Tom qab muaj kev kis tus kab mob hnyav uas tshwm sim hauv cov kab mob ua pa sab saud, mob khaub thuas, kub taub hau, mob qhua pias, o ntawm cov sinuses feem ntau tshwm sim, uas hu ua sinusitis. Kev kho mob ntawm tus kab mob no yog complex. Cov tshuaj rau sinusitis yog muab los ntawm kws kho mob. Cov tshuaj muaj ob qho tib si hauv lub cev thiab hauv zos. Cov kev zoo sib xws yog siv los kho sinusitis - o ntawm maxillary sinuses.
kho rau Sinusitis thiab Sinusitis
Nyob rau theem pib, ob ntsiav tshuaj thiab tshuaj tsuag qhov ntswg yog siv rau kev kho mob ntawm sinusitis thiab sinusitis. Lawv tuaj yeem yuav yam tsis muaj daim ntawv xaj ntawm txhua lub tsev muag tshuaj. Cov nyiaj no pab daws cov tsos mob tseem ceeb ntawm tus kab mob. Tab sis lawv tsis kho qhov ua rau. Koj tuaj yeem siv cov tshuaj rau sinusitis thiab sinusitis ntawm koj tus kheej tsis pub dhau peb hnub. Nrog rau kev siv ntev, cov tshuaj yuav poob nws cov txiaj ntsig thiab ua rau muaj tus kab mob exacerbation. Yog tias tom qab peb hnub qhov ntswg qhov ntswg tsis ploj mus, ces koj yuav tsum nrhiav lwm yam tshuaj rau sinusitis.
Kev kho mobTus kws kho mob sinusitis tau sau tshuaj antihistamines. Cov tshuaj muaj peev xwm thaiv cov synthesis ntawm histamine, uas pab tshem tawm qhov o thiab txo qhov ntswg qhov ntswg. Tab sis qhov no tsuas yog ua haujlwm yog tias tus kab mob sinusitis yog qhov ua xua.
Los ntawm cov lus tawm tswv yim ntawm cov neeg mob nws ua raws li cov tshuaj tiv thaiv kab mob yuav tsum tau siv nrog ceev faj, tsis ua txhaum qhov ntau npaum li cas. Thaum sib cuam tshuam nrog lwm yam txhais tau tias, lawv muaj peev xwm txo tau qhov concentration ntawm kev mloog, nrog rau kev ceev ntawm cov tshuaj tiv thaiv.
tshuaj zoo rau sinusitis yog tshuaj tsuag los yog vasoconstrictor tee. Cov khoom xyaw tseem ceeb ntawm no yog pseudoephedrine thiab phenylephrine. Lawv zoo li ua rau cov hlab ntsha thiab cov hlab ntsha uas ua rau cov sinuses. Cov tshuaj tuaj yeem cuam tshuam rau cov ntshav siab, yog li cov neeg uas muaj ntshav siab yuav tsum tau nrog kws kho mob tham ua ntej siv lawv. Nws yuav kho qhov ntau npaum li cas los yog pom zoo rau lwm txoj kev.
Kev kho mob sinusitis nrog tshuaj tua kab mob
Yog tias tus kab mob tseem nyob, tus kws kho mob tau sau tshuaj tua kab mob. Ua ntej qhov no, kev tshawb fawb ntawm kev tso tawm yog qhov yuav tsum tau ua, qhov hnyav ntawm tus kab mob yog ntsuas. Cov tshuaj rau sinusitis nyob rau hauv cov neeg laus muaj ib tug txawv spectrum ntawm kev ua.
Kab mob me tsis xav tau tshuaj tua kab mob. Yog hais tias tus kab mob kis tau los ntawm qhov ntswg, ces cov tshuaj tua kab mob yuav tsis muaj txiaj ntsig. Yog hais tias qhov ntswg qhov ntswg txuas ntxiv rau ntau tshaj kaum hnub, ces feem ntau yuav muaj kab mob sib kis tau koom nrog, kev kho tshuaj tua kab mob raug sau tseg.
ThaumNtawm qhov mob hnyav ntawm tus kab mob, tus kws kho mob tau sau ntawv "Amoxicillin" lossis "Amoxicillin-clavulanate". Yog tias peb sib piv ob cov tshuaj no, tom qab ntawd hauv xyoo tas los no, kev nyiam yog nce ntxiv rau yav tom ntej. Vim yog cov ntsiab lus ntawm clavulanic acid, nws qhov kev ua tau zoo dua. Lwm txoj hauv kev suav nrog macrolides, cephalosporins, fluoroquinolones thiab tetracyclines.
