Umuthi omusha wokwelashwa kwesifo sofuba
-Delile
Umuthi omusha wokwelashwa kwesifo sofuba uqukethe ama-antibiotic amane asetshenziselwa ukwelapha lesi sifo, esibizwa ngeRifampicin, Isoniazid, Pyrazinamide ne-Etambutol.
Yize ukhiqizwa eBrazil kusukela ngo-2014 yisikhungo saseFarmanguinhos / Fiocruz, ngo-2018 lo muthi waqala ukwenziwa ukuthi utholakale mahhala yi-SUS. Esinye sezikhungo zokwelashwa kungenzeka ukuthi uphuze ama-antibiotic amane kuthebhulethi eyodwa nje.
Leli khambi lingasetshenziswa emithini yokwelashwa kwesifo sofuba samaphaphu kanye nesangaphandle, esihlala izinyanga ezimbalwa, futhi kumele siqondiswe yi-pulmonologist noma isifo esithathelwanayo, ngokuya ngesimo ngasinye. Thola imininingwane eyengeziwe mayelana nokwelashwa kwesifo sofuba.
Isebenza kanjani
Isidakamizwa sokwelashwa kwesifo sofuba sinokuhlanganiswa kwezinto ezilandelayo:
- I-Rifampicin;
- Isoniazid;
- IPyrazinamide;
- I-Ethambutol.
Lawa ma-antibiotic enza ukulwa nokuqeda amagciwane abanga isifo sofuba, Isifo sofuba iMycobacterium.
Inhlanganisela yeRifampicin, Isoniazid, Pyrazinamide ne-Ethambutol, imvamisa iyadingeka ezinyangeni ezimbili zokuqala zokwelashwa. Kodwa-ke, ukwelashwa kungahlukahluka ngokushuba kwesifo, uma ukwelashwa kwenziwe ngaphambilini, nangokuya ngeminyaka yomuntu nezimo zempilo.
Futhi hlola ukuthi yikuphi ukunakekelwa okufanele kuthathwe ngemuva kokwelashwa, ukuvimbela ukuphindeka.
Ungathatha kanjani
Umuthi wesifo sofuba kufanele uphuzwe nsuku zonke, ngomthamo owodwa, ngamanzi amancane, okungcono imizuzu engama-30 ngaphambi noma amahora amabili ngemuva kokudla, ngokuyalelwa ngudokotela.
Inani lamaphilisi asetshenziswa kumthamo ngamunye lizohluka ngokuya ngesisindo sesiguli, futhi kudokotela ukhombisa:
| Isisindo somzimba | Umthamo |
|---|---|
| 20 - 35 kg | Amaphilisi ama-2 nsuku zonke |
| 36 - 50 kg | Amaphilisi ama-3 ngosuku |
| Ngaphezulu kwama-50 kg | 4 amaphilisi nsuku zonke |
Ezinganeni ezinesisindo esiphakathi kuka-21 no-30 kg, umthamo wansuku zonke onconywayo ngamaphilisi ama-2 kumthamo owodwa. Izingane nentsha enesisindo esingaphansi kwama-20 kg akufanele bathathe lo muthi.
Uma umthamo ungabanjwanga, umuntu kufanele aphuze amaphilisi akhohliwe ngokushesha lapho ekhumbula, ngaphandle kwalapho eseduze nokuphuza umthamo olandelayo. Ezimweni ezinjalo, umthamo ongabanjwanga kufanele weqiwe. Kuyadingeka ukuthi uphuze umuthi njalo futhi ungalokothi uyeke ukwelashwa ngokwakho, ngoba ukumelana nomuthi kungenzeka.
Imiphumela emibi engaba khona
Eminye yemiphumela emibi kakhulu engahle yenzeke ngenkathi welashwa ngalo muthi i-peripheral neuropathy, isifo sohudo, ubuhlungu besisu, isicanucanu, i-anorexia, ukuhlanza, ukuphakama kwesikhashana kwe-serum transaminases, i-uric acid eyandisiwe, ikakhulukazi ezigulini ezine-gout, uketshezi olubomvu olubomvu emzimbeni nezimfihlo, ubuhlungu bamalunga, ububomvu, ukulunywa nokuqubuka kwesikhumba, izinguquko ezibukwayo nokuphazamiseka komjikelezo wokuya esikhathini.
Ngubani ongafanele asebenzise
Lo muthi akufanele usetshenziswe ngabantu abazwela ngokweqile kunoma yiziphi izingxenye zefomula, abantu abanesifo sesibindi noma umlando we-jaundice kanye nezinguquko emazingeni egazi ama-enzyme wesibindi abangelwa yimithi elwa negciwane esikhathini esedlule.
Ngaphezu kwalokho, akufanele futhi isetshenziswe kubantu abanokulahleka kombono ngenxa yesifo se-optic nerve disorder. Uma udokotela efisa kanjalo, lo muthi ungasetshenziswa kwabesifazane abakhulelwe.
Udokotela kufanele aziswe nganoma yimiphi imithi umuntu ayiphuzayo. Le mithi inganciphisa ukusebenza kwephilisi lokulawula ukubeletha
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