Tonsillitis chirwere chinotapukira uye chinotyisa. Inogona kutsamwisa mimwe mitambudziko yakaipa nenzira yekukuvadza kune itsvo uye mwoyo, rheumatic pathologies uye kuchinja kwekuvhiringidza kwemaitiro muhuipi hunosvibisa. Kuti uwane kurapa kwakanaka kwechirwere, zvinokosha kusarudza mishonga yakakodzera munguva.
Chii chinokonzera angina?
Kukuvadza kwezvinyuchi zvepa pharynx uye kufambira mberi kweatonillitis yakaoma kunoitika nekuda kwema 3 marudzi ezvirwere: pathogenic microorganisms, fungi nemavirusi. Mabhakitiriya anokonzera angina anowanzoita streptococci (hemolytic) uye staphylococci, kazhinji anowedzera mumucu membrane zvakafanana. Dzimwe nguva chinokonzera chirwere chacho ndeche gonococci uye chlamydia.
Mycosis pathogens is mbiriso-yakafanana nefungi, iyo inokonzera pharynx mushure mekuwedzera kwebasa rekudzivirirwa kwemukoko. Kana chirwere chinorwadza chiri chirwere, chinogona kukonzerwa nechirongwa chemhepe kana chirwere. Mafungiro asina kufanira anosanganisira tonsillitis, iyo inosanganisira zvinotevera:
- syphilis;
- leukemia;
- tularemia ;
- scarlet fever;
- enterovirus;
- infectious mononucleosis ;
- agranulocytosis.
Iwe unoda mishonga inorwisa mabhakitiriya kune angina here?
Chisarudzo pamusoro pekudiwa kwekupa mishonga inorwisa mishonga inotorwa chete ne otolaryngologist. Asati atumisa chiremba, nyanzvi inofanira kunge yakanyatsoita sarudzo yekuongorora smear kubva ku pharynx. Izvi zvinobatsira kuziva kuti chii chiri kukura angina - kurapwa nemishonga inorwisa mabhakitiriya inoitwa mumatambudziko matatu:
- Tonsillitis inokonzerwa nemaruva ebhakitiriya;
- hutachiona hwechipiri hwakabatana;
- zvinetso zvakatanga nekuwedzera kwezvirwere zvepathogenic microorganisms.
Kana chirwere ichi chiri mubvunzo chiine fungal kana mavharusi kubva, ma antibiotics for angina mune munhu mukuru haasi kungobatsira zvachose, asiwo inokuvadza. Kunyanya kusina musoro kwemishonga inorwisa mishonga inokonzera kukanganisa kwakasimba kwekuchengetedzwa kwepachivande uye kusikwa kwemamiriro ezvinhu anoita kuti kubereka kwezvimwe zvirwere zvematoni, zvinetso zvaro uye kufambira mberi.
Ndeapi maantibayoti anofanirwa kutora neine angina kune vanhu vakuru?
Kusarudzwa kwemumwe mishonga kunobva pane zvidzidzo zvakawanda:
- chiitiko chechiito chekugadzirira;
- rudzi rwebhakitiriya rwakaonekwa;
- kukanganisa kwepathogenic microorganisms kumarudzi antimicrobial akasiyana-siyana;
- kuvapo kwekusagadzikana murwere.
Kururamisa kurapa kwehuro nevanorwisa mabhakitiriya kune vanhu vakuru vanosarudzwa mushure mokugamuchira migumisiro yekuongororwa kwema laboratory. Munguva yekudzidza, iyo inokonzera kugadzira tonsillitis uye maitiro ayo kune mamwe mapoka emapoka eine antimicrobial agents anosimbiswa. Mishonga inorayirwa, iyo mabhakitiriya inowanikwa ine simba rakasimba kupfuura dzose. Panguva imwecheteyo, zvakakosha kusarudza mishonga ine zvishoma zvisingabatsiri.
Kurapa kwepirulent gonda rehuro muvanhu vakuru vane antibiotics
Kuvapo kwephena dense plaque pamakona emakona epa pharynx uye kuvapo kwemazuva emagetsi matsvuku kunoratidza basa rakakura rezvirwere zvepathogenic. Zvichienderana nechinzvimbo, ivhu uye mararamiro eexudate, follicular uye lacunar tonsillitis anosiyaniswa. Mishonga inorwisa mabhakitiriya yeAngulent angina muvanhu vakuru inowanzotaurwa mushure mekufungisisa maitiro ayo, inongova iyo mumiriri wezvokuvhiringidza zvinhu nyaya.
Zvose zviri zviviri zvezvipembenene zve pharynx zvinowanzokonzerwa ne hemolytic streptococcus. Dzimwe nguva tonsillitis yakaoma nekuwedzerwa kwehutachiona hwe staphylococcal, saka zvirwere zvinorwisa mabhakitiriya pamarwadzo evanhu vakuru zviri nani kusarudza nehuwandu hwemabasa. Mishonga yemaitiro mashoma anoshandiswa pakupararira kwemamwe mabhakitiriya - gonococci uye chlamydia.
