Ewe, umchwepheshe onelayisensi ukusuka kwisithili angabeka ama-antibioticuwokugqibela ukuthintelwa kwezinyo kwi-Intanethi emva kokubonana ngevidiyo okufutshane, kwaye iresiphi ihlala ifika kwikhemesti yakho ngosuku olufanayo. Loo yimpendulo ekhawulezayo, kwaye iluncedo ngokwenene ngo-9pm ngeCawe xa umhlathi wakho uba bubuhlungu. Iphinde ibe yinto engapheleleyo. Ama-antibioticuwokubuyisa ukuthintelwa ngasemva. Awazisuseli izicubu ezifileyo okanye ezosulelekileyo ezibangela oko. Nantsi indlela ukubonana ngayo kufezekisa ngayo, kwaye yintoni ekufuneka yenzekile emva koko.

TL;DR: Izinto Ezibalulekileyo

  • Ukubonana okukodwa ngevidiyo okanye ngelifowuni, ngokubanzi imizuzu eli-10 ukuya kweli-15, kunye neentlawulo zokubonisana ngokubanzi malunga ne-R20 ukuya kwi-R40 kwaye i-antibiotic ifakwe kwikhemesti ngokwahlukileyo.
  • Isikhokelo esisekelwe kubungqina se-American Dental Association sigxeka ama-antibioticuwokubuyisa intlungu kunye nokudumba kwezinyo kubantu abadala abanempilo. Unyango yinkqubo yezinyo.
  • Xa ama-antibioticuwokubuyisa efanele, i-amoxicillin 500 mg kathathu ngosuku kangangeentsuku ezi-3 ukuya kwezi-7 yeyona yokuqala ngokwe American Association of Endodontists.
  • Phatha iresiphi njengomzila. Bhukisha ugqirha wezinyo ongabonakaliyo phakathi kweeyure ezingama-24 ukuya kwezingama-72, ngaphambili ukuba ubuso bakho budumbile.
  • Gxuma i-telehealth ngokupheleleyo kwaye uye kwigumbi lezimo eziphuthumayo ukuba ukudumba kusasazeka ebhandleni lakho okanye emehlweni akho, okanye ukuba ubunzima bokuphefumla, ukuginya, okanye ukuvula umlomo wakho.

Indlela Yokufumana Ama-Antibioticuwokugqibela Ukuthintelwa Kwezinyo Kwi-Intanethi Ngokubonana Okukodwa Ngevidiyo

Ukufumana ama-antibioticuwokugqibela ukuthintelwa kwezinyo kwi-Intanethi, ugcwalisa ifomu yokuthatha izikhalazo, ujoyina ukubonana ngevidiyo okanye ngelifowuni nomchwepheshe onelayisensi kwisithili sakho, kwaye, ukuba uvavanyo luyakuxhasa, ufumana iresiphi ye-elektroniki ethunyelwe kwikhemesti yakho. Ukubonana kuthatha malunga nemizuzu eli-10 ukuya kweli-15, iintlawulo zokubonisana ngokubanzi ziyahluka phakathi kwe-R20 ne-R40, kwaye ukulanda kuhlala kwenzeka ngosuku olufanayo.

Ukunyuka kuyahambelana kwiinkonzo:

  1. Ifomu yokuthatha izikhalazo, ngokubanzi kunye nenketho yokulayisha iifoto zento enyayo kunye nentlama.
  2. Ukubonana ngevidiyo okanye ngelifowuni kunye nomchwepheshe onelayisensi esithilini.
  3. Uvavanyo kunye nesigqibo sokumisela, esingaba cha.
  4. I-e-iresiphi ethunyelwe kwikhemesti oyikhethayo.
  5. Ukulanda, ngokubanzi kwiiyure ngosuku olufanayo.

