Tuberculosis yog ib yam kab mob sib kis los ntawm mycobacteria (Koch's bacillus) nrog rau qhov chaw nquag tshaj plaws ntawm kev tshwm sim hauv lub ntsws. Kev kho mob ntawm pathology yuav tsum muaj kev dav, txuas ntxiv, suav nrog ntau yam tshuaj tiv thaiv kab mob, suav nrog kev nkag siab ntawm cov kab mob.
Drug group
Txhua yam tshuaj rau tuberculosis yog ib feem ntawm ib pawg tshuaj. Qhov kev faib tawm no yog ua raws cov tshuaj muaj pes tsawg leeg, kev ua haujlwm kho mob thiab kev ua siab ntev rau tus neeg mob:
- thawj kab ("Isoniazid", "Rifampicin") - qhov zoo tshaj plaws;
- kab thib ob ("Streptomycin", "Kanamycin") - kev ua haujlwm nruab nrab;
- thib peb kab ("Thioacetazone", "PASK") - tsis zoo.
Cov tshuaj muaj txiaj ntsig zoo tau siv ntau zaus, sib txuas txhua tus nrog tshuaj los ntawm lwm pab pawg. Tus so ntawm cov tshuaj rau tuberculosis yog hu ua cia. Lawv siv nyob rau hauv rooj plaub uastus kab mob no tiv taus thawj kab active tshuaj.
Isoniazid
Cov tshuaj "Isoniazid" yog siv los kho cov neeg laus thiab menyuam yaus. Nws qhov kev txiav txim yog qhia rau cov active daim ntawv ntawm cov kab mob. Nrog rau mycobacteria thaum so, nws tsis muaj txiaj ntsig. Lub plhaub ntawm Koch's wand muaj mycolic acid, cov synthesis ntawm uas yog inhibited los ntawm cov tshuaj.
"Isoniazid" - kev kho rau tuberculosis ntawm txhua qhov chaw thiab cov ntaub ntawv. Cov koob tshuaj raug xaiv ib tus zuj zus, nyob ntawm seb tus neeg sawv cev twg tus kws tshaj lij pom zoo kom muab cov tshuaj nrog.
- "Isoniazid" + "Rifampicin" - chav kho mob yuav siv sijhawm li 6 lossis 8 lub lis piam. Cov tshuaj noj ib hnub ib zaug thaum sawv ntxov ntawm lub plab khoob.
- "Isoniazid" + "Thioacetazone".
- "Isoniazid" + "Rifampicin" + "Pyrazinamide" - hauv kev sib xyaw zoo sib xws, cov tshuaj hu ua "Rifater". Thov 2 lub hlis ib hnub, txhim kho kev kho mob nrog "Streptomycin" lossis "Ethambutol".
- "Isoniazid" + "Ethambutol" - tshuaj rau tuberculosis raws li kev kho mob.
Rifampicin
Cov yam ntxwv ntawm cov tshuaj "Rifampicin": cov lus qhia rau kev siv (tus nqi ntawm cov khoom yog hais txog 200 rubles) qhia tau hais tias cov tshuaj muaj txiaj ntsig zoo tua cov kab mob mycobacteria hauv thaj chaw cuam tshuam, mus txog qhov siab tshaj plaws nyob rau ntawd. Cov kab mob ua rau tuberculosis sai sai rau nwstau siv rau, vim hais tias ntawm cov tshuaj yog txwv. Tsis txhob siv thaum pub niam mis vim nws nyiam nkag mus rau hauv cov kua mis ntau ntau.
"Rifampicin", cov lus qhia rau kev siv, tus nqi uas tau qhia nyob rau hauv cov chaw muag tshuaj tshwj xeeb, muaj kev phiv tshwm sim los ntawm cov xwm txheej hauv qab no:
- cephalgia (mob taub hau);
- rov qab raum tsis ua haujlwm (lub raum ua haujlwm rov qab los tom qab siv tshuaj kawg);
- kev tsis haum;
- dyspeptic tshwm sim - ntuav, raws plab, tsam plab;
- pom qhov tsis pom kev;
- Hloov pauv hauv qhov ntsuas ntsuas ntawm cov ntshav peripheral.
