Anthu ambiri amatenga bronchitis ndipo nthawi zambiri. Ichi ndi matenda ovuta omwe amafunika kuyang'anitsitsa ndi kuchiritsidwa kwambiri. Koma mwatsoka, ndi kuyamba koyenera kwa mankhwala oyenera, matendawa amatha. Nthawi zina, bronchitis mwa akulu ndi mankhwala omwe amalembedwa. Izi zimachitika nthawi zambiri, koma osati nthawi zonse. Nthawi zina, n'zotheka kulimbana ndi matenda popanda kugwiritsa ntchito mankhwala osokoneza bongo.
Kodi ndizochitika zotani pamene mankhwala a bronchitis akuluakulu ali ndi maantibayotiki?
Posachedwapa, anthu akhala akudwala kwambiri ndi bronchitis. Zifukwa za izi - zowonongeka mwamphamvu, zovuta zowonongeka, komanso moyo wachangu. Kwa odwala ambiri, matendawa amatha kukhala ndi mawonekedwe osalekeza. Ndipo nthawi zambiri izi zimakhala chifukwa chakuti madokotala amasankha njira yolakwika yochizira.
Kuti muchotse bronchitis, muyenera kudziwa bwinobwino chifukwa chake. Pambuyo pake, matenda a chiwombankhanga samachiritsidwa ndi maantibayotiki - izi zidzangowonjezera mkhalidwewo, koma kwenikweni mankhwala amphamvu sangathe kugonjetsedwa ndi kachilomboka.
Chithandizo cha bronchitis chosachiritsika kapena chachikulu mwa anthu akuluakulu omwe ali ndi maantibayotiki amavomereza pamene:
- kutentha kwakukulu, komwe sikugwera masiku osachepera atatu;
- kudziwidwa kutupa m'mayesero a magazi;
- kuchuluka kwa msinkhu wa ESR;
- leukocytosis ;
- amasonyeza zizindikiro za mowa;
- chifuwa chimamera (makamaka, zigawo zowonongeka za sternum);
- Kukhalapo kwa nkhuku ndi matenda a bakiteriya;
- wolemetsa "akudandaula" kupuma;
- nthawi yaitali ya matendawa.
Akatswiri ambiri samalimbikitsa kugwiritsa ntchito maantibayotiki kuti athetse anthu atakwanitsa zaka makumi asanu ndi limodzi. Kuletsa njira yodalirikayi ndi bwino panthawi yomwe matendawa akuchulukitsika kapenanso pakakhala kusokonezeka.
Kodi ndi antibiotic yotani yomwe imayenera kumwa mowa akuluakulu omwe ali ndi bronchitis?
Kusankha maantibayotiki abwino ndikovuta. Cholinga chachikulu cha izo - kutanthauzira kwa tizilombo toyambitsa matenda omwe adayambitsa matendawa.
Aminopenicellins
Maantibayotiki-aminopenicellins, kulowa m'thupi, kuwononga makoma a mabakiteriya, chifukwa amatha kuwonongeka. Mankhwalawa amagwira bwino kwambiri. Izi zikutanthauza kuti ndizoopsa kwa maselo owopsa, okhawo ali ndi thanzi labwino. Chokhacho chokha cha mankhwalawa ndi chakuti nthawi zambiri zimayambitsa mavuto. Oimira otchuka kwambiri a aminopenicellins:
- Arlette;
- Augmentin;
- Amoxiclav;
- Amoxicillin.
Fluoroquinolones
Kawirikawiri, ma antibiotics-fluoroquinolones amagwiritsidwa ntchito pochiza matenda a bronchitis akuluakulu. Awa ndi mankhwala a zochitika zambiri. Kuzigwiritsa ntchito nthawi zambiri komanso kwa nthawi yaitali sizinayamikiridwe - ntchito ya m'mimba imatha kusokonezeka ndipo dysbacteriosis ikukula. Fluoroquinolones amawononga DNA ya tizilombo toyambitsa matenda. Gululo ndilo:
- Moxifloxacin;
- Ofloxacin;
- Levofloxacin.
Zamakono
Nthawi zina ngakhale mapiritsi atatu a antibiotic-omwe amawoneka ndi akuluakulu omwe ali ndi bronchitis amatha kuchiza. Mankhwalawa samalola tizilombo toyambitsa matenda kukula, kusokoneza njira yopangira mapuloteni m'maselo ochititsa matenda. Zili zogwira mtima ngakhale mu mitundu yovuta ya matenda, yomwe ili yachikhalire. Kuti awathandize, monga lamulo, gwiritsani ntchito, ndi chifuwa kwa mankhwala a penicillin. Owala kwambiri a gulu lawo:
- Kutchulidwa;
- Macropean;
- Azithromycin.
Cephalosporins
Gulu la antibiotics lotchedwa cephalosporins la bronchitis kwa akuluakulu limaperekedwa mu jekeseni ndi mapiritsi awiri. Ali ndi zochita zambiri. Kuwonongeka kwa tizilombo toyambitsa matenda kumachitidwa mwa kulepheretsa kaphatikizidwe kake ka phungu. Mutha kumva za cephalosporin monga:
- Cephalexin;
- Chofezolin;
- Ceftriaxone .