Uzozithatha Isikhathi Esinjani iNitrofurantoin ku-UTI? Isiqondiso Esicacile Sokudosiswa Nokuhlala Kwesikhathi

Abantu abadala abaningi bathatha i-nitrofurantoin izinsuku ezinhlanu kuya kweyisikhombisa lapho belapha i-urinary tract infection (UTI) engabunzima, yize udokotela wakho angalungisa lokhu kuye ngesimo sakho esithile. Le-antibiotic isiyisinqumo esethembekile iminyaka emashumi ngoba igxila ngqo kumchamo, ihlose amagciwane lapho kuhlala khona isifo. Ukuqonda ukuthi udinga ukuyithatha isikhathi esingakanani, nokuthi kungani leso sikhathi sibalulekile, kungakusiza uzizwe uqiniseka kakhudlwana njengoba ululama ebuhlungwini be-UTI.

Yini iNitrofurantoin?

I-Nitrofurantoin iyi-antibiotic eyenzelwe ngokukhethekile ukwelapha izifo emgudwini wakho womchamo. Uma uyithatha ngomlomo, umzimba wakho uyayicubungula bese uyithumela ngobuningi obuphezulu ngqo esinyeni sakho nasomchamo. Lokhu kuthunyelwa okuqondile kuyenza isebenze kahle ngokumelene namagciwane abangela izifo eziningi ze-UTI, ikakhulukazi i-E. coli, eyenza isizathu sezifo eziningi.

Odokotela bavame ukukhetha i-nitrofurantoin ngoba isebenza kahle ngokukhulu ukungapheli njengoba kunezinye izinto ezibucayi ezibucayi ezibucayi. Inezinga eliphansi lokubangela ukumelana ne-antibiotic, okuyisikhathazeka esikhulayo kwezempilo namuhla. Umhlinzeki wakho angase ayibeke njengokwelashwa kokuqala uma une-bladder infection elula ngaphandle kobunzima.

Imithi iza ngezindlela ezimbili eziyinhloko: ikhepsuli yokukhishwa evamile kanye nesimo sokusebenza isikhathi eside esibizwa ngama-macrocrystals noma i-monohydrate. Uhlobo olukhishwayo oludlala isikhathi eside luvumela umuthi ukuba usebenze kancane emzimbeni wakho. Zombili izinhlobo ziyasebenza, futhi udokotela wakho uzokhetha ngalokho okuhambisana nomzimba wakho nesimiso sakho.

Uzozithatha Izinsuku Ezingaki iNitrofurantoin ku-UTI?

Ku-UTI engabunzima kwabesifazane, isikhathi esivamile sokwelashwa sihlinzwa izinsuku ezinhlanu kuya kweyisikhombisa. Lesi sikhathi sinikeza i-antibiotic isikhathi esanele sokubulala amagciwane abangela isifo sakho ngenkathi kuncishiswa ukudluliselwa okungadingekile emithini. Uzoqala ukuzizwa kangcono phakathi kwezinsuku ezimbili kuya kwezintathu, kodwa ukuqeda isikhathi esiphelele kusabalulekile noma ngabe izimpawu zithuthukile.

Amadoda ane-UTI avame ukudinga isikhathi eside sokwelashwa, ngokuvamile izinsuku eziyisikhombisa noma ngaphezulu. Izifo zemigudu yomchamo emadodeni azivamile futhi ngezinye izikhathi zikhombisa izinkinga ezingaphansi ezidinga ukwelashwa okubanzi. Udokotela wakho uzohlola izimo zakho ezithile futhi angase afune izivivinyo ezingeziwe ukuze aqonde ukuthi kungani isifo senzekile.

Ngezimo ezithile, ukwelashwa kungadlula isikhathi esijwayelekile. Uma une-UTI enzima, okusho ukuthi ihilela izinso zakho, yenzeka ngesikhathi sokukhulelwa, noma yenzeka kanye nezinye izimo zempilo, udokotela wakho angase abele i-nitrofurantoin izinsuku eziyishumi kuya kweyishumi nane. Lezi zikhathi ezinde ziqinisekisa ukuthi isifo siyacaciswa futhi kuncishiswa ithuba sokuphinda sibuyele.

