Chii chinonzi antibiotic hutariri? Maitiro aunogona kuzviita

Zvinodhaka Info

Une chikosoro chakashata, mhino dzakazara, uye huro. Iwe unoshanyira mupi wako wezvehutano uye wobvunza mishonga inorwisa mabhakitiriya. Wako wekutanga wekuchengeta anoramba kukupa iwe mushonga uye anotsanangura kuti une hutachiona. Zvinoreva, kurapwa kwakanyanya kuzorora, zvinwiwa, uye mamwe maOTC meds. Chii chinopa? Uyu muenzaniso wehutano hwakanaka hwemaantibiotic.

Kana izvo zvaunazvo zviri zvechokwadi hutachiona, saka mishonga inorwisa mabhakitiriya haishande - ndezve chete zvehutachiona hutachiona. Unogona kusiya hofisi yemupi wako wekuchengetwa kwehutano wakashushikana nekuti wakanamatira nemushonga wekurara uye hydrate panzvimbo yeimwe amoxillin . Asi, kuburikidza nekuvimba nekiriniki yako kutonga, urikudzidzira hutachiona hwakanaka utariri, futi.

Zvakakosha nekuti kushandiswa kusingaite kwemishonga inorwisa mabhakitiriya kunogona kukonzera kuwanda kwezvinetso kune vanoona nezvehutano nevarwere zvakafanana. Heano mukana wekuti zvinorehwa nemishonga inorwisa mabhakitiriya zvinorevei uye nenzira dzese dzaunogona kutora chinhanho mukusimudzira.

Zvinorevei kuti utachiona hwehutariri hunoreva?

Utariri hwemishonga inorwisa mabhakitiriya, dzimwe nguva inonziwo antimicrobial utariri, mubatanidzwa wevanoona nezvehutano kuti vagamuchire mutoro wakatemerwa mishonga inorwisa mabhakitiriya. Izvi zvinosanganisira kunyora mishonga inorwisa mabhakitiriya kana ichinge yodiwa (kureva., Kune hutachiona hwehutachiona, kwete hutachiona), kunyorera maantibayoti akakodzera ehutachiona, uye nekunyorera dosi chaiyo nguva yekurapa mabhakitiriya , pakati pezvimwe zvinhu.

Zvinoenderana neCentre for Disease Control and Prevention (CDC), ichitarisa iyo kushandisa zvine hungwaru mishonga inorwisa mabhakitiriya :

• Inovandudza kurapwa kwehutachiona hutachiona
• Inodzivirira varwere kubva kune zvisina kukodzera mhedzisiro
• Inogumira mhando yekunyanyisa inotungamira kumishonga inorwisa mabhakitiriya kana superbugs

Kunyora vanachiremba kunoreva mushe-vanoda kugadzirisa vanhu, uye iyo ipfupi-pfupi yakaderera mishonga yakawanda inorwisa mabhakitiriya idiki sezvo inowanzo chengeteka uye isingadhuri, inotsanangura Houston Methodist nyanzvi yezvirwere zvinotapukira Richard Harris, MD.

Dambudziko, anodaro Dr. Harris, rinouya apo vazhinji vevarwere vauri kuedza kugadzirisa havadi kurapwa kwauri kupa: Unoda kuve nechokwadi kuti hapana chauri kupotsa, asi unozopedzisira wave kuita makumi mashanu [ varwere] kumurwere mumwe nemumwe anoda kurapwa.

Utachiona hwehutachiona hwakatanga riini?

Nekuti kune kuwanda kwakanyanya kwevanorwara uye varwere vekunze vanoshandisa mishonga inorwisa mabhakitiriya, zvirongwa zvehutariri zvakagadzirwa munyika yose kudzora kupararira kusiri madikanwa kwemishonga iyi. Hazvina kujeka kuti mapurogiramu aya akashanda sei kupinda muzvipatara zvikuru zvese nenzvimbo dzehutano muUnited States, asi Dr. Harris vanoti chirongwa ichi chakange chadarika (kubva muna 2018, ndoda 85% yezvipatara munyika yese vanga vachisangana neCDC nhungamiro).

