Ezifo sinusitis abadala: amagama kunye nohlolo

Sinusitis ngokufuthi ikhula njenge kwingxaki yokubanda eqhelekileyo, igciwane lohlobo okanye amagciwane. Le iqhele ukusetyenziswa unyango endala ukuba unyango lwesifo. Ezifo sinusitis abadala ziboniswa kuphela xa ngezifo lemvelaphi yebhaktiriya. Nabanako kumiselwa iimpawu isici.

isifo inkcazelo

Sinusitis ebizwa inkqubo zophendlo lwezifo apho isifo asha le paranasal (paranasal) sinuses. Kutshanje ukwenza imisebenzi emininzi kwaye ebalulekileyo - moya ngokufudumeleyo ukuba bephefumla ngokusebenzisa impumlo, athathe inxaxheba yokubiza izandi, ukunciphisa ubunzima amathambo yokakayi. Maxillary (maxillary), ngaphambili (ngokungqalileyo) kunye negridi - izibini ezintathu sinuses. Imnyama-ezimilise, ibekwe umzimba amathambo eziphambili lukakayi, kuba unpaired. Kuxhomekeka indawo ukudumba ahluka ezi fom zilandelayo sifo: sinusitis ngokungqalileyo, sinusitis, sphenoiditis, ethmoiditis.

Zingabangela uphuhliso sinusitis njengoko kwamagciwane (bacteria, nomngundo, iintsholongwane) kunye nomzimba. Amaninzi, isigulo kuphuhliswa phambi igciwane lohlobo, apho bacteria kwaye uzibandakanya kwindawo yokucocwa engalunganga. Xa ukutyeshelwa nencindi netuwa imazi ezo sinuses, iimeko ukufuya kwamagciwane. Ukumelana ngoncedo ngenkuthalo antibiotics. Xa sinusitis abadala (kunye nabantwana, kakhulu), kubalulekile ukuba ukuqala unyango.

iimpawu

Ubunzulu iimpawu sinusitis kunokuxhomekeka kwifomu apho kwenzeka komtshiso oko. Kuba inkqubo yokukrala iimpawu intlungu ukucudisa etsolo kwi sinuses. mizwa ekhathazayo bebekelwa ebunzi okanye ibhulorho empumlo, phantsi amehlo okanye kumacala omabini ngeempumlo, kwemihlathi yangasentla okanye amazinyo. Ukubonakalalisa syndrome idla kubi xa intloko axis.

Enye inkalo uphawu - iimpumlo ezivuzayo. Ukuba babe umthunzi omthubi-eluhlaza, ukuthetha malunga nophuhliso igciwane. Kulo mzekelo, kufuneka uthathe antibiotics.

Sinusitis kunye sinusitis xa abadala linjengevumba mandundu kakhulu kwaye ukuphefumla ngalo impumlo, kukho intloko eyomeleleyo. Kukho iimpawu kunxilwe - ifiva, umkhuhlane kunye buthathaka livela, umthamo wamandla umsebenzi. Ukufumana ezi mpawu, kufuneka kwaoko andibhekisanga yincutshe.

Unyango lwe sinusitis kubantu abadala

Iziyobisi-antibiotics ziphantse isoloko isetyenziselwa yonyango ukudumba kwi sinuses paranasal. Zidla ziqhutywa etsolo kwisigaba ukuhamba ngezifo xa lobushushu emzimbeni wakhe liphume kunye ubovu ngeempumlo eyabelwe mfihlakalo. Loo imeko ngokukhawuleza ukuya kungena kwisigaba ezingapheliyo, apho phantse akunakwenzeka ukuba sesichengeni lonyango, kwaye kuxhotyiwe zonke abandayo. Ukuze uphephe oku, kubalulekile ukuqala antibiotics.

sinusitis, unyango sineenjongo ezingatshabalalisa ngokupheleleyo sifo pathogen, Umfanekiso iimpawu kunye nokuthintelwa iingxaki. Ukongeza antibiotics kwi unyango kufuneka ibandakanye iziyobisi kunye iintlungu kunye nefuthe antipyretic, amathontsi vasoconstrictive (isitshizi) ukuba impumlo.

