Ama-antibiotics we-sinusitis avame ukushiwo njengesisekelo sokwelashwa kwezidakamizwa. Kulokhu, akuzona zonke izimo, izidakamizwa zaleli qembu zisetshenziselwa ukulungiswa kwalesi sifo, futhi udokotela kufanele azincoma emva kokunquma uhlobo kanye nezimbangela zesinusitis.
Izinhlobo zesinusitis - izimpawu kanye nokwelapha
I- sinusitis uhlobo lwe- sinusitis , olubonakala ngokuvuvukala kwezicubu ze-mucosa zenye noma zombili zesinus maxillary (maxillary). Lesi sifo singenzeka ngesimo esibucayi noma esingapheliyo, ngaphandle kokwelashwa okwanele okubunzima yi-pathologies engathí sina. Kuye ngezici ezivusa amadlingozi, kunezinhlobo ezahlukene ze-sinusitis, kanti ukwelashwa kwabo kuhlukile. Cabanga ngezinhlobo eziyinhloko zezifo:
- I-sinalitis ye-viral - ingenye yezibonakaliso zokutheleleka okubangelwa igciwane lesandulela ngculaza, lapho inqubo yokuvuvukala idlulela ngaphezu komgudu wamanzi. Ezimweni eziningi, uhlobo lwegciwane lesifo aludingi ukwelashwa okuqondile, ludlula ukwelashwa kwesifo esiyisisekelo. Usizo lwezokwelapha lunganikezwa ama-vasoconstrictors angama-nasal, izixazululo ezinomsoco ezigqugquzela ukubuyiswa kwemithombo yesinasi. Ngezinye izikhathi mnike izidakamizwa ze-antiviral.
- I-sinusitis ye-allergen - ayitholakali yodwa, ihlanganiswe ne-rhinitis yangaphambili ye-allergic nezinye izibonakaliso zokugula. Isici sesici sokuvuvukala kwesimo sezilwane akusilo i-hyperemia yezinambuzane ezimangalisa, kodwa i-blanching yabo ene-bluish tinge. Ukwelashwa kwesinusitis kwalesi siqalo kuncishiswe ekuqedeni i-allergen, ukusetshenziswa kwama-antihistamine, i-glucocorticoids, izidakamizwa ze-nasal vasoconstrictive, izidakamizwa ezivela eqenjini lokuqiniswa kwezingqimba zamangqamuzana amancane.
- Sinusitis yebhaktheriya - uhlobo lwesifo olushintsha ngokushesha ukuba lube uhlobo oluhlanzekile. Izimbangela zingase zibe ukutheleleka kwamagciwane okuhlala isikhathi eside nokugula, ukulimala okulimazayo, ukutheleleka kwamazinyo, izinguquko zesimo somzimba emgodini wezintambo, njalonjalo. Ukwelashwa kwesifo esinjalo kuhilela ukuqokwa kwamagciwane, ngaphezu kwamaconsi okunciphisa ama-vasoconstrictor, izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala, ukuhlanzwa kwezono.
Kungakhathaliseki ukuthi kungenzeka yini ukwelapha ama-genyantritis ngama-antibiotics?
Izidakamizwa ze-antibacterial for sinusitis ziphumelela kuphela uma kwenzeka umonakalo webhaktheriya ezenzweni ze-paranasal futhi zibekiwe ngokucindezeleka okulinganiselwe noma okunzima kwesifo. Uma lesi sifo sitholakalayo ekuqaleni, esiteji esilula, sithuthukisa ngokumelene nesimo sokuphefumula okubangelwa ukuphefumula kwesifo sofuba noma isifo sofuba, ukuvuvukala kwama-maxillary sinus kungelashwa ngaphandle kwama-antibiotics. Kulesi simo, izinyathelo zithathwa ukuze zivule izoni futhi zinikeze ukuphuma kwe-exudates evuthayo (ukuthatha imithi, izindlela zokwelapha).
Uma i-sinusitis ihambisana nokukhululwa kwe-pus, ukucindezeleka okunzima nokubuhlungu ezonweni, izimpawu zokudakwa (ikhanda, ukukhubazeka okuvamile, umkhuhlane), ama-antibiotic angeke agwenywe. Ukwelapha ngokushesha futhi ngempumelelo i-sinusitis, ama-antibiotics okwelashwa kufanele athathwe kanye nezidakamizwa ze- vasoconstrictive kanye ne- mucolytic , ukugeza izoni ngamanoni nosawoti nezisombululo. Ngaphezu kwalokho, ukuqinisekisa ukuthi ama-antibiotics wesinusitis anika umphumela omuhle, imithetho elandelayo kufanele ilandelwe:
- Umuthi kufanele uthathwe ngesilinganiso esinqunyiwe futhi ngezikhathi ezithile ezichazwe kahle.
