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October 10, 2025
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I-Polymyxin B ne-trimethoprim ophthalmic yisidakamizwa esibhalwe ngudokotela esihlanganisa imithi emibili enamandla yokulwa nezifo zamehlo ezibangelwa amagciwane. Le nhlanganisela isebenza ngokuhlasela amagciwane ngezindlela ezimbili ezihlukene, okwenza kube nzima ngesifo ukusinda nokusabalala esweni lakho.
Uma unikezwe lo muthi, cishe ubhekene nesifo samehlo esibangelwa amagciwane esidinga ukwelashwa okuqondiwe. Izindaba ezinhle ukuthi le nhlanganisela isisize abantu ukuthi baqede izifo zamehlo ezinzima iminyaka eminingi, futhi abantu abaningi bayayibekezelela kahle.
Lo muthi uyinhlanganisela yama-antibiotics amabili aklanyelwe ngqo izifo zamehlo. I-Polymyxin B isebenza ngokudiliza udonga olungaphandle lwamagciwane, kuyilapho i-trimethoprim imisa amagciwane ekwenzeni amaprotheni abalulekile abawadingayo ukuze basinde.
Cabanga ngayo njengokushaya okukodwa-kabili ngokumelene nezifo ezibangelwa amagciwane emehlweni akho. Ngokuhlanganisa le mithi emibili, odokotela bangaqondisa uhla olubanzi lwamagciwane angase abangele isifo samehlo sakho. Lokhu kwenza ukwelashwa kuphumelele kakhulu kunokusebenzisa i-antibiotic eyodwa kuphela.
Umuthi uza njengamaconsi esweni owawafaka ngqo esweni elithintekile. Itholakala kuphela ngemvume kadokotela ngoba udokotela wakho udinga ukuqinisekisa ukuthi unesifo esibangelwa amagciwane ngaphambi kokuqala ukwelashwa.
Le nhlanganisela iphatha izifo zamehlo ezibangelwa amagciwane nendawo ezungeze iso lakho. Udokotela wakho uzokunikeza uma esethole ukuthi amagciwane abangela izinkinga zakho zamehlo, hhayi amagciwane noma ezinye izimbangela.
Umuthi uvame ukusetshenziselwa izinhlobo eziningana zezifo zamehlo ezibangelwa amagciwane. Nazi izimo eziyinhloko ezisiza ukuzelapha:
Udokotela wakho uzohlola iso lakho futhi angathatha isampula ukuze aqaphele amabhaktheriya athile ngaphambi kokunquma lo muthi. Lokhu kuqinisekisa ukuthi uthola ukwelashwa okulungile kokutheleleka kwakho okuthile.
Lo muthi ohlanganisiwe usebenza ngokuhlasela amabhaktheriya ngezindlela ezimbili ezihlukene, okwenza kube ukwelashwa okulinganiselwe kwe-antibiotic. I-Polymyxin B isebenza njengesihlanzi, ihlukanisa ulwelwesi olungaphandle oluvikelayo lwamabhaktheriya, kuyilapho i-trimethoprim ivimba ikhono lamabhaktheriya lokwenza i-DNA nokuzala.
Lapho amabhaktheriya engakwazi ukugcina umgoqo wawo ovikelayo futhi engakwazi ukuzala, ayafa ngokushesha. Le ndlela ephindwe kabili isebenza ikakhulukazi ngamabhaktheriya e-gram-positive afana ne-Staphylococcus namanye amabhaktheriya e-gram-negative avame ukubangela ukutheleleka kwamehlo.
Umuthi uqala ukusebenza kungakapheli amahora ngemva komthamo wakho wokuqala, nakuba ungase ungaboni ngcono amahora angu-24 kuya kwangu-48. Abantu abaningi baqala ukuzwa ukukhululeka ezimpawini ezinjengobubomvu, ukukhipha, nokucasuka ezinsukwini zokuqala zokwelashwa.
Kufanele usebenzise lo muthi ngendlela enqunywe ngayo udokotela wakho, ngokuvamile ithonsi elilodwa esweni elithintekile njalo ngamahora angu-3 kuya kwangu-4 ngenkathi uvukile. Ishejuli yokulinganisa eqondile incike ekuqineni kokutheleleka kwakho kanye nokuhlolwa kukadokotela wakho.
Ngaphambi kokusebenzisa amaconsi, geza izandla zakho kahle ngensipho namanzi. Thambisa ikhanda lakho kancane futhi udonse phansi izinkophe zakho eziphansi ukuze udale iphokhe elincane. Bamba i-dropper ngaphezu kweso lakho ngaphandle kokulithinta esweni lakho noma izinkophe, bese ucindezela ithonsi elilodwa ephaketheni.