Abesifazane abakhulelwe esigabeni sesibili noma sesithathu sokukhulelwa bangase bathathe i-nitrofurantoin, kodwa isikhathi nokuhlolwa kudinga ukuqashwa okukhethekile kwezempilo. Umuthi uvame ukugwenywa ezinsukwini zokugcina ngaphambi kokubeletha ngenxa yengozi encane ezinsaneni ezizalwa. Udokotela wakho wezinsana uzobuyekeza izinzuzo ngokumelene nanoma yiziphi izinkathazo ezingaba khona futhi akusize uqaphele kulo lonke ukwelashwa.

Yini Isilinganiso Esijwayelekile seNitrofurantoin Zabantu Abadala?

Isilinganiso esivamile sabantu abadala ngu-100 milligrams athathwa kabili ngosuku, cishe amahora ayishumi nambili. Leli cala ligcina amazinga e-antibiotic ahlala njalo emzimbeni wakho usuku lonke nobusuku. Ukuyithatha ngokudla noma ubisi kungasiza esiswini sakho ukuba sikubekezelele kangcono futhi empeleni kuthuthukisa ukuthi umzimba wakho uyayithatha kangakanani imithi.

Ezinye izindlela zisebenzisa isimiso esihlukile sokudosiswa. Uhlobo lwe-macrocrystalline, olukhishwa kancane, lungase lubekwe njengo-100 milligrams kabili ngosuku. Umeluleki wakho wezindlebeni uzofaka ilebula imininingwane yakho ngokucacile, ngakho-ke uzokwazi ukuthi nini nokuthi mangaki okufanele uwathathe.

Izilinganiso ezingaphansi ngezinye izikhathi zisetshenziselwa ukugcinwa kunokwelashwa okusebenzayo. Uma ubhekana ne-UTI ezivame ukuphindeka, udokotela wakho angase abele u-50 kuye ku-100 milligrams kanye ngosuku ebusuku njengesinyathelo sokuvimbela. Leli cala linganciphisa ukuthi izifo zenzeke kangaki, ikakhulukazi uma unezifo ezintathu noma ngaphezulu ngonyaka.

Ungalokothi ulungise isilinganiso sakho ngokwakho, noma ngabe uzizwa kangcono noma umubi kunalokho obukulindele. Ubungako nesikhathi esibekwe sabalwa ukulwa nesifo sakho ngempumelelo ngaphandle kokubangela imiphumela emibi engadingekile. Uma unezinkinga mayelana nesilinganiso sakho, thintana nomhlinzeki wakho wezempilo ukuze uthole usizo kunokwenza izinguquko ngokwakho.

Ingashintsha Isikhathi Kuye Ngokwezimo Zakho Ezithile?

Yebo, izinto eziningana zingathonya ukuthi uzothatha isikhathi esingakanani i-nitrofurantoin. Imishayo yakho, ukusebenza kwezinso, impilo yakho yonke, nobukhulu besifo sakho bonke badlala indima ekubekeni ubude bokwelashwa obufanele. Udokotela wakho ucabanga ngalezi mininingwane lapho ebhalisa imininingwane yakho ukuze aqinisekise umphumela ongcono ezimweni zakho eziyingqayizivele.

Ukusebenza kwezinso kubalulekile ikakhulukazi ngoba i-nitrofurantoin isebenza ngokugxila kumchamo wakho. Uma izinso zakho zinganyakazisi kahle, imithi ingase ingafinyeleli ezingeni eliphezulu elanele lokulwa nesifo ngendlela efanele. Abantu abanesimo esincishisiwe sokusebenza kwezinso, esilinganiswa ngokusetshenziswa kwe-creatinine ngaphansi kwezinga elithile, ngokuvamile akufanele basebenzise le-antibiotic nhlobo.

Umlando wakho wesifo uyabaluleka futhi. Uma lena kuyi-UTI yakho yokuqala futhi yenzeka ngokungazelelwe ngezimpawu ezicacile, isikhathi esifushane singase sicishe. Kodwa-ke, uma uke waba nezifo eziningi, isifo sikashukela, noma isimiso sezifo esibuthakathaka, udokotela wakho angase andise ukwelashwa ukuze aqinisekise ukuthi amagciwane acaciswa ngokuphelele.

