Zvechokwadi, munhu wose kamwechete kamwe muhupenyu hwake akawana chirwere chinotapukira, uyo mushonga haugone kuita pasina kutora antibiotics, uye vazhinji vanewo maonero akazara maitiro emishonga iyi uye zvinoshandiswa pakushandisa kwavo. Mishonga inorwisa mabhakitiriya inopatsanurwa kuva mapoka, kusiyana pakati pavo, kunyanya, kunowanikwa mumakemikari, maitiro ekuita uye maitiro emabasa.
Mukuwedzera, muboka rega rega remishonga inorwisa mabhakitiriya inorongwa madhiragi ezvizvarwa zvakasiyana-siyana: antibiotics yekutanga, wechizvarwa chechipiri, nezvimwewo. Chizvarwa chekupedzisira, chizvarwa chitsva chemishonga inorwisa mabhakitiriya yakasiyana neyekare yapfuura ine mikana yakawanda, inoshanda zvikuru, uye nyore nyore kwehutungamiri. Muchikamu chino, tichakurukura nezvekugadzirira kwechizvarwa chekupedzisira chiri pane urongwa hwemishonga inorwisa mabhakitiriya kubva kune boka guru, uye kuti chii chavari kuita.
Unhu uye kushandiswa kwema macrolides
Mishonga inorwisa mabhakitiriya yakabatana neboka guru rezvemasitoriki rinoonekwa seimwe remhando shomanana kune muviri wemunhu. Izvo zvipembenene zvakaoma zvezvisikwa uye zvakasara-maitiro zvakabva. Izvo zvakanaka zvinoregererwa nevarwere vazhinji, musakonzera kusagadzikana kusingadikanwi maitiro emishonga inorwisa mabhakitiriya emamwe mapoka. Chimwe chinhu chinokonzera macrolides ndiko kukwanisa kupinda mumasero, zvichiita kuti zvive zvakanyanya mukati mawo, nokukurumidza uye zvakaparadzirwa mumatumbu uye zvikamu zvinoputika.
Macrolides ane zvinotevera:
- bacteriostatic;
- anti-inflammatory;
- immunomodulating.
Zviratidzo zvikuru zvekutora antibiotics-macrolides ndezvekuti:
- zvipembenene zvemuviri wekupemha uye muromo wemuromo ( periodontitis , otitis, sinusitis, tonsillitis, bronchitis, pneumonia, diphtheria, tuberculosis, etc.);
- bile duct chirwere;
- zvirwere zvinotapukira zvemaziso (conjunctivitis, trachoma, etc.);
- peptic ulcer;
- zvipembenene zveganda uye zvinyoro zvinyoro (acne zvakasimba, erysipelas, mastitis, nezvimwe);
- urogenital zvirwere, nezvimwewo.
Mazuva ano macrolides
Mushonga wekutanga weboka re macrolide waiva erythromycin. Zvinofanira kuonekwa kuti ichi chinodhaka chinoshandiswa mukurapa kusvikira nhasi, uye kushandiswa kwayo kunoratidza zvibereko zvakanaka. Zvisinei, pashure pacho yakagadzirwa macrolide maigadziro, nemhaka yekuti ivo vakagadzirisa pharmacokinetic uye microbiological parameters, zvinonyanya kuwedzerwa.
Antibiotic-macrolide yechizvarwa chitsva chinhu chinobva muboka reazalides - azithromycin (mazita ezvokutengeserana: Summamed, Azithromax, Zatrin, Zomax, nezvimwewo). Izvi zvinodhaka is derived from erythromycin ine nitrogen yakawedzerwa. Kubatsirwa kwechirwere ichi:
- high level of suction;
- nguva yakareba yeupenyu;
- acid resistance
- kukwanisa kutakurwa ne leukocytes kusvika pakuona kwekuvhiringidza;
- mukana wekuderedza nguva yerapi uye nguva yakawanda yemishonga (kamwe kamwe pazuva kwemazuva matatu kusvika ku5).
Azithromycin inoshanda mukuremekedza:
- staphylococci;
- streptococci;
- chlamydia;
- Pertussis stick;
- runyanga rutsvuku ;
- gardnerella;
- mycoplasma;
- mycobacteria;
- zvinokonzera kukonzera siriphi uye mamwe mabhakitiriya.
Kusvika pamwero mukuru, kuunganidza madhiragi kunoonekwa mumapapupa, kusuruvara kwechibhakera, sinas sinal, tonsils, itsvo.
Macrolides yechizvarwa chekupedzisira ne bronchitis
Kugadzirira kunobva kuAzithromycin kunoratidzwa nehutano hwakanaka hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona. Zvinonyatsopinda mukati mekudzivirirwa kwechibvumirano uye kuputika, kudzivirira kufanana kweprotheni mumasero ebhakitiriya, nokudaro kudzivisa kuwedzera kwebhakitiriya. Macrolides inogona kushandiswa mbiri yebhakitiriya bronchitis uye yekuwedzera kwechirwere chisingagumi.