Created at:1/13/2025
I-Bacitracin ne-polymyxin B ophthalmic iyisidakamizwa samehlo esilwa namagciwane esihlanganisa izithako ezimbili ezinamandla zokulwa nokutheleleka ukuze zithathe izifo zamehlo ezibangelwa amagciwane. Lezi zithako zamehlo eziqokiwe noma amafutha asebenza ngokumisa amagciwane ayingozi ukuthi akhule futhi ande ezicutshini zamehlo akho. Udokotela wakho angase akubhalele le nhlanganisela uma unesifo esibangelwa amagciwane esidinga amandla ama-antibiotics amabili ahlukene asebenza ndawonye.
Lesi sidakamizwa siyinhlanganisela ye-antibiotic eyenzelwe ngqo izifo zamehlo. I-Bacitracin ne-polymyxin B yizinhlobo ezimbili ezihlukene zama-antibiotics ahlasela amagciwane ngezindlela ezihlukene, okwenza ukuthi asebenze kahle uma esetshenziswa ndawonye kunanoma iyiphi yazo ingasebenza yodwa.
Umuthi uza ngezindlela ezimbili: amathonsi namehlo namafutha namehlo. Zombili ziqukethe izithako ezifanayo ezisebenzayo kodwa zisebenza kancane ngendlela ehlukile. Amathonsi namehlo asakazeka ngokushesha ngaphezulu kweso lakho, kuyilapho amafutha ahlala ethintana neso lakho isikhathi eside kodwa angase abangele umbono ongaboni kahle okwesikhashana.
Ungathola kuphela lo muthi ngencwadi kadokotela wakho. Yenziwe ngqo ukuthi iphephe ukusetshenziswa ngaphakathi nangaphandle kwamehlo akho, ngokungafani nezinye izinhlobo zala ma-antibiotics angase asetshenziswe kwenye indawo emzimbeni wakho.
Lo muthi welapha izifo zamehlo nezicubu ezizungezile ezibangelwa amagciwane. Udokotela wakho uzokubhala uma amagciwane ayingozi ebangela ukutheleleka ukuthi izivikelo zomzimba wakho zemvelo azikwazi ukuzilwa zodwa.
Izifo ezivamile lo muthi ozilapha zihlanganisa i-bacterial conjunctivitis, ebangela amehlo abomvu, acasukile anokukhipha. Iphinde isize ngezifo zemiphetho yezinkophe, ebizwa nge-blepharitis, nezifo ezincane ngemva kokulimala kwamehlo noma izinqubo zokuhlinzwa.
Umuthi usebenza kahle kakhulu ezinhlotsheni ezithile zamagciwane avame ukubangela izifo zamehlo. Kodwa-ke, ngeke usize ngezifo ezibangelwa amagciwane njengalezo ezibangelwa umkhuhlane ovamile, noma izifo ezingamafungi. Udokotela wakho uzoqaphela ukuthi ngabe ukutheleleka kwakho kubangelwa amagciwane nokuthi ngabe le nhlanganisela ethile ilungele isimo sakho.
Ngezinye izikhathi odokotela banikeza lo muthi njengesinyathelo sokuvimbela ngemuva kokuhlinzwa kwamehlo noma ukulimala ukuze bavimbele amagciwane ukuthi angabangeli ukutheleleka ekuqaleni.
Lo muthi ohlanganisiwe uthathwa njengomuthi oqinile ngokulinganiselwe futhi usebenza ngokusebenzisa amasu amabili ahlukene okulwa nezifo ezibangelwa amagciwane. Ngamunye umuthi obulala amagciwane uhlasela amagciwane ngendlela yawo ehlukile, okwenza kube nzima ukuthi ukutheleleka kusinde.
I-Bacitracin isebenza ngokugxambukela endleleni amagciwane akha ngayo izindonga zawo zamaseli. Cabanga ngakho njengokuphazamisa ikhono lamagciwane lokudala igobolondo lawo elivikelayo. Ngaphandle kodonga olufanele lweseli, amagciwane awakwazi ukusinda futhi ekugcineni ayafa.