Follicular angina - kurapwa kune vanhu vakuru, antibiotics
Ichi chimiro chetonsillitis chinoratidzwa nekuumbwa kwepamusoro pematuni e purulent maduku. Kana chirwere chinokonzerwa nehutachiona hwehutachiona chikaonekwa panguva yekudzidza zviri mukati maro, mushonga unorwisa mabhakitiriya unosarudzwa - kana angina muvanhu vakuru, chirwere chepenicillin chinotanga kunyorwa. Iyo inoshanda zvikuru kana iine utachiona ne streptococci yemhando ipi zvayo, kusanganisira hemolytic mabhakitiriya. Penicillin-ine antibiotics ye angina mune munhu mukuru inonzi yakachengeteka. Mishonga yakadaro haina kukonzera kukuvadza kukuru kune microflora inobatsira.
Lacunar angina - kurapwa kune vanhu vakuru - chii chinonzi antibiotics?
Iyo yakatsanangurwa tonsillitis inoperekedzwa nemasimba akachena-machena kupfeka mumiromo yepakati pematoni. Kana kusina kuumbwa, zvinokosha kuti nokukurumidze kusarudza mushonga wemaperembudzi - vanhu vakuru vanorayirwa mishonga inorwisa mishonga pakarepo mushure mokunge smear inoguma kudzivirira migumisiro yakaipa yekuputika. Penicillin mishonga munyaya iyi inogona kunge isingabatsiri, nokuti rudzi urwu rwematonillitis runokonzerwa ne streptococci pamwe ne staphylococci. Kuti abvise kusanganiswa kwema microbial yakawanda, mishonga inotevera inorapa mabhakitiriya kune angina kune munhu mukuru inokurudzirwa:
- macrolides ;
- fluoroquinolones;
- cephalosporins.
Iyo yakanakisisa mishonga inorwisa mabhakitiriya kune angina kune vanhu vakuru
Zvinorambidzwa kutenga mishonga iwe pachako kana pane mazano emumwe mishonga mune zvemishonga. Yega an otolaryngologist anoziva anogona kusarudza kuti ma antibiotic ari nani - nevarume vakuru vechidiki vanofanira kutora nzira dzakachengeteka uye dzakagadzikana dzinogadzira chirevo chakataurwa pamatachiona anonzi tonsillitis.
Kana pasina mararamiro eoriginal penicillin antimicrobial, uye hapana kukonzera, zvinokurudzirwa kutanga chirongwa neboka iri remishonga. Kana kune kuwedzera kwehurumende kana kuchinja munharaunda yehutano hwevasina simba, mishonga inorwisa mabhakitiriya inogona kuchinjwa - mune angina inopfuurira, munhu mukuru anofanira kuwana mishonga yakasimba. Zvakakosha kutanga kutaurirana nachiremba uye kutora mishonga ine uwandu hwemigumisiro yepamusoro uye pangozi yakakosha yekuparara kwechiropa kune chiropa chechiropa.
Mishonga inorwisa mabhakitiriya kune angina mune munhu mukuru mumapiritsi
Mutsara wekutanga wemasimicrobial agents anosanganisira penicillin, iyo inokuvadza pamagiramu-gram-positive uye gram-negative. Izvozvo zvinorwisa mabhakitiriya kunwa nehuro
- Amoxicillin;
- Ecobol;
- Flemoxin Solutab;
- Ampicillin;
- Clavam;
- Gramox;
- Amoxyl;
- Ospene nevamwe.
Nekuvhiringidza kune boka iri rezvinodhaka kana kusavapo kwezvinodiwa kutarisira mapiritsi akarongwa, macrolides anoshandiswa kwemaawa 72. Ndezvipi zvinorwisa mabhakitiriya zvinorayirwa kune angina kune vanhu vakuru pane penicillin:
- Sumamed;
- Zitrolide;
- Rulicin;
- Hermitage;
- Azithromycin;
- Klabaks;
- Azitroxy and analogues.
Kana macrolides asingabatsiri, fluoroquinolones inoshandiswa:
- Levotech;
- Siflox;
- Avelox;
- Tebris;
- Afenoxin nevamwe.
Nzira yekupedzisira yekurapa tonsillitis ndiyo cephalosporins:
- Cemidexor;
- Supraks;
- Cephalexin;
- Cefixime uye synonyms.
Mishonga inorwisa mabhakitiriya kune angina mune munhu mukuru mumatombo
Injection inorayirirwa ne otolaryngologist mumatambudziko akakura epanguva ino chirwere, kana pane fivha yakawanda uye mungozi wezvinetso zvakanyanya kwazvo. Inoshandiswa kwechinguva (mazuva maviri kusvika ku4) kwekukurumidzira kusununguka kwezviratidzo zvakakomba, uye kunotsiviwa nemishonga yemuromo. Ndeapi maantibayoti ekurapa angina kune vanhu vakuru - antimicrobial solutions:
- Ampioks;
- Benzylpenicillin;
- Ampicillin;
- Ticarcicline;
- Bilmycin;
- Hemomycin;
- Ceftriaxone;
- Gatifloxacin;
- Moxifloxacin;
- Levofloxacin;
- Ciprofloxacin.