Yuav ua li cas yog tshuaj tua kab mob rau sinusitis thiab sinusitis yog zoo tshaj plaws npaum li cas?

Sinusitis yog ib tug heev txaus ntshai tus kab mob. Loj teeb meem yuav tshwm sim nyob rau untimely pib ntawm kev kho mob los yog thaum twg los yog kev coj. Yuav luag ib txwm kom koj noj tshuaj tua kab mob. Thaum sinusitis thiab qhov ntswg kab mob etiology yog tib txoj kev tiv thaiv kom txhob ntxiv kis mob. Yuav ua li cas cov tshuaj yuav ua tau zoo? Xav txog ib tug ntau nrov txhais tau tias kws kho rau cov kev kho mob ntawm o.

Yuav ua li cas yog cov sinusitis?

Nyob ib ncig ntawm lub qhov ntswg nyob plaub officers ntawm huab cua kab noj hniav - sinuses. Lawv tag nrho cov muaj ib cov lus los ntawm cov qhov ntswg kab noj hniav. Qhov no tso cai rau koj yuav tsiv mus nyob dawb do, tsis tsuas cov huab cua tab sis kuj cov mucosal kua. Yog li ntawd, thaum hit pathogens yuav tsim o nyob rau hauv lub qhov ntswg thiab ces txav mus rau hauv lub sinuses. Nyob rau hauv lub chaw ntawm tus tsom xam cov nram qab no ntawm tus kab mob:

• etmoidit - o trellis labyrinth (sinuses nyob rau hauv lub qhov ntswg);
• sinusitis - o ntawm lub frontal qhov ntswg;
• sinusitis - thaum mob cuam tshuam maxillary qhov ntswg;
• sphenoiditis - o ntawm lub sphenoid qhov ntswg.

Conservative kho mob yuav pab tau kom sai sai tiv nrog tus kab mob no thiab tsis txhob mob. Yuav ua li cas yog tshuaj tua kab mob rau sinusitis, qhov ntswg coj yuav tsum daws tau xwb los ntawm ib tug tshwj xeeb. Dhau li tshuaj kho tej zaum yuav muab lavage ntawm lub qhov ntswg sinuses.

Vim li cas sinusitis

Yuav luag ib txwm, txoj kev loj hlob ntawm sinusitis ua kab mob los yog kab mob. Tom qab kev sib cuag nrog microbes nyob rau hauv lub qhov ntswg kab noj hniav, qhov ntswg puag ncig pib faib ib tug nce tus nqi ntawm txheej secretion. Nyob rau hauv ib tes, nws yuav pab tau "tu" tus kab mob los ntawm lub cev, thiab nyob rau lwm yam - tus neeg mob tus mob worsens. Lub inflammatory txheej txheem yog kho kom zoo vim lub fact tias cov o epithelium meem hauv lub qhov ntswg kab noj hniav, tiv thaiv qhov tawm ntawm mucin.

Pab yam kuj anomalies nyob rau hauv tus qauv ntawm lub qhov ntswg septum, tsis ncaj ncees lawm qauv ntawm cov qhov ntswg sinuses, adenoids, nquag tau khaub thuas, tsis haum txhaws ntswg.

kev kho mob

Nyob rau hauv txoj kev loj hlob ntawm sinusitis qha ib tug ntev txias, uas yog tsis amenable mus kho mob raug, mob nyob rau hauv lub ntsej muag, kub taub hau, purulent qhov ntswg tawm. Nrog rau qhov no daim duab ntawm tus kab mob tas muab tshuaj tua kab mob.

Rau cov kev kho mob ntawm sinusitis thiab rhinosinusitis muab sib txawv pab pawg ntawm cov antibacterial medicaments, vim hais tias pathogens tsim kam mus rau lub active tshuaj thaum lub sij hawm ntev-lub sij hawm siv. Nyob rau hauv cov kev tshwm sim hais tias ib tug yeeb tshuaj yuav tsum khaws kom yog, tus kab mob no kiag li kho tau zoo. Ua ntej lub sij hawm teem ntawm tshuaj tua kab mob yog tsim nyog los dhau txoj kev kuaj mus kuaj seb puas muaj tus rhiab heev ntawm cov kab mob mus rau ib tug kev tshuaj.

Nyob rau hauv tas li ntawd, nws yog pom zoo kom noj painkillers thiab antipyretic tshuaj txo cov tsos mob ntawm tus mob o. Yuav kom txhim kho txoj kev mob thiab yuav ua tau ntawm qhov ntswg lavage antiseptic.

hom tshuaj tua kab mob

Thaum cov kab mob etiology ntawm o nyob rau hauv lub paranasal sinuses ntau pawg siv antibacterial nrog. Xaiv qhov zoo tshaj tshuaj yuav tsuas yuav ib tug kws tom qab kev soj ntsuam ntawm tus neeg mob thiab txiav txim seb lub hom yav uas ua txoj kev loj hlob ntawm pathology.

