Kodi mankhwala a chibayo mankhwala?

Mankhwala - gulu la mankhwala kuti kukumana pa nkhani anapatsidwa pafupifupi aliyense. Ngakhale kuti mankhwala anati amaonedwa kwambiri, popanda iwo, mwatsoka, sitingathe kuchita - makamaka pa matenda a chibayo. Kodi mankhwala a chibayo nthawi zambiri ntchito ndi chifukwa iwo ali ndi njira yabwino kwambiri kulimbana ndi matenda, tikambirana chiyani m'nkhani ino.

Kodi ndi zinthu ziti kulimbikitsa kusankha ina mankhwala chibayo?

Mankhwala chibayo amatanthauza gulu la matenda aakulu ndi moyo pachiswe wodwala. wothandizila Causative za matenda angakhale ndi mavairasi, ndi bowa. Koma nthawi zambiri chifukwa cha matenda ndi matenda - pneumococci, streptococci, staphylococci, etc. chiwembu ndi kuwala nthawi yomweyo mabasi ntchito bwino, kuchititsa zosiyanasiyana mavuto aakulu kwa chamoyo ...

Osati kale litali, maantibayotiki waukulu kulimbana chibayo zinali zosavuta kudziwa monga matenda woyesedwa okha mankhwala a penicillin. Koma kunapezeka, mabakiteriya amatha kutulutsa mankhwala kukana. Tsopano otchedwa mankhwala ayenera kukhala osati monga ogwira ofufuza anali kukhala mankhwala atsopano. Mu nthawi yathu, panali chiwerengero chachikulu cha iwo komanso, ndipo nthawi yomweyo zimakhala zovuta kuti dokotala, chifukwa tsopano ali kuganizira zinthu zambiri kusankha mankhwala oyenera.

Kodi mankhwala a chibayo adzalembedwa nchitozi, ndipo tsopano zimatengera zinthu zambiri: kuganizira osati matenda, koma chifukwa chake chiwopsezo kuti mankhwala, komanso zimene mankhwala mu gulu la odwala kale ankagwiritsa ntchito kale.

Kodi mankhwala mankhwala a chibayo?

Kuti matenda anali molondola zotheka, zikuchokera wodwalayo sputum zasayansi Mzimuyo mtundu mabakiteriya kuti zinayambitsa matenda. Mu kusanthula decoding zambiri limasonyeza pharmacological gulu, ndi pakati zopangidwa dokotala amasankha amene ali ndi mavuto osachepera ndi contraindications. Koma pali vuto makamaka zotsatirazi magulu a mankhwala :

• cephalosporins ( "Aksetin", "Supraks" "Cefixime" "Zinat" neri Al.);
• fluoroquinolones ( "levofloxacin", "Aveloks", "Moksimak", "Moxifloxacin", etc ...);
• macrolides ( "Azithromycin", "Hemomitsetin" "Sumamed" neri Al.),
• tetracyclines gulu ( "Doxycycline", "Tetracycline", "gentamycin hydrochloride" ndipo T. d.).

The zikuchokera aliyense wa iwo ali yogwira zosakaniza kuti kulola katswiri kusankha kwambiri yolondola kuposa kuchiza chibayo. maantibayotiki amasankhidwa zochokera nkhani zosiyanasiyana, ndiponso kuchita zambiri kuchuluka kwa zochita za mankhwala, nthawi zambiri m'pofunika perekani ndalama ku magulu awiri.

Kugwiritsa ntchito mankhwala, malinga tizilomboto pa

Silinali lovuta kwambiri ndikulingalira kuti aliyense wa mizere awa ndi bwino kulimbana ndi mitundu ina ya tizilombo toyambitsa matenda chibayo. Choncho, macrolides, ndi bwino kuchita ntchito pneumococci chikwiyire chibayo. Mankhwala chithandizo cha fluoroquinolone mu nkhani iyi likukhalira kukhala operewera ndi kukonzekera Tetracycline tizilombo izi pafupifupi chakufa.

Pakuti Haemophilus influenzae ndi mankhwala ambiri yogwira fluoroquinolones, ndipo ngati nthendayo amayamba ndi Enterobacteriaceae - mankhwala kwa gulu la cephalosporins lachitatu m'badwo. Popereka chithandizo cha mycoplasma ndi chlamydial chibayo anasankha zambiri macrolide ndi kumwa mankhwalawa gulu la mankhwala.

Kodi mankhwala ntchito kawirikawiri onse

Inde, zochiritsira pa nthawi yomweyo, pali mankhwala mu chibayo kusangalala madokotala otchuka. Mwachitsanzo, ngati wodwalayo pansi zaka 60 zakubadwa, alibe matenda a shuga kapena pathologies a dongosolo mtima, zochizira segmental kapena akatswiri focal chibayo amakonda mankhwala bwino kutsimikiziridwa "Avelox" ndi "Tavanic" (lomwe, ndi njira, osati luso lake mtengo mnzake "Loksof" kapena "Levofloxacin"). Pamene anatengedwa molumikizana ndi Amoxiclav ndi mapilisi ' "kapena" Augmentin ", zotsatira zabwino chingapezeke mu masabata awiri pambuyo chiyambi cha phwando.

Ngati alili si bwino, ndiponso kutentha alibe kusiya ngakhale Pa tsiku lachinayi, muyenera kusankha mankhwala ena ndi chibayo. Childs, mu Zikatero, prescribers "Azitro-Sandoz" kapena "Sumamed" m'malo mwa "Augmentin".

osakaniza wabwino komanso ankaona kuti ntchito mapiritsi "Sumamed" (1 tsamba. 1 nthawi patsiku) osakaniza mu mnofu kapena mtsempha jakisoni "Fortum" mankhwala (2 mg wa 2 pa tsiku).

