Best mishonga pashure pokuvhiyiwa: kudzokorora zvinodhaka, kunyanya mutambo ratings

Pashure chero kuvhiya kupindira kunenge kukura septic yematambudziko. Izvi imhaka muchikuvadza chirwere, uyewo kugadzirwa kwepurogiramu mukana mairi kushoma. Ndokusaka mushonga unorwisa ari ushandiswe pashure kuvhiyiwa. mishonga iyi inoshandiswa kuitira kuparadza pathogenic utachiona. Mugumisiro kukanganisa uku kubviswa kushoma.

Shoko "mishonga" muchiGiriki rinoreva yekare "pamusoro upenyu." Zvino zita unoruramisa chiito mari yakadaro. Pashure pezvose, vari kushandiswa kudzvinyirira kukura masero mapenyu.

Mishonga pashure pokuvhiyiwa anofanira neMutungamiriri kupinda chiremba. Chete nezivo yake uye zvakakodzera chipimo chemushonga yokurapa kwakadaro kunofanira kuitwa.

vanofanira kugamuchira

Mishonga chiremba prescribes pashure pokuvhiyiwa varwere vari muchimiro asingaurayiwi mishonga. Zvisinei, rokutanga zvidzidzo mazvikokota kiriniki matambudziko, uyewo hunhu kushoma.

Ndinofanira mishonga pashure kuvhiyiwa? Mhinduro yomubvunzo uyu anopa chiremba kwakavakirwa munhu zvechadenga mumwe murwere. Pane zvakawanda-siyana dzinogona neimwe sarudzo mazvikokota. Pashure pezvose, kana mishonga zvinodiwa kuti zvakarurama kuongorora mamiriro runodzivirira masimba muviri murwere, nomumwe kusashivirira vamwe mapoka makemikari, etc.

Mishonga postoperatively vanofanira aivabatsira murwere kurapwa. It inoita basa rinokosha uye kudzivirira muzvidzivirire yematambudziko siyana kunokonzerwa kuvhiyiwa.

Nei mishonga?

Kusiyana nezvimwe zvinodhaka, mishonga izvi nesimba Migumisiro yavo yose muchitokisi receptors. Mishonga kukanganisa kuti tupukanana tusingaoneki, izvo zvakakonzera kukura kushoma. Vakauraya avo utachiona kuti vane hanya navo. Hazvina basa, vakaita kuti chirwere kana kwete.

Zvazvakaita pamusoro muviri

Chii chinoitika kana murwere kutora mishonga pashure kuvhiyiwa? Kusvika muna muviri nenzira dzakasiyana-siyana, vari ropa.

Dzimwe mishonga uchingounganidza ari nhengo ari kutaurwa uwandu. Pano ivo zvibereko zvavo Chaizvoizvo, pasinei kuzvishandisa nomutsinga, topically kana nomuromo. The chikuru ndechokuti murwere mushonga nguva uye panguva achida chipimo chemushonga. Hwokurara mishonga vari yabudiswa muna bile weti uye.

sarudzo mamiriro

Ndezvipi mishonga ushandiswe pashure pakuvhiya? With pakusarudza vanachiremba funga zvinotevera:

- kukwanisa kukurumidza kupinda muropa;
- mukana kuunganidza mu kushoma mapazi;
- kuvapo risingamboshandisi zvinoverengeka nemishonga;
- kurerukirwa of chipimo chemushonga chimiro;
- Yashandiswa nguva muropa (maawa masere kana kupfuura);
- pasi toxicity;
- nzvimbo of purulent kwacho;
- kukurumidza kupararira chirwere;
- zvinhu zviri aripo nayo utachiona;
- Kugadzikana mumiririri kuti mhando dzakasiyana nemishonga.

Kuti vanachiremba vanosarudza taurira?