Abantu abadala ngezinye izikhathi badinga izinto ezihlukile zokucubungula. Ubudala uqobo akushintshi isikhathi ngokuzenzakalelayo, kodwa abantu abadala banezimo zempilo ezithinta izinqumo zokwelashwa. Umhlinzeki wakho uzohlola isithombe sakho sempilo esiphelele kunokubheka ubudala bakho kuphela lapho uhlela ukunakekelwa kwakho.

Kwenzekani Uma Uyeka Ukuthatha iNitrofurantoin Ngaphambi Kwesikhathi?

Ukuyeka i-antibiotic yakho ngaphambi kokuphela kwesikhathi esigcwele kungavumela amagciwane asaphila ukuthi aphinde ande. Noma ngabe uzizwa kangcono ngemuva kwezinsuku ezintathu noma ezine, amagciwane athile angase abe khona emgudwini wakho womchamo. Lezi zinhlobo ezisele zingakhula kabusha futhi zibangele izimpawu zakho zibuyele, ngezinye izikhathi zibe namandla kunangaphambili.

Ukungapheleli kokwelashwa kuphinde kunikele ekumeleni kwe-antibiotic, inkinga enkulu kwezempilo yomphakathi. Lapho amagciwane edluliselwa ku-antibiotic kodwa engacaciswa ngokuphelele, angathuthukisa izindlela zokuphila ukusinda kwesikhathi esizayo. Lokhu kwenza izifo zibe nzima ukuzelapha, kungabi kuphela kuwe kodwa futhi kungase kube kulabanye uma izinhlobo ezimelana nokwelashwa zisakazeka.

Ungase ubone lokho okufana nokuthi isifo esisha phakathi kwezinsuku noma amasonto ngemuva kokuyeka ngaphambi kwesikhathi. Lokhu kuvame ukuba isifo esifanayo esingazange sicaciswe ngokugcwele. Ukusilapha futhi kuba nzima kakhulu ngoba amagciwane angase abe anciphiswe ukusabela ku-antibiotic yasekuqaleni.

Izinkinga zezezimali noma izimpawu ezingezinhle zingakwenza ukuthi uyeke ngaphambi kwesikhathi, kodwa ukuxhumana nodokotela wakho kuyisixazululo esingcono. Bangakusiza ukuba ubhekane nezimpawu ezingezinhle, baphakamise izindlela zokulawula izindleko, noma balungise uhlelo lwakho lokwelashwa uma kudingeka kwezempilo. Imiphumela yakho yezempilo ithuthuka kakhulu lapho uqeda izikhathi ezibekwe njengoba kukhonjisiwe.

Uzozithatha Kanjani iNitrofurantoin Ukuze Uthole Imiphumela Engcono Kakhulu?

Ukuthatha i-nitrofurantoin ngokudla noma ingilazi egcwele ubisi kusiza umzimba wakho ukuba uyithole kangcono. Lo mkhuba uphinde unciphise ukucasuka esiswini okwenzeka kwabanye abantu. Zama ukuthatha izilinganiso zakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga ahlala emzimbeni wakho.

Gwinya amakhepsuli lonke ngaphandle kokucubungula, ukuhlafuna, noma ukuwavula. Imithi yenzelwe ukukhishwa ngezinga elithile ohlelweni lwakho lokugaya ukudla. Ukuphula ikhepsuli kungashintsha ukuthi i-drug iyathathwa kanjani futhi kungase kwandise imiphumela emibi noma kunciphise ukusebenza kwayo.

Uma uphuthelwa isilinganiso, sithathe njengoba usikhumbula, ngaphandle uma cishe sesikhathi sesilinganiso sakho esilandelayo. Kulokhu, yeka isilinganiso esiphuthelwe bese uqhubeka nesimiso sakho esivamile. Ungalokothi uphindwe kabili ukuze ukhokhele isilinganiso esikhohliwe, ngoba lokhu kungase kwandise ingozi yakho yezimpawu ezingezinhle ngaphandle kokuthuthukisa ukuthi i-antibiotic isebenza kangakanani.