Sosaiti yehutano Hutano Epidemiology yeAmerica ( SHEA ) nderimwe sangano rinosimudzira antimicrobial manejimendi zvirongwa, zvichipa maturusi uye zviwanikwa kune vezvehutano vashandi kuti vashandiswe muzvipatara zvekuchengetedza zvakanyanya uye nzvimbo dzekuchengetedza kwenguva refu munyika yese. Nekuvandudza mashandisirwo emishonga inorwisa mabhakitiriya, SHEA inotaura kuti zvirongwa izvi zvinowedzera mhedzisiro yemurwere, zvinoderedza kurwisa kwemishonga inorwisa mabhakitiriya, uye zvinoderedza hutachiona hunosanganisa hutano pakati pehumwe hunatsiridzwa.

Kathryn A. Boling, MD, muchengeti wekutanga ane Tsitsi Medical Center muBaltimore, inobvumirana, kusheedza iko kuchinja kwekutarisa pamushonga unorwisa mabhakitiriya shanduko inowedzerana mukupindura kukwira kwehutachiona husinga gwinyike, kuwedzera kuri kudiwa kwekushandisa simba, inorwisa mabhakitiriya pachinzvimbo cheakajairwa emuromo, nezvimwe zvinhu zvakatipoteredza.

Vanhu vari kurasa mishonga yavo inorwisa mabhakitiriya muchimbuzi kana kuita weti shoma shoma yemishonga iyi, uye iri kusvibisa mvura yatinonwa, anodaro. [Zvinhu zvese izvi pamwe chete] zvaive zvakakwana kuita kuti vekurapa vati 'uh-oh.'

Muna 2014, CDC yakatanga kuburitsa nhungamiro yakanangana nemazano ekuti zvivakwa zvehutano, kubva kuzvipatara kusvika kumahofisi evarwere, zvaigona kudzidzisa vanachiremba nevarwere nezvekushandisa kwakakodzera kwemishonga inorwisa mabhakitiriya kuburikidza nezvirongwa zvehutariri.

3 mhando dzeantibiotic utariri hwekupindira

In Iwo Makore Makuru eChipatara Antibiotic Stewardship Zvirongwa , CDC yakaisa mhando nhatu huru dzehutariri hwehutariri hunogona kuvandudza mashandisirwo emishonga inorwisa mabhakitiriya: nzira dzakapamhamha, kupindirwa kunotungamirwa nekhemisi, uye nzira dzakanangana nehutachiona uye syndromes.

1. Kupindira kukuru zvinosanganisira kupihwa mvumo yekutanga kunyorera mamwe maantibayoti, kuita ongororo pamhosva dzinosanganisira mishonga inorwisa mabhakitiriya, uye kuongorora zvekare mishonga inorwisa mabhakitiriya yakatemwa panguva yekutsvaga ruzivo. Semuenzaniso, iwe unopihwa ciprofloxacin mune yekukurumidzira kamuri yeiyo inofungidzirwa hutachiona hweitsvo apo rako reropa basa richiendeswa kubazi; kana zvabuda zvako zvadzoka, chiremba anorayira anodzokorodza ruzivo rwako kuti aone kana ichiri mushonga wakanaka kwazvo kwauri.
2. Kupindira kunotungamirwa nefesi inosanganisira kugadzirisa dosi yemishonga inorwisa mabhakitiriya, kutsvaga nzira dzekurapa dzakabatana uye kudyidzana kwezvinodhaka, uye kubatsira nekuchinja kubva kuIV kuenda kumuromo maantibioti.
3. Kubatwa nehutachiona / chirwere chaicho kupindira ipa rairo yakajeka kuvarairidzi pakushandisa mishonga inorwisa mabhakitiriya kurapa hutachiona hwakawanda hune nhoroondo yekurwisa mabhakitiriya, kusanganisira: pneumonia yakawanikwa munharaunda, hutachiona hweweti, ganda uye hutachiona hutachiona hutachiona, MRSA hutachiona , Clostridium difficile hutachiona (C. zvakasiyana), uye hutachiona hweropa hwakaratidzwa netsika.