I-Polymyxin B ithatha indlela ehlukile ngokubhoboza imembrane yeseli lamagciwane. Lokhu kubangela ukuthi okuqukethwe ngaphakathi kwamagciwane kuchitheke, okubuye kuholele ekufeni kwawo. Ngokuhlanganyela, lawa mathambo amabili alwa namagciwane adala ukushaya okunamandla kokulwa nezifo ezibangelwa amagciwane.
Umuthi uqala ukusebenza ngokushesha lapho uwufaka emehlweni akho, kodwa ungase ungaboni ngcono amahora angu-24 kuya kwangu-48. Abantu abaningi babona ngcono okukhulu phakathi kwezinsuku ezi-2 kuya kwezi-3 zokuqala ukwelashwa.
Njalo landela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi wamehlo. Umthamo ovamile yiconsi elilodwa noma iribhoni elincane likawoyela elifakwa esweni elithintekile njalo ngamahora angu-3 kuya kwangu-4, kodwa udokotela wakho angalungisa lokhu ngokuya ngesimo sakho esithile.
Ngaphambi kokusebenzisa umuthi, geza izandla zakho kahle ngensipho namanzi. Ngamaconsi esweni, thambisa ikhanda lakho kancane bese udonsa kancane isiciko seso sakho esingezansi ukuze wakhe iphokhethi elincane. Bheka phezulu bese ucindezela ithonsi elilodwa kuleli phokhethi, bese uvala kancane iso lakho imizuzu engu-1 kuya ku-2.
Uma usebenzisa amafutha, sebenzisa iribhoni elincane elingaba nguhhafu we-intshi ngaphakathi kwesiciko seso sakho esingezansi. Vala kancane iso lakho bese ulizungezisa ukuze usabalalise umuthi. Umbono wakho ungase ube mnyama imizuzu embalwa ngemuva kokusebenzisa amafutha, okujwayelekile ngokuphelele.
Akudingeki ukuthi uthathe lo muthi nokudla noma ubisi ngoba awungeni esiswini sakho. Kodwa-ke, zama ukuhlukanisa imithamo yakho ngokulinganayo usuku lonke ukuze uthole imiphumela engcono kakhulu. Uma ugqoka amalensi okuxhumana, wasuse ngaphambi kokusebenzisa umuthi bese ulinda okungenani imizuzu eyi-15 ngaphambi kokuwabuyisela.
Gcina umuthi ekamelweni lokushisa futhi ungavumeli ithiphu lebhodlela noma ithumbu lithinte iso lakho, isiciko seso, noma enye indawo ukuze uvimbele ukungcoliswa.
Abantu abaningi basebenzisa lo muthi izinsuku eziyi-7 kuya kweziyi-10, kodwa udokotela wakho uzokunika imiyalelo ethile ngokususelwa ekuthelelekeni kwakho. Kubalulekile ukuqeda lonke uhlelo lokwelashwa ngisho noma izimpawu zakho zithuthuka ngokushesha.
Ukumisa umuthi ngaphambi kwesikhathi kungavumela amagciwane asindile ukuthi aphinde azale, okungenzeka ukuthi kubangele ukuthi ukutheleleka kwakho kubuye. Lawa magciwane abuyayo angase futhi amelane kakhulu nokwelashwa, okwenza ukutheleleka okuzayo kube nzima ukuphulukisa.
Uma izimpawu zakho zingathuthukanga ngemuva kwezinsuku ezi-2 kuya kwezi-3 zokwelashwa, xhumana nodokotela wakho. Ungase udinge omunye umuthi noma ezinye izivivinyo ukuze ubone amagciwane athile abangela ukutheleleka kwakho.
Abanye abantu baqaphela ukuthi izimpawu zabo ziba ngcono ngosuku lokuqala noma ezimbili, kodwa baqhubeka nokusebenzisa imithi isikhathi esinqunyiwe. Udokotela wakho angase afune ukukubona ukuze avakashele ukulandela ukuqinisekisa ukuthi ukutheleleka kuqede ngokuphelele.
