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October 10, 2025
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I-Retapamulin iyikhilimu elinqanda amagciwane elisetshenziswa ngaphandle eliphatha izifo zesikhumba ezibangelwa amagciwane, ikakhulukazi i-impetigo ezinganeni nakubantu abadala. Lo muthi omnene kodwa osebenzayo usebenza ngokuvimbela amagciwane ayingozi ekwenzeni amaprotheni abawadingayo ukuze basinde futhi bande esikhumbeni sakho.
Ungase uthole lo muthi ulusizo uma ubhekene nalezo zinduna ezinzima, ezinombala wezinyosi ezibonakala zisabalala ngokushesha, ikakhulukazi endaweni yamakhala nomlomo. Yenzelwe ngqo ukulwa namagciwane abangela lezi zifo zesikhumba ezingakhululeki ngaphandle kokuba lukhuni kakhulu esikhumbeni esibucayi.
I-Retapamulin ingeyeqembu eliyingqayizivele lama-antibiotics abizwa ngokuthi ama-pleuromutilins, asebenza ngendlela ehlukile kuma-antibiotics amaningi asetshenziswa ngaphandle. Yikhilimu elinikezwa ngodokotela kuphela eliza ngomthamo ongu-1%, okusho ukuthi igremu ngalinye liqukethe ama-milligram angu-10 esithako esisebenzayo.
Lo muthi wenzelwe ngqo ukulwa namagciwane esikhumba njenge-Staphylococcus aureus ne-Streptococcus pyogenes. Lawa ngamagciwane amakhulu abangela i-impetigo nezinye izifo zesikhumba ezingaphezulu ezingakwenza noma ingane yakho ingakhululeki.
Okukhethekile nge-retapamulin yindlela yayo eqondiwe. Ngokungafani nama-antibiotics abanzi angase athinte izinhlobo eziningi zamagciwane, le khilimu igxila kumagciwane athile abangela isifo sakho sesikhumba ngenkathi inobungani ngesikhumba sakho semvelo esivikelayo.
I-Retapamulin ngokuyinhloko iphatha i-impetigo, isifo sesikhumba esivame ukubangelwa amagciwane esidala izinduna ezibomvu eziqhumuka ngokushesha futhi zakhe amaqweqwe anombala wezinyosi. Uzovame ukubona lesi sifo ezinganeni, nakuba nabantu abadala nabo bengasithola.
Umuthi ulusizo ikakhulukazi ekwelapheni izindawo ezincane zesikhumba esinokutheleleka, ngokuvamile ezingadluli amasentimitha-skweya ayi-100 (cishe usayizi wesandla sakho). Lokhu kuwenza ulungele izindawo ezincane ze-impetigo ezivame ukuvela ngasekhaleni, emlonyeni, noma kwezinye izindawo lapho isikhumba sithola ukucasuka.
Udkt wakho angase futhi anqume i-retapamulin kwezinye izifo zesikhumba ezincane ezibangelwa amagciwane lapho enquma ukuthi yikho okulungile esimweni sakho esithile. Nokho, kubalulekile ukuqaphela ukuthi lo muthi usebenza kuphela ezifweni ezibangelwa amagciwane, hhayi ezinkingeni zesikhumba ezibangelwa amagciwane noma ezingaveli emvelweni.
I-Retapamulin isebenza ngokungenelela ikhono lamagciwane lokwenza amaprotheni abalulekile adingekayo ukuze aphile. Cabanga ngayo njengokuphazamisa imboni yamaprotheni yamagciwane, okugcina kuholela ekufeni kwawo.
Lo muthi ubhekwa njengonamandla ngokulinganisela phakathi kwama-antibiotics asetshenziswa esikhumbeni. Inamandla ngokwanele ukususa ngempumelelo izifo ezibangelwa amagciwane kodwa ithambile ngokwanele ukusetshenziswa ezindaweni ezizwelayo njengobuso nakubantwana abaneminyaka engu-9 ubudala.
Ukhilimu ungena ezingqimbeni zesikhumba ezithintekile lapho amagciwane anda khona. Uma eselapho, unamathisela ezingxenyeni ezithile zamaseli amagciwane futhi uwaqede ukusebenza kahle, okuvumela izinqubo zokuphulukisa zomzimba wakho ukuthi zithathe.
