Best mankhwala pambuyo opaleshoni: mubwereze za mankhwala, makamaka phwando mavoti

Pambuyo alowererepo aliyense opaleshoni zikuoneka chitukuko cha mavuto septic. Ichi ndi chifukwa chilonda matenda, komanso chitukuko cha Mwina mmenemo yotupa ndondomeko. N'chifukwa chake mankhwala opha tizilombo toyambitsa Kwalamulidwa pambuyo opaleshoni. Mankhwala awa amagwiritsidwa ntchito pofuna kuwononga tizilombo toyambitsa matenda tizilombo. Zotsatira mmene izi kuwonongedwa kwa ndondomeko yotupa.

Mawu "mankhwala" njira zakale Greek "ndi moyo." Ndipo dzina cholakwika zochita za ndalama zimenezi. Ndipotu, ntchito kupondereza chitukuko maselo amoyo.

Maantibayotiki pambuyo opaleshoni adzakhala adzasankhidwa ndi dokotala nawo. Only ndi nzeru zake ndi mlingo woyenera wa mankhwala ziyenera kuchitika.

amafunika

Maantibayotiki dokotala n'kukulemberani pambuyo ochitidwa opaleshoni mu mawonekedwe a mankhwala opha tizilombo. Komabe, maphunziro kuyambirira katswiri chipatala mavuto, komanso chikhalidwe cha ndondomeko yotupa.

Kodi ndifunika mankhwala pambuyo opaleshoni ya? Yankho la funso limeneli amapereka dokotala potengera makhalidwe munthu aliyense wodwala. Pali zinthu zosiyanasiyana zimene zingalimbikitse makamaka kusankha katswiri. Ndipotu, pamene maantibayotiki ndi zofunika molondola amapenda boma la mphamvu zoteteza thupi la wodwalayo, munthu tsankho la magulu ena mankhwala, etc.

Maantibayotiki postoperatively atsogolere mankhwala wodwala. Umagwira ntchito yofunika komanso kupewa kupewa mavuto osiyanasiyana chifukwa cha opaleshoni.

N'chifukwa chiyani mankhwala?

Mosiyana ndi mankhwala ena, mankhwala awa khama zotsatira zawo Pa zolandilira selo. Maantibayotiki kusokoneza tizilombo, chimene chinapangitsa kuti chitukuko cha ndondomeko yotupa. Iwo mabakiteriya amene amazindikira iwo. Zilibe kanthu, iwo zimayambitsa matendawo kapena ayi.

Mavuto pa thupi

Kodi chimachitika pamene wodwala kutenga mankhwala pambuyo opaleshoni ya? Akulowa mu thupi la munthu m'njira zosiyanasiyana, ali m'magazi.

mankhwala Komanso kudziunjikira mu ziwalo ndalama mwachindunji. Apa iwo amapanga mmene, kaya ntchito iwo m'nsinga, timitu kapena pakamwa. Chinthu chachikulu ndi kuti wodwalayo kumwa mankhwala pa nthawi ndipo pa mlingo ankafuna. Linachokera maantibayotiki excreted mu ya ndulu ndi mkodzo.

zinthu kusankha

Kodi mankhwala zotchulidwa pambuyo opaleshoni? Ndi kusankha kwawo madokotala mfundo zotsatirazi:

- luso msanga kudutsa mu mwazi;
- kuthekera kudzikundikira mu yotupa zone ndondomeko;
- pamaso pa mlingo mavuto;
- mayiko mawonekedwe mlingo;
- zalowapo magazi (maola osachepera asanu ndi atatu);
- otsika kawopsedwe;
- malo a ndondomeko purulent;
- kufalikira mofulumira matenda;
- zinthu zimene alipo mu tizilomboto ya;
- bata wothandizira losiyanasiyana mankhwala.

Madokotala amakonda mankhwala?

