Pathology ntawm cov kab mob urinary yog ib qho ntawm ntau zaus. Cov tshuaj tua kab mob hauv lub raum yog siv los tshem tawm cov kab mob microflora, pab tshem tawm cov tsos mob ntawm intoxication thiab txo qhov ua txhaum ntawm cov ntaub so ntswg parenchymal. Cov tshuaj yuav tsum tau xaiv los ntawm tus kws kho mob nkaus xwb.
raum mob
Nephritis yog lub raum mob, lub tswv yim nyuaj uas suav nrog ob hom kab mob raum: glomerulonephritis thiab pyelonephritis. Cov kab mob ntawm cov kab mob genitourinary yog tus cwj pwm los ntawm kev ua txhaum ntawm cov txheej txheem los yog tsim cov kab noj hniav ntawm cov kua paug hauv cov ntaub so ntswg parenchymal. Feem ntau ntawm tag nrho cov, cov poj niam muaj feem xyuam rau inflammatory kab mob ntawm lub raum, vim hais tias lawv muaj ib tug tshwj xeeb anatomical qauv. Jades nyob rau hauv cov txiv neej feem ntau tshwm sim nyob rau hauv lub xub ntiag ntawm ib tug kis mob.
Yuav ua li cas tshuaj tua kab mob rau lub raum mob yog nthuav rau ntau.
Cov txheej txheem mob tshwm sim nrog mob, cov cim qhia ntawm kev qaug cawv,ua txhaum ntawm lub filtration thiab excretory muaj peev xwm ntawm lub raum. Nrog rau kev kho tsis raws sijhawm, lawv txhim kho mus rau hauv daim ntawv mob ntev, uas los ntawm lub sijhawm rau lub sijhawm yog tus cwj pwm los ntawm exacerbations thiab lub sijhawm ntawm kev ntsiag to. Cov txheej txheem pathological npog cov kab mob ntawm cov urinary system: ducts, zais zis, nyob rau hauv uas urethritis, cystitis tsim, feem ntau muaj ib tug ua ke ntawm cov kab mob ntawm lub genitourinary system. Qhov kev txiav txim siab ntawm qhov tseem ceeb ntawm qhov mob, nrog rau kev tsim cov khoom tsim tawm, dhau los ua txoj haujlwm ntawm tus kws kho mob thiab xav tau rau kev kho mob nephritis ntawm ntau lub hauv paus chiv keeb.
Cov tsos mob ntawm tus txheej txheem kis yog vim qhov nkag ntawm cov kab mob microflora. Qhov twg cov kab mob tsis zoo nyob hauv cheeb tsam, qhov ua kom pom tseeb, qhov o yog tsim. Cov qauv ntawm ob lub raum tsis tshua muaj kev ua haujlwm, cov kab mob urinary raug kev txom nyem, thiab cov duab kho mob muaj cov tsos mob tshwm sim thiab cov kab mob urinary outflow. Lub xub ntiag ntawm cov kab mob yuav tsum tau siv cov tshuaj tua kab mob tshwj xeeb uas muaj txiaj ntsig zoo tiv thaiv ib hom kab mob.
Ntau hom tshuaj tua kab mob
Txhua yam tshuaj tua kab mob raug cais raws li kev ua haujlwm tiv thaiv kab mob:
- Cov kab mob dav dav tuaj yeem cuam tshuam ntau hom kab mob pathogenic.
- Cov tshuaj nqaim nqaim yog siv los rhuav tshem cov kab mob ntawm cov kab mob tshwj xeeb.
Txhua yam tshuaj tua kab mob raumCov tshuaj muaj pes tsawg leeg tau muab faib ua ob peb pawg loj, txhua tus muaj nws tus kheej cov khoom tshwj xeeb, tshwj xeeb ntawm kev cuam tshuam thiab cov yam ntxwv pharmacological. Lub ntsiab lus ntawm kab mob raum inflammatory yog ua raws li thawj kab (tsis tshua muaj toxicity) los yog kab thib ob (siab toxicity) tshuaj tua kab mob, nrog rau kev nyiam muab rau cov tshuaj muaj kev nyab xeeb tshaj plaws.