Ngemva kokufaka amaconsi, vala iso lakho ngobumnene bese ucindezela kancane ekhoneni langaphakathi leso lakho cishe iminithi elilodwa. Lokhu kusiza ukuvimbela umuthi ukuthi ungaphumi ngokushesha kakhulu futhi kunciphisa ithuba lokuthi umuncwe egazini lakho.
Akudingeki ukuthi uthathe lo muthi nokudla ngoba uqondana ngqo esweni lakho. Kodwa-ke, zama ukuhlukanisa imithamo yakho ngokulinganayo usuku lonke ukuze uthole imiphumela engcono kakhulu.
Abantu abaningi badinga ukusebenzisa lo muthi izinsuku eziyi-7 kuya kweziyi-10, nakuba udokotela wakho angalungisa lokhu ngokuya ngokuthi ukutheleleka kwakho kuphendula ngokushesha kangakanani. Kubalulekile ukuqeda inkambo ephelele ngisho noma izimpawu zakho zithuthuka ngemva kwezinsuku ezimbalwa nje.
Ukwalisa umuthi ngaphambi kwesikhathi kungavumela amagciwane asindile ukuthi aphinde azale, okungenzeka kuholele ekuthelelekeni okuqinile, okumelana kakhulu. Iso lakho lingase libukeke futhi lizizwe lingcono ngaphambi kokuba wonke amagciwane aqedwe ngokuphelele.
Uma izimpawu zakho zingathuthukanga ngemva kwezinsuku ezi-3 kuya kwezi-4 zokwelashwa, xhumana nodokotela wakho. Bangase badinge ukuhlola kabusha isimo sakho noma bacabange ukuthi i-antibiotic ehlukile ingasebenza kangcono ekuthelelekeni kwakho okuthile.
Abantu abaningi bayawubekezelela kahle lo muthi, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile ngoba umuthi uhlala ikakhulukazi endaweni yeso lakho.
Nawa amanye imiphumela emibi evame kakhulu ongase uyithole:
Le miphumela emibi ejwayelekile ivame ukunyamalala ngemizuzu embalwa ngemva kokufaka amaconsi futhi ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi.
Nakuba kungavamile, abanye abantu bangase babe nemiphumela emibi kakhulu edinga ukunakekelwa kwezempilo ngokushesha:
Uma uhlangabezana nanoma yimiphi yale miphumela emibi, yeka ukusebenzisa umuthi bese ufuna usizo lwezempilo ngokushesha. Lezi zimo azivamile kodwa zidinga ukunakekelwa ngokushesha.
Lo muthi awulungelwe wonke umuntu, futhi udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngaphambi kokuwubhala. Okubaluleke kakhulu ukuthi ngabe uke waba nokusabela komzimba ku-polymyxin B noma i-trimethoprim esikhathini esidlule.
Akufanele usebenzise lo muthi uma unezimo ezithile noma izimo:
Udokotela wakho uzosebenzisa ukuqapha uma unezinkinga zezinso, nakuba lokhu kungakhathazi kangako ngamaconsi amehlo kunemithi yomlomo. Hlala utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha nemithi ngaphambi kokuqala ukwelashwa.
Uma ugqoka amalensi okuxhumana, uzodinga ukuwasusa ngaphambi kokusebenzisa amaconsi bese ulinda okungenani imizuzu eyi-15 ngaphambi kokuwabuyisela. Odokotela abaningi batusa ukugwema amalensi okuxhumana ngokuphelele ngenkathi welapha ukutheleleka kwamehlo.
Le nhlanganisela itholakala ngaphansi kwegama lomkhiqizo elithi Polytrim, okuyilona elivame kakhulu ukunqunywa. Ungase futhi ukubone kubhekiselwa kulo kalula njenge-polymyxin B/trimethoprim ophthalmic solution.
Izinhlobo ezivamile nazo ziyatholakala futhi zisebenza ngempumelelo njengegama lomkhiqizo. Umkhemisi wakho angase athathele indawo ngohlobo olujwayelekile ngaphandle uma udokotela wakho ecela ngokuqondile umuthi wegama lomkhiqizo.
Noma ngabe uthola igama lomkhiqizo noma uhlobo olujwayelekile, izithako ezisebenzayo nokusebenza kahle kuhlala kufana. Umehluko omkhulu ngokuvamile yizindleko, ngezinhlobo ezivamile ngokuvamile ezishibhile.
Uma lo muthi ungasebenzi ngoba unokutheleleka noma awukwazi ukuwuthwala, udokotela wakho unezinye izinketho eziningi zama-antibiotic ezitholakalayo. Ukukhetha kuncike kumagciwane athile abangela ukutheleleka kwakho kanye nesimo sakho sezokwelapha.