Nokuba ngaba ukusebenzisa antibiotics?

ugqirha kuphela ukumisela antibiotics 'ezichanekileyo' ngokuphatha sinusitis abadala. Zokuqala kuyimfuneko ukuqhuba uvavanyo elebhu ukuba ukujonga uhlobo arhente causative inkqubo arhabaxa. Zokukhangela okungalunganga zikhethiwe iindlela kangangoko ukucinezela umsebenzi ngeentsholongwane.

Ubude unyango iya kuxhomekeka ukuma ngezifo. Xa sinusitis etsolo ngexesha unyango kufuneka kuthabatha iintsuku ezili-10. Le fom ezingapheliyo ifuna imiphumo elide imithi.

Ukuphelisa iintlobo ezahlukeneyo sinusitis kusetyenziswa iintlobo ezininzi antibiotics:

• Penicillins - elwa olu hlelo msebenzi uyakhetha zonyango kwaye aluchaphazeli umzimba uphela.
• Macrolides - ingqalelo aphephe zonke izinto antibacterial yaye spectrum ezibanzi amanyathelo.
• Cephalosporins - indlela kunye spectrum amanyathelo efana penicillin. Xa kusetyenziswa sinusitis nolomgca-isizukulwana yesibini.
• Tetracyclines - zifana kunye macrolides, kodwa zinokubanga iziphumo ebezingalindelekanga kwaye ube nenani Izimo.
• Aminoglycosides - ilifa uluhlu olubanzi iziphumo zonyango kunye nokusebenza, kodwa zinetyhefu kakhulu.

Ezifo sinusitis abadala, kuxhomekeke inyathelo neefom esi sifo. Macrolides kunye cephalosporins ukunceda ukumelana yokukrala wobulali. Ukuba isifo kwenzeka kunye iingxaki engozini ukuba ezinganyangekiyo, oogqirha sincoma ezikhuselweyo penicillins. Kwezinye iimeko, makhe Siyakwamkela amachiza antibacterial yasekuhlaleni.

antibiotics Effective for sinusitis kubantu abadala

Amagama athile mayeza kudala eyaziwa yezonyango. Ngokomzekelo, lithetha "amoxicillin" libhekisela penicillins ezikhuselweyo kwaye amaxesha amaninzi asetyenziswa ukunyanga izifo phecana nokuphefumla umyalezo eliphezulu virus. Olunye uncedo ebonakalayo ichiza ukhuseleko kunye neziphumo ebezingalindelekanga kuncinane.

Kwelinye ichiza kwiqela penicillin i - "Amoxiclav" - iwela kungena kudidi ezikhuselweyo. Lokumelana imiboniso ngamachiza kwi-enzayim ye beta-lactamase, nto leyo ifumaneka iintsholongwane ezininzi kwaye kakhulu kunciphisa isiphumo konwaywa antibiotics.

Sinusitis kungaba ukwabela ezi ndlela zilandelayo:

• "Cephalexin".
• "Azithromycin".
• "Augmentin".
• "Cefazolin".
• "Flemoklav Soljutab".
• "Sumamed".
• "Ceftriaxone".
• "Clarithromycin".

Ukuyeka iimpawu ukudumba kwi sinuses paranasal iziyobisi ezininzi. Ukuze uqonde ukuba ayinonophele njani ezifo sinusitis abadala, kuyimfuneko ukuba udibane nogqirha. Le umthamo amayeza kunye nonyango scheme uqinisekiswa ngokomba ngamnye.

An amalungiselelo esebenzayo mlonyeni na "Bioparox". zokutshiza ngeempumlo lubanesiphumo bacteriostatic kwaye isoloko isetyenziswa xa ngokuphatha sinusitis. Enye indlela eli qela - "Polydex". Iyeza ubunjwe kwezinto nje ezimbini antibacterial. Faka antibiotics mlonyeni kunye ubovu sinusitis abadala nje kuphela ukuphelisa izifo, kodwa ukuze bawubuyise ukuxinana ngeempumlo, ukususwa nokudumba mucosal.

"Amoxiclav 'ukuze sinusitis

unyango sinusitis bacteria kufuneka ezintsonkothileyo. Isiseko unyango kuvame antibiotics. Kukhethwa inikwa ndlela ekhuselekileyo kakuhle. La machiza aquka "Amoxiclav" - a zokwenziwa penicillins ebanzi-omoya. Awona macandelo eziphambili zezi amoxicillin kunye clavulanic acid. Ukukhululwa kweziyobisi ngohlobo lyophilisate nokulungiselela izisombululo inaliti, ukumiswa, nezidanga.

