Imithi elwa namagciwane Kuhle emva kokuhlinzwa: ukubuyekeza kwezidakamizwa, ikakhulukazi reception izilinganiso

Ngemva kokungenela kuhlinzwa kungenzeka ukuthuthukiswa yezinkinga ukonakala. Lokhu kungenxa nilimaza ukutheleleka, kanye nokuthuthukiswa okungenzeka kuso ukuvuvukala. Yingakho i-antibiotic ezinqunyiwe ngemva kokuhlinzwa. La makhemikhali asetshenziswa alibhubhise Amagciwane abangela izifo. Waba yini umphumela walesi umthelela iyona ukuqedwa ukuvuvukala.

Igama elithi "imithi elwa namagciwane" kusho yamaGreki asendulo "ngokuphila." Futhi igama ufaneleke isenzo lezo zimali. Phela, nabo basuke asetshenziswa ukucindezela ukuthuthukiswa ngamangqamuzana aphilayo.

Imithi elwa namagciwane emva kokuhlinzwa uyoqokwa yi udokotela ukuba khona. Kuphela ngolwazi lwakhe futhi umthamo ofanele yokwelapha ezinjalo kufanele sigcwaliswe.

kudingeka zithole

Imithi elwa namagciwane udokotela ekunika ngemva iziguli ukuhlinzwa kule yokwelapha ngemithi elwa namagciwane. Noma kunjalo, ucwaningo kwangaphambilini Uchwepheshe umtholampilo yezinkinga, kanye nohlobo ukuvuvukala.

Ingabe ngidinga imithi elwa namagciwane ngemva kokuhlinzwa? Impendulo yalo mbuzo unika udokotela esekelwe izici ngazinye esigulini ngasinye. Kunezici eziningi ezahlukene ezingaba nomthelela othile isinqumo onguchwepheshe. Phela uma imithi elwa namagciwane ayadingeka kahle ukuhlola isimo amabutho okuvikela umzimba wesiguli, ukungabekezelelani ngabanye amaqembu athile amakhemikhali, njll

Imithi elwa namagciwane postoperatively kufanele lula ukwelashwa nesineke. Kufeza indima ebalulekile kanye nokuvinjelwa zokuvimbela yezinkinga ezihlukahlukene kubangelwa ukuhlinzwa.

Kungani imithi elwa namagciwane?

Ngokungafani nezinye izidakamizwa, lezi imithi ikwazi ukufaka imiphumela yabo ngaso sonke cell receptor. Imithi elwa namagciwane zibulale ezincane, okuyinto ebangele ukuthuthukiswa ukuvuvukala. Bahlaba labo amagciwane ebucayi kubo kukhona. Akunandaba, ziye zabangela lesi sifo noma cha.

Kuthinta emzimbeni

Kwenzekani lapho isiguli ukuphuza imithi elwa namagciwane ngemva kokuhlinzwa? Ukuthola emzimbeni womuntu ngezindlela ezihlukahlukene, basuke igazi.

Eminye imithi elwa namagciwane buthelela izitho ibe yisikali ecacisiwe. Lapha kuzala umphumela zabo, kungakhathaliseki ukuzisebenzisa ngemithambo yegazi, ihlelwe ngokulandelana kwezihloko noma ngomlomo. Into esemqoka ukuthi isiguli imithi ngesikhathi bese at umthamo oyifunayo. imithi elwa namagciwane Etholakale kuthiwa excreted ku Bile kanye nomchamo.

izimo Ukukhetha

Yiziphi imithi elwa namagciwane ebekiwe emva kokuhlinzwa? Nge abazikhethayo odokotela cabangela amaphuzu alandelayo:

- ikhono ukungena ngokushesha egazini;
- kungenzeka sokuzuza ukuvuvukala inqubo zone;
- khona inombolo okungenani side effects;
- lula ifomu umthamo;
- Chitha isikhathi egazini (okungenani amahora ayisishiyagalombili);
- ubuthi ongaphakeme;
- indawo inqubo ubovu;
- ekusakazekeni ngokushesha igciwane;
- izici ekhona lwegciwane;
- ukuzinza ejenti ukuze izinhlobo ezahlukene izidakamizwa.

Lokho odokotela uthanda ukuba linqume?

