Mishonga inorwisa mabhakitiriya ye sinusitis inowanzonyorerwa sechikonzero chekurapa kwezvinodhaka. Muchiitiko ichi, kwete mumamiriro ezvinhu ose, zvinodhaka zveboka iri zvinoshandiswa rationally mukurapa kwechirwere ichi, uye chiremba anofanira kuvakurudzira ivo mushure mekutarisa rudzi uye zvikonzero zve sinusitis.
Mhando dzechirimusi - zviratidzo uye kurapa
Sinusitis rudzi rwe sinusitis , runoratidzwa nekuputika kwemasumbu emucosa weimwe kana maviri mazana maxillary sinus (maxillary). Chirwere ichi chinogona kuitika mumamiriro akaoma kana asingagumi, pasina kurapa kwakakwana kwakakomberedzwa nehutachiona hwehutachiona. Zvichienderana nezvinokonzera, kune marudzi akasiyana eudhinusitis, uye kurapa kwavo kwakasiyana. Funga nezvemhando huru yezvirwere:
- Viral sinusitis - ndeimwe yezviratidzo zvehutachiona hwehutachiona hwehutachiona, umo chirwere chinoputika chinopfuurira mberi kwecheputi. Muzviitiko zvakawanda, utachiona hwehutachiona hunoti humwe hutano hwakanaka, hunopedza kurapwa kwehutachiona hwepasi. Rubatsiro rwekurapwa runogona kugoverwa nemasalon vasoconstrictors, saline solutions zvinokurudzira kudzorerwa kwechigodhi chemvura. Dzimwe nguva inopa mishonga yemishonga.
- Allergic sinusitis - kazhinji inowanikwa muga woga, inosanganiswa neyekutanga inonzi allergenic rhinitis nezvimwe zviratidzo zvinoratidzika. Chimwe chinhu chekuvhiringidza kwechirwere chetachiona hachisi chemufemia wemucous membrane, asi blanching yavo ine bluish tinge. Chirwere che sinusitis chechi ichi chinotapudzwa kusvika pakubviswa kwemaharagen, kushandiswa kwe antihistamines, glucocorticoids, vasoconstrictive nasal zvinodhaka, zvinodhaka kubva muboka rezvigadziriswa zve membrane yemasero emasero.
- Bhakterial sinusitis - rudzi rwechirwere chinokurumidza kuchinja kuva chimiro che purulent. Midzi dzinokonzera dzinogona kuva dzehutachiona hwehutachiona hunogara kwenguva refu uye hutachiona, kukuvadzwa kunorwadza, zvirwere zvemazino, kushanduka kwemaatomical mumumvuri wemvura, nezvimwe zvakadaro. Kurapa kwechikwereti chakadaro kunowanzobatanidza kusarudzwa kwemishonga inorwisa mabhakitiriya, kuwedzera kune iyo yakakurudzira vasoconstrictor madonhwe, kwete-steroidal anti-inflammatory drugs, rinosuka zvivi.
Zvingave zvichibvira kurapa genyantritis nemishonga inorwisa mabhakitiriya here?
Antibacterial drugs ye sinusitis inoshanda chete munyaya yekuparara kwebhakitiriya kumatadzo eparanasal uye inorayirwa nehuwandu hwakanyanya kana hutsinye hwechirwere. Kana chirwere ichocho chikaonekwa mukutanga, chiitiko chakareruka, chichirwisana nechepamusoro pemapfupa ekudzivirira utachiona hwehutachiwana kana kushaya mishonga, kuvhiringidza kwemaono akawanda anokwanisa kurapwa pasina antibiotics. Muchiitiko ichi, matanho anotorwa kuti azarure zvitadzo uye anopa kubuda kwechirwere chinopisa (kutora mishonga, physiotherapy nzira).
Kana sinusitis iri pamwe chete nekusunungurwa kwepus, zvakanyanya zvakanyanya uye zvinorwadza mukati mezvivi, zviratidzo zvekudhakwa (misoro, kushaya simba, fivha), maantibayoti haagoni kudziviswa. Kushanda nekubudirira kuporesa sinusitis, mishonga inorwisa mishonga inorapwa inofanira kutorwa pamwechete nevasoconstrictive uye mucolytic madawa , kushambidza sinus nemunyu uye antiseptic solutions. Mukuwedzera, kuvimbisa kuti maantibiotic ye sinusitis anopa chikonzero chakanaka, mitemo inotevera inofanira kuteverwa:
- Mushonga unofanirwa kutorwa pamutemo wakatarwa uye panguva yakanyatsotsanangurwa nguva.
