Yuav ua li cas yog tshuaj tua kab mob rau mob ntsws muab?

Tshuaj tua kab mob - ib pab pawg neeg ntawm cov tshuaj uas ces yuav tsum nyob rau hauv ib tug muab cov ntaub ntawv, yuav luag txhua leej txhua tus. Txawm tias muaj tseeb hais tias cov hais tias cov tshuaj no yog loj heev, yog tsis muaj lawv, hmoov tsis, peb tsis tau ua - nyob rau hauv kev nyob rau hauv cov kev kho mob ntawm mob ntsws dej. Yuav ua li cas yog tshuaj tua kab mob rau mob ntsws feem ntau siv thiab yog vim li cas lawv yog cov feem ntau txhais tau tias zoo rau tshwj kom txhob muaj tus kab mob, peb yuav sib tham txog nyob rau hauv no tsab xov xwm.

Yuav ua li cas yam feem xyuam rau txoj kev xaiv ntawm ib tug yeeb tshuaj nyob rau hauv mob ntsws?

Nyob rau hauv cov tshuaj mob ntsws hais txog ib tug pab pawg neeg ntawm mob heev thiab lub neej-hem kab mob ntawm tus neeg mob. Causative ua hauj lawm ntawm tus kab mob no yuav ua tau thiab cov kab mob, thiab fungi. Tiam sis ntau tshaj feem ntau lub hauv paus ntawm tus kab mob yog kab mob - pneumococci, streptococci, staphylococci, etc. Cov zajlus yog lub teeb nyob rau tib lub sij hawm nres hauj lwm zoo, yuav ua tau rau ib tug ntau yam ntawm loj txim rau tus kab mob ...

Tsis ntev dhau los, lub ntsiab tshuaj tua kab mob rau tshwj kom txhob mob ntsws yog ib qho yooj yim los mus txiav txim raws li tus kab mob no twb kho tsuas tshuaj penicillin. Tab sis, raws li nws muab tawm, cov kab mob yuav tau tsim tshuaj kuj. Tam sim no hu ua tshuaj tua kab mob tej zaum yuav muaj yuav tsis zoo li, tus neeg tshawb fawb yuav tsum tau tsim tshuaj tshiab. Nyob rau hauv peb lub sij hawm, muaj yog ib tug zoo tus naj npawb ntawm lawv kom zoo, thiab nyob rau tib lub sij hawm nws yog ib qhov nyuaj rau tus kws kho mob, vim hais tias tam sim no nws muaj coj mus rau hauv tus account ntau yam los mus xaiv tus kom tsim nyog kho mob.

Yuav ua li cas yog tshuaj tua kab mob rau mob ntsws yuav tsum taw, thiab tam sim no nyob rau ntau yam: coj mus rau hauv tus account tsis tau tsuas yog tus kab mob no, tab sis nws ua nyhav mus rau yeeb tshuaj, raws li zoo raws li uas tshuaj nyob rau hauv pab pawg neeg no ntawm cov neeg mob twb tau siv yav tas los.

Yuav ua li cas yuav muab kev kho mob rau mob ntsws?

Yuav kom qhov mob yog li muaj tseeb li sai tau, tus yeees ntawm tus neeg mob lub hnoos qeev kuaj txiav txim seb tus yam ntawm cov kab mob uas ua tus kab mob. Nyob rau hauv seev suab tsom xam feem ntau yog qhia pharmacological pab pawg neeg, thiab cov nws cov khoom tus kws kho mob xaiv uas muaj cov yam tsawg kawg tshwm sim thiab contraindications. Nws kev txhawj xeeb mas cov nram qab no pab pawg neeg ntawm tshuaj tua kab mob :

• cephalosporins ( "Aksetin", "Supraks" "Cefixime" "Zinat" thiab al.);
• fluoroquinolones ( "levofloxacin", "Aveloks", "Moksimak", "Moxifloxacin", etc ...);
• macrolides ( "Azithromycin", "Hemomitsetin" "Sumamed" thiab al.),
• pab pawg neeg tetracyclines ( "Doxycycline", "tetracycline", "Oxytetracycline hydrochloride" thiab t. d.).

Muaj pes tsawg leeg ntawm txhua tus ntawm lawv yog active cov khoom xyaw uas tso cai rau ib tug kws xaiv lub tshaj plaws yog hais tias tshaj los kho mob ntsws dej. tshuaj tua kab mob raug xaiv raws li nyob rau hauv cov ntaub ntawv, thiab nthuav cov uas muaj kev txiav txim ntawm cov tshuaj, feem ntau heev nws yog tsim nyog los muab cov nyiaj los ntawm ob pab pawg.

Kev siv cov tshuaj tua kab mob, nyob ntawm seb lub pathogen

Tsis li ntawd, ib qho nyuaj rau twv hais tias txhua tus ntawm cov kab yog qhov zoo tshaj plaws kom paub daws nrog tej hom mob ntsws pathogens. Yog li ntawd, macrolides, nws yog qhov zoo tshaj plaws los ua rau pneumococci ua si provoked mob ntsws dej. Tshuaj tua kab mob kev kho mob ntawm lub fluoroquinolone nyob rau hauv cov ntaub ntawv no hloov tawm mus rau yuav tawg paj txi txiv thiab npaj tetracycline cov kab mob suab loog.

