Bronchitis yog ib yam kab mob uas tshwm sim los ntawm qhov mob ntawm lub bronchial mucosa. Cov kab mob pathological no tshwm sim tawm tsam keeb kwm yav dhau los ntawm hnoos, ua tsis taus pa thiab ua kom lub cev kub. Tag nrho cov hnub nyoog ntawm cov tib neeg raug tus kab mob no.
kab mob daim ntawv
Bronchitis hauv cov neeg laus thiab menyuam yaus tuaj yeem ua rau mob ntev, mob thiab ua rau mob. Nyob ntawm daim ntawv ntawm pathology, tus kws kho mob tshwj xeeb txiav txim siab txog qhov yuav tsum tau siv qee yam tshuaj tua kab mob.
- Tus mob bronchitis feem ntau tsis xav tau tshuaj tua kab mob. Tsuas yog qhov tshwj xeeb yog cov xwm txheej tsawg uas muaj kev pheej hmoo siab ntawm kab mob. Hauv qhov xwm txheej no, cov tshuaj tua kab mob zoo tshaj plaws rau kev mob ntsws ntsws hauv cov neeg laus yog cov tshuaj uas muaj nyob hauv pawg penicillin.
- Hom kab mob nyob rau lub sijhawm exacerbation tau kho zoo nrog aminopenicillins, cephalosporins thiab macrolides. Tsis tas li ntawd, kev kho mob nrog cov tshuaj no tau qhiaCov neeg laus (kom txo tau qhov kev pheej hmoo ntawm cov teeb meem thiab mob ntsws).
- Obstructive bronchitis tsuas yog kho nrog tshuaj tua kab mob yog tias tus neeg muaj tus kab mob purulent. Chav kawm ntawm tus kab mob no yuav qhia tau hais tias lub cev kub ntawm tus neeg mob. Nyob rau hauv cov ntaub ntawv no, cov tshuaj tua kab mob zoo tshaj plaws rau bronchitis nyob rau hauv cov neeg laus yog ib tug uas yuav tshem tau ntawm tus kab mob ua rau tus kab mob. Tsuas yog tus kws kho mob tshwj xeeb yuav tsum tau sau cov tshuaj zoo raws li cov ntaub ntawv tshuaj xyuas. Yog tias tus kab mob hnyav heev, ces cov tshuaj tua kab mob tau muab tshuaj rau hauv kev txhaj tshuaj.
Thaum twg yuav tsum tau siv tshuaj tua kab mob rau cov kab mob bronchitis rau cov neeg laus (cov ntsiav tshuaj, txhaj tshuaj, thiab lwm yam)?
Raws li kws kho mob, qhov mob ntawm bronchial mucosa tsis yog ib txwm kho nrog cov tshuaj tua kab mob. Feem ntau, thawj hnub muaj mob, cov kws kho mob tshwj xeeb tsis kam sau cov tshuaj no. Txawm li cas los xij, muaj cov xwm txheej thaum cov tshuaj tua kab mob tsuas yog tsim nyog. Piv txwv li:
- yog tus neeg mob muaj kab mob thiab nws lub cev tsis tuaj yeem tiv nrog nws tau ob lub lis piam;
- yog tias mob ntsws ntev ntev thiab nquag rov qab los, vim tias tus neeg tiv thaiv tau txo qis heev;
- yog tias mob ntsws muaj nrog tsis muaj zog, ua tsis taus pa, ua tsis taus pa thiab kub taub hau (ntau hnub);
- yog tias tus neeg mob muaj cov tsos mob ntawm kev qaug cawv, thiab cov txiaj ntsig kev kuaj pom tau nce ESR;
- thaum laustus neeg mob, nrog rau kev pheej hmoo siab ntawm cov teeb meem.
Cov tshuaj tua kab mob dab tsi zoo dua los haus rau cov kab mob bronchitis rau cov neeg laus yuav tsum tau txiav txim siab los ntawm kws kho mob tsuas yog tom qab kuaj xyuas kom meej thiab kuaj pom. Nws yuav tsum nco ntsoov tias kev kho tus kheej ntawm tus kab mob no yog fraught nrog mob hnyav thiab txawm tuag.
Kev ua ntawm tshuaj tua kab mob
Ua ntej siv tshuaj tua kab mob rau cov kab mob ntsws rau cov neeg laus (hauv ntsiav tshuaj, txhaj tshuaj, thiab lwm yam), koj yuav tsum paub seb lawv ua haujlwm li cas hauv ntau hom kab mob.
Hauv cov txheej txheem kev kho mob classical rau tus kab mob hauv nqe lus nug, cov tshuaj los ntawm pawg penicillin feem ntau yog siv. Nyob rau tib lub sijhawm, nws tsis yooj yim sua kom teb cov lus nug uas cov tshuaj tua kab mob zoo dua rau cov kab mob ntsws hauv cov neeg laus. Nws tag nrho yog nyob ntawm daim ntawv thiab qhov xwm ntawm tus kab mob tam sim no, tus yam ntxwv ntawm tus neeg mob lub cev, nrog rau kev nkag siab ntawm cov kab mob.
Feem ntau, nrog rau qhov mob ntawm bronchial mucosa, kws kho mob tau sau tshuaj tua kab mob los ntawm cov pab pawg hauv qab no rau lawv cov neeg mob:
- Aminopenicillins (piv txwv li, Augmentin, Amoxiclav lossis Amoxicillin). Cov tshuaj no muaj peev xwm ua rau cov kab mob ntawm cov cell membranes puas. Lub ntsiab zoo ntawm cov tshuaj no yog tias lawv tsis ua rau muaj kev phiv loj heev. Raws li cov minuses, lawv suav nrog kev tsis haum tshuaj uas tshwm sim tawm tsam keeb kwm ntawm kev siv tshuaj.