- Iwe haugone kuderedza zvakagadziriswa kurapwa, kunyange kana hutano huri nani.
- Kana zviratidzo zvekuvandudzwa zvisingaonekwi mukati memazuva maviri, mishonga inouraya inofanira kuchinjwa.
Ndeapi maantibiotikiti anorayirwa nezve sinusitis?
Ndeapi maantibiotikiti anofanirwa kutorwa negenyantritis anofanira kuongororwa nachiremba, zvichienderana nemufananidzo wechirwere chacho, zvichida causative agent wehutachiona, kukwanisa kwechirwere ichi kuunganidza muchetere mune zvakakosha. Paunosarudza mushonga, zvinokosha kufunga nezvazvo kana murwere atora chero mishonga inorwisa mabhakitiriya mumwedzi mitanhatu yapfuura, chii chisingagoni kuitika kune anomalies uye munhu mumwechete unhu hwehupenyu.
Dambudziko mumhino neine antibiotic ye sinusitis
Sezvokuwedzera kune systemic antibiotic therapy kana nehupamhi hwehutano hwehutachiona, madonsi kubva ku sinusitis pamwe nemishonga inorwisa mabhakitiriya inogona kurongerwa. Aya madhiragi anosanganisira:
- Polidex (spray) - ine antibiotics neomycin uye polymyxin B, hormone anti-inflammatory substance dexamethasone uye vasoconstrictor chivako phenylephrine;
- Isophra (Spray) - ine antibiotic Framicetin;
- Fluimucil antibiotic IT (lyophilizate yemhinduro) - inosanganisira antibiotic thiamphenicol uye mucolytic acetylcysteine.
Antibacterial ointment kubva sinusitis
Mishonga yakadai, sechizoro, kubva ku sinusitis kazhinji haisi kurongerwa navanachiremba munharaunda yekurapa, zvisinei iyo inoshandiswa zvakashandiswa semubatsiri mukuzvirapa. Kubudirira kwehutano hwakadaro kunopokana, kunyange, maererano nekuongororwa, varwere vakawanda vanoshandisa mafuta anounza zororo painochera mapepa emvura. Mafuta anotevera ane antibacterial and antiseptic components anoshandiswa:
- Levomekol;
- Levosin;
- ichthyol mafuta;
- sintomycin ointment;
- Mafuta eVishnevsky.
Mishonga inorwisa mabhakitiriya anobva kuGenyantritis ari mahwendefa
Mabhakiteriya kuvhiringidzika kwemaodillary sinuses kurapa nemishonga inorwisa mabhakitiriya inounza migumisiro yakanaka. Tichifunga nezvemishonga ipi inorwisa mabhakitiriya inotora ne sinusitis, tichanyorera maitiro ekugadzirira kwemaitiro akawanda:
- aminopenicillins (Ampicillin, Amoxicillin, Flemoxin, Augmentin);
- cephalosporins (Zinnat, Supraks, Cefixim);
- macrolides (Clarithromycin, Azithromycin, Sumamed, Josamycin);
- fluoroquinolones (ciprofloxacin, levofloxacin).
Mishonga inorwisa mabhakitiriya-injenisi negenyantritis
Kutora mishonga inorwisa mabhakitiriya ekurapa sinusitis, vanachiremba vanomira pazvigadzirwa zvejairo mune zviitiko zvakanyanya uye zvakaoma, neosomomial zvirwere. Mishonga inorwisa mabhakitiriya inogona kurongerwa nenzira yejojo ne genyantritis:
- Ceftriaxone ;
- Cefazolin;
- Cefuroxime;
- Tobramycin;
- Gentamicin;
- Doripenem nevamwe.
Ndeipi maantibayoti ari nani kune maxillary sinusitis?
Kuti usarudze mishonga inoshandiswa yakawanda kwazvo ye sinusitis, zvakakosha kuita bhizinisisi yezviri mukati mechivi, izvo zvinogoneka kuburikidza nekupedza. Sezvo ichi chiitiko chinopesana, chinoitwa munyaya dzakasiyana. Mishonga inorwisa mabhakitiriya inowanzonyorerwa zvinyoronyoro, zvichibva pane zvinyorwa zvinowanikwa mavara ezvinyorwa zvegenyantritis. Iyi nheyo inokubvumira kuti utange nekurapa kurapwa, kubvisa mari yezvekutsvaga. Mishonga yemutsetse wekutanga ndeye aminopenicillin, iyo inowanzowedzera mhinduro.