Ndi antibiotics ati a genyantritis ndi sinusitis omwe ndi abwino kuti atenge?

Sinusitis ndi matenda abwino kwambiri. Mavuto aakulu angathe kuyamba pamene mankhwala amayamba mwamsanga kapena ngati njira zosasankhidwa bwino. Pafupipafupi nthawi zonse zimalimbikitsa kutenga ma antibiotic. Ndi sinusitis ndi sinusitis, mazira a bakiteriya ndiyo njira yokhayo yopezera kufalikira kwa matendawa. Kodi mankhwala osokoneza bongo ndi otani? Tiyeni tikambirane mwatsatanetsatane antchito otchuka kwambiri omwe amapatsidwa kuti azitha kuchiza njira yotupa.

Kodi sinusiti ndi chiyani?

Pansi pa mphuno pali magulu anayi a mpweya - ziphuphu. Onsewo ali ndi uthenga ndi chingwe cha m'mphuno. Izi zimakulolani kuti musunthire momasuka osati mpweya wokha, koma ndichinsinsi chobisika. Choncho, ngati tizilombo toyambitsa matenda tilowa m'thupi, njira yotupa imatha kukhala mumphuno ndiyeno n'kulowa m'mayendedwe. Malingana ndi malo omwe akugwiritsidwa ntchito, magulu otsatirawa amasiyana kwambiri:

• Etmoiditis - kutupa kwa trellis labyrinth (uchimo womwe uli m'mphepete mwa mlatho wa mphuno);
• Kutsogolo - kotupa pamphuno;
• Maxillary sinusitis - pamene matendawa amakhudzidwa ndi maxillary sinus;
• Sphenoiditis - kutupa mu sinthini ya sphenoid.

Thandizo lodziletsa limathandiza kuthana ndi matendawa mwamsanga ndikupewa mavuto. Ndi mankhwala ati a antibiotics a sinusitis, sinusitis ayenera kuchitidwa okha ndi katswiri. Kuphatikiza pa mankhwala osokoneza bongo, kusamba kwa sinus kungapangidwe .

Zifukwa za sinusitis

Pafupifupi nthawi zonse chitukuko cha sinusitis chimayambitsa bakiteriya kapena matenda a tizilombo. Pamene tizilombo toyambitsa matenda timalowa mumphuno, mitsempha yoyandikana nayo imayamba kusungunula kuchuluka kwa mankhwala osokoneza bongo. Izi, kumbali imodzi, zimathandiza "kutsuka" matendawa kuchokera ku thupi, ndipo pamzake - amaipitsa mkhalidwe wa wodwalayo. Njira yotupa imalimbikitsidwa chifukwa kutupa kwa epithelium kumayika pamphuno, kumateteza kuchoka kwa chitetezo cha mucous.

Zinthu zowonongeka zimakhalanso zolakwika m'mapangidwe a mphuno ya nasal, mchitidwe wosalongosoka wa uchimo wamphongo, adenoids, kuzizira kawirikawiri, ndi matenda oopsa a rhinitis.

Chithandizo

Kukula kwa sinusitis kumasonyezedwa ndi mphuno yamphongo yaitali, yomwe siimabwereka kuchipatala, kupweteka kwa nkhope, kuwonjezeka kwa kutentha kwa thupi, kutuluka kwapopu kumphuno. Mu chithunzi chomwecho, matendawa amaperekedwa mankhwala.

Pofuna kuchiza sinusitis ndi sinusitis, magulu osiyanasiyana a antibacterial mankhwala amalembedwa, chifukwa tizilombo toyambitsa matenda timayamba kukana zinthu zomwe zimagwira ntchito nthawi yaitali. Zikakhala kuti mankhwalawa amanyamulidwa molakwika, matendawa sachiritsidwa. Musanayambe kugwiritsa ntchito maantibayotiki, muyenera kukayezetsa ma laboratory kuti muzindikire mphamvu za mabakiteriya ku chinthu china.

Kuonjezera apo, ndibwino kuti mutenge mankhwala ophera tizilombo toyambitsa matenda ndi antipyretic pofuna kuthetsa zizindikiro za kutupa. Kupititsa patsogolo vutoli kungakhale komanso kutsuka kwa mphuno ndi njira zotsutsa.

Mitundu ya maantibayotiki

M'magalasi a bakiteriya a zotupa pamatenda a paranasal magulu angapo a antibacterial agents amagwiritsidwa ntchito. Katswiri yekha ndi amene angasankhe mankhwala othandiza kwambiri atatha kufufuza wodwalayo ndikudziŵa mtundu wa tizilombo toyambitsa matenda zomwe zimayambitsa kukula kwa matenda.

