Mankhwala kwa sinusitis akuluakulu: mayina ndi ndemanga

Sinusitis zambiri umakula vuto la chimfine, ndi tizilombo toyambitsa matenda. Anthu ambiri ntchito mankhwala ndiwofatsa zochizira matenda. Mankhwala kwa sinusitis akuluakulu pokhapokha wasonyeza ngati kudwala chiyambi bakiteriya. Sipangakhalenso anatsimikiza ndi zizindikiro za khalidwe.

Kufotokozera matenda

Sinusitis otchedwa pathological ndondomeko imene chofuna mucosa wa paranasal (paranasal) sinuses. Recent ntchito zingapo zofunika - mpweya ofunda ndi Mpweya kuboola mphuno, kutenga mbali katchulidwe ka phokoso kuchepetsa kulemera kwa mafupa achigaza. Maxillary (maxillary), kutsogolo (mazunzo) ndi gululi - magulu atatu a sinuses. Mphero woboola pakati, ankakhala mu thupi la mafupa waukulu a Chigaza, ndi unpaired. Malinga ndi malo kutupa amadziŵika mitundu zotsatirazi matendawa: mazunzo sinusitis, sinusitis, sphenoiditis, ethmoiditis.

Lingachititse chitukuko cha sinusitis monga tizilombo toyambitsa matenda (mabakiteriya, nkhungu, ndi tizilombo tina) ndi allergens. Nthawi zambiri, matenda akufotokozera pamaso pa matenda enaake, amene bakiteriya nkulowa pa chithandizo cholakwika. Pamene kuyan'anila za outflow wa secretions mucous ku sinuses, mikhalidwe kwa kuswana kwa tizilombo toyambitsa matenda. Kuthana ndi thandizo lawo yogwira mankhwala. Pamene sinusitis akuluakulu (ndi ana, nawonso), n'kofunika kwabasi kuyamba chithandizo.

zizindikiro

Mphamvu ya zizindikiro za sinusitis zimadalira mtundu umene kutupa amapezeka. Pakuti pachimake yotupa ndondomeko khalidwe akamalimbikira ululu sinuses lapansi. zomverera zosasangalatsa wambiri mphumi kapena mlatho wa mphuno, pansi pa maso kapena mbali zonse za mphuno, nsagwada chapamwamba kapena mano. Chiwonetsero cha matenda ndi zambiri poipa pamene mutu linapendekeka.

Chinthu china khalidwe - chimfine. Ngati ali ndi lachikasu wobiriwira mthunzi, akulankhula za chitukuko cha matenda bakiteriya. Pankhaniyi, muyenera mankhwala.

Sinusitis ndi sinusitis akuluakulu ndi woipa kwambiri fungo ndi kupuma kupyolera mphuno, pali mutu amphamvu. Pali zizindikiro za kuledzera - malungo, malaise ndi kufooka limapezeka, kusagwira ntchito. Kupeza zizindikiro zimenezi, muyenera yomweyo kukaonana ndi katswiri.

Chithandizo cha sinusitis akuluakulu

Mankhwala opha pafupifupi nthawi zonse ntchito zochizira kutupa mu m'njira za m'mphuno paranasal. Iwo kawirikawiri kutumikiridwa mu pachimake gawo otaya kudwala pamene wodwala thupi kutentha limatuluka ndi purulent m'mphuno allocated chinsinsi. Chotero chikhalidwe mwamsanga kupita mu gawo aakulu, zomwe ndi zosatheka kuti kukhudzana zachipatala, ndi kukula iliyonse ozizira. Popewa izi, m'pofunika kuyamba mankhwala.

sinusitis, chithandizo umalimbana pa chiwonongeko chotheratu cha matenda tizilomboto mpumulo zizindikiro ndi kupewa mavuto. Kuwonjezera mankhwala mankhwala ayenera monga mankhwala ndi analgesic ndi zotsatira antipyretic, madontho vasoconstrictive (kutsitsi) kwa mphuno.

Kaya ntchito mankhwala?

Only dokotala angathe mankhwala ndi "olondola" mankhwala amene amachiza sinusitis akuluakulu. Kuyambirira m'pofunika kuchita zasayansi kuyezetsa kudziwa mtundu wa wothandizila causative za ndondomeko yotupa. The diagnostics amasankhidwa njira mulingo woyenera kupondereza ntchito tizilombo tating'onoting'ono.

