Nyob hauv tsab xov xwm, peb yuav txiav txim siab seb cov tshuaj txhaj tshuaj twg yog tshuaj rau angina.
Tonsillitis, feem ntau hu ua angina, yog ib qho mob ntawm lub caj pas uas yuav tsum tau siv txoj kev kho kom zoo.
Lub hauv paus ntawm kev kho mob yog, feem ntau, kev siv tshuaj tua kab mob. Lawv tau noj tsis tsuas yog qhov ncauj, tab sis kuj nyob rau hauv daim ntawv ntawm intramuscular txhaj. Kev txhaj tshuaj rau mob caj pas rau cov neeg laus thiab menyuam yaus tuaj yeem ua tau zoo heev.
Tonsillitis: kev piav qhia ntawm pathology
Angina yog ib qho mob hnyav ntawm cov kab mob sib kis. Nrog rau cov kab mob zoo sib xws, cov palatine tonsils feem ntau cuam tshuam, tab sis tus kab mob tuaj yeem kis mus rau lwm cov ntaub so ntswg laryngeal.
Nws yuav tsum tau muab sau tseg tias tonsillitis tuaj yeem tshwm sim los ntawm ntau yam kab mob - kab mob, kab mob, qee hom kab mob fungus.
Raws li txoj cai, tonsillitis tsim tawm tsam keeb kwm ntawm streptococci uas nkag mus rau hauv lub cev los ntawm tsev neeg lossis kev sib cuag. Kev tiv thaiv kab mob tshwm sim thaum tus neeg noj qab haus huv tau ntsib nrogtau kis kab mob. Nrog cov kab mob hauv tsev, cov kab mob thiab cov kab mob nkag mus rau tib neeg lub cev thaum nws nkag mus rau hauv cov khoom siv hauv tsev uas yav tas los siv los ntawm tus neeg mob.
Cov kab mob ua rau tonsillitis, hauv lawv tus kheej, yog cov neeg sawv cev ntawm cov kab mob pathogenic microflora.
Qhov no txhais tau hais tias yog ib tug neeg txoj kev tiv thaiv nyob rau hauv ib txwm muaj, ces cov kab mob no nkag mus rau tib neeg lub cev, tsis txhob ua phem rau nws.
Raws li kev cuam tshuam ntawm qee yam sab nraud thiab sab hauv (kev ua haujlwm tsis txaus ntawm lub cev tiv thaiv kab mob, endocrine pathologies, hypothermia), xws li microflora tau qhib. Hauv qhov no, mob tonsillitis pib tsim.
Kev siv cov tshuaj txhaj
Ib qho ntawm cov lus qhia rau kev teem caij txhaj tshuaj rau angina yog ib qho mob ntawm tus kab mob. Feem ntau, kev txhaj tshuaj yog nqa tawm intramuscularly.
Nws tsim nyog sau cia tias ntau tus kws tshaj lij sim siv cov tshuaj txhaj tshuaj thaum muaj xwm txheej hnyav, vim tias lawv muaj ntau yam tsis zoo, ntau tus neeg mob tau mob siab.
Kev txhaj tshuaj rau angina tuaj yeem raug sau los ntawm tus kws kho mob tshwj xeeb rau lub hom phiaj ntawm kev kho cov kab mob ntawm txhua daim ntawv, yog tias tus kab mob nrog cov teeb meem. Txawm li cas los xij, kev siv cov tshuaj zoo li no tau pom zoo, raws li txoj cai, nrog rau daim ntawv purulent thiab kab mob, nrog rau thaum tus neeg mob muaj cov tsos mob hauv qab no:
- Pom pom qhov mob ntawm lub pob ntseg tom qab thiab lub ncauj tsev menyuam cov qog nqaij hlav, muaj zog nce hauv lawv qhov loj.
- Kev txhim kho ntawm angina ntawm keeb kwm ntawm purulent sinusitischaracter.
- Kev txhim kho ntawm cov txheej txheem inflammatory ntau nyob rau ntawm qhov chaw ntawm lub larynx, ntawm cov tonsils.
- kub siab tshaj 39 degrees thiab siv cov tshuaj tua kab mob tsis zoo.
