Imithi elwa namagciwane ngoba sinusitis e abadala: amagama kanye nokubuyekeza

Sinusitis ngokuvamile eba njengoba izinkinga zokwenza umkhuhlane, a ekungenweni amagciwane. It is ngokuvamile kusetshenziswa yokwelapha olandelanayo for ekwelapheni isifo. Imithi elwa namagciwane ngoba sinusitis e abadala kukhonjiswa kuphela uma zokugula Lokudabuka virus. Yikuphi kungenziwa kunqunywa izimpawu sici.

incazelo isifo

Sinusitis ngokuthi inqubo sokugembula lapho mucosa elikhanyayo we paranasal (paranasal) sinuses. Kwakamuva imisebenzi eminingana ebalulekile - izikhatha zomoya oshisayo is imuncwe ngokusebenzisa ikhala, iqhaza yokubiza imisindo, ukunciphisa isisindo amathambo skull. Maxillary (maxillary), phambi (frontal) kanye igridi - amabhangqa amathathu sinuses. Wedge emise, elise umzimba amathambo main Yekhanda, ayibhangqiwe. Kuye indawo ukuvuvukala kukhona amafomu alandelayo lesi sifo ovelele: sinusitis frontal, sinusitis, sphenoiditis, ethmoiditis.

Kungase kubangele ukuthuthukiswa sinusitis njengoba Amagciwane (amagciwane, isikhunta, amagciwane) kanye nomzimba. Ngokuvamile, ukugula eba khona igciwane lohlobo lwe, lapho amagciwane ijoyina ukuphathwa okungalungile. Lapho ukwephula outflow ka uketshezi lwamafinyila kusukela sinuses, izimo ezifanelekayo ukufuya Amagciwane. Cope ngosizo lwabo asebenzayo kwama-antibiotic. Lapho sinusitis e abadala (nezingane, futhi), kubalulekile ukuba uqale ukwelashwa.

izimpawu

Amandla izimpawu sinusitis incike kundlela odinga ngayo lelo ukuvuvukala kwenzeka. Ukuze acute ukuvuvukala isici nokukhama ubuhlungu sinuses. emizweni ezingemnandi basuke bagxila emabunzini noma ibhuloho ekhaleni, phambi kwamehlo noma nhlangothi zombili kwekhala, lo ongenhla noma amazinyo. Ukubonakaliswa lesi sifo ngokuvamile nakakhulu lapho ikhanda esitshekile.

Esinye isici sici - amakhala yisisu. Uma unayo i-umthunzi okuphuzi ngokuluhlaza okotshani, ukukhuluma mayelana nokuthuthukiswa isifo esibangelwe igciwane. Kulokhu, udinga ukuthatha imithi elwa namagciwane.

Sinusitis futhi sinusitis e abadala nephunga zimbi kakhulu futhi ephefumula ngokusebenzisa ikhala, kukhona ubuhlungu bekhanda eqinile. Zikhona izimpawu zokudakwa - imfiva, ukucobeka kanye ubuthakathaka livela, ukuvilapha. Ukuthola lezi zimpawu, kufanele ngokushesha uthintane onguchwepheshe.

Ukwelashwa sinusitis e abadala

Izidakamizwa-imithi ngokweqile zifana nokuthela cishe njalo isetshenziselwa ukwelapha ukuvuvukala kule sinuses paranasal. Zivame iphathwe acute isigaba ukugeleza zokugula lapho izinga lokushisa lomzimba lesiguli liyaphuma futhi ubovu acinene labelwe imfihlo. isimo esinjalo kusheshe ungene esiteji okungamahlalakhona, okuyinto cishe akunakwenzeka ukuba ukuchayeka wezokwelapha, futhi mubi nakakhulu kuwo wonke abandayo. Ukuze ugweme lokhu, kubalulekile ukuqala imithi elwa namagciwane.

sinusitis, impatho kuhloswe futhi ukubhujiswa okuphelele kwalelizwe sifo lwegciwane, esiqoshiwe izimpawu kanye nokuvinjelwa izinkinga. Ngaphezu kwamaphilisi ekwelapheni kuzomele sifake izidakamizwa kanye analgesic nomphumela antipyretic, amathonsi vasoconstrictive (spray) for the ekhaleni.

Kungakhathaliseki yokusebenzisa ama-antibiotic?

