Qhov zoo tshaj plaws tshuaj tua kab mob tom qab phais: ib tug saib xyuas ntawm cov tshuaj, tshwj xeeb tshaj yog txais tos kev

Tom qab tej kev phais kev pab no tej zaum txoj kev loj hlob ntawm lub taub dej khawb teeb meem. Qhov no yog vim lub qhov txhab kab mob, raws li tau zoo raws li cov kev loj hlob ntawm ntau yam nyob rau hauv nws lub inflammatory txheej txheem. Uas yog vim li cas ib tug tshuaj tua kab mob yog tshuaj tom qab phais. Cov tshuaj yog siv nyob rau hauv thiaj li yuav ua kom puas pathogenic pathogens. Cov tshwm sim ntawm no tej yam yog cov tshem tawm ntawm lub inflammatory txheej txheem.

Lo lus "tshuaj tua kab mob" nyob rau hauv ancient Greek txhais hais tias "tiv thaiv lub neej." Thiab lub npe justifies qhov kev txiav txim ntawm tej nyiaj. Tom qab tag nrho, lawv yog siv los suppress txoj kev loj hlob ntawm nyob hlwb.

Tshuaj tua kab mob tom qab phais yuav raug taw los ntawm lub mus kawm tus kws kho mob. Tsuas yog nrog nws paub thiab nyob rau hauv lub kom ntau npaum ntawm xws txoj kev kho yuav tsum tau nqa tawm.

yuav tsum tau txais

Tshuaj tua kab mob tus kws kho mob prescribes tom qab phais neeg nyob rau hauv daim ntawv ntawm cov tshuaj tua kab mob. Txawm li cas los, ua ntej cov kev tshawb fawb cov kws lub tsev kho mob mob, raws li tau zoo raws li qhov xwm ntawm tus inflammatory txheej txheem.

Kuv puas yuav tau tshuaj tua kab mob tom qab phais? Lo lus teb rau lo lus nug no yuav qhia tus kws kho mob raws li tus neeg cov yam ntxwv ntawm txhua tus neeg mob. Muaj ntau ntau txawv yam tseem ceeb uas muaj feem xyuam rau ib tug txiav txim tshwj xeeb. Tom qab tag nrho, thaum tshuaj tua kab mob yog tsim nyog kom raug ntsuam xyuas hauv lub xeev ntawm tus tiv thaiv rog ntawm tus neeg mob lub cev, ib tug neeg intolerance ntawm tej pab pawg ntawm cov tshuaj, thiab lwm yam

Tshuaj tua kab mob postoperatively yuav tsum pab txhawb tus neeg mob kev kho mob. Nws plays ib qho tseem ceeb luag hauj lwm thiab kev tiv thaiv ntawm kev tiv thaiv los ntawm ntau yam teeb meem tshwm sim los ntawm kev phais.

Yog vim li cas yog tshuaj tua kab mob?

Tsis zoo li lwm yam tshuaj, cov tshuaj no pheev lawv cov teebmeem ntawm tag nrho cov nyob rau hauv cell receptors. Tshuaj tua kab mob adversely cuam tshuam lub kab mob, uas tshwm sim los ntawm txoj kev loj hlob ntawm lub inflammatory txheej txheem. Lawv tua cov neeg cov kab mob uas yog nkag rau lawv. Nws tsis, lawv tau tshwm sim los ntawm tus kab mob los yog tsis.

Effect rau lub cev

Yuav ua li cas tshwm sim thaum ib tug neeg mob yog noj tshuaj tua kab mob tom qab phais? Tau nyob rau hauv tib neeg lub cev nyob rau hauv ntau txoj kev, lawv nyob rau hauv cov ntshav.

