Yini i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Bismuth subsalicylate, metronidazole, kanye ne-tetracycline kuyinhlanganisela yemithi elapha izilonda zesisu ezibangelwa amagciwane athile abizwa nge-H. pylori. Le therapy ephindwe kathathu isebenza ngokuhlasela ukutheleleka kusuka ezindaweni eziningi ngenkathi ivikela umugqa wakho wesisu.

Udokotela wakho ukunikeza le nhlanganisela uma unezilonda ze-peptic ezingelapheki ngokwelashwa okuvamile. Le mithi emithathu isebenza kahle kakhulu kunanoma yimuphi umuthi owodwa kuphela, ikunikeza ithuba elingcono lokuqeda amagciwane aqinile abangela izinkinga zakho zesisu.

Yini i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline Esetshenziselwa Yona?

Le nhlanganisela yemithi ilapha izilonda ze-peptic ezibangelwa amagciwane e-Helicobacter pylori. Lezi zilonda ziyizilonda ezibuhlungu ezivela emgqeni wakho wesisu noma engxenyeni engenhla yamathumbu akho amancane.

Ukutheleleka nge-H. pylori kuvamile ngokumangalisayo, kuthinta cishe izingxenye ezimbili kwezintathu zabantu emhlabeni. Kodwa-ke, akuwona wonke umuntu onala magciwane othola izilonda. Uma izilonda zikhula, zingabangela ubuhlungu besisu obuvuthayo, ukuqunjelwa, nokucasuka okuphazamisa impilo yakho yansuku zonke.

Udokotela wakho angase futhi akunikeze le nhlanganisela uma une-gastritis (ukuqubuka kwesisu) okubangelwa yi-H. pylori. Ngezinye izikhathi, ukuqeda la magciwane kungavimbela izilonda zesikhathi esizayo ukuthi zingakheki, noma ngabe awunazo izilonda ezisebenzayo njengamanje.

Isebenza Kanjani i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Umuthi ngamunye kulenhlanganisela uhlasela amagciwane e-H. pylori ngendlela ehlukile, okwenza kube nzima kakhulu ukuthi ukutheleleka kusinde. Cabanga ngakho njengokuhlasela okuhleliwe okuhlanganisa zonke izindlela zokubaleka zamagciwane.

I-bismuth subsalicylate ihlanganisa umugqa wakho wesisu futhi inezindawo zemvelo zokulwa namagciwane. Idala isivikelo ngenkathi ilwa ngqo namagciwane. Lesi yisithako esifanayo esitholakala ku-Pepto-Bismol, kodwa ngomthamo ophezulu, onamandla wokubhala.

I-Metronidazole iyi-antibiotic enamandla ephazamisa i-DNA yamagciwane, ivimbele ukuzala kwayo. Isebenza kahle ikakhulukazi ekulweni namagciwane e-anaerobic afana ne-H. pylori athuthuka ezindaweni ezinomoya-mpilo ophansi njengesisu sakho.

I-Tetracycline enye i-antibiotic emisa amagciwane ekwenzeni amaprotheni abawadingayo ukuze basinde. Isetshenziswe amashumi eminyaka ukwelapha izifo ezihlukahlukene ezibangelwa amagciwane futhi isasebenza kahle kakhulu ekulweni ne-H. pylori.

Le therapy ephindwe kathathu ithathwa njengemaphakathi kodwa isebenza kahle kakhulu. Abantu abaningi babona ukuthuthuka okukhulu ezimpawini zabo ezinsukwini ezimbalwa, yize kuzodingeka uqede inkambo ephelele ukuze uqede ngokuphelele ukutheleleka.

Kufanele Ngiyithathe Kanjani I-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Thatha lo muthi njengoba nje udokotela wakho ekuyala, ngokuvamile izikhathi ezine ngosuku ngokudla nangaphambi kokulala. Isikhathi sokudla sibalulekile ngoba sisiza ukunciphisa ukuphazamiseka kwesisu futhi sithuthukisa ukuthi umzimba wakho uwamunca kahle kangakanani imithi.