Lindela ukubuzwa nini intlungu yaqala, nokuba iyavuthiwa okanye ihleli apho ihleli, ichaza ukuba kukudumba phi, nokuba ubunomkhuhlane na, nokuba ungavula umlomo wakho ngokupheleleyo na, nokuba yeyiphi imisebenzi yezinyo eyenziwe kwisintu esichaziweyo ngaphambili. Ezi ndlela zezona zibonisa ubunyani. Ukuba ngqo kubaluleke ngaphezu kwesigqirha sezinyo, ngoko kufanelekile ukuchitha umzuzu ku ukuchaza intlungu yezinyo lakho ngokuchanekileyo ngaphambi kokuba ubize. Iintlawulo ezishicilelweyo ziyatshintsha, ngoko ke qinisekisa amaxabiso angoku ngaphambi kokuba uhlawule.

Isikhalazo: akukho X-ray, akukho ukugqobhoza, akukho mvavanyo yokuxhokonxa, akukho kuvavanywa. Umchwepheshe usebenza kwinkcazo yakho kunye neefoto ozilayishayo, oku kuyinto efanelekileyo kwisigqibo sokuthintelwa okusasazekayo kwaye yinto embi yokugqiba into eyenzekayo ngaphakathi kwesintu.

I-Antibiotic Yimzila Kwisigqirha Sezinyo, Hayi Ukuphilisa

Ukufumana ama-antibioticuwokugqibela ukuthintelwa kwezinyo ngaphandle kokubona ugqirha wezinyo kungakubuyisela ixesha kunye nentuthuzelo, kodwa ayinyanga isintu. Isikhokelo se-ADA sibhala oku ngokucacileyo: kwintlungu ye-pulpal kunye ne-periapical kunye nokudumba kubantu abadala abanempilo, unyango oluphakanyisiweyo yinkqubo yezinyo ngokwayo, okuthetha i-pulpotomy, i-pulpectomy, unyango lweengcambu ezingekho zokuhlinzwa, okanye ukusikwa kunye nokuhambisa amanzi. Iresiphi yongezwa, hayi inkqubela.

IMedlinePlus ibeka into efanayo ngamazwi alula: i-abscess yezinyo ayiyi kulungiswa yodwa okanye ngama-antibioticuwokubuyisa kuphela, kwaye ukuyilungisa kufuna unyango lweengcambu, ukukhupha, okanye ukuhambisa amanzi okuhlinzwa.

Isizathu siyimishini. Umsebenzisi we-intanethi akakwazi ukuthatha i-radiograph, akakwazi ukuhambisa i-abscess, kwaye akakwazi ukuvula isintu ukususa i-pulp etshonileyo. Ke eso sibuyiso sisebenza kwiibhaktheriya ezisasazeka kwizicubu ezijikelezileyo ngelixa umthombo weebhaktheriya ezo uhleli kanye apho ubukho. Xa inkqubo iphela, umthombo usahleli apho.

Bhukisha umnqupha wezinyo ongabonakaliyo phakathi kweeyure ezingama-24 ukuya kwezingama-72 ukusukela ekubuyisweni kwe-antibiotic, kwaye ngaphambili ukuba kukho ukudumba okubonakalayo. Le fayili yeyona nto yonke yokubonana kwi-Intanethi: ikukusiza ukuba ugqithe ebusuku uze ufake isihlalo, endaweni yokuba ufake kwi-cypher yeeresiphi eziphinda-phindwa. Ukuba ubuzibuza ukuba mingaphi imizuzwana onayo ngokwenene, impendulo ethembekileyo yile ingaphantsi kunokuba abantu abaninzi becinga, nto leyo efanelekileyo ukuyifunda kwimbono ukuba ingakanani ixesha isifo sezinyo singanganyangwa.

Ezinye Izifo Zamazinyo Zifuna Igumbi Lezimo Eziphuthumayo, Hayi Ukubonana Kwe-Telehealth

Izipawu sokuba isifo sezinyo siyanda ngaphaya kwesintu azikho zicongo, kwaye zitshintsha indawo efanelekileyo. Ukuhlala kumqolo we-telehealth kunye nesifo esisasazekayo yeyona nto imbi kakhulu le ntlamelo, ngoko ke funda izimpawu zesifo sezinyo esisasazeka ngaphambi kokuba ubhukishe nantoni na.

