Ngesizathu esithile, odokotela abakaze bachaze ukuthi sizokwelashwa kanjani ohlwini lwemithi abayibhala phansi. Mhlawumbe, chaza izici zesiguli ngasinye se-pharmacodynamics - ibhizinisi elingathokozi. Kodwa sizozama ukuqonda. Ngakho-ke, wanikeza idijithi yama-antibiotic. Kusho ukuthini lokhu?
Iyini idijithali?
Into esebenzayo ekwenzeni i-digitan-ciprofloxacin yokulungiselela i-antibiotic ebanzi eyingxenye yeqembu lama-fluoroquinolones. Isetshenziselwa ukwelashwa kwezifo zesistimu (ngaphandle kwezifo zesifo se-nervous central - CNS) futhi ihlangene kahle nama-microorganis aerobic ne-anaerobic. I-Tsifran iyona esetshenziselwa kakhulu uchungechunge lwe-fluoroquinolones olwenziwe namhlanje.
Enye yezinzuzo eziyinhloko ze-digital yindlela yokukhululwa. Isidakamizwa singaboniswa ngesimo samathebulethi, izixazululo (for infusions and injections), amahlaya endlebeni nendlebe, amafutha okugcoba.
Kukhona futhi iqembu lonke le "izihlobo" zezidakamizwa, ama-digitan - ama-analogs anezinto ezisebenzayo ezifanayo: i-ciprosan, i-microfloqu, i-cypromed, i-cyprodox, i-ciprolake, nabanye.
Iyiphi inzuzo ledijithi?
- Isidakamizwa senza amagciwane - sonakalisa izingqamuzana nezindonga zamangqamuzana amabhaktheriya, futhi sivimbela ukuhlanganiswa kwe-DNA yabo, yingakho izinambuzane zingakwazi ukuzala. Ngokungafani neningi lalabo "ozakwabo" balo, idijithi yama-antibiotic isebenza ngokusheshisa kakhulu, ivimbela amabhaktheriya ukuba angasetshenziselwa into esebenzayo.
- I-Tsifran inekhono lokungena ngaphakathi kwezingxenyeni, futhi lena yindawo ebalulekile ekuphatheni izifo ezingapheli futhi ezijulile zendawo, ukuqeda ukuthi kunzima kangakanani.
- I-Cyphrane ingahlanganiswa namanye ama-antibiotics, isibonelo i-penicillins noma i-aminoglycosides.
- Isidakamizwa sinemikhakha ephansi kakhulu ye-MIC (imiqondo encane yokuvimbela). Ngamanye amazwi, ukubulala isifo, udinga idijithi encane kakhulu.
- I-spectrum yesidakamizwa ihlanganisa cishe konke:
- ama-aerobic pathogens;
- ama-gram-negative ne-gram-positive (i-hemophilic, i-Pseudomonas aeruginosa, u-Escherichia coli, i-Salmonella, i-Shigella, i- Gonococcus, i-meningococcus).
Futhi, lo mdijithi usebenza ngokumelene nezinkinga eziningi ze-staphylococcus, kanye ne-legionella, i-mycoplasma, i-chlamydia, i-mycobacteria nezinye izifo-mzimba.
Yini ephulukisa idijithali?
Ukwelapha izifo ezihlukahlukene ezibangelwa amagciwane okuphefumula, sebenzisa i-digitan - izinkomba zokusebenzisa ngendlela engafanele kwiphepha le-A4. Ngakho-ke, sibhala kuphela izifo ezivame kakhulu.
- Izifo zokuphefumula: i-bronchitis enzima (noma ukuqina kwesimo esingapheli), i-pneumonia (ngaphandle kwe-pneumococcal), i-pleurisy esithathelwanayo, i-abscess yamaphaphu. I-Digitone nge-angina, i-bronchiectasis, i-empyema iyasebenza futhi.
- Izifo zezingxenye ze-ENT: izinsana ze-paranasal kanye nendlebe ephakathi, kanye ne-tonsillitis, pharyngitis, i-otitis media, i-sinusitis.
- Ukwelashwa kweso: i-blepharitis, i-conjunctivitis (i-acute ne-subacute ifomu), i-blepharoconjunctivitis, i-keratitis, i-bacterial corneal ulcer, ukulimala kweso ngenxa yokulimala noma izidumbu zangaphandle. Futhi, idijithi yama-antibiotic isetshenziselwa ukuhlinzeka ngokweqile kwe-pre-postoperative prophylaxis yezinkinga ezithathelwanayo.
- Izifo zesimiso se-genitourinary, izitho zomzimba, izinso kanye nomgudu wamanzi. Phakathi kwezifo zihlanganisa i-pyelonephritis, i-adnexitis, i-prostatitis, i-oophoritis, i-salpingitis, i-epididymitis, i-peritonitis ye-pelvic. Futhi, idijithali inqunyelwe i-cystitis kanye nezifo zohlobo lwe-genitourinary (amafomu angapheli, aphindaphindiwe futhi aphindaphindiwe).
I-Tsifran iphinde iphumelele ekwelapheni izifo ezithathelwana ngocansi, izifo zamathunjini kanye nesisu, izikhumba kanye nezifo ezithintekayo zezicubu. Odokotela bamazinyo babhala idijithali ngezinyosi uma kunesifo se-periodontitis, kanye nokuvimbela ngaphambi nangemva kokukhipha izinyo.
Ingabe idijithi iyingozi?
Njenganoma imuphi umuthi, idijithi inezinkampani eziphikisanayo. Awukwazi ukuthathwa ngabesifazane abakhulelwe nabalahlayo,
Ngaphezu kwalokho, lesi sidakamizwa sinemiphumela emibi: idijithali ezimweni ezingavamile zingabangela isicanucanu, ukuhlanza, isifo sohudo, ukukhanda ikhanda, ukuphazamiseka kokulala, ukuguquguquka okubukhali, ukubomvu kwesikhumba, izinyosi. Njengawo wonke ama-antibiotic, isibalo "siyadla" i-microflora ewusizo emathunjini, nakuba isilinganiso esincane kakhulu, kunezidakamizwa ezifanayo. Kunoma yikuphi, kufanelekile ukuthembela kumikhiqizo yobisi obumuncu nokuphuza inkambo ye-biotics ukuvimbela ukuthuthukiswa kwe-dysbacteriosis ne-candidiasis (thrush).