YPara-aminosalicylic acid
"PASK" yog tshuaj tua kab mob raws li aminosalicylic acid. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tshuaj, granules. Cov koob tshuaj niaj hnub muab faib ua 3 koob tshuaj, noj nrog mis nyuj, dej ntxhia, dej qab zib tsis muaj zog. Qee zaum, tus kws kho mob tau sau cov tshuaj txhua hnub hauv ib koob.
Cov tshuaj tsis yog tshuaj los ntawm nws tus kheej, tsuas yog ua ke nrog lwm cov tshuaj tiv thaiv kab mob. Muaj feem cuam tshuam rau cov kab mob uas nyob hauv lub xeev nquag. Kev tiv thaiv ntawm mycobacteria rau cov tshuaj nquag siv tsis tau tsim.
Y"Pyrazinamide"
Cov tshuaj tua kab mob ntsig txog cov tshuaj hluavtaws thib ob. Nws yog siv nyob rau hauv ua ke kev kho mob ntawm tuberculosis ntawm tej localization. Kev siv "Pyrazinamide" thaum cev xeeb tub thiab lactation yog ua tau yog tias mycobacteria tiv taus lwm yam tshuaj zoo dua.
Ib hlis ib zaug, theem ntawm transamiases thiab muaj uric acid nyob rau hauv cov ntshav yuav tsum tau saib xyuas thaum lub sij hawm ntev kev kho mob nrog tshuaj. Contraindications rau kev siv yog:
- tus neeg mob siab rau cov tshuaj nquag;
- mob hnyav ntawm lub raum;
- organic daim siab pathology.
YFluoroquinolones
Ib pawg tshuaj yog siv los ua kev kho etiotropic. Cov khoom lag luam muaj cov kab mob bactericidal, cuam tshuam rau mycobacteria ob qho tib si thaum so thiab thaum lub sijhawm ua haujlwm.
"Ciprofloxacin" raug pom zoo ua ke nrog lwm cov tshuaj tiv thaiv kab mob TB. Qhov siab tshaj plaws concentration nyob rau hauv lub cev yog mus txog nyob rau hauv ob peb teev tom qab noj. Tej zaum yuav ua rau dyspeptic ntshawv siab, cephalalgia, ntxhov siab vim, ua xua tshwm sim, tsis pom kev acuity.
"Ofloxacin" yog tshuaj tua kab mob uas cuam tshuam rau qhov chaw ntawm DNA hauv cov kab mob cell. Muaj nyob rau hauv cov ntsiav tshuaj thiab tshuaj rau infusion. Cov koob tshuaj txhua hnub yog noj hauv ob koob tshuaj ntawm 12 teev ib ntus. Qhov no tso cai rau koj los saib xyuas qhov xav tau ntawm "Ofloxacin" hauv lub cev.
"Lomefloxacin" yog ib qho tshuaj zoo nrog yuav luag 100% bioavailability. txhais tau tias"interferes" nrog DNA saw ntawm cov kab mob, hloov nws qhov chaw nyob rau hauv lub cell. Contraindicated thaum cev xeeb tub, lactation, menyuam yaus hnub nyoog qis dua 18.
tshuaj tshiab
Kev tsim kho tshiab hauv thaj chaw ntawm phthisiology yog txuam nrog kev txhim kho cov tshuaj tiv thaiv kab mob zoo heev, qhov rhiab heev ntawm cov kab mob uas yuav tsis txo qis rau lub sijhawm ntev.