Amene mankhwala kutenga pambuyo opaleshoni? Mndandanda wa mankhwala amene zofala kwambiri ntchito ndi akatswiri mu Zikatero monga:

1. Cephalosporins. Ndi mankhwala monga "Tsefriakson", "Tsefotaksin", "Cefazolin" ndi ena. Mankhwalawa angathe ozama mu wothandizila aerobic ndi anaerobic pokhala pansi kusintha michere awo mapuloteni. The chifukwa cha zotsatira amenewa ndi tizilombo tating'onoting'ono magawano selo chopinga.

2. mankhwala a aminoglycoside lapansi. pochita, makamaka, ndi "Amikacin". zinthu zake yogwira sangathe kugonjetsa maselo a tizilombo toyambitsa matenda, koma anasiya mitosis, kusokoneza kaphatikizidwe mapuloteni. Chifukwa ndi chiwonongeko cha bakiteriya.

3. Kukonzekera Penicillin gulu. Izi, makamaka, chida monga "Amoxiclav". Pa kapangidwe ake ndi amoxicillin ndi asidi clavulanic. Woyamba mwa zigawo zimenezi kumachepetsa kwambiri mapangidwe nembanemba khungu, ndi zina (acid) chindiletsa amawononga zinthu chitetezo antibacterial.

4. Kukonzekera karbalenemov gulu. Awa, madokotala mankhwala mankhwala zambiri monga "Meropenem". Iwo amasokoneza kaphatikizidwe mapulotini, ndipo izi limaleka kafalitsidwe tizilombo toyambitsa matenda. Pa nthawi yomweyo anasiya ndi kupanga poizoni ndi tizilombo galamu-negative. Zimenezi zimabweretsa zina zotsatira achire.

mankhwala onsewa a gulu la beta-lactam. Ngati mankhwala opha tizilombo toyambitsa Kwalamulidwa pambuyo opaleshoni, amene mwa iwo ntchito mu malo oyamba? Choyamba, madokotala mankhwala mankhwala ali mu mndandanda cephalosporin. Ichi ndi chifukwa kuchuluka ntchito wothandizila izi kwa thupi la galamu alibe ndi galamu HIV tizilombo. Komanso, Kwalamulidwa mankhwala kwa gulu, popanda kukayika kulikonse - yabwino mankhwala pambuyo pa opaleshoni chifukwa akhoza kuletsa zochita za matenda pa chiopsezo osachepera mavuto mbali.

Maonekedwe ndi mlingo wa chikuonetseratu

Only pamene kutumikiridwa systemically ayenera kugwiritsidwa ntchito mankhwala postoperatively. Kodi mitundu ya mankhwala Ndi bwino? Iwo ali osiyana. Mwachitsanzo, mankhwala-jekeseni pambuyo opareshoni awerenge. Pamene ntchito monga ampoule okonzeka zopangidwa njira, ndi kukonzekera mu mawonekedwe a ufa.

Awa ndi zida zimene m'gulu la karbalenemov gulu ndi cephalosporins. Komanso, mu nthawi postoperative angakupatseni mankhwala a mapiritsi ndi suspensions. Iwo ntchito pa nthawi imene alili ndi kokhazikika, ndi mlingo wa chododometsa yotupa otsika.

Ngati mankhwala zotchulidwa pambuyo opaleshoni, masiku angati muyenera kuchita zinthu? Pa phwando ya mankhwala otere malamulo okhwima okhudza. anakhala sayenera upambana masiku asanu ndi awiri. The kuchotserapo okha milandu ya zotupa yaikulu, sepsis ndi bacteremia. Ndi chitukuko zoterozo kudwala akhoza kugwiritsa ntchito zida imodzi angapo, mogwirizana amene amaonetsetsa pazipita zothandiza mankhwala antibacterial.

Mwachidule katundu

Akukhulupirira kuti njira kwambiri zomveka za ntchito mankhwala pambuyo opaleshoni - jekeseni izi. Taganizirani njira zoyambirira za powapatsa mankhwala zambiri ntchito.

1. Cephalosporins. mankhwala awa kutumikiridwa monga jekeseni kapena kulowetsedwa. dokotala linaŵerengera mlingo zochokera panopa chithunzi matenda. Ndi pafupipafupi eyiti anatumizidwa mankhwala mu ndalama kuchokera magalamu 0,25 kuti 0,5, ndi pa intervals 12 maola - 1 gram. Pamene kuwonongeka kwa wodwala administrated kuchuluka yafupika.