Faka ukhilimu we-retapamulin ngqo endaweni ethintekile kabili ngosuku, cishe ngamahora ayi-12 ahlukene. Uzodinga ukuhlanza indawo enokutheleleka ngensipho namanzi amancane ngaphambi kokufaka umuthi, bese womisa isikhumba ngethawula elihlanzekile.
Sebenzisa izandla ezihlanzekile noma isicelo esihlanzekile ukufaka ungqimba oluncane lukakhilimu endaweni enokutheleleka kanye nengxenye yesentimitha eduze kwayo. Ungawuhlikihli ngamandla - vele uwusakaze ngokulinganayo futhi uvumele ukuthi umuncwe ngokwemvelo esikhumbeni sakho.
Akudingeki ukuthi usebenzise lo muthi ngemva kokudla noma ubisi ngoba ufakwa esikhumbeni sakho kunokuthi ugwinywe. Kodwa-ke, kufanele ugweme ukungena kukhilimu emehlweni akho, emakhaleni, emlonyeni, noma ezindaweni ezinamafinyila, ngoba lokhu kungadala ukucasuka.
Ngemva kokusebenzisa ukhilimu, ungafaka indawo ngendwangu ehlanzekile, eyomile uma udokotela wakho ekuncoma. Ngaphandle kwalokho, shiya indawo ingamboziwe ukuze kuvumeleke ukujikeleza komoya, okungasiza ekuphulukiseni.
Abantu abaningi basebenzisa i-retapamulin izinsuku ezi-5, okuyisikhathi esanele sokususa i-impetigo kanye nezifo zesikhumba ezifana namagciwane. Udokotela wakho uzokunika imiyalelo ethile ngokusekelwe esimweni sakho esithile kanye nobukhulu bokutheleleka kwakho.
Kubalulekile ukuqeda lonke uhlelo lokwelashwa ngisho noma isikhumba sakho sibukeka singcono ngemva kwezinsuku ezimbalwa nje. Ukuyeka ngaphambi kwesikhathi kungavumela amagciwane ukuthi abuye futhi abe ngamanye amithi.
Uma ungaboni ngcono ngemva kwezinsuku ezi-3-4 zokwelashwa, noma uma ukutheleleka kwakho kubonakala kubi kakhulu, xhumana nomhlinzeki wakho wezempilo. Bangase badinge ukuhlola kabusha isimo sakho noma bacabange ezinye izindlela zokwelapha.
Abantu abaningi bayamukela i-retapamulin kahle, kodwa njenganoma imuphi umuthi, ingadala imiphumela emibi kwabanye abantu. Izindaba ezinhle ukuthi imiphumela emibi engathí sina ayivamile ngalo mithi wokugcoba.
Nansi imiphumela emibi evame kakhulu ongase uyithole, ukhumbula ukuthi abantu abaningi abanayo imiphumela emibi nhlobo:
Lezi zimo ngokuvamile zithambile futhi zesikhashana, ngokuvamile zithuthuka njengoba isikhumba sakho sizivumela imithi. Uma ziqhubeka noma ziba yinkinga, unganqikazi ukuxoxa ngazo nomhlinzeki wakho wezempilo.
Ezinye izimo ezingavamile kodwa ezingathi sína zidinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kwenzeka ngokungavamile, kubalulekile ukuzazi:
Uma uhlangabezana nanoma yiziphi zalezi zimo ezingathi sína, yeka ukusebenzisa imithi futhi ufune usizo lwezempilo ngokushesha. Lezi zimo azivamile kodwa zingaba zimbi uma zingelashwa ngokushesha.
I-Retapamulin ayifanele wonke umuntu, futhi kunezimo ezithile lapho udokotela wakho angase akhethe enye indlela yokwelapha. Okubaluleke kakhulu ukuthi ngabe unokungezwani komzimba okwaziwayo ne-retapamulin noma imithi efanayo.
Kufanele ugweme i-retapamulin uma unokungezwani komzimba kunoma yimaphi ama-antibiotics e-pleuromutilin. Uma uke waba nokusabela kwamanye ama-antibiotics atholakala endaweni ethile esikhumbeni esikhathini esidlule, qiniseka ukuthi utshela udokotela wakho ngalezi zimo.
Le mithi kufanele isetshenziswe ngokucophelela okwengeziwe kulezi zimo:
Uma unesimiso somzimba esingavikelekile noma usebenzisa imithi ecindezela ukuzivikela komzimba, udokotela wakho uzokulandela eduze ngesikhathi sokwelashwa ukuze aqinisekise ukuthi ukutheleleka kuyanyamalala kahle.