Biza u-911 okanye uye kwigumbi lezimo eziphuthumayo ngoku ukuba:

  • Ukudumba kusasazeka embhedeni wakho, ubuso bakho, intamo yakho, okanye ngamehlo akho. MedlinePlus ibeka ukudumba okunzima komhlathi kunye nesifo sezinyo njengesiphawu esibi kakhulu esifuna unyango olungxamisekileyo, hayi umnqupha oqhelekileyo.
  • Unobunzima bokuphefumla okanye ukuginya, okanye awukwazi ukuvula umlomo wakho.
  • Unazo izimpawu ezingabonisa sepsis.html" target="_blank" rel="noopener noreferrer">sepsis: intliziyo ebethayo ngokukhawuleza, ukuphefumla ngokukhawuleza okanye ukungaphefumli, ukudideka okanye ukungabikho kwelibala, umkhuhlane kunye nokubanda, intlungu enkulu okanye ukungonwabisi, okanye ulusu olubaleka. Yithethelela amazwi ngokuvakalayo ngexesha lokungena: "Ndiyoyika isepsis."
  • Izimpawu zakho ziyathuthuka, okanye aziphumeli nto, emva kokuba uqalise ama-antibioticu.

Bhukisha umnqupha kwiveki elandelayo ukuba:

  • Unentlungu enyayo yezinyo engakhawuliyo.
  • Imbumbulu okanye ibhubhusi yenze kwintlama malunga nesintu.
  • Isintu sinentlungu enkulu kwishushu nasembandeni, okanye unencasa embi emlonyeni wakho.

Ezo ziziphakamiso ezifanelekileyo zokubonana kwe-telehealth. Zisenokufuna ugqirha wezinyo, kuba isifo sezinyo singaba yingozi ebomini xa sikhona sijulile kwiindawo ezintsonyi.

Thetha nomchwepheshe ngaphambi kokuba uqalise ukuba:

  • Ukhulelwe okanye uyanyakisa.
  • Unokunganyamezelani kwi-penicillin, okanye umvakalelo wangaphambili kwi-clindamycin njengolwe-C. diff ehambelana nohlobo.
  • Uhlala nesifo sikashukela okanye uthatha amayeza anegalelo kwindlela umzimba wakho ogiba ngayo.
  • Usebenzisa igazi elimalunga nalo, nto leyo ebalulekileyo ukuba kukuhambisa amanzi okanye ukukhupha okuzayo.

I-Antibiotic Engcono Kakhulu Yesifo Sezinyo Ngokuqhelekileyo Yeyona Ixabiso Liphantsi, Yona Indala Kakhulu

I-antibiotic engcono kakhulu yesifo sezinyo kubantu abadala abaninzi abanempilo ayikho exesheleyo: i-beta-lactams yeyona yokuqala yokuthintelwa kwe-odontogenic, kwaye i-amoxicillin jikelele ixabiso eliphantsi phantse kuyo yonke indawo. I-metronidazole inganikezelwa kwi-beta-lactam xa isifo singabeluxelanga.

Amacwecwe okukhuphisana abeka i-ciprofloxacin, i-doxycycline, kunye ne-tetracycline kuba la mazwi afunwa, hayi kuba angowona mqobo kwisifo esiyinto ye-abscess yezinyo. Zazifanelanga ukudibanisa i-oral anaerobes kunye ne-streptococci eziphucula ezi zifo, kwaye ii-fluoroquinolones ziphethe izilumkiso zokhuseleko ezenza zibe yinto embi yokhetho lokuqala kwintlungu yezinyo eqhelekileyo. I-antibiotic ebanzi ayiyo eyona ingcono.

