Antiprotozoal - yog dab tsi? Kev siv thiab kev ua haujlwm ntawm tus neeg sawv cev antiprotozoal

Cov txheej txheem:

Antiprotozoal - yog dab tsi? Kev siv thiab kev ua haujlwm ntawm tus neeg sawv cev antiprotozoal
Antiprotozoal - yog dab tsi? Kev siv thiab kev ua haujlwm ntawm tus neeg sawv cev antiprotozoal

Video: Antiprotozoal - yog dab tsi? Kev siv thiab kev ua haujlwm ntawm tus neeg sawv cev antiprotozoal

Video: Antiprotozoal - yog dab tsi? Kev siv thiab kev ua haujlwm ntawm tus neeg sawv cev antiprotozoal
Video: Yuav ua li cas poj niam thiaj zoo nyob tshaj plaws 2024, Lub rau hli ntuj
Anonim

Yog tias tus kws kho mob pom tias koj muaj tus kab mob protozoa - amoebae, giardia, Trichomonas, Plasmodium, tom qab ntawd rau kev kho mob ntawm cov kab mob uas tshwm sim los ntawm lawv (dysentery, urethritis, colpitis, malaria), nws yuav muab tshuaj tua kab mob. Nws yog dab tsi, nws cuam tshuam rau tib neeg lub cev li cas thiab nws zoo npaum li cas, peb yuav tham hauv peb tsab xov xwm.

Yuav ua li cas cov tshuaj tiv thaiv kab mob sib faib

Txhua yam kab mob nyob tsuas yog cov kab mob yog eukaryotes. Ntawd yog, lawv muaj cov nucleus hauv cov qauv ntawm cov cell. Yog li ntawd, cov protozoa uas tau nkag mus rau hauv lub cev muaj ntau yam sib xws nrog peb cov hlwb hauv cov txheej txheem metabolic, thiab tshem tawm lawv yog qhov nyuaj dua li tshem tawm cov kab mob. Thiab ntxiv rau qhov no, cov tshuaj antiprotozoal (cov txheej txheem ntawm kev txiav txim uas peb yuav tham tom qab) feem ntau muaj cov tshuaj lom neeg muaj zog hauv lub cev, uas ua rau nyuaj rau kev kho mob. Tab sis nws yog ib qho tsim nyog los tawm tsam nws, txij li cov txiaj ntsig tuaj yeem loj heev, tsis hais hom protozoa uas ntaus lub cev,mus txog hnub tuag.

Dab tsi yog antiprotozoal
Dab tsi yog antiprotozoal

Txhua cov tshuaj tiv thaiv kab mob tau muab faib los ntawm kev tsom mus rau cov kab mob tshwj xeeb:

  • antimalarial;
  • antiamoebic;
  • siv rau giardiasis;
  • rau trichomoniasis;
  • rau leishmaniasis;
  • nrog toxoplasmosis.

Nyob rau hauv pab pawg, kev faib yog los ntawm qhov chaw thiab cov txheej txheem ntawm kev ua rau cov kab mob cab (xws li cov tshuaj tiv thaiv kab mob), lossis los ntawm kev cuam tshuam rau daim ntawv ntawm kev loj hlob ntawm protozoa (xws li hauv cov tshuaj tiv thaiv kab mob malarial.). Xav txog qhov no ntawm qhov piv txwv ntawm qee hom kab mob.

Yuav ua li cas cov tshuaj antiamebic faib

Ameba tus kab mob no tshwm sim heev. Hauv cov tshuaj, qhov no pathology txhais tau tias yog amoebiasis. Nws yog tshwm sim los ntawm protozoan Entamoeba histolytica, uas colonizes txoj hnyuv loj, ua rau cov tsos mob zoo li bacillary dysentery. Tus neeg mob hnov mob hauv plab, kub taub hau, quav quav.

antiprotozoal tus neeg sawv cev mechanism ntawm kev txiav txim
antiprotozoal tus neeg sawv cev mechanism ntawm kev txiav txim

Ib feem ntawm amoebas tuaj yeem ua rau kab mob hauv lub plab hnyuv lossis kis rau lub siab. Muaj cov neeg paub txog lawv qhov kev taw qhia rau hauv lub ntsws thiab lub hlwb ntawm ib tug neeg, qhov chaw uas lawv ua rau cov tsos mob ntawm abscesses.

