Mankhwala kwa kutsokomola ana. Kutsokomola chithandizo ana ndi mankhwala

Nyengo ya chimfine pafupifupi nthawi zonse akuyamba ndi chifuwa. Ichi ndi chizindikiro cha mitundu yosiyanasiyana ya matenda chapamwamba kupuma thirakiti. Komanso, imfayo pakutchulidwa ya mtolo kwambiri pa m'phuno ndi trachea kapena anasamutsa ozizira.

Zimene simuyenera kuchita pamene inu kutsokomola?

Zikatero, makamaka wotchuka mankhwala a chifuwa ndi mankhwala ana. Ndi kupyolera mu izi "matsenga" amatanthauza makolo ndikuyembekeza kuti akunde matenda. Koma Dziwani kuti mankhwala - si "golide mapiritsi" chifuwa ana ndi achinyamata. Mu nkhani ya mwana wa matenda tizilombo (SARS, pharyngitis, zilonda zapakhosi), kuwonongeka mawotchi ya m'phuno kapena trachea mankhwala sudzapereka zotsatira.

Izi Ndizachidziwikire kuti kugwiritsa ntchito mankhwala ayesedwa wolungama ndi ntchito pokhapokha pamene bwino anaika mawonekedwe microflora anavuta Airways ana. Choncho, kudziwa kapena kutenga mankhwala kwa akutsokomola, m'pofunika dokotala.

Makolo ambiri amakonda kukhulupirira kuti mankhwala kwa akutsokomola ana kudzangokuvulazani thupi lawo. Koma popanda mankhwala antibacterial sikuchiritsa chibayo, chifuwa chachikulu, ndi matenda ena ovuta. Only dokotala akhoza mankhwala opha molondola, ku phwando lomwe ubwino kuposa zoipa. Komanso, ndi mankhwalawa pakutchulidwa wa mavuto pa phwando mankhwala awa pafupifupi kwina.

Pamene kutenga?

Mankhwala kwa kutsokomola ana ntchito kulimbana ndi matenda bakiteriya. Koma iwo alibiretu mphamvu pa mavairasi lapansi. Ngati chifuwa zimawonedwa pamaso zizindikiro monga chimfine, kutopa, kufooka, mutu ndi zilonda zapakhosi, n'zimenenso kukhalapo kwa HIV. Zinali iye amene kumathandiza kuti chitukuko cha matenda. Kupangitsa yatsoka matenda chifuwa tizilombo monga fuluwenza, parainfluenza, kupuma matenda syncytial ndi chikuku.

Kutenga mankhwala pamene ARI kumathandiza kuti maonekedwe ndi chitukuko tima zamitundu yosiyanasiyana chifuwa, dysbiosis. Koma mwanayo mzere kuchira si yafupika.

Mankhwala opha kwa akutsokomola ana ayenera kukhala choncho kumene pakutchulidwa matenda chikwiyire:

• tracheitis;
• chibayo;
• pleurisy;
• chifuwa chachikulu;
• matenda ndi matenda ena bakiteriya kupuma.

Za chikhalidwe cha matenda bakiteriya anasonyeza ndi zizindikiro zotsatirazi:

• malungo masiku opitirira 3;
• leucocytes okwera magazi, leukocytic chilinganizo ankatembenukira lamanzere;
• neutrophilia;
• pamaso pa kufupika kutchulidwa kwa mpweya;
• Kutalika kwa Inde matenda.

Moyenera kusankha mankhwala

Kuchotsa chifuwa yaitali, muyenera yanzeru. Zinasonyeza microflora ndi kudziwa tilinazo mabakiteriya kuti wothandizila zosiyanasiyana antibacterial ndi kuchita sputum chikhalidwe. Chifukwa cha kusanthula izi zidzakhala kudziwa zomwe mankhwala adzapindula, mu nkhani iyi, ndi omwe sadzakhala ndi mphamvu iliyonse pa matenda, ndi kutsokomola pambuyo mankhwala sizigwira ntchito ndi kamwanako.

Pamene nthawi ili ndi inu

Koma kuchita kusanthula izi ndi processing zotsatira zimatenga nthawi. Pankhaniyi, mwanayo matenda komanso chatsitsa ndipo amafuna zoyenela. Pankhaniyi mwana maantibayotiki ndi chifuwa amphamvu amasankhidwa empirically, kuganizira Nkosatheka causative wothandizira.