Kwayo le nto kuthetha ukuba i-antibiotic engcono kakhulu yesifo sezinyo ayilona nto uyikhethayo kwimenyu. Yikhethwe kumlando wakho wokunganyamezeli, imeko yokukhulelwa, kunye nento oyithathileyo kutshanje. Kwaye "ndinike nje ama-antibioticu" ayilofuneko ukuba yinto efanelekileyo: iziqulatho ezingafunekiyo zithuthukisa ukumelana kwaye, ngaphezu koko, zibambezele umsebenzi wezinyo owenza ungcono isintu.

Amoxicillin 500 mg kathathu ngosuku yiyona mqobo, kwaye ukugqiba ibhotile kunokuba ayinjalo

Xa umchwepheshe echaza i-amoxicillin yesifo sezinyo, isishwankathelo se-AAE sesikhokelo sika-2019 sibeka indlela yokuqala i-amoxicillin 500 mg kathathu ngosuku kangangeentsuku ezi-3 ukuya kwezi-7. Izixhobo ezinganqwenelwanga ngokubanzi zihlala zichaphazela isisu esithambileyo, uhlobo, okanye i-rash.

Ukuba ufumana i-amoxicillin yesifo sezinyo nokuba ngaba kuxhomekeke kumda obuninzi abantu abangawaziyo ukuba ubukho. Ngokwe-guideline ye-ADA, ama-antibioticuwokubuyisa afanelekile xa kukho umgangatho wesimo jikelele, okuthetha umkhuhlane okanye ukuziva ugula, kumntu omdala onempilo kunye ne-pulp necrosis kunye ne-apical abscess eqinileyo. Intlungu kunye nokudumba okubekwe ecaleni ngokwazo akufanele ibe ngumthwalo.

Nantsi into uninzi lwamacwecwe aluyi kukuxelela: isikhokelo silindele ukuphononongwa kwakhona malunga nosuku lwes-3 kwaye siyala ukuyeka inkqubo xa unyango oluchazayo lwezinyo lulungisile ukuthintelwa, endaweni yokuba sigqibe zonke ithebhulethi ngokuzenzekelayo. Lona ngumahluko wokwenyani kwingcebiso "soloko ugqibezela inkqubo" oyikhuliswe ngayo, kwaye sisigqibo somngxesi wakho okanye ugqirha wezinyo, hayi isigqibo osenzayo kusinki lokuhlamba.

Ke sukuzibuyisela ixesha elithile, kwaye musukubeka izindlwana ezishiyekileyo kwixesha elizayo. Ukuba uqala ukuziva ungcono ngosuku lwesibini, luso isignali yokuqinisekisa umnqupha wakho wezinyo, hayi ukuwukhansele.

Isithili Sakho, Hayi Indawo Ye-Intanethi, Sigqiba Ukuba Ngubani Ongabhala Iresiphi Yakho

Inkonzo ezininzi ezithengiswa njengeresiphi ye-intanethi yezinyo zisebenza oogqirha, abasebenzi bezonyango, okanye abancedisi bogqirha kunokuba beengcali zezinyo okanye ii-DMD, kuba igunya lokumisela ama-antibioticu luyimfuneko, hayi eyogqirha wezinyo kuphela. Loo nto ayikho i-bait kunye notshintsho. Yiyo indlela ukulayisensa kusebenza ngayo.

Umchwepheshe kufuneka abe nelayisensi kwisithili apho ukhona ngokwenyani ngexesha lokubonana, yiyo loo nto inkonzo yeresiphi yezinyo ye-intanethi ingabonisa ukungabikho kwendawo ngomzuzu ongena khona ikhowudi yeposi eyahlukileyo. Imimiselo ye-telehealth yesithili kunye nemimiselo yebhodi yezinyo ziyahluka kwinto enokugunyaziswa yimibhalo ye-intanethi kuphela, kwaye ezinye zifuna ubudlelwane obusekiweyo okanye uvavanyo olwangaphambili olungabonakaliyo kwiresiphi ethile.