Maantibayotiki a sinusitis ndi sinusitis amathandiza kuthetsa kuphulika kwa mphuno, komanso chifukwa chachikulu chomwe chinayambitsa matendawa. Magulu otsatirawa akugwiritsidwa ntchito kwambiri:

• Mabala obirira - kulepheretsa kubereka ndi kukula kwa mabakiteriya. Angagwiritsidwe ntchito pofuna kuchiza sinusitis yambiri komanso yachilendo. Zakudya zamakono zimatengedwa kuti ndizoopsa kwambiri pa mitundu yonse ya mankhwala opha tizilombo.
• Mankhwala a penicillin - omwe amagwiritsidwa ntchito pochizira mitundu yonse ya sinusitis. Chofunika chofunikira ndi ntchito yosankha ya mankhwala oterowo, ndiko kuti, sagwiritsanso ntchito thupi lonse lathunthu, koma ndilopakati pa matenda.
• Cephalosporins - amalembedwa ngati penicillin analibe mankhwala oyenera. Cephalosporins amawononga mabakiteriya omwe amapezeka kuti alibe chidwi ndi penicillin.
• Tetracyclines - ali ndi zotsatira zochiritsira zofanana zowonjezereka ndipo zimaletsa kaphatikizidwe ka mapuloteni mankhwala a mabakiteriya. Komabe, tetracyclines amachititsa zotsatira zoyipa ndipo amatsutsana kwambiri.
• Fluoroquinols - khalani ndi chiwopsezo chokwanira, pangani zigawo zazikulu za zigawo zikuluzikulu m'matumba.

Za mankhwala omwe amamwa pa genyantritis ndi sinusitis, ENT-dokotala ayenera kudziwitsa. Mankhwala amasankhidwa malingana ndi msinkhu wa wodwala komanso kukula kwa matendawa. Tiyenera kukumbukira kuti maantibayotiki adzakhala othandizira pokhapokha ngati akudwala matenda a bakiteriya. Ndi mankhwala a virus sinusitis kapena sinusitis, mankhwalawa sagwiritsidwa ntchito.

Kodi mungasankhe bwanji mankhwala abwino kwambiri?

Ndi sinusitis, sinusitis m'machimo a paranasal amaphatikizapo kuchuluka kwa matenda osokoneza bongo. Chodabwitsa ichi chimayambitsa ululu ndi zovuta, ndizosatheka kupirira nawo popanda antibacterial agents. Kuchiza, dokotala amalemba mankhwala ogwira mtima kwambiri oyenerera pa nkhani inayake.

Njira yothandiza kwambiri ya sinusitis ikuphatikizapo mankhwala otsatirawa:

• Maandidwe opangidwa ndi amoxicillin (Amoxiclav, Amoxil, Ospamox, Flemoxin, Amoxicillin);
• Maantibayotiki omwe amachokera ku azithromycin ("Azitroks", "Sumamed", "Chemomycin", "Zetamaks");
• Kukonzekera kochokera ku cephalexin ("Ospexin", "Cephalexin", "Sporidex");
• Fluoroquinols zochokera ku toloxacin (Zanotsin, Zofloks, Ofloksatsin, Floksal).

Maantibayotiki a m'deralo ndi sinusitis

Mankhwala oletsa antibacterial kuti agwiritse ntchito opaleshoni ndi otchuka kwambiri. Amagwira ntchito mwachindunji pa njira yotupa ndipo alibe mphamvu zowonongeka. Amatha kuuzidwa ngati monotherapy kapena mbali imodzi yothandizira. "Bioparox", "Isofra", "Polidex" - mankhwala othandiza odwala matenda a rhinitis, sinusitis, antritis a bakiteriya.

Mankhwala opha majeremusi a ntchito zamagetsi amamasulidwa ngati mavupulu ndi sprays. Gwiritsani ntchito pokhapokha ngati pali ufulu wopita ku adenosus.

Ntchito ya "Amoxicillin"

Mankhwalawa "Amoxicillin" ndi a penicillin omwe amatha kupanga mapiritsi, makapulisi ndi granules pokonzekera kuyimitsidwa. Ntchito yake imayambira ku mabakiteriya omwe ali ndi gram-positive ndi gram. Komabe, tizilombo toyambitsa matenda omwe amamasula penicillinase (enzyme) akulimbana nawo. "Amoxicillin" kawirikawiri imaperekedwa kuti athetseretu zolakwika za ENT ziwalo: sinusitis, sinusitis, frontal sinusitis, otitis ya bakiteriya.

