Mishonga nokuti sinusitis nedzevakuru: mazita uye wongororo

Sinusitis kazhinji achikura somunhu kuomesa zvinowanzoitwa chando, akabatwa kana noutachiona. It inowanzoshandiswa kuchinja kurapa nokuda nokurapa chirwere. Mishonga nokuti sinusitis mune vakuru vari chete kuratidzwa kana zvokurwara kwemabhakitiriya mavambo. Ndezvipi zvinogona pakutsvaga noruzhinji zviratidzo.

Description chirwere

Sinusitis inonzi pathological mutoo umo zvomoto mucosa pamusoro paranasal (paranasal) sinuses. Recent kuita rinokosha mabasa - inodziya mhepo iri inhaled kuburikidza mhino, tora pinda ezita ruzha, kuderedza uremu dehenya mapfupa. Maxillary (maxillary), pamberi (frontal) uye afoot - majoko matatu sinuses. Wedge-zvakaumbwa, riri mumuviri mapfupa chikuru dehenya, ndiye unpaired. Zvichienderana nzvimbo kuzvimba Munokudzwa zvinotevera siyana chirwere: frontal sinusitis, sinusitis, sphenoiditis, ethmoiditis.

Kungamutsawo kukura sinusitis sezvo utachiona (utachiona, notumwe tupukanana nemavhairasi) uye allergens. Kakawanda, chirwere ikabuda pamberi nemavhairasi chirwere, iyo kwemabhakitiriya uye anobatana panguva isiri kurapwa. Kana kutyorwa kuri water drainage ose mucous secretions kubva sinuses, mamiriro nokuda maberekero pakati utachiona. Kutsungirira kwavo vanoshingaira rubatsiro inorwisa mabhakitiriya. Kana sinusitis mune vakuru (nevana, zvakare), zvinokosha kutanga kurapwa.

zviratidzo

Kuwanda zviratidzo sinusitis kuvimba chimiro umo kuzvimba kunoitika. Nokuti chenjera kushoma mamirire kudzvinya kurwadziwa sinuses. Zvisingafadzi nezvekufadza zviri kusimbiswa pahuma kana zambuko mhino, pasi maziso kana kumativi maviri mhino, rokumusoro shaya kana mazino. Nekuratidzwa chirwere rinowanzova kuipa kana musoro tilted.

Chimwe maitiro chinhu - a runny mhino. Kana vane yeyero-nyoro mumvuri, kutaura kukura kuva noutachiona. Muchiitiko chino, unofanira kutora nemishonga.

Sinusitis uye sinusitis nedzevakuru zvakatoipa kunhuwira uye kufema kuburikidza mhino, pane nomusoro simba. Pane zviratidzo kudhaka - nefivhiri, zvakawanda zvive uye utera sokuti, akaderedza basa vanokwanisa. Kuwana Zviratidzo izvi, unofanira pakarepo kubvunza nyanzvi.

Mabatirwo sinusitis nedzevakuru

Zvinodhaka-mishonga vari dzinenge nguva dzose kushandiswa pakurapa kuzvimba ari paranasal sinuses. Dzinowanzotanga raitongwa mune rikwanise chokutambudzika aibuda zvokurwara apo murwere tembiricha muviri anomuka uye purulent nasal dzinounzwa muchivande. ezvinhu akadaro anogona kukurumidza kupinda chirwere pachikuva, riri kutonetsa kuti yokurapwa dzokupisa, uye kuwedzerwa pane ose chando. Kuti izvi zvisaitike, zvakakosha kutanga nemishonga.

sinusitis, kurapwa nechinangwa zvachose nayo utachiona chirwere, zororo zviratidzo uye kudzivirira yematambudziko. Kuwedzera nemishonga yokurapa kunofanira kusanganisira zvinodhaka unonyaradza marwadzo uye antipyretic chaizvoizvo vasoconstrictive Madonhwe (pfapfaidzo) nokuti mhino.

Kana kushandisa mishonga inorwisa mabhakitiriya?

chiremba chete anogona mishonga yacho mishonga "yakarurama" kurapa sinusitis nedzevakuru. Rokutanga zvakafanira kuitisa rabhoritari yokuedzwa kuona mhando causative nomumiririri kushoma. The Diagnostics vanosarudzwa Zvakanyanya Kunaka Panguva Yepamuviri zvinoreva kudzvinyirira microbial basa.