Gwinya amaphilisi noma amaphilisi wonke ngengilazi yamanzi egcwele. Ungagxobi, uhlafune, noma uvule amaphilisi, ngoba lokhu kungathinta ukuthi umuthi usebenza kanjani emzimbeni wakho. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izindlela.

Hlukanisa imithamo yakho ngokulinganayo usuku lonke, cishe amahora angu-6 ngamunye. Ukusetha ama-alamu ocingo kungakusiza ukuthi ukhumbule, ngoba ukweqa imithamo kungavumela amagciwane ukuthi akhe ukumelana nama-antibiotics.

Gwema imikhiqizo yobisi efana nobisi, ushizi, ne-yogurt okungenani amahora angu-2 ngaphambi nangemva kokuthatha i-tetracycline. I-calcium e-dairy ingabopha ku-antibiotic futhi ivimbele umzimba wakho ukuthi ungayimunci kahle.

Ungalali phansi okungenani imizuzu engama-30 ngemva kokuthatha umuthi. Lokhu kusiza ekuvikeleni amaphilisi ukuthi angabambeki e-esophagus yakho, okungabangela ukucasuka noma ngisho nezilonda emqaleni wakho.

Kufanele Ngithathe Isikhathi Esingakanani I-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Izifundo eziningi zokwelapha zithatha izinsuku eziyi-10 kuya kweziyi-14, kuye ngesimo sakho esithile nokuthi umzimba wakho usabela kanjani. Udokotela wakho uzoqoka isikhathi esiqondile esisekelwe emlandweni wakho wezokwelapha kanye nobukhulu bokutheleleka kwakho.

Kubaluleke kakhulu ukuqeda yonke inkambo, ngisho noma uqala ukuzizwa ungcono ngemva kwezinsuku ezimbalwa. Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane asindile ukuthi aphindaphindeke futhi angase akhe ukumelana nama-antibiotics.

Ungase uqaphele ukuthi izimpawu zakho ziyathuthuka phakathi kwezinsuku ezi-3 kuya kwezi-5, kodwa amagciwane angase abe khona ohlelweni lwakho. Ukuqedwa okuphelele kuvamela ukuthatha isikhathi esiphelele sokwelashwa, yingakho ukulandela kubaluleke kangaka.

Udokotela wakho angahlela ukuhlolwa okulandelayo emasontweni ama-4 kuya kwayi-6 ngemva kokuqeda umuthi ukuqinisekisa ukuthi ukutheleleka kwe-H. pylori kuqediwe ngokuphelele. Lokhu kungase kuhlanganise ukuhlolwa kokuphefumula, isampula lesitulo, noma ukuhlolwa kwegazi.

Yiziphi Izimo Ezingezinhle Ze-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Abantu abaningi bahlangabezana nemiphumela emibi ngale nhlanganisela, kodwa ngokuvamile imnene futhi yesikhashana. Umzimba wakho ngokuvamile uzivumelanisa nemithi phakathi kwezinsuku ezimbalwa njengoba uqhubeka nokwelashwa.

Nawa amanye amiphumela emibi ongase uyithole ngesikhathi sokwelashwa:

• Ukucasuka kwesisu, ikakhulukazi ezinsukwini ezimbalwa zokuqala
• Ubumnyama bolimi lwakho nesitulo, okungenabungozi futhi okungahlehla
• Ukunambitheka kwensimbi emlonyeni wakho, ikakhulukazi okuvela ku-metronidazole
• Ukuqunjelwa noma izitulo ezixekile njengoba amagciwane akho amathumbu ezivumelanisa
• Ikhanda elibuhlungu nesiyezi esincane
• Ukulahlekelwa isifiso sokudla noma ukuzizwa ugcwele ngokushesha

Lezi zimo ezibangelwa imithi zivame ukuthuthuka njengoba umzimba wakho ujwayela imithi. Ukushintsha kombala wendle nolimi olubangelwa i-bismuth kuvamile ngokuphelele futhi kuzobuyela kokujwayelekile ngemuva kokuqeda ukwelashwa.

