Txhua tus neeg laus paub tias tus mob khaub thuas tsis yog vim li cas thiaj li pib noj tshuaj tua kab mob tam sim ntawd. Cov kev kho mob zoo li no, tau kawg, muaj txiaj ntsig zoo rau cov kab mob, thiab ib tus neeg zoo siab rau hnub tom ntej, tab sis lawv kuj tuaj yeem ua rau muaj kev phom sij loj. Yog tias tus kab mob nyob rau theem pib, nws tuaj yeem kov yeej yooj yim nrog kev pab ntawm kev haus dej ntau, tshuaj tiv thaiv kab mob thiab pw tsaug zog. Tab sis qee zaum, cov tshuaj tua kab mob tseem tseem tsis tau muaj.
Kev xeem yuav pab kom kuaj tau qhov tseeb
Ua ntej tus kws kho mob tau sau tshuaj tua kab mob rau kev kho mob SARS, yuav muaj kev sim ntau ntxiv. Nov yog tib txoj hauv kev kom paub tseeb tias cov teeb meem tsis tau koom nrog tus mob khaub thuas. Yog tias hnoos tshwm sim, cov kab mob hnoos qeev yuav raug ua. Tsis tas li ntawd, kev kuaj ntshav thiab zis yuav raug txiav txim. Txhawm rau txiav txim siab seb puas xav tau tshuaj tua kab mob rau ARVI, lub qhov ntswg los ntawm lub qhov ntswg thiab pharynx yuav pab tau. Yog tias muaj kab mob purulent, nws tuaj yeem pom tau tam sim ntawd. Ib qho laj thawj tseem ceeb rau kev sau tshuaj tua kab mob yog qhov kuaj pom ntawm Lefleur's bacillus (tus kab mob ua rau tus kab mob diphtheria).
Yuav kom kuaj tau qhov tseeb dua, tus kws kho mob yuav hais kom tus neeg mob mus kuaj hauv tsev kho mob. Ntawm no nws yuav muaj peev xwm ua tiav tag nrho cov kev kuaj mob uas tsim nyog thiab soj ntsuam tus neeg mob tus mob. CBC yuav ua tau ntau zaus. Tus kws kho mob yuav tsum tau saib xyuas seb ESR puas nce ntxiv, seb tag nrho cov leukocytes puas nce ntxiv.
Nyob zoo rau kev noj qab nyob zoo
Qhov sib ntxiv ntawm cov kab mob tuaj yeem txiav txim siab los ntawm qhov xwm txheej ntawm lub cev. Raws li txoj cai, lub cev kub nce siab heev. Yog tias tus mob khaub thuas ua rau mob ntsws, tus neeg mob yuav ua pa luv thiab raug mob hnyav los ntawm kev hnoos. Hauv qhov no, ARVI tau kho nrog tshuaj tua kab mob yam tsis tau ua tsis tiav.
Nws yog ib qho tsim nyog yuav tsum xyuam xim rau cov xim ntawm cov paug tawm ntawm qhov ntswg thiab caj pas. Yog hais tias cov hnoos qeev tau txais ib qho tsaus nti lossis ntsuab tint, nws muaj peev xwm ua rau muaj teeb meem tshwm sim. Nrog rau cov kab mob ntawm cov kab mob genitourinary, cov zis ua xim av, ib qho precipitate tshwm hauv nws, uas tuaj yeem pom tau yooj yim ntawm qhov muag liab qab. Tej zaum yuav pom cov ntshav los yog kua paug hauv cov quav.
Nws feem ntau tshwm sim ntau hnub dhau los txij li thaum pib ntawm SARS, thiab kev kho mob nrog tshuaj tiv thaiv kab mob tsis ua rau muaj txiaj ntsig. Tsis tas li ntawd, cov tsos mob tsis zoo yuav tshwm sim, xws li mob taub hau, xeev siab, tsaug zog. Qhov no tuaj yeem qhia txog kev txhim kho ntawm cov txheej txheem inflammatory hauv lub ntsws thiab bronchi. Tsis tas li ntawd, purulent plaque tuaj yeem tshwm sim ntawm cov tonsils, ua rau muaj zogmob qa.