Ya kurapwa achavaponesa pezvakaita zvokurwara. In chenjera sinusitis panguva kurapwa anofanira kugara mazuva anenge 10. The chirwere chimiro kunoda nguva refu pharmacological migumisiro.

Kurwisa mhando dzakasiyana-siyana sinusitis anoshandiswa mhando dzakawanda inorwisa mabhakitiriya:

• Penicillins - antibacterials muchikwata ichi vane vanosarudza kuchirapa basa uye asingauyi kukanganisa muviri wose.
• Macrolides - vaiona zvikuru zvose antibacterial yomuchipatara uye vane chakarondedzera chiito.
• Cephalosporins - the mashandiro uye chakarondedzera chiito rakafanana penicillin. Kana akashandisa sinusitis vomuzana uye wechipiri-chizvarwa.
• Tetracyclines - vane zvakafanana ne macrolides, asi kazhinji kukonzera marwadzo uye vane uwandu contraindications.
• Aminoglycosides - nhaka zvakawanda kuchirapa zvinokonzerwa uye kunyatsoshanda, asi ave mukuru toxicity.

Mishonga nokuti sinusitis mune vakuru, zvichienderana danho uye nezvimiro chirwere. Macrolides uye cephalosporins kubatsira kukunda nyoro kuzvimba. Kana chirwere kunoitika pamwe nemamwe matambudziko uye vanotyisidzira kwaramba, vanachiremba dzinorumbidza akadzivirira penicillins. Mune zvimwe zviitiko, ngationei kugamuchira vemo mishonga antibacterial.

Vanobudirira mishonga nokuti sinusitis nedzevakuru

Mazita nezvimwe zvinodhaka kare anozivikanwa mu okurapa. Somuenzaniso, rinoreva "amoxicillin" rinoreva akadzivirirwa penicillins uye aiwanzoshandisa kurapa zvirwere yokumusoro kufema turakiti kwemabhakitiriya etiology. A chinokosha mukana zvinodhaka raro vakachengeteka uye usingashandi nemishonga.

Chimwe mushonga kubva penicillin boka - "Amoxiclav" - uyewo muwisira muchikwata kudzivirirwa. The mushonga Exhibits kuramba enzayemu Beta-lactamase, iyo inowanikwa utachiona zhinji kwazvo akazoita kuchirapa mugumisiro inorwisa mabhakitiriya.

Sinusitis anogona basa zvinotevera zvinoreva:

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

Kubvisa zviratidzo kuzvimba ari paranasal sinuses vari zvinodhaka zvakawanda. Kuti tinzwisise sei kutora mishonga kuti sinusitis mune vakuru, zvakakodzera kubvunza chiremba. The chipimo chemushonga kurapwa uye kurapa zano kunozivikanwa nomunhu.

An gadziriro inoshanda kukamura uchishandisa vari "Bioparox". Nasal pfapfaidzo ane bacteriostatic kushanda uye rinowanzoshandiswa kurapa sinusitis. Rimwe achishandisa boka iri - "Polydex". The mushonga rinoumbwa maviri chete antibacterial zvinhu. Shandisa kukamura uchishandisa mishonga pamwe purulent sinusitis nedzevakuru kwete chete kubvisa utachiona, asi kuti kuderedza nasal kuzara, mucosal edema kubviswa.

"Amoxiclav" nokuda sinusitis

kwemabhakitiriya sinusitis kurapwa kunofanira kuva dzakaoma. Hwaro yokurapa vari yemanyorero inorwisa mabhakitiriya. Zvatinofarira unopiwa kune Wekumusoro akachengeteka uye akarongeka nzira. zvinodhaka izvi zvinosanganisira "Amoxiclav" - munhu chakaita zvokugadzirwa yakafara-chakarondedzera penicillins. Huru zvinoriumba vari amoxicillin uye clavulanic acid. The chinodhaka kusunungurwa ari muchimiro lyophilisate achigadzirira jekiseni zvinogadzirisa, suspensions, uye mahwendefa.