Abanye abantu bangase babe nemiphumela emibi kakhulu edinga ukunakekelwa kwezokwelapha. Ngenkathi lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ukuqunjelwa okukhulu, okuqhubekayo okungase kube negazi
• Ubuhlungu obukhulu besisu noma ukuqaqamba
• Ukuphuzi kwesikhumba sakho noma amehlo (i-jaundice)
• Ukulimala noma ukopha okungavamile
• Ikhanda elibuhlungu elinamandla elinoshintsho embonweni
• Ukuphefumula noma ukugwinya kanzima

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína. Ezimweni ezingavamile, abanye abantu bangase bathuthukise isimo esibi samathumbu esibizwa nge-C. diff colitis, esibangela ukuqunjelwa okukhulu futhi sidinga ukwelashwa ngokushesha.

Obani okungafanele basebenzise i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Amaqembu amaningana abantu kufanele agweme le nhlanganisela yemithi ngenxa yengozi eyengeziwe yemiphumela emibi kakhulu. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokubhala lo muthi.

Akufanele usebenzise lo muthi uma unokungezwani nezinto ezintathu, i-aspirin, noma ezinye izinto ze-salicylates. Ukusabela okwedlule kokungezwani nezinto ezithile kuma-antibiotics emindenini ye-tetracycline noma i-metronidazole nakho kwenza le nhlanganisela ingakulungele.

Abesifazane abakhulelwe akufanele basebenzise le nhlanganisela, ikakhulukazi ingxenye ye-tetracycline, engathinta ukukhula kwamathambo namazinyo embungu. Uma uzama ukukhulelwa noma ungase ukhulelwe, xoxa ngezindlela zokwelapha ezingezinye nodokotela wakho.

Izingane ezingaphansi kweminyaka engu-8 ubudala akufanele zithathe i-tetracycline ngoba ingashintsha unomphela umbala wamazinyo akhulayo futhi ithinte ukukhula kwamathambo. Ingxenye ye-bismuth nayo inezingozi ezinganeni, ikakhulukazi maqondana ne-Reye's syndrome.

Abantu abanezimo ezithile zezokwelapha badinga ukucatshangelwa okukhethekile ngaphambi kokuqala lokhu kwelashwa:

• Isifo sezinso, njengoba imithi ingaqongelela emzimbeni wakho
• Isifo sesibindi, esithinta indlela umzimba wakho oqhubula ngayo le mithi
• Izifo zegazi noma umlando wokubalwa kwamangqamuzana egazi aphansi
• Izimo zemizwa, njengoba i-metronidazole ingenza ezinye izinkinga zemizwa zibe zimbi kakhulu
• Isifo senhliziyo esibi noma izinkinga zenhliziyo zakamuva

Udokotela wakho uzoqaphela izinzuzo ngokumelene nezingozi zesimo sakho esithile futhi angakhetha ezinye izindlela zokwelapha uma le nhlanganisela ingakulungele.

Amagama Omkhiqizo we-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline

Le nhlanganisela itholakala ngaphansi kwegama lomkhiqizo elithi Pylera e-United States. I-Pylera iza ngama-capsules aqukethe yonke imithi emithathu ngomthamo owodwa olula.

Ezinye izinyanga bangase banikeze imithi emithathu ngamanye kunokuba ibe yipilisi elihlanganisiwe. Kulokhu, ungase uthole izinguqulo ezivamile zomuthi ngamunye, ezisebenza ngempumelelo njengokuhlanganiswa kwegama lomkhiqizo.

Indlela ejwayelekile ngezinye izikhathi inikeza ukuguquguquka okwengeziwe ekulinganiseni futhi kungase kube ngentengo ephansi. Kodwa-ke, ukuthatha imithi emithathu ehlukene kudinga ukunaka okwengeziwe isikhathi futhi kwandisa ithuba lokulahlekelwa imithamo.