Chifukwa cha kukana kwa asidi kwa mankhwala, zigawo zake sizingathetsedwe m'magazi ndipo zimayambira mwamsanga. Mlingo wa mankhwala umatsimikiziridwa payekha. Kwa ana a zaka ziwiri, "Amoxicillin" amaperekedwa ngati kuimitsidwa. Pafupifupi mankhwala onse a antibiotics (omwe ali ndi sinusitis ndi sinusitis) ali ndi mawonekedwe a madzi ndipo amafuna kuti mauthenga a pamlomo akhale ndi zokoma zokoma, zomwe zimapangitsa kupereka mankhwala kwa mwanayo popanda vuto lalikulu. Sirinji yowonetsera imagwiritsidwa ntchito kuthetsa kuyimitsidwa.

Ana omwe ali ndi zaka zoposa 10 komanso akuluakulu ayenera kuuzidwa kuti apangidwe ngati mapiritsi ndi makapisozi. Mlingo wa mankhwala okhudzidwawo ukhoza kukhala 250 ndi 500 mg. Tsiku silisonyeza 750 mg ya amoxicillin kwa ana osapitirira zaka 10. Kwa akuluakulu, mlingo waukulu wa mankhwalawo ndi 1500 mg, umagawidwa m'mitengo itatu.

Mankhwalawa "Ophatikizidwa"

Kodi ndi antibayotiki iti yomwe imatenga ndi genyantritis ndi sinusitis, kotero kuti zotsatira za thupi zinali zochepa? Akatswiri ambiri amapatsa odwala awo macrolides. Kuphatikizidwa kumagwiritsanso ntchito mankhwalawa. Ngati chifukwa cha kutukusira m'matchimo a paranasal ndi streptococci, ndodo yophimba, staphylococcus mankhwalawa adzakhala othandiza kwambiri. "Kuphatikizidwa" kumapangidwa ngati mapiritsi ndi ufa kuti akonzekeke kuyimitsidwa.

Chifukwa chakuti mankhwala ogwiritsira ntchito mankhwalawa amatulutsidwa kuchokera ku thupi pang'onopang'ono kusiyana ndi mankhwala ophera antibacterial a magulu ena, zimatenga masiku asanu okha kuti atenge. Kuchepetsa mphamvu kwa mankhwala akadakali mkati mwa sabata pambuyo pa kutha kwa kuvomereza.

Zotsutsana ndi zotsatira zake

Mankhwalawa ali ndi zochepa zomwe zimatsutsana. Malangizo ogwiritsiridwa ntchito akuchenjeza kuti "Kuphatikizidwa" ndi oletsedwa kuperekedwa kwa odwala omwe amadzipangitsa kukhala osakanikirana kapena osakondera zinthu zimenezi. Mosamala amauzidwa pamaso pa chiwindi ndi impso.

Mabala ozungulira amakhala osayambitsa zotsatira. Ndicho chifukwa chake pochizira matenda opatsirana a bakiteriya, ma antibiotic ameneŵa nthawi zambiri amauzidwa.

Ndi sinusitis ndi sinusitis, nthawi ya mankhwala ndi Sumamed nthawi zambiri masiku asanu. Mu nthawi yaying'ono yovuta kwambiri, mankhwala ophera maantibayotiki samayambitsa. Zomwe zimayambitsa matendawa zimatheka. Kupweteka kwa m'mimba, kutsegula m'mimba, kudzimbidwa kumawonedwa kokha ndi mankhwala achilendo ndi antibiotic.

Kutaya Isofra

Wothandizira kwambiri amatha kutentha kwambiri m'matumbo amphongo. Monga chogwiritsidwa ntchito, antibiotic framicetin sulphate, yomwe ili m'gulu la aminoglycoside, imagwiritsidwa ntchito. Mankhwalawa amatha kuletsa chitukuko cha microflora ndipo ali ndi zochita zosiyanasiyana.

Maantibayotiki a m'deralo amagwiritsidwa ntchito pa sinusitis ndi sinusitis ndi othandiza kwambiri pa mankhwala ovuta. Musanawagwiritse ntchito, muyenera kuyamba kutsuka ndondomeko yamphongo ndi mankhwala a saline kuti muchotse mitsempha yambiri. Mlingo wa mankhwalawa "Isofra" umatsimikiziridwa malinga ndi msinkhu wa wodwalayo. Akulu amalimbikitsidwa kugwiritsa ntchito mankhwalawa kangapo patsiku, ndipo ana - osaposa katatu patsiku. Kutalika kwa chithandizo ndi mankhwala ndi masiku 7-10.