- Awukwazi ukunciphisa inkambo yokwelashwa esungulwe, ngisho noma isimo sezempilo sesithuthukile.
- Uma izimpawu zokuthuthukisa zingabonwa zingakapheli izinsuku ezingu-2-3, i-antibiotic kufanele ishintshwe.
Yimaphi ama-antibiotics anqunyelwe i-sinusitis?
Yiziphi antibiotics okufanele zithathwe nge-genyantritis kufanele zithathwe udokotela, esekelwe esithombeni sesifo, kungenzeka ukuthi i-agent ekhusayo yokutheleleka, ikhono lomuthi ukuqoqa lesi sifo ekuhlungeni okufunayo. Uma ukhetha ukwelashwa, kubalulekile ukucabangela ukuthi ngabe isiguli sithathe noma yimaphi ama-antibiotic ezinyangeni eziyisithupha ezedlule, yiziphi izimo eziphuthumayo ezingaguquki nezici eziqondene nomzimba.
Amaconsi emphuleni nge-antibiotic ye-sinusitis
Njengengxenye yokwelashwa kwama-antibiotic ejwayelekile noma ngobukhulu obunzima bokugula, ukwehla kwe-sinusitis ene-antibiotic yendawo kungenziwa kunqunywe. Lezi zidakamizwa zifaka:
- I-Polidex (i-spray) - iqukethe i-antibiotics neomycin ne-polymyxin B, i-hormone anti-inflammatory substance dexamethasone ne-vasoconstrictor isithako phenylephrin;
- I-Isophra (i-Spray) - iqukethe i-Framicetin yama-antibiotic;
- I-antibiotic IT (i-lyophilizate for solution) - ifaka i-antibiotic thiamphenicol kanye ne-acetylcysteine ye-mucolytic.
I-antibacterial ointment kusuka ku-sinusitis
Ikhambi elinjalo, njengamafutha, kusuka ku-sinusitis ngokuvamile ayinqunywe odokotela ekunakekeleni kwendabuko, kodwa kusetshenziselwa umsizi ekusizeni. Ukuphumelela kokwelashwa okunjalo kuyamangaza, nakuba, ngokusho kwezibuyekezo, iziguli eziningi zisebenzisa amafutha okuletha ukuphumula lapho zigcwala amavesi angasese. Amagcoba alandelayo aqukethe izingxenye zokulwa namagciwane asetshenziswayo:
- Levomekol;
- Levosin;
- ichthyol amafutha;
- i-sintomycin ointment;
- Amafutha kaVishnevsky.
Ama-antibiotics avela ku-genyantritis kumathebulethi
Ukuvuvukala kwama-bacterium we-maxillary treatment we-sinilla nama-antibiotic aphethwe kuletha imiphumela emihle. Uma sicabanga ukuthi yimiphi imithi elwa namagciwane okufanele ithathe isifo sosusitis, sizobe sibhala amalungiselelo akhethwayo wesenzo esikhulu:
- Aminopenicillins (Ampicillin, Amoxicillin, Flemoxin, Augmentin);
- cephalosporins (iZinnat, Supraks, Cefixim);
- ama-macrolide (Clarithromycin, Azithromycin, Sumamed, Josamycin);
- i-fluoroquinolones (i-ciprofloxacin, i-levofloxacin).
Ama-antibiotics-injection ne-genyantritis
Ukuthatha ukuthi yimiphi imithi elwa namagciwane yokwelapha i-sinusitis, odokotela bayeka amalungiselelo omjovo ikakhulukazi ezinzima futhi eziyinkimbinkimbi, kanye nezifo ze-nosocomial. Ama-antibiotic anjalo angahle anqunywe ngendlela yamajojo ne-genyantritis:
- Ceftriaxone ;
- Cefazolin;
- I-Cefuroxime;
- I-Tobramycin;
- I-Gentamicin;
- UDoripenem nabanye.
Iyiphi imithi elwa namagciwane engcono ye-maxillary sinusitis?
Ukuze ukhethe ama-antibiotic aphumelele kakhulu we-sinusitis, kuyadingeka ukwenza i- bacussis yezinto eziqukethwe kwisinasi , okungenzeka kuphela ngokugqama. Njengoba lokhu kuyinkimbinkimbi, kuyenziwa ngamacala ahlukile. Ama-antibiotic avame ukushiwo ngokwemibono, ngokusekelwe kwidatha ngezinhlobo ezivamile zamagciwane ezigciwane le-genyantritis. Lesi simiso sikuvumela ukuthi uqale ukwelashwa ngokushesha, uqede izindleko ezengeziwe zocwaningo. Imithi yomugqa wokuqala yi-aminopenicillin, okuyinto ezimweni eziningi ezinikeza umphumela osheshayo.