Dad badan oo qaba COPD waxay u ordaan dhakhtarka antibiyootikada marka ay rajeynayaan jiritaanka COPD ee soo socda, ama hayso daawo antibiyootik ah oo gacanta ku jirta haddii ay bilaabaan inay dareemaan calaamadaha sii xumaanaya. Hase yeeshee, antibiyootikadu miyay ka faa'iideystaan bukaan kasta oo qaba COPD? Jawaabtu way ku yaabi kartaa.
Ka Qayb Qaadashada Khiyaanada Ku saabsan Antibiyootiko iyo COPD
Ka soo horjeeda caqiidada caanka ah, antibiyootikadu waxay wax ku ool u tahay daawaynta kaliya xulashada koox bukaano ah ee la kulma kufsi -darro COPD.
Dadka ku jira kooxdan waxaa ka mid ah kuwa leh:
- Kordhinta qanjirada , qufac, iyo candhuuf
- Laba ka mid ah calaamadaha hore ee lagu xusay, oo ay ku jiraan kordhinta candhuufta
- Cadaadis aad u daran oo u baahan in aan loo baahnayn ama farsamo qalabaysan oo leh ugu yaraan mid ka mid ah calaamadaha hore
Maxaa ku saabsan Daaweynta Ka hortagga Daaweynta Antibiotics?
Sanadihii la soo dhaafay, waxqabadka isticmaalka daawooyinka antibiyootikada ee looga hortago sii xumeynta COPD waxay ahayd arrin muran ah. Daraasadihii ugu dambeeyay ee la adeegsan jiray azithromycin ayaa muujisay in antibiyootikada qanjidhka casriga ah ay hoos u dhigtay heerka kacdoonka. Laakiin cilmi-baaristu waxay sidoo kale soo jeedinaysaa in antibiyootikada qanjirada ah ay la xiriirto waxyeelo xun oo ka yimaada faa'iidooyinka. Ilaa hadda, Global Initiative for Cudurrada Sambabka Sambabka kuma talinayso isticmaalka maalin walba ee antibiyootigga daaweynta COPD, marka laga reebo xaaladaha infakshanka bakteeriyada ee la xidhiidha kacsanaanta COPD.
Taasi waxay tidhi, bukaanada COPD ee sii wadaan inay sii wadaan sii xumeyntooda inkastoo daaweynta loo yaqaan 'COPD' (daawada bronchodilators iyo anti-inflammatory) ayaa loo qori karaa antibiotic prophylaxis leh azithromycin. Haddii laguu qoro antibiyootiko, waa inaad si taxadar leh u fiirisaa saameynta daawada isla markaana u sheeg dhakhtarkaaga isla markiiba haddii aad leedahay waxyeello xun.
Talooyin ku saabsan qaadashada antibiyootiggaaga
Haddii laguu qoro antibiyootiko, halkan waa sida loo helo faa'iidada ugu sareysa daawada:
- Xasuusnow in antibiyootikadu aysan waxtar lahayn ee lagu daaweynayo infakshanka uu keeno fayraska, sida hargabka caadiga ah ama ifilada.
- Marna ha qaadin antibiyootiga qof kale. Sababtoo ah antibiyootiko gaar ah oo beegsanaya bakteeriyada qaarkood, marnaba ma dhihi kartid in daawada qofku u shaqeynayo jiradaada gaarka ah.
- Qaad dhammaan kooraska antibiyootigga, xitaa haddii aad bilowdo inaad dareento fiicnaan. Si dhakhso ah loo joojiyo waxay keeni kartaa caabbinta antibiyootigga iyo xaaladda sii xumaaneysa xaaladdaada.
- U hubso inaad si taxadar leh u akhrido dhalada dhakhtarku kuu qoray iyo raac tilmaamaha sida tilmaamaha dhakhtarkaaga. Haddii aadan fahmin calaamadda daroogada, la hadal dhakhtarkaaga ama farmashiistaha.
- Ka digtoow calaamadaha digniinta ah ee ku lifaaqan dhalada laguu qoray. Tusaale ahaan, astaanta ayaa kuu sheegi karta inaad iska ilaaliso iftiinka qoraxda ama inaad cabto biyo badan inta lagu jiro daaweynta antibiyootigga.
- Weydiiso dhakhtarkaaga ama farmashiistahaaga haddii aad qaadato antibiyootiggaaga cuntada ama calool madhan. Tani waa in sidoo kale lagu daraa calaamadaha daroogada.
- Weydiiso dhakhtarkaaga wixii ku saabsan sida loola tacaalayo waxyeelooyinka kale sida lalabbada iyo shubanka. Haddii aad tahay haween, kala hadal dhakhtarkaaga wixii suurtagal ah ee lagu kobcin lahaa infekshanka khamriga inta lagu jiro daaweynta antibiyootigga iyo waxa aad sameyn kartid si aad uga hortagto ama u daaweyso.
Xitaa haddii daawada antibiyootikadu aysan sax u ahayn daaweyntaada Kondhomka, waxaa jira siyaabo kale oo lagu xakameyn karo calaamadahaaga. Hubi kheyraadkan si aad u hesho macluumaad dheeraad ah:
9 Fursadaha Daaweynta COPD ee Aad u Daran
Tilmaamaha dhammeystiran ee Daaweynta COPD
Sida looga hortago Cudurka COPD
Liiska daawooyinka COPD ee caadiga ah
Ilaha:
Albert RK, Connett J, Bailey WC, et al. Azithromycin si looga hortago sii xumeynta COPD. N Engl J Med 2011; 365: 689
Briel M. et. al. Isticmaalida antibiyootikada oo loo isticmaalo habka caadiga ah ee caabuqyada neefta ee neefta ku dhaca ee daryeelka aasaasiga ah. Arch Intern Intern. 2008 Oct 13; 168 (18): 2000-7; doodda 2007-8.
K. Kostikas1, AI et. al. Cilad-celinta COPD ee caadiga ah? Neefso. Juun 2008. Volume 4; Maya 4.
Puhan MA, et. al. Jirada ka yimaada cudurada joogtada ah ee xannibmaadda ee sanbabada: goorma ayaa lagu gartaa antibiotics? Dib u eegis nidaamsan. Respir Res. 2007 Apr 4; 8: 30.
Ram FS et. al. KU SAABSAN: Antibiyootikada loogu talagalay sii xumeynta cudurada joogtada ah ee xannibmay. Macluumaadka Cochrane Syst Rev. 2011 Jan 19; (1): CD004403.
Stolz D. et. al. Daaweynta antibiyootigga ee sii xumeynta COPD: tijaabo la kala soocay oo la kala soocay, oo la barbardhigay daawada procalcitonin-daaweynta caadiga ah. Laabta. 2007 Jan: 131 (1): 9-19.