Yintoni imithi sinusitis kunye sinusitis sithathwa kakhulu?

Sinusitis sisifo kuyingozi kakhulu. izigulo ezinzulu kwenzeka ekuqaleni mbilini unyango okanye xa okanye izenzo ezingafanelekanga. Phantse njalo bayacetyiswa ukuba bazise antibiotics. Xa sinusitis kunye sinus umyalezo yebhaktiriya kuphela kwendlela ukuthintela ukusasazeka kosulelo. Yintoni iziyobisi ziya kuba kakhulu ngempumelelo? Cinga indlela ethandwayo kakhulu ezimiselweyo kunyango komtshiso oko.

Ngawaphi sinusitis?

Ehlabathini impumlo ibekwe izibini ezine nemingxuma moya - sinuses. Bonke babe umyalezo ukusuka lweHo- ngeempumlo. Oku kukuvumela ukuba ngokukhululekileyo, kungekuphela nje emoyeni, kodwa ke netuwa mucosal. Ngoko ke, xa kwamagciwane hit ukuze aphuhlise ukudumba empumlo uze ukuhambisa kungena sinuses. Kuxhomekeka lizwe ukujoliswa ntlobo zilandelayo izifo:

• etmoidit - ukudumba trellis mibono (sinuses ibekwe empumlweni);
• sinusitis - ukudumba sinus ngokungqalileyo;
• sinusitis - yokugula abachaphazelekayo sinus maxillary;
• sphenoiditis - ukudumba sinus sphenoid.

unyango Conservative kuya kunceda ukumelana ngokukhawuleza isifo kwaye siphephe iingxaki. Yintoni imithi sinusitis, sinus esithathwe kufuneka ukusombulula kuphela yincutshe. Ngaphandle Unyango ngamachiza linokwenziwa lavage le sinuses ngeempumlo.

Izizathu sinusitis

Phantse njalo, uphuhliso sinusitis ichukumisa amagciwane okanye lohlobo. Emva ngokudibana eziphilayo lweHo- ngeempumlo, sinus ezingqongileyo ekuqaleni yokwaba imali olongeziweyo secretion yangaphakathi. Kwelinye icala, zikwanceda "ukucoca" usulelo emzimbeni, yaye kwelinye - imeko yesigulane mandundu. Le nkqubo yokukrala kunyuswa ngenxa yokuba lo epithelium iyadumba olunga- phakathi kwisisu ngeempumlo, luthintela uphume mucin.

zezinto ezinegalelo kwakhona mgaqweni kwi isakhiwo ekudibaneni ngeempumlo, isakhiwo ephosakeleyo kwezi sinuses ngeempumlo, adenoids, umkhuhlane rhoqo, nokuthimliswa umzimba.

unyango

Ekuphuhliseni sinusitis ubonisa umkhuhlane elide, nto leyo efanele sesichengeni zonyango, iintlungu ebusweni, ifiva, ubovu ngeempumlo ngobhobhozo. Ngesi umfanekiso sifo ngokuyimfuneko amisele antibiotics.

Kuba unyango sinusitis kunye rhinosinusitis kwabelwa amaqela ezahlukeneyo imithi antibacterial, ngokuba ngamagciwane ukumelana izinto esebenzayo ngexesha ukusetyenziswa ixesha elide. Kwimeko ukuba ichiza uya wayichola kakuhle, i-HIV sinyangeke ngokupheleleyo. Phambi ukuqeshwa elwa kuyimfuneko ukuze uphumelele uvavanyo elebhu ukufumanisa uvakalelo iintsholongwane ukuba into ethile.

Ukongeza, kucetyiswa ukuba uthathe ntlungu kunye neziyobisi antipyretic ukuze bawubuyise iimpawu komtshiso oko. Ukuphucula imeko kwaye kungaba nge ngeempumlo lavage kubola.

iintlobo antibiotics

Xa umyalezo esihlobene ukudumba kwi sinuses paranasal amaqela esetyenziswayo arhente antibacterial. Khetha ichiza kakhulu ngempumelelo kunokuba kuphela ingcali emva zoviwo kumguli ukuqinisekisa ukuba hlobo luni pathogen leyo eyenza uphuhliso ngezifo.