Monotherapy ndi yotakata-sipekitiramu mankhwala

Njira kwambiri mulingo woyenera kunja mulimonse - monotherapy (pogwiritsa ntchito antibacterial mankhwala). Ndi zofunika kuti akhale ndi piritsi, kuyimitsidwa, kapena ufa. Only matenda aakulu jakisoni.

Ngati palibe kuthekera kwa nthawi kuwona dotolo, ndipo thanzi mwana chatsika (kuwonjezeka dyspnea, kawopsedwe kugwirizana ndi kutentha), m'pofunika kuchita tizilomboto kukhosomola youma, pokhala sipekitiramu waukulu ntchito. Kuyambira wothandizila antibacterial Pankhaniyi akhale "Amoksiklav" kapena "Augmentin". Komanso, zotsatira abwino amoxicillin osakaniza sulbactam ( "Trifamoksa").

Kodi kuchiza chifuwa ana ndi mankhwala?

Choyamba, tiyenera kukumbukira kuti ntchito mankhwala ayenera kukhala wokhazikika. Only mu nkhani iyi Adzadzipezera m'thupi ndipo adzakhala anapitiriza ndende zofunika zinthu zambiri, ndipo zimenezi kungachititse kuti imfa ya mabakiteriya. Pamene kulandira ndi kuchepetsa osasamba ku ndende ya mankhwala kumachitika. mankhwala si zotsatira zabwino. Komanso, lingachititse chitukuko cha kukana kuti mankhwala.

Komanso, mwana ayenera kumva akakambirana kwa nthawi yochepa. Lidalitsidwe lamanja la mankhwala adzakhala azimuth zabwino (wapita wouma kapena konyowa chifuwa, kuchepa ululu pachifuwa, kupuma kumakhala kosavuta).

Ngati pambuyo maola 48 palibe kusintha, mankhwala si abwino kwa mwana wanu. M'pofunika m'malo mwa maantibayotiki ena kapena osakaniza mankhwala. Koma si koyenera kuwonjezera mlingo, izo Sindizakubweretsanso alibiretu zotsatira.

Tengani mankhwala kwa akutsokomola ana akhale kwa nthawi yaitali. Nthawi zambiri nthawi kumene masiku 5-7. Ngakhale mwana amamva bwino patapita masiku angapo, lekani chithandizo, chifukwa pali chiopsezo cha matenda kubwerera.

Kodi mankhwala amagwiritsidwa ntchito pofuna kuchiza chifuwa ana?

Chifukwa chaichi, ntchito mankhwala, waukulu yogwira pophika ndizo

• Penicillin, limene likupezeka mu "Amoksiklava", "Augmentin", "Flemoksin Solutab". Iwo nthawi kutumikiridwa mu malo oyamba. Pokhapokha ngati ntchito yawo wosatenga zotsatira anakhumba, gwiritsani ntchito magulu ena a mankhwala;
• cephalosporin pano mu "Tsefataksime", "cefuroxime". Izi mankhwala kwa akutsokomola ana Kwalamulidwa ngati miyezi 2-3 otsiriza mwana kale kumwa maantibayotiki ena. Iwo ntchito ngati kumene kulibe mphamvu iliyonse pa phwando penicillin.

Macrolides ndi Fluoroquinolones

The gulu la macrolides ndi "Azitrotsitsin" "Sumamed". Izi mankhwala ogwira pamaso kutupa mu kapepala kupuma kwa mwana.

M'malo zochepa ndi ntchito fluoroquinolones. Ichi ndi chifukwa chakuti mankhwala pamene inu kutsokomola ana kwambiri umakhudza chitukuko cha chichereŵechereŵe minofu ndi amasonkhana mafupa.

Palibe safuna kudzimvera kuchitira mwana. Chifukwa pambali zizindikiro zoonekeratu kusankha mankhwala bwanji zaka mwanayo, zikhalidwe za matenda. Nthawi zina, kukhosomola imfayo zamoyo atypical (mauka kapena mycoplasma). Pankhaniyi ziyenera kuti mankhwala osiyana kwathunthu kwa ana ndi chifuwa. Kodi tinganene yekha dokotala.

Yoyenera pulogalamu chithandizo akhoza anatumizidwa kwa dokotala. Pa nthawi yomweyo, kuwonjezera pa mankhwala ndi kuonetsetsa kuti mankhwala a antihistamine Inde. Pambuyo pa mapeto a mankhwala kudziwa kumasulira m'nyengo kupewa dysbiosis. Ngati pa mankhwala lafika poipa chikhalidwe cha mwana, ayenera yomweyo kupempha thandizo kwa akatswiri.