Qhubeka nokuthatha imithi ngisho nangemva kokuba izimpawu zakho sezinyamalele. Umuzwa wokushisa lapho ucika nokugijima njalo kokuba ucike kungase kunyamalale ngokushesha, kodwa isifo sidinga isikhathi esiphelele sokwelashwa ukuze sicaciswe ngokuphelele. Caba ngayo njengokupenda igumbi: isiketi sokuqala siyakubeka ingxenye enkulu koddang, kodwa udinga isicelo esiphelele sokubeka okuphelele, esihlala njalo.

Ingabe iNitrofurantoin Ihambisana Namanye Imithi Noma Izimo?

Yebo, imithi ethile nezimo zempilo zingathonya indlela i-nitrofurantoin esebenza ngayo noma zikwandise ingozi yakho yezimpawu ezingezinhle. Ukuba nomqondo ovulekile nodokotela wakho ngakho konke okuthathayo, okuhlanganisa nemikhiqizo engaphezulu nokwengeziwe, kusiza ukuqinisekisa ukwelashwa okuphephile nokusebenzayo. Lo mkhulumo uyakuvikela ekusebenzelaneni okungazelelwe okungaphazamisa ukululama kwakho.

I-Antacids equkethe i-magnesium inganciphisa ukuthi umzimba wakho uthatha kangakanani i-nitrofurantoin. Uma udinga i-antacid yokushisa esiswini noma ukungadli kahle, zama ukuyihlukanisa okungenani amahora amabili ukusuka esilinganisweni sakho se-antibiotic. Lesi sikhathi sivumela i-nitrofurantoin ukuba ithathwe kahle ngaphambi kokuba i-antacid ithinte imvelo yesiswini sakho.

Eminye imithi ye-gout, njenge-probenecid noma i-sulfinpyrazone, ingaphazamisa indlela izinso zakho eziphatha ngayo i-nitrofurantoin. Lokhu kusebenzelana kunganciphisa ukuthi ingakanani i-drug efika kumchamo wakho, okwenza kube ncane ukusebenza kwayo ngokumelene nesifo sakho. Udokotela wakho uzocubungula ezinye izindlela uma uthatha le mithi njalo.

Abantu abanezimo ezithile zezempilo badinga ukucubungula okukhethekile ngaphambi kokuba baqale i-nitrofurantoin. Lezi zimo azivimbeli ngempela ukuthi usebenzise imithi, kodwa zidinga ukuhlolwa nokuqashwa okucophelelayo:

• Isifo sezinso noma ukusebenza kwezinso okuncishisiwe, njengoba imithi ingase ingasebenzi kahle noma ingase iqoqele emzimbeni wakho

• Isifo samaphaphu noma umlando wezinkinga zokuphefumula, ngoba izimpawu zamaphaphu ezimbalwa zithinta kakhulu kulaba bantu

• Isifo sesibindi, esingasekwandisa ingozi yezimpawu ezihlobene nesibindi

• I-Anemia noma ezinye izifo zegazi, ikakhulukazi i-G6PD deficiency, isimo esingokofuzo esingabangela ukuthi amangqamuzana abomvu egazi aphuke

• Isifo sikashukela, ikakhulukazi uma unezinkinga zenhliziyo, njengoba lokhu kungase kwandise ingozi ye-peripheral neuropathy

• Ukuntuleka kwe-Vitamin B noma i-folate, okungase kwandise ithuba lezinkinga zenhliziyo

Uma noma yiziphi zalezi zimo zisebenza kuwe, udokotela wakho uzobuyekeza izinzuzo ze-nitrofurantoin ngokumelene nezingozi ezingaba khona futhi angakhetha i-antibiotic ehlukile noma akusize uqaphele kakhulu ngesikhathi sokwelashwa.

Ungazithatha iNitrofurantoin Uma Ukhulelwe Noma Ubuyelisa?

I-Nitrofurantoin ingasetshenziswa ngesikhathi sokukhulelwa, kodwa ukuhlolwa kubalulekile. Ngokuvamile ibhekwa njengayisivikelo ngesikhathi sesibili nesesithathu lapho izinzuzo zidlula izingozi. Udokotela wakho uzohlola isimo sakho ngokucophelela futhi akhethe indlela ephephile nesebenzayo kuwe nasebungomeni bakho obukhulayo.

