Zvirwere zvezeve zvinowanzowanikwa mucheche. Izvo zvinoputika zvinogona kuonekwa sechirwere chakasiyana, uye kuwirirana kwehutachiona hwehutachiona huchangobva kuitika. Antibiotics for otitis muvana haisi nguva dzose inoshandiswa, mune dzimwe nguva, zvinogona uye zviratidzo zvinoshandiswa.
Ndinoda antibiotic ye otitis?
Kusarudzwa kworudzi rwechirwere chechirwere ichi kunowirirana nerudzi rwe otitis, nguva yemwana, danho rekuvhiringidza. Antibiotic mu otitis haisati yashandiswa pakuratidzika uye kuenzanisa kwechirwere. Mumamiriro ezvinhu akadaro, unogona kurarama nechirwere ichi nemubatsiro wemadonhwe, mafuta, mararamiro, ayo anogadziriswa anoitwa munzeve. Zvisinei, rinofanira kutarirwa mupfungwa kuti mari yakadai inofanira kurongerwa chete nechiremba. Nzira dzakasarudzwa dzakasarudzwa dzokurapa dzinogona kuchinja utano hwomwana.
Kurapa kwe otitis nemishonga inorwisa mabhakitiriya inowanzowanikwa nemafomu anonzi purulent kana asingagumi. Muchiitiko ichi, kurapa kunoitwa nenzira yakaoma. Pamwe nemishonga inorwisa mabhakitiriya, zvinotevera zvinoshandiswa:
- anti-inflammatory;
- painkillers.
Pathogen otitis muvana
Kuvhiringidza nzeve mumwana kazhinji kunowedzera maererano nemutauro:
- acute otitis media;
- exudative otitis media.
Muchikwata chokutanga, chikamu chepakati chenzeve chakabatwa. Izvi zvinopesana nekutambudzika kwakanyanya, saka hazvibviri kudarika kutanga kwechirwere. Otitis media yepakati nzeve dzevana inowanzokonzerwa nebhakitiriya, asi mune dzimwe nguva inogona kuvawo mavairasi. Pakati pezvirwere zvakanyanya zveacute otitis media:
- pneumococcus ;
- haemophilus influenzae ;
- kuporesa syncytial virus (rsv);
- fukenza virus;
- adenovirus;
- rhinovirus.
Exudative otitis media inoenderana nekuunganidza kwemvura mukati mezeve. Izvo hazvina zviratidzo zvehutachiona (kurwadziwa, kuzvimba, kubudiswa hakuna kuonekwa). Kuongorora chirwere chacho kwakaoma. Muzviitiko zvakawanda, chirwere chinopfurikidza pachako, saka haufaniri kushandisa maantibiotic. Vanachiremba vanotora mazano ekutarisira, kuongorora hutano hwemucheche, kuitisa maitiro ekuongorora nguva nenguva.
Zvinoita here kurapa otitis pasina antibiotics kumwana?
Zvinogona kuporesa mwana we otitis asina antibiotics. Pazvinorondedzera mishonga uye kusarudza nzira yekurapa, vanachiremba vanofunga nezvezvikonzero zvakawanda:
- makore emwana;
- kuoma kwechirwere;
- migumisiro yeongororo.
Kurapa kwevana kusvika kumakore maviri kunowanzoitwa pasina kushandisa antibacterial drugs. Zvakakosha kuti nzeve mbiri kana imwe inoshandiswa. Mumuviri wakaoma, purulent wechirwere kunze kwekushandiswa kwemishonga inorwisa mabhakitiriya haagoni kuita. Mukuwedzera, kana zviratidzo zvehutiti zvakanyanya hazviperi shure kwemazuva maviri ekurapa kwechirwere, mubvunzo unomuka pakugadzwa kwemishonga inorwisa mabhakitiriya. Mushonga unofanirwa kurongerwa chete nechiremba.
Ndeapi maantibayoti ndinofanira kutora ne otitis?