Yog tias muaj teeb meem, tus kws kho mob yuav tsum txiav txim siab seb yuav siv tshuaj tua kab mob twg rau ARVI. Lub hnub nyoog ntawm tus neeg mob, nws keeb kwm kev kho mob, muaj kev nyiam rau kev tsis haum tshuaj, qhov chaw ntawm cov teeb meem, thiab lwm yam. Nws tsis pom zoo kom noj cov tshuaj tua kab mob yam tsis tau kev tso cai los ntawm tus kws kho mob.
Yuav muab tshuaj tua kab mob thaum twg?
Txawm tias qhov kev soj ntsuam hauv chav kuaj pom tias muaj cov kab mob sib kis, cov tshuaj tua kab mob rau SARS tsis tas yuav noj. Tsis txhob sau tshuaj rau mucopurulent rhinitis uas kav tsawg dua ob lub lis piam. Antibacterial therapy pib tsuas yog thaum kev kho mob antiviral tsis muab qhov txiaj ntsig zoo. Tsis tas li ntawd, cov tshuaj tua kab mob tsis raug kho rau tracheitis, kab mob tonsillitis, nasopharyngitis, laryngitis. Cov tshuaj tua kab mob kuj tsis haum rau kev kho mob ntawm tus kab mob herpesvirus, uas yuav tshwm sim thaum lub sij hawm ARVI.
Tseem muaj cov xwm txheej uas tsim nyog tshuaj tua kab mob thaum thawj tus mob khaub thuas. Nrog cov cim qhia ntawm kev tiv thaiv txo qis, cov tshuaj siv yooj yim rau kev tiv thaiv. Qhov no yog vim qhov tseeb tias cov kab mob kis tau zoo heev tuaj yeem koom nrog lub cev tsis muaj zog. Cov tshuaj tua kab mob rau SARS rau cov menyuam yaus raug muab tshuaj yog tias muaj qhov hnyav hnyav lossis thaum muaj qhov txawv txav ntawm lub cev.
Tshuaj tiv thaiv kab mob
Tshuaj tua kab mob rau SARS rau cov neeg laus thiab menyuam yaus raug sau ua ntej thaum thawj zaugcov tsos mob ntawm angina los yog mob ntsws. Tus kws kho mob yuav sau tshuaj los ntawm pab pawg penicillins lossis macrolides. Nrog purulent lymphadenitis, broad-spectrum tshuaj tua kab mob tau sau tseg. Thaum muaj teeb meem zoo li no, yuav tsum muaj kev sab laj ntxiv ntawm tus kws kho mob hematologist thiab kws phais.
Thaum SARS tuaj yeem tsim qhov mob ntawm paranasal sinuses. Sinusitis yog ib qho teeb meem loj rau kev txhawj xeeb. Yog hais tias, nrog ib tug mob khaub thuas, daj mucous paug thiab mob tshwm sim nyob rau hauv lub cheeb tsam ntawm tus choj ntawm lub qhov ntswg, nws ua rau kev txiav txim siab tig mus rau ENT. Kev kuaj X-ray yuav pab kom kuaj tau qhov tseeb. Cov tshuaj tua kab mob rau cov kab mob ua pa nyuaj rau cov menyuam yaus thiab cov neeg laus nyob rau hauv cov kab mob sinusitis yog muab los ntawm kws kho mob otolaryngologist.
Qee zaum, kev kho tshuaj tua kab mob yog muab rau kev tiv thaiv. Cov neeg mob uas tsis ntev los no tau raug phais raug kho nrog tshuaj tua kab mob rau ARVI. Hauv qhov no, cov tshuaj dav dav tuaj yeem raug sau tseg. Nws yuav tsum tau thov tsawg kawg tsib hnub. Yog li, tus kws kho mob sim tiv thaiv tus neeg mob los ntawm kev txhim kho ntawm ib qho teeb meem tiv thaiv keeb kwm yav dhau los ntawm kev txo qis hauv kev tiv thaiv.
Yuav tshuaj tua kab mob dab tsi?