Kuphela udokotela angakunika umuthi antibiotic "efanele" ekwelapheni sinusitis kwabadala. Olwandulelayo kubalulekile ukuqhuba ukuhlolwa laboratory ukucacisa uhlobo ejenti causative of ukuvuvukala. Ukuhlahlwa akhethiwe izindlela elilungile ukucindezela umsebenzi amagciwane abe nenkani.

Ubude yokwelashwa kuzoncika ukuma egunjini lokuhlolwa kwezifo. Ngo sinusitis acute ngesikhatsi ukwelashwa kufanele kuthathe izinsuku ezingu-10. Ifomu ezingamahlalakhona kudinga imiphumela yesikhathi eside ungenzi kwemithi.

Ukuze kuliwe izinhlobo ezahlukene sinusitis Kusetshenziswa izinhlobo eziningana kwamaphilisi:

• Penicillins - elwa kulesi sigaba unomsebenzi abakhethayo zokwelapha kanye akuphazamisi wonke umzimba.
• Macrolides - kubhekwe ephephile yazo zonke ejenti elwa namagciwane kanye babe spectrum ezibanzi yesenzo.
• Cephalosporins - mshini futhi nomkhakha we isinyathelo esifanayo ne-penicillin. Lapho esetshenziswa sinusitis lokuqala futhi lesibili isizukulwane.
• Tetracyclines - zifana ne macrolides, kodwa ngokuvamile kubangela imiphumela eminingi engemihle njengezindlela futhi ube nenani Izimo.
• Aminoglycosides - ifa anhlobonhlobo imiphumela nokwelapha kahle, kodwa abe ubuthi okusezingeni eliphezulu.

Imithi elwa namagciwane ngoba sinusitis e abadala, kuye ngokuthi isinyathelo kanye namafomu sifo. Macrolides futhi cephalosporins kokusisiza ukuba sibhekane nesimo yisihlungu omnene. Uma lesi sifo kwenzeka yezinkinga kusondele bubé, odokotela batusa evikelwe penicillins. Kwezinye izimo, ake ukwamukela izidakamizwa elwa namagciwane wendawo.

imithi elwa namagciwane eliphumelelayo sinusitis e abadala

Amagama abanye izidakamizwa Bebelokhu baziwa zokwelapha. Ngokwesibonelo, kusho "amoxicillin" libhekisela penicillins evikelwe futhi ngokuvamile asetshenziselwa ukwelapha izifo engenhla ipheshana zokuphefumula omsakazo virus. A inzuzo enkulu umuthi nokuphepha yayo futhi sakugcina side effects.

Enye izidakamizwa kusukela iqembu penicillin akuzange kusize - "Amoxiclav" - futhi iwela isigaba evikelwe. Umuthi ziphephile ukumelana enzyme beta-lactamase, okuyinto etholakala amagciwane amaningi kakhulu kunciphisa nomphumela oqabulayo kwama-antibiotic.

Sinusitis bangakwazi ukunikeza izindlela ezilandelayo:

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

Ukuphungula izimpawu ukuvuvukala kule sinuses paranasal yizidakamizwa eziningi. Ukuze uqonde ukuthi ukuthatha imithi sinusitis e abadala, kubalulekile ukuba kudokotela. Umthamo imithi yokwelapha isikimu kunqunywa umuntu ngamunye.

Kuvele amalungiselelo ngempumelelo nezokusigcoba kukhona "Bioparox". spray acinene kunomphumela bacteriostatic futhi livame ukusetshenziswa ekwelapheni sinusitis. Enye indlela amalungu aleli qembu - "Polydex". Umuthi yakhiwa ezimbili nje izinto elwa namagciwane. Sebenzisa imithi elwa namagciwane nezokusigcoba nge ubovu sinusitis e abadala hhayi kuphela ukuqeda amagciwane, kodwa futhi ukuze akhulule ukuminyana acinene, mucosal edema ukususwa.

"Amoxiclav" ngoba sinusitis

webhaktheriya ukwelashwa sinusitis kufanele kube eziyinkimbinkimbi. Ngesisekelo yokwelapha ngokuvamile elwa namagciwane. Kukhethwa ikakhulu indlela ephephile nalefanele. Le mithi ihlanganisa "Amoxiclav" - zokwenziwa ezibanzi-spectrum penicillins. Izingxenye ezisemqoka yilezi amoxicillin futhi clavulanic acid. Ukukhululwa izidakamizwa e ngesimo lyophilisate ukulungiswa umjovo izixazululo, ukumiswa, kanye amaphilisi.