Abantu abaningi bayayibekezelela kahle le mithi, kodwa ezinye izimo ezingezinhle zingenzeka. Izimo ezingezinhle ezivamile zithambile futhi zithinta indawo lapho usebenzisa khona imithi.
Ungase uzwe ukusha okwesikhashana noma ukuluma uma uqala ukusebenzisa imithi. Lokhu kuvame ukuthatha imizuzwana embalwa kuphela futhi kuba ngaphansi uma amehlo akho ejwayela imithi. Abanye abantu baphinda baqaphele ukubomvu okuncane noma ukucasuka endaweni yamehlo.
Nawa amanye amaphutha avamile ongase uwathole:
Lezi zimo ezingezinhle ezivamile zivame ukuthuthuka njengoba umzimba wakho ujwayela imithi futhi akufanele ziphazamise imisebenzi yakho yansuku zonke.
Izimo ezingezinhle ezingathi sína azivamile kodwa zingenzeka. Xhumana nodokotela wakho uma uhlangabezana nokusabela okukhulu komzimba, okungase kufake phakathi ukuvuvukala okukhulu ebusweni bakho, ezindebeni, noma emqaleni, noma ubunzima bokuphefumula.
Izimo ezingezinhle ezingavamile kodwa ezikhathazayo zifaka:
Uma uhlangabezana nanoma yiziphi zalezi zimo ezingezinhle ezingathi sína, yeka ukusebenzisa imithi bese uxhumana nomhlinzeki wakho wezempilo ngokushesha.
Lo muthi awulungile kuwo wonke umuntu. Akufanele uwusebenzise uma unokungezwani komzimba ne-bacitracin, i-polymyxin B, noma ezinye izithako ezikuyo.
Abantu abanezimo ezithile zezokwelapha badinga ukucatshangelwa okukhethekile ngaphambi kokusebenzisa lo muthi. Uma unomlando wezinkinga zezinso, udokotela wakho angase akhethe ukwelashwa okuhlukile ngoba i-polymyxin B ingase ithinte ukusebenza kwezinso, ngisho nalapho isetshenziswa emehlweni.
Nazi izimo lapho kufanele uxoxe khona ngezindlela ezingezinye nodokotela wakho:
Udokotela wakho uzoqaphela izinzuzo ngokumelene nezingozi ezingaba khona futhi angase ancome ukuqapha noma ukwelashwa okuhlukile uma unesinye salezi zimo.
Izingane ngokuvamile zingawusebenzisa lo muthi ngokuphepha, kodwa umthamo ungase ulungiswe ngokusekelwe eminyakeni yazo nobunzima. Njalo landela imiyalelo ethile yodokotela wezingane yakho yezingane.
Lo muthi ohlanganisiwe utholakala ngaphansi kwamagama amaningi e-brand, i-Polysporin ingelinye elaziwa kakhulu. Kodwa-ke, ukwakheka kwamehlo okuyisipesheli kwe-prescription kwehlukile emikhiqizweni yesikhumba engaphezu kwe-counter enamagama afanayo.
Amagama e-brand ajwayelekile afaka i-AK-Poly-Bac, i-Polysporin Ophthalmic, kanye nezinhlobo ezihlukahlukene ze-generic. Zonke ziqukethe izithako ezifanayo ezisebenzayo kodwa zingase zibe nezithako ezingasebenzi noma ukugxila okuhlukile.
Ikhambi lakho lingase lithathele enye into ejwayelekile ngaphandle uma udokotela wakho ecela ngqo igama lomkhiqizo. Izinto ezijwayelekile zisebenza kahle njengamagama omkhiqizo futhi zivame ukubiza kancane. Uma unokukhathazeka ngokushintsha phakathi kwemikhiqizo, xoxa ngalokhu nomuthi wakho noma udokotela.
Njalo hlola ilebula ukuze uqiniseke ukuthi usebenzisa ukwakheka kweso, hhayi ukhilimu wesikhumba noma amafutha anezithako ezifanayo. Imithi yamehlo yakhelwe ngokukhethekile ukuthi iphephe ukusetshenziswa ngaphakathi nangaphandle kwamehlo akho.
