I-tonsillitis isifo esithathelwanayo nesingozi . Ingakuchukumisa imiphumo emibi ngendlela yokonakalisa ezintso nasentliziyweni, i-rheumatic pathologies kunye nokuguqulwa kwenkqubo yokuvuvukala ibe yindlela elukhuni. Ukufumana unyango olufanelekileyo lwesifo, kubalulekile ukukhetha amayeza afanelekileyo ngexesha.
Yintoni eyenza i-angina?
Ukulimala kwezicubu ze-pharynx kunye nokuqhubela phambili kwe-tonsillitis ebonakalayo kwenzeka ngenxa yeentlobo ezi-3 zezilwanyana eziphilayo: i-pathogenic microorganisms, i-fungi kunye ne-virus. Iibhaktheriya ezibangelwa i-angina zikuninzi i-streptococci (i-hemolytic) kunye ne-staploclocci, ngokuphindaphindiweyo ziphindaphinda kwiimbrane ezinamaqabunga ngokufanayo. Ngamanye amaxesha imbangela yesifo i-gonococci kunye ne-chlamydia.
Ama-mycosis ama-pathogens anesibindi-njengefungi, eyenza i-pharynx ilandelelanise imvelaphi yokunyuka komsebenzi wokhuseleko lwengingqi. Ukuba intlungu yesifo isifo se-viral, sinokubangela uhlobo lwe-herpes okanye i-influenza. Iifom ezingaqhelekanga ziquka i-tonsillitis, ehamba kunye nale miqathango:
- i-syphilis;
- leukemia;
- tularemia ;
- mkhuhlane o lubomvu;
- enterovirus;
- mononucleosis ;
- agranulocytosis.
Ngaba ufuna amayeza e-angina?
Isigqibo malunga nesidingo sokumisela izidakamizwa ze-antimicrobial sithathwa kuphela yi-otolaryngologist. Ngaphambi kokuba kukhutshwe i-odokotela, ingcali kufuneka imele ihlole uvavanyo lwe-laboratory ye-smear ukusuka kwi-pharynx. Oku kunceda ukufumanisa oko kuphuhliso lwe-angina unyango kunye ne-antibiotics lwenziwa kwiimeko ezintathu:
- I-tonsillitis ibangelwa i-britter flora;
- Usulelo lwesibini luhlangene;
- iingxaki zaqala ngokuphindaphinda kwama-pathogenic microorganms.
Ukuba isifo esikulo mbuzo sinemvelaphi yefungal okanye yintsholongwane, iintsholongwane ze-angina kumntu omdala azigcini ngokupheleleyo, kodwa ziyonobungozi. Ukutya okungaqondakaliyo kwezidakamizwa ezithintela i-antimicrobial izikhokelela ekukhuselweni okunamandla kokuzikhusela komzimba kunye nokudalwa kweemeko ezithandayo ukuveliswa kwamanye ama-tonsillitis, iingxaki kunye nokuqhubela phambili.
Ziziphi i antibiotics okufanele ndizithathe nge-angina kubantu abadala?
Ukukhethwa kwamachiza athile kuxhomekeke kwiinkalo eziliqela:
- uluhlu lwezenzo zokulungiselela;
- uhlobo lweebhaktheriya ezifunyenweyo;
- ukukhutshwa kwamagciwane ezincinci kwii-anti-nicrobial agents;
- kubakho ukunganyamezelani kwisigulane.
Ukulungiswa kwonyango yomzimba kunye ne-antibiotics kubantu abadala bakhethwe emva kokufumana iziphumo zeemvavanyo zelabhoratri. Ngethuba lokufunda, i-agusilitis ye-tonsillitis kunye nokuphendula kwayo kuwo onke amaqela atholakalayo. Amachiza anqunywe, apho ibhaktheriya efunyenwe ineyona ndlela inamandla kakhulu. Ngelo xesha, kubalulekile ukukhetha iyeza elinemiqobo emibi yecala.
Unyango lwentlungu emagqabini enqeni kubantu abadala abanee-antibiotics
Ubukho bepentiki emhlophe emanzini kwiindawo ezinamaqabunga e-pharynx kunye nobukho bendawo ebomvu bendiza kubonisa imisebenzi ephezulu ye-microbes. Ngokuxhomekeka kwendawo, umthamo kunye nemvelo ye-exudate, i-follicular kunye ne-lacunar tonsillitis iyahlukana. I-antibiotics ye-angun purulent kubantu abadala idlalwa ngaphandle kokuqwalasela isimo sayo, kuphela i-ejenti yemicimbi yokuvutha.
Zomibini iintlobo zezilonda ze-pharynx zidla ngokucatshulwa yi-hemolytic streptococcus. Ngamanye amaxesha i-tonsillitis iyinkimbinkimbi yongezwa yintsholongwane ye-staphylococcal, ngoko-antibiotics malunga nesifo somqala kubantu abadala kukukhetha ukhetho oluninzi. Amachiza e-orientation esincinci anqwenela ukusasazwa kwamanye amabhaktheriya - gonococci kunye ne-chlamydia.