Rau Haemophilus influenzae yog cov feem ntau active tshuaj ntawm fluoroquinolones, thiab yog hais tias tus kab mob no yog tshwm sim los ntawm Enterobacteriaceae - cov tshuaj los ntawm cov pab pawg neeg ntawm peb-tiam cephalosporins. Thaum kho cov mycoplasma thiab chlamydial mob ntsws xaiv feem ntau yog macrolide thiab tetracycline pab pawg neeg ntawm tshuaj tua kab mob.

Yuav ua li cas tshuaj tua kab mob siv nquag nyob rau hauv tag nrho cov

Ntawm cov hoob kawm, nyob rau hauv kev kho mob xyaum nyob rau tib lub sij hawm, muaj cov tshuaj tua kab mob nyob rau hauv mob ntsws enjoying cov kws kho mob feem ntau nrov. Piv txwv li, yog hais tias tus neeg mob yog nyob rau hauv 60 lub xyoos ntawm hnub nyoog, nws tsis muaj mob ntshav qab zib los yog pathologies ntawm cov hlab plawv system, rau cov kev kho mob ntawm segmental los yog focal mob ntsws cov tub txawg xav zoo-cov pov thawj tshuaj "Avelox" thiab "Tavanic" (uas, los ntawm txoj kev, es tsis nws cheaper counterpart "Loksof" los yog "Levofloxacin"). Thaum noj nyob rau hauv nrog cov tshuaj 'Amoxiclav "los yog" Augmentin ", lub zoo ntxim yuav ua tau tiav nyob rau hauv ob lub lis piam tom qab pib ntawm kev txais tos.

Yog hais tias tus neeg mob tus mob tsis zoo, thiab qhov kub thiab txias tsis poob txawm nyob rau lub plaub hnub, koj yuav tsum xaiv lwm yam tshuaj tua kab mob tiv thaiv mob ntsws dej. Feem ntau, nyob rau hauv xws li mob, prescribers "Azitro-Sandoz" los yog "Sumamed" es tsis txhob "Augmentin".

Zoo ua ke yog tseem xam tau tias yog siv cov ntsiav tshuaj "Sumamed" (1 tab. 1 lub sij hawm txhua txhua hnub) nyob rau hauv ua ke nrog nrog intramuscular los yog tso dej raws leeg tshuaj "Fortum" tshuaj (2 mg 2 lub sij hawm ib hnub twg).

Sab saum toj txhaj tshuaj: tshuaj tua kab mob rau mob ntsws

ib chav kawm ntawm tshuaj ntawm tshuaj tua kab mob rau mob ntsws feem ntau yuav siv sij hawm xya mus rau kaum hnub. Tab sis nyob rau hauv txhua rooj plaub nws yog tsis yooj yim sua mus nqa tawm cov kev kho mob rau lawv tus kheej, tsis muaj lub hwj tshuaj thiab kev saib xyuas ntawm ib tug kws kho mob, los yog mus rau cuam tshuam cov tshuaj kawg, txiav txim siab hais tias lub xeev ntawm kev noj qab nyob tau zoo zog lawm. Tag nrho cov no yuav nws thiaj li ntxias cov tseem muaj sia nyob cov kab mob kuj mus rau yeeb tshuaj, thiab tas cov kev kho los yog rov qab pathology yuav ntws yog nyuab dua, yog li tsawg amenable rau kev kho mob.

Feem ntau cov feem ntau nyob rau hauv daim ntawv ntawm cov tshuaj nram qab no tshuaj tua kab mob siv rau o ntawm lub ntsws:

• "Ceftriaxone" (muab txhua txhua 12 teev nyob rau hauv pre-diluted novocaine).
• "Amoxicillin" nyob rau hauv ua ke nrog nrog tshuaj "Sulbactam" (3 r. Ib hnub).
• "Azithromycin" muab intravenously. Tsis nws maj mam nrog kua, vim hais tias cov tshuaj tsis tau stabbing intramuscularly.

Incidentally, nws yuav tsum tau muab sau tseg tias kev siv ntawm tshuaj tua kab mob muaj ntau yam. Yog li, lub xaus hais tias nws yog tsim nyog los hloov cov tshuaj muaj peev xwm tsuas yog ua nyob rau hauv 2-3 hnub tom qab pib kho mob. Yog vim li cas rau xws li ib tug kev txiav txim siab yuav tsum yog ib tug uas yuav muaj kev phiv loj heev los yog ntev li toxicity ntawm ib co tshuaj tua kab mob, uas tsis tso cai rau lawv mus coj ib tug ntev lub sij hawm.