Umuthi engenzeka ukucindezela ukuthuthukiswa Gram-HIV, Gram-negative, anaerobic namagciwane aerobic causative sinusitis. I "Amoxiclav" ayinayo nethonya kangaka elimazayo phezu microflora emathunjini, nezinye elwa namagciwane. Kumele kukhunjulwe ukuthi eside azithathe penicillin akuzange kusize (antibiotic) ngoba sinusitis e abadala is hhayi Kunconywa ngenxa yokuthi amagciwane ukubanjwa esetshenziswa izidakamizwa futhi ulahlekelwe ukuzwela kuwo.

Isikali

Ngokuvamile ekwelapheni sinusitis kwaze kwangenelela ezinye iziguli sinusitis kuyabekwa umuthi "Amoxiclav" ngesimo amaphilisi. Umkhiqizi iyabakhulula ngesikhathi umthamo 250, 500 kanye 850 mg. amaphilisi dispersible (500 mg amoxicillin futhi 850) ayatholakala. Clavulanic acid equkethwe 125 mg ngefomu ithebhulethi ngamunye.

Ekwelapheni imithi kufanele kubhekwe esiphezulu umthamo nsuku zonke izidakamizwa ngamunye. Amoxicillin abadala angamukela akukho kuka 6 amagremu kanye clavulanic acid, - kuze kufinyelele mg 600. Kuye kobukhulu sinusitis nesineke angaqoka 250 noma 500 mg zomuthi kathathu ngosuku. Enye eyamukelekayo uhlelo therapy - 825 mg amoxycillin njalo ngemva kwamahora angu-12. Ubude besikhathi sokwelashwa - izinsuku 5-14.

Izidakamizwa "Cephalexin"

Sinusitis okuncane kahle phendula kobukhulu nemithi leqembu cephalosporin yesizukulwane sokuqala nesesibili. Omunye amathuluzi amahle kakhulu kulesi sigaba kuyinto "Cephalexin". Umuthi uyasebenza ngokumelene nezilwanyana ezincane eziningi pathogenic klebsiel, esherehy, streptococci, Proteus. I-antibiotic ikhiqizwa ngesimo amaphilisi kanye granulates for ukumiswa.

Lo muthi uqine futhi kaningi kubangela engemihle. Uma uhlangabezana isifuba, ubuhlungu besisu, isicanucanu, nomlomo owomile, isiyezi, ubuhlungu bekhanda, ukuquleka, kumelwe balahle okwengeziwe ukwelashwa "cephalexin" bese ukhetha ikhambi kahle.

Ingabe "Azithromycin" indlela?

Macrolides babe spectrum ngokwanele ebanzi isenzo elwa namagciwane futhi kahle ikubekezelele umzimba. Ngokuvamile wasebenzisa lezi imithi otitis abezindaba futhi sinusitis e abadala kanye nezingane. Macrolides abakhuthele staphylococci pyogenic futhi haemophilus influenzae. Omunye izidakamizwa kulesi sigaba kuyinto "Azithromycin". Ingasetshenziselwa ekwelapheni sinusitis, sinusitis nezinye izinqubo ukuvuvukala kule sinuses paranasal.

Ithuluzi has a ubuthi ongaphakeme futhi isenzo bacteriostatic. Thatha amaphilisi noma slurry kudingeka kanye kuphela ngosuku ngaphambi kokudla noma amahora ama-2 ngemuva ngemva kokudla. Ngo rhinosinusitis umthamo wansuku zonke "Azithromycin" - 500 mg. Ubude yokwelashwa ngokuvamile izinsuku 3, kodwa kwezinye izimo, impatho singase siwathole.

Imiphumela emibi kanye contraindications

Kuyinto ngokukhulu ukucophelela ukuthatha imithi sinusitis. In iziguli omdala, ingase ibe khona eminye contraindications ukwelashwa, okuyinto ngempela kufanele zithintwe. "Azithromycin" ulandele iziyalezo ezikuyo hhayi ezinqunyiwe ukuzwela anda nemithi yalo mkhakha, isibindi kanye nezinso.

Imiphumela engemihle kusukela ipheshana yesisu (dyspepsia, isicanucanu, uhudo) futhi izivikeli mzimba (urticaria, awahlabi emzimbeni), umuthi ezingavamile kakhulu.