Maantibayotiki a sinusitis nthawi zambiri amatchulidwa ngati maziko a mankhwala opatsirana mankhwala. Pankhaniyi, sikuti nthawi zonse mankhwalawa amagwiritsidwa ntchito pothandizira matendawa, ndipo adokotala ayenera kuwalangiza iwo atatha kudziwa mtundu ndi zifukwa za sinusitis.
Mitundu ya sinusitis - zizindikiro ndi mankhwala
Sinusitis ndi mtundu wa sinusitis , womwe umadziwika ndi kutupa kwa minofu ya mucosa imodzi kapena maxillary sinus (maxillary). Matendawa amatha kukhala ovuta kapena osaphatikizapo, popanda chithandizo chokwanira chophatikizidwa ndi matenda aakulu. Malingana ndi zovuta, pali mitundu yosiyana ya sinusitis, ndipo mankhwala awo ndi osiyana. Ganizirani mitundu yambiri ya matenda:
- Viral sinusitis - ndi imodzi mwa maonekedwe a chiwopsezo chowopsa cha mavairasi, momwe kutupa kumapitirira kupyolera pamphuno. Nthawi zambiri, mawonekedwe a tizilombo toyambitsa matendawa safuna chithandizo chamankhwala, amatha kuchiza chithandizo cha matenda opatsirana. Thandizo lochiritsira likhoza kuperekedwa ndi minofu ya vasoconstrictors, njira zowonjezera madzi zomwe zimalimbikitsa kubwezeretsedwa kwa ngalande ya sinus. Nthawi zina amapereka mankhwala osokoneza bongo.
- Allergic sinusitis - kawirikawiri imapezeka padera, kuphatikizapo zovuta zowonongeka za rhinitis ndi zina zowonekera. Chikhalidwe chodziwika ndi kutupa kwa zinthu zosavomerezeka sizomwe zimagwiritsidwa ntchito mu mazira, koma blanching ndi bluish tinge. Chithandizo cha sinusitis cha chiyambichi chachepetsedwa kuti chichotsedwe kwa allergen, kugwiritsidwa ntchito kwa antihistamines, glucocorticoids, mankhwala osokoneza bongo amphongo, mankhwala osokoneza bongo.
- Bacterial sinusitis - mtundu wa matenda omwe mwamsanga amasandulika mawonekedwe a purulent. Zotsatira zimayambitsa matenda opatsirana a tizilombo ndi matenda, kuvulala koopsa, matenda opatsirana mano, kusintha kwa matenda m'matumbo, ndi zina zotero. Chithandizo cha sinusitis chotero nthawi zambiri chimaphatikizapo kukhazikitsidwa kwa maantibayotiki, kupatulapo zomwe zinalimbikitsa madontho a vasoconstrictor, mankhwala osagwiritsidwa ntchito poletsa kutupa, kutsukidwa kwa uchimo.
Kodi n'zotheka kuchiza genyantritis ndi mankhwala opha tizilombo?
Mankhwala oletsa antibacterial kwa sinusitis ndi othandiza kokha ngati mabakiteriya akuwononga zowonongeka za paranasal ndipo amauzidwa ndi matenda oopsa kapena ovuta kwambiri. Ngati matendawa amapezeka poyambirira, mophweka, poyambira kumbuyo kwa chiwopsezo chachikulu cha matenda opatsirana pogonana kapena chifuwa chachikulu, kutupa kwa miyeso ya maxillary ikhoza kuchiritsidwa popanda mankhwala opha tizilombo. Pachifukwa ichi, miyeso imatengedwa kuti itsegule sinus ndikupereka kunja kwa kutupa kwa thupi (kumwa mankhwala, physiotherapy njira).
Ngati sinusitis ikuphatikizidwa ndi kutuluka kwa pus, kupweteka kwambiri ndi kupweteka m'machimo, zizindikiro za kuledzera (kupweteka mutu, kufooka kwathunthu, kutentha thupi), mankhwala osokoneza bongo sangapewe. Kuti athe kuchiritsa matenda a sinusitis, mankhwala opha tizilombo amayenera kuthandizidwa pamodzi ndi mankhwala osokoneza bongo komanso osokoneza bongo. Kuonjezerapo, kuonetsetsa kuti maantibayotiki a sinusitis amapereka zotsatira zoyenera, malamulo otsatirawa ayenera kutsatira:
- Mankhwala ayenera kumwedwa pa mlingo woyenera komanso pa nthawi yake yeniyeni.
- Simungathe kuchepetsa njira yothetsera vutoli, ngakhale mkhalidwe wa thanzi watha.