Ngaphambi kokuba uhlawule, qinisekisa izinto ezine: ukuba zibandakanya isithili sakho, ukuba ukubonana okukhawulezileyo kwangempela kubandakanyiweyo endaweni yokuhlola ifomu, yintoni umgaqo-nkqubo wokubuyiselwa kwemali ukuba akukho reresiphi ibhalisiweyo, kwaye nokuba ikhemesti ekufutshane nawe ingayifumana na i-script.

Umngxesi Ongavumiyo Ukumisela Angakunika Impendulo Elungileyo

Ukungavumeli kwenzeka, kwaye ayizizo zonke iziphumo ezibi. Izizathu ezimbini eziqhelekileyo kukuba awunazo izimpawu zomgangatho, ngoko i-guideline ye-ADA ayixhasi ama-antibioticu, okanye into oyichazayo yiqoqo le-pus elifuna ukuhambisa amanzi ekungekho mntu angakwazi ukukwenza ngekhamera.

Ukuba apho uya khona, umnxeba wakho olandelayo ngumnyhadala okanye ikliniki yezinyo ngosuku olufanayo, ikliniki yesikolo sezinyo, okanye unyango olungxamisekileyo. Yiya kwigumbi lezimo eziphuthumayo esibhedlele endaweni ukuba nayiphi na inqaku ebomvu elingentla lisebenza.

Izinto ezimbini ezifanelekileyo ukuzibuza kumnxeba ngokwawo: yintoni umchwepheshe angayibeka ukuba ububonwe ngokuphuhla, kwaye nokuba ungaba namanqaku okubonana abhaliweyo angawanikezela kwiqhakazi lakho. Phinda ubuze malunga nolawulo lwentlungu engengayo i-antibiotic, kwaye nokuba iintlawulo zinokubuyiselwa xa kungabhalwanga iresepisi.

Imibuzo Edla Ukubuzwa

Ndingazifumana nini ama-antibioticuwokugqibela ukuthintelwa kwezinyo kwi-Intanethi ngosuku olufanayo?

Ewe. Ii-eresiphi ze-elektroniki zihlala zifika kwikhemesti kwiiyure ezimbalwa ukusukela ukubonana. Into eyenza izinto zibambezeleke ngamanye amaxesha yikhemesti iiyure ebusuku nangeempelaveki, nokuba indawo yasemaphandleni iyayigcina na le modeli, kunye nokuqinisekiswa kobuqu kubasebenzisi abatsha okanye abahlawula ngemali. Qinisekisa ikhemesti yakho ivulekile ngaphambi kokuba uyilande, kwaye ucele indawo yeeyure ezingama-24 ukuba uyatyelele kamva.

Yeyiphi i-antibiotic endinokuyithatha kwisifo sezinyo ukuba andinyamezelani ne-penicillin?

Ewe, zikho ezinye iindlela. Kwingozi engengayo i-penicillin anaphylactic, isishwankathelo se-AAE siphakamisa cephalexin 500 mg kathathu ngosuku. Kwingozi yokwenyani ye-penicillin equka i-anaphylaxis, i-angioedema, okanye i-hives, iphakamisa i-azithromycin kunye nomthamo wokuqala ongu-500 mg uze uhambe kunye ne-250 mg kwezinye iintsuku ezine, okanye i-clindamycin. Chaza ngokuchanekileyo ukuba yintoni umvakalelo wakho, kuba "ingozi" kunye "nesisu esonakeleyo" zikhokelela kwiimodel zohlukileyo.

Ngaba ama-antibioticuwokugqibela ukuthintelwa kwezinyo aphephile ngexesha lokukhulelwa?

Ngamanye amaxesha, kwaye ukhetho lwemodeli luyinto ebalulekileyo. Ii-penicillin ngokubanzi zikwiqela elikhethwayo lokukhulelwa, ngelixa i-metronidazole kunye ne-tetracyclines kubandakanya i-doxycycline ngokuqhelekileyo ziphetshwa okanye zisetyenziswe ngononophelo. Khomba ukukhulelwa okanye ukuntywisa kwifomu yokuthatha izikhalazo endaweni yexesha lokubonana, ukuze umchwepheshe angabuyelanga umva iresiphi emva kokuyibhala. Unyango lwezinyo ngokwalo alukhululelwanga ngexesha lokukhulelwa.