Aminoglycosides
Cov tshuaj tua kab mob hauv lub raum no muaj tshuaj lom thiab tsis tshua muaj zog. Lawv raug sau tseg yog tias tus kab mob nyob rau hauv daim ntawv siab, tsis xav tau rau cov neeg laus thiab menyuam yaus. Cov kab mob tuaj yeem tiv taus cov tshuaj tua kab mob no, thiab yog li ntawd lawv txoj kev siv ib txwm txwv tsis pub dhau lub sijhawm (hauv ib xyoos), tom qab ntawd kev siv cov tshuaj aminoglycoside tsis tuaj yeem ua rau muaj txiaj ntsig. Lawv nyob rau theem thib ob ntawm cov tshuaj tua kab mob, lawv raug sau tseg thaum tsis muaj txiaj ntsig ntawm kev kho mob nrog lwm cov tshuaj. Tsis siv yog tias tus neeg mob tau kuaj pom lub raum tsis ua haujlwm.
Carbapenems
Cov tshuaj tua kab mob raum no tau sau ntau zaus.
Cov tshuaj tua kab mob tseem ceeb tau pom nyob rau hauv kev sib raug zoo rau streptococci thiab staphylococci, uas yog cov kab mob feem ntau ua rau mob raum mob.
Cov kab mob tsis tuaj yeem tiv taus lawv, yog li kev kho mob tau siv sijhawm ntev yog tias muaj kab mob ntev. Hauv cov poj niam cev xeeb tub, thaum siv kerbapenems, muaj peev xwm tsim tauintrauterine kev loj hlob tsis zoo ntawm tus me nyuam, yog li ntawd, thaum lub sij hawm cev xeeb tub, cov pab pawg neeg ntawm cov tshuaj no yog txwv. Raws li qib ntawm toxicity, lawv yog cov tshuaj ntawm qhov tseem ceeb thib ob.
YFluoroquinolones thiab quinolones
Rau tus neeg mob, lawv tsis muaj tshuaj lom, tiv thaiv ntau yam kab mob kab mob thiab suav nrog hauv cov npe tshuaj thawj kab hauv kev kho mob raum kab mob. Cov tshuaj muab cov txiaj ntsig zoo yog tias tus kab mob no ntev, nrog rau kev txiav txim siab ntawm cov kab mob. Feem ntau thawj tiam ntawm fluoroquinolones ua rau muaj kev fab tshuaj rau tus neeg mob, cov tshuaj tua kab mob niaj hnub no muaj kev nyab xeeb dua rau tib neeg.
Yuav ua li cas lwm yam tshuaj tua kab mob uas kuv yuav haus tau rau lub raum thiab zais zis?
YCephalosporins
Cov kws kho mob tshwj xeeb xav sau cov tshuaj cephalosporin vim tsis muaj tshuaj lom, nrog rau kev ua tiav ntawm kev ua tau zoo ntawm lub cev sai tom qab siv. Kev kho mob rau cov menyuam yaus thiab cov neeg laus uas muaj mob raum pathology yuav tsum tsim kom muaj kev nkag siab zoo ntawm microflora, txiav txim siab qhov kev tsis haum tshuaj. Cov kab mob sib kis tawm tsam keeb kwm yav dhau los ntawm kev siv cephalosporins tsis tshua muaj tshwm sim nyob rau hauv daim ntawv mob ntev, qhov tshwm sim ntawm qhov rov tshwm sim ntawm tus kab mob txo qis, thiab cov txheej txheem rov ua haujlwm ntawm lub raum ua haujlwm tau sai dua.
Xav txog cov npe tshuaj tua kab mob rau pyelonephritis ntawm lub raum ntawm tiam tshiab.
Daim npe tshuaj tua kab mob
Txhua pab pawgtshuaj tua kab mob tas li ntxiv cov npe ntawm nws cov nyiaj nrog cov npe tshiab. Cov yam ntxwv pharmacological ntawm cov tshuaj tiam tshiab tau dhau los ua ntau dua, qhov tshwm sim ntawm cov tsos mob tshwm sim tsawg zuj zus, cov cim qhia tau nthuav dav, thiab lub sijhawm siv cov tshuaj nephritic lossis nephrotic syndrome kuj txo.