Ulwaphulo lweengxelo zengqondo kubantu abadala, amayeza
Le fom ye-tonsillitis ibonakaliswe ngokubunjwa kumgangatho weetoni zeebhola ezincinci. Ukuba ukutheleleka kwe-microbial kuye kwafunyanwa ngexesha lokuphononongwa kweziqulatho zabo, i-antibiotic echanekileyo ikhethiweyo - xa kwenzeka i-angina kubantu abadala, i-penicillin isisombululo sokuqala. Ziyasebenza kakhulu xa zitheleleke nge-streptococci nayiphi na uhlobo, kubandakanya ibhaktheriya ye-hemolytic. I-antiicticin ene-antibiotics e-angina kumntu omdala ithathwa njengekhuselekileyo. Ezi zonyango azibangazilimazi kakhulu kwi-microflora enenzuzo.
I-Lacunar i-angina yonyango kubantu abadala -iyiphi i-antibiotics?
I-tonsillitis echazwe ihamba kunye neengubo ezimhlophe eziphuzi ezimhlophe emlonyeni weziko leetoni. Xa i-lacunar ifom, kubalulekile ukuba ukhethe ngokukhawuleza ukunyanga umlomo wakho - abantu abadala banqunywe i-antibiotics ngokukhawuleza emva kokuba i-smear iziphumo ziphephe iziphumo ezinzima zokuvuvukala. Amachiza e-Penicillin kule meko ayinakusebenza, kuba lolu hlobo lwe-tonsillitis luchukunyiswa yi-streptococci ngokudibanisa ne-staploclocci. Ukuphelisa umonakalo odibeneyo we-microbial, ezi zilandelayo iziza-antibiotics ze-angina kumntu omdala ziyacetyiswa:
- macrolides ;
- i-fluoroquinolones;
- cephalosporins.
I-antibiotics ephambili ye-angina kubantu abadala
Akuvumelekile ukuthenga imishishini ngokwakho okanye ngeengcebiso ze-pharmist kwikhemistri. Kuphela otolaryngologist ofanelekileyo unokugqiba isigqibo sokuba yeyiphi i-antibiotic engcono - kunye nabantu abadala bafanele bathathe iindlela ezikhuselekileyo nezisebenzayo ezivelisa umphumo ochaziweyo kwii-tonsillitis ezifunyenweyo.
Ukuba akukho ziphumo ze-penicillin ezinama-antibiotics, kwaye akukho nxu lumano, kuyacetyiswa ukuba uqale unyango ngaleli qela leziyobisi. Xa kukho ukunyuka kombuso okanye ukutshintsha kwimeko yempilo yabuthathaka, i-antibiotics ingatshintshwa - kwi-angina eqhubekayo, umntu omdala kufuneka afumane amayeza anamandla. Kubalulekile ukuba uthethe intetho yokuqala kunye nogqirha kwaye uthabathe imishanguzo ubuncinane kwimiphumo emibi kunye nomngcipheko ophantsi wokumonakalisa umonakalo kwisibindi sesibindi.
I-antibiotics ye-angina kumntu omdala kwiipilisi
Umgca wokuqala wee-antimicrobial agents ziquka i-penicillin, enefuthe eliyingozi kwi-gam-positive ne-gram-negative pathogens. Ziziphi i-antibiotics ukusela ngesifo somqala
- Amoxicillin;
- Ecobol;
- Flemoxin Solutab;
- Ampicillin;
- IClavam;
- Gramox;
- Amoxyl;
- Ospene nabanye.
Ngokunyamezela kweli qela leziyobisi okanye ukungabikho kwempendulo ekulindelekileyo kwiipilisi ezicetywayo, ukusetyenziswa kwamacrolides kusetyenziswa iiyure ezingama-72. Ziziphi i-antibiotics ezimiselwe i-angina kubantu badala badala ye-penicillin:
- I-Sumamed;
- Zitrolide;
- Rulicin;
- Hermitage;
- Azithromycin;
- IKlabaks;
- Azitroxy kunye neempawu.
Ukuba i-macrolides ayincede, i-fluoroquinolones isetyenziswa:
- UmLevi;
- Siflox;
- Avelox;
- Tebris;
- Afenoxin nabanye.
Inketho yokugqibela yokunyanga kwe-tonsillitis yi-cephalosporins:
- Cemidexor;
- Supraks;
- Cephalexin;
- Cefixime kunye neentetho.
I-antibiotiki ye-angina kumntu omdala
Amagciwane anqunywe yi-otolaryngologist kwiimeko ezinzima kakhulu zesifo eseleyo, xa kunesifo esinamandla kunye nomngcipheko weengxaki eziphezulu kakhulu. Zilawulwa okwethutyana (iintsuku ezi-2-4) zokunceda ngokukhawuleza iimpawu eziphazamisayo, zitshintshwe ngamachiza omlomo. Ziziphi i antibiotics zokuphatha i-angina kubantu abadala-isisombululo se-antimicrobial:
- Ampioks;
- Benzylpenicillin;
- Ampicillin;
- Ticarcicline;
- Bilmycin;
- Hemomycin;
- Ceftriaxone;
- Gatifloxacin;
- Moxifloxacin;
- Levofloxacin;
- Ciprofloxacin.