Txawm li cas los xij, nyob ntawm daim ntawv ntawm cov teeb meem, cov xwm txheej ntawm tus neeg mob thiab nws lub hnub nyoog, tus kws kho mob xaiv cov tshuaj tua kab mob. Cov tshuaj tua kab mob ntawm cov kab mob penicillin tuaj yeem raug sau tsuas yog rau cov neeg mob uas tsis nquag ua xua. Nrog tonsillitis, tshuaj xws li Ecoclave, Amoxiclav, Augmentin tuaj yeem raug sau. Cov no yog cov tshuajfeem ntau hu ua "protected penicillins". Lawv muaj cov nyhuv me me rau tib neeg lub cev.
Rau cov kab mob ntawm cov kab mob ua pa, macrolides feem ntau yog tshuaj. "Macropen", "Zetamax" - tshuaj tua kab mob rau ARVI nyob rau hauv cov neeg laus, yog hais tias bronchitis pib. Rau cov kab mob ntawm cov kab mob ENT, cov tshuaj "Sumamed", "Hemomycin", "Azitrox" tuaj yeem raug sau.
Yog tias muaj kev tiv thaiv rau cov tshuaj ntawm pawg penicillin tshwm sim, tshuaj tua kab mob los ntawm cov tshuaj fluoroquinolone series. Qhov no yog Levofloxacin lossis Moxifloxacin. Fluoroquinolones yog txwv tsis pub siv tshuaj tua kab mob rau ARVI rau cov menyuam yaus. Lub cev pob txha nyob rau hauv cov menyuam mos tseem tsis tau tsim txaus, yog li qhov kev xav tsis zoo yuav tshwm sim. Tsis tas li ntawd, fluoroquinolones yog cov tshuaj tshwj xeeb uas ib tus neeg yuav xav tau thaum muaj hnub nyoog laus. Thaum koj pib noj lawv sai dua, kev quav tshuaj yuav pib sai dua.
Tus kws kho mob yuav tsum xaiv cov tshuaj tua kab mob zoo tshaj plaws rau ARVI, raws li tus yam ntxwv ntawm tus neeg mob lub cev thiab daim ntawv ntawm cov teeb meem. Tus kws kho mob tshwj xeeb yuav tsum ua txhua yam los pab tus neeg mob kom kov yeej tus kab mob mus rau qhov siab tshaj plaws, thaum zam kev tsis zoo. Qhov teeb meem yog sib xyaw ua ke los ntawm qhov tseeb tias txhua xyoo cov kab mob ua rau ntau dua thiab tiv taus cov tshuaj tua kab mob broad-spectrum.
Yuav noj tshuaj tua kab mob li cas?
Siv tshuaj tua kab mob rau SARS yog qhov tsim nyog tsuas yog thaum nws ua tsis tau yam tsis muaj lawv. Qhov ntswg qhov ntswg thiab hnoos nyob rau hauv ib daim ntawv me yog zoo kawg nkaus kho nrog tshuaj tua kab mob. Kev kho ntxiv yog nqa tawm thaum muaj teeb meem pib, thiab kab mob kis tau los ntawm cov tsos mob ntawm tus mob khaub thuas. Yog hais tias qhov kub thiab txias nyob rau ntau tshaj peb hnub, purulent paug tshwm sim, qhov kev mob ntawm tus neeg mob hnyav zuj zus, cov tshuaj tua kab mob tau sau tseg.
Nws raug nquahu kom sau tag nrho cov ntaub ntawv hais txog kev noj tshuaj tua kab mob hauv phau ntawv tshwj xeeb. Cov kab mob tuaj yeem tsim kev tiv thaiv kab mob rau cov tshuaj tua kab mob. Yog li ntawd, kev kho mob yuav tsum tsis txhob pib nrog cov tshuaj muaj zog. Thaum muaj teeb meem, tus kws kho mob yuav nug seb cov tshuaj tua kab mob dab tsi rau ARVI tau noj ua ntej. Tib yam tshuaj yuav tsis muaj peev xwm ua tau zoo tib yam hauv kev kho cov neeg mob sib txawv.
