Yiziphi imithi inyumoniya ezibekiwe?

Imithi elwa namagciwane - iqembu imithi ihlangabezane ecaleni inikezwe, cishe wonke umuntu. Naphezu kweqiniso lokuthi izidakamizwa wathi ezibhekwa ezinzima, ngaphandle kwabo, ngeshwa, asikwazi ukwenza - ikakhulukazi ekwelapheni i-pneumonia. Yiziphi imithi inyumoniya kuvame kakhulu ukuba kusetshenziswe nokuthi kungani kukhona izindlela eziphumelela kakhulu ekunqandeni isifo, sizoxoxa ngani kulesi sihloko.

Yiziphi izici nomthelela kukhethwa izidakamizwa ikakhulukazi e-pneumonia?

Kwezokwelapha inyumoniya libhekisela eqenjini izifo ezisongela ukuphila okunzima kanye isiguli. ejenti Causative yalesi sifo kungaba futhi amagciwane nesikhunta. Kodwa kaningi ngesisekelo lesi sifo kwegciwane - pneumococci, streptococci, staphylococci, njll Uzungu ungukukhanya ngesikhathi esifanayo eyeka umsebenzi ngendlela efanele, okubangela ezihlukahlukene nemiphumela emibi kulowo umzimba ...

Esikhathini esingeside esidlule, antibiotic esikhulu ukuze ulwe inyumoniya kwakulula ukunquma njengoba lesi sifo welashelwa izidakamizwa penicillin akuzange kusize nje. Kodwa, kwacaca ukuthi, ama-bacterium ayakwazi ukukhiqiza yokumelana nomuthi. Manje ubizwa ngokuthi i imithi elwa namagciwane Kungase kudingeke ukuba hhayi kahle, abacwaningi kwadingeka ukuba ziveze imithi emisha. Esikhathini sethu, kwakukhona isibalo esikhulu sazo kanye, futhi ngesikhathi esifanayo kunzima udokotela, manje ngoba kufanele acabangele izici eziningi ukukhetha ukwelashwa okufanele.

Yiziphi imithi inyumoniya Kuzoqokwa, futhi manje kuncike izinto eziningi: acabangele hhayi kuphela isifo, kodwa imbangela yayo ezifweni emuthini, kanye yiziphi izidakamizwa kuleli qembu iziguli kakade yasetshenziswa ngaphambili.

angakunika umuthi kanjani ukwelashwa pneumonia?

Ukuze uphethwe kwaba ngokunembe ngangokunokwenzeka, ukubunjwa lesiguli isikhwehlela laboratory inquma uhlobo amagciwane kwabangela isifo. Ngo emagama ukuhlaziywa ngokuvamile sibonisa iqembu kwemithi, futhi phakathi imikhiqizo yayo udokotela ukhetha lowo okungenani side effects kanye contraindications. Kumayelana ikakhulu okulandelayo amaqembu kwamaphilisi :

• cephalosporins ( "Aksetin", "Supraks" "Cefixime" "Zinat" et al.);
• fluoroquinolones ( "levofloxacin", "Aveloks", "Moksimak", "moxifloxacin", njll ...);
• macrolides ( "Azithromycin", "Hemomitsetin" "Sumamed" et al.),
• tetracyclines iqembu ( "Doxycycline", "tetracycline", "Oxytetracycline hydrochloride" futhi t. d.).

Ukwakheka ngalinye kulo bayizinkulungwane ezisebenzayo evumela onguchwepheshe ukukhetha olunembile kakhulu esingayenza ngaphandle kokuthi siphathe nenyumoniya. imithi elwa namagciwane akhethiwe esekelwe endabeni ethile futhi ngandise kwenkululeko isenzo izidakamizwa, kaningi kubalulekile ukuze unike imali kusuka amaqembu amabili.

Nokusetshenziswa kwamaphilisi, kuncike lwegciwane

Akunzima kangako ukusingatha indaba ukuqagela ukuthi ngalinye lala imigqa kuyinto engcono kakhulu yokubhekana nezinselele ezithile pneumonia Amagciwane. Ngakho, macrolides, kungcono ukuthatha isinyathelo umsebenzi pneumococci sokucasuka nenyumoniya. ukwelashwa ngemithi elwa namagciwane we fluoroquinolone kulokhu kuvela ukuthi amalungiselelo ayizwakali futhi tetracycline alawa magciwane cishe sokushintsha.