Kev teem sijhawm ntawm cov tshuaj txhaj tshuaj tsuas yog ua tau tom qab kev tshuaj xyuas tag nrho ntawm tus neeg mob, txij li nws yuav tsum xub txheeb xyuas hom kab mob uas ua rau muaj kev loj hlob ntawm angina. Txoj hauv kev no tso cai rau koj los sau cov tshuaj zoo tshaj plaws.
Nyob rau hauv kev kho mob angina nrog tshuaj tua kab mob hauv kev txhaj tshuaj thiab qhov tsis muaj qhov zoo, nws muaj peev xwm kho tau. Ntxiv mus, qee zaum, kev txhaj tshuaj yuav tsum tau hloov nrog cov tshuaj noj qhov ncauj.
Nyob rau qee qhov xwm txheej, tsis hais tus kab mob tonsillitis, tus kws kho mob tshwj xeeb yuav pom zoo kom qhia cov vitamins E thiab C.
Cia peb saib seb yog vim li cas cov tshuaj tua kab mob thiaj li muaj txiaj ntsig hauv kev txhaj tshuaj rau mob caj pas rau cov neeg laus thiab menyuam yaus?
Kev kho mob zoo
Nws tsim nyog sau cia tias ntau zaus, cov tshuaj tua kab mob penicillin - Ampicillin, Erythromycin, Oleandomycin - yog siv los kho tonsillitis.
Thaum cov kab mob hloov mus rau hauv cov kab mob purulent, cov tshuaj no qhia qhov ua tau zoo dua. Yog li ntawd, es tsis txhob ntawm lawv, kev siv tshuaj tua kab mob cephalosporin hauv kev txhaj tshuaj rau angina yog pom zoo.
Cov tshuaj tua kab mob kuj tuaj yeem siv qhov ncauj hauv daim ntawv ntsiav tshuaj, txawm li cas los xij, qhov ua tau zoo ntawm cov tshuaj txhajtshuaj tshwm sai dua.
Qhov no yog vim qhov tseeb tias lawv nkag mus rau hauv cov hlab ntsha tam sim ntawd, thiab tsis muaj qhov txo qis hauv cov ntsiab lus ntawm cov khoom nquag, xws li thaum siv cov ntsiav tshuaj - lawv tau nqus mus rau hauv cov ntshav los ntawm txoj hnyuv, thiab rau ntau heev. ntev.
Cia peb xav txog yam tshuaj txhaj tshuaj rau angina.
tshuaj ntau ntau
Muaj ntau yam tshuaj tua kab mob sib txawv uas tuaj yeem siv los kho tonsillitis.
Nws yuav tsum raug sau tseg tias txhua yam tshuaj tuaj yeem raug sau rau qee qhov qhia. Cov tshuaj feem ntau yog "Benzylpenicillin", "Amoxicillin", "Ceftriaxone", "Ciprofloxacin". Txawm li cas los xij, leej twg yuav tsum tau sau ntawv rau tus kws kho mob.
Txhaj "Ceftriaxone" rau angina
Cov tshuaj siv yog tias xav tau kev kho mob ntawm cov kab mob tonsillitis hnyav thiab yuav tsum siv tshuaj tua kab mob ceev ceev.
Ua kev kuaj tawv nqaij ua ntej kho nrog Ceftriaxone. Nws yuav qhia tus neeg mob qhov kev xav rau qhov tshwm sim ntawm kev tsis haum tshuaj rau kev tswj hwm ntawm cov tshuaj.
Lub ntsiab contraindications rau kev siv cov tshuaj no rau angina rau cov neeg laus intramuscularly yog: enteritis, colitis, cev xeeb tub nyob rau hauv lub peb hlis ntuj 1, lub raum thiab hepatic insufficiency.
Ceftriaxone thiab Lidocaine tshuaj mob yog siv los txhaj.
Kev siv "Lidocaine" yog qhov tsim nyog, txij li kev tswj hwm intramuscular ntawm ntshiab "Cefriaxone" tuaj yeem ua rau mob hnyav. Cov tshuaj tau sib xyaw ua ke ntawm 1 ml ntawm Ceftriaxone thiab 3.5 ml ntawm Lidocaine.
Yuav ua li cas lwm cov tshuaj txhaj tshuaj intramuscularly rau angina?