Daim npe ntawm cov tshuaj uas tau sau ntau hom tshuaj tua kab mob:
- Aminoglycosides: "Amikacin", "Gentamicin" thiab lawv cov analogues ntawm daim ntawv thib ob. Cov tshuaj lom ntau ntxiv yog qhov tsis zoo, tab sis lawv tso cai rau koj los tawm tsam cov kab mob siab heev.
- Aminopenicillins. Feem ntau siv yog Penicillin thiab Amixicillin. Lawv yog cov thawj kab tshuaj rau kis kab mob raum pathology.
- Cephalosporins: "Zinnat", "Tamycin", "Tsiprolet", "Klaforan". Ua tau zoo, muaj kev nyab xeeb, ua haujlwm sai. Kev npaj raug xaiv rau nephritis ntawm ntau lub hauv paus chiv keeb.
- Quinlones thiab fluoroquinolones: Levofloxacin, Nolicin. Hauv kev kho mob raum mob raum, lawv tau siv tsawg dua rau tus neeg mob.
- Carbapenems: Meronem, Tienam. Vim lawv cov toxicity siab, nws yog ib qho tsim nyog yuav tau siv lawv thaum txuas ob peb hom kab mob, nrog rau kev loj hlob ntawm inflammatory foci nyob rau hauv lwm yam tib neeg lub cev.
- Aminoglycosides: "Gentamicin", "Amicacin". Ua nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, cov tshuaj no yog heev toxicity rau lub siab, thiab yog li ntawd feem ntau siv raws li kev txhaj tshuaj.
raws liCov ntaub ntawv kuaj mob, cov kws kho mob feem ntau muab ntau hom tshuaj tua kab mob kom tau txais cov txiaj ntsig sai dua thiab tseem txo qis cov kab mob ua haujlwm.
Yuav ua li cas tshuaj tua kab mob rau lub raum thiab genitourinary system?
Admission rules
Kev kho kom nyab xeeb tsuas yog ua tau nrog kev kuaj mob ua ntej thiab cov lus pom zoo kho mob.
Tshuaj tua kab mob tau noj nyob rau hauv qhov ntau npaum li cas los ntawm tus kws kho mob thiab raws li lub sijhawm teev tseg. Qhov tshwj xeeb ntawm cov nyhuv yog txuam nrog kev xav tau kom muaj qee cov ntsiab lus ntawm cov tshuaj nquag rau kev tshem tawm cov kab mob pathogenic zoo. Tias yog vim li cas nws thiaj li tsim nyog los xyuas kom meej cov khoom sib xws ntawm cov tshuaj rau lub cev thaum lub sijhawm kho tag nrho.
Thaum kho nrog tshuaj tua kab mob, ib tus yuav tsum paub tias ib feem ntawm cov hnyuv microflora inevitably tuag nyob rau hauv cov tshuaj. Nyob rau theem nquag ntawm kev kho mob los tiv thaiv kab mob, koj yuav tsum pib haus cov khoom probiotic thiab prebiotics kom txo tau cov teebmeem ntawm kev siv tshuaj tua kab mob.
Cov tsos mob me me yog suav tias yog ib txwm muaj, tab sis qhov nce hauv cov kev mob tshwm sim qhia tau tias muaj tshuaj lom ntau dhau ntawm cov tshuaj tau sau tseg.
Kev tsis zoo ntawm tus mob thaum kho tshuaj tua kab mob qhia tau hais tias kev kho mob tsis raug lossis ntxiv kev kis tus kabmob thib ob. Kev hloov koob tshuaj, xaiv lwm yam tshuaj thiab rov kuaj cov txheej txheem yog tsim nyog.
Yog li, tshuaj tua kab mob twg hauslub raum?
Txoj cai rau kev xaiv tshuaj
Daim ntawv yuav tsum muaj tshuaj tua kab mob:
- pov thawj muaj txiaj ntsig;
- Pov Thawj Kev Ruaj Ntseg;
- kev sib koom;
- nqe;
- standardization.
Txhua yam no yog coj los rau hauv tus kws kho mob thaum muab tshuaj. Nws yuav qhia koj tias tshuaj tua kab mob twg yuav coj mus rau lub raum.