Kusarudzwa kwechirwere ichi kunobva zvakakwana pamhando yepathogen. Kakawanda, kuti uone kuti ma antibiotic ndeapi kana chirwere chevana chinoshandiswa, chengetedza kuongorora purulent kubuda kubva munzeve kana kuvhara kunze kwekunzwa. Mune zvimwe zviitiko, vanachiremba vanoshandisa zviratidzo zvakasiyana-siyana. Nguva yemishonga inorwisa mabhakitiriya inogadzirirwa mumwe nomumwe. Paavhareji, kugamuchira mari yakadaro kunotora mazuva 5-7. Muvana vasiri pasi pemakore matanhatu ekurapa kunogona kuva nemazuva gumi (ane maitiro akaoma otitis). Pakati pemapoka anoshandiswa emishonga inorwisa mabhakitiriya:
- penicillins;
- cephalosporins;
- macrolides .
Penicillin in otitis
Kutaura pamusoro pemishonga inorwisa mabhakitiriya yeutitis muvana inoshandiswa, munzvimbo yekutanga vanachiremba vanoisa penicillin. Vakanyatsorasikirwa nemuviri wemwana, vane zvigaro zvishoma. Anoshandisa zvinodhaka nenzira yemapiritsi, uye pakusimirirwa (kwevana). Nhamba, nguva uye nguva yerapi inoratidzirwa nachiremba mumwe nomumwe.
Penicillin inoshanda kuburikidza nevakawanda pathogenic microorganisms. Anonyanya kuderedza kukura kwavo, kudzivisa mberi kufambira mberi uye kubereka. Pakati pemagadzirira ane chikamu ichi:
- Amoxicillin;
- Flemoxin ;
- Amoxiclav;
- Sulfatamycilin.
Cephalosporins ne otitis
Kurapa kwehutitis muvana vane mishonga inorwisa mabhakitiriya inogona kuitwa nekubatsirwa neboka iri remishonga. Inoshandiswa kakawanda kana kusagadzikana kwemuviri wemwana we penicillin. Cephalosporins ine zita rakarondedzera antimicrobial effect uye kazhinji haisi kukonzera manzwiro evanhu. Pakati pekugadzirira kweboka iri rinoshandiswa mukurapa, zvinokosha kusiyanisa:
- Cefuroxime;
- Aksetil;
- Omnitsef.
Shandisa mishonga inorwisa mabhakitiriya kune otitis media mune vana nekuchenjerera. Cephalosporins inoshandiswa kwenguva yakareba inogona kuparadza vitamin K. Iyi inotora chikamu chinoshanda mukuita hematopoiesis, kubatanidza system. Vanachiremba vanotora pfungwa iyi mukufunga, vachirondedzera ma antibiotic data ye otitis muvana. Kana zvakakosha kushandisa cephalosporin, vanachiremba vanopedza nguva yekushandiswa kwavo kwemazuva mashanu.
Macrolides mu otitis
Aya mazuva ano antibacterial agents anoshandiswa pakurapa otitis muvana. Izvo zvinoshanda zvakanyanya pakuraira michero yeGr-negative. Mukuwedzera, macrolides inobatanidzwa mukugadzirisa kwekudzivirira kwechirwere chemuviri chechecheche, izvo zvinomira mberi kufambira mberi kwekuputika. Pamusana pemigumisiro yekudzivirira muviri, iyi mishonga inouraya yekuvhiringidza nzeve haina kukurudzirwa kuti isati iri vana.
Pakati pekugadzirira kweboka iri rinoshandiswa mukurapa, mumwe anogona kusiyanisa:
- Clarithromycin;
- Roxithromycin;
- Azithromycin.
Iyo yakanakisisa mishonga inorwisa mabhakitiriya ye otitis
Antibiotic in otitis mumwana inofanira kusarudzwa mumwe nomumwe. Nekugadzwa kwechirwere ichi, vanachiremba vanofunga nezvezvikonzero zvakawanda:
- makore emwana;
- rudzi rwepathogen;
- nzvimbo yechirwere.
Kubva pazvinhu izvi, zvinogona kukwikwidzwa kuti zvinodhaka zvepasi rose zvinoshandiswa zvinogona kubatsira zvakakwana mumatambudziko ose hazvipo. Vabereki vanofanira kunyatsotevera mirayiridzo yechiremba uye usatarise mwana wavo kubudirira kwemishonga, iyo, maererano neshamwari, yakamubatsira mwana. Mabasa akadaro anogona kukuvadza mwana.
