhulukazi ngezindlela zemithi ye-sulfa, izithuthwane, noma noma yimiphi imithi. Ngisho noma ungaqinisekanga ukuthi yini eyabangela inkinga yangaphambilini, ukwabelana ngolwazi kusiza udokotela wakho enze izinqumo eziphephile.

Xoxa nganoma yiziphi izimo zempilo ezikhona, ikakhulukazi izifo zezinso, izifo zesibindi, izifo zegazi, noma izinkinga zamaphaphu. Lezi zimo zithonya ukuthi yimuphi umuthi osebenza kangcono nokuthi udinga yini ukulungiswa komthamo noma ukuqapha okwengeziwe. Yiba nomqondo ngezimo noma ngabe azihlobene nesifo somgudu womchamo.

Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, tshela udokotela wakho ngaphambi kokuqala noma yiluphi uhlobo lwe-antibiotic. Izinqumo zokwelashwa ziguquka ngokusekelwe esigabeni sokukhulelwa nokuthi uyancelisa yini. Udokotela wakho uzokhetha inkinga ephephe kakhulu kuwe nakhona kumntanakho.

Yabelana ngolwazi mayelana nezifo zomgudu womchamo zangaphambilini, kufaka phakathi ukuthi uvame kangakanani ukuzithola nokuthi yimaphi ama-antibiotics asebenze noma angasebenzi kudala. Uma uye wenza izivivinyo zegazi ngaphambilini, imiphumela ebonisa ukuzwela kwamabhaktheriya kusiza udokotela wakho akhethe umuthi osebenza kakhulu manje.

Khuluma uma une-G6PD deficiency noma uma lesi simo sidluliselwa emndenini wakho. Lolu hlobo lofuzo luthinta ukuthi yimaphi ama-antibiotics aphephile kuwe. Uma ungakaze uhlolwe kodwa unamadabuka ezifundeni lapho kuvamile khona, udokotela wakho angase acele ukuhlolwa.

Isiphetho

Thembana nenqubo futhi landela uhlelo lwakho lokwelashwa ngokucophelela. Phuza inkambo yakho ephelele ye-antibiotic noma ngabe uzizwa kangcono, phuza amanzi amaningi, futhi ushayele uma kukhona okungabonakali njengokulungile. Izifo eziningi zomgudu womchamo ziyaphela kahle ngomuthi ofanele, futhi uzobuyela esimweni sakho sokuphila njengoba ubukade wena kakhulu kungekudala. Impilo yakho iyabalulekile, futhi ukwelashwa okusebenzayo kutholakala kakhulu.