Ezifo sinusitis kunye sinus iza kunceda ekupheliseni kuphela ingxinano ngeempumlo, kodwa oyena nobangela sifo. La maqela alandelayo iziyobisi zithathwa ukuba ngempumelelo kakhulu:

• Macrolides - ukunqanda ukwanda nokukhula iintsholongwane izifo. Ngaba zingasetyenziswa ukunyanga sinusitis acute kunye ezigulo ezondeleyo. Macrolides zithathwa abancinane yingozi zonke iintlobo antibiotics.
• Penicillins - bavame asetyenziselwa ukunyanga zonke iintlobo sinusitis. A inzuzo ebonakalayo umsebenzi uyakhetha iziyobisi ezinjalo, oko kukuthi, ukuba abathanga benze kwibhunga yonke nje iphela, kodwa kuphela kwiimfuno ngezifo.
• Cephalosporins - ukuba zilawulwa kwimeko penicillins engazange abe ungenelelo olufanelekileyo nezinyangayo. Cephalosporins kutshabalalisa intsholongwane ebangela isifo ezazingekho iso penicillin.
• Tetracyclines - macrolides zibe nomphumela ofanayo zonyango kwaye zinqanda neprothini Yindibanisela iikhompawundi ngayo iintsholongwane. Noko ke, tetracyclines badla zinokubanga iziphumo ebezingalindelekanga kwaye inani elikhulu Izimo.
• Fluoroquinol - ube bioavailability aphezulu, ukudala yoxinaniso aphezulu amalungu asebenzayo zomzimba.

Yintoni antibiotics ukusela kwi sinus kunye sinusitis, kufuneka wazise ugqirha ENT. Amayeza zikhethiwe ngokuxhomekeke ubudala yomguli kunye ubungqongqo imeko zophendlo lwezifo. Khumbula ukuba le mithi zisebenza kuphela kwimeko igciwane. Xa sinusitis egazini okanye sinus, la machiza ayisebenzi.

Indlela ukukhetha olwa engcono?

Sinusitis, sinusitis maxillary kwi sinuses paranasal bandisa inani elikhulu netuwa zophendlo lwezifo. Lo mkhwa ezinokudala ubuhlungu, ukungakhululeki, ukumelana apho kungekho arhente antibacterial nje akunakwenzeka. Kuba unyango ukumisela amachiza ngokukuko ityala lakho ethile.

zibandakanya ezi ntsholongwane zilandelayo Eyona ngokukuko sinusitis:

• based imixube amoxycillin ( "Amoksiklav", "Amoxil", "Ospamoks", "Flemoksin", "amoxicillin");
• based antibiotics azithromycin ( "Azitroks" "Sumamed", "Hemomitsin", "Zetamaks");
• amalungiselelo cefalexin esekelwe ( "Ospeksin", "Cephalexin", "Sporideks");
• fluoroquinol esekelwe ofloxacin ( "Zanotsin", "Zofloks", "Ofloxacin", "Floksal").

antibiotics ezenzekayo for sinusitis

Ezithandwa kakhulu le arhente antibacterial ukuba isicelo mlonyeni. Benza ngqo kwi njengokhamba inkqubo kwiintetho ezikralayo, kwaye akukho neziphumo zenkqubo. Basenokuba ityumbe njenge arhente enye okanye njengenxenye yonyango ezintsonkothileyo. "Bioparox", "Izofra", "Polydex" - antibiotics olusebenzayo nokuthimliswa, sinusitis, sinus imvelaphi yebhaktiriya.

Ezifo yokukhululwa mlonyeni ngohlobo zamathontsana kunye mixube. Kufuneka kusetyenziswe kuphela xa kukho ukufikelela simahla ukuya sinuses paranasal.

Ukusetyenziswa "Amoxicillin"

Le medicament "amoxicillin" i penicillin semisynthetic lilahle ngohlobo amacwecwe, njengezingxobo kunye granules kukunqunyanyiswa. umsebenzi wayo inabela iintsholongwane Igram-HIV kunye navumelanayo-Igram. Noko ke, ezo Cya ukuba cell penicillinase (enzyme), abanganyangekiyo kuyo. "Amoxicillin" lidla ezimiselweyo unyango ezimbi of eliphezulu phecana nokuphefumla: sinusitis, sinusitis, sinusitis, otitis lemvelaphi yebhaktiriya.