Yikuphi imithi elwa namagciwane ukuthatha emva kokuhlinzwa? Uhlu izidakamizwa ukuthi zivame kakhulu esetshenziswa Ochwepheshe ezimweni ezinjalo zihlanganisa:

1. Cephalosporins. It imithi elwa namagciwane ezifana "Tsefriakson", "Tsefotaksin", "Cefazolin" nabanye. Le mithi labo abazokwazi engena phakathi amanxusa aerobic kanye anaerobic Kungenzeka ukuthi ukuphathwa ushintsho amaprotheni yabo enzyme. Waba yini umphumela wesibindi imiphumela enjalo kuyinto microbial cell division okusithiyayo.

2. Imithi ye aminoglycoside. Amalungiselelo anjalo, ikakhulukazi, kuyinto "Amikacin". izinto zayo asebenzayo abakwazi ukuba bahlasele amaseli namagciwane abangela izifo, kodwa ayeke mitosis, ukubhidliza zamagama amaprotheni. Umphumela ukubhujiswa amagciwane.

3. Amalungiselelo penicillin akuzange kusize iqembu. Lokhu, ikakhulukazi, ithuluzi ezifana "Amoxiclav". Uma sibheka ukwakheka kwazo kwakhona amoxicillin futhi clavulanic acid. Eyokuqala yalezi izingxenye kunciphisa kakhulu ukwakheka cell ulwelwesi, kanye nezinye (acid) kuvimbela amagciwane izakhi elwa namagciwane Ukuvikelwa.

iqembu 4. Amalungiselelo karbalenemov. Kulawa, odokotela libeke ikhambi avame ngokuthi "Meropenem". It kuphazamisa synthesis amaprotheni, futhi lokhu suppresses wokusakazeka Amagciwane. Ngesikhathi esifanayo wama ukukhiqiza ubuthi by nezilwanyana ezincane Gram-HIV. Lokhu kuholela umphumela ezengeziwe zokwelapha.

Zonke lezi izidakamizwa basonta iqembu beta-lactam. Uma ama-antibiotic ezinqunyiwe ngemva kokuhlinzwa, yimuphi kubo asetshenziswa kwasekuqaleni? Okokuqala, odokotela linqume yizidakamizwa ochungechungeni cephalosporin. Lokhu kungenxa yomsebenzi anda kwala magciwane umzimba igremu-negative futhi igremu-HIV nezilwanyana ezincane. Ngaphezu kwalokho, ebekiwe imithi kusukela iqembu, ngaphandle kokungabaza - imithi elwa namagciwane engcono ngemva kokuhlinzwa ngoba uyakwazi ukumisa isenzo nesifo ngesikhathi ingozi ubuncane enqabayo engemihle.

Amafomu izinga yokwemukela

Kuphela uma iqondiswa systemically kumele kusetshenziswe imithi elwa namagciwane postoperatively. Yiziphi izinhlobo izidakamizwa kungcono? Zihluke. Ngokwesibonelo, ama-antibiotic-imijovo emuva kokuhlinzwa angabelwa. Uma le isetshenziswa njengoba izixazululo ampoule ngomumo eyenziwe, futhi amalungiselelo ngesimo izimpushana.

Lezi amathuluzi zifakwe karbalenemov iqembu futhi cephalosporins. Ngaphezu kwalokho, esikhathini postoperative angabeka kwamaphilisi amaphilisi kanye ukumiswa. Zisetshenziswa ezimweni lapho isimo lesiguli kuyinto okuzinzile, kanye nezinga izenzakalo ukuvuvukala ongaphakeme.

Uma imithi elwa namagciwane ebekiwe emva kokuhlinzwa, zingaki izinsuku kudingeka siphishekele inkambo? Ngesikhathi yokwamukela izidakamizwa ezifana akuvunyelwe ezilawulwayo. ubude bayo kumele singeqi izinsuku eziyisikhombisa. Okukhishwayo kuphela amacala izilonda olubanzi, sepsis futhi bacteremia. Nge ukuthuthukiswa ezinjalo zokugula ungasebenzisa amathuluzi kanyekanye eziningana, nokuxhumana iqinisekisa esiphezulu ukwelashwa okuphumelelayo elwa namagciwane.

Uhlolojikelele imikhiqizo

Kukholakala ukuthi indlela enengqondo kakhulu nokusetshenziswa kwamaphilisi emva kokuhlinzwa - lokhu umjovo. Cabangela izindlela eziyisisekelo yokwazisa izidakamizwa evame ukusetshenziswa kakhulu.