Ndezvipi mishonga kutora pashure kuvhiyiwa? The pamazita zvinodhaka izvo anowanzodanwa kushandiswa vanachiremba Muzviitiko zvakadaro dzinosanganisira:

1. Cephalosporins. It mishonga akadai "Tsefriakson", "Tsefotaksin", "Cefazolin" uye vamwe. mishonga iyi vanokwanisa rakapinza muruoko Kurovedza uye anaerobic yomuchipatara vari pasi vachinje kwavo mapuroteni makemikari. Mugumisiro zvakadaro migumisiro chinhu microbial sero kupesana chinovhiringidza.

2. Mishonga yacho aminoglycoside. gadziriro kwakadaro, kunyanya ari "Amikacin". Its vanoshingaira zvinhu havagoni kupinda masero pathogenic utachiona, asi ivo kurega mitosis, kukanganisa kwetunhu mapurotini. Mugumisiro ndirwo rufu kwemabhakitiriya.

3. Kugadzirira kuti penicillin boka. Izvi, kunyanya, chombo akadai "Amoxiclav". In ayo mamiriro vari amoxicillin uye clavulanic acid. Chokutanga yenhengo izvi kunoderedza zvikuru paumbwe muchitokisi membranes, uye mumwe (acid) kunotadzisa utachiona kubva antibacterial kudzivirira zvinhu.

4. Kugadzirira karbalenemov boka. Izvi, vanachiremba akarayira zvingagadziriswa kazhinji se "Meropenem". It kunokanganisa kwetunhu mapuroteni, uye ichi anovanza Mashoko utachiona. Panguva iyoyowo akamira uye kugadzirwa zvinokachidza kubudikidza giremu negative tusingaoneki. Izvi zvinotungamirira kwemimwezve kuchirapa kushanda.

zvinodhaka zvose izvi ndezvaani kuboka Beta-lactam. Kana mushonga unorwisa iri ushandiswe pashure pokuvhiyiwa, izvo pakati pavo kushandiswa panzvimbo yokutanga? Chokutanga, vanachiremba varayire kushandisa mishonga vari cephalosporin akatevedzana. Izvi imhaka vawedzere basa nevanhu ava nemuviri giremu negative uye giremu-akanaka tusingaoneki. Uyezve, ushandiswe kurapwa kubva muboka, pasina mubvunzo - yakanakisisa mushonga nokuvhiya inotevera nokuti anokwanisa kumisa zviito chirwere pane risingamboshandisi mukana kumuvengi nemishonga.

Forms uye mwero rubvumo

Chete kana raitongwa systemically inofanira kushandiswa inorwisa mabhakitiriya postoperatively. Yorudzii zvinodhaka zvinodiwa? Zvakasiyana. Somuenzaniso, asingaurayiwi-majekiseni pashure kuvhiyiwa anogona kupiwa. Kana ichi rinoshandiswa sezvo ampoule akagadzirira akagadzirwa zvinogadzirisa, uye gadziriro muchimiro Nezvakakuyiwa.

Ava zvishandiso kuti vanobatanidzwa mune boka karbalenemov uye cephalosporins. Mukuwedzera, muna postoperative nguva anogona mishonga inorwisa mabhakitiriya pamahwandefa uye suspensions. Ivo zvinoshandiswa zviitiko apo murwere ezvinhu achiri kugadzikana, uye ufanane anogumbura mananara yakaderera.

Kana ushandiswe mishonga pashure pokuvhiyiwa, sei mazuva mazhinji vanoda kutevera nzira? Munguva negashiro mishonga yakadaro iri zvachose inodzorwa. Its chinguva haafaniri kupfuudza mazuva manomwe. The chete kunze ndivo zviitiko zvakawanda maronda, sepsis uye bacteremia. With kukura kwakadaro zvokurwara anogona kushandisa midziyo panguva dzakawanda, nesungano iyo kunovimbisa kunonyanyisa inoshanda antibacterial kurapwa.

Overview mishonga

Zvinofungidzirwa kuti kupfuura pfungwa nenzira kushandisa mishonga inorwisa mabhakitiriya pashure kuvhiya - jekiseni ichi. Funga dzinokosha nzira kudzidzisa anowanzodanwa aishandisa zvinodhaka.