Tshiab tuberculosis tshuaj:
- "Perchlozone" - cov tshuaj muaj toxicity tsawg rau tib neeg lub cev, txawm li cas los xij, kev ua haujlwm siab tiv thaiv mycobacteria. Contraindications muaj xws li cev xeeb tub, lactation, thaum yau, ib tug neeg hypersensitivity, pathology ntawm lub raum thiab daim siab.
- "Mikobutin" yog ib qho derivative ntawm cov tshuaj tua kab mob rifabutin siv los kho cov mob ntev ntawm cov neeg mob uas tiv taus "Rifampicin". Nws yog siv tsis tau tsuas yog raws li kev kho mob, tab sis kuj rau kev tiv thaiv ntawm tus kab mob.
- "Bedaquiline" ("Sirturo") yog ib qho cuab yeej tshiab uas txwv kev tsim cov enzymes tseem ceeb los ntawm Mycobacterium tuberculosis. Siv tau tom qab 3 lub hlis ntawm kev kho mob (rau kev sib piv: lwm yam tshuaj qhia tau tshwm sim tom qab 1.5-2 xyoos), muab cov txiaj ntsig tsis zoo.
Kev mob tshwm sim ntawm kev kho mob
Qhov tshwm sim ntawm cov kev mob tshwm sim yog vim qhov tseeb tias cov tshuaj siv tau cuam tshuam rau cov txheej txheem metabolic uas tshwm sim hauv tus neeg mob lub cev, thiab tseem ua rau kev txhim kho hypo- lossisberiberi, teeb meem ntawm cov txheej txheem redox.
Cov kev mob tshwm sim feem ntau:
- hnov tsis hnov;
- peripheral polyneuritis;
- ua txhaum txoj haujlwm ntawm lub cev thiab lub cev;
- kev tsis haum;
- dysbacteriosis;
- candidiasis;
- dyspepsia.
Ib qho kev tshwm sim tshwj xeeb yog cov tshuaj tiv thaiv Jarisch-Herxheimer - cov lus teb ntawm tus neeg mob lub cev rau kev puas tsuaj loj ntawm mycobacteria hauv thawj ob peb hnub txij li pib kho.
tshuaj kho tuberculosis
Nrog rau kev kho mob mus sij hawm ntev, cov neeg mob tau npaj txhij los sim txhua txoj kev, tsuav yog lawv ua kom cov txheej txheem kho kom zoo. Ntau yam zaub mov txawv paub tias txhim kho kev siv tshuaj kho tau zoo.
Ncuav ib tablespoon ntawm birch buds nrog 2 khob ntawm diluted cawv los yog vodka. Infuse kom txog thaum cov tshuaj tau txais cov xim cognac. Noj ib tablespoon 3 zaug ib hnub twg thaum kho.
Yaug cov nplooj reed, ntws thiab chop ua 3 tablespoons. Ncuav 2 khob dej, boil rau 5-7 feeb. Insist thiab strain. Haus 1/2 khob kua ua ntej noj mov.
Badger rog, zib ntab thiab walnut yog pej xeem tshuaj rau tuberculosis, qhov ua tau zoo ntawm qhov yog nyob ntawm kev sib xyaw kom raug. Cov txiv ntoo yog crushed thiab cov rog yog yaj. Tag nrho cov khoom xyaw yog tov nyob rau hauv sib npaug proportions. Cov sib tov yog muab tso rau hauv lub qhov ncauj thiab tuav kom txog thaum nwsyuav yaj.
Pine lossis spruce SAP yog nchuav nrog cawv 2-2.5 cm siab dua thiab npog nrog lub hau. Tom qab ob peb hnub, cov tshuaj yuav ua homogeneous. Melted nqaij npuas rog thiab linden zib ntab yog ntxiv rau nws nyob rau hauv tib tus nqi. Noj ib teaspoon peb zaug ib hnub twg rau rau lub hlis.
Nws yuav tsum nco ntsoov tias kev siv txhua txoj kev thiab tshuaj yuav tsum tau ua raws li kev saib xyuas ntawm tus kws tshaj lij.