Nyob rau hauv cov xwm txheej hnyav, ib qho tshuaj tiv thaiv-tiv thaiv penicillin yog siv rau parenterally - nws tuaj yeem yog "Ampicillin-sulbactam", "Amoxicillin-clavulanate". Kuj tseem siv tau yog cephalosporins ntawm tiam 2 thiab thib 3 - cov no yog Cefotaxime, Cefuroxime, Cefoperazone. Yog tias muaj ib tus neeg intolerance, ces cov tshuaj beta-lactams - "Chloramphenicol" lossis "Ciprofloxacin".
Txoj kev kho mob, tag nrho cov chav kawm yog sau los ntawm kws kho mob.
Kev nqus pa
Nyob rau hauv txoj kev kho mob ntawm sinusitis thiab sinusitis, inhalations yog dav siv. Txoj kev no ib leeg tsis muaj peev xwm tiv tau tus kab mob. Kev nqus pa pab txhawm rau tshem tawm cov tsos mob hauv zos nkaus xwb, nws tsis tshem tawm qhov tseem ceeb ntawm kev kis kab mob. Muaj kev pheej hmoo siab ntawm tus kab mob ua rau mob ntev, yog li cov tshuaj kho sinusitis yuav tsum tau siv ob qho tib si hauv zos thiab ua ke.
Rau inhalations, infusions lossis decoctions ntawm cov nroj tsuag tshuaj feem ntau yog siv. Yog tias peb xav txog cov kev tshuaj xyuas ntawm cov neeg mob, ces peb tuaj yeem txiav txim siab tias eucalyptus, chamomile, sage, thyme, St. John's wort yog suav tias yog qhov zoo tshaj plaws. Lawv muaj cov kab mob bactericidal, muaj mucolyticthiab anti-inflammatory kev txiav txim. Cov tshuaj ntsuab siv ob leeg ib leeg thiab hauv kev sau.
Yog tias tus neeg mob tsis muaj kev fab tshuaj, ces cov roj tseem ceeb thiab propolis tuaj yeem nqus tau. Inhalation ntawm vapors muaj ib tug tonic thiab bactericidal nyhuv ntawm lub cev thaum lub sij hawm sinusitis.
Koj yuav tsum paub tias cov hnoos qeev loj hauv qhov ntswg tiv thaiv kev nkag mus ntawm cov vapors zoo. Yog hais tias qhov ntswg mob heev, tee los yog vasoconstrictor ntsiav tshuaj yuav tsum tau siv ua ntej tus txheej txheem.
Contraindications rau inhalation
Nws tsim nyog xav txog cov contraindications uas muaj nyob rau kev nqus pa:
- mob hnyav.
- Kub kub.
- Cov menyuam yaus hnub nyoog qis dua 5.
- Nyob los ntshav.
- Asthma.
- Circulatory ntshawv siab.
Ib lub tshuab nqus tsev yog siv rau kev nqus pa hauv tsev. Nyob rau hauv nws, cov kua tshuaj hloov mus ua vapor. Nyob rau hauv lub nebulizer, koj muaj peev xwm sau lub capsules nrog tshuaj, decoctions ntawm tshuaj ntsuab. Cov roj tseem ceeb tsis tuaj yeem siv rau hauv cov cuab yeej no. Yog tias qhov nqus tau ua tiav hauv tsev kho mob, nws yuav tsum nco ntsoov tias tom qab cov txheej txheem nws tsis xav tau tawm mus rau qhov qhib cua rau ib teev. Yog hais tias inhalations yog qhia rau sinusitis nrog ib tug nebulizer, dab tsi tshuaj nqa tawm nrog, tus kws kho mob yuav pom zoo.
Yog tias peb piv cov tshuaj rau kev nqus pa, tom qab ntawd raws li cov neeg mob kev tshuaj xyuas, peb tuaj yeem txiav txim siab tias qhov nrov tshaj plaws yog cov tshuaj hauv cov tshuaj ntsiav. Yooj yim siv thiab raugsuav ntau npaum li cas ua rau muaj txiaj ntsig zoo.
Kev nqus pa kom raug
Yuav kom nqus tau cov txiaj ntsig zoo tshaj plaws, koj yuav tsum ua raws li cov lus pom zoo hauv qab no:
- Ua ntej tus txheej txheem, ntxuav koj cov sinuses kom zoo.
- Hais hauv qhov ncauj, pa tawm ntawm qhov ntswg.
- nqus cov tshuaj vapor ua tib zoo kom tsis txhob ua mob rau cov mucous.