I-Retapamulin itholakala kakhulu ngaphansi kwegama lomkhiqizo elithi Altabax e-United States. Leli yigama lomkhiqizo lokuqala lapho umuthi waqala ukuthengiswa futhi lisaziwa kakhulu ngabahlinzeki bezempilo.
Ungase futhi uthole izinhlobo ezivamile zekhremu ye-retapamulin etholakala emakhemisi athile. Lezi ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngempumelelo njengenguqulo yegama lomkhiqizo, ngokuvamile ngentengo ephansi.
Uma ukhuluma ngalo muthi nomuthi wakho noma udokotela, ungalibiza ngegama lawo elivamile (retapamulin) noma ngegama lomkhiqizo (Altabax). Bazokwazi kahle ukuthi ukhuluma ngani futhi bangakusiza ukuthi uthole inketho engabizi kakhulu.
Uma i-retapamulin ingeyona inketho efanele esimweni sakho, ezinye izibulala-magciwane ezingaphandle zingelapha ngempumelelo izifo zesikhumba ezibangelwa amagciwane. Udokotela wakho angase acabangele lezi ezinye izindlela ngokusekelwe ezidingweni zakho ezithile nomlando wakho wezokwelapha.
I-Mupirocin (Bactroban) mhlawumbe enye indlela ejwayelekile yokwelapha i-impetigo. Sekunesikhathi eside ikhona kune-retapamulin futhi inesithombe sokuphepha esisunguliwe kahle, nakuba amanye amagciwane aye athuthukisa ukumelana nayo ngokuhamba kwesikhathi.
Ezinye izinketho ezingaphandle udokotela wakho angase azicabangele zihlanganisa:
Ngezifo ezinzima noma ezisabalale kakhulu, udokotela wakho angase ancome ama-antibiotics omlomo njenge-cephalexin noma i-clindamycin esikhundleni sokwelashwa kwendawo. Ukukhetha kuncike ezingeni lokutheleleka kwakho kanye nezimo zakho.
Kokubili i-retapamulin ne-mupirocin ziyizinketho ezinhle kakhulu zokwelapha izifo zesikhumba ezibangelwa amagciwane, futhi izifundo zibonisa ukuthi zisebenza ngendlela efanayo ekusuleni i-impetigo. Ukukhetha okuthi "kungcono" ngempela kuncike esimweni sakho esithile kanye nanoma yiziphi izinto osuzihlolile ngaphambilini ngale mithi.
I-Retapamulin inezinzuzo ezithile ngoba isebenza ngendlela ehlukile kune-mupirocin, okusho ukuthi ingasebenza ngokumelene namanye amagciwane asebe melana ne-mupirocin. Lokhu kuyenza ibe yindlela ebalulekile lapho i-mupirocin ingasebenzi kahle esikhathini esidlule.
I-Mupirocin isitholakala isikhathi eside futhi inemininingwane ebanzi yokuphepha, ikakhulukazi ezinganeni. Ivamise futhi ukuba ibize kancane kune-retapamulin, okungaba yinto ebalulekile okufanele icatshangelwe kweminye imindeni.
Udokotela wakho uzocabangela izinto ezinjengamagciwane athile abangela ukutheleleka kwakho, umlando wakho wezokwelapha, noma yikuphi ukungezwani komzimba ongase ube nakho, kanye nezindleko uma ekhetha phakathi kwale mithi. Zombili ziphephile futhi ziyasebenza uma zisetshenziswa njengoba kunqunyiwe.
Yebo, i-retapamulin ngokuvamile iphephile ezinganeni ezineminyaka engu-9 nangaphezulu uma isetshenziswa njengoba kuqondiswe umhlinzeki wezempilo. Izifundo zemitholampilo zibonise ukuthi iyamukeleka kahle ezigulini ze-pediatric, enemiphumela emibi efana naleyo ebonwa kubantu abadala.
Isikhumba sezingane singaba nobucayi obuningi kunesikhumba sabantu abadala, ngakho ungase uqaphele ukucasuka okuncane uma uqala ukusebenzisa ukhilimu. Lokhu ngokuvamile kuthuthuka phakathi nosuku olulodwa noma ezimbili njengoba isikhumba sizivumela emuthini.