1. Cephalosporins. Lezi imithi ngokweqile zifana nokuthela esinikezwa umjovo noma ukumnika. Udokotela sinquma umthamo elisekelwe zamanje emitholampilo isithombe. Nge eziyisishiyagalombili imvamisa yabelwe lo muthi e isamba kusuka 0.25 kuya 0.5 amagremu, futhi ngezinye yamahora angu-12 ngemuva kwesikhathi esithile - 1 igremu. Lapho Ukuwohloka nesineke Kuphethwe lemali sinciphile.

2. intravenous noma esicutshini ekuphathweni senziwa-antibiotic ezifana "Amikacin". Ngaphezu kwalokho, inani layo nsuku kunqunywa udokotela ukuba khona okusekelwe isisindo lesiguli. Per amakhilogramu wabeka sinikwe izindlela 10-15mg. Umthamo ingqikithi lo muthi ihlukaniswe izigaba eziningana.

3. iqondiswa ngemithambo yegazi noma ngomjovo futhi izidakamizwa ezifana "Amoksiklav". Kathathu kwabathinta yakhe ezinganeni ezingaphansi kweminyaka engu-12 ubudala, kanye neziguli omdala. A umthamo owodwa we-1-2 amagremu. Uma isiguli kakhulu kulabo abaneminyaka yobudala esukela ezinyangeni ezintathu ziye eminyakeni eyishumi nambili, inani impahla injected ibalwa ngesisindo. Kulokhu, eyodwa kilogram esizosingathwa 30 mg izidakamizwa.

4. ukumnika, emthanjeni bolus noma imithi ukusetshenziswa ezifana "meropenem". Ngakho umthamo edingekayo kunqunywa udokotela esekelwe isimo lesiguli post-op. Kulezo zimo lapho izinqubo ukuvuvukala zenzeka ungqimba isikhumba noma izicubu, uhlelo urogenital, noma emaphashini, umuthi iqondiswa kathathu ngosuku ukuze 0.5 g esimweni sepsis (kwegciwane), futhi umthamo siyenyuka sisuka 1 2 amagremu. Lokhu antibiotic elibekelwe izingane esekelwe isisindo sabo, ekubaleni eyodwa kilogram of 30-60 mg.

Phakathi reception cishe iziguli muthi ungase uhlangabezana ehlukahlukene side effects ngesimo nesicanucanu emesis zokukhukhumala, iziyaluyalu sezinyawo futhi ubuhlungu besisu, futhi dysbiosis. Ukusetshenziswa kwezidakamizwa ezifana "Tsefotaksin" futhi "Cefazolin" ngokuvamile iyona imbangela komzimba nezinto, ukubukeka ikhanda nokuvuvukala kusayithi umjovo. Lokhu kunciphisa inani leukocyte nama-platelet egazini.

Imiphumela engemihle evela "Ceftriaxone" antibiotic, ngaphezu kwawo wonke la mazwi angenhla, zihlanganisa ohlwini yayo candidiasis, kanye okuvela ukuvuvukala e ukhalo kwezinso.

Lapho ebonisa indlela lo izidakamizwa "Amoxiclav" ohlwini imiphumela emibi ungeze hematuria. Indlela "Meropegem" kungaba avuse nokuquleka. Ama-antibiotic "Amikacin" Kwezinye iziguli kunciphisa ukusebenza ukuzwa nokulimala kwezinso.

Ngemva kokuhlinzwa zamazinyo

Ukunikezwa Imvume Yokuthola Umuthi kwamaphilisi bamazinyo ukwenza kuphela uma ngemva kokuhlinzwa emgodini kukhona ukuvuvukala, ephelezelwa ububomvu, ukuvuvukala ezinzima futhi ubomvu. Ezimweni lapho isiguli has a amasosha omzimba obuthaka eside kakhulu ukuphulukisa isilonda, izidakamizwa ukuthi ukucindezela umsebenzi obalulekile wokuhlaziya nezilwanyana ezincane pathogenic, ebekiwe lihambisana immunomodulating ejenti.

Ukunikezwa Imvume Yokuthola Umuthi kwamaphilisi ikhiqizwa futhi lapho isiguli alihambisani imithetho eyisisekelo inhlanzeko yomuntu siqu futhi sikhohlwe Hlambulula umlomo wakho. Ngemva kokuhlinzwa, usongela hit e ukutheleleka ukulimaza. Konke lokhu kuholela ukuvuvukala.

Yikuphi-antibiotic ukuze baphuze emva kokuhlinzwa ukuze kususwe amazinyo? Kulezi zimo, kungase kutholakale kahle izidakamizwa ezifana "Cefixime", "Ceftriaxone" futhi "Cefazolin". Lapho zingena umzimba kuyinto ukubhujiswa izindonga cell kwamagciwane.