2. mtsempha kapena mu mnofu makonzedwe wapangidwa mankhwala monga "Amikacin". Komanso kuchuluka ake tsiku anatsimikiza ndi dokotala kupezeka potengera kulemera kwa wodwalayo. Pa kilogalamu anaika amapatsa njira 10-15mg. Mlingo okwana mankhwala agawidwa magawo angapo.

3. kutumikiridwa m'nsinga kapena jekeseni ndi mankhwala monga "Amoksiklav". Katatu pokha wake Ana osaposera zaka 12, komanso odwala wamkulu. A mlingo umodzi wa magalamu 1-2. Pamene muli wodwala mu msinkhu kuyambira miyezi itatu zaka khumi ndi ziwiri, kuchuluka kwa chuma jekeseni kuchita masamu ndi kulemera. Pankhaniyi, kilogalamu imodzi kuperekedwa 30 mg wa mankhwala.

4. kulowetsedwa, mtsempha bolus kapena mankhwala ntchito monga "meropenem". Choncho mlingo chofunika anatsimikiza ndi dokotala potengera mmene alili pambuyo ntchito. Nthawi kumene njira yotupa chidzachitika khungu wosanjikiza kapena zimakhala, dongosolo urogenital, kapena mu mapapo, mankhwala chikuyendetsedwera katatu pa tsiku kwa 0.5 ga zinachitikira sepsis (tizilombo toyambitsa), ndipo ukuwonjezeka mlingo ku magalamu 1 2. antibayotiki Kwalamulidwa kwa ana potengera kulemera, kuwerengera pa kilogalamu imodzi 30-60 mg.

Pa phwando pafupifupi odwala aliyense mankhwala akhoza kuona zotsatira zosiyanasiyana mbali mu mawonekedwe a kunyansidwa ndi emesis, matenda sutulu ndi ululu m'mimba, ndi dysbiosis. Kugwiritsa ntchito mankhwala monga "Tsefotaksin" ndi "Cefazolin" Nthawi zambiri chifukwa cha thupi lawo siligwirizana, maonekedwe a mutu ndi kutupa pa malo jekeseni. Izi amachepetsa chiwerengero cha leukocytes ndi maselo othandiza magazi kuundana m'magazi.

Zotsatira zake zoyipa ku maantibayotiki "Ceftriaxone", kuwonjezera pa pamwamba pa zonse, monga mwa mndandanda wake wa candidiasis, komanso pakutchulidwa kutupa mu mafupa a chiuno ndi aimpso.

Kugwiritsa ntchito mankhwala "Amoxiclav" kuti mndandanda wa zotsatira zoipa anawonjezera hematuria. njira A "Meropegem" kungakhale khunyu. Mankhwala "Amikacin" odwala ena amachepetsa magwiridwe kumva, ndi vuto la impso.

Pambuyo ntchito mano

Mankhwala a maantibayotiki mano kuchita kokha pamene pambuyo opaleshoni mdzenje pali yotupa ndondomeko limodzi ndi redness, kutupa kwambiri ndi mafinya. Pa nthawi imene wodwalayo chitetezo chokwanira ndi chofooka motalika kuchiritsa bala, mankhwala kuletsa ntchito yofunika tizilombo toyambitsa matenda, Kwalamulidwa osakaniza ndi wothandizila immunomodulating.

Mankhwala a maantibayotiki amapangidwa ndi pamene wodwala safuna kutsatira malamulo aukhondo munthu ndi kuiwala muzimutsuka pakamwa panu. Pambuyo pa opaleshoni, linaopseza kugunda mu matenda chilonda. Zonsezi kumabweretsa ndondomeko yotupa.

Amene maantibayotiki kumwa pambuyo opaleshoni kuti kuchotsa mano? Mu milandu, bwino kutsimikiziridwa mankhwala monga "Cefixime", "Ceftriaxone" ndi "Cefazolin". Akadzayamba chamoyo ndi chiwonongeko cha maselo makoma a mabakiteriya.