Ntxiv tshuaj tua kab mob noog nyob rau hauv lub nruab nrog cev nyob rau hauv lub teev nqi. Ntawm no lawv tsim lawv cov nyhuv, tsis hais seb puas yuav siv lawv intravenously, topically los yog hais lus. Qhov loj tshaj plaws yog tias tus neeg mob noj tshuaj rau lub sij hawm thiab nyob rau qhov kev kawm npaum li cas. Muab tshuaj tua kab mob tas nyob hauv cov kua tsib thiab zis.

xaiv tej yam kev mob

Yuav ua li cas yog tshuaj tua kab mob tshuaj tom qab phais? Nrog lawv xaiv ntawm cov kws kho mob xav txog lub ntsiab lus nram qab:

- lub peev xwm los sai sai mus rau mus rau hauv cov ntshav;
- tau ntawm tsub zuj zuj nyob rau hauv inflammatory kev tsam;
- muaj ib tug tsawg kawg nkaus naj npawb ntawm cov kev phiv;
- kev kab ntsab ntawm lub ntau npaum daim ntawv;
- Siv lub sij hawm nyob rau hauv cov ntshav (yam tsawg kawg yim cov xuaj moos);
- tsawg toxicity;
- qhov chaw ntawm cov purulent txheej txheem;
- ceev ceev kis mob;
- nta uas yog tam sim no nyob rau hauv lub pathogen;
- stability neeg sawv cev rau ntau hom tshuaj.

Uas cov kws kho mob xav kom muab?

Uas tshuaj tua kab mob rau noj tom qab phais? Daim ntawv teev cov tshuaj uas feem ntau siv los ntawm cov kws tshwj xeeb nyob rau hauv xws li mob muaj xws li:

1. Cephalosporins. Nws tshuaj tua kab mob xws li "Tsefriakson", "Tsefotaksin", "Cefazolin" thiab lwm tus neeg. Cov tshuaj muaj peev xwm ntawm tob tob mus rau hauv lub aerobic thiab co agents raug mus rau ib tug kev hloov nyob rau hauv lawv cov protein enzymes. Cov tshwm sim ntawm zoo li no los yog ib tug microbial cell division inhibition.

2. Cov tshuaj ntawm lub aminoglycoside. Tej kev npaj, nyob rau hauv particular, yog "Amikacin". Nws active tshuaj yog tsis muaj peev xwm ua rau hlwb ntawm pathogenic cov kab mob, tab sis lawv tsis txhob mitosis, cuam tshuam lub synthesis ntawm proteins. Cov no txoj kev puas tsuaj ntawm cov kab mob.

3. Npaj penicillin pab pawg neeg. Qhov no, nyob rau hauv particular, ib lub cuab tam xws li "Amoxiclav". Nyob rau hauv nws cov qauv yog amoxicillin thiab clavulanic acid. Tus thawj ntawm cov Cheebtsam heev thiaj li tsim ntawm cell week, thiab lwm yam (acid) tiv thaiv kab mob los ntawm antibacterial tiv thaiv cov ntsiab.

4. Npaj karbalenemov pab pawg neeg. Ntawm no, cov kws kho mob muab tshuaj rau cov tshuaj feem ntau raws li "Meropenem". Nws cuam tshuam lub synthesis ntawm cov nqaijrog, thiab qhov no suppresses hais tawm ntawm pathogens. Nyob rau tib lub sij hawm nres thiab zus tau tej cov toxins los ntawm Gram-tsis zoo microorganisms. Qhov no ua rau ib tug ntxiv kho nyhuv.

Tag nrho cov tshuaj mus rau ib pab pawg neeg ntawm beta-lactam. Yog hais tias ib tug tshuaj tua kab mob yog tshuaj tom qab phais, uas lawv yog siv nyob rau hauv thawj qhov chaw? Ua ntej ntawm tag nrho cov, cov kws kho mob muab cov tshuaj uas yog nyob rau hauv lub cephalosporin series. Qhov no yog vim muaj zog ua si ntawm cov tshuaj mas siv rau lub cev ntawm gram-tsis zoo thiab gram-zoo microorganisms. Tsis tas li ntawd, tshuaj los ntawm cov pab pawg neeg, tsis muaj kev ntseeg - qhov zoo tshaj plaws tshuaj tua kab mob nram qab no phais vim nws muaj peev xwm kom tsis txhob txiav txim ntawm tus kab mob ntawm ib tug tsawg kawg nkaus uas yuav muaj kev phiv phiv.