- txheej txheem yog ua ob zaug: thaum sawv ntxov thiab yav tsaus ntuj.
- Kev kawm nruab nrab yog 7 mus rau 10 hnub.
Thaum sinusitis yuav tsum tsis txhob ua pa tsis muaj kws kho mob. Tus kws kho mob yuav txiav txim seb puas muaj contraindications rau cov txheej txheem, sau cov tshuaj tsim nyog.
Sinusitis: nebulizer inhalation (tshuaj)
Thaum nqus tau nrog lub tshuab nqus tsev, cov tshuaj, tawg mus rau qhov me me, tuaj yeem nkag mus rau hauv cov chaw nyob deb tshaj plaws. Ntau yam tshuaj siv. Peb teev cov tshuaj kho mob sinusitis nrov tshaj plaws raws li cov neeg mob tshuaj xyuas:
Combined:
- "Tonzilong N" - tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob.
- "Rinofluimucil" yog vasoconstrictor thiab secretolytic khoom. Accelerates rov qab mucous daim nyias nyias.
- "Polydex" - piv nrog cov npe tshuaj muaj cov tshuaj hormonal (dexamethasone), nrog rau ob hom tshuaj tua kab mob. Nws muaj anti-inflammatory, antibacterial thiab tib lub sijhawmvasoconstrictor kev txiav txim.
tshuaj tua kab mob tshuaj:
- "Gentamicin".
- Y"Bioparox".
- "Isofra.
- "Tobramycin".
- "Streptomycin".
- "Dioxidine".
Immunostimulants:
- "Derinat".
- "Interferon".
Cov lus qhia rau kev coj
Ua ntej nqus tau nrog lub nebulizer, nws yuav tsum tau sau rau hauv 2 ml ntawm cov kuab tshuaj. Tom qab ntawd, noj cov tshuaj rau sinusitis thiab ntxiv ntau tee raws li kws kho mob pom zoo. Tsis txhob siv cov dej distilled ua cov kuab tshuaj, nws tuaj yeem ua rau hnoos. Nws yog qhov zoo dua los noj saline (saline tov) thiab sov li 18-19 degrees.
Koj tuaj yeem ua tiav cov txheej txheem ob teev tom qab ua haujlwm lub cev. Ua ntej tus txheej txheem, nws yog txwv tsis pub haus luam yeeb thiab haus cawv. Yog tias expectorants tau raug sau tseg, nws yog ib qho tsim nyog yuav tsum tsis txhob siv lawv. Thaum lub sijhawm ua haujlwm, koj yuav tsum ua pa maj mam thiab sib npaug.
kev kho mob
Yuav siv tshuaj dab tsi los kho sinusitis hauv kev kho mob nyuaj? Ntawm no, cov tshuaj muaj qhov sib txawv. Thiab yuav ua li cas cov neeg mob teb, txoj kev kho nyuaj, piv nrog rau hauv cheeb tsam, tiv thaiv tus kab mob zoo dua.
Mucolytics nyias clots nyob rau hauv maxillary sinuses thiabtxhawb kev tso tawm ntawm mucus.
Antimicrobial agents nquag tua cov kab mob.
Corticosteroids yog siv rau cov kab mob hnyav thaum lwm yam kev kho mob ua tsis tiav.
tshuaj Antihisamine txo qhov o, khaus, thiab lwm yam tsos mob ntawm kev tsis haum tshuaj.
Moisturizers tiv thaiv cov plua plav thiab lwm yam impurities los ntawm qhov ntswg kab mob.
Tshuaj
Mucolitic tshuaj rau sinusitis:
- "Fluditec".
- "Mukodyn".
- "Fluimucil".
Kev npaj muaj nyob rau hauv daim ntawv ntawm kev ncua lossis kua qab zib rau menyuam yaus. Rau cov neeg laus nyob rau hauv daim ntawv ntawm cov tshuaj ntsiav, ntsiav tshuaj, effervescent soluble ntsiav tshuaj. Xam cov koob tshuaj, suav nrog hnub nyoog thiab qhov hnyav ntawm tus neeg mob.
Cov tshuaj "Sinupret", uas tau txais ntau qhov kev tshuaj xyuas zoo, muaj cov nyhuv nyuaj, suav nrog mucolytic. Nws relieves mob, kub taub hau thiab o. Nws yog raws li cov khoom xyaw tshuaj ntsuab.