Njalo sebenzisa inani eliqondile elinikezwe ngudokotela wengane yakho futhi gwema ukugcoba ukhilimu ezindaweni ezinkulu zesikhumba. Uma ukhathazekile nganoma yiziphi izindlela zokuphendula noma uma ukutheleleka kungabonakali kululama, xhumana nodokotela wezingane zakho ukuze uthole isiqondiso.
Uma ngengozi ugcoba i-retapamulin eningi kunaleyo ebekiwe, ungangeni ekuqhumeni. Njengoba le mithi igcotshelwa esikhumbeni kunokuba igwinywe, ukweqisa akungenzeki ukuthi kubangele izinkinga ezingathi sína.
Sula ngobumnene noma yimuphi ukhilimu owedlulele ngendwangu ehlanzekile, emanzi. Ungase uhlangabezane nokwanda kokucasuka kwesikhumba noma ububomvu endaweni ephathwayo, kodwa lokhu kufanele kuphele emahoreni ambalwa.
Uma ngengozi uthola ukhilimu omningi emlonyeni wakho, hlambulula kahle ngamanzi bese uthintana nodokotela wakho noma isikhungo sokulawula ubuthi uma uhlangabezana nanoma yiziphi izimpawu ezingavamile. Ukuze uthole izicelo zesikhathi esizayo, khumbula ukuthi ungqimba oluncane yilokho kuphela okudingayo ukuze imithi isebenze ngempumelelo.
Uma ukhohlwa ukugcoba i-retapamulin ngesikhathi sakho esihleliwe, yigcobe ngokushesha lapho ukhumbula. Kodwa-ke, uma sekuseduze isikhathi sokugcoba kwakho okulandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungagcobi ukhilimu owengeziwe ukuze ulungise umthamo ophuthelwe, ngoba lokhu ngeke kusize ukutheleleka kwakho kuphole ngokushesha futhi kungase kwandise ingozi yakho yemiphumela emibi. Ukuqina kubaluleke kakhulu kunokuphelela uma kuziwa kuma-antibiotics athiwa phezulu.
Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi ocingweni lwakho noma ukuxhumanisa isicelo emisebenzini ejwayelekile efana nokuxubha amazinyo akho. Ukuqeda inkambo ephelele yokwelashwa kubalulekile ekusuleni ukutheleleka kwakho ngokuphelele.
Kufanele uqhubeke nokusebenzisa i-retapamulin isikhathi esiphelele esinqunywe udokotela wakho, ngisho noma isikhumba sakho sibukeka singcono kakhulu ngaphambi kokuthi uqede ithube. Lokhu kuvamile ukuba yizinsuku ezi-5 eziningi zezifo zesikhumba ezibangelwa amagciwane.
Ukunqamula ukwelashwa ngaphambi kwesikhathi kungavumela amagciwane ukuba asinde futhi angase akhe ukumelana nomuthi. Lokhu kungaholela ekutheni ukutheleleka kubuye noma kube nzima ukukwelapha esikhathini esizayo.
Uma usuqede ukwelashwa okuphelele, ungaqeda ukusebenzisa ukhilimu. Uma usenokukhathazeka ngesikhumba sakho noma uqaphela noma yiziphi izimpawu ezintsha ngemuva kokuqeda ukwelashwa, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso sokulandela.
Ngokuvamile kungcono ukugwema ukusebenzisa eminye imithi yendawo noma imikhiqizo yezimonyo endaweni efanayo lapho usebenzisa khona i-retapamulin, ngaphandle uma kugunyazwe ngqo udokotela wakho. Lokhu kuvimbela ukusebenzisana okungenzeka futhi kunciphisa ingozi yokwanda kokucasuka kwesikhumba.
Ungaqhubeka nokusebenzisa i-moisturizer yakho ejwayelekile ezindaweni zesikhumba ezingathintekile, kodwa gwema ukuyisebenzisa ngqo phezu kukhilimu we-retapamulin. Uma udinga ukusebenzisa i-sunscreen, yisebenzise ezindaweni ezingelashwa ngama-antibiotic.
Uma usebenzisa eminye imithi yesikhumba kadokotela, xoxa nodokotela wakho ukuthi ungayihlela kanjani ukuyisebenzisa ne-retapamulin. Bangakunikeza isiqondiso esiqondile ngesikhathi nokusebenzisa ukuqinisekisa ukuthi yomibili imithi isebenza ngempumelelo ngaphandle kokubangela izinkinga.
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