Cov ntaub ntawv thiab tus nqi ntawm kev txais neeg kawm

Tsuas yog thaum muab systemically yuav tsum tau siv tshuaj tua kab mob postoperatively. Yuav ua li cas cov ntaub ntawv tshuaj yog preferable? Lawv yog cov sib txawv. Piv txwv li, tshuaj tua kab mob-tshuaj tom qab ib lub lag luam yuav tsum muab. Thaum zoo li no yog siv raws li ampoule ready-made kev daws teeb meem, thiab npaj nyob rau hauv daim ntawv ntawm cov hmoov.

Cov no yog cov cuab yeej uas muaj nyob rau hauv cov pab pawg neeg karbalenemov thiab cephalosporins. Nyob rau hauv tas li ntawd, nyob rau hauv lub postoperative lub sij hawm yuav muab tshuaj tua kab mob nyob rau hauv cov ntsiav tshuaj thiab kev rho tawm. Lawv yog siv nyob rau hauv tus neeg mob qhov twg tus neeg mob tus mob yog tus ruaj khov, thiab cov theem ntawm cov inflammatory phenomena tsawg.

Yog hais tias tus kws kho tshuaj tua kab mob tom qab phais, yuav ua li cas tau ntau hnub yuav tau mus nrhiav ib lub chav kawm? Thaum lub sij hawm txais tos ntawm xws tshuaj yog nruj me ntsis tswj. Nws ntev yuav tsum tsis txhob ntau tshaj xya hnub. Cov xwb yog tus neeg mob uas nws kim heev txhab, sepsis thiab mob. Nrog xws kev loj hlob ntawm pathology yuav siv ib txhij ob peb cuab yeej, cov sis ntawm uas saib kuas tshaj plaws zoo antibacterial kev kho mob.

Txheej txheem cej luam ntawm cov khoom

Nws yog ntseeg hais tias lub feem ntau muaj kuab txoj kev rau tus siv ntawm tshuaj tua kab mob tom qab phais - qhov no txhaj tshuaj. Xav txog cov tswv yim yooj txoj kev qhia cov feem ntau siv tshuaj.

1. Cephalosporins. Cov tshuaj tua kab mob siv raws li ib tug txhaj los yog Txoj kev lis ntshav. Tus kws kho mob laij cov tshuaj raws li rau tam sim no soj ntsuam daim duab. Nrog yim zaus muab lub tshuaj tua kab mob nyob rau hauv ib tug npaum li ntawm 0.25 rau 0.5 grams, thiab nyob rau hauv 12-teev cov Team sib - 1 gram. Thaum lub deterioration ntawm tus neeg mob administrated nqi yog txo.

2. tso dej los yog intramuscular thawj coj los yog ua tshuaj tua kab mob xws li "Amikacin". Ntxiv mus, nws niaj hnub nyiaj yog txiav txim los ntawm lub mus kawm tus kws kho mob raws li tus neeg mob hnyav. Ib kilogram nteg Cob 10-15mg txhais tau tias. Tag nrho cov koob tshuaj ntawm cov tshuaj tua kab mob yog muab faib ua ob peb theem.

3. muab intravenously los yog los ntawm kev txhaj tshuaj thiab tshuaj xws li "Amoksiklav". Peb lub sij hawm nws prick rau cov me nyuam nyob rau hauv 12 lub xyoos ntawm hnub nyoog, raws li zoo raws li cov laus cov neeg mob. Ib tug tib koob tshuaj 1-2 grams. Thaum koj yog ib tug neeg mob nyob rau hauv lub hnub nyoog pab pawg neeg xws li los ntawm peb lub hlis mus rau kaum ob xyoos, tus nqi ntawm cov txhaj cov ntaub ntawv uas yog xam los ntawm ceeb thawj. Nyob rau hauv cov ntaub ntawv no, ib tug kilogram yuav muab 30 mg ntawm yeeb tshuaj.

4. Txoj kev lis ntshav, tso dej bolus los yog tshuaj siv xws li "meropenem". Yog li qhov yuav tsum tau ntau npaum li cas los ntawm tus kws kho mob raws li tus neeg mob lub post-operative mob. Nyob rau hauv cov mob uas inflammatory dab tshwm sim nyob rau hauv daim tawv nqaij txheej los yog ntaub so ntswg, urogenital system, los yog nyob rau hauv lub ntsws, cov tshuaj yog muab peb lub sij hawm ib hnub twg rau 0.5 g nyob rau hauv cov ntaub ntawv ntawm sepsis (kab mob), thiab ntau npaum lub qab los ntawm 1 mus rau 2 grams. Qhov no tshuaj tua kab mob yog tshuaj rau cov me nyuam raws li lawv cov luj, suav rau ib tug kilogram ntawm 30-60 mg.