Kev kho mob nrog tshuaj tiv thaiv yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob. Cov tshuaj no tshem tawm cov tsos mob ntawm kev ua xua, tab sis tib lub sij hawm ua kom cov hnoos qeev thiab ua kom cov mucous qhuav.
Sinusitis cov tshuaj - corticosteroids - tau zoo nyob rau hauv cov ntaub ntawv hnyav tshaj plaws. Txhawm rau txo cov kev mob tshwm sim, cov tshuaj hormonal nyob rau hauv daim ntawv ntawm cov tshuaj tsuag qhov ntswg yog siv. Common yog txhais tau tias muaj nyob rau hauv lawv muaj pes tsawg leegbeclomethasone.
Ntau tus neeg mob, tau txais kev tshoov siab los ntawm kev tshaj tawm, nquag siv Nasonex hauv kev kho mob sinusitis. Tab sis nws yog tsim nyog sau cia hais tias, nyob rau hauv kev sib piv nrog rau lwm yam tshuaj, qhov kev kho no tsuas yog pab nrog ib tug los ntswg qhov ntswg, uas yog allergic rau hauv cov xwm. Yog hais tias tus kab mob yog bacteriological, ces Nasonex tsuas yog ib ntus tshem tawm cov tsos mob.
kev kho mob nyuaj
Cov kws tshuaj niaj hnub nthuav qhia ntau yam kev kho mob rau kev kho mob khaub thuas. Raws li cov txheej txheem ntawm tus kab mob, nws cov degree ntawm complexity, tsuas yog ib tug kws kho mob thiaj li muab tshuaj kho rau rhinitis thiab sinusitis. Kev kho mob tuaj yeem siv ua ib lossis ntau yam tshuaj.
Vasoconstrictors. Cov tshuaj nrov tshaj plaws thiab tsim nyog. Sai sai tshem tawm congestion, restore patency thiab xyuas kom meej lub outflow ntawm mucus. Cov kev kho mob zoo li no tsis tshem tawm qhov ua rau ntawm tus kab mob, tab sis tsuas yog coj kev pab ib ntus xwb. Nws tsis pom zoo kom siv tshuaj pleev, tshuaj tsuag, tee rau lub sijhawm ntev. Nws tuaj yeem siv 3-5 hnub 2-3 zaug hauv ib hnub. Tom qab ntawd, yuav tsum tau so.
tshuaj tiv thaiv kab mob rau lub cev lossis hauv zos. Tshem tawm cov tsos mob ntawm o ntawm sinuses thiab larynx. Cov no suav nrog cov tshuaj tiv thaiv kab mob, corticosteroids, thiab tshuaj tua kab mob. Kev siv ib txhij ntawm cov tshuaj tiv thaiv kab mob los ntawm ntau pawg tsis pom zoo. Hauv txhua kis, tus kws kho mob xaiv cov tshuaj twg yog qhov zoo tshaj plaws los siv.
Secretomotor thiab cov tshuaj mucolytic ua ke. Raws li kev cuam tshuam ntawm cov tshuaj no, kev ua haujlwm ntawm ciliated epithelium yog txhim kho. nwspab tshem tawm qhov ntswg qhov ntswg los ntawm cov hnoos qeev.
Tshuaj tua kab mob tsis siv yog sinusitis, sinusitis tsis purulent. Nyob rau hauv rooj plaub no, thaum muaj txiaj ntsig zoo ntawm qhov ntswg qhov ntswg, tshuaj tua kab mob tuaj yeem ua rau lwm yam kabmob, yog li cov tshuaj yuav tsum tau siv nrog ceev faj heev.
Nyob
Ib lo lus tshwj xeeb yuav tsum tau hais txog cov tee, vim rau sinusitis, sinusitis, nws yog nyob rau hauv daim ntawv no uas siv tshuaj feem ntau. Piv nrog rau cov ntsiav tshuaj, tee muaj ntau yam zoo. Lawv ua haujlwm hauv zos thiab ua rau muaj kev zoo siab sai sai. Yam tsawg kawg ntawm cov khoom nquag nkag mus rau hauv cov hlab ntsha. Cov kev mob tshwm sim tsis tshua muaj heev.
Tab sis lub ntsiab lus tseem ceeb yog qhov kev tiv thaiv vasoconstrictor poob sai heev, tom qab 3-5 hnub. Yog li ntawd, nrog rau cov tee, nws yog ib qho tsim nyog yuav tau siv cov tshuaj ntev dua, txawm tias qeeb, ua haujlwm. Tus kws kho mob sau ntawv kho mob.
Cov tee ntau tshaj: Naphthyzin, Nazivin, Sanorin, Galazolin.