Okusithiyayo enzyme microbial neqhaza imithi efana "Sparflo", "norfloxacin" futhi "levofloxacin" nezinye imithi elwa namagciwane bohlanga fluoroquinolone. Ukuze zivimbela webhaktheriya amaprotheni zamagama yizidakamizwa of tetracycline iqembu ( "Doxycycline", "oletetrin" et al.). Nokho, le antibiotic ezivamile, ezisetshenziswa ekwelapheni ukushisa nasezinkingeni ezilandela ngemva kokuhlinzwa esikhathini imithombo izinyo kukhona "amoxicillin", "Amoksiklav" futhi "lincomycin".

Ngemva ukususwa appendicitis

Yini imithi kuthiwa udokotela yokuqala ezinsukwini ezimbili emva kokuhlinzwa? Ukuvimbela ematfuba nesenzakalo ukutheleleka imithi elwa namagciwane ngempela esetshenziswa emva operation appendicitis. Cabanga ngokuvamile onqunyiwe lezi:

1. "Zinatsef". Kuyinto i-antibiotic isizukulwane yakamuva. isenzo sayo aqede Amagciwane ezihlukahlukene zezinto eziphilayo. Kwezidakamizwa busuka umzimba nge umjovo noma ngemithambo yegazi noma intramuscularly.
2. "Dalatsin". Lesi sidakamizwa kuvimbela umsebenzi ala magciwane, okuyizinto causative ejenti izinqubo ukuvuvukala. I-antibiotic iqondiswa ngomlomo noma kulawula indlela emthanjeni noma esicutshini.
3. "Metrogil". Ukuthola lokhu-antibiotic aqede amagciwane lenyama nezilwanyana ezincane siphephele onekhono lapho kungekho i-oksijini. Lesi sidakamizwa ngokuvamile sisetshenziswa ekwelapheni acute appendicitis fomu.
4. "Tienam". Lokhu ukulungiselela libhekene inhlanganisela ngemithi elwa namagciwane nge-enzyme, ekuvimbeleni ukubhujiswa lo muthi. Lesi senzo kusiza ukuqinisekisa ukuthi izidakamizwa sidlula izinso, ayikho ngaphansi nokucekelwa. It is hhayi ibhujisiwe, futhi ngaphansi kwethonya enzyme virus. Umuthi siyasebenza kakhulu lapho libuka amagciwane abangela izifo ukuthi singabakaNkulunkulu izinhlobo ezahlukene, ngokuqondene esetshenziswe kuwo ukwelapha appendicitis ogeleza ezinzima futhi nokuba ne-esiteji oyingozi.
5. "Imilinem". Lokhu-antibiotic uyakwazi ukuqeda ngempumelelo izinhlobo eziningi namagciwane abangela izifo. Kuyinto ukumelana enzyme webhaktheriya ezibhubhisa nezinye izidakamizwa ezifanayo. Libeke antibiotic lapho appendicitis kube kubi nakakhulu.
6. "Meronem". Isenzo yalesi izidakamizwa iyafana kulowo odlule. Nokho, kubhekwa ukuthi kusebenze kakhulu ngenxa yokuthi akulula wadalula ekubhujisweni lapho sidlula nezinso.

Ngemva ekususweni hernia intervertebral

Eminyakeni yamuva, imisebenzi enjalo kwenziwe wonke abambalwa iziguli. Lokhu kungenxa kwentuthuko enkulu yezokwelapha ekuziphatheni ukwelashwa ngoludala izifo. Futhi, ukusetshenziswa kobuchwepheshe besimanje kwenza kube nokwenzeka kakhulu ukunciphisa isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa. Kukhona amacala lapho isiguli uyakwazi ukuhambisa kudala njengoba ngosuku olufanayo. Nokho, intuthuko yezokwelapha ukunikeza asikho isizathu sengqondo okungenangqondo ukuba ukuvuselelwa. Phela, lo msebenzi eyinhloko yale nkathi ukuhlanganisa imiphumela kokungenela kuhlinzwa nokuvinjelwa izinkinga.

Ama-antibiotic emva kokuhlinzwa (hernia) iqondiswa ngoba prophylaxis izinqubo ukonakala. Kulokhu, lo dokotela sinquma izidakamizwa ezifana "tsefotetan" noma "Tsefoksitin". Isikhathi reception - kusuka amahora 12 kuya 18 ngemva kokuhlinzwa.