Ezinye izindlela ezivamile zihlanganisa amanye amaconsi e-antibiotic emehlo afana nalawa:
Udokotela wakho angase futhi acabangele imikhiqizo ehlanganisiwe ngama-antibiotic ahlukene noma angeze imithi elwa nokuvuvukala uma ukutheleleka kwakho kubi kakhulu. Okubalulekile ukuthola umuthi ofanele oqondiswe kumagciwane akho athile ngenkathi kuncishiswa imiphumela emibi.
Yomibili le mithi iyi-antibiotics esebenzayo yokutheleleka kwamehlo ngamagciwane, kodwa isebenza ngokumelene nezinhlobo ezahlukene zamagciwane. Inhlanganisela ye-Polymyxin B kanye ne-trimethoprim iqondise izinhlobo eziningi zamagciwane, kuyilapho i-tobramycin isebenza kahle ikakhulukazi kumagciwane athile angama-gram-negative.
Ukukhetha "okungcono" kuncike kulokho okubangela ukutheleleka kwakho okuthile. Udokotela wakho angase akhethe i-polymyxin B kanye ne-trimethoprim uma esola izinhlobo eziningi zamagciwane noma uma ukwelashwa kwangaphambilini kungasebenzi. I-Tobramycin ingase ithandwe ngezifo ezithile eziqine kakhulu noma uma uke waba nokusabela kweminye imithi elwa namagciwane.
Zombili lezi zithako zinomphumela ofanayo futhi zivamile ukubekezeleleka kahle. Udokotela wakho uzocabangela izinto ezinjengohlobo lokutheleleka kwakho, umlando wezokwelapha, nanoma yikuphi ukwelashwa kwangaphambilini ngemithi elwa namagciwane lapho enza isincomo sabo.
Yebo, lo muthi uvamile ukuphepha ezinganeni uma unqunywe ngudokotela. Ukulinganisa kungase kulungiswe ngokuya ngeminyaka yengane nobukhulu bokutheleleka kwayo.
Abazali kufanele baqaphe ukusetshenziswa kwamaconsi esweni ezinganeni ezincane ukuze baqinisekise ukulinganisa okufanele futhi bavimbele ukungcoliswa kwethiphu le-dropper. Iningi lezingane libekezelela kahle umuthi, yize zingase zizwe ukushisa okuncane lapho amaconsi esetshenziswa okokuqala.
Uma ngengozi ufaka amaconsi amaningi esweni lakho, ungapheli amandla. Vele ugeze iso lakho ngamanzi ahlanzekile noma isixazululo se-saline ukuze ususe umuthi oweqile.
Ukusetshenziswa okuningi ngesikhathi esisodwa akuyona ingozi, kodwa kungase kubangele ukushisa okwengeziwe okwesikhashana noma ukucasuka. Uma uzwa ukungakhululeki okuqhubekayo noma izinguquko embonweni, xhumana nodokotela wakho noma usokhemisi ukuze uthole isiqondiso.
Uma uphuthelwa umthamo, uwusebenzise ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungafaki amaconsi engeziwe ukuze ulungise umthamo ongawutholanga, ngoba lokhu ngeke kusheshise ukululama kwakho futhi kungase kwandise ingozi yemiphumela emibi. Zama ukusetha izikhumbuzi ocingweni lwakho ukukusiza ukuthi ukhumbule isimiso sakho sokuthatha imithi.
Kufanele uqede lonke uhlelo lokwelashwa njengoba kunqunywe udokotela wakho, ngisho noma izimpawu zakho zithuthuka ngaphambi kokuthi uqede yonke imithi. Lokhu ngokuvamile kusho ukusebenzisa amaconsi izinsuku eziyi-7 kuya kweziyi-10.
Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane ukuthi asinde futhi angase akwazi ukumelana ne-antibiotic. Uma unokukhathazeka mayelana nokuqhubeka nokuthatha imithi noma uhlangabezana nemiphumela emibi ekhathazayo, xoxa ngalokhu nodokotela wakho kunokuyeka ngokwakho.
Ngokuvamile ungaqhubeka nokushayela ngenkathi usebenzisa lo muthi, kodwa linda kuze kube yilapho noma yikuphi ukubona okungacacile okwesikhashana sekucacile ngemva kokufaka amaconsi. Lokhu ngokuvamile kuthatha imizuzu embalwa nje.
Uma uhlangabezana nezinguquko zokubona eziqhubekayo noma ukucasuka okukhulu kwamehlo okuthinta ikhono lakho lokubona kahle, gwema ukushayela kuze kube yilapho lezi zimpawu zixazululeka. Uma ungabaza, buza udokotela wakho mayelana nanoma yikuphi ukukhawulelwa komsebenzi ngesikhathi sokwelashwa kwakho.
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