Txhawm rau nrhiav cov tshuaj tua kab mob zoo rau SARS, nws tsim nyog ua kab mob kab mob. Yog li, nws yuav muaj peev xwm txiav txim siab qhov rhiab ntawm cov kab mob mus rau ib pawg ntawm cov tshuaj tua kab mob. Qhov teeb meem nkaus xwb yuav yog qhov kev soj ntsuam hauv chav kuaj tuaj yeem kav ntev li ob mus rau xya hnub. Lub sijhawm no, tus neeg mob tus mob yuav hnyav dua.
Tshuaj tua kab mob khaub thuas thiab SARS yuav tsum tau noj nruj me ntsis raws li lub tswv yim. Ib tug tsuas yog tsis nco qab txog cov tshuaj rau ib hnub, thiab cov tsos mob tsis zoo ntawm tus kab mob yuav rov tshwm sim. Nruab nrab ntawm kev noj cov tshuaj yuav tsum dhau ib lub sijhawm. Yog tias cov tshuaj tau noj ob zaug ib hnub, ces qhov no yuav tsum tau ua nruj me ntsis tom qab 12 teev.
Yuav noj tshuaj tua kab mob pes tsawg hnub?
Tsis muaj teeb meem dab tsi tshuaj tua kab mob rau SARSkws kho mob tau sau tseg, nws tsim nyog noj lawv tsawg kawg tsib hnub. Hnub tom ntej tom qab pib kho cov tshuaj tua kab mob, tus neeg mob yuav hnov zoo heev ntawm nws tus mob. Tab sis tsis muaj teeb meem koj yuav tsum cuam tshuam kev kho mob. Lub sijhawm noj tshuaj tua kab mob yog txiav txim los ntawm tus kws kho mob.
Muaj cov tshuaj tua kab mob ntev ntev uas tau muab tshuaj rau cov mob hnyav tshwj xeeb. Lub tswv yim ntawm lawv txais tos yog muab faib ua ob peb theem. Tus neeg mob yuav tsum noj tshuaj rau peb hnub, ces so rau tib lub sijhawm. Cov tshuaj tua kab mob tau ua nyob rau hauv peb kauj ruam.
noj tshuaj probiotic
Txhua yam tshuaj tua kab mob ua tsis tau tsuas yog rau cov kab mob xwb, tab sis kuj rau cov uas muaj txiaj ntsig. Thaum lub sijhawm kho, lub plab hnyuv microflora cuam tshuam. Yog li ntawd, nws tseem tsim nyog noj cov tshuaj uas tuaj yeem kho lub cev ib txwm muaj. Cov tshuaj xws li "Bifiform", "Linex", "Narine", "Gastrofarm" muaj cov txiaj ntsig zoo. Koj yuav tsum tsis txhob noj cov tshuaj probiotics xwb, tab sis kuj noj ntau cov khoom noj siv mis. Cov tshuaj tau noj ntawm cov tshuaj tua kab mob.
Lub sijhawm kho, nws yuav tsum tau saib xyuas kev noj zaub mov tshwj xeeb. Nws tsim nyog noj zaub thiab txiv hmab txiv ntoo ntau dua, muab cov zaub mov muaj rog thiab ntsim. Txhua yam tshuaj tua kab mob rau ARVI hauv cov neeg laus thiab menyuam yaus inhibit lub siab. Nws yog ib qho tsim nyog yuav tsum noj zaub mov uas yuav tsis ua rau lub cev hnyav. Nws raug nquahu kom hloov cov qhob cij dawb nrog cov khob cij dub, thiab cov txiv hmab txiv ntoo qhuav yuav yog lwm txoj hauv kev zoo.khoom qab zib.
Tshuaj tua kab mob rau cov neeg laus
Cephalosporins yog ib nrab-synthetic broad-spectrum tshuaj tua kab mob. Muaj ntau tiam neeg ntawm cov nyiaj no. Cov tshuaj nrov tshaj plaws yog Aspeter, Ceporin, Cefalexin. Lawv tuaj yeem raug sau rau ntau yam kab mob ntawm cov kab mob ua pa. "Aspetil" kuj haum rau menyuam yaus siv, yog tias tus neeg mob hnyav dua 25 kg.