The chinodhaka anogona kudzvinyirira kukura giremu-akanaka, giremu negative, anaerobic uye Kurovedza bacteria causative sinusitis. The "Amoxiclav" haana kudaro rinoparadza nezvainoita intestinal microflora, dzimwe antibacterials. Zvinofanira kurangarirwa kuti kwenguva refu utore kuti penicillin (mishonga) nokuti sinusitis nedzevakuru hauna yakarumbidza nokuti kuti utachiona vari kushandiswa kune zvinodhaka uye vanorasikirwa aikanganiswa nawo.

chipimo chemushonga

Kakawanda nokuti dambudziko sinusitis nemamwe sinusitis varwere vari ushandiswe mushonga "Amoxiclav" dziri mahwendefa. Mugadziri anosunungura navo panguva chipimo chemushonga 250, 500 uye 850 MG. dispersible mahwendefa (500 MG ose amoxicillin uye 850) iripo. Clavulanic asidhi mabhati 125 MG nerimwe piritsi fomu.

Pakurapa mishonga inofanira kufungwa kufadza zuva dose neimwe pfuma. Amoxicillin vakura vanogona kugamuchira hapana zvinopfuura 6 magiramu uye clavulanic acid, - kusvika MG 600. Zvichienderana kwokuomerwa murwere sinusitis anogona kunan'anura 250 kana 500 MG zvinodhaka katatu pazuva. Chimwe chinogamuchirika zano kurapa - 825 MG amoxycillin ose maawa 12. Duration kurapwa - 5-14 mazuva.

Drug "Cephalexin"

Sinusitis nyoro kuti zvive nomwero nekuomarara ikarumbidzwa zvakanaka nemishonga yacho cephalosporin boka rokutanga uye rechipiri chizvarwa. Mumwe inonyatsobudirira zvombo muchikwata ichi "Cephalexin". The mushonga rinoshanda pamusoro zhinji pathogenic tusingaoneki klebsiel, esherehy, streptococci, Proteus. Mushonga unorwisa mabhakitiriya anogadzirwa chimiro mahwendefa uye granulates kuti kumisa.

The mushonga chakasimba zvakakwana uye nokudaro kunowanzokonzera marwadzo. Kana mukawana mikoko, abdominal kurwadziwa, kuda kurutsa, muromo yakaoma, dzungu, nomusoro, nezvipusha, unofanira kusiya zvimwe kurapwa "cephalexin" uye kusarudza zvakawanda munyoro mushonga.

Ko "Azithromycin" nzira?

Macrolides vane zvakakwana paupamhi chakarondedzera inorwisa utachiona chiito uye akashivirira zvakanaka pachitunha. Aiwanzoshandisa izvi mishonga kuti otitis nevezvenhau uye sinusitis nedzevakuru nevana. Macrolides vari kushingaira pyogenic staphylococci uye Haemophilus influenzae. Mumwe zvinodhaka ari muchikwata ichi "Azithromycin". Rinogona kushandiswa pakurapa sinusitis, sinusitis nezvimwe anogumbura pezvakaitwa ari paranasal sinuses.

The chishandiso chine pasi toxicity uye bacteriostatic chiito. Tora mahwendefa kana slurry vanoda kamwe chete pazuva vasati kudya kana 2 maawa pashure pashure kudya. In rhinosinusitis daily dose "Azithromycin" - 500 MG. Ya kurapwa rinowanzova 3 days, asi dzimwe nguva, kurapwa anogona kuwedzerwa.

Marwadzo uye contraindications

Hazvina pamwe chakazara hanya kutora nemishonga kuti sinusitis. In varwere mukuru, kungava contraindications kurapwa, izvo hazvo zvinofanira akabvunza. "Azithromycin" maererano nemirayiridzo haungopiwi kwakawedzera aikanganiswa nemishonga kuti muchikwata ichi, chiropa uye neitsvo.

Side migumisiro kubva zvomudumbu turakiti (dyspepsia, kuda kurutsa, manyoka) uye zvirwere (urticaria, okusafunga pamusoro muviri), mushonga iri apo neapo.