Yuav ua li cas cov tshuaj tiv thaiv kab mob amoebiasis tuaj yeem nkag siab los ntawm kev sib cais li cas, nyob ntawm thaj chaw ntawm cov kab mob amoebiasis. Yog li, ntawm lawv yog:

  • tshuaj uas ua rau amoebas,nyob rau hauv txoj hnyuv lumen (Chiniofon, Mexaform, Enetroseptol, thiab lwm yam);
  • tshuaj uas ua rau amoebae nyob rau hauv lub plab hnyuv phab ntsa (hauv qhov no, cov tshuaj tua kab mob kuj tau siv uas ua txhaum cov xwm txheej ntawm amoebae - "Tetracycline" lossis "Oxytetracycline");
  • npaj ua yeeb yam hauv siab ("Hingamin", "Chloroquine");
  • txhais tau tias ua haujlwm hauv ib cheeb tsam ntawm amoebae (nitroimidazole derivatives - "Metronidazole", "Ornidazole" lossis "Nirdazole").

Antiprotozoals: kev faib tawm rau malaria

Malaria yog hais txog ib pawg kab mob uas tshwm sim nrog cov tsos mob zoo ib yam: kub taub hau, ua npaws, mob pob qij txha, qhov loj ntawm tus po thiab daim siab, thiab qhov txo qis hauv hemoglobin hauv cov ntshav. Qhov no yog tshwm sim los ntawm kev kis kab mob nrog ntau hom Plasmodium los ntawm kev tom ntawm tus poj niam yoov tshaj cum uas yog cov genus Anopheles.

Antiprotozoal tshuaj classification
Antiprotozoal tshuaj classification

Raws li twb tau hais lawm, cov tshuaj tiv thaiv kab mob tau muab faib nyob ntawm qhov cuam tshuam ntawm kev loj hlob ntawm plasmodium. Tag nrho muaj plaub pawg:

  • hematoschizotropic - cuam tshuam rau daim ntawv erythrocyte ntawm plasmodium (cov tshuaj "Quinine", "Hingamine", "Chloridine", "Maloprim" lossis "Pyrimethamine");
  • histoschizotropic, cuam tshuam rau daim ntawv preerythrocyte (Proguanil) thiab daim ntawv paraerythrocyte (Primakhine);
  • tshuaj gamanthotropic nrog hamantocidal ("Primaquine") thiab gamantostatic effect ("Pyrimethamine");
  • tshuaj sib xyaw ua ke (Fansidar, Metakelfin).

Lub luag haujlwm tseem ceeb,uas tag nrho cov tshuaj antiprotozoal muaj yog kev puas tsuaj thiab inhibition (slowdown) ntawm cov txheej txheem ntawm nucleic acid synthesis nyob rau hauv protozoa, raws li zoo raws li kev puas tsuaj ntawm lawv cytoplasmic membrane, uas thaum kawg ua rau tuag ntawm cov kab mob no.

Kho rau trichomoniasis

Qhov no yog li cas, piv txwv li, cov tshuaj Metronidazole, siv los ua cov tshuaj tseem ceeb hauv kev kho mob trichomoniasis, ua haujlwm.