Basic cai cov kev txhaj tshuaj ntawm mob ntsws

Pib tshuaj tua kab mob tsuas yog ib tug kws kho mob yuav tsum tau mus nqa nrog mob ntsws dej. Tab sis yog hais tias tus neeg mob yog muaj pw kho mob, ces ua rau nws xav tshuaj muaj ib tug neeg los ntawm cov tsev neeg. Nyob rau hauv cov ntaub ntawv no, nyob rau hauv thiaj li tsis mus ua ruaj teeb meem, koj yuav tsum tau ua raws li ib tug ob peb cov kev cai.

1. Nco ntsoov tias ib chav kawm ntawm tshuaj tua kab mob rau mob ntsws tej zaum yuav tsis muaj tsawg tshaj li 10 hnub.
2. Thaum muab tshuaj preparations, uas yog ua nyob rau hauv daim ntawv ntawm cov hmoov, nco ntsoov, lawv yuav tsum tau diluted cia li ua ntej cov txheej txheem. Tsis txhob ua rau nws nyob rau hauv ua ntej!
3. Rau dilutions ntawm tshuaj tua kab mob siv saline, procaine, lidocaine los yog dej rau txhaj tshuaj. Lawv coj nyob rau hauv tus txheej txheem piv: 1 g ntawm cov kev npaj - 1 ml.
4. Ua ntej thawj prick ua ib daim tawv nqaij mus kuaj. Ua li no, khawb, muaj menyuam tsis taus pov tseg koob txhaj koob los ntawm daim tawv nqaij thiab siv tau rau lub qhov txhab ib ob peb tee ntawm lub ntawv. Yog hais tias nws puv liab tom qab 15 feeb thiab tsis khaus, cov kev tsis haum tshuaj rau cov tshuaj muaj. Txwv tsis pub, nws yuav tsum tau hloov.
5. Yog hais tias lub tshuaj yog heev infiltration - nws yog thov iodine daim phiaj rau leeb resorption.

Yuav ua li cas tshuaj tua kab mob tau hais tias yuav redundant

Nyob rau hauv cov ntaub ntawv ntawm kev mob loj chav kawm ntawm mob ntsws cov neeg mob tau faib rau hauv lub thiaj li hu ua cia tshuaj. Qhov ntawd yog hwj chim tshuaj tua kab mob uas yog "tso tseg" los ntawm cov kws kho mob nyob rau hauv cov ntaub ntawv ntawm thaum muaj xwm ceev (qhov no yog ua li cas vim hais tias ntawm qhov yooj yim cov kab mob los tsim kuj mus tshuaj).

Yog li ntawd nws yog tsim nyog los nco ntsoov lawv lub npe. Tshuaj tua kab mob rau mob ntsws loj - ib tug "Ceftazidime", "Timentin", "sparfloxacin", "Tientam", "Grimipenem". Lawv tsis raug tsa los nyob rau hauv cov ntaub ntawv ntawm me me los yog muaj mob loj tsawv kab mob, vim hais tias tsis muaj ib tug yog tiv thaiv kab mob los ntawm ntxiv phais tiv thaiv, thiab zoo sib xws noj qab haus huv tej teeb meem thaum lawv daim ntawv thov yuav tsum tau tshwj xeeb yog tsim nyog.

Yuav ua li cas tshuaj tua kab mob yuav tsum tsis txhob siv

Nyob rau hauv view ntawm lub twb hais yav tas los siab cov tshuaj kuj kab mob uas ua rau o ntawm lub ntsws, tshuaj tua kab mob, uas muaj npe hauv qab no, yuav tsis muab cov nyhuv. Cov cuab yeej xws li:

• yooj yim penicillins ( "Bitsellin", "ampicillin", "Oxacillin" thiab t. n.)
• cephalosporins thawj thiab thib ob tiam ( "Cefazolin", "Cephalexin", "Tsefamizin"),
• fluoroquinolones thawj thiab thib ob tiam ( "Nalidixic Acid", "Norfloxacin", "Ofloxacin" thiab "Ciprofloxacin").

Tsis txhob noj tej tshuaj tua kab mob!

Thaum kawg kuv xav qhia hais tias nws tus kheej-thov tshuaj tua kab mob yog heev txaus ntshai, tsis tau tsuas yog vim hais tias lawv muaj peev xwm ua rau kev phiv loj heev.

Tsis hais dab tsi tshuaj tua kab mob kho mob ntsws kab mob sai sai tsim tshuaj kuj mus rau lawv. Qhov no txhais tau tias txhua txhua tshiab cov ntaub ntawv nyob rau hauv uas yuav tsum tau mus noj cov tshuaj no, kev pheej hmoo tias cov kev tsim cov kev txiav txim tsis tshwm sim. Qhov no, ntawm chav kawm, ncua hauv cov chav kawm ntawm tus kab mob thiab ua ntau yam teeb meem. Yog li ntawd, nyob rau hauv thiaj li tsis mus muab lawv tus kheej nyob rau hauv lub neej yav tom ntej nyob rau hauv ib tug yooj yim teeb meem no, ua tsis tau nws tus kheej-medicate. Thiab hmoov zoo!