Kutalika kwa chithandizo kumatengera ndi mawonekedwe a kudwala lapansi. Mu pachimake sinusitis pa chithandizo ayenera masiku osachepera 10. Mawonekedwe aakulu amafuna yaitali zotsatira pharmacological.

Pofuna losiyanasiyana sinusitis ntchito mitundu ingapo ya mankhwala:

• Penicillin - antibacterials gulu ili ndi kusankha achire ntchito ndipo sikumangotikhudza thupi lonse.
• Macrolides - imatengedwa otetezeka wa wothandizira onse antibacterial ndi ndi sipekitiramu yotakata kanthu.
• Cephalosporins - limagwirira ndi sipekitiramu wa kanthu ofanana ndi penicillin. Pamene ntchito sinusitis atumwi ndi wachiwiri m'badwo.
• Tetracyclines - ndi kufanana ndi macrolides, koma nthawi zambiri amayambitsa zotsatira mbali ndi kukhala ndi chiwerengero cha contraindications.
• Aminoglycosides - nacho osiyanasiyana zotsatira achire ndi dzuwa, koma ndi kawopsedwe mkulu.

Mankhwala kwa sinusitis akuluakulu, malingana ndi sitepe ndi mitundu matenda. Macrolides ndi cephalosporins kuthandiza kupirira kutupa wofatsa. Ngati matendawa amapezeka ndi mavuto ndipo likuoneka kuti sizikutha, madokotala amavomereza penicillin kutetezedwa. Nthawi zina, tiyeni kulandira mankhwala m'dera antibacterial.

mankhwala ochiza sinusitis akuluakulu

Mayina a mankhwala ena akhala amadziwika yochizira matenda. Mwachitsanzo, amatanthauza "amoxicillin" amatanthauza penicillin kutetezedwa ndi kawirikawiri amagwiritsidwa ntchito pofuna kuchiza matenda a chapamwamba thirakiti kupuma bakiteriya etiology. A mwayi kwambiri mankhwala ndi chitetezo chake ndi zotsatira kochepa mbali.

mankhwala wina kwa penicillin gulu - "Amoxiclav" - komanso igwera mu gulu kutetezedwa. Zinaonetsedwa pa chionetserocho mankhwala kukana kwa enzyme beta-lactamase, lomwe likupezeka mu mabakiteriya ambiri ndipo kwambiri kumachepetsa zotsatira achire wa mankhwala.

Sinusitis akhoza perekani njira zotsatirazi:

• "Cephalexin".
• "Azithromycin".
• "Augmentin".
• "Cefazolin".
• "Flemoklav Soljutab".
• "Sumamed".
• "Ceftriaxone".
• "Clarithromycin".

Kuthetsa zizindikiro za kutupa mu m'njira za m'mphuno paranasal mankhwala ambiri. Kumvetsa mmene mankhwala kwa sinusitis akuluakulu, m'pofunika dokotala. Mlingo wa mankhwala ndi mankhwala chiwembu anatsimikiza anthu paokhapaokha.

An kukonzekera ogwira apakhungu ndi "Bioparox". kutsitsi m'mphuno kumakhudza bacteriostatic ndipo kawirikawiri ntchito pochiza sinusitis. M'njira ya gulu - "Polydex". Mankhwalawa wapangidwa ndi zinthu ziwiri basi antibacterial. Ikani mankhwala apakhungu ndi purulent sinusitis akuluakulu osati kuthetsa tizilombo toyambitsa matenda, komanso kuthetsa kuchulukana m'mphuno, mucosal edema kuchotsa.

"Amoxiclav" chifukwa sinusitis

bakiteriya sinusitis chithandizo ayenera kukhala zovuta. Maziko a mankhwala ndi ambiri mankhwala. Zokonda zapatsidwa kwa njira kwambiri otetezeka ndi kothandiza. mankhwala amenewa ndi monga "Amoxiclav" - ndi kupanga yotakata-sipekitiramu penicillin. The Gawo ndi amoxicillin ndi asidi clavulanic. Kumasulidwa mankhwala mawonekedwe a lyophilisate ntchito yokonza njira jekeseni, suspensions, ndi miyala.