Ngenxa ichiza acid-resistant yeencindi hayi ezidiliziweyo phantsi wokugaya kwaye baqale egxile ngokukhawuleza. Le umthamo ichiza uzimisele ngamnye. Abantwana abaneminyaka 2 "Amoxicillin" imiselwe ngokohlobo ukunqunyanyiswa. Phantse zonke antibiotics (kwi sinus kunye sinusitis) ikwimo yolwelo kwaye ilungiselelwe ukusetyenziswa ngomlomo kufuneka incasa emnandi elinuka, oko ivumela ukunika amayeza akhe ukuze umntwana ngaphandle nzima kakhulu. Kuba nomthamo ukunqunyanyiswa usebenzisa isirinji yokulinganisa.

Abantwana abadala ngaphezu kweminyaka eli-10 kunye nabantu abadala kufuneka banikwe indlela ngokohlobo amacwecwe kunye njengezingxobo. Le idosi esisebenza kuwo babe 250 no 500 mg. Usuku luboniswa ukuba akukho ngaphezulu kwe 750 mg amoxicillin abantwana ukuya kwiminyaka-10. Xa abadala, idosi iphezulu ichiza - 1500 mg, yahlulwe yaba ngamanqanaba amathathu.

Drug "Sumamed"

Yeyiphi antibiotics ukuthatha kwi sinus kunye sinusitis ukuba nemiphumela kweli eziphilayo baba kuncinane? Iingcali ezininzi amisele ukuba izigulane zabo macrolides. yaye "Sumamed" libhekisela kwiziyobisi ezinjalo. Ukuba ityala ukudumba kwi paranasal sinuses ezi streptococci, Haemophilus influenzae influenzae, Staphylococcus eli chiza lusebenza kakhulu. "Sumamed" evela ngokohlobo iipilisi kunye nomgubo kukunqunyanyiswa.

Ngenxa yokuba le nto ichiza esebenzayo salawo ivela emzimbeni ixesha elide ngaphezu amanye amaqela iziyobisi antibacterial, ukuthatha kubiza iintsuku ezi-5 kuphela. ukusebenza kwezonyango le medicament ibonelela omnye ngeveki emva kokuphela ulwamkelo.

Izimo side effects

Eli chiza a Izimo ubuncinane. Usetyenziso Guide ulumkisa ukuba "Sumamed" Akuvunyelwe yenziwa izigulane ukuba hypersensitivity ukuya macrolides nobandlululo ezi izinto. Amanyathelo prescribers phambi ezingaqhelekanga kwesibindi kunye nezintso.

Macrolides cishe akukho iziphumo ebezingalindelekanga. Kungenxa yoko le nto unyango weenkqubo yokukrala imvelaphi ziibhakteriya badla ukumisela le antibiotics.

Xa sinus sinusitis kunye ixesha unyango "sumamed" nto idla iintsuku ezi-5. Kwixesha elifutshane kangaka nemiphumela emibi ezimbi kunyango zintsholongwane akubangeli. Xa uxabane ukuya amacandelo kuqulunqo kunokubangela irhashalala. iintlungu esiswini, urhudo, nokuqunjelwa kuvandlakanywa kuphela unyango elide kunye antibiotics.

Spray "Izofra"

Ngeempumlo kuthetha ngempumelelo kakhulu kwiinkqubo ukudumba kwindawo sinuses ngeempumlo. Njengokuba eyona nto esebenzayo kusetyenziswa framycetin zintsholongwane sulphate ngoweqela Lendlela Yeqela aminoglycoside kulo. Ubuncwane ekwaziyo abathintela ukukhula ezincinane yayintsholongwane eyosulela yaye spectrum umsebenzi ngokubanzi.

antibiotics Local ezisetyenziswa sinus kunye sinusitis, i sisebenzayo nothomalaliso adjuvant. Phambi kokuba izicelo zabo makaqale pula nakumarhanana anetyuwa ukuphelisa awo yencindi yomlomo. Izikali spray "Izofra" umiselwe ngokuxhomekeke kubudala lomguli. Abantu abadala ziboniswa ukusebenzisa amayeza amaxesha 5 ngemini, kunye nabantwana - up to kathathu ngemini. Ubude imithi unyango - iintsuku 7-10.