Amoxicillin
Raws li txoj cai, "Amoxicillin" yog siv ua ke nrog clavulanic acid. Nrog xws li kev sib xyaw ua ke, cov tshuaj tua kab mob zoo inhibits streptococci, txo cov tsos mob ntawm tus mob caj pas.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj yog contraindicated yog tias tus neeg mob muaj kev tsis haum tshuaj rau penicillin thiab cephalosporin tshuaj tua kab mob, nrog rau kev tsis haum rau carbapenems thiab monobactates.
Cov chaw tsim tshuaj paus tsim cov tshuaj nyob rau hauv daim ntawv ntawm cov hmoov npaj rau kev daws. Txhawm rau npaj nws, koj yuav tsum tau dilute cov hmoov tshuaj nrog dej txhaj tshuaj (20 ml ib koob tshuaj). Cov tshuaj yuav tsum tau muab tshuaj ib zaug ib hnub. Lub sijhawm siv tshuaj tua kab mob yog 2 lub lis piam.
Benzylpenicillin
Lub npe ntawm cov tshuaj yog benzylpenicillin sodium ntsev.
Cov tshuaj no kho mob caj pas. Cov tshuaj muaj peev xwm cuam tshuam rau feem ntau ntawm cov kab mob gram-zoo uas yuav ua rau muaj kev loj hlob ntawm angina.
Nws tsim nyog sau cia tias qee hom kab mob staphylococci tuaj yeem rhuav tshem cov khoom xyaw nquag ntawm cov tshuaj, ua kom cov penicillinase, ib qho enzyme uas tuaj yeem tawg.penicillins.
Tus neeg sawv cev tshuaj tua kab mob tau qhia 1-4 zaug hauv ib hnub ntawm koob tshuaj 250-500 txhiab units
Yog tias tus kab mob thib ob uas ua rau muaj teeb meem koom nrog tus mob caj pas, koob tshuaj tuaj yeem nce ntxiv raws li kev pom zoo ntawm tus kws kho mob. Qhov nruab nrab, kev kho mob kav 7-10 hnub. Qee zaum, nws yuav raug ncua.
Lub ntsiab contraindications rau kev siv ntawm cov khoom yog tej zaum ua xua tshwm sim.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev siv "Benzylpenicillin" tuaj yeem ua rau angioedema thiab anaphylactic shock. Hauv qhov no, ua ntej pib kho, tus neeg mob yuav tsum ua qhov kev sim ntawm daim tawv nqaij.
Kev kho nrog cov tshuaj no tuaj yeem ua ke nrog kev kho mob nrog cov tshuaj tiv thaiv kab mob - Levorin, Nystatin. Qhov xav tau rau kev kho cov kab mob fungal yog vim qhov tseeb tias kev siv "Benzylpenicillin" mus ntev tuaj yeem ua rau muaj kev loj hlob ntawm candidiasis.
YCiprofloxacin
"Ciprofloxacin" yog tshuaj tua kab mob uas muaj ntau yam teebmeem. Cov tshuaj muaj txiaj ntsig zoo tiv thaiv streptococci thiab staphylococci.
Cov tshuaj muaj ntau yam contraindications. Ntawm lawv: cev xeeb tub, hnub nyoog qis dua 5 xyoos, mob plawv mob, myocardial infarction, ischemic stroke. Nws tsis pom zoo siv rau kev kho mob ntawm cov neeg mob uas muaj kev puas siab puas ntsws, atherosclerotic manifestations, txhua lub plawv arrhythmias (bradycardia, arrhythmia).
Nws raug nquahu kom muab "Ciprofloxacin" ib hnub ib zaug, ntawm koob tshuaj 200 mg.
Nws yuav tsum tau muab sau tseg tias cov tshuajtuaj yeem ua rau muaj kev cuam tshuam loj heev, suav nrog: kev tso zis tsis zoo, dyspeptic tshwm sim, tsis qab los noj mov, cuam tshuam hauv kev ua haujlwm ntawm lub plawv, exacerbation ntawm mob caj dab, lub paj hlwb - tsis muaj kev pw tsaug zog, npau suav phem, fainting, mob migraines, thiab. raws li kev tsis pom kev.
Ntxiv rau, muaj qhov dav dav rau txhua qhov kev txhaj tshuaj rau purulent mob caj pas - intolerance rau cov nquag ua haujlwm lossis ib qho kev pabcuam uas yog ib feem ntawm cov tshuaj pom zoo.
