I-tonsillitis yisifo esithathelwanayo nesingozi. Kungabangela imiphumela eminingi enzima ngendlela yokulimala izinso nenhliziyo, i-pathologies ye-rheumatic kanye nokuguqulwa kwenqubo yokuvuvukala ibe yindlela elukhuni. Ukuze uthole ukwelashwa okuphumelelayo kwesifo, kubalulekile ukukhetha imithi efanele ngesikhathi.
Yini eyenza angina?
Ukulimala kwezicubu ze-pharynx nokuqhubeka kwe-tonsillitis enzima kwenzeka ngenxa yezinhlobo ezintathu zezifo eziphilayo: ama-pathogenic microorganisms, isikhunta kanye namagciwane. Ama-bacteria abangela i-angina ikakhulukazi i-streptococci (i-hemolytic) ne-staphylococci, ngokuvamile iphindaphinda kwi-membrane emangcwabeni ngokufanayo. Ngezinye izikhathi imbangela yalesi sifo yi-gonococci ne-chlamydia.
Ama-mycosis amagciwane anemfucumfucu efana nesilonda, ehlanganisa i-pharynx ngemuva kokudlulela komsebenzi wokuzivikela kwendawo yangakini. Uma umphimbo wesifo unomdlavuza, kungabangela uhlobo lwe-herpes noma umkhuhlane. Amafomu angafani nawo afaka i-tonsillitis, ehambisana nalokhu okulandelayo:
- i-syphilis;
- i-leukemia;
- tularemia ;
- umkhuhlane omnyama;
- i-enterovirus;
- i-mononucleosis esithathelwanayo ;
- i-agranulocytosis.
Ingabe udinga ama-antibiotic for angina?
Isinqumo ngesidingo sokubeka izidakamizwa ezithinta i-antimicrobial sithathwa kuphela yi-otolaryngologist kuphela. Ngaphambi kokukhipha i-prescription, ochwepheshe kufanele nakanjani enze ukuhlolwa kwelabhorethi yesimiso esivela ku-pharynx. Lokhu kusiza ukuthola ukuthi yini ekwakheni i-angina - yokwelashwa ngama-antibiotic eyenziwa ngamacala amathathu:
- I-tonsillitis ibangelwa isitshalo se-bacterium;
- ukutheleleka kwesibili sekuhlangene;
- izinkinga zaqala ngokuphindaphinda kwama-microorganisms we-pathogenic.
Uma lesi sifo esibuzwa sinemvelaphi ye-fungal noma yegciwane, ama-antibiotic angina kumuntu omdala awagcini nje kuphela, kodwa futhi ayingozi. Ukudla okungaqondakali kwemithi elwa namagciwane okuholela ekuvimbeleni okunamandla kokuzivikela komzimba kanye nokudala izimo ezivumela ukukhiqizwa kwamanye amagciwane we-tonsillitis, izinkinga zalo nokuqhubeka.
Ngiziphi i-antibiotics okufanele ngiyithathe nge-angina kubantu abadala?
Ukukhethwa kwemithi ethile kuncike ezimisweni eziningana:
- inqwaba yesenzo sokulungiselela;
- uhlobo lwebhaktheriya olutholiwe;
- ukutholakala kwamagciwane ezincane ze-pathogenic kuma-agent antimicrobial ahlukahlukene;
- ukungaboni ngaso sonke isikhathi esigulini.
Ukulungisa ukwelashwa kwemisipha ngama-antibiotic kubantu abadala kukhethwa ngemuva kokwamukela imiphumela yokuhlolwa kwelabhoratri. Ngesikhathi sokucwaninga, i-agent causative ye-tonsillitis kanye nokuphendula kwayo kuwo wonke amaqembu atholakalayo ama-antimicrobial agents. Imithi inqunywe, lapho amabhaktheriya athole khona amandla okuqina. Ngesikhathi esifanayo, kubalulekile ukukhetha imithi enemiphumela emibi emibi.
Ukwelapha komlomo wesihlungu emzimbeni wabantu abadala abaneziyokwelapha
Ukuba khona kwephala elimhlophe elimhlophe ezindaweni ezimibalalayo ze-pharynx nokutholakala kwamacwecwe aphuzi abonakalayo kubonisa umsebenzi ophezulu wezinambuzane ze-pathogenic. Kuye indawo, ivolumu kanye nemvelo ye-exudate, follicular ne-lacunar tonsillitis ziyahlukahluka. Ama-antibiotics we-angular purulent kubantu abadala ngokuvamile avunyelwe ngaphandle kokucabangela ukuma kwawo, kuphela i-agent yezinqubo zokuvuvukala.
Zombili izinhlobo zezilonda ze-pharynx zivame ukucasulwa yi-hemolytic streptococcus. Ngezinye izikhathi i-tonsillitis iyinkimbinkimbi ngokungezwa kokutheleleka kwe-staphylococcal, ngakho-ke ama-antibiotic ngokumelene nomphimbo wesifo kubantu abadala ukukhetha kangcono ngezenzo eziningi. Imithi ye-orientation encane isetshenziselwa ukusakaza kwamanye amagciwane - i-gonococci ne-chlamydia.
