Tshuaj tua kab mob rau sinusitis nyob rau hauv cov neeg laus: lub npe thiab kev txheeb xyuas

Sinusitis feem ntau muaj raws li ib tug mob tus mob khaub thuas, ib tug kab mob los yog kab mob kab mob. Nws yog feem ntau siv conservative kev kho rau cov kev kho mob ntawm tus kab mob. Tshuaj tua kab mob rau sinusitis nyob rau hauv cov neeg laus xwb qhia yog hais tias tus pathology ntawm cov kab mob hauv paus chiv keeb. Uas yuav tsum tau txiav txim los ntawm tus yam ntxwv cov tsos mob.

hauj lwm kab mob

Sinusitis hu ua pathological kev nyob rau hauv uas lub kub lug mucosa ntawm lub paranasal (paranasal) sinuses. Tsis ntev los no ua ob peb tseem ceeb functions - sov huab cua yog nqus tau cov pa ntawm qhov ntswg, noj ib feem nyob rau hauv lub hais suab, kom tsis txhob tus luj ntawm lub pob txha taub hau pob txha. Maxillary (maxillary), pem hauv ntej (frontal) thiab daim phiaj - peb officers ntawm sinuses. Npoo-zoo li tus, nyob rau hauv lub cev ntawm lub ntsiab pob txha ntawm tus pob txha taub hau, yog unpaired. Nyob rau hauv lub qhov chaw ntawm o yog distinguished nram qab no ntaub ntawv ntawm tus kab mob: frontal sinusitis, sinusitis, sphenoiditis, ethmoiditis.

Yuav ua rau txoj kev loj hlob ntawm sinusitis li pathogens (cov kab mob, fungi, cov kab mob) thiab allergens. Feem ntau cov feem ntau, tus kab mob muaj nyob rau hauv lub xub ntiag ntawm ib tug kab mob, uas kab mob thiab koom nyob rau tsis ncaj ncees lawm kev kho mob. Thaum ua txhaum ntawm lub outflow ntawm txheej kua los ntawm lub sinuses, lub tej yam kev mob rau yug me nyuam ntawm pathogens. Tiv nrog lawv active kev pab los ntawm tshuaj tua kab mob. Thaum sinusitis nyob rau hauv cov neeg laus (thiab cov me nyuam, ib yam nkaus thiab), nws yog ib qhov tseem ceeb heev los mus pib kho mob.

cov tsos mob

Cov kev siv ntawm cov tsos mob ntawm sinusitis nyob ntawm seb daim ntawv nyob rau hauv uas mob tshwm sim. Rau cov mob inflammatory txheej txheem yam ntxwv saws mob nyob rau hauv lub sinuses. Tsis kaj siab ncus yog feeb meej nyob rau hauv lub hauv pliaj los yog choj ntawm lub qhov ntswg, nyob rau hauv lub ob lub qhov muag los yog rau ob tog ntawm lub qhov ntswg, qhov sab sauv lub puab tsaig los yog cov hniav. Lub manifestation ntawm cov syndrome no feem ntau yog zuj zus thaum lub taub hau yog qaij de.

Lwm cov yam ntxwv feature - ib tug los ntswg qhov ntswg. Yog hais tias lawv muaj ib tug daj-ntsuab ntxoov ntxoo, sib tham txog txoj kev loj hlob ntawm ib tug kab mob kab mob. Nyob rau hauv cov ntaub ntawv no, koj yuav tsum coj tshuaj tua kab mob.

Sinusitis thiab sinusitis rau cov neeg laus yog heev npaum li cas tsis hnov tsw thiab ua pa ntawm qhov ntswg, muaj muaj zog taub hau. Muaj cov cim qhia ntawm intoxication - kub taub hau, tsis xis nyob thiab tsis muaj zog zoo nkaus li, txo ua hauj lwm muaj peev xwm. Nrhiav cov tsos mob no, koj yuav tsum tam sim ntawd sab laj ib tug tshwj xeeb.