Imithi eminingi ehlukile ingelapha izifo zamehlo ezinamagciwane uma le nhlanganisela ingakulungele. Udokotela wakho angase ancome ama-antibiotics ahlukene ngokuya ngesifo sakho esithile, ukungezwani komzimba, noma umlando wezokwelapha.
Amathonsi amehlo e-antibiotic anezithako ezilodwa njenge-tobramycin noma i-gentamicin angase asebenze kahle ngesifo sakho. Le mithi isebenzisa izindlela ezihlukene zokulwa namagciwane futhi ingase ibe ngcono uma unokungezwani komzimba nesinye sezithako ezikule nhlanganisela.
Ezinye izinhlanganisela zama-antibiotics wamehlo zihlanganisa i-neomycin ne-polymyxin B, noma i-trimethoprim ne-polymyxin B. Lokhu kunikeza izinhlanganisela ezihlukene zama-antibiotic ezingase zisebenze kangcono ekulweni nesifo sakho esithile esibangelwa amagciwane.
Ezifweni ezingathi sína, udokotela wakho angase anqume ama-antibiotics amasha e-fluoroquinolone njengamathonsi amehlo e-ciprofloxacin noma i-levofloxacin. Lezi zivame ukubiza kakhulu kodwa zingase zisebenze kangcono ekulweni namagciwane angamelana.
Udokotela wakho uzokhetha elinye elingcono kakhulu ngokusekelwe emiphumeleni yamasiko uma itholakala, umlando wakho wokungezwani komzimba, kanye nobukhulu besifo sakho.
Zombili lezi zinhlanganisela zisebenza ekwelapheni izifo zamehlo ezinamagciwane, kodwa ngamunye unamathuba ezimweni ezihlukene. Ukukhetha phakathi kwazo kuvame ukuncika esifweni sakho esithile nanoma yikuphi ukungezwani komzimba ongase ube nakho.
Inhlanganisela ye-Bacitracin kanye ne-polymyxin B ivame ukubangela ukusabela okuncane komzimba kunemikhiqizo equkethe i-neomycin. I-Neomycin kungenzeka ibangele i-dermatitis yokuxhumana noma ukusabela komzimba, ikakhulukazi uma isetshenziswa ngokuphindaphindiwe ngokuhamba kwesikhathi.
Noma kunjalo, i-neomycin kanye ne-polymyxin B kungenzeka isebenze kahle ezinhlotsheni ezithile zamagciwane. I-Neomycin inohlu olubanzi lomsebenzi ngokumelene namagciwane e-gram-negative, okungenza kube yindlela engcono yokukhetha kwezinye izifo.
Udokotela wakho uzocabangela umlando wakho wezokwelapha, ukusabela kwangaphambilini kuma-antibiotics, kanye namagciwane athile abangela ukutheleleka kwakho lapho ekhetha phakathi kwalezi zinketho. Akukho noyedwa ongcono kunomunye.
Uma usebenzise inhlanganisela eyodwa ngempumelelo esikhathini esidlule ngaphandle kwemiphumela emibi, udokotela wakho angase akubhalele okufanayo futhi. Uma uke waba nokusabela komzimba ku-neomycin, inhlanganisela ye-bacitracin ingaba ukukhetha okuphephile.
Yebo, lo muthi wamehlo ngokuvamile uphephile kubantu abanesifo sikashukela. Umuthi usebenza endaweni emehlweni akho futhi awuthinti ngokuphawulekayo amazinga kashukela egazini noma uhlanganyele nemithi yesifo sikashukela.
Noma kunjalo, abantu abanesifo sikashukela bangase bathambekele ekuvukeni kwezifo futhi kungase kuthathe isikhathi eside ukuphola. Udokotela wakho angase aqaphele inqubekela phambili yakho ngokucophelela futhi angase ancome ukuqeda inkambo ephelele yokwelashwa ngisho noma izimpawu zithuthuka ngokushesha.