Kana zvese izvi zvitatu zvikaitwa, zvinotevera kuti chipatara chichaona dziviriro yaro ichishandisa dhata. Asi kupindirana uku hakuwanikwe nekungovhenekera tsvimbo yemashiripiti. Zvipatara zvinofanirwa kuisa mari mukugadzira chirongwa chakasimba cheutachiona hwehutachiona hwakavakirwa pazvinhu zvakati wandei zvakataurwa neCDC. Zvinhu izvi zvinoshanda zvakati siyanei mune mamwe maratidziro ehutano, asi kazhinji zvinoramba zvakafanana kana chirongwa chehutariri chiri kuitika munzvimbo dzevanorwara kana dzekunze.

Element	Chipatara	Imba Yevanamukoti	Kugadziriswa Kwekunze
Hutungamiri	Zvipira kupa vanhu, mari, uye hunyanzvi zviwanikwa	Zvipire kuvandudza mashandisirwo emishonga inorwisa mabhakitiriya uye nekutaura iko kuzvipira nevashandi, vagari, uye mhuri	Sarudza mutungamiri mumwechete uye / kana sanganisira hutariri mune tsananguro dzebasa
Kuzvidavirira	Mumwe chiremba chiremba akasarudzwa	Shingairira wezvekurapa director, director director, nevamwe vashandi vakakosha mukutsigira kuedza	Kurukura zvakanyanya nevarwere pamusoro pekuedza kuburikidza nemapepa uye kutaurirana kumeso
Unyanzvi hwezvinodhaka	Mumwe mutungamiri wemishonga akasarudzwa	Bvunza uye mubatirane nenyanzvi dzenzvimbo muzvirwere zvinotapukira	Ipa vanachiremba nemikana yekubvunza nyanzvi pane kana pasiti
Chiito	Ita kanenge kamwe kupindira kunogona kuongororwa nguva nenguva	Gadzira zvirongwa zvekuita kuti ushandise imwe kana yakawanda yeitatu matanho	Shandisa humbowo-hwakavakirwa kurongedza, kumirira wakarinda, uye off-saiti triage yehutachiona hutachiona
Kuchengeta	Ramba uchiteedzera zvekumisikidza uye kuramba maitiro	Tevera mushonga unorwisa mabhakitiriya uye mhedzisiro matanho	Kuzviongorora uye kutora imwechete yekutevera / yekuburitsa system
Kushuma	Vese vashandi vanokodzera vanoziviswa nezvekufambira mberi	hapana	Kuzviongorora uye kutora imwechete yekutevera / yekuburitsa system
Dzidzo	Vashandi vese vanokodzera vanodzidziswa pakurongedza zvine mutsigo	Shandisa mapepa, magwara, maemail, uye mashopu ekudzidzisa vese vashandi, vagari uye mhuri	Dzidzisa varwere vane zvekushandisa uye mu-munhu hurukuro; kupa kuenderera mberi kwemikana mikana kune vanachiremba

Nei zvichikosha

Zvakanakira zvirongwa zvehutachiona hwehutachiona, kunze kwekudzikiswa kuri pachena mukunyanyoshandiswa kwemishonga iyi, zvinoshanda kune vese vanhu uye nharaunda yose, anodaro Dr. Boling.

Kune vamwe varwere, kushandisa zvisirizvo maantibhakitiriya kunogona kureva iwe:

• Iva nenguva yakaoma kubvisa hutachiona kana ikadzoka
• Kurwara nehutachiona husingaurayiwe nemutachiona
• Kupedzisira uine hunyoro kusvika kune hwakakomba maantibiotic mhedzisiro, kubva kurutsa uye manyoka kusvika mbiriso zvirwere , anaphylaxis, itsvo kutadza, kana hutachiona neC (hutachiona hunokonzeresa manyoka uye kuzvimba kwekoloni)

Pamusoro pehupamhi, hutano hweveruzhinji, kunyora zvisirizvo mishonga inorwisa mabhakitiriya:

• Inowedzera mishonga inorwisa mabhakitiriya uye C. difficile hutachiona hwakazara
• Inomutsa mari yehutano
• Kunoderedza mhedzisiro yekuchengetedza murwere
• Inosiya munhu wese ari panjodzi kune izvo zvakashata superbugs