Thaum lub sij hawm txais tos zoo yam tshuaj tua kab mob cov neeg mob tej zaum yuav muaj ntau yam tshwm sim tsis zoo nyob rau hauv daim ntawv ntawm cov xeev siab thiab emesis, mob quav thiab mob plab, thiab dysbiosis. Siv cov tshuaj xws li "Tsefotaksin" thiab "Cefazolin" yog feem ntau qhov ua rau ntawm kev tsis haum tshuaj, cov tsos ntawm mob taub hau thiab mob ntawm lub qhov koob. Qhov no thiaj li tus naj npawb ntawm leukocytes thiab platelets nyob rau hauv cov ntshav.

Sab los ntawm cov tshuaj tua kab mob "Ceftriaxone", nyob rau hauv tas li ntawd rau tag nrho cov saum toj no, xws li nyob rau hauv nws daim ntawv teev cov Candidiasis, raws li zoo raws li qhov tshwm sim ntawm o nyob rau hauv lub raum plab mog.

Nyob rau hauv ua ntawv thov cov tshuaj "Amoxiclav" rau daim ntawv teev cov kev tsis zoo ntxiv hematuria. Ib tug txhais tau tias "Meropegem" yuav ntxias qaug dab peg. Tshuaj tua kab mob "Amikacin" nyob rau hauv ib co neeg mob thiaj li muaj cov functionality ntawm lub rooj sib hais, thiab lub raum puas.

Tom qab kho hniav ua hauj lwm

Tshuaj ntawm tshuaj tua kab mob cov kws kho hniav ua tsuas yog thaum tom qab phais nyob rau hauv lub qhov muaj yog ib qho inflammatory txheej txheem, nrog liab, mob o thiab kua paug. Nyob rau hauv tus neeg mob qhov twg tus neeg mob muaj ib tug tsis muaj zog tiv thaiv mus ntev lawm yuav kho tsis tau lub qhov txhab, cov tshuaj uas suppress qhov tseem ceeb heev kev ua si ntawm pathogenic microorganisms, tshuaj nyob rau hauv ua ke nrog nrog immunomodulating agents.

Tshuaj ntawm tshuaj tua kab mob yog ua thiab thaum tus neeg mob tsis ua raws li cov kev cai ntawm tus kheej kev tu cev thiab tsis nco qab yaug koj lub qhov ncauj. Tom qab muab hlais tawm lawm, nws threatens rau ntaus nyob rau hauv lub qhov txhab kab mob. Tag nrho cov no ua rau yus lub inflammatory txheej txheem.

Uas tshuaj tua kab mob rau haus dej haus tom qab phais rau kev tshem tawm ntawm cov hniav? Nyob rau hauv cov neeg mob, zoo proven tshuaj xws li "Cefixime", "Ceftriaxone" thiab "Cefazolin". Thaum lawv nkag mus rau tus kab mob yog ib tug kev puas tsuaj ntawm tus xovtooj ntawm phab ntsa ntawm cov kab mob.

Inhibition ntawm microbial enzymes pab ua kom cov tshuaj raws li "Sparflo", "norfloxacin" thiab "levofloxacin" thiab lwm yam tshuaj tua kab mob teej tug mus rau lub fluoroquinolone pab pawg neeg. Yuav kom inhibit kab mob protein synthesis yog tshuaj ntawm tetracycline pab pawg neeg ( "Doxycycline", "oletetrin" thiab al.). Txawm li cas los, feem ntau tshuaj tua kab mob, uas yog siv nyob rau hauv cov kev kho mob ntawm postoperative o nyob rau hauv tus hniav qhov dej yog "amoxicillin", "Amoksiklav" thiab "lincomycin".

