Cervical lymphadenitis inokonzerwa nekupinda mukati momuviri wehutachiona, pamwe nekuwedzerwa kwakasimba kwenhamba yakawanda yemasero epathogenic. Kazhinji izvi zvinosanganiswa nekubatanidza kwehutachiona hwehutachiona, hunozara nekudzingisa uye kubvisa.
Nzira imwe chete yekudzivisa kuora kunorwadza kwemaitiro emakumbo pamutsipa ndiko kurapwa nemishonga inorwisa mabhakitiriya. Kutanga kushandiswa kwekodzero dzakadaro kunobvumira kusavhara kuvhurika kwezviitiko zvekunatswa kwavo kubva pus.
Lymphonoduses pamutsipa yakasvibiswa - ndeipi antibiotic inotora?
Hazvikurudzirwi kusarudza mishonga zvakasununguka, zvakakosha kubvunzurudza unyanzvi uye kutora miedzo inobatsira kurondedzera pathogen uye kunzwisisika kune mishonga yakasiyana.
Kusarudza ma antibiotic ari nani kutora nekuputika kwakanyanya kwemaitiro emakumbo pamutsipa, nyanzvi dzinosarudza zvinodhaka nemhando dzakasiyana dzemigumisiro. Kunyanya zvakanaka zvinogadziriswa mukurapa zvinoratidzwa neboka repenicillin remagetsi antimicrobial.
Kana, nokuda kwechikonzero chipi nechipi, rudzi urwu rwemishonga haruswedereki, kana kuti pathogen yakagadzira kushorwa nayo, maantibioti anobva kumapoka anotevera anyorerwa:
- quinolones kana fluoroquinolones;
- macrolides ;
- sulfonamides;
- cephalosporins (itsva, kunyanya chizvarwa chechitatu).
Rudzi rwekupedzisira rweantimicrobial rinoshandiswa kashoma kudarika mamwe, sezvo mabhakitiriya anokurumidza kukurira kushorwa nawo.
Muzviitiko zvakakomba zve lymphadenitis, zvinonzwisisika kushandisa mishonga yakawanda ye antibacterial (combination therapy) sefupi kana zvichibvira.
Ndeipi antibiotic iri nani pakuchengeta lymph nodes inopisa mumutsipa?
Iyo yakatsanangurwa yakaoma yezviratidzo, kutanga kwezvose, inorwara nemishonga inorwisa mabhakitiriya kuburikidza nemishonga ye penicillin:
- Amoxicillin. Nhamba yakasarudzwa mumwe nomumwe, asi kazhinji ipiritsi imwe ye 500 mg inokwana katatu (1 kugamuchira paawa 8) pazuva. Muchiremera lymphadenitis, mishonga inogona kugadziriswa intramuscularly uye intravenously, uye chirwere chinogona kuwedzerwa kusvika 1000 mg.
- Amoxiclav. Izvo zviyero zvakakwana zvehutachiwana chinhu 375 mg, inotorwa maawa masere ose. Kana zvichidikanwa, muyero uri 625 mg nehuwandu hwekugamuchira, kana 1 g kila 0.5 mazuva.
- Augmentin. Zvichienderana nemamiriro ezvinhu enzira ye lymphadenitis, rimwe piritsi remushonga une mazana 250, 500 kana 875 mg 2-3 kazuva inorayirwa. Zviri nani kutora mushonga usati wapedza kudya.
Ndeipi mamwe mishonga inorwisa mabhakitiriya ndiyo kurapa kwekuremera kwemakirini emakumbo pamutsipa:
- Tsiprolet. Imishonga inobva kuboka re fluoroquinolones. Nhamba yakakurudzirwa inofananidzwa nehuwandu hwekukura kwechirwere, kazhinji inowanirwa 0.25-0.75 mg pamushandi wega wega (katatu).
- Ciprinol. Uyewo ndeyemhando ye fluoroquinolones. Mamwe mishonga inorwisa mabhakitiriya mukuenzanisa neTsiprolet, saka inotorwa zuva rimwe nerimwe kune 500-750 mg.
- Azithromycin. Mushonga weboka re macrolide, mumiririri weboka reazalides, rine rimwe rezviitiko zvakakura zvikuru zvebasa. Azithromycin inokurudzirwa kutorwa pa 0.25 mg kamwe pazuva. Muzviitiko zvisingawaniki, kuwedzerwa kunogona kuwedzerwa kaviri, kusvika ku 0.5 mg.
- Biseptol. Antibacterial kusanganiswa kwenhamba ye sulfonamide. Iine 2 inoshandiswa zvikamu: trimethoprim uye sulfamethoxazole. Muchidimbu mapepa ekurapa Biseptolum inotorwa pa 960 mg 2 kaviri mumaawa makumi maviri nemaviri. Kana chirwere chenguva refu chichifanira kutarisirwa, ichi chiyero hachina hafu.
- Ceftriaxone. Yakasimba kwazvo mishonga inorwisa mabhakitiriya kubva kune cephalosporins itsva (chizvarwa chechitatu). Chirwere ichi chinoshandiswa nekudonha kana kujowa, intravenously kana intramuscularly, mishonga inoshandiswa kuve yakanyanya lymphadenitis. Muyero wemuti wega 1-2 g pazuva. Inogona kugoverwa mujisi 2, 0.5-1 g kila 0.5 mazuva.