Kev kis kab mob Trichomonas (Trichomonas vaginalis) cuam tshuam rau tib neeg cov kab mob genitourinary, ua rau urethritis hauv cov txiv neej thiab vaginitis hauv cov poj niam. Raws li txoj cai, yog tias xav tias muaj tus kab mob no, ob tus neeg koom nrog kev sib deev raug kho, txawm tias tus kab mob hauv ib leeg yog asymptomatic.

antiprotozoal tus neeg sawv cev hauv gynecology
antiprotozoal tus neeg sawv cev hauv gynecology

Nyob rau hauv cov poj niam, thaum kis tus kab mob hauv qhov chaw mos, tus kab mob no tshwm sim los ntawm kev tso tawm ntau ntawm foamy dawb. Lawv zoo li muaj ntxhiab tsw thiab tej zaum yuav daj los yog ntsuab xim. Feem ntau, qhov no kuj ua rau mob thaum muaj kev sib deev.

Thiab thaum lub urethra kis tau, muaj cramps thiab kub hnyiab thaum tso zis, uas qhia txog kev loj hlob ntawm urethritis. Nyob rau tib lub sijhawm, khaus thiab liab ntawm qhov chaw mos, nrog rau qhov o ntawm qhov chaw mos yog nquag.

Raws li twb tau hais lawm, tus neeg sawv cev tseem ceeb ntawm cov tshuaj tiv thaiv kab mob hauv gynecology thiab urology yog Metronidazole. Tab sis vim qhov tseeb tias tsis ntev los no tau muaj ntau hom kab mob tiv thaiv cov tshuaj no, cov tshuaj xws li Tinidazole lossis Ornidazole yuav raug siv los kho cov kab mob.

Nyiaj rauKev kho mob ntawm toxoplasmosis

Toxoplasmosis yog lwm yam kab mob uas kho nrog tshuaj tiv thaiv kab mob. Tias tus kab mob no tshwm sim thaum noj nqaij nyoos los yog kib tsis zoo yog tej zaum tsis pub leej twg paub. Feem ntau, tus kab mob no yuav siv sij hawm ntev, thiab nws qhov tshwm sim txawv nyob ntawm seb lub cev twg raug cuam tshuam los ntawm Toxoplasma gondii.

Nyob rau hauv cov neeg uas tsis muaj zog tiv thaiv kab mob, tus kab mob no feem ntau tshwm sim nws tus kheej raws li ib tug kab mob ntawm lub plab hnyuv kab mob, lub ntsws, lymphatic thiab paj hlwb, nyob rau hauv daim ntawv ntawm encephalitis, generalized lymphadenopathy los yog myositis. Thiab yog tias cov poj niam cev xeeb tub kis tus kab mob, toxoplasmosis tuaj yeem ua rau tus menyuam deformities, nrog rau kev yug ntxov ntxov lossis rho menyuam.

Cov tshuaj tseem ceeb hauv kev kho cov kab mob no yog "Chloridine" ua ke nrog cov tshuaj sulfanilamide ("Sulfadimezin", "Sulfadimetoksin" lossis "Sulfapyridazine").

antiprotozoal txhais li cas
antiprotozoal txhais li cas

Tshuaj kho mob giardiasis

Nws tsis tuaj yeem tsis nco qab, thaum piav qhia txog tshuaj tiv thaiv kab mob, nws kuj yog ib yam tshuaj uas kho cov kab mob giardia. Giardiasis yog ib yam kab mob uas tshwm sim los ntawm kev puas tsuaj rau daim siab thiab cov hnyuv. Qhov phom sij ntawm tus kab mob no nyob ntawm qhov tseeb tias nws yuav tsis tshwm sim nws tus kheej, tab sis cov neeg nqa khoom ntawm Giardia tuaj yeem kis tau rau lwm tus.