Kev kho mob ntawm sinusitis rau cov neeg laus

Tshuaj-tshuaj tua kab mob yuav luag ib txwm siv rau cov kev kho mob ntawm o nyob rau hauv lub paranasal sinuses. Lawv feem ntau yog muab nyob rau hauv lub mob theem txaus pathology thaum tus neeg mob lub cev kub ntawm lub nce thiab purulent qhov ntswg faib pub leejtwg paub. Xws li ib tug mob yuav sai sai mus rau hauv lub mob nyob ntev, uas yog zoo tsis yooj yim sua rau kev kho mob raug, thiab aggravated nyob rau txhua txhua txias. Kom tsis txhob no, nws yog ib qho tseem ceeb rau pib tshuaj tua kab mob.

sinusitis, kev kho mob yog aimed ntawm lub teb puas tsuaj ntawm lub pathogen kab mob, nyem ntawm cov tsos mob thiab kev tiv thaiv ntawm cov teeb meem. Nyob rau hauv tas li ntawd mus tshuaj tua kab mob nyob rau hauv cov kev kho mob yuav tsum muaj xws li tshuaj nrog analgesic thiab antipyretic nyhuv, vasoconstrictive ncos (tshuaj tsuag) rau lub qhov ntswg.

Seb puas yuav siv tshuaj tua kab mob?

Tsuas yog ib tug kws kho mob yuav muab tshuaj rau cov "muaj tseeb" tshuaj tua kab mob los kho tus mob sinusitis nyob rau hauv cov neeg laus. Yam ua ntej nws yog tsim nyog los ua kev cai kuaj los mus txiav txim lub hom causative tus neeg saib xyuas ntawm lub inflammatory txheej txheem. Lub diagnostics raug xaiv pom txhais tau tias mus suppress microbial kev ua si.

Lub caij ntawm kev kho mob yuav yog nyob ntawm seb tus duab ntawm lub pathology. Nyob rau hauv mob sinusitis thaum lub sij hawm kev kho mob yuav tsum kav tsawg kawg yog 10 hnub. Cov mob daim ntawv yuav tsum tau ib lub caij nyoog pharmacological los.

Yuav kom tshwj kom txhob lub sib txawv ntawm cov sinusitis yog siv ob peb yam ntawm tshuaj tua kab mob:

• Penicillins - antibacterials pawg no muaj xim kho kev ua si thiab tsis cuam tshuam rau tag nrho lub cev.
• Macrolides - xam tau tias yog tus tov ntawm tag nrho cov antibacterial cov kab mob thiab muaj ib tug broad spectrum ntawm kev txiav txim.
• Cephalosporins - lub mechanism thiab spectrum ntawm kev txiav txim zoo xws li cov penicillin. Thaum siv sinusitis thawj lub xyoo thiab ob-tiam.
• Cov tshuaj tetracyclines - tau zoo sib xws nrog macrolides, tiam sis feem ntau ua rau mob tshwm sim thiab muaj ib tug xov tooj ntawm contraindications.
• Aminoglycosides - muaj ib tug ntau ntawm cov tshuaj los thiab efficiency, tab sis muaj ib tug siab toxicity.

Tshuaj tua kab mob rau sinusitis rau cov neeg laus, nyob ntawm seb cov kauj ruam thiab cov ntaub ntawv ntawm tus kab mob. Macrolides thiab cephalosporins rau pab tiv nrog me me o. Yog hais tias tus kab mob no tshwm sim nrog teeb meem thiab tsim kev ua mob, cov kws kho mob pom zoo kom koj muaj kev tiv thaiv penicillins. Nyob rau hauv tej rooj plaub, wb zoo siab txais tos lub zos antibacterial tshuaj.

Pib tshuaj tua kab mob rau sinusitis rau cov neeg laus

Lub npe ntawm ib co tshuaj tau ntev tau paub nyob rau hauv kev kho mob xyaum. Piv txwv li, txhais tau tias "amoxicillin" yog hais txog kev tiv thaiv penicillins thiab feem ntau siv los kho cov kab mob ntawm Upper pa ib ntsuj av tau kab mob etiology. Ib tug tseem ceeb kom zoo dua ntawm cov tshuaj yog nws muaj kev ruaj ntseg thiab tsawg heev phiv.

Lwm cov tshuaj los ntawm lub penicillin pab pawg neeg - "Amoxiclav" - kuj ntog mus rau hauv lub qeb kev tiv thaiv. Cov tshuaj teev kam mus rau lub enzyme beta-lactamase, uas yog nyob rau hauv ntau cov kab mob thiab zoo heev thiaj li muaj qhov kho nyhuv ntawm tshuaj tua kab mob.

Sinusitis yuav muab raws li nram no txhais tau tias:

• "Cephalexin".
• "Azithromycin".
• "Augmentin".
• "Cefazolin".
• "Flemoklav Soljutab".
• "Sumamed".
• "Ceftriaxone".
• "Clarithromycin".

Tshem tawm cov tsos mob ntawm tus mob o nyob rau hauv lub paranasal sinuses ntau ntau cov tshuaj. Yuav kom to taub yuav ua li cas coj tshuaj tua kab mob rau sinusitis rau cov neeg laus, nws yog tsim nyog los tham ib tug kws kho mob. Cov tshuaj ntawm tshuaj thiab kev kho tswvyim yog txiav txim rau ib tug neeg zus.

Ib tug zoo tshuaj pleev npaj yog "Bioparox". Qhov ntswg tsuag muaj ib tug bacteriostatic nyhuv thiab yog feem ntau siv rau kev kho sinusitis. Lwm txhais tau tias ntawm no pab pawg neeg - "Polydex". Cov tshuaj no yog muaj li ntawm cia li ob lub antibacterial tshuaj. Thov tshuaj pleev tshuaj tua kab mob nrog purulent sinusitis rau cov neeg laus tsis tau tsuas yog los mus tshem tawm pathogens, tab sis kuj yuav txo qhov ntswg congestion, mucosal edema tshem tawm.

"Amoxiclav" rau sinusitis

kab mob sinusitis kev kho mob yuav tsum tau complex. Lub hauv paus ntawm txoj kev kho yog feem ntau tshuaj tua kab mob. Preference yuav muab mus rau feem ntau muaj kev ruaj ntseg thiab npaum txhais tau tias. Cov tshuaj xws li "Amoxiclav" - ib tug hluavtaws broad-spectrum penicillins. Lub ntsiab Cheebtsam yog amoxicillin thiab clavulanic acid. Cov tshuaj tso tawm nyob rau hauv daim ntawv ntawm ib tug lyophilisate rau qhov kev npaj ntawm txhaj dlaws, ncua, thiab cov ntsiav tshuaj.

Cov tshuaj yuav suppress txoj kev loj hlob ntawm Gram-zoo, Gram-tsis zoo, co thiab aerobic kab mob causative sinusitis. Lub "Amoxiclav" tsis muaj xws li ib tug puas rau lub plab hnyuv microflora, lwm yam antibacterials. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias sij hawm ntev nqa mus penicillin (tshuaj tua kab mob) rau sinusitis rau cov neeg laus tsis pom zoo vim lub fact tias cov kab mob no tau siv mus rau yeeb tshuaj thiab poob rhiab heev rau nws.

ntau npaum

Feem ntau cov feem ntau rau cov kev kho mob ntawm sinusitis thiab lwm yam sinusitis cov neeg mob cov kws kho ib yam tshuaj "Amoxiclav" nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj. Chaw tsim tshuaj paus tawm lawv nyob rau ib ntau npaum ntawm 250, 500 thiab 850 mg. dispersible ntsiav tshuaj (500 mg ntawm amoxicillin thiab 850) no kuj muaj nyob. Clavulanic acid muaj 125 mg nyob rau hauv txhua ntsiav tshuaj daim ntawv.