Ezinye izindlela ze-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline

Ezinye izinhlanganisela zokwelapha i-H. pylori ziyatholakala uma le therapy ephindwe kathathu ingakulungele. Udokotela wakho uzoqoka okuhle kakhulu ngokusekelwe emlandweni wakho wezokwelapha kanye nanoma yikuphi ukwelashwa kwangaphambilini ngama-antibiotics.

Enye indlela ejwayelekile yi-therapy ejwayelekile ephindwe kathathu, ehlanganisa i-proton pump inhibitor (njenge-omeprazole) ngama-antibiotics amabili, ngokuvamile i-amoxicillin ne-clarithromycin. Le nhlanganisela ivame ukuzanywa kuqala ngoba inemiphumela emibi embalwa.

Izinketho zokwelapha eziphindwe kane zihlanganisa i-proton pump inhibitor enama-antibiotics amathathu, noma inhlanganisela esekelwe ku-bismuth enezinhlanganisela ezihlukene zama-antibiotic. Lokhu kungase kusebenze kahle uma uke wathola ukwelashwa ngama-antibiotics ngaphambilini.

Ukwelashwa ngokulandelana kuhilela ukuthatha izinhlanganisela ezihlukene zemithi ngendlela ethile ngaphezu kwezinsuku eziyi-10 kuya kweziyi-14. Le ndlela ingase isebenze kangcono ezindaweni lapho i-H. pylori isizakhele ukumelana nokwelashwa okujwayelekile.

Ingabe i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline ingcono kune-Standard Triple Therapy?

Zombili izindlela zokwelapha zisebenza kahle kakhulu ezifweni ze-H. pylori, kodwa zisebenza kahle kakhulu ezimweni ezingafani. Ukukhetha kuncike ezimweni zakho ezithile kanye nokuchayeka ngaphambilini kuma-antibiotics.

Le nhlanganisela esekelwe ku-bismuth ingase isebenze kahle uma ngaphambilini uthathe ama-antibiotics kwezinye izifo. Isebenza ikakhulukazi ezindaweni lapho i-H. pylori isizakhele ukumelana ne-clarithromycin, i-antibiotic esetshenziswa ekwelashweni okujwayelekile okuphindwe kathathu.

Ukwelashwa okuphindwe kathathu okujwayelekile nge-proton pump inhibitor kuvame ukuzanywa kuqala ngoba ngokuvamile kubangela imiphumela emibi embalwa. Kodwa-ke, ukusebenza kwayo kunciphile kwezinye izifunda ngenxa yokwanda kokumelana ne-antibiotic.

Inhlanganisela esekelwe ku-bismuth ivame ukubangela imiphumela emibi ebonakalayo, njengendle emnyama nokunambitheka kwensimbi, kodwa lokhu ngokuvamile akulimazi. Udokotela wakho uzocabangela ukubekezelela kwakho imiphumela emibi lapho ekhetha phakathi kokwelashwa.

Izifundo zibonisa ukuthi zombili izindlela zokwelapha zifinyelela amazinga okuphulukisa angama-80-90% uma zithathwa ngendlela efanele. Okubalulekile empumelelweni nganoma iyiphi inketho ukuqeda inkambo ephelele njengoba kunqunywe.

Imibuzo Evame Ukubuzwa Mayelana ne-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline

Ingabe i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline iphephile kubantu abanesifo sikashukela?

Yebo, le nhlanganisela ngokuvamile iphephile kubantu abanesifo sikashukela, kodwa kuzodingeka ukuthi uqaphele ushukela wakho wegazi ngokuqikelela ngesikhathi sokwelashwa. Imithi ayithinti ngqo amazinga e-glucose yegazi, kodwa ukugula kanye nezinguquko emikhubeni yokudla kungathinta ukuphathwa kwesifo sakho sikashukela.