Top akatemera: mankhwala a chibayo

njira ya jekeseni wa mankhwala a chibayo amatenga masiku asanu kapena khumi. Koma Mulimonsemo sikutheka kuti agwire mankhwala paokha, popanda mankhwala ndi kuyang'aniridwa ndi dokotala, kapena pakamwa pa njira yolongosoledwayo, kusankha kuti ukupeza bwino. Zonsezi pamapeto pake imautsa kupulumuka mabakiteriya kukana kuti mankhwala, ndipo anamaliza mankhwala kapena kubwerera kudwala idzayenda imavuta kwambiri, motero zochepa amenable mankhwala.

Nthawi zambiri mu mawonekedwe a jekeseni zotsatirazi mankhwala ntchito kwa kutukusira kwa mapapo:

• "Ceftriaxone" (kutumikiridwa mawola 12 chisanafike kuchepetsedwa novocaine).
• "Amoxicillin" osakaniza mankhwala "Sulbactam" (3 r Mukhoza. Per tsiku).
• "Azithromycin" kutumikiridwa m'nsinga. Kodi pang'onopang'ono adzagwa, chifukwa mankhwala sangathe kubaya intramuscularly.

Zodabwitsa ndizakuti, tisaiwale kuti kugwiritsa ntchito mankhwala lili ndi zinthu zingapo. Motero, mapeto kuti m'pofunika m'malo mankhwala akhoza anachita mu masiku 2-3 atayamba chithandizo. Chifukwa amenewa posankha zochita kungakhale chiopsezo zotsatira zina zoyipa kapena kawopsedwe kwambiri za ena mankhwala, amene sanawalole kutenga nthawi yaitali.

malamulo Basic jekeseni ya chibayo

mankhwala abwino amakhala yekha dokotala adzatha kukatenga ndi chibayo. Koma ngati wodwalayo kukuonetsedwa outpatient mankhwala, ndiye kumupanga iye jakisoni wina banja. Pankhaniyi, kuti si chifukwa adzabadwe bwinobwino, muyenera kutsatira malamulo ochepa.

1. Kumbukirani kuti njira ya mankhwala a chibayo sangakhale masiku osachepera 10.
2. Pamene kugawa kukonzekera m'jekeseni omwe amatuluka mu mawonekedwe a ufa, kumbukirani, iwo akhoza kuchepetsedwa kusanachitike ndondomeko. Sizikupanga izo zisanachitike!
3. Pakuti dilutions antibayotiki ntchito saline, procaine, lidocaine wa kapena madzi a jekeseni. Iwo amatenga mu chiŵerengero muyezo: 1 g lokonzekera - 1 ml.
4. Pamaso pa pokha woyamba kuchita mayeso khungu. Kuti tichite zimenezi, zochepa chabe wosabala disposable syringe singano pa khungu ndi ntchito chilonda madontho ochepa a yanu. Ngati likukhalira wofiira pambuyo pa maminitsi 15 ndipo sanali itch, ndi ziwengo mankhwala kumeneko. Apo ayi, ayenera m'malo.
5. Ngati jakisoni ndi zopweteka kusalola - amanena ayodini gululi kuti imathandizira resorption.

Kodi mankhwala ankaona kuti kuthetsa

Pankhaniyi kumene choopsa cha odwala chibayo anali allocated kwa otchedwa malo mankhwala. Kuti ndi amphamvu mankhwala amene "anasiya" madokotala vuto la mwadzidzidzi (zimenezi chifukwa cha bakiteriya zosavuta kukhala kukana mankhwala).

Choncho m'pofunika kukumbukira dzina lawo. Mankhwala a chibayo ndi aakulu - ndi "Ceftazidime", "Timentin", "sparfloxacin", "Tientam", "Grimipenem". Iwo anamuika mu nkhani ya matenda wofatsa kapena zolimbitsa, chifukwa palibe amene sangayesedwe ku njira zina opaleshoni, mavuto thanzi pamene ntchito kwawo makamaka zofunika.

Kodi mankhwala sayenera kugwiritsidwa

Polingalira za kale mankhwala kukana tizilombo kale mkulu amene amayambitsa kutupa kwa mapapu, mankhwala ali m'munsiwa sudzapereka zotsatira ankafuna. Zida zimenezi ndi izi:

• penicillin chosavuta ( "Bitsellin", "ampicillin", "Oxacillin" ndipo T. N.)
• cephalosporins woyamba ndi m'badwo wachiwiri ( "Cefazolin", "Cephalexin", "Tsefamizin"),
• fluoroquinolones woyamba ndi m'badwo wachiwiri ( "Nalidixic Acid", "Norfloxacin", "Ofloxacin" ndi "Ciprofloxacin").

Musamalandire mankhwala aliwonse!

Pomaliza ndikufuna kutsindika kuti mankhwala kudzikonda ntchito ndi choopsa kwambiri, osati chifukwa angathe kuyambitsa zotsatira zina zoyipa.

Mosasamala zomwe mankhwala kuchiza chibayo mabakiteriya mofulumira kukhala mankhwala kukana kwa iwo. Izi zikutanthauza kuti nkhani iliyonse latsopano kufunika kutenga mankhwala, chiopsezo kuti kanthu ankayembekezera zimachokeradi. Izi, kumene, sachedwa njira ya matenda ndiponso chifukwa mavuto osiyanasiyana. Choncho, pofuna kuti okha m'tsogolo ndi vuto, kuchita musalankhule medicate. Ndipo zabwino zonse!