Ichiza itshixa ikhusi, uphuhliso ezimbi-Igram Igram-HIV,, anaerobic neentsholongwane aerobic causative sinusitis. I "Amoxiclav" akanalo impembelelo etshabalalisayo enjalo phezu microflora isisu, ezinye elwa. Kufuneka Mayisoloko ikhunjulwa into yokuba ixesha elide ithathe penicillin (antibiotics) ukwenzela sinusitis abadala akukhuthazwa ngenxa yokuba iintsholongwane ngaba niqhawula kusetyenziswa ichiza aze aphulukane ubuntununtunu kuyo.

balawule

Kaninzi ngenxa yonyango sinusitis kunye nezinye izigulane sinusitis ezimiselweyo iyeza "Amoxiclav" ngohlobo amacwecwe. Nomakhi ukhupha kubo kukho umthamo mg 250, 500 no 850. macwecwe esasazekayo (500 mg of amoxicillin kunye 850) nazo ziyafumaneka. Clavulanic acid mg 125 ifomu nganye tablet.

Xa unyango amayeza kufuneka kuqwalaselwe ukuba idosi iphezulu yemihla ngemihla into nganye. abadala Amoxicillin uyakwazi ukwamkela grams akukho ngaphezulu kwe-6 kunye clavulanic acid, - ukuya ku-600 mg. Kuxhomekeka ubungqongqo sinusitis nomonde angatyumba 250 okanye 500 mg beziyobisi kathathu ngemini. Enye Unyango scheme eyamkelekileyo - 825 mg amoxycillin qho kwiiyure ezili-12. Ubude unyango - iintsuku 5-14.

Drug "Cephalexin"

Sinusitis ngobulali ukumodareyitha wasabela ubungqongo kakuhle nemithi kwiqela cephalosporin le generation yokuqala neyesibini. Enye izixhobo sisebenzayo kolu didi "Cephalexin". Ichiza iyasebenza ukulwa iintsholongwane ezininzi yayintsholongwane eyosulela klebsiel, esherehy, streptococci, Proteus. I-zintsholongwane iveliswa ngokohlobo iipilisi kunye granulates kukunqunyanyiswa.

Iyeza unamandla ngokwaneleyo yaye ngokufuthi ibanga iziphumo ebezingalindelekanga. Ukuba ngaba wehlelwa izigxala, iintlungu esiswini, isicaphucaphu, umlomo owomileyo, isiyezi, intloko ebuhlungu, ukuxhuzula, kukulahlela olunye unyango "cephalexin" kwaye ukhethe iyeza kakuhle.

Ngaba "Azithromycin 'ndlela?

Macrolides babe emininzi ebanzi ngokwaneleyo na amanyathelo elwa yaye ukunyamezeleka kakuhle umzimba. Amaxesha amaninzi kusetyenziswa ezi antibiotics kwimidiya otitis kunye sinusitis abadala kunye nabantwana. Macrolides ekhonyayo staphylococci pyogenic kunye Haemophilus influenzae influenzae. Enye amachiza kolu didi "Azithromycin". Ingasetyenziswa kuba unyango lwe sinusitis, sinusitis kunye nezinye iinkqubo ukudumba kwi sinuses paranasal.

Isixhobo unalo zinetyhefu esezantsi kunye nesenzo bacteriostatic. Thatha iipilisi okanye oluludaka kufuneka kanye kuphela ngosuku phambi kokutya okanye iiyure ezi-2 emva kokuba emva kwesidlo. Xa rhinosinusitis idosi yemihla ngemihla "Azithromycin" - 500 mg. Ubude unyango ngokuqhelekileyo iintsuku ezi-3, kodwa kwezinye iimeko, unyango asenokwandiswa.

side effects kanye Izimo

Oku nangononophelo olukhulu ukuthatha imithi sinusitis. Xa izigulane abadala, kusenokubakho ezithile Izimo kunyango, leyo ngokuyimfuneko kufuneka kuboniswane. "Azithromycin" ngokwemiyalelo ungamiselwanga ukuba ukwanda uvakalelo antibiotics eli candelo, kwesibindi, nezintso.

ziziphumo ebezingalindelekanga ezivela wokugaya (ukuqunjelwa, isicaphucaphu, isisu esihambisayo) kunye amajoni omzimba (urticaria, ukungxama kwibhunga), ichiza kunqabile kakhulu.