- Ngati zizindikiro zowonjezera sizikuchitika mkati mwa masiku awiri, mankhwalawa ayenera kusintha.
Kodi ndi antibayotiki ati omwe amalembedwa chifukwa cha sinusitis?
Kodi antibiotics ayenera kutengedwa ndi genyantritis ayenera kudziwidwa ndi dokotala, pogwiritsa ntchito chithunzithunzi cha matendawa, omwe amachititsa kuti matendawa asokonezeke, kuthekera kwa mankhwalawa kuti athe kuwonjezereka mu mitsempha yomwe ikufunidwa. Posankha mankhwala, m'pofunika kulingalira ngati wodwalayo watenga mankhwala aliwonse opha majeremusi m'miyezi isanu ndi umodzi yapitayo, ndi chiyani chomwe chimakhala chosadziwika ndi umunthu wa thupi.
Zosowa m'mphuno ndi antibiotic ya sinusitis
Monga mankhwala othandizira maantibayotiki kapena mankhwala ochepa, matenda a sinusitis ndi antibiotic angapangidwe. Mankhwala awa ndi awa:
- Mapulogalamu (spray) - ali ndi antibiotics neomycin ndi polymyxin B, mahomoni odana ndi kutupa mankhwala dexamethasone ndi vasoconstrictor zopangidwa phenylephrine;
- Isophra (Spray) - ili ndi antibiotic Framicetin;
- Mankhwala a antibiotic IT (lyophilizate yothetsera) - amaphatikizapo ma antibiotic thiamphenicol ndi mucolytic acetylcysteine.
Mafuta a antibacterial kuchokera ku sinusitis
Chithandizo chotero, monga mafuta, kuchokera ku sinusitis kawirikawiri sichidaperekedwa ndi madokotala mu chithandizo chamankhwala, komabe icho chimagwiritsidwa ntchito mwakhama monga wothandizira pa chithandizo chodzipweteka. Kupambana kwa mankhwala oterewa ndi kokayikitsa, ngakhale, malinga ndi ndemanga, odwala ambiri amagwiritsa ntchito mafuta odzola amabweretsa mpumulo pamene akuwotcha mavesi amkati. Mafuta otsatirawa omwe ali ndi zida zogwiritsira ntchito antibacterial ndi antiseptic amagwiritsidwa ntchito:
- Levomekol;
- Levosin;
- mafuta a ichthyol;
- sintomycin mafuta;
- Mafuta a Vishnevsky.
Antibiotics ochokera ku genyantritis m'mapiritsi
Kutupa kwa mabakiteriya a mankhwala akuluakulu a maxillary ndi mankhwala ophera mankhwala amabweretsa zotsatira zabwino. Poganizira ma antibayotiki omwe angatenge ndi sinusitis, tidzakhala ndi mndandanda wa zokonzekera zochitika zambiri:
- aminopenicillins (Ampicillin, Amoxicillin, Flemoxin, Augmentin);
- cephalosporins (Zinnat, Supraks, Cefixim);
- macrolides (Clarithromycin, Azithromycin, Sumamed, Josamycin);
- fluoroquinolones (ciprofloxacin, levofloxacin).
Maantibayoti-jekeseni ndi genyantritis
Kutenga mankhwala omwe amachititsa kuchiza sinusitis, madokotala amayima pa kukonzekera jekeseni makamaka milandu yovuta komanso yovuta, ndi matenda a nosocomial. Mankhwala oterewa angapangidwe mwa mawonekedwe a jekeseni ndi genyantritis:
- Ceftriaxone ;
- Chofezolin;
- Chithunzi;
- Tobramycin;
- Gentamicin;
- Doripenem ndi ena.
Kodi ndi antibiotic yotani yomwe ili yabwino kwa maxillary sinusitis?
Kusankha mankhwala othandiza kwambiri a sinusitis, m'pofunikira kupanga bacussis za zomwe zili mu sinusitis, zomwe zingatheke pokhapokha kupyolapo. Popeza ichi ndi njira yowonongeka, ikuchitika muzochitika zazikulu. Maantibayotiki nthawi zambiri amalembedwa mwatsatanetsatane, pogwiritsa ntchito chidziwitso cha mitundu yosiyanasiyana ya tizilombo toyambitsa matenda mu genyantritis. Mfundo imeneyi ikukuthandizani kuti muyambe kumwa mankhwala mwamsanga, kuthetsa ndalama zina zowonjezera. Mankhwala a mzere woyamba ndiwo aminopenicillins, omwe nthawi zambiri amapereka zotsatira zofulumira.