Abanye abantu bahlangabezana nesicanucanu noma ukulahlekelwa isifiso sokudla ngenkathi bethatha le mithi, okungase kuthinte ukuthi udla nini futhi kangakanani. Sebenzisana nodokotela wakho ukuze ulungise imithi yakho yesifo sikashukela uma kudingeka, futhi uhlole ushukela wakho wegazi kaningi ngesikhathi sokwelashwa.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline Eningi Kakhulu?

Xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha uma uthathe ngaphezu kwenani elibekiwe. Ungalindi ukuthi izimpawu zivele, njengoba eminye imiphumela yokweqisa ingaba yingozi.

Izimpawu zokweqisa zingabandakanya isicanucanu esibi, ukuhlanza, isifo sohudo, isiyezi, noma ukudideka. Ingxenye ye-bismuth ingabangela izimpawu zemizwa ngamanani amakhulu, ngenkathi i-antibiotic eningi kakhulu ingaphazamisa kakhulu amagciwane akho emathunjini.

Uma kungenzeka, letha amabhodlela emithi nawe egumbini eliphuthumayo ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi uthathe ini nokuthi kungakanani. Lolu lwazi lubasiza ukuthi banikeze ukwelashwa okufanele kakhulu.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Thatha umthamo owuphuthelwe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo owuphuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungathathi umthamo ophindwe kabili ukuze ulungise lowo owuphuthelwe, njengoba lokhu kwandisa ingozi yakho yemiphumela emibi. Uma uphuthelwe imithamo eminingi, xhumana nodokotela wakho ukuze uthole isiqondiso sokuthi uqhubeke kanjani nokwelashwa kwakho.

Imithamo elahlekile ingavumela amagciwane ukuthi akhe ukumelana nama-antibiotics, okungenzeka ukuthi kwenze ukwelashwa kungasebenzi kahle. Ukusetha izikhumbuzi ocingweni lwakho kungakusiza ukuthi uhlale emgqeni ngeshejuli yezikhathi ezine ngosuku.

Ngingayeka nini ukuthatha i-Bismuth Subsalicylate, Metronidazole, kanye ne-Tetracycline?

Yeka kuphela ukuthatha lo muthi uma usuqedele inkambo ephelele ebekwe ngudokotela wakho, ngisho noma uzizwa ungcono ngokuphelele. Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane e-H. pylori ukuthi abuye futhi kungenzeka ukuthi akhe ukumelana nama-antibiotics.

Inkambo ephelele yokwelashwa yenzelwe ukuqeda ukutheleleka ngokuphelele, hhayi nje ukunciphisa izimpawu. Amagciwane angase abe khona ohlelweni lwakho ngisho noma uzizwa kahle, yingakho ukuqeda wonke umuthi kubalulekile.

Uma uhlangabezana nemiphumela emibi kakhulu okwenza kube nzima ukuqhubeka, xhumana nodokotela wakho ngaphambi kokuyeka. Bangase balungise uhlelo lwakho lokwelashwa noma banikeze ukunakekelwa okusekelayo ukukusiza ukuthi uqedele inkambo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha lo muthi?

Gwema utshwala ngokuphelele ngenkathi uthatha le nhlanganisela, ikakhulukazi ngenxa yengxenye ye-metronidazole. Ukuxuba i-metronidazole notshwala kungabangela isicanucanu esibi, ukuhlanza, ikhanda elibuhlungu, kanye nokushaya kwenhliziyo okusheshayo.

Lokhu kusabela kungenzeka ngisho nangamanani amancane otshwala futhi kungenzeka kuze kube yizinsuku ezi-3 ngemuva komthamo wakho wokugcina. Ubhiya, iwayini, utshwala, ngisho nokugeza umlomo noma imithi equkethe utshwala kufanele kugwenywe ngesikhathi sokwelashwa.

Izingxenye ze-bismuth ne-tetracycline azinayo leyo nto efanayo yokuxhumana okukhulu notshwala, kodwa ukuphuza kungase kuqhubeke nokwenza isisu singakhululeki futhi kuphazamise ukululama kwakho. Kungcono ukugwema utshwala ngokuphelele uze uqedele ukwelashwa futhi uzizwe kahle.