- Fluoroquinolones (xws li Ofloxacin lossis Levofloxacin). Cov npe ntawm cov tshuaj tua kab mob rau bronchitis nyob rau hauv cov neeg laus yog paub rau ntau tus neeg mob. Cov tshuaj no ua raws li cov npe dav dav ntawm cov kab mob (ua kom puas lawv DNA). Cov tshuaj zoo li no tuaj yeem raug sau los ntawm cov kws kho mob tshwj xeeb txawm tias ua ntej cov txiaj ntsig ntawm kev tshuaj ntsuam xyuas rau cov kab mob rhiab heev rau cov tshuaj tua kab mob. Lub ntsiab tsis zoo ntawm fluoroquinolones yog tias nrog kev siv ntev lawv tuaj yeem ua rau dysbacteriosis.
- Cephalosporins (piv txwv li, Ceftriaxone, Cefazolin, Ceftazidime, Suprax). Xws li cov npe ntawm cov tshuaj tua kab mob rau cov kab mob bronchitis hauv cov neeg laus yuav tsum ceeb toom, vim lawv tuaj yeem ua rau muaj kev fab tshuaj hnyav. Yog vim li cas lawv thiaj li raug sau tseg nrog ceev faj heev. Qhov txiaj ntsig tseem ceeb ntawm cov tshuaj no yog tias lawv muaj peev xwm ua kom qeeb ntawm cov protein ntau hauv cov kab mob hauv cov kab mob, vim tias cov txheej txheem ntawm kev tsim cov kab mob nres thiab nws txoj kev tuag tshwm sim.
- Macrolides (piv txwv li, "Midecamycin", "Sumamed" lossis "Azithromycin"). Qhov no yog ib qho tshuaj tua kab mob zoo tshaj plaws rau bronchitis hauv cov neeg laus. Kev tshuaj xyuas ntawm cov kws tshaj lij tau tshaj tawm tias cov tshuaj nquag ntawm cov tshuaj no ua rau muaj kev cuam tshuam ntawm kev tsim cov protein ntau hauv cov kab mob hauv cov kab mob, uas thaum kawg ua rau kev txiav tawm ntawm kev tsim cov kab mob pathogenic microorganisms thiab lawv txoj kev tuag. Feem ntau, cov tshuaj no tau raug sau tseg rau lub sijhawm ntev ntawm tus kabmob lossis thaum lwm cov tshuaj ua rau muaj kev tsis haum tshuaj.
Daim npe tshuaj tua kab mob zoo tshaj plaws rau kev mob ntsws ntsws hauv cov neeg laus ntawm tus nqi pheej yig
Feem ntau cov neeg mob uas raug mob ntawm cov kab mob bronchial mucosa tsis tsuas yog xav txog cov tshuaj twg zoo duayuav tiv tau lawv tus mob, tab sis kuj muaj tus nqi pheej yig.
Cov kws tshaj lij hais tias cov tshuaj tua kab mob zoo tshaj plaws rau cov kab mob bronchitis hauv cov neeg laus tsis yog pheej yig tshaj. Ntxiv mus, ntau ntawm lawv muaj tus nqi tsim nyog. Cov tshuaj pheej yig tab sis siv tau zoo suav nrog:
- "Amoxicillin". Xws li cov tshuaj tua kab mob los ntawm cov pab pawg penicillin muaj cov tshuaj nquag ntawm tib lub npe thiab nquag sau rau kev mob ntsws ntawm lub ntsws thiab mob ntsws, nrog rau kev kho mob ENT kab mob, kab mob ntawm cov zis, kab mob plab thiab lwm yam pathologies. Ntawm kev muag cov tshuaj no los hauv cov ntsiav tshuaj, granules thiab capsules. Raws li kev kho mob qhia, qhov kev txiav txim ntawm cov tshuaj tua kab mob pib ib nrab teev tom qab noj, thiab nws cov nyhuv kav ntev li 6 teev.
- "Biseptol". Ntawm cov tshuaj tua kab mob zoo tshaj plaws rau bronchitis hauv cov neeg laus, qhov no yog qhov pheej yig tshaj plaws. Nws belongs rau cov pab pawg neeg ntawm sulfonamides thiab tsuas yog muab nyob rau hauv txoj kev kho mob ntawm cov kab mob ntawm lub pa system (piv txwv li, nrog bronchitis, abscess nyob rau hauv lub ntsws thiab pneumonia). Cov tshuaj no muaj ob peb contraindications, thiab tseem ua rau muaj kev phiv ntau.
Biseptol tau siv los ua tshuaj rau lub sijhawm ntev heev. Nyob rau tib lub sijhawm, nws yuav tsum raug sau tseg tias ntau cov kab mob tsis hnov tsw rau cov tshuaj nquag ntawm cov tshuaj tau hais, yog li ua ntej pib kho, nws yog ib qho tsim nyog yuav tsum ua kom dhau qhov kev soj ntsuam rau qhov rhiab heev ntawm cov kab mob pathogenic.
Ofloxacin. Cov tshuaj tua kab mob dab tsi hauv kev txhaj tshuaj yog qhov zoo dua rau kev mob ntsws ntsws hauv tus neeg laus?Teb cov lus nug no, ntau tus kws tshaj lij hais txog Ofloxacin. Cov tshuaj nquag ntawm cov tshuaj no los ntawm pawg fluoroquinols muaj peev xwm ua kom puas DNA ntawm cov