Bronchitis isimba rebronchi, iro rinowanzoita sechinhu chinokonzerwa nehuwandu, furu kana ARVI. Kurapa kwake hakuwanzoparidzirwa pasina antibacterial agents, uko mabhakitiriya akakonzera kutuka ane hanya.
Zvisinei, iyo mishonga yemishonga yakakura nhasi, uye zvakasiyana-siyana zvemishonga inorwisa mabhakitiriya inotengeswa, iyo inogona kuratidza kusakwanisa kurwisa bronchitis. Nokudaro, mberi tichakurukura mishonga inorwisa mabhakitiriya yerudzi rutsva mubronchitis, uye zvakare kutarisira kune yekare, iyo dzimwe nguva isingasviki.
Rwendo rwemishonga inorwisa mabhakitiriya yebronchitis
Usati wasarudza mushonga unorwisa mabhakitiriya, unofanirwa kusarudza kuti ndeapi mapoka aripo. Mune mishonga, zvose zvinorwisa mabhakitiriya zvakakamurwa kuita zvikamu zvakasiyana:
- beta-lactam; Izvi zvinosanganisira penicillins uye cephalosporins, monobactam uye carbapenems.
- macrolides;
- aminoglycosides;
- rifamycins;
- glycopeptides;
- ristomycins;
- polymyxins;
- gramicidin;
- polyene antibiotics.
Zvose izvi mazana emishonga inorwisa mabhakitiriya ane zviduku. Izvo zvakapatsanurwa maererano neshoko rekutsvaga mabhakitiriya, pamwe nekubudirira kwekuparadzwa kwechimwe chezvipenyu zvavo.
Nheyo yemishonga inorwisa mabhakitiriya:
- Mishonga inorwisa mabhakitiriya inodzivisa kukura kwebhakitiriya, kuitira kuti muviri unogona kurarama nechirwere chacho pachako: carbapenems, ristomycin, penicillin, monobactam, cephalosporins, cycloserine.
- Mishonga inorwisa mabhakitiriya inoparadza sarudzo yebhakitiriya membrane: ma antibiotic polyene, glycopeptides, aminoglycosides, polymyxins.
- Mishonga inorwisa mabhakitiriya inodzivisa kutanga kweRNA (pamwero weRNA polymerase): boka re rifamycins.
- Mishonga inorwisa mabhakitiriya iyo inhibit the synthesis of RNA (pamwero we ribosomes): macrolides, tetracyclines, linkomycins, levomycetin.
Kurapa kwetracheitis uye bronchitis nemishonga inorwisa mabhakitiriya
Kana bronchitis yakakomberedzwa netracheitis, iyo inowanzokonzerwa nesa staphylococci kana streptococci (muzvikamu zvisingawanzoitiki - nemamwe mabhakitiriya), zvino ma antibiotic akawanda anoshandiswa. Semuenzaniso, Flemoxin soluteba inoshandiswa mukurapa kana samples yebhakitiriya isati yatorwa, uye vanachiremba havagoni kunyatsoziva kuti chii chakakonzera chirwere. Iyi antibiotic inoreva penicillin uye inoparadza mabhakitiriya e gram-positive uye gram-negative.
Kana tracheitis uye bronchitis zvinokonzerwa nehutachiona hwehutachiona, zvirwere zvinorwisa mabhakitiriya hazvishandiswi: munyaya iyi, hazvisi izvo chete zvisingabatsiri, asiwo zvinokuvadza, sezvo zvinodzivisa hutachiwana, uye izvi zvinowedzera nguva yekurwara.
Mishonga inorwisa mabhakitiriya yepneumonia uye bronchitis
Kusanganiswa kwebronchitis ine pneumonia inenge yakaoma, uye izvi zvinoda kurapa kwakakodzera. Mishonga inorwisa mabhakitiriya inobva kuLevofloxacin inogona kushanda pano. Ichi chizvarwa chitsva, icho chiri pamusana muduku chinobatsira zvikuru mukurwisana nezvirwere zvinotapukira zvinokonzera kusinganisa. Pineumonia inoshandiswa kwemazuva manomwe kusvika ku14 kumapiritsi 1 kana maviri (zvichienderana nekuoma), achifunga kuti bheteti 1 ine 250 g yezvinhu.
Kurapa kwechirwere chisingagumi nemishonga inorwisa mabhakitiriya
Kurapa kwechirwere chisingagumi kunobva pakuti kune zvinetso. Somuenzaniso, ne-bronchitis isina kuoma, aminopenicillin uye tetracyclines inorayirwa. Tetracyclines haisi kupiwa vana.
Muchirwere chisingaperi chine matambudziko, macrolides uye cephalosporins zvinorayirwa.
Macrolides yechizvarwa chokutanga inomiririrwa na erythromycin uye oleandomycin, uye chechitatu - neAzithromycin.
Cephalosporins yekutanga yekutanga inosanganisira cephalosin, uye yekupedzisira kune nhasi - cefepime.
Injections yemishonga inorwisa mabhakitiriya yebronchitis inorayirwa kana kurapwa kuripo. Zvinonyanya kubudirira nokuti dzinokurumidzira kupinda muropa. Kusarudzwa kwemishonga inorwisa mabhakitiriya, sekutonga, kunobva pabhakitiriya yepathogen, asi kana isingazivikanwi, maitiro anonzi antibiotics anoshandiswa: ampicillin kana ceftriaxone. Kurapa kunotora kwemazuva manomwe.