Inodonha munzeve ne otitis ne antibiotic
Iyi maitiro emishonga inoshandiswa zvakasimba pakurapa kwezvirwere zvekunzwa. Mushure mekuongororwa kwe otitis media, madonhiyoti madonhesi anowanzova nzvimbo yekutanga mudhipatimendi rekuchirapa vana. Pakati pemishonga inoshandiswa kubata vana:
- Neladex inobatanidza kugadzirira ine antibiotic uye inopesana nekuputika. Kare mushure mekutanga kuiswa, zviratidzo zvekuputika zvinoderera: kusuruvara kunoderera, kuzvikudza kunoderera. Izvi zvinokonzerwa nokuvapo kweglucocorticosteroid mumadonhwe. Mushonga unoshandiswa kurapa vana vakwegura, mushure memakore gumi nemaviri.
- Chiprofarm - mushonga unoreva fluoroquinolones. Iboka iri remishonga inorwisa mabhakitiriya rinovhara kukura uye kubereka kwezvirwere zvepachigoni (mabhakitiriya eGam-negative). Inoshandiswa kubva pazera remakore gumi nemashanu.
Kusimudzirwa mu otitis
Nekurapa kwevana, antibacterial zvinodhaka nenzira yekumiswa kunowanzoshandiswa. Izvi zvinokonzera kusununguka kwekugadzirisa uye kushandiswa kwemishonga. Mishonga inorwisa mabhakitiriya yakadaro ye purulent otitis inogona kurongerwa kurapwa kwechecheche. Pakati pemishonga inoshandiswa:
- Sumamed is macrolide yepamusoro. Mushonga wakabudiswa nenzira yekusimwa kunogona kushandiswa kubva pamwedzi 6. Mushonga une tambo inonakidza, saka vana vanoitora nemufaro. Nhamba inoverengerwa nachiremba achifunga nezvehutatu hwemuviri hwomwana. Tora mishonga 1 nguva pazuva.
- Augmentin inonzi semisynthetic drug. Yakashandiswa kurapa vana kubva pamwedzi mitatu. Tora katatu pazuva, muyero unoverengwa mumwe nomumwe.
- Supraks - inoreva cephalosporins. Inowanzoshandiswa kurapa otitis media yepakati nenzeve muvana vakwegura kudarika mwedzi mitanhatu. Nhamba uye nguva yakawanda yekugamuchirwa zvinogadzirirwa nevanachiremba.
Antibiotic mu mahwendefa
Antibiotic in otitis media mune vana vakwegura kudarika makore 6 inowanzorongerwa nenzira yehwendefa. Pakati pezvinodhaka zvinoshandiswa nokuda kwechinangwa ichi:
- Clacid is macrolide yepamusoro. Mifananidzo yakashandiswa ingashandiswa kurapa vana kubva pamakore matatu. Nhamba uye nguva yakawanda yekugamuchirwa inogadzirirwa mumwe nomumwe. Nguva yekubhabhatidzwa izuva remazuva mashanu, zvichienderana nekuoma kwechirwere.
- Amoxiclav - antibiotic ye penicillin, inomirira kusanganiswa kwe amoxicillin, penicillin, clavulanic acid. Mumatafura inoshandiswa kurapwa kwevana vanopfuura makore gumi nemaviri. Nhamba yacho inorongwa maererano nekurema kwemuviri mudiki.
Injections mu otitis
Mishonga inorwisa mabhakitiriya yekuputira nzeve mumwana nenzira yejojo ​​inoshandiswa apo kurapwa nemapiritsi uye kusimwa kwakashanda. Mishonga inorwisa mabhakitiriya yematitis inowanzoshandiswawo kana chirwere chacho chikawanikwa pachinzvimbo chekupedzisira - chinoda kutanga kwekutanga kwechirapa. Pakati pezvinodhaka zvinoshandiswa muchimiro chemhinduro yejojo:
- Ceftriaxone chikamu chechitatu cephalosporin, chinoshandiswa mumatomu akaoma, purulent otitis. Nhamba yacho inotarwa nechiremba. Mushonga unogona kushandiswa kubva pakuberekwa.
- Cefazolin - powder yekugadzirisa sarudzo yejojo. Inoshandiswa kubata vana kubva pamwedzi umwe.
- Cefipim - akasarudzwa mumatambudziko akasiyana. Dry dambudziko rekugadzirira kwekugadzirisa kwemawere (injections). Iro mishonga inorwisa mabhakitiriya ine ruzhinji rwemigumisiro. Mucheche nemucheche anopiwa mushonga muchipatara pasi peziso rakarindira rechiremba.