Tus kab mob no mob rau cov menyuam yaus thiab cov neeg uas muaj lub cev tsis muaj zog. Feem ntau, tus neeg mob muajmob raws plab, kub taub hau, ntuav, ua pob liab vog (zoo ib yam li qhua pias), anorexia, daim siab loj, tsis qab los noj mov, thiab mob heev nyob rau hauv lub plab.

cov tshuaj zoo rau kev kho mob giardiasis yog "Metronidazole", "Ornidazole", "Akrikhin" thiab "Furazolidone" ua ke nrog cov tshuaj tiv thaiv kab mob thiab cov tshuaj enterosorbents.

antimicrobial thiab antiprotozoal tus neeg sawv cev
antimicrobial thiab antiprotozoal tus neeg sawv cev

Yuav ua li cas lwm yam tshuaj yog siv los ua antiprotozoals

Tshuaj siv los kho cov kab mob uas tau teev tseg saum toj no feem ntau muaj cov tshuaj tua kab mob. Yog li, Metronidazole ntsiav tshuaj yog ob qho tib si tshuaj tua kab mob thiab tshuaj tua kab mob uas tuaj yeem cuam tshuam kev loj hlob ntawm Giardia, Trichomonas thiab Amoebas, nrog rau qee cov kab mob anaerobic: peptococci, streptococci, bacteroids, clostridia, fusobacteria, thiab lwm yam.

Qhov kev ua no tso cai rau cov tshuaj no ua haujlwm zoo hauv kev tawm tsam Trichomonas vaginitis thiab urethritis, nrog rau giardiasis thiab amoebic dysentery. Cov tshuaj "Tiberal" ("Ornidazole") muaj qhov zoo sib xws.

Thiab cov tshuaj "Delagil", uas suav nrog chloroquine phosphate, tau qhia rau kev siv tshuaj malaria, amoebiasis, nrog rau mob caj dab thiab kab mob lupus erythematosus.

Tshuaj rau leishmaniasis

Leishmaniasis yog lwm yam kab mob uas yuav tsum tau muaj tus neeg sawv cev antiprotozoal. Tus kab mob no yog dab tsi thiab yuav ua li cas nws tshwm sim feem ntau nyob ntawm tus neeg mob lub cev tiv thaiv kab mob thiab qhov chaw ntawm qhov txhab. Leishmaniasis muab faib ua mucocutaneous, diffuse cutaneous thiab visceral. Thaum kawg, tus po thiab daim siab raug cuam tshuam, thiab tus kab mob kis hauv cov ntshav.

Rau kev kho mob hnyav, kev txhaj tshuaj rau hauv cov hlab ntsha lossis intramuscular ntawm pentavalent antimony tshuaj yog siv. Nrog cov tawv nqaij ntawm tus kab mob no, qee zaum lawv tau hloov nrog tshuaj "Metronidazole" lossis "Paromomycin".

cov tshuaj antiprotozoal yog
cov tshuaj antiprotozoal yog

Ib zaug ntxiv txog qhov kev tiv thaiv kab mob txhais tau li cas

Los ntawm tag nrho cov saum toj no, nws pom tseeb tias cov tshuaj tiv thaiv kab mob pab tshem tawm lub cev ntawm cov cab uas sawv cev los ntawm protozoa. Cov tshuaj tau teev saum toj no cuam tshuam rau lawv, cuam tshuam txoj kev loj hlob thiab lub neej voj voog.

Tab sis kev kho mob antiprotozoal muaj ntau yam kev mob tshwm sim thiab nyuaj heev. Qhov no txhais tau hais tias kev kuaj pom muaj tus kab mob parasitic thaum ntxov yog ib qho tseem ceeb heev hauv kev kho mob ntawm tag nrho cov kab mob no. Advanced pathologies tuaj yeem tsis tsuas yog mob ntev, tab sis kuj ua rau muaj kev tsis taus lossis tuag.

Nws yog ib qho tseem ceeb heev, xav tias koj muaj qee yam kab mob, hu rau tus kws kho mob sai li sai tau, tsuas yog qhov no txoj kev kho mob yuav muab cov txiaj ntsig siab tshaj plaws thiab khaws kev noj qab haus huv. Txhob mob!

Pom zoo: