Sinusitis ndi matenda a ENT ambiri. Nthaŵi zambiri, matenda amayamba ngati vuto la matenda opatsirana monga chiwombankhanga, matinillitis, pharyngitis, chikuku, ndi zina. Ma Causative agents of sinusitis akhoza kukhala mabakiteriya (nthawi zambiri staphylococci, streptococci, hemophilia), ndi mavairasi ndi bowa. Ngati nthawi isayambe kuchitira sinusitis, ikhoza kuwonetsa mavuto monga meningitis, ophthalmic phlegmon, osteomyelitis, ndi zina zotero.
Kodi mukusowa maantibayotiki a sinusitis?
Kufunika kwa maantibayotiki kumatsimikiziridwa ndi zomwe zimayambitsa matenda ndi mtundu wa tizilombo toyambitsa matenda. Choncho, ngati genyantritis imayambitsidwa ndi mavairasi kapena bowa, kugwiritsa ntchito mankhwala osokoneza bongo kungangowonjezera njira yokhayokha. Zizindikiro za bakiteriya sinusitis ndi:
- Kutuluka kwa purulent kuchokera m'mphuno (utsi wakuda wa mtundu wachikasu kapena wobiriwira);
- Chikondi mmalo mwa machulukidwe a maxillary, omwe amachulukitsa ndi kukakamizidwa;
- kutaya fungo;
- chodabwitsa cha kuledzera kwa thupi.
Pakupita patsogolo kwa zizindikirozi kapena kuwasunga kwa maola oposa sabata, antibiotics amafunika. Pankhaniyi, musanayambe kulandira chithandizo, amayenera kuchita chikhalidwe cha mabakiteriya kuchokera m'mphuno kuti apeze tizilombo toyambitsa matenda, komanso kumvetsetsa mankhwalawa. Ngakhale pakuchita ndi kutupa kwakukulu kusanthula koteroko kawirikawiri kumachitidwa, mankhwala opha tizilombo a machitidwe ambiri amalembedwa. Koma pankhani ya sinusitis popanda kudziwa tizilombo toyambitsa matenda, mankhwala sangapereke zotsatira zabwino.
Kodi ndi antibiotic yotani yomwe imayenera kutenga ndi genyantritis?
Pamene kulandira mankhwala ophera maantibayotiki ndikofunikira ndi koyenera, funso limabwera: ndi mankhwala ati omwe amamwa pa genyantritis? Posankha mankhwala, mphamvu yowonongeka mu timagulu timene timatulutsa timadzi timene timagwiritsa ntchito mankhwalawa ndiwotheka kuti tithe kugwiritsira ntchito mankhwalawa. Amaganiziranso mtundu wa mankhwala, umunthu wa wodwalayo, matenda omwe alipo.
Mfundo yofunikira ndi kusankha mtundu wa mankhwala. Mankhwala othandiza kwambiri mu genyantritis ndi maantibayotiki monga majekeseni, koma nthawi zambiri amalembedwa ku milandu yoopsa, ndi kuledzeretsa kwa thupi. Kawirikawiri, mankhwala opha tizilombo am'thupi amalembedwa. Kugwiritsa ntchito mankhwala a antibayotiki, ngakhale kuti kumapewa machitidwe ambiri, koma sikungayambe nthawi zonse kuyambitsa mankhwalawa pamutu wa kutupa chifukwa cha kutupa kwa mucosa ndi kukhalapo kwa mucus wakuda.
Ma antibayotiki owopsa a purulent sinusitis (mayina)
Nthawi zambiri, mu genyantritis, mankhwala ophera antibacterial a magulu otsatirawa akulamulidwa:
- cefalosporins (Ceftriaxone, Cefotaxime, Cefuroxime, Cefixime, Cedex, Zinnat , Ospexin, etc.);
- penicillins (Amoxicillin, Amosin, Hiconcil, Ecoclav, Amoxiclav, Augmentin, etc.);
- macrode (Zitrolide, Sumamed, Josamycin, Macropen, Clarithromycin, etc.);
- fluoroquinolones (Ofloxacin, Moxifloxacin, Lomefloxacin, Ciprofloxacin, Levofloxacin ).
Maantibayotiki ammidzi, omwe angagwiritsidwe ntchito pochiza sinusitis, ndi mankhwala monga:
- Isophra;
- Zojambula;
- Fusafungin.
Kuphatikizana ndi maantibayotiki, monga lamulo, mavitamini osoconstrictive, antiallergic mankhwala, mapuloteni amauzidwa, ndipo mphuno imatsukidwa ndi njira zowonongeka. Tiyenera kukumbukira kuti mankhwala oletsa tizilombo toyambitsa matenda sangathe kusokonezedwa ngakhale patapita kusintha kwabwino (njira ya chithandizo ili pafupi masiku 7-10).