Uma une-diabetic retinopathy noma ezinye izinkinga zamehlo ezivela esifweni sikashukela, qiniseka ukuthi udokotela wakho uyazi ngalezi zimo. Bangase bafune ukuhlola amehlo akho kaningi ngesikhathi sokwelashwa ukuze baqinisekise ukuthi ukutheleleka kuyanyamalala kahle.
Uma ngabe ufaka amaconsi amaningi emehlweni akho ngengozi noma usebenzise amafutha amaningi, ungesabi. Geza ngobumnene iso lakho ngamanzi ahlanzekile noma isixazululo se-saline ukuze ususe imithi eyeqile.
Ungase uzwe ukusha okwengeziwe, ukuluma, noma umbono ongacacile wesikhashana, kodwa lokhu kufanele kulunge njengoba imithi eyeqile incishiswa noma igezwe. Gwema ukukhuhla amehlo akho, ngoba lokhu kungadala ukucasuka okwengeziwe.
Uma uzwa ubuhlungu obukhulu, izinguquko zombono, noma izimpawu zokungezwani komzimba ngemva kokusebenzisa imithi eningi kakhulu, xhumana nodokotela wakho noma funa usizo lwezokwelapha ngokushesha. Ngaphandle kwalokho, qhubeka nje neshejuli yakho yokulinganisa ejwayelekile yomthamo olandelayo.
Uma uphuthelwa umthamo, uwusebenzise ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi esicishe sibe sesikhathini somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungaphindi kabili imithamo ukuze ulungise okungaphuthelwanga. Ukusebenzisa inani eliphindwe kabili ngeke lisheshise ukululama kwakho futhi kungase kwandise ingozi yakho yemiphumela emibi.
Zama ukuhlukanisa imithamo yakho esele ngokulinganayo usuku lonke. Uma uvame ukukhohlwa imithamo, setha izikhumbuzi ocingweni lwakho noma cela ilungu lomndeni ukuthi likusize ukhumbule. Ukulinganisa okuqhubekayo kusiza ekuqinisekiseni ukuthi imithi isebenza ngempumelelo.
Yeka kuphela ukuthatha le mithi uma udokotela wakho ekutshela ukuthi wenze njalo, noma uma usuqede inkambo ephelele ebekiwe. Noma ngabe izimpawu zakho zithuthuka kakhulu ngemva kosuku olulodwa noma ezimbili, qhubeka usebenzisa imithi isikhathi esiphelele sokwelashwa.
Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane ukuthi asinde futhi aphinde azale, okungenzeka ukuthi kubangele ukuthi ukutheleleka kwakho kubuye. Lawa magciwane asindayo angase futhi athuthukise ukumelana nemithi, okwenza ukutheleleka okuzayo kube nzima ukukwelapha.
Uma uba nemiphumela emibi kakhulu noma ukusabela komzimba, xhumana nodokotela wakho ngokushesha mayelana nokuyeka imithi. Bangase bakunikeze i-antibiotic ehlukile noma batusa ukwelashwa okwengeziwe ukuqinisekisa ukuthi ukutheleleka kwakho kuyanyamalala ngokuphelele.
Susa amalensi akho okuxhumana ngaphambi kokusebenzisa lo muthi bese ulinda okungenani imizuzu eyi-15 ngaphambi kokuwabuyisela. Umuthi unganamathela kumalensi okuxhumana futhi ubangele ukucasuka noma unciphise ukusebenza kokwelashwa.
Odokotela abaningi bamehlo batusa ukugwema amalensi okuxhumana ngokuphelele ngenkathi belapha ukutheleleka kwamehlo. Amehlo akho adinga isikhathi sokuphola, futhi amalensi okuxhumana ngezinye izikhathi angabamba amagciwane noma acasule izicubu ezivele zivuvukele.
Shintshela ezingilazini ngesikhathi sokwelashwa kwakho uma kungenzeka. Uma udokotela wakho eqinisekisa ukuthi ukutheleleka kwakho kunyamalele ngokuphelele, ungaphendukela ngokuphepha ekugqokeni amalensi okuxhumana. Le ndlela isiza ekuqinisekiseni ukululama okusheshayo nokuphelele.