Yog li ntawd, qhov ntau npaum li cas thiab hom tshuaj tua kab mob raug xaiv rau txhua tus neeg mob ib tus zuj zus thiab suav nrog qib ntawm tus neeg mob qhov kev pheej hmoo rau kev tsis haum tshuaj.
Kev txhaj tshuaj rau angina hauv menyuam yaus
Rau kev kho cov neeg mob hluas, siv tshuaj tua kab mob tsawg dua thiab nquag siv, txij li cov tshuaj tua kab mob siv los kho cov neeg laus tuaj yeem ua rau muaj kev fab tshuaj rau tus menyuam lub cev tsis taus.
Yog li, hom tshuaj txhaj rau angina feem ntau yog muab rau menyuam yaus? Ib qho ntawm feem ntau cov tshuaj rau tonsillitis yog ib qho tshuaj txhaj tshuaj rau intramuscular txhaj "Pantsef". Lub ntsiab active tshuaj nyob rau hauv lub composition ntawm cov tshuaj yog cefixime, uas belongs rau lub thib peb tiam ntawm cephalosporins..
"Pancef" muaj cov kab mob bactericidal. Nws tsis tsuas yog suppresses pathogenic microflora, tab sis kuj tiv thaiv nws.re-distribution and reproduction.
Cov kab mob hauv qab no uas tuaj yeem ua rau mob angina yog qhov nkag siab rau cov tshuaj no: Haemophilus influenzae, Morcasella, Salmonella, Streptococcus, Klebsiella, Shigella.
Cov tshuaj tsis zoo yog tias cov kab mob tshwm sim los ntawm enterococci lossis staphylococci. Tsis tas li ntawd, nws yog contraindicated yog hais tias tus me nyuam yuav tsim ib qho kev tsis haum tshuaj rau cov teebmeem ntawm nws cov Cheebtsam, raws li zoo raws li lub functionality ntawm lub raum, nyob rau hauv lub hnub nyoog ntawm 12 xyoo.
Nyob rau hauv cov xwm txheej zoo li no, cov menyuam yaus raug muab tshuaj tib yam, tab sis nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis ncua kev kawm.
Nws tseem tsim nyog xav txog tias kev txhaj tshuaj intramuscular ntawm "Pancef" tuaj yeem ua rau muaj cov tsos mob tsis zoo hauv qab no:
- Txo qis hauv qhov concentration ntawm leukocytes, neutrophils, platelets hauv cov ntshav.
- Interstitial nephritis.
- Kev ua txhaum ntawm lub plab. Qhov tshwm sim tseem ceeb ntawm cov kab mob no yog raws plab.
- Hemolytic anemia.
Thaum muab tshuaj no, qhov xav tau ntau npaum li cas yog xam raws tus menyuam hnub nyoog thiab lub cev hnyav. Cov neeg mob uas muaj hnub nyoog tshaj 12 xyoos, hnyav tshaj 50 kg, tau pom tias txhaj 200 mg ntawm cov tshuaj intramuscularly ob zaug ib hnub twg.
Yog tias tus menyuam qhov hnyav tsawg dua, yog li, suav nrog qhov hnyav ntawm cov kab mob pathology, cov koob tshuaj suav nrog raws li hauv qab no: rau txhua kg ntawm qhov hnyav, 3-9 mg ntawm Pancef yuav tsum tau siv.
Lwm cov tshuaj nrov siv los kho tus mob tonsillitis thaum yau yog Ceftriaxone. Cov menyuam yaus hnub nyoog qis dua 12 xyoos uas hnyav tshaj 50 kg yuav tsum tau noj ob zaug ib hnubtxhaj 1 gram ntawm cov tshuaj.
Yog tias tus menyuam hnyav dua thiab muaj hnub nyoog qis dua 12 xyoos, qhov koob tshuaj tau txiav txim siab ntawm tus nqi ntawm 40-100 mg ntawm cov tshuaj ib 1 kg ntawm qhov hnyav. Kev txhaj tshuaj yuav tsum tau ua ob zaug hauv ib hnub, faib tag nrho cov koob tshuaj txhua hnub hauv ib nrab.
Nws tsim nyog sau cia tias txoj kev kho, nyob ntawm qhov hnyav ntawm cov kab mob, tuaj yeem kav 7-10 hnub.
Ceftriaxone yog contraindicated nyob rau hauv cov ntaub ntawv hauv qab no:
- Ulcerative colitis ntawm qhov tsis tshwj xeeb.
