I-antibiotics ye-sinusitis ivame ukumiselwa njengesiseko seyeza zonyango. Kule meko, kungekho kuzo zonke iimeko, iziyobisi zeli qela zisetyenziselwa ukulungiselela unyango lwesi sifo, kwaye ugqirha kufuneka ancomele emva kokugqiba uhlobo kunye nezimbangela ze-sinusitis.
Iintlobo ze-sinusitis - iimpawu kunye neyeza
I-Sinusitis yinto enesifo se- sinusitis , ebonakaliswa ukuvuvukala kwezicubu ze-mucosa enye okanye zombini wesinus maxillary (maxillary). Esi sifo sinokuvela kwifomu ephosakeleyo okanye engapheliyo, kungekho unyango olwaneleyo oluyinkimbinkimbi ezinzulu. Ngokuxhomekeke kwiziganeko eziphazamisayo, kukho iintlobo ezahlukeneyo ze-sinusitis, kwaye unyango lwabo luhluke. Cinga ngeentlobo eziphambili zezifo:
- I-sinusitis ye-Virus - enye yeembonakaliso zentsholongwane yokuphefumula yentsholongwane, apho inkqubo yokuvuvukala idlulela ngaphaya komgudu wamanzi. Kwiimeko ezininzi, ifom ye-viral yesifo ayifuni unyango oluthile, lidlula unyango lwesifo esingaphantsi. Uncedo lwezonyango lunokubonelelwa nge-nasoc vasstonstrictors, iisombululo ze-saline ezikhuthaza ukubuyiswa kwesitya se-sinus. Ngamanye amaxesha anika iziyobisi ezichasayo.
- I-sinusitis ye-allergenitis - ayifumanekanga yodwa, idibene ne-rhinitis yangaphambili kunye nokunye ukubonakaliswa kwempawu. Isici esichaphazelekayo sokuvuvukala kwesimo esilungileyo akusiyo i-hyperemia yeembrane, kodwa i-blanching ne-blue tinge. Ukunyangwa kwe-sinusitis yale mvelaphi kuncitshiswe ukupheliswa kwe-allergen, ukusebenzisa i-antihistamines, i-glucocorticoids, iziyobisi ze-nasoconstrictive zamanzini, iziyobisi ezivela kwiqela lezintlu ze-membrane zamaseli ezithoba.
- I-sinusitis ye-bacterium - uhlobo lwesifo esitsha ngokukhawuleza sibe yifomu epheleleyo. Iingcambu zengcinezelo zingabangela ukusulelwa kwintsholongwane engapheliyo kunye neentlungu, ukulimala kabuhlungu, ukusulelwa kwamazinyo, utshintsho lwe-anatomical kwisigxina samanzi, njalo njalo. Ukunyangwa kwe-sinusitis enjalo kubandakanya ukutyunjwa kwamagciwane, ngaphezu koko kukho icebo le-vasoconstrictor, i-non-steroidal anti-inflammatory drugs, i-rinction of sinuses.
Ingaba kunokwenzeka ukuphilisa i-genyantritis kunye namayeza omzimba?
Iziyobisi ze-antibacterial ye-sinusitis zisebenza kuphela kumonakalo webhakteriya kwizono ze-paranasal kwaye zinqunywe ngokukhawuleza okanye ezinzima kakhulu zesifo. Ukuba isifo sifumaneka kwisigaba sokuqala, isigaba esilula, ukuphuhliswa ngokusuka kwimvelaphi yentsholongwane yokuphefumula kwintsholongwane okanye ukunyamezela, ukuvuvukala kwezono ezinama-maxillary kungaphathwa ngaphandle kwama-antibiotic. Kule meko, amanyathelo athatyathwa ukuba avule i sinus aze anikezele ukuphuma kwezinto ezivuthayo (ukuthatha amayeza, iindlela zephilotherapy).
Ukuba i-sinusitis ihamba kunye nokukhululwa kwe-pus, ukunyamezela okukhulu kunye neentlungu kwiimonsi, iimpawu zokuxhatshazwa (ukuphathwa kwentloko, ubuthakathaka obukhulu, umkhuhlane), i-antibiotics ayinakuphetshwa. Ukuphucula ngokukhawuleza nangokuphumelelayo i-sinusitis, iyeza-antibiotics unyango kufuneka kuthathwe kunye nezidakamizwa ze- vasoconstrictive kunye ne- mucolytic , ukuhlamba iinesus ngeetyuwa kunye nesisombululo se-antiseptic. Ukongezelela, ukuqinisekisa ukuba i-antibiotics ye-sinusitis inika umphumo ofanelekileyo, le mithetho ilandelayo kufuneka ilandelwe:
- Amayeza kufuneka athathwe kwisilinganiso esinqunyiwe kunye nexesha elichanekileyo elichanekileyo.