Ukuze haemophilus influenzae kukhona izidakamizwa kunazo asebenzayo we fluoroquinolones, futhi uma sifo sibangelwa Enterobacteriaceae - izidakamizwa kusukela iqembu oyisizukulwane sesithathu cephalosporins. Lapho ngelapha mycoplasma futhi chlamydial nenyumoniya akhethiwe ngokuvamile macrolide ne-tetracycline iqembu kwama-antibiotic.

Yini imithi ngokweqile zifana nokuthela Balisebenzisa zonke

Yiqiniso, zokwelapha ngesikhathi esifanayo, kukhona kwamaphilisi i-pneumonia ejabulela odokotela ethandwa kakhulu. Ngokwesibonelo, uma isiguli ngaphansi engu-60 ubudala, lokhu akusho ukuthi banesifo sikashukela noma pathologies ka esimiso senhliziyo nemithambo yegazi, ukwelapha segmental noma ebalulekile inyumoniya ochwepheshe phezulu likhetha ukusebenzisa izidakamizwa kahle kungase kutholakale "Avelox" futhi "Tavanic" (okuyinto, by the way, kunokuba zakhe uzakwabo eshibhile "Loksof" noma "Levofloxacin"). Lapho kuthathwe ngokuhlanganyela Amoxiclav amaphilisi ' "noma" Augmentin ", umphumela omuhle ingafinyelelwa amasonto amabili ngemuva kokuqala i-reception.

Uma isimo lesiguli ingakuthuthukisi, futhi izinga lokushisa akusho udedele ngisho ngosuku lwesine, kufanele ukhethe nezinye imithi elwa namagciwane ngokumelene nenyumoniya. Ngokuvamile, izimo ezinjalo, prescribers "Azitro-Sandoz" noma "Sumamed" esikhundleni "Augmentin".

inhlanganisela Good Uphinde abhekwe ukusebenzisa amaphilisi "Sumamed" (1 ithebhu. 1 isikhathi nsuku zonke) lihambisana esicutshini noma imijovo emthanjeni "Fortum" izidakamizwa (2 mg 2 izikhathi ngosuku).

isibhamu Phezulu: imithi inyumoniya

inkambo imijovo ye imithi inyumoniya kuvame ukuthatha izinsuku eziyisikhombisa kuya kweziyishumi. Kodwa noma kunjalo akunakwenzeka ukuba sifeze ukwelashwa bebodwa, ngaphandle kadokotela futhi kokuqondisa kukadokotela, noma ukuphazamisa Yiqiniso enqunyiwe, kokunquma ukuthi isimo sempilo iye yathuthuka kakhulu. Konke lokhu uyogcina ukuyithukuthelisa lokusinda amagciwane ukumelana izidakamizwa, futhi waqeda ikhambi noma zokugula wabuya ayozithola iyinkimbinkimbi kakhulu kunalokho, ngaleyo ndlela kancane amenable ekwelashweni.

Ngokuvamile ngesimo imijovo elandelayo imithi ngokweqile zifana nokuthela esetshenziselwa ukuvuvukala emaphashini:

• "Ceftriaxone" (iqondiswa njalo ngemva kwamahora angu-12 e novocaine pre-buhlanjululwe).
• "Amoxicillin" lihambisana izidakamizwa "Sulbactam" (3 r. Per ngosuku).
• "Azithromycin" iqondiswa ngemithambo yegazi. Ingabe-ke kancane iconsa, ngoba izidakamizwa ayikwazi wagwaza intramuscularly.

Phela, kufanele kuphawulwe ukuthi ukusetshenziswa kwemithi elwa namagciwane inezici eziningana. Ngakho, isiphetho sokuthi kubalulekile esikhundleni izidakamizwa kungenziwa kuphela ezinsukwini 2-3 ngemuva kokuqala ukwelashwa. Isizathu sokuba isinqumo esinjalo kungaba ingozi nemiphumela emibi kakhulu noma ubuthi okweqile ezinye imithi elwa namagciwane, okuyinto ungavumeli ukuba kuthathe isikhathi eside.