I-angina ye-follic - ukwelashwa kubantu abadala, ama-antibiotics
Leli fomu le-tonsillitis libhekene nokubunjwa ebusweni bamabhola amancane amabhola amancane. Uma ukutheleleka kwe-microbial kutholakala ngenkathi kucwaninga okuqukethwe kwabo, i-antibiotic ephumelelayo ikhethiwe - uma i-angina kubantu abadala, imithi ye-penicillin iqalelwa kuqala. Iphumelela kakhulu uma igciwane le-streptococci yanoma yiluphi uhlobo, kuhlanganise namagciwane a-hemolytic. Ama-antibiotic ane-penicillin anama-angina kumuntu omdala abhekwa njengendlela ephephile kakhulu. Izidakamizwa ezinjalo azibangeli umonakalo omkhulu kwi microflora enenzuzo.
I-Lacunar angina - ukwelashwa kubantu abadala - yimaphi ama-antibiotics?
I-tonsillitis echazweyo ihambisana nokugqoka okuphuzi okomhlophe emilonyeni ye-tonsils. Uma kungenjalo, kubalulekile ukuthi ukhethe masinyane ukwelashwa komphimbo omuncu - abantu abadala banqunywe imithi ngokushesha ngemva kokuba umphumela we-smear ukugwema imiphumela ebuhlungu yokuvuvukala. Imithi ye-Penicillin kuleli cala ingase ingasebenzi, ngoba lolu hlobo lwe-tonsillitis luvuswa yi-streptococci ngokuhlanganiswa ne-staphylococci. Ukuqeda umonakalo ohlanganisiwe we-microbial, ama-antibiotic alandelayo angina kumuntu omdala anconywa:
- i-macrolides ;
- i-fluoroquinolones;
- cephalosporins.
I-antibiotic engcono kakhulu ye-angina kubantu abadala
Akuvumelekile ukuthenga imithi ngokwakho noma ngeseluleko somuntu wemithi ekhemisi. U-otolaryngologist oqeqeshiwe kuphela onganquma ukuthi imiphi imithi elwa namagciwane engcono - nabantu abadala be-angina kufanele bathathe izindlela eziphephile futhi eziphumelelayo ezikhiqiza umphumela ovelele kuma-pathogens we-tonsillitis.
Uma kungekho ukuphikisa okwenziwe i-penicillin ama-antimicrobial, futhi akukho ukumelana, kuhle ukuqala ukwelashwa ngaleli qembu lezidakamizwa. Uma kunesimo esibi sezwe noma izinguquko esimweni sempilo yabuthakathaka, ama-antibiotics angashintshwa - ku-angina eqhubekela phambili, umuntu omdala kufanele athole imithi enamandla. Kubalulekile ukuba ukhulume kuqala nodokotela bese uthola imithi enobungozi obuncane kanye nobungozi obuphansi bokulimala kwesifo sobindi.
Ama-antibiotics we-angina kumuntu omdala kumaphilisi
Umzila wokuqala wama-antimicrobial agents uhlanganisa i-penicillin, enomthelela omubi kuma-gag-positive nama-gag-negative. Yimaphi ama-antibiotics okuphuza ngomlomo
- Amoxicillin;
- I-Ecobol;
- I-Flemoxin Solutab;
- Ampicillin;
- Clavam;
- Gramox;
- I-Amoxyl;
- I-Ospene nabanye.
Nge-allergies kuleli qembu lezidakamizwa noma ukungabi khona kwempendulo okulindelekile kumaphilisi ahlongozwayo, ama-macrolides asetshenziselwa amahora angu-72. Yimaphi ama-antibiotics anqunyelwe ama-angina kubantu abadala kunama-penicillin:
- Kuhlanganiswe;
- I-Zitrolide;
- I-Rulicin;
- I-Hermitage;
- I-azithromycin;
- I-Klabaks;
- Ama-azitroxy nezifanekiselo.
Uma ama-macrolides engasizi, ama-fluoroquinolones asetshenziswa:
- Levotech;
- Siflox;
- I-Avelox;
- I-Tebris;
- Afenoxin nabanye.
Indlela yokugcina yokwelashwa kwe-tonsillitis yi-cephalosporins:
- I-Cemidexor;
- Okuphezulu;
- I-Cephalexin;
- Cefixime kanye nezilinganiso.
I-antibiotics ye-angina kumuntu omdala ekukhunjweni
Ama-injection anqunywe yi-otolaryngologist ezimweni ezimbi kunazo zonke zesifo samanje, uma kunomkhuhlane omkhulu futhi ingozi yezinkinga iphezulu kakhulu. Zinikezwa okwesikhashana (izinsuku ezingu-2-4) zokuphuthumayo eziphuthumayo zezimpawu ezinzima, bese zithathelwa imithi yomlomo. Yiziphi antibiotics zokwelapha i-angina kubantu abadala - izixazululo zokulwa namagciwane:
- Ampioks;
- I-benzylpenicillin;
- Ampicillin;
- I-Ticarcicline;
- Bilmycin;
- Hemomycin;
- Ceftriaxone;
- I-Gatifloxacin;
- I-Moxifloxacin;
- Levofloxacin;
- I-Ciprofloxacin.