Kuchiza kwa pyelonephritis mwa amayi kumatanthauza mankhwala osokoneza bongo, chifukwa pafupifupi nthawi zonse matendawa amagwirizanitsidwa ndi ntchito ya mabakiteriya a gram-positive kapena gram-negative. Pachifukwa ichi, kusankha kwa ma antibiotic payekhapayekha kuyenera kukhala payekha, chifukwa pochiza ma pirophephritis pachimake mwa amayi ndipo matenda osaphatikizapo amatha kugwiritsa ntchito mankhwala osiyanasiyana. Zovuta za matendawa, monga purulent pyelonephritis, zimasonyeza kugwiritsa ntchito mankhwala osokoneza bongo ndi zotsatira zovuta ndi zotsatira zake.
Mbali za chithandizo cha pyelonephritis mwa akazi
Pyelonephritis mwa amayi imakhudza kwambiri ntchito yobereka. Amene adwala matendawa, zimakhala zovuta kuti akhale ndi pakati komanso kubereka mwana. Ngati matendawa ndi aakulu, mimba ili ndi mavuto, ndipo kubadwa kumatha kusinthidwa ndi gawo la mchere pofuna kuchepetsa chiopsezo cha matenda a impso. Ndi chifukwa chake pyelonephritis imayenera kuchiritsidwa nthawi yomweyo, monga momwe anapezera. Chiwembu cha mankhwala a pyelonephritis mwa amayi chimaphatikizapo kugwiritsa ntchito mitundu yambiri ya mankhwala osokoneza bongo:
- gulu la aminopenicillins;
- semisynthetic pamodzi kuphatikizapo aminopenicillin ndi clavulanic asidi;
- gulu la cephalosporins;
- aminoglycosides ;
- gulu la fluoroquinolones.
Ndi mankhwala ati omwe amachiza pyelonephritis azimayi amasankha?
Aminopenicillins alibe zotsatirapo zotsatila komanso zotsutsana, zingagwiritsidwe ntchito panthawi yomwe ali ndi mimba komanso chithandizo cha ana kuyambira miyezi itatu. Koma zotsatira za mankhwala mu gulu ili ndi ofooka, popeza mankhwala omwe ali ofunikira kwambiri a tizilombo toyambitsa matenda a pyelonephritis amatsogolera kuwonongeka kwa mankhwala othandiza. Mankhwalawa akuyenera kugwiritsa ntchito pamene wothandizira matendawa ndi E. coli, kapena enterococci. Ma antibayotiki otchuka kwambiri a gulu ili ndi Amoxicillin ndi Penicillin.
Chithandizo cha mankhwala a pyelonephritis osapitirira kwa amayi ndi bwino kupangidwa ndi mankhwala opangidwa ndi aminopenicillin ndi clavulanic asidi. Mphamvu yawo ndi yaikulu, koma zotsatirapo za thupi ndi zofatsa. Monga zovuta, pali zowopsa ndi leukopenia, koma izi zimachitika kawirikawiri. Chitsanzo cha mankhwala ngati amenewa ndi mapiritsi Flemoklav Solutab.
Pachimake pyelonephritis imachiritsidwa ndi aminoglycosides ndi fluoroquinolones. Nawa otchuka kwambiri mwa iwo:
- Ciprofloxacin ;
- Ofloxacin;
- Ramikazin;
- Gentamicin;
- Nethylmycin.
Zotsatira zoyipa ndi zotsutsana ndi mankhwalawa ndizoopsa, ndizoopsa kwambiri ndi zotsatira zake za nephrotoxic.
Zovuta za matenda, makamaka purulent mtundu wa pyelonephritis, amachiritsidwa ndi cephalosporins. Izi ndi izi:
- Cephalexin;
- Zinnat;
- Tamycin ndi ena.