Yintoni yesifo semiphunga kwenkcazo?

Amagciwane - iqela amayeza sibonwayo kwityala elithile, phantse wonke umntu. Nangona amachiza athi zithathwa kakhulu, ngaphandle kwazo, ngelishwa, asinakukwazi ukuyenza - ingakumbi unyango yinyumoniya. Yintoni yesifo semiphunga amaninzi zisetyenziswa yaye kutheni le ndlela isebenzayo kuliwe esi sifo, siza kuxubusha ngayo kweli nqaku.

Ziziphi izinto eziphembelela kukhetho lo isiyobisi esithile semiphunga?

Xa amayeza inyumoniya libhekisela kwiqela kwezifo kakhulu kwaye ezisongela ubomi malunga nesigulane eso. agents Causative kwesi sifo kunokuba kunye iintsholongwane, nezinye izinto. Kodwa ke amaxesha amaninzi sisiseko sifo igciwane - pneumococci, streptococci, staphylococci, njl sebali ukukhanya ngexesha elifanayo eyeka umsebenzi ngokufanelekileyo, ebangela ezahlukeneyo zinganeziphumo ezibi kakhulu eziphilayo ...

Kutshanje, i-antibiotics eziphambili yokulwa inyumoniya kwakulula ukuba ziqinisekise kwesi sifo waphathwa kuphela penicillin iziyobisi. Kodwa ke, njengoko kanti, le ntsholongwane ziyakwazi ukuvelisa ukunganyangeki ngamachiza. Ke kaloku, ebabizele antibiotics kusenokufuneka ukuba ingabi kakuhle, abaphengululi kwafuneka ukuphuhlisa amachiza amatsha. Ekuhambeni kwexesha lethu, kwakukho iqela elikhulu kubo ngokunjalo, kwaye ngexesha elinye kube nzima ukuba ugqirha, kuba ngoku kufuneka ithathele ingqalelo imiba emininzi ukuze ukukhetha unyango olufanelekileyo.

Yintoni yesifo semiphunga uya kuqeshwa, kwaye ngoku kuxhomekeke kwizinto ezininzi, musa nje esi sifo, kodwa isizathu susceptibility wayo ichiza, kwakunye apho kuthi kunikezelwe amachiza ingqalelo kweli qela lwezigulane sele zasetyenziswa ngaphambili.

angakunika njani unyango ngenxa semiphunga?

Ukuze uthole ngokuchaneke kangangoko kunokwenzeka, ukwakhiwa kweengongoma ezahlukileyo ze elabhoratri yesikhohlela yomguli imisela uhlobo iintsholongwane leyo eyenza sifo. Kuhlalutyo kokuhlaziya ngokuqhelekileyo ibonisa iqela amayeza, naphakathi imveliso yawo ugqirha ikhetha lo unawo iziphumo noko ngapha Izimo. Noko ikakhulu zilandelayo amaqela antibiotics :

• cephalosporins ( "Aksetin", "Supraks" "Cefixime" "Zinat" et al.);
• fluoroquinolones ( "levofloxacin", "Aveloks", "Moksimak", "moxifloxacin", njl ...);
• macrolides ( "Azithromycin", "Hemomitsetin" "Sumamed" et al.),
• tetracyclines Iqela ( "Doxycycline", "Tetracycline", "Oxytetracycline hydrochloride" kunye t. d.).

Ukubunjwa ngamnye kubo izithako ezisebenzayo ezikuvumela oyingcaphephe ukukhetha kakhulu oluchanileyo kunokuba okunyanga isifo sokukrala kwemiphunga. antibiotics zikhethwa ngokusekelwe kwimeko ethile, kunye nokwandisa imihlaba amanyathelo iziyobisi, ngokufuthi kuyimfuneko ukwabela imali kumaqela ezimbini.

Ukusetyenziswa imithi, kuxhomekeke gciwane

Akukho nzima kakhulu mabaqashele ukuba sihlandlo ngasinye kwezi imiqolo kungcono ukumelana neentlobo ezithile kwamagciwane pneumonia. Ngoko ke, macrolides, kuya kuba kuhle ukuba asebenze umsebenzi pneumococci wavusa inyumoniya. unyango zintsholongwane ye fluoroquinolone kulo mzekelo ujika ube amalungiselelo ninganqeni, ukuba tetracycline ezi Cya phantse buthuntu.