Tshuaj tua kab mob rau sinusitis thiab qhov ntswg yuav pab tau kom tshem tawm tsis tsuas yog tus ntswg congestion, tab sis kuj lub ntsiab ua rau ntawm ib tug kab mob. Cov nram qab no pab pawg neeg ntawm cov tshuaj yog tias yuav qhov zoo tshaj:

• Macrolides - tiv thaiv lub loj hlob thiab kev loj hlob ntawm pathogenic cov kab mob. Yuav siv tau rau cov kev kho mob ntawm mob thiab ntev sinusitis. Macrolides yog suav hais tias yog tsawg kawg yog txaus ntshai ntawm tag nrho cov hom ntawm tshuaj tua kab mob.
• Penicillins - yog feem ntau siv los kho tag nrho cov hom ntawm sinusitis. Ib tug tseem ceeb kom zoo dua yog xim ua si ntawm tej tshuaj, uas yog, lawv tsis ua rau lub cev tag nrho raws li ib tug tag nrho, tiam sis tsuas yog mus rau lub locus ntawm pathology.
• Cephalosporins - lawv muab nyob rau hauv cov ntaub ntawv ntawm penicillins tsis tau muaj ib tug kom zoo kho kev cuam tshuam. Cephalosporins puas pathogenic cov kab mob uas tsis rhiab rau penicillin.
• Cov tshuaj tetracyclines - macrolides muaj zoo xws li cov kho nyhuv thiab inhibit qhov kev protein synthesis ntawm lub tebchaw ntawm cov kab mob. Txawm li cas los, tetracyclines feem ntau ua rau mob tshwm sim thiab muaj ib tug ntau dua tus naj npawb ntawm contraindications.
• Fluoroquinol - muaj siab bioavailability, tsim high concentration ntawm active cheebtsam hauv ntaub so ntswg.

Nyob rau dab tsi tshuaj tua kab mob rau haus dej haus nyob rau hauv lub qhov ntswg thiab sinusitis, yuav tsum qhia rau tus ENT tus kws kho mob. Tshuaj raug xaiv nyob ntawm seb muaj hnub nyoog pab pawg neeg ntawm cov neeg mob thiab cov heev ntawm lub pathological mob. Nco ntsoov hais tias tshuaj tua kab mob yog zoo xwb nyob rau hauv cov ntaub ntawv ntawm ib tug kab mob kab mob. Thaum tus kab mob sinusitis los yog qhov ntswg, cov tshuaj tsis thov.

Yuav ua li cas mus xaiv qhov zoo tshaj plaws tshuaj tua kab mob?

Sinusitis, maxillary sinusitis nyob rau hauv lub paranasal sinuses noog ib tug loj tus naj npawb ntawm pathological kua. Qhov no tshwm sim muaj peev xwm ua rau mob thiab tsis xis nyob, los puag nrog uas tsis muaj antibacterial cov neeg ua hauj tsuas yog tsis yooj yim sua. Rau cov kev kho mob rau muab qhov zoo tshaj tshuaj rau koj tej kev cov ntaub ntawv.

Qhov zoo tshaj rau sinusitis muaj xws li cov nram qab no tshuaj tua kab mob:

• raws li formulations amoxycillin ( "Amoksiklav", "Amoxil", "Ospamoks", "Flemoksin", "amoxicillin");
• raws li tshuaj tua kab mob azithromycin ( "Azitroks" "Sumamed", "Hemomitsin", "Zetamaks");
• cefalexin npaj raws li ( "Ospeksin", "Cephalexin", "Sporideks");
• fluoroquinol raws li ofloxacin ( "Zanotsin", "Zofloks", "Ofloxacin", "Floksal").

Tshuaj pleev tshuaj tua kab mob rau sinusitis

Tshwj xeeb tshaj yog nrov yog cov antibacterial cov neeg ua hauj rau cov tshuaj pleev daim ntawv thov. Lawv ua ncaj qha nyob rau hauv lub hearth ntawm lub inflammatory txheej txheem thiab muaj tsis muaj mauj cov nyhuv. Tej zaum lawv yuav xaiv raws li ib tug tib neeg saib xyuas los yog raws li ib feem ntawm txoj kev kho mob. "Bioparox", "Izofra", "Polydex" - zoo tshuaj tua kab mob rhinitis, sinusitis, qhov ntswg kab mob keeb kwm.

Tshuaj tua kab mob rau cov tshuaj pleev tso tawm nyob rau hauv daim ntawv ntawm cov mob thiab tshuaj tsuag. Lawv yuav tsum tau tsuas yog siv yog hais tias muaj yog dawb nkag tau mus rau lub paranasal sinuses.

Txoj kev siv "Amoxicillin"

Lub medicament "amoxicillin" yog ib tug semisynthetic penicillin thiab tawm nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tsiav tshuaj thiab granules rau ncua kev kawm ntawv. Nws ua si extends rau Gram-zoo thiab Gram-tsis zoo kab mob. Txawm li cas los, cov neeg kab mob uas paim penicillinase (enzyme), yog resistant mus rau nws. "Amoxicillin" yog feem ntau kws kho rau cov kev kho mob ntawm pathologies ntawm Upper pa ib ntsuj av tau: sinusitis, sinusitis, sinusitis, otitis ntawm cov kab mob hauv paus chiv keeb.