Imithetho eyisisekelo for umjovo i-pneumonia

imithi elwa namagciwane Ngempumelelo kuphela udokotela uzokwazi eyolanda i-pneumonia. Kodwa uma isiguli kuboniswa ukwelashwa sinenkonzo yokunakekela iziguli emakhaya, bese wenza kuye imijovo othile evela emndenini. Kulokhu, ukuze abangele izinkinga ezingadingekile, kufanele ulandele imithetho embalwa.

1. Khumbula ukuthi inkambo imithi inyumoniya kungenzeka lungabi ngaphansi kwezinsuku 10.
2. Lapho ukwabela amalungiselelo nemijovo, okuyinto akhiqizwa uhlobo izimpushana, khumbula, bangakwazi buhlanjululwe ngaphambi nje kokuba inqubo. Musa ukwenza kube kusengaphambili!
3. Ukuze dilutions kwamaphilisi esetshenziswa nosawoti, procaine, lidocaine noma amanzi umjovo. Bathatha ku isilinganiso ejwayelekile: 1 g ukulungiswa - 1 ml.
4. Ngaphambi kwabathinta kuqala ukwenza ukuhlolwa kwesikhumba. Ukuze wenze lokhu, wadweba oyinyumba alahlwayo isipetu inaliti kusukela isikhumba futhi zisebenza isilonda amaconsi ambalwa ayabelwe. Uma-ke bomvu ngemva kwemizuzu engu-15 futhi abazange ukuluma, le yokungezwani komzimba ukuze umuthi lapho. Uma kungenjalo, kufanele-ke esikhundleni.
5. Uma imijovo kuba kokuziphatha ubuhlungu - ke sisetshenziswa igridi iodine ukusheshisa resorption.

Yini imithi elwa namagciwane kubhekwe ukuba kungabe kusadingeka

Uma yebo ezinzima iziguli inyumoniya babelwa okubizwa ngokuthi reserve izidakamizwa. Lokho imithi elwa namagciwane ezinamandla kuthiwa "washiya" odokotela uma eziphuthumayo (lokhu kwenziwa ngenxa amabhaktheriya lula ukuthuthukisa amandla okumelana nemithi).

Ngakho-ke kubalulekile ukuba ukhumbule igama labo. Imithi elwa namagciwane ngoba pneumonia ne ezinzima - a "Ceftazidime", "Timentin", "sparfloxacin", "Tientam", "Grimipenem". Basuke hhayi oqokwe esimweni isifo okuncane noma okusesilinganisweni, ngoba sonke sibhekana ekuqhubekeni ukungenelela kuhlinzwa, kanye nezinkinga zempilo efanayo lapho isicelo sabo itawufuneka ikakhulukazi.

Yini imithi elwa namagciwane akufanele isetshenziswe

Uma sicabangela lokhu sekushiwo ngaphambili okusezingeni eliphezulu yokumelana nomuthi nezilwanyana ezincane ezibangela ukuvuvukala emaphashini, imithi elwa namagciwane, ezibalwe ngezansi, ngeke kube umphumela oyifunayo. La mathuluzi zihlanganisa:

• penicillins elula ( "Bitsellin", "ampicillin", "Oxacillin" futhi t. n.)
• cephalosporins kuqala bese isizukulwane sesibili ( "Cefazolin", "Cephalexin", "Tsefamizin"),
• fluoroquinolones kuqala bese isizukulwane sesibili ( "Nalidixic Acid", "Norfloxacin", "Ofloxacin" futhi "Ciprofloxacin").

Ningahambi imithi elwa namagciwane!

Ekugcineni ngifuna ukugcizelela ukuthi le mithi self-isicelo kuyingozi kakhulu, hhayi kuphela ngoba zingase zibe nemiphumela engemihle.

Kungakhathaliseki ukuthi imithi elwa namagciwane aphathe amagciwane inyumoniya ngokushesha ukuthuthukisa yokumelana nomuthi kubo. Lokhu kusho ukuthi wonke amacala amasha lapho isidingo ukuthatha le mithi, ingozi ukuthi isenzo kulindeleke ayenzeki. Yiqiniso, alibale Yiqiniso lesi sifo futhi kubangele nobunzima obuhlukahlukene. Ngakho-ke, ukuze bazibeka Ngokuzayo esimweni esinzima, senze akazibekanga medicate. Futhi inhlanhla!