Kuba Haemophilus influenzae influenzae zezona iziyobisi kakhulu ebonakalayo fluoroquinolones, kwaye ukuba esi sifo sibangelwa Enterobacteriaceae - iziyobisi iqela cephalosporins lesithathu-ngezizukulwana. Xa ngokuphatha mycoplasma kunye lwechlamydial nenyumoniya ekhethiweyo ngokuqhelekileyo macrolide kunye neqela tetracycline imithi.

Yintoni le mithi asetyenziswa rhoqo kuzo zonke

Kakade ke, xa kusenziwa zonyango ngexesha elinye, kukho antibiotics e semiphunga besonwabela oogqirha athandwa kakhulu. Umzekelo, ukuba isigulane ongaphantsi kweminyaka engama-60 ubudala, yena akanayo seswekile okanye ezimbi kwenkqubo sentliziyo, kuba unyango lwe segmental okanye iingcali inyumoniya focal bakhetha iziyobisi kakuhle ukuzabalaza "Avelox" yaye "Tavanic" (oko, ngasendleleni, kunokuba yakhe umlingani ingabizi "Loksof" okanye "Levofloxacin"). Xa zithathwe kunye Amoxiclav iipilisi ' "okanye" Augmentin ", imiphumo emihle ngendlela eyiyo kungenziwa kwiiveki ezimbini emva kokuqalisa ulwamkelo.

Ukuba imeko yomguli akuthethi kuphuculwe, kwaye lobushushu ukuwisa ngomhla wesine, kufuneka ukhethe ezinye antibiotics nxamnye pneumonia. Ngokuqhelekileyo, kwiimeko ezinjalo, prescribers "Azitro-Sandoz" okanye "Sumamed" endaweni "Augmentin".

intlanganisela Good nayo ingqalelo ukusebenzisa iipilisi "Sumamed" (1 tab. 1 ixesha yonke imihla) ile intramuscular okanye iinaliti efakwa "Fortum" iziyobisi (2 umphinda mg 2 ngosuku).

kuqhume Top: yesifo semiphunga

uluhlu lwezitofu of ezifo yinyumoniya ngokuqhelekileyo kuthatha iintsuku ezisixhenxe ezilishumi. Kodwa kunjalo akunakwenzeka ukuba bayenze unyango ngokwabo, ngaphandle amayeza kunye kweliso gqirha, okanye ukuphazamisa ikhosi emiselweyo, isigqibo ukuba imeko yempilo iphucukile. Konke oku kuya ekugqibeleni ukumqumbisa lokusinda iintsholongwane uxhathiso ichiza, Wayigqiba unyango okanye ngezifo wabuya kuya kumpompoza inzima kakhulu, ngoko ngaphantsi iSADC unyango.

Ngokufuthi uhlobo lwezitofu zilandelayo antibiotics zisetyenziswa ukudumba emiphungeni:

• "Ceftriaxone" (ezilawulwa qho kwiiyure 12 novocaine pre-ihlanjululwa).
• "Amoxicillin" ile iziyobisi "Sulbactam" (3 r. Ngosuku).
• "Azithromycin" ezilawulwa yegazi. Ngaba oko kancinci athontsize, kuba ichiza ayikwazi ukuhlatywa intramuscularly.

Phela, kufanele kuqatshelwe ukuba nokusebenzisa imithi inemisebenzi eziliqela. Ngenxa yoko, isiphelo ukuba kuyimfuneko ukubuyisela ichiza kunokwenziwa kuphela ngeentsuku 2-3 emva kokuqala unyango. Isizathu sokuba sigqibo inokuba umngcipheko yeziphumo ebezingalindelekanga ezimandundu okanye ityhefu ngokugqithisileyo ezithile nemithi, ezo musa ukuvumela ukuba athathe ixesha elide.

imithetho engundoqo isitofu yinyumoniya

antibiotics eyiyo kuphela ugqirha uya kukwazi ukukhetha up ne pneumonia. Kodwa ukuba isigulane kuboniswa unyango kwezigulane, ngoko kumenza iinaliti umntu kunye nentsapho yakhe. Kulo mzekelo, ukuze kunokubangela iingxaki ezingeyomfuneko, kufuneka balandele imithetho embalwa.

