<\/p>\n\n\n
PERLUKAN ANTIBIOTIK DAN UBAT TAHAN SAKIT SELEPAS PEMBEDAHAN BUANG BESI<\/b><\/p>\n
\u00a0<\/p>\n
\u201cAssalam mu alaikum doktor. Saya berumur\u00a0 13 tahun\u00a0 dan akan menjalani pembedahan untuk \u201cbuang besi dalam tulang\u201d Selepas pembedahan itu, perlukah saya makan ubat antibiotik dan ubat tahan sakit ?\u00a0 sekian terima kasih\u201d<\/i><\/p>\n
\u00a0<\/p>\n
WA ALAIKUM MUS SALAM.<\/p>\n
\u00a0<\/p>\n
Pembedahan mengeluarkan semula bendasing logam yang berupa plate, skru, pin dan sebagainya dari tulang selepas tulang telah bercantum semula adalah pembedahan yang biasa dilakukan di Jabatan Orthopaedic<\/i><\/b> (Tulang).<\/p>\n
\u00a0<\/p>\n
Bergantung kepada tulang terlibat, pembedahan mengeluarkan semula logam ini ada yang dilakukan dengan bius pengsan (general anesthesia<\/i><\/b>) dan ada yang dilakukan dengan bius suntikan setempat (local anaestesia<\/i><\/b>).<\/p>\n
\u00a0<\/p>\n
Keperluan memberikan antibiotic dan ubat \u00a0tahan sakit bergantung kepada banyak perkara.<\/p>\n
\u00a0<\/p>\n
Kebanyakan ubat antibiotic yang diberikan adalah merupakan langkah mencegah jangkitan kuman. Sementara ubat tahan sakit diberikan kerana pada amnya pembedahan yang melibatkan tulang selalunya akan menyebabkan rasa sakit untuk beberapa hari.<\/p>\n
\u00a0<\/p>\n
Mengapa antibiotic diberikan?<\/b><\/p>\n
\u00a0<\/p>\n
Jangkitan kuman pada tempat pembedahan adalah merupakan komplikasi pembedahan yang biasa berlaku akibat dari jangkitan kuman yang berpunca dari persekitara hospital.<\/p>\n
\u00a0<\/p>\n
Hospital bukanlah tempat yang paling bersih tetapi tempat yang banyak kuman yang boleh menjangkiti mana-mana luka pembedahan yang tidak dijaga kebersihannya atau apabila pesakit mengalami daya tahan yang kurang.<\/p>\n
\u00a0<\/p>\n
Jangkitan kuman pada luka pembedahan akan menyebabkan pesakit akan tinggal lebih lama di hospital dan ini akan melibatkan peningkatan kos yang terpaksa di bayar, terutama jika pembedahan ini dilakukan di hospital swasta.<\/p>\n
\u00a0<\/p>\n
Selain itu pesakit juga mungkin dimasukkan semula ke hospital, setelah dibenarkan pulang dan berehat beberapa hari di rumah.<\/p>\n
\u00a0<\/p>\n
Bagi pembedahan yang melibatkan anggota tubuh atau tulang yang besar, sudah boleh menyebabkan jangkitan kuman yang tidak terkawal, sehingga menyebabkan kematian.<\/p>\n
Rujuk: \u00a0Wong ES. Surgical site infection. In: Mayhall DG, editor. Hospital epidemiology and infection control. 2nd ed. Philadelphia: Lippincott; 1999. pp. 189-210.<\/i><\/p>\n
\u00a0<\/p>\n
Oleh itu doctor akan memberikan ubat antibiotic sebagai langkah pencegahan jangkitan kuman yang biasa berlaku padapembedahan tulang , lebih-lebih lagi jika doctor merasakan bahawa pesakit itu mengalami risiko jangkitan yang tinggi. Langkah ini\u00a0 \u00a0akan mengurangkan risiko jangkitan kuman yang mungkin terjadi.<\/p>\n
Rujuk: Pavel A, Smith RL, Bakkard A, Larsen AJ. Prophylactic antibiotics in clean orthopaedic surgery. J Bone Joint Surg 1974; 56A: 777-782.<\/i><\/p>\n
\u00a0<\/p>\n
Walau bagaimana pun tidak semua kes pembedahan perlu diberikan ubat antibiotic, kerana jika tidak berhati-hati boleh menyebabkan wujudnya kuman-kuman yang kebal terhadap antibiotic, meninggikan risiko terhadap kesan sampingan ubat,\u00a0 dan memberikan ubat antibiotic juga akan meninggikan kos yang terpaksa belanjakan.<\/p>\n
\u00a0<\/p>\n