Vim lub acid-resistant tshuaj ntawm nws cov Cheebtsam yog tsis tau tawg nyob rau hauv cov hnyuv thiab pib yuav absorbed sai sai. Cov tshuaj ntawm cov tshuaj yog txiav txim ib lub zuj zus. Cov me nyuam los ntawm 2 xyoo "Amoxicillin" yog tshuaj nyob rau hauv daim ntawv ntawm ib ncua kev kawm. Yuav luag tag nrho cov tshuaj tua kab mob (nyob rau hauv lub qhov ntswg thiab sinusitis) nyob rau hauv cov kua daim ntawv thiab npaj rau qhov ncauj siv muaj ib tug zoo fruity saj, nws tso cai rau kom muab cov tshuaj rau ib tug me nyuam tsis muaj ntau npaum li cas cov teeb meem. Rau noj ncua kev kawm ntawv siv ib tug ntsuas syringe.

Cov me nyuam laus tshaj 10 xyoo thiab laus yuav tsum tau muab cov txhais tau tias nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab tsiav tshuaj. Cov koob ntawm cov active ingredient therein tej zaum yuav 250 thiab 500 mg. Lub hnub yog qhia rau yuav tsis muaj ntau tshaj li 750 mg ntawm amoxicillin rau cov me nyuam mus txog rau 10 xyoo. Nyob rau hauv cov neeg laus, nyiaj pab ntau tshaj koob ntawm cov tshuaj - 1500 mg, muab faib mus rau hauv peb theem.

Tshuaj "Sumamed"

Uas tshuaj tua kab mob rau noj nyob rau hauv lub qhov ntswg thiab sinusitis rau lub txim rau tus kab mob twb tsawg heev? Muaj ntau cov kws txawj muab rau lawv cov neeg mob macrolides. thiab "Sumamed" yog hais txog tej tshuaj. Yog hais tias qhov ua rau ntawm o nyob rau hauv lub paranasal sinuses yog streptococci, Haemophilus influenzae, Staphylococcus tshuaj no yog zoo heev. "Sumamed" yog ua nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab hmoov rau ncua kev kawm ntawv.

Vim lub fact tias cov active tshuaj yam khoom uas yog tas los rau ntawm lub cev ib nyuag ntev me ntsis dua lwm cov pab pawg ntawm cov antibacterial tshuaj, noj nws cov nqi tsuas 5 hnub. Therapeutic miv nyuas siv zug ntawm lub medicament muab rau lwm lub lim tiam tom qab qhov kawg ntawm kev txais tos.

Contraindications thiab kev phiv

Cov tshuaj muaj ib tug tsawg kawg nkaus contraindications. Pab Guide ceeb toom hais tias "Sumamed" txwv tsis pub muab rau cov neeg mob muaj ib tug npau taws me ntsis rau macrolides los yog intolerance ntawm cov tshuaj. Ceev faj prescribers nyob rau hauv lub xub ntiag ntawm kev txawv txav ntawm daim siab thiab ob lub raum.

Macrolides yog zoo tsis muaj kev phiv. Uas yog vim li cas cov kev kho mob ntawm inflammatory kev ntawm kab mob keeb kwm feem ntau muab cov tshuaj tua kab mob.

Thaum qhov ntswg sinusitis thiab kev kho mob ntev "sumamed" nws yog feem ntau 5 hnub. Nyob rau hauv xws li ib tug luv luv lub sij hawm ntawm loj zoo txim tshuaj tua kab mob tsis ua. Thaum ib tug tsis haum cov tshuaj tiv thaiv rau lub Cheebtsam ntawm lub formulation tej zaum yuav ua rau daim tawv nqaij sawv pob. Mob plab, raws plab, thiab cem quav muaj cai xwb nyob rau hauv ntev kev kho mob nrog tshuaj tua kab mob.

Tsuag "Izofra"

Qhov ntswg txhais tau tias zoo heev nyob rau hauv inflammatory dab nyob rau hauv qhov ntswg sinuses. Raws li cov active ingredient siv framycetin sulphate tshuaj tua kab mob teej tug mus rau lub aminoglycoside pab pawg neeg. Cov tshuaj yeeb dej caw uas muaj peev xwm ntawm suppressing kev loj hlob ntawm pathogenic microorganisms thiab muaj ib tug ntau yam kev ua si spectrum.

Local tshuaj tua kab mob siv nyob rau hauv qhov ntswg thiab sinusitis, qhov zoo tshaj nyob rau hauv lub adjuvant therapy. Ua ntej lawv daim ntawv thov yuav tsum xub yaug qhov ntswg kab noj hniav brine kom tshem tau ntawm hnoos qeev accumulations. Ntau npaum tsuag "Izofra" yog teem nyob rau hauv lub hnub nyoog ntawm tus neeg mob. Cov neeg laus muaj qhia ua ntaub ntawv thov cov tshuaj rau 5 lub sij hawm ib hnub twg, thiab cov me nyuam - mus txog rau peb lub sij hawm ib hnub twg. Duration ntawm kev kho mob tshuaj - 7-10 hnub.