I-antibiotic uma ukhwehlela ezinganeni. Ukwelashwa kokukhwehlela kwabantwana abane-antibiotics

Inkathi yemakhaza cishe iqala ngokukhwehlela njalo. Lesi yisifo sezinhlobonhlobo zezifo ezihlukahlukene zokuphefumula. Futhi, ukutholakala kwalo kungabangela ubunzima obungadingekile kwi-larynx ne-trachea noma ebanda kakhulu.

Yini okufanele ungayenza uma ukhwehlela?

Ezimweni ezinjalo, ukwelashwa kokukhwehlela nge- antibiotics ezinganeni kuyathandwa kakhulu. Kungenxa yalokho "magic" kusho ukuthi abazali banethemba lokunqoba lesi sifo. Kodwa kufanele kuqaphele ukuthi ama-antibiotics awawona "iphilisi legolide" lokukhwehlela izingane kanye nentsha. Uma kwenzeka ingane inenkinga yegciwane (ukutheleleka okubangelwa ukuphefumula kwamagciwane, i-pharyngitis, i-tonsillitis), ukulimala komshini ku-larynx noma i-trachea, ukwelashwa kwama-antibiotic ngeke kube nemiphumela.

Ukuqhubeka kulokhu, kungaphetha ngokuthi ukusetshenziswa kwezidakamizwa kulungile futhi kusebenza kuphela ngefomu elifanele le-microflora elithinta indlela yokuphefumula yabantwana. Ngakho-ke, ukuze unqume ukuthi kuyadingeka ukuthatha ama-antibiotic ukukhwehlela, kubalulekile ukubonana nodokotela.

Abazali abaningi bathambekele ekucabangeni ukuthi i-antibiotic lapho ikhwehlela ezinganeni izolimaza umzimba wayo kuphela. Kodwa ngaphandle kwezidakamizwa zokulwa ne-antibacterial ayikwazi ukuphulukisa isibhamu, isifo sofuba nezinye izifo eziyinkimbinkimbi. Udokotela kuphela ongabeka ngokuqondile imithi elwa namagciwane, lapho okuthola khona kuyoba usizo kakhulu kunokulimaza. Ngaphezu kwalokho, ngokuphathwa ngendlela efanele, kwenzeka imiphumela emibi ekulawulweni kwala mithi cishe engekho.

Kufanele uthathe nini?

I-antibiotic yezingane ukukhwehlela isetshenziselwa ukulwa nokutheleleka kwebhaktheriya. Kodwa abanakho neze umphumela kuma-virus. Uma kunezibonakaliso zokukhwehlela ezifana nekhala eligijimayo, ubuthakathaka, ubuthakathaka, ukuphathwa ikhanda kanye nomkhuhlane, lokhu kubonisa ukuba khona kwegciwane. Nguye osiza ekuthuthukiseni lesi sifo. Ukwanda kubangela izifo ezinjalo zegciwane njenge-influenza, i-parainfluenza, ukutheleleka kwesifo somzimba nesifo sesingqimba.

Ukudla kwama-antibiotics ku-ARI kunomthelela ekukhuleni nasekuthuthukisweni okujulile kwezinhlobo ezihlukahlukene ze-allergies, i-dysbiosis. Kodwa ukutakula kwengane akunciphisi.

Nika ama-antibiotics uma ukhwehlela ezinganeni kufanele kube lapho ukuqala kwalesi sifo kubangela:

• I-tracheitis;
• I-pneumonia;
• I-Pleurisy;
• Isifo sofuba;
• I-brronchitis nezinye izifo ze-bacterial ze-respiratory tract.

Ngokwebhaktheriya uhlobo lwesifo, ngifakazela izimpawu ezilandelayo:

• Ukushisa okuphakeme isikhathi esingaphezu kwezinsuku ezintathu;
• Izinga eliphakeme lama-leukocyte egazini, ifomula le lecycyte lishintshe ngakwesobunxele;
• I-Neutrophilia;
• Ukuba khona kwe-dyspnea;
• Isikhathi sesifo.

Ukukhetha ukwelashwa kwezidakamizwa

Ukuqeda ukukhwehlela okude, udinga indlela efanele. Ukuthola i-microflora futhi unqume ukuzwela kwamabhaktheriya ezinhlobonhlobo ezihlukahlukene zama-antibacterial agents, umuntu kufanele enze isiko le-sputum. Ngenxa yalokhu kuhlaziywa, kuzokwazi ukuthola ukuthi yimaphi amadakamizwa azozuza kulokhu, futhi angeke abe nethonya kuleso sifo, futhi ukukhwehlela ngemva kokulwa namagciwane kumntwana ngeke kudlule.

Uma isikhathi sidlala ngokumelene nawe

Kodwa kuthatha isikhathi ukuqhuba lokhu kuhlaziywa nokucubungula imiphumela yayo. Ngesikhathi esifanayo, isimo sempilo esimpofu somntanakho sidabukisa futhi sidinga ukuthatha izinyathelo ezifanele. Kulesi simo, i- antibiotic yengane enekhwehlela eqinile ikhethwe ngokumemezela, kuyilapho kucatshangelwa i-pathogen engenzeka.