1. Khumbula ukuba kwikhondo ezifo yinyumoniya elingenakuba ngaphantsi kweentsuku ezingama-10.
2. Xa kunikwa uxanduva amalungiselelo injectable, leyo ziveliswa ngohlobo emigutyeni, khumbula, ukuba ingangxengeka nje phambi kokuba le nkqubo. Musa ukwenza nto kwangaphambili!
3. Kuba dilutions imithi kusetyenziswa saline, procaine, lidocaine okanye amanzi ngenaliti. Baya kuthatha kule ratio eqhelekileyo: 1 g yokulungiselela - 1 ml.
4. Phambi kokuba emnweni kuqala ukwenza uvavanyo yesikhumba. Ukuze wenze oku, phina engenazintsholongwane ezilahlwayo isirinji inaliti nasesikhumbeni kwaye isicelo inxeba amathontsi ambalwa babelwe. Ukuba bomvu emva kwemizuzu eli-15 kwaye abazange nangenjinana, lo aleji amayeza apho. Kungenjalo, kufuneka zitshintshwe.
5. Ukuba ziinaliti yi nokungena buhlungu - lisetyenziswa igridi ayodini ukuba kukhawuleziswe resorption.

Yintoni antibiotics kuthathwa ngokuba ayisafuneki

Kwimeko ke kakhulu zezigulane yinyumoniya zaye zabelwa loo nto ibizwa ngokuba iziyobisi reserve. Loo nto antibiotics esinamandla ukuba "washiya ngasemva" ngoogqirha kwiimeko ezingxamisekileyo (oku kwenziwa ngenxa iintsholongwane kulula ukumelana ARVs).

Ngoko kuyimfuneko ukuba ukukhumbula igama labo. Yesifo semiphunga ezinzima - i "Ceftazidime", "Timentin", "sparfloxacin", "Tientam", "Grimipenem". Azityunjwa kwimeko isifo qatha okanye ngcathu, kuba akukho bani omzimba ukusuka ungenelelo zotyando olunye, kunye neengxaki zempilo ezifana xa isicelo sabo kuya kuba kakhulu kuyimfuneko.

Yintoni antibiotics kufuneka ukuba isetyenziswe

Ngenxa kwala magciwane esele zichazwe ngaphambili high iziyobisi ukumelana ezibangela ukudumba emiphungeni, imithi, ezidweliswe ngezantsi apha, asiyi kubanika nto waye- yifuna. Ezi zixhobo ziquka:

• penicillins ezilula ( "Bitsellin", "ampicillin", "Oxacillin" kunye t. n.)
• cephalosporins sizukulwana yesibini kuqala kunye ( "Cefazolin", "Cephalexin", "Tsefamizin"),
• fluoroquinolones kuqala isizukulwana yesibini ( "Nalidixic Acid", "Norfloxacin", "Ofloxacin" yaye "ciprofloxacin").

Musa ukuthatha naziphi na antibiotics!

Ekugqibeleni ndifuna ukugxininisa ukuba nemithi self-izicelo kuyingozi kakhulu, hayi nje kuphela ngenxa yokuba kunokubangela iziphumo zazo emva kodlwengulo.

Kungakhathaliseki ukuba yintoni antibiotics amagciwane inyumoniya ngokukhawuleza ukunganyangeki ngamachiza kubo. Oku kuthetha ukuba zonke ityala elitsha imfuneko ukuthatha la machiza, ingozi ukuba isenzo ekulindeleke awufumaneki kuyo. Kakade ke, alibale ekuhambeni isifo kwaye ibangele iingxaki ezahlukeneyo. Ngoko ke, ukuze singabi bona kwixesha elizayo kwimeko enzima, ningenzi self-medicate. Nethamsanqa!