Imithi ngokuvamile igwenywa ngesikhathi sokuqala ngenxa yedatha yokuphepha encane ekuqaleni kokukhulelwa. Ngokuvamile ayibekelwa ezinsukwini zokugcina ngaphambi kokubeletha, ikakhulukazi ngemuva kwamasonto angama-38 wokukhulelwa. Lesi sixwayiso sikhona ngenxa yengozi encane yesimo esibizwa nge-hemolytic anemia ezinsaneni ezazithatha imithi ngokusondela ekubelethweni.

Abamama abancelisa ubisi ngokuvamile bangathatha i-nitrofurantoin, kodwa izimo ezingezimemezela zibalulekile. Izilinganiso ezincane zemithi zidluliselwa emanzini obisi, okungavame ukuba yisikhathazeka kubantwana abaningi abanempilo, abanomzimba ogcwele. Kodwa-ke, uma ingane yakho yazalwa ngaphambi kwesikhathi, inomjikelezo wobusuku, noma inezimo ezithile zegazi njenge-G6PD deficiency, udokotela wakho angase abele i-antibiotic ehlukile.

Njalo yazisa udokotela wakho wezinsana noma umbelethisi wakho uma uthola izimpawu ze-UTI ngesikhathi sokukhulelwa. Izifo zemigudu yomchamo ezingelaphi zingaholela ebunzimeni obukhulu, okuhlanganisa nokuzala ngaphambi kwesikhathi nezifo zezinso. Ithimba lakho lezempilo lizokusiza uthole indlela yokwelashwa ephephile yesigaba sakho sokukhulelwa nempilo yakho yonke.

Ingabe iNitrofurantoin Iyasebenza Ngokumelene Nezinhlobo Zonke ze-UTI?

I-Nitrofurantoin isebenza kangcono ku-bladder infections engabunzima, eyaziwa nangokuthi i-cystitis. Lezi yizifo ezikhawulelwe esinyeni sakho ezenzeka ngaphandle kwezinye izinto ezibucayi. Imithi igxila kangcono kumchamo kangangokuthi ibulala ngempumelelo amagciwane abangela izifo eziningi eziqondile.

Akuyona indlela efanele yezifo zezinso, eyaziwa nangokuthi i-pyelonephritis. Lapho amagciwane ekhuphuka esinyeni sakho aye ezinso zakho, udinga i-antibiotic efika ezingeni elanele egazini lakho nasemzimbeni wezinso. I-Nitrofurantoin ayifinyeleli amazinga aphezulu kulezi zindawo ukuze ilaphe izifo zezinso ngokuthembekile.

I-antibiotic nayo ayifanele kangako kuma-UTI anzima. Lezi zihlanganisa izifo kubantu abanezimo zokwakheka komgudu womchamo, amatshe ezintso, amashubhu, noma izimiso zezifo ezibuthakathaka. Kulezi zimo, odokotela bavame ukukhetha ama-antibiotics anokubuyekezwa okubanzi komzimba kanye nezinto ezihlukile.

Udokotela wakho angase afune isiko lomchamo ngaphambi noma ngesikhathi sokwelashwa ukuze aqonde ukuthi yimaphi amagciwane abangela isifo sakho. Lesi sivivinyo sibonisa futhi ukuthi yimaphi ama-antibiotics azosebenza kangcono ngokumelene nohlobo lwakho oluthile. Uma isiko libonisa amagciwane amaphikisana ne-nitrofurantoin, umhlinzeki wakho uzokushintsha uye emithini efanelekayo.

Kufanele Wenzeni Uma I-UTI Yakho Ibambeka Ngemuva Kokwelashwa?

Ama-UTI aphindeke kabili angase azizwe enesithukuthezi futhi enqikayo, kodwa angalawulwa ngendlela efanele. Uma isifo sakho sibuya phakathi nesonto ngemuva kokuqeda i-nitrofurantoin, thintana nodokotela wakho ukuze uhlolwe. Lokhu kungaba ukubuyela emuva, okusho ukuthi isifo sasekuqaleni besingacacisiwe ngokuphelele, noma isifo esisha esinamagciwane ahlukile.