Kuwanda kwezvipatara uye zvirongwa zvekuchengetwa kwevarwere zvinotora zvirongwa zvehutachiona hwehutachiona, hunowedzera huipi hwekuita pamwe. Chinhu chega chinonyengera kuongorora kushanda kwezvirongwa izvi. Vanachiremba. Boling naHarris vese vanoti izvo pari zvino, hapana imwe nzira yepamutemo yekuona kana kuedza kuri kushanda. Kana chipatara chikakwanisa kuzivisa kudzikiswa kwekushandisa kwemishonga inorwisa mabhakitiriya - kana kudzikiswa kwezviitiko zvakashata nekuda kwekushandisa mishonga inorwisa mabhakitiriya - izvo zvinoonekwa sekukunda.

Dr. Boling vanowedzera kuti varapi vanoshanda vakanaka mishonga inorwisa mabhakitiriya vanogona zvakare kuzviongorora: Sewe chiremba wega, unogona kutarisa yako wega metric. Ndinogona kazhinji kutaurira [mutsauko uripo pakati pehutachiona uye hutachiona hutachiona] nemuyedzo wangu, asi kana ndine murwere achisimbirira chimwe chinhu chiri kuitika, ndinoraira chipfuva X-ray kuti isimbise. Kazhinji hazviite kuti murwere iyeye anoda mishonga inorwisa mabhakitiriya.

Varwere uye vanopa vanogona sei kushanda pamwechete

Kana iwe uri kushamisika kuti iwe ungaita sei chikamu chako kudzikamisa mushonga wemishonga inorwisa mabhakitiriya, zviri nyore kupfuura iwe zvaunogona kufunga.

1. Usaite musangano wezvinhu zvese zvidiki. Varwere vanogona kurega kubvunza maantibayoti iyo miniti yavanowana kunhuwa, anodaro Dr. Boling. Kana iwe usina fever kana chirwere chisina kuitika kwemazuva gumi kana kupfuura, mikana iri pasi unoda mishonga inorwisa mabhakitiriya.
2. Usasheedza hofisi yemubatsiri wako wehutano uye kumbira vashandi kuti vafonere mune yekunyora pasina bvunzo. Zvirwere zvakawanda zvinosanganisirwa nemishonga inorwisa mabhakitiriya, sehutachiona hwehutachiona, inofanirwa kuongororwa ine tsika tsika isati yanyorwa.
3. Vimba nemutarisiri wako wekutanga. Dr. Harris vanoti kana vanhu vazhinji vakavimba nekutonga kwachiremba wavo, vachidzivisa chishuwo chekuodzwa mwoyo kana chiremba wavo achiti chirwere chavo chinongova hutachiona chete, vanachiremba vanganzwa vasingamanikidzwe kurapa varwere vavo zvisina basa nemishonga inorwisa mabhakitiriya.
4. Gara uchikwanisa kuziva nezve majekiseni ako. Mumakore angu ekudzidzira, chinhu chinonyanya kubatsira chinobatsira varwere vane chirwere chinotapukira majekiseni, anodaro Dr. Harris. Hutachiona hutachiona hushoma hwaunowana, hushoma mukana unenge uri wekutsvaga mishonga inorwisa mabhakitiriya kana usiri kunzwa mushe, uchideredza mikana yako yekugamuchira tsamba yausinganyatsoda.

Chimwezve chinhu: Nyamavhuvhu wega wega, iyo World Health Organisation (WHO) inopemberera Svondo reAntibiotic Kuzivisa, ichikurudzira nzvimbo dzese dzehutano, vanopa, neruzhinji rwevanhu kuti vawedzere dzidzo yavo pamusoro pesimba remishonga inorwisa mabhakitiriya- uye sei, kana simba iro risingashandiswi nemazvo, zvinogona kutungamira kumhedzisiro mhedzisiro.

Muna 2020, Svondo rekuzivisa nezveAntibiotic richapembererwa kubva munaNovember 11 kusvika 17. Shanyira WHO webhusaiti kuti udzidze zvakawanda nezvekuti ungazvidzidzira sei mumba mako, muhofisi yechiremba, muchipatara, kana munharaunda.