Amayeza okubulala iintsholongwane kwizifo zikaCrohn

Umxholo

• Amayeza okubulala iintsholongwane kwiCrohn's
• I-Metronidazole
• Ciprofloxacin
• Rifaximin
• Ampicillin
• Itetracycline
• Imbonakalo

Ushwankathelo

Isifo sikaCrohn sisifo sokukrala kwamathumbu esivela kwithumbu lesisu. Kubantu abane-Crohn's, ii-antibiotics zinokunceda ukuthoba isixa kunye nokutshintsha ukwakheka kweebhaktiriya emathunjini, ezinokuthi zinciphise iimpawu.

Amayeza okubulala iintsholongwane nawo ayasebenza ukulawula izifo. Banokunceda ekunyangeni amathumba kunye nefistula.

Amathumba ziipokotho ezincinci zosulelo, kwaye anokuqulatha ulwelo, izicwili ezifileyo kunye neebhaktiriya. Iifistula zizidibanisi ezingaqhelekanga phakathi kwamathumbu akho kunye namanye amalungu omzimba, okanye phakathi kwamanqatha amabini amathumbu akho. Amathumba kunye nefistula zenzeka xa amathumbu akho edumbile okanye enzakele.

Iifistula kunye namathumba avela kwisinye kwisithathu sabantu abanesifo sikaCrohn. Amathumba ahlala efuna ukukhutshwa, okanye ngamanye amaxesha kunokucetyiswa utyando.

Amayeza okubulala iintsholongwane kwiCrohn's

Amayeza amayeza amaninzi anokuba luncedo kwisifo sikaCrohn, kokubini ukunyanga isifo ngokwaso kunye neengxaki zaso. Ziquka:

I-Metronidazole

Isetyenziswa yodwa okanye idityaniswe ne-ciprofloxacin, metronidazole (Flagyl) iqhele ukusetyenziswa ekunyangeni iingxaki ezinje ngamathumba kunye ne fistula. Inokukunceda ukunciphisa ukusebenza kwesifo kunye nokuthintela ukuphindaphinda.

Iziphumo ebezingalindelekanga ze-metronidazole zinokubandakanya ukuphazamiseka kunye nokugungqa kwimida yakho, kunye nentlungu yomzimba okanye ubuthathaka.

Kubalulekile ukuba uqaphele ukuba ukusela utywala ngelixa uthatha i-metronidazole kunokubangela iziphumo ebezingalindelekanga. Isihlunu kunye nokuhlanza kunokwenzeka, kunye nokubetha kwentliziyo okungaqhelekanga kwiimeko ezinqabileyo. Qiniseka ukuba uqhagamshelana nogqirha wakho ukuba unazo naziphi na kwezi mpawu.

Ciprofloxacin

I-Ciprofloxacin (Cipro) ikwachazwa ukuba ilwe nosulelo kubantu abaneCrohn's. Amanqanaba ahambelanayo amayeza ekuhambeni kwegazi kufuneka agcinwe ngamaxesha onke, ngoko kubalulekile ukuba ungaphoswa ngamayeza.

Ukuqhekeka kwetendon kunokuba sisiphumo esecaleni, nangona oku kunqabile. Ezinye iziphumo ebezingalindelekanga ezinokubakho zibandakanya isicaphucaphu, ukugabha, urhudo, kunye nentlungu esiswini.

Rifaximin

I-Rifaximin (Xifaxan) isetyenziselwe iminyaka ukunyanga isifo sohudo. Nangona kunjalo, kutshanje kuye kwavela njengonyango oluthembisayo lweCrohn's.

Iziphumo ezinokubakho zinokubandakanya:

• irhashalala okanye urticaria
• umchamo wegazi okanye urhudo
• ifiva

I-Rifaximin inokuba yindleko, ngenxa yoko kubalulekile ukuba uqinisekise ukuba i-inshurensi yakho iyayigquma ngaphambi kokuthatha amayeza akho.

Ampicillin

I-Ampicillin lelinye iyeza elinokunceda ukunciphisa iimpawu zikaCrohn.Eli chiza likusapho olunye nepenicillin kwaye ihlala isebenza ngaphakathi kweeyure ezingama-24 ukuya kwezingama-48.

Iziphumo ezinokubandakanya:

• urhudo
• isicaphucaphu
• irhashalala
• ukudumba nokubomvu kolwimi

Itetracycline

I-Tetracycline imiselwe izifo ezahlukeneyo. Ikwathintela ukukhula kweentsholongwane.

Iziphumo ezichaphazelekayo zetetracycline zibandakanya:

• izilonda zomlomo
• isicaphucaphu
• utshintsho kumbala wolusu

Imbonakalo

Amayeza okubulala iintsholongwane anokunceda ukulawula iimpawu zakho, kodwa azinakuchaphazela ukuqhubela phambili kwesifo sikaCrohn. Ngamanye amaxesha, abantu bayayeka ukuthatha amayeza okubulala iintsholongwane xa besiva ukuba iziphumo ebezingalindelekanga zinokuba nzima kakhulu kuneempawu zikaCrohn.

Khumbula, wonke umntu uluphendula ngendlela eyahlukileyo unyango. Qiniseka ukuba uxoxa ngezinketho zakho kunye nogqirha wakho ukufumanisa ukuba ngaba i-antibiotics inokukunceda na.