Umhlinzeki wakho wezempilo angase afune isiko lomchamo ukuze aqonde amagciwane athile futhi ahlasele ukumelana kwawo ne-antibiotic. Lolu lwazi luhola izinketho zokwelashwa futhi lusiza ukubona ukuthi i-antibiotic yasekuqaleni ibifanele yini noma ukuthi ukumelana sekuthuthukile yini. Ngokuvamile isikhathi eside noma imithi ehlukile iyadingeka.

Izifo eziphindeka kaningi, ezichazwa njengezintathu noma ngaphezulu ngonyaka, zingase ziqhakamise udokotela wakho ukuba afune izizathu ezingaphansi. Izinkinga zokwakheka komgudu wakho womchamo, ukungapheleli kokucisha esinyeni, izinguquko zamahormone, noma izimo ezithile zokuphila zingabanga izifo eziphindaphindayo. Ukubona nokubhekana nalezi zizathu eziyisisekelo kunganciphisa ukuthi izifo zenzeke kangaki.

Izindlela zokuvimbela zingahlanganisa ama-antibiotic aphansi athathwa nsuku zonke noma ngemuva kwezinto ezikhethekile, njengokubhebha ngokocansi. Odokotela abanye baphakamisa izindlela ezingewona ama-antibiotic njengokunyusa ukuthathwa kwezinga, ukusebenzisa i-estrogen yomlomo kwabesifazane abangena esikhathini, noma ukuzama imikhiqizo ye-cranberry, yize ubufakazi balokhu buhlukahlukene. Umhlinzeki wakho uzosebenza nawe ukuze enze uhlelo lokuvimbela olungokwakho ngokuya ngokwezimo zakho zezifo nempilo yakho yonke.

Yini Eyenza iNitrofurantoin Ihlangane Namanye Ama-antibiotic we-UTI?

I-Nitrofurantoin iyahlukahluka ngoba igxila ngqo kumchamo wakho kunokusabalala kuwo wonke umzimba wakho. Lesi senzo esiqondile kusho ukuthi sisebenza ngqo lapho kwenzeka khona i-bladder infections ngenkathi sibangela ukuphazamiseka okuncane kumagciwane anenzuzo kwezinye izingxenye zomzimba wakho, njengohlelo lwakho lokugaya ukudla.

Imithi inezingozi ezincane zokunikezela ekumeleni kwe-antibiotic uma kuqhathaniswa nama-antibiotics esikhalela esibanzi. Ukusetshenziswa kakhulu kwezinto ezinamakhono amaningi kudale izinkinga zokumelana ezikhulayo emhlabeni wonke, okwenza i-nitrofurantoin ibe yisinqumo esikhangayo kuma-UTI aqondile lapho ifanele.

Amanye ama-antibiotic avamile e-UTI, njenge-trimethoprim-sulfamethoxazole noma i-fluoroquinolones, asakazeka egazini lakho nasemzimbeni wakho. Lokhu kwenza kube ngcono ezifweni zezinso noma kuma-UTI anzima kodwa kungase kube nokwenzeka ukukhipha ibhalansi yakho ejwayelekile yamagciwane futhi kunikezele kumamodeli wokumelana.

Udokotela wakho ukhetha ama-antibiotics ngokuya ngamamodeli okumelana endawo, umlando wakho wezempilo, iziphuthu, kanye nezici ezithile zesifo sakho. Lokho okusebenza kangcono kumngane wakho noma umngane womndeni kungase kungabi yisinqumo esihle kuwe. Thembela ukuthi umhlinzeki wakho wezempilo ukhetha imithi enokwenzeka kakhulu yokucacisa isifo sakho ngokuphepha nangempumelelo.

Isiphetho

Ama-UTI avamile, alaphekayo, futhi akufanele abe isihlazo. Ngemithamo efanele ethathwe kahle, izifo eziningi ziyacaciswa ngokuphelele phakathi kwezinsuku. Ngokuhlala unolwazi nokulandela uhlelo lwakho lokwelashwa, wenza izinyathelo ezinhle zokuzizwa kangcono nokuvikela impilo yakho yomchamo esikhathini esizayo.