- Awukwazi ukunciphisa inkqubela yeziko lotyando, nangona imeko yezempilo iphuculwe.
- Ukuba iimpawu zokuphucula aziqwalaselwa zingakapheli iintsuku ezingama-2-3, kufuneka iguqulwe i-antibiotics.
Ziziphi i antibiotics ezimiselwe i-sinusitis?
Ziziphi i-antibiotics ekufuneka zithathwe nge-genyantritis kufuneka zichongwe ngugqirha, ngokusekelwe kumfanekiso wesifo, mhlawumbi i-agent ekhuselayo yentsholongwane, amandla okwenza izidakamizwa ukuba aqokelele kwisilonda kwi-intlanzi efunwayo. Xa ukhetha i-remedy, kuyimfuneko ukuqwalasela ukuba isigulane sithathe nayiphi na i-antibiotics ezinyangeni ezintandathu ezedlulileyo, yiziphi iimpazamo ezingapheliyo kunye neempawu ezizodwa zomzimba.
Amaconsi empumleni kunye ne-antibiotic ye-sinusitis
Njengokuba uncedisa kwi-antibiotics yonyango okanye ngeqondo elincinci lokugula, ukuhla kwe-sinusitis kunye ne-antibiotic yendawo ingamiselwa. Ezi zi yobisi ziquka:
- I-Polidex (i-spray)-iqukethe i-antibiotics neomycin kunye ne-polymyxin B, i-hormone echasayo i-dexamethasone ye-hormone kunye ne-vasoconstrictor isithako se-phenylephrine;
- I-Isophra (i-Spray) -iqulethe i-antibiotic i-Framicetin;
- I-Fluimucil antibiotic IT (i-lyophilizate isisombululo) - iquka i-antibiotic thiamphenicol kunye ne-mucolytic acetylcysteine.
I-antibacterial ointment kwi-sinusitis
Isiluleko esinjalo, njengamafutha, kwi-sinusitis ayisoloko inqunywe oogqirha kwizonyango zemveli, nangona isetyenziswe ngokufanelekileyo njengomncedisi ekwenzeni unyango. Ukuphumelela kwonyango olunjalo kuphazamiseka, nangona, ngokweengxelo, izigulane ezininzi zisebenzisa i-ointments zikhupha xa zihlambela iindinyana zamanzi. Kusetyenziswa amafutha athile alandelayo anezinto zokulwa ne-antibacterial and antiseptic:
- Levomekol;
- Levosin;
- ichthyol;
- i-sintomycin ointment;
- Ukutshiswa kweVishnevsky.
Amayeza aphuma kwi-genyantritis kwiipilisi
Ukuvutha kwamabhaktheriya kwonyango yama-maxillary kunye ne-antibiotiki etafile ivelisa iziphumo ezilungileyo. Ukuqwalasela ukuba yiyiphi i-antibiotics ekuthathe ngayo i-sinusitis, siza kubhala uluhlu olukhethiweyo lwezenzo:
- aminopenicillins (Ampicillin, Amoxicillin, Flemoxin, Augmentin);
- i-cephalosporins (iZinnat, Supraks, Cefixim);
- macrolides (Clarithromycin, Azithromycin, Sumamed, Josamycin);
- i-fluoroquinolones (ciprofloxacin, levofloxacin).
I-antibiotics-injections kunye ne-genyantritis
Ukuthabatha iiphi antibiotics ukunyanga i-sinusitis, oogqirha bayeke ukulungiselela amalungiselelo ejoyiko kwiimeko ezinzima kwaye ezinzima, kunye nezifo ezino-neocomial. Ezi antibiotics zinokumiselwa ngendlela yeenjini kunye ne-genyantritis:
- Ceftriaxone ;
- Cefazolin;
- Cefuroxime;
- Tobramycin;
- Gentamicin;
- Doripenem nabanye.
Yiyiphi i-antibiotic engcono kwi-maxillary sinusitis?
Ukuze ukhethe i-antibiotics efanelekileyo kwi-sinusitis, kuyimfuneko ukwenza i- bacussis yezinto ezikuyo kwi-sinus, enokwenzeka kuphela ngokugqithisa. Ekubeni le yinkqubo engenayo, yenziwa kwiimeko ezizodwa. I-antibiotics idla ngokuchaneka ngokuchanekileyo, ngokusekelwe kwidatha kwiintlobo eziqhelekileyo zezilwanyana eziphilayo kwi-genyantritis. Lo mgaqo uvumela ukuba uqale ngokukhawuleza unyango, ukhuphe iindleko ezongezelelweyo zophando. Amachiza omgca wokuqala ngamaminopenicillin, apho amaninzi amaninzi anikezela ngesiphumo esheshayo.