Oleh itu jika tiada risiko yang tinggi, ubat antibiotic hanya diberikan dalam masa satu atau dua jam sebelum pembedahan dilakukan.<\/p>\n
Rujuk:\u00a0 Classen DC, Evans RS, Pestotnik SL, et al. The timing of prophylactic administration of antibiotics and the risk of surgical wound infection. N Engl J Med 1992;326:281-286.<\/i><\/p>\n
\u00a0<\/p>\n
Walau bagaimana pun tiada ubat antibiotic diberi selepas 24 jam pembedahan.\u00a0 Jadi tiada lagi ubat antibiotic yang sepatutnya dibawa pulang untuk dimakan \u00a0selepas keluar dari hospital, kecuali doctor mengesan jangkitan kuman pada luka. Pesakit hanya perlu membersihkan luka pembedahan saja menggunakan cecair normal saline saja.<\/p>\n
Rujuk: Nelson CL, Green TG, Porter RA, Warren RD. One day versus seven days of preventative antibiotic therapy in orthopaedic surgery. Clin Orthop 1983;176:258-263.<\/i><\/p>\n
\u00a0<\/p>\n
Bagi ubat tahan sakit, boleh gunakan jika rasa sakit di luka pembedahan. Jika tidak rasa sakit, tidak perlulah ubat tahan sakit itu.<\/p>\n
\u00a0<\/p>\n
Wallahu a\u2019lam<\/p>","protected":false},"excerpt":{"rendered":"
PERLUKAN ANTIBIOTIK DAN UBAT TAHAN SAKIT SELEPAS PEMBEDAHAN BUANG BESI \u00a0 \u201cAssalam mu alaikum doktor. Saya berumur\u00a0 13 tahun\u00a0 dan akan menjalani pembedahan untuk \u201cbuang besi dalam tulang\u201d Selepas pembedahan itu, perlukah saya makan ubat antibiotik dan ubat tahan sakit ?\u00a0 sekian terima kasih\u201d \u00a0 WA ALAIKUM MUS SALAM. \u00a0 Pembedahan mengeluarkan semula bendasing logam …<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1603],"tags":[4923,4934,4933,4962,5021,4865,4903,5000,803,273,2910,2246,4765,4936,1945,911,4356,2756,4859,181,4885,4995,3820,4867,2716,4114,4979,4978,4858,3487,3950,1914,4849,3547,4835,3774,2531,3227,5014,4541,4516,4529,504,1459,2814,3773,3151,16,2518,3767,4989,1943,1706,1638,4883,1168,3362,4958,4998,2296,4370,4930,4779,1453,4738,4124,4959,3584,4857,4748,175,4984,4985,3210,3205,2799,3943,4747,510,4884,2872,3847,3997,4890,4972,4145,4970,4182,4966,2800,4907,4957,4892,711,3068,4868,3495,5007,129,4363,4745,4740,4965,1438,338,3155,3421,1376,923,846,3147,4870,557,1001,5471,1712,4982,5008,5015,1279,5010,4742,115,286,1887,5478,4899,1465,1518,5003,2201,1403,1357,24,1358,212,671,4910,4911,1481,5020,201,5019,3800,3872,4850,421,4854,1608,3108,4852,4780,1697,4817,4536,2971,3619,4942,4943,4513,4056,2687,4514,1477,2888,4994,639,4798,4373,4253,398,337,4743,1468,4840,4515,5473,3768,1581,967,285,3382,5474,4372,4853,4980,4935,4952,2986,4953,477,4520,3328,3902,4869,4749,3383,743,4992,1984,4052,4861,4913,3214,768,1388,3465,2337,4931,3371,650,4838,4919,3959,4517,1539,4011,4917,29,1688,4889,593,4617,4160,230,4886,4523,3202,3367,4882,4836,153,5009,215,3906,4895,3325,3026,3585,1545,278,4837,2557,244,108,3512,4887,3162,3708,4540,4954,1827,2614,434,229,3107,4374,4464,1806,1474,1991,1685,399,4744,748,376,4294,3504,4184,2673,2174,4601,3769,2245,2849,4856,3061,3717,4413,4932,2599,3609,3942,2626,2568,40,5016,4961,4922,4511,4818,2433,2210,4381,1158,3165,4925,4875,2778,3805,3135,2805,1631,4737,4918,2765,4987,4968,2169,2193,144,4524,4799,478,2488,4896,4897,1577,2957,5002,4920,3776,3777,4996,4872,2618,2500,1976,3901,3775,4955,4894,3545,2884,853,2288,4960,4094,3715,1939,1803,3990,4417,5017,592,946,3643,4988,4981,3099,3863,595,4999,456,4519,3080,5023,4881,5022,2198,1339,2491,4753,1319,4891,3466,4971,3673,3716,4973,775,4975,2907,3176,1744,1580,1515,3911,2469,3372,4286,4729,2603,5006,2327,1282,4967,2067,1329,4938,4908,2559,766,