Mankhwala akhoza kuletsa kukula kwa galamu HIV, galamu alibe, anaerobic ndi mabakiteriya aerobic causative sinusitis. The "Amoxiclav" alibe limakhudza zowononga pa microflora ndi matumbo, antibacterials ena. Ziyenera adzanyamula kukumbukira kuti yaitali kudzachitika penicillin (mankhwala) kwa sinusitis akuluakulu ali osavomerezeka chifukwa chakuti tizilombo akugwira ntchito mankhwala ndi kutaya kudziwa izo.

mlingo

Nthawi zambiri zochizira sinusitis ndi odwala ena sinusitis ndi Kwalamulidwa mankhwala "Amoxiclav" mu maonekedwe a mapiritsi. Wopanga kuwamasula ku mlingo 250, 500 ndi 850 mg. mapiritsi dispersible (500 mg wa amoxicillin ndi 850) komanso zilipo. asidi Clavulanic munali 125 mg aliyense fomu piritsi.

Mankhwalawa mankhwala ayenera kuonedwa pazipita tsiku mlingo uliwonse mankhwala. Amoxicillin akulu akhoza kuvomereza magalamu osaposa 6 acid clavulanic, - mpaka 600 mg. Malinga ndi kuopsa kwa sinusitis moleza mtima tisonyezeni 250 kapena 500 mg wa mankhwala katatu patsiku. Wina zovomerezeka chiwembu mankhwala - 825 mg wa amoxycillin mawola 12. Nthawi chithandizo - masiku 5-14.

Mankhwala "Cephalexin"

Sinusitis wofatsa chowongolera kusalekerera amalabadira mankhwala a gulu cephalosporin m'badwo woyamba ndi wachiwiri. Chimodzi mwa zida zothandiza kwambiri mu gulu ili ndi "Cephalexin". The mankhwala ndi yogwira motsutsana ambiri tizilombo tizilombo klebsiel, esherehy, streptococci, Proteus. maantibayotiki The amapangidwa mu mawonekedwe a miyala ndi granulates kwa kuyimitsidwa.

Mankhwalawa ndi mphamvu zokwanira ndi zina zambiri amayambitsa zotsatira zina zoyipa. Ngati mwakumana ndi ming'oma, kupweteka m'mimba, kunyansidwa, pakamwa youma, chizungulire, kupweteka kwa mutu, khunyu, ayenera kusiya zina mankhwala "cephalexin" ndi kusankha mankhwala modekha.

Kodi "Azithromycin" njira?

Macrolides ndi sipekitiramu mokwanira lonse kanthu antimicrobial ndi bwino analekerera ndi thupi. Nthawi zambiri ntchito izi mankhwala kwa atolankhani otitis ndi sinusitis akuluakulu ndi ana. Macrolides mwakhama staphylococci pyogenic ndi Haemophilus influenzae. Mmodzi wa mankhwala mu gulu ili ndi "Azithromycin". Thiabendazole angagwiritsidwe ntchito pa matenda a sinusitis, sinusitis ndi njira zina yotupa mu m'njira za m'mphuno paranasal.

Chida ali kawopsedwe otsika ndi kanthu bacteriostatic. Imwani mapiritsi kapena slurry muyenera kamodzi kokha patsiku asanadye kapena mawola 2 pambuyo pambuyo chakudya. Mu rhinosinusitis mlingo tsiku "Azithromycin" - 500 mg. Kutalika kwa mankhwala zambiri masiku 3, koma nthawi zina, mankhwala akhoza imakula.

Zotsatira zoyipa za mankhwalawa ndi contraindications

Ndi ndi changu chisamaliro kutenga mankhwala kwa sinusitis. Odwala wamkulu, pakhoza kukhala contraindications mankhwala, zomwe kwenikweni ayenera kufunsa. "Azithromycin" malinga ndi malangizo osati analamula kuti kuchuluka kudziwa mankhwala a gulu ili, chiwindi ndi impso.

Zotsatira zake zoyipa pa kapepala m'mimba (dyspepsia, nseru, m'mimba) ndi chitetezo (urticaria, okhadzula pa thupi), mankhwala ali osowa kwambiri.