1. Cephalosporins. mishonga aya achiita somunhu jekiseni kana aizomupa. Chiremba anoti ari dose kwakavakirwa ano kunotoda mufananidzo. With sere maitikiro basa mushonga mu mari kubva 0.25 kusvika 0.5 magiramu, uye nenguva 12-awa zvikamu - 1 giremu. Kana Kushatiswa murwere administrated huwandu ipfupi.

2. Intravenous kana intramuscular Kutarisirwa anoitwa mushonga akadai "Amikacin". Uyezve, ayo zuva mari iri pakutsvaga kupinda chiremba yakavakirwa murwere uremu. Per kilogram vakaisa mupei 10-15mg nzira. The zvachose dose of mushonga rakakamurwa muzvikamu akawanda.

3. dzakabatwa nomutsinga kana jekiseni uye zvinodhaka akadai "Amoksiklav". Katatu anobaya yake kuvana pasi pemakore 12 okuberekwa, uyewo varwere vakuru. A chete dose pamusoro 1-2 magiramu. Kana iwe uri murwere nemakore boka kubvira mitatu nemaviri, uwandu jekiseni zvinhu rinowanikwa kurema. Muchiitiko chino, mumwe kilogram kupiwa 30 MG zvinodhaka.

4. aizomupa, intravenous bolus kana mishonga kushandisa yakadai "meropenem". Saka zvaida chipimo chemushonga kunotemwa nachiremba yakavakirwa murwere post-kushanda ezvinhu. Muzviitiko apo anogumbura pezvakaitwa kuitika paganda wokutanga kana nyama, urogenital hurongwa, kana mumapapu, mushonga chinotarisirwa katatu pazuva 0.5 d panyaya sepsis (noutachiona), uye uwandu husingakuvadzi inowedzerawo kubva 1 2 magiramu. mushonga uyu ushandiswe vana kwakavakirwa vavo uremu, kuverenga rimwe kilogram pamusoro 30-60 MG.

Panguva kugamuchirwa rakada varwere chero mushonga vanogona siyana nemishonga muchimiro kuda kurutsa uye emesis, zvirwere chitsiko uye abdominal kurwadziwa, uye dysbiosis. Kushandisa zvinodhaka akadai "Tsefotaksin" uye "Cefazolin" kazhinji mhaka neutachiona, chitarisiko nomusoro uye kuzvimba panguva jekiseni nzvimbo. Izvi zvinoderedza uwandu leukocytes uye maplatelet neropa.

Side migumisiro kubva mushonga "Ceftriaxone", kuwedzera ose apa, kusanganisira ayo pasi candidiasis, uyewo panowanikwa kuzvimba ari renal chiuno.

In kushandisa zvinodhaka "Amoxiclav" ndandanda Migumisiro vakawedzera hematuria. A rinoreva "Meropegem" kungakonzera pfari. Inorwisa mabhakitiriya "Amikacin" mune dzimwe varwere akazoita functionality ari kunzwa, uye kukuvara itsvo.

After mazino akavhiyiwa

Mushonga inorwisa mabhakitiriya vanachiremba vemazino kuita chete kana pashure pokuvhiyiwa ari mugomba pane kushoma, achiperekedzwa akatsvuka, zvikuru kuzvimba uye pus. Muzviitiko apo murwere ane kusimba kutapata yakarebesa kuporesa ronda, mishonga kuti vasaziva rinokosha rinoitwa pathogenic tupukanana tusingaoneki, ushandiswe akabatana immunomodulating nevamiririri.

Mushonga inorwisa mabhakitiriya anogadzirwa uye kana murwere haadi zvinoenderana dzinokosha nemitemo utsanana uye kukanganwa kurigeza muromo wako. Pashure pokuvhiyiwa, izvozvo vanotyisidzira varove mu muchikuvadza hweHIV. izvi zvose zvinotungamirira kushoma.

Izvo mushonga yokunwa pashure kuvhiyiwa kubviswa mazino? Muzviitiko izvi, zvakanaka rikaratidzwa mishonga yakadai se "Cefixime", "Ceftriaxone" uye "Cefazolin". Kana vachipinda nhengo iri kuparadzwa sero masvingo mabhakitiriya.