3183,2847,101,385,4906,365,4739,118,4983,438,4750,4976,1783,4977,4939,4940,509,596,382,4751,597,1201,4937,335,4905,5477,3571,1160,4991,3718,2104,4950,2463,5012,897,3787,2880,951,1864,4229,4927,1316,4916,4914,4928,4924,4741,1809,1119,4677,3855,820,1299,1186,3508,1164,69,1478,4990,5004,643,3369,3031,4126,3141,1679,3770,648,3771,2504,272,1409,2420,4236,3451,126,4044,4380,4510,4521,1843,2852,3164,3125,3772,4974,4904,4951,104,308,5018,4752,507,1985,3018,4711,4235,178,2717,4096,1610,4165,2656,4873,4956,4586,4926,4876,4877,4512,3797,2593,2507,2348,4909,4098,2078,4866,4860,2842,611,3206,4993,4874,4921,3413,4929,4369,1853,2597,4764,4405,4964,1411,5005,4746,4554,1925,2944,3259,2670,195,3153,4863,622,3529,4371,3350,5011,2161,4997,746,4969,3379,1897,1975,827,3030,4915,3566,4912,5001,4855,1636,1317,594,4841],"class_list":["post-6845","post","type-post","status-publish","format-standard","","category-doktor-menjawab","tag-4923","tag-30an","tag-40an","tag-abrupsio","tag-acid","tag-acupunture","tag-adakah-saya-hamil","tag-aids","tag-air","tag-air-mani","tag-air-suam","tag-aktif","tag-ali","tag-amlodepine","tag-anak","tag-anemia","tag-anesthesia","tag-antacid","tag-antasid","tag-antibiotik","tag-ari-ari","tag-arshat","tag-asid","tag-askar","tag-asma","tag-aspirin","tag-atipikal","tag-atypical","tag-ayperi","tag-bacaan","tag-badan","tag-bakteria","tag-balik","tag-bangun","tag-bangun-malam","tag-barah-hati","tag-barah-rahim","tag-baring","tag-bartholian","tag-baru","tag-batin","tag-batu","tag-batu-karang","tag-batuk","tag-bau","tag-beku","tag-belakang","tag-bengkak","tag-bengkakan","tag-bentuk-badan","tag-berahi","tag-berak","tag-berat","tag-berat-badan","tag-berbuih","tag-berdebar-debar","tag-berdiri","tag-beret","tag-berita-harian","tag-berjalan","tag-berjauhan","tag-berkabur","tag-berlubang","tag-bersalin","tag-bertahan","tag-besar","tag-bilik","tag-biodex","tag-bishkek","tag-bleeding","tag-bmi","tag-bohsia","tag-bojan","tag-bra","tag-breast","tag-buah-dada","tag-buang","tag-buang-rahem","tag-buasir","tag-buih","tag-busuk","tag-cacat","tag-cair","tag-calender","tag-calonoscopy","tag-cancer","tag-canser","tag-catuaba","tag-cawan","tag-cecair","tag-celaru","tag-ceret","tag-cervical","tag-cervix","tag-cesarea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faham mengenai “darah kotor”","author":"drzubaidi","date":"14\/05\/2014","format":false,"excerpt":"Dalam \u00a0perubatan moden, tiada yang diistilahkan sebagai darah kotor. Darah kotor adalah istilah longgar yang sering digunakan bagi menggambarkan beberapa penyakit. Ia sebenarnya salah faham pada konsep hematology (ilmu tentang darah). Antara salah faham yang mengatakan seseorang itu mempunyai darah kotor apabila: 1. Keadaan kulit bagi pesakit yang ekzema, dermatitis,\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6055,"url":"https:\/\/drzubaidi.com\/blog\/mengelakkan-gastrik-pada-orang-berpuasa\/","url_meta":{"origin":6845,"position":1},"title":"MENGELAKKAN GASTRIK PADA ORANG BERPUASA","author":"drzubaidi","date":"25\/06\/2014","format":false,"excerpt":"Bagi mengelakkan gastrik (acid reflux) pada orang yang berpuasa, beberapa langkah perlu diambil bagi mengelakkan muntah lendiran masam, kembung perut, mudah sedawa dan sedu. \u00a0 1. Elakkan makan secara banyak sekali gus \u00a0 2. Jangan berbaring atau bersandar selepas makan \u00a0 3. Banyakkan minum air sebelum makan makanan yang berat\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x-300x254.