Tom qab tshem tawm ntawm hnyuv tws

Yuav ua li cas cov tshuaj yog tshuaj los ntawm ib tug kws kho mob nyob rau hauv thawj ob hnub tom qab phais? Yuav kom tiv thaiv cov tshwm sim muaj tseeb ntawm kab mob tas siv tshuaj tua kab mob tom qab mob hnyuv tws lag luam. Xav txog cov feem ntau cov tshuaj ntawm no:

1. "Zinatsef". Nws yog ib qho tshuaj tua kab mob ntawm qhov tseeb tiam. Nws txiav txim eliminates pathogens ntau yam ntawm tsiaj. Tshuaj yog tswvcuab rau hauv lub cev ntawm kev txhaj tshuaj yog intravenously los yog intramuscularly.
2. "Dalatsin". Qhov no tshuaj cheeb qhov uas cov kev ua ntawm cov kab mob, uas yog cov causative ua hauj lawm ntawm inflammatory dab. Cov tshuaj tua kab mob yog muab hais los yog muab los ntawm tso dej los yog intramuscular lawv.
3. "Metrogil". Tau txais no tshuaj tua kab mob eliminates microbes thiab protozoa kab mob uas muaj peev xwm nyob qhov twg muaj tsis muaj oxygen. Qhov no tshuaj yog feem ntau siv nyob rau hauv cov kev kho mob ntawm mob hnyuv tws daim ntawv.
4. "Tienam". Tej kev npaj no yog yus muaj los ntawm ib tug ua ke ntawm ib tug tshuaj tua kab mob nrog ib tug enzyme, tiv thaiv kev puas tsuaj rau lub tshuaj tua kab mob. Qhov kev ua yuav pab tau xyuas kom meej tias cov tshuaj kis tau los ntawm ob lub raum, yog tsis raug mus rau degradation. Nws yog tsis pov tseg, thiab nyob rau hauv tus ntawm cov kab mob enzymes. Cov tshuaj no zoo heev thaum raug pathogenic microbes uas yuav mus rau ntau hom, nyob rau hauv kev twb kev txuas nrog cov uas nws yog siv los kho mob hnyuv tws ntws nyob rau hauv loj thiab muaj ib tug mob ntev.
5. "Imilinem". Qhov no tshuaj tua kab mob muaj peev xwm sawv ntawm zoo tshem tawm ntau hom ntawm pathogenic cov kab mob. Nws yog resistant rau kab mob enzymes uas ua kom puas lwm yam uas zoo sib xws tshuaj. Muab lub tshuaj tua kab mob thaum mob hnyuv tws yuav mob hnyav.
6. "Meronem". Qhov kev txiav txim ntawm cov tshuaj no yog zoo li tus ib yav dhau los. Txawm li cas los, nws yog suav tias yog zoo tshaj vim lub fact tias nws yog tsawg raug puas tsuaj li nws kis tau los ntawm ob lub raum.

Tom qab tshem tawm ntawm lub intervertebral hernia

Nyob rau hauv xyoo tsis ntev los, xws hauj lwm yog nqa tawm rau tag nrho cov me tooj ntawm cov neeg mob. Qhov no yog vim tseem ceeb kev kho mob nyob rau hauv tus cwj pwm ntawm conservative kev kho mob ntawm tus kab mob. Tsis tas li ntawd, cov kev siv uas niaj hnub siv tshuab ua nws tau mus txo cov postoperative lub sij hawm. Muaj mob qhov twg tus neeg mob yog tau tsiv mus raws li thaum ntxov raws li lub hnub qub. Txawm li cas los, kev kho mob muab tsis yog vim li cas mindless yam ntxwv rau kev ncaj ncees. Tom qab tag nrho, lub ntsiab hauj lwm ntawm lub sij hawm no yog sau cov ntsiab lus ntawm kev phais kev pab thiab kev tiv thaiv ntawm cov teeb meem.

Tshuaj tua kab mob tom qab phais (hernia) yog tsim los siv rau cov prophylaxis ntawm lub taub dej khawb dab. Nyob rau hauv cov ntaub ntawv no, tus kws kho mob prescribes tshuaj xws li "tsefotetan" los yog "Tsefoksitin". Duration ntawm kev txais tos - los ntawm 12 mus rau 18 teev tom qab phais.