Chinovhiringidza pamusoro microbial makemikari kubatsira mishonga yakadai se "Sparflo", "norfloxacin" uye "levofloxacin" uye dzimwe mishonga enzvimbo yacho fluoroquinolone boka. Kutitadzise kwemabhakitiriya mapuroteni usage muri zvinodhaka kuti boka tetracycline ( "Doxycycline", "oletetrin" and said.). Zvisinei, chinonyanya nevakawanda nemishonga, iyo inoshandiswa pakurapa postoperative kuzvimba ari zino matsime vari "amoxicillin", "Amoksiklav" uye "lincomycin".

Pashure nokubviswa appendicitis

Chii mishonga vari ushandiswe nachiremba mumazuva maviri pashure pokuvhiyiwa rokutanga? Kudzivisa kuwanikwa mukana chirwere hazvo akashandisa mishonga pashure appendicitis oparesheni. Funga anowanzodanwa ushandiswe izvi:

1. "Zinatsef". Zviri mushonga unorwisa azvino chizvarwa. chiito Its anobvisa utachiona-siyana kwemarudzi ezvinhu. Drug kutaurwa kupinda muviri Via jekiseni kana nomutsinga kana intramuscularly.
2. "Dalatsin". chinodhaka ichi kuchititadzisa basa mabhakitiriya izvi, zvinova causative vaishandira anogumbura kwendangariro. The mushonga chinotarisirwa nomuromo kana kutarisirwa intravenous kana intramuscular nzira.
3. "Metrogil". Kugamuchira mushonga uyu anobvisa tupukanana uye majemusi tusingaoneki vanokwanisa kugara pasina oxygen. mushonga uyu rinowanzoshandiswa pakurapa rikwanise appendicitis fomu.
4. "Tienam". gadziriro iyi kunoratidzwa ibatanidzo mushonga unorwisa ane enzayemu kutadzisa kuparadzwa mushonga. Izvi zvinobatsira kuti tive nechokwadi kuti chinodhaka ichipfuura itsvo, haisi pasi kudzikisirana. Hazvina kuparadzwa, uye achifuridzirwa kwemabhakitiriya makemikari. The mushonga unoshanda chaizvo kana chavakaona pathogenic tupukanana kuti muri mhando dzakasiyana, maererano nako rinoshandiswa kurapa appendicitis kuyerera kwazvo uye ane rikwanise Danho.
5. "Imilinem". mushonga uyu anokwanisa zvinobudirira kubvisa marudzi vakawanda pathogenic mabhakitiriya. Zviri husingakwanisi kwemabhakitiriya makemikari kuti kuparadza zvimwe zvinodhaka zvakafanana. Taurira mushonga kana appendicitis anova kwazvo.
6. "Meronem". The chiito zvinodhaka izvi zvakafanana yapfuura mumwe. Zvisinei, zviri kukurukurwa tibudirire nokuti riri shoma pachena kuparadzwa sezvo ichipfuura neitsvo.

Pashure nokubviswa intervertebral heniya

Mumakore achangopfuura, kwacho vakatakudzwa zvose vashomanana varwere. Izvi imhaka chinokosha zvokurapa zviri mufambiro kuchinja mabatiro zvirwere. Uyewo, kushandisa zvigadzirwa zvemazuva ano zvinoita kuti kuderedza ari postoperative nguva. Pane zviitiko apo murwere anogona kufamba sezvo mangwanani sezvo iwoyo. Zvisinei, zvokurapa kupa chikonzero zvisingafungi nemafungiro vapore. Pashure pezvose, chikuru basa iri nguva ndiko kusimbisa migumisiro kuvhiya achapindira uye kudzivirira yematambudziko.

Mushonga pashure pokuvhiyiwa (heniya) chinotarisirwa kuti prophylaxis ose septic kwendangariro. Panyaya iyi, chiremba prescribes mishonga yakadai se "tsefotetan" kana "Tsefoksitin". Duration kugamuchirwa - kubva 12 kusvika 18 maawa pashure kuvhiyiwa.