- hom mob hnyav ntawm lub raum tsis zoo thiab kev ua haujlwm siab.
- Zoo, plab hnyuv uas tshwm sim thaum siv tshuaj tua kab mob.
- Beta-lactamate intolerance.
- YCholelithiasis.
- Hepatitis.
- Ntxhais hluas.
Nws feem ntau lees paub tias kev siv tshuaj tua kab mob rau kev kho mob tonsillitis yog ib txoj hauv kev txhim khu kev qha txhawm rau tshem tawm cov kab mob, tshwj xeeb tshaj yog nyob rau hauv kev kho cov neeg mob hluas, thaum lub cev nws tus kheej tseem tsis zoo tiv thaiv kab mob.
Txawm li cas los xij, cov tshuaj no yog cov tshuaj muaj zog, yog li lawv txoj kev siv ywj pheej raug txwv nruj heev. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab qhov ua tau zoo ntawm cov tshuaj tshwj xeeb hauv ib kis, thiab tsuas yog tom qab kev kuaj mob yuav tsum tau ua.
"Cefotaxime". Kev kho mob nta
Kuj nrov txhaj tshuaj "Cefotaxime" rau angina. Cov tshuaj no zoo nyob rau hauv yuav luag tag nrho cov mob ntawm purulent tonsillitis. Nws rhuav tshem ob qho tib si streptococci thiabstaphylococci, thiab txawm tias cov tshuaj tiv thaiv rau penicillins. Yog li ntawd, tau pib raws sijhawm, kev kho mob nrog lawv ib txwm muaj txiaj ntsig. Cov menyuam yaus uas hnyav txog 50 kg tau muab tshuaj rau hauv ib koob tshuaj ntawm 50-180 mg ib kg ntawm lub cev hnyav, muab faib ua 5-6 txhaj tshuaj. Cov neeg laus thiab menyuam yaus uas hnyav tshaj 50 kg yog muab 1 g ntawm cov tshuaj txhua 8-12 teev.
Qhov tsis zoo ntawm kev txhaj tshuaj rau tonsillitis
Cov kws tshaj lij pom zoo kom siv cov tshuaj txhaj tshuaj rau kev kho mob angina tsuas yog thaum muaj xwm txheej hnyav. Qhov no yog vim qhov tseeb tias txoj kev kho no muaj qee qhov tsis zoo. Ntawm lawv:
- Thaum qhia txog cov tshuaj muaj kev ua txhaum ntawm kev ncaj ncees ntawm daim tawv nqaij. Txhua yam, txawm tias me me rau ntawm daim tawv nqaij, tuaj yeem dhau los ua qhov rooj nkag rau cov kab mob uas tuaj yeem ua rau muaj kev txhim kho ntawm cov txheej txheem inflammatory.
- Thaum tus neeg ua haujlwm saib xyuas kev noj qab haus huv tsis ua raws li cov cai ntawm tshuaj tua kab mob, txawm tias rab koob txhaj tshuaj tuaj yeem ua rau muaj tus kabmob. Nyob rau hauv rooj plaub no, ib qho abscess tuaj yeem tshwm sim ntawm qhov chaw txhaj tshuaj.
- Txawm hais tias txoj kev txhaj tshuaj intramuscular yog yooj yim heev, koj tseem yuav tau ua lawv los ntawm kev hu rau tus kws kho mob tshwj xeeb. Txawm hais tias siv qhov ncauj npaj tsis tas yuav npaj tshwj xeeb.
- Cov tshuaj tua kab mob feem ntau yog mob heev. Cov kws tshaj lij pom zoo siv cov tshuaj no ua ke nrog Lidocaion lossis Novocain. Txawm li cas los xij, txawm tias qhov kev taw qhia notshuaj tuaj yeem ua rau mob hnyav rau tus neeg mob tau ob peb feeb.
Dhau li ntawm qhov no, nws tsim nyog nco ntsoov tias ntau tus neeg mob muaj kev ntshai ntawm kev txhaj tshuaj - txawm tias cov neeg laus. Hauv qhov no, cov kev ua haujlwm zoo li no tau suav tias yog kev ntxhov siab tsis yog rau cov neeg mob hluas xwb, tab sis kuj rau cov neeg laus.
Peb saib seb cov tshuaj twg yog txhaj rau angina.