I-Monotherapy ne-broad-spectrum antibiotics

Indlela enhle kakhulu kunoma yikuphi okwenzayo i-monotherapy (sebenzisa umuthi owodwa we-antibacterial). Kuyinto efiselekayo ukuthi yi-tablet, ukumiswa noma i-powder. Kuphela lapho kwenzeka izifo ezinzima, ama-injection anqunywe.

Uma kungenakwenzeka ukubonana nodokotela ngesikhathi, futhi inhlalakahle yengane ikhula kakhulu (i-dyspnea iyanda, ukudakwa kuhambisane nomkhuhlane ophezulu), kufanele uthathe imithi elwa nomuthi okhwehlela owomile. I- agent yokuqala ye- antibacterial kule nkinga ingaba "i-Amoxiclav" noma i- "Augmentin". Futhi, ukusetshenziswa kwe-amoxicillin kuhlanganiswe ne-sulbactam ("i-Trifamox") kuzoletha imiphumela emihle.

Indlela yokwelapha ukukhwehlela ezinganeni ezine- antibiotics?

Okokuqala, akufanele sikhohlwe ukuthi ukuthatha ama-antibiotic kufanele kube njalo. Kule ndaba kuphela ukuhlushwa okudingekayo kwezinto ezisebenzayo kuzobuthelela emzimbeni futhi kuzolondoloza, okuzoholela ekufeni kwamabhaktheriya. Ngesikhathi sokutholwa okungavamile kukhona ukwehla kwemithi elwa namagciwane. Ukwelashwa okunjalo ngeke kuholele emphumela omuhle. Ngaphezu kwalokho, kungabangela ukuthuthukiswa kokumelana nezidakamizwa kulo muthi.

Futhi ingane kufanele izwe ukukhululeka okwesikhashana. Ngokukhetha okulungile kwemithi elwa namagciwane, kuyoba ne-dynamics emihle (ukukhwehlela owomile noma okumanzi kuyonyamalala, ubuhlungu besifuba buyokwehla, ukuphefumula kuba lula).

Uma emva kwamahora angu-48 ukuthuthuka kungenzeki, le mithi ayifanele ingane yakho. Kumele kuthathelwe enye i-antibiotic noma inhlanganisela yezidakamizwa. Kodwa ungakhulisi umthamo, ngeke ulethe imiphumela engekho neze.

Thatha i-antibiotic uma ukhwehlela ezinganeni kufanele kube isikhathi eside. Ezimweni eziningi, ubude benkambo luyizinsuku ezingu-5-7. Ngisho noma ingane izwa kahle emva kwezinsuku ezimbalwa, ungayeki ukwelashwa, ngoba kukhona usongo lokubuya kwesifo.

Yiziphi antibiotics ezisetshenziselwa ukwelapha ukukhwehlela kwengane?

Ngenxa yalokhu, izidakamizwa zisetshenzisiwe, into esebenzayo enkulu yilezi:

• I-Penicillin, etholakala ku- "Amoxyclav", "Augmentin", "Flemoxin Solutaba." Bahlale beqokwa kuqala. Kuphela uma ukusetshenziswa kwabo kungenzi umphumela oyifunayo, sebenzisa amanye amaqembu emithi;
• Cephalosporin, etholakala ku "Cefataxime", "Cefuroxime." Lezi antibiotics uma zikhwehlela izingane zibekiwe uma phakathi nezinyanga ezintathu zokugcina umntwana usuvele ethatha ezinye izidakamizwa zokulwa nezifo. Futhi asetshenziselwa icala uma kungekho mphumela ekuthatheni amapenicillin.

Ama-macrolides nama-fluoroquinolones

Isigaba sama-macrolides sihlanganisa i- "Azitrotsin", "Sumamed". Lezi yimithi ephumelelayo phambi kwezinqubo zokuvuvukala emoyeni we-airways.

Okulinganiselwe kakhulu ukusetshenziswa kwe-fluoroquinolones. Lokhu kungenxa yokuthi le mithi elwa namagciwane lapho ikhwehlela ezinganeni ithinta kakhulu ukuthuthukiswa kwezicubu zomzimba futhi iqoqa emathanjeni.

Akekho okufanele umuntu aphathe ingane eyedwa. Njengoba, ngaphandle kwezimpawu ezisobala, iminyaka yengane, izimo zokutheleleka, kuthinta ukukhetha kwama-antibiotic. Kwezinye izimo, ukukhwehlela kungadonsela i-microflora (i-chlamydia noma i-mycoplasma) e-atypical. Kulesi simo, amanye ama-antibiotic kufanele abe ngabantwana uma bekhwehlela. Yini, udokotela kuphela ongakusho.

Uhlelo olufanele lwezokwelapha lungenziwa kuphela udokotela. Ngaphezu kwemithi elwa namagciwane, uzobeka inkambo ye-antihistamine. Emva kokuphela kokwelashwa kubalulekile ukuchitha isondlo sokuvimbela i-dysbacteriosis. Uma ukuwohloka kwesimo somntwana kwenzeka ngesikhathi sokulashwa, kufanele ufune ngokushesha usizo lwabachwepheshe.