Chopinga wa michere tating'onoting'ono zimathandiza kuti mankhwala monga "Sparflo", "norfloxacin" ndi "levofloxacin" ndi mankhwala ena a gulu fluoroquinolone. Zisokoneze bakiteriya mapuloteni kaphatikizidwe mankhwala wa tetracycline gulu ( "Doxycycline", "oletetrin" neri Al.). Komabe, mankhwala ambiri, amene ntchito pa matenda a postoperative kutupa mu zitsime dzino ndi "amoxicillin", "Amoksiklav" ndi "lincomycin".

Pambuyo kuchotsa appendicitis

Kodi mankhwala ali zotchulidwa dokotala mu masiku awiri oyamba pambuyo opaleshoni? Kuteteza zosayembekezereka Mwina matenda kwenikweni ntchito mankhwala pambuyo ntchito appendicitis. Taganizirani zambiri zotchulidwa awa:

1. "Zinatsef". Ndi mankhwala a mbadwo atsopano. Zimenezi kumatha tizilombo toyambitsa matenda osiyanasiyana mitundu. Mankhwala anadzetsa thupi kudzera jekeseni kapena m'nsinga kapena intramuscularly.
2. "Dalatsin". Izi mankhwala kumabwezera mmbuyo ntchito za mabakiteriya awa, ndiwo ankatumikira causative njira yotupa. Mankhwala chikuyendetsedwera kuwauza kapena kutumikiridwa ndi njira mtsempha kapena mu mnofu.
3. "Metrogil". Kulandira mankhwala kumatha tizilomboto mogwirizana tizilombo angathe ukhala pamene palibe mpweya. Izi mankhwala amene amagwiritsidwa ntchito pa matenda a pachimake appendicitis mawonekedwe.
4. "Tienam". Zinthu zimenezi amakhala ndi osakaniza mankhwala opha tizilombo toyambitsa ndi puloteni imeneyi, kuteteza chiwonongeko cha mankhwala a. Zimenezi zimathandiza kuonetsetsa kuti mankhwala umadutsa impso, kosamugonjera kudzitsitsa. Si anawonongedwa, ndipo mchikakamizo cha michere bakiteriya. Mankhwala othandiza kwambiri atadziŵa tizilomboto tizilombo za mitundu yosiyanasiyana, mogwirizana ndi chimene amagwiritsidwa ntchito pofuna kuchiza appendicitis osefukira aakulu kukhala ndi gawo pachimake.
5. "Imilinem". antibayotiki angathe bwino kuthetsa mitundu yambiri ya tizilombo toyambitsa matenda. Ndi kugonjetsedwa ndi michere bakiteriya kuti awononge mankhwala ena ofanana. Mankhwala mankhwala pamene appendicitis amakhala aakulu.
6. "Meronem". The kanthu za mankhwala ndi wofanana ndi m'mbuyomu. Komabe, amaona aluso chifukwa chakuti ndi zochepa poyera kuti chiwonongeko ukamapita impso.

Pambuyo kuchotsa chophukacho intervertebral

M'zaka zaposachedwapa, ntchito otere zimagwiridwa ndi ochepa onse odwala. Ichi ndi chifukwa patsogolo kwambiri zachipatala khalidwe la mankhwala ndiwofatsa matenda. Komanso, kugwiritsa ntchito zinthu zamakono limachititsa kuchepetsa nthawi postoperative. Pali nthawi imene wodwala amasamukira mwamsanga tsiku lomwelo. Komabe, patsogolo zachipatala palibe chifukwa osaganiza mtima kuti konzanso. Ndipotu, ntchito yaikulu ya nyengo imeneyi kulimbikitsa zotsatira za phukusi opaleshoni ndi kupewa mavuto.

Mankhwala pambuyo opaleshoni (chophukacho) chikuyendetsedwera kwa prophylaxis njira septic. Pankhaniyi, dokotala n'kukulemberani mankhwala monga "tsefotetan" kapena "Tsefoksitin". Nthawi phwando - kuchokera maola 12 kuti 18 pambuyo opaleshoni.