Fluoroquinolones yog cov tshuaj dav dav uas nqus tau sai rau hauv cov ntaub so ntswg. Qhov nrov tshaj plaws yog Levofloxacin thiab Moxifloxacin. Cov tshuaj tua kab mob no yog contraindicated nyob rau hauv cov menyuam yaus, cov poj niam thaum cev xeeb tub thiab lactation, nrog rau cov neeg muaj mob vwm. Cov xwm txheej ntawm kev tsis haum tshuaj loj rau fluoroquinolones kuj paub. Cov tshuaj siv ob zaug ib hnub rau 500 mg.
Macrolides yog kev npaj nrog cov kab mob bacteriological. Lawv tuaj yeem raug tshuaj rau cov teeb meem ntawm SARS xws li mob ntsws, tonsillitis, otitis media, sinusitis, mob ntsws. Macrolides suav nrog Azithromycin thiab Erythromycin. Nws yog qhov nyuaj los teb cov lus nug ntawm qhov twg tshuaj tua kab mob zoo dua rau ARVI. Tom qab tag nrho, cov nyhuv ntawm kev noj cov tshuaj macrolides tuaj yeem pom tsuas yog tom qab 2-3 hnub. Cov tshuaj no tau pom zoo siv thaum cev xeeb tub thiab lactation. Kev noj tshuaj txhua hnub ntawm cov tshuaj tsis tuaj yeem tshaj 1.5 g (raug faib ua 5-6 koob).
Penicillins yog cov tshuaj tua kab mob uas cuam tshuam rau streptococci thiab staphylococci. Feem ntau yog cov tshuaj xws li "Amoxiclav", "Amoxicillin". Cov pab pawg no ntawm cov tshuaj tua kab mobsuav tias yog cov tshuaj lom tsawg tshaj plaws. Muaj peev xwm siv tau hauv kev kho menyuam yaus. Qhov ua tau zoo ntawm kev txais tos tuaj yeem pom tom qab ob peb hnub. Cov kev kho mob dav dav yuav tsum kav ntev li tsib hnub. Hauv cov xwm txheej nyuaj tshaj plaws, cov tshuaj penicillins tau noj rau 10-14 hnub.
Cov tshuaj tua kab mob dab tsi feem ntau yog muab rau cov menyuam yaus uas muaj SARS?
Hauv cov kab mob ntawm cov kab mob ua pa sab saud, cov menyuam yaus hnub nyoog qis dua peb lub hlis feem ntau yog "Augmentin". Cov tshuaj no muaj nyob rau hauv khw muag tshuaj nyob rau hauv daim ntawv hmoov. Nws yog tsim los rau hauv kev ncua thiab muab rau cov menyuam yaus 3 zaug hauv ib hnub. Nyob rau hauv tsawg zaus, kev tsis haum tshuaj nyob rau hauv daim ntawv ntawm cov pob liab liab yuav tshwm sim. Cov txiaj ntsig zoo los ntawm kev kho mob tuaj yeem pom hnub tom ntej tom qab pib kho tshuaj tua kab mob.
Nrog cov teeb meem ntawm SARS xws li otitis media, tonsillitis, cystitis, sinusitis, cov menyuam yaus tuaj yeem raug tshuaj Zinacef. Cov tshuaj yog nthuav tawm nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj. Qhov koob tshuaj yog txiav txim los ntawm lub hnub nyoog thiab qhov hnyav ntawm tus menyuam. Cov tshuaj yog diluted nrog dej.
"Sumamed Forte" yog lwm yam tshuaj nrov hauv kev kho menyuam yaus. Cov tshuaj tua kab mob muaj qhov dav dav ntawm kev ua haujlwm thiab tso cai rau koj kov yeej tus kab mob hauv lub sijhawm luv tshaj plaws. Cov tshuaj "Sumamed" yog contraindicated rau cov menyuam yaus hnub nyoog qis dua 6 lub hlis. Cov tshuaj yog nthuav tawm nyob rau hauv daim ntawv ntawm ib tug hmoov, uas yog diluted nyob rau hauv ib tug ncua kev kawm ntawv. Qhov koob tshuaj yog xam raws qhov hnyav ntawm tus menyuam (10 mg rau 1 kg ntawm qhov hnyav). Cov tshuaj noj ib hnub ib zaug.