Nyob rau hauv cov kev kho mob ntawm cov tshuaj yuav tsum tau suav hais tias yog nyiaj pab ntau tshaj txhua hnub koob tshuaj txhua substance. Amoxicillin cov neeg laus yuav yuav tsis muaj ntau tshaj li 6 grams thiab clavulanic acid, - mus txog rau 600 mg. Nyob rau hauv lub heev ntawm tus neeg mob sinusitis yuav xaiv 250 los yog 500 mg ntawm cov tshuaj peb zaug ib hnub twg. Lwm tau tswvyim kho - 825 mg amoxycillin txhua txhua 12 teev. Duration ntawm kev kho mob - 5-14 hnub.

Tshuaj "Cephalexin"

Sinusitis me ntsis heev teb zoo rau tshuaj tua kab mob ntawm cov cephalosporin pab pawg neeg ntawm thawj thiab thib ob tiam. Ib tug ntawm qhov zoo tshaj cov cuab yeej nyob rau hauv pawg no yog "Cephalexin". Cov tshuaj yog active tiv thaiv ntau pathogenic microorganisms klebsiel, esherehy, streptococci, Proteus. Cov tshuaj tua kab mob yog ua nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab granulates rau ncua kev kawm ntawv.

Cov tshuaj no muaj zog txaus thiab thiaj li feem ntau ua rau muaj kev phiv. Yog hais tias koj muaj kev ua xua, mob plab, xeev siab, qhov ncauj qhuav, kiv taub hau, mob taub hau, qaug dab peg, yuav tsum tso tseg ntxiv kev kho mob "cephalexin" thiab xaiv ib tug ntau maj mam khwv.

Puas "Azithromycin" mus kom ze?

Macrolides muaj ib tug txaus wide spectrum ntawm antimicrobial kev txiav txim thiab yog zoo taus los ntawm lub cev. Feem ntau siv cov tshuaj tua kab mob rau otitis xov xwm thiab sinusitis rau cov neeg laus thiab cov me nyuam. Macrolides yog active nyob rau hauv pyogenic staphylococci thiab Haemophilus influenzae. Ib tug ntawm cov tshuaj nyob rau hauv pawg no yog "Azithromycin". Nws yuav siv tau rau cov kev kho mob ntawm sinusitis, sinusitis thiab lwm yam inflammatory dab nyob rau hauv lub paranasal sinuses.

Lub cuab tam muaj ib tug uas tsis muaj toxicity thiab bacteriostatic kev txiav txim. Siv cov ntsiav tshuaj los yog slurry yuav tsum tau tsuas ib zaug ib hnub ua ntej noj mov los yog 2 teev tom qab tom qab noj mov. Nyob rau hauv rhinosinusitis hnub koob tshuaj "Azithromycin" - 500 mg. Lub caij ntawm kev kho mob yog feem ntau 3 hnub, tab sis nyob rau hauv tej rooj plaub, kev kho mob tej zaum yuav ncua.

Mob tshwm sim thiab contraindications

Nws yog nrog tus utmost kev saib xyuas rau noj tshuaj tua kab mob rau sinusitis. Nyob rau hauv neeg laus cov neeg mob, tej zaum yuav muaj ib co contraindications rau kev kho mob, uas tas yuav tsum tau sab laj. "Azithromycin" raws li cov lus qhia tsis tshuaj kom muaj zog rhiab heev rau tshuaj tua kab mob ntawm pawg no, daim siab thiab ob lub raum.

Sab los ntawm cov hnyuv (dyspepsia, xeev siab, raws plab) thiab cov tsis muaj zog (urticaria, cov pob liab liab ntawm lub cev), cov tshuaj no tsis tshua muaj tsis tshua muaj.