Ndingazithenga nini ama-antibioticuwokugqibela ukuthintelwa kwezinyo ngaphandle kweresiphi?

Hayi. Akukho ama-antibioticuwokugqibela angaphandle kwexabiso eUnited States. Iindawo ze-Intanethi ezinika ama-antibioticuwokubuyisa ngaphandle kokubonana nomntu ongengombhali zisebenza ngaphaya kwemithetho yokumisela ye-US, kwaye i-FDA ingaphinda yalumkisa ukuba ezi khenketho ziyathandana zithengisa imveliso eyenziweyo, iphelelwe lixesha, okanye imodeli engafanelekanga. 20 ye-R telehealth consultation ixabisa ngaphantsi kunomdlalo we-pharmacology, kwaye ivelisa irekhodi lokwenyani lezigqirha zakho.

Ngaba umnxibeleli we-telehealth angabeka iminqamlezo yentlungu kunye ne-antibiotic?

Ayihlala. I-painkillers ye-opioid ziimvume ezilawulwayo, kwaye imibhalo engene-ntanethi kuphela ngokuqhelekileyo ayiyi kuyimisela yentlungu yezinyo, nemithetho yesithili iyahluka malunga nokuba banokukwazi ngokusemthethweni. Lindela isikhokelo kulawulo olungaphandle kwexabiso esikhundleni, nto leyo eyona protocols zentlungu zezinyo zininzi zikuyo nangona kunjalo. Ukuba intlungu yakho ikho ngaphezu kwezinto ezingaphandle ezikuchaphazela, eso sisona sizathu sokubona ngokubanzi.

Ndingasebenzisa ama-antibioticuwokubuyisa ashiyekileyo ukusuka kwi-resiphi endala yentlungu yam?

Hayi. Izinto ezishiyekileyo zingowona mgama, kwaye imodeli eyayilungele isifo sakho samathumbu ayinakudibanisa ii-oral anaerobes ngokupheleleyo. Ngaphezu koko, i-antibiotic ezingekho mgama ingakwazi ukunciphisa izimpawu zakho kancinci ukuba ifihle isifo esisasazeka, ngelixa uninzi lokumelana. Ukuba kuxabisa ukuthatha i-antibiotic, kuxabisa ukubonana okusungula eyona yakho kwaye kangakanani.

Ngaba inshurensi yam yezinyo iya kukhawulela ukubonana kwe-intanethi kwisifo sezinyo?

Ayihlala. Izicwangciso zezinyo zihlawula iinkqubo zezinyo ezenziwe ziingcali zezinyo, kwaye i-telehealth medical consult ayiyonto. Jonga inzuzo ye-telehealth yezicwangciso zakho zezonyango endaweni yoko, kuba ezinye zibandakanya iintlanganiso ezikhawulezayo ze-virtual. Inkolulo yeenkonzo ezi zinto zinemali enye, kwaye imali ngokubanzi ifanele i-HSA okanye i-FSA. Gcina irisithi kunye nesishwankathelo sokubonana.

Isibambiso Sokugqibela

Ukufumana ama-antibioticuwokugqibela ukuthintelwa kwezinyo kwi-Intanethi kuyavunyelwa, kuyakhawuleza, kwaye kuxabisa, kwaye kwisifo esibuhlungu esine-fever yinto efanelekileyo yokuqala. Vele ubambe inkangeleko efanelekileyo: iresiphi ikuthengela iiyure ezingama-24 ukuya kwezingama-72, kwaye ugqirha wezinyo uyayiphelisa ingxaki. Ukuba ukudumba kusasazeka okanye ubunzima bokuphefumla okanye ukuginya, gxuma ukubonana ngevidiyo uye kwigumbi lezimo eziphuthumayo.