Uma baahnid inaad dhammaysato Koorso Antibiyootig ah oo dhammaystiran
Qanacsan
Haddii aad waligaa qabtid cunaha strep ama UTI, waxay u badan tahay in laguu soo qoray daawada antibiyootiga oo laguu sheegay inaad dhameyso koorsada buuxda (ama haddii kale). Laakiin warqad cusub oo ku jirta BMJ ayaa leh waa waqtigii la bilaabi lahaa in dib looga fikiro taladaas.
Hadda, waxay u badan tahay inaad maqashay dhibaatadan weyn ee caafimaadka dadweynaha ee iska caabbinta antibiyootiga. Fikradda: Aad ayaan ugu deg -degnay inaan helno daawo calaamadda ugu horreysa ee urta oo bakteeriyadu dhab ahaantii baratay sida looga hortago awoodda bogsashada ee antibiotics. Waxaa jiray dhakhaatiir muddo dheer rumaysan in haddii aadan dhammaystirin koorso antibiyootiko oo buuxa ah, waxaad u oggolaanaysaa bakteeriyada inay is-beddesho oo ay adkaysi u yeelato dawada. Dhab ahaantii, falanqayn horaantii sanadkan ay samaysay Ururka Caafimaadka Adduunka ayaa lagu ogaaday in ololeyaasha caafimaadka dadweynaha ee adduunka oo dhan, in ka badan kala badh ay dadka ku dhiirigeliyaan inay dhammeeyaan dhammaan koorsada antibiyootiga, marka la barbar dhigo boqolkiiba 27 oo keliya oo kor u qaadaya istaraatiijiyad ku salaysan aragtida sida aad dareemayso. inta lagu jiro daawaynta.
Laakiin warqaddan cusub ee ra'yiga, cilmi-baarayaasha England oo dhan waxay sheegeen in baahida loo qabo in la dhammeeyo xirmada kiniinka aysan dhab ahaantii ku salaysnayn cilmi kasta oo la isku halayn karo. "Ma jiraan wax caddayn ah in dhammaystirka koorsada antibiyootikada, marka la barbar dhigo joojinta hore, ay kordhiso halista iska caabbinta antibiyootigga," ayuu yiri qoraaga daraasadda Tim Peto, D.Phil.
Waa maxay khatarta qaadashada dheeraad ah antibiyootik intaad u baahan tahay? Waa hagaag, mid, Peto wuxuu qiyaasayaa, oo ka soo horjeedda mala -awaalka dokumantiyo badan, dheer Koorsooyinka daawaynta ayaa laga yaabaa inay kor u qaadaan soo bixitaanka caabbinta daroogada. Daraasad Nederlaan ah oo 2015 ah ayaa lagu ogaaday in la mid ah laga yaabo inay run tahay qaadashada marar badan: Marka dadku qaataan noocyo badan oo antibiyootik ah waqti ka dib (cudurro kala duwan), kala duwanaanshiyahani wuxuu kobciyay gen-yada la xidhiidha iska caabbinta antibiyootiga.
Oo waxaa jira waxyeelooyin kale oo aan fiicnayn, sidoo kale. Waxaan sidoo kale ognahay in dadka qaarkiis ay la kulmaan waxyeellooyin sida shuban la xiriira antibiyootiga iyo xitaa caafimaadka mindhicirka oo daciif ah. Isla daraasadda Nederlandka ayaa sidoo kale la ogaaday markii dadku ay qaateen hal koorso oo antibiyootik ah, microbiome mindhicirkooda ayaa saameeyay ilaa hal sano. (La xiriira: 6 Siyaabaha Makirooyinkaagu u Saameeyo Caafimaadkaaga) Hal daraasad ayaa xitaa lagu ogaaday in isticmaalka antibiyootikada ee soo noqnoqda ay kordhin karto halistaada nooca sonkorowga 2.
"Waqtiga ugu habboon ee daaweynta antibiyootigga weli lama yaqaan, laakiin waxaa la og yahay in dad badan ay ka bogsadaan caabuqyada iyada oo muddo kooban oo daaweyn ah," ayuu raaciyay Peto. Tusaale ahaan, infekshannada qaarkood-sida qaaxada-waxay u baahan yihiin kooras dheer, ayuu tilmaamay, laakiin kuwa kale, sida oof-wareen, ayaa inta badan lagu duri karaa koorsada gaaban.
Cilmi baaris dheeraad ah ayaa si cad loogu baahan yahay, laakiin ilaa aan ka helno cilmi adag, uma baahnid inaad si indho la'aan ah u raacdo talada ugu horeysa. Kala hadal dhakhtarkaaga haddii aad u baahan tahay inaad qaadato koorsadan antibiyootiga ama haddii nidaamkaagu iskii u nadiifin doono bakteeriyadan. Haddii isaga ama iyada ay ku dhahaan qaado, ka hadal haddii aad joojin karto ka hor dhammaadka xirmada haddii aad ladnaan dareento, ayuu Peto ku taliyaa.