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":6051,"url":"https:\/\/drzubaidi.com\/blog\/bahaya-ubat-penahan-sakit\/","url_meta":{"origin":6845,"position":2},"title":"Bahaya Ubat Penahan Sakit","author":"drzubaidi","date":"25\/06\/2014","format":false,"excerpt":"\u201cSalam doktor, baru-baru ini bapa saya berumur 65 tahun telah terjatuh di tangga luar rumah. Dia mengalami sakit di pergelangan kaki dan doctor memberitahu yang dia mengalami \u2018sprain\u2019 kerana ia sangat bengkak dan tidak boleh digerakkan. Xray telah diambil dan normal. Dia telah menggunakan ubat tahan sakit yang doctor beri\u00a0\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":9633,"url":"https:\/\/drzubaidi.com\/blog\/makan-antibiotik-ceferoxime-ketika-hamil\/","url_meta":{"origin":6845,"position":3},"title":"Makan antibiotik ceferoxime ketika hamil","author":"drzubaidi","date":"26\/06\/2018","format":false,"excerpt":"MAKAN ANTIBIOTIK CEFUROXIME KETIKA HAMIL \"Assalamualaikum Dr. Saya mahu bertanya, bolehkah saya mengambil ubat antibiotik cefuroxime ketika hamil. Malam tadi saya ada bleeding, pagi nya saya ke hospital. Doktor bagi ubat ini untuk kuatkan fetus. Sewaktu pemeriksaa, doktor dapati ada kemerahan dekat dalam vagina. Selamatkah ubat ini dimakan? Terima kasih.\"\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6644,"url":"https:\/\/drzubaidi.com\/blog\/guttate-psoriasis\/","url_meta":{"origin":6845,"position":4},"title":"Guttate psoriasis","author":"drzubaidi","date":"26\/10\/2014","format":false,"excerpt":"\u00a0 Tidak semua antibiotik menyebabkan alahan ubat. Adakalanya doktor terkeliru apatah lagi selepas ubat diberikan, pesakit mengadu mengalami alahan pada kulit. \u00a0 Dalam satu keadaan yang dinamakan \"Guttate psoriasis\" atau dalam bahasa mudahnya \u00a0\" letusan psoriasis \" adalah sejenis penyakit kulit psoriasis yang muncul selepas jangkit. \u00a0 Pesakit mengalami demam,\u2026","rel":"","context":"In "Catatan Peribadi"","block_context":{"text":"Catatan Peribadi","link":"https:\/\/drzubaidi.com\/blog\/category\/catatan-peribadi\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2011\/09\/59603758-300x300.webp?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":11287,"url":"https:\/\/drzubaidi.com\/blog\/apa-itu-appendicitis\/","url_meta":{"origin":6845,"position":5},"title":"APA ITU APPENDICITIS?","author":"admin","date":"09\/06\/2020","format":false,"excerpt":"\u00a0 \"Assalamualaikum Tuan Doctor. Boleh tak ceritakan bagaimana appendicitis boleh terjadi. Adakah appendicitis boleh terjadi di kalangan kanak-kanak. Semalam cucu saya berumur 8 thn sakit perut menggelepor dan muntah2, kami bawa pergi hospital. Doctor pakar bagitau kena appendik dan akan bedah, hari ini doc bg antibiotik kalau ok katanya tak\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/6845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/comments?post=6845"}],"version-history":[{"count":2,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/6845\/revisions"}],"predecessor-version":[{"id":15227,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/6845\/revisions\/15227"}],"wp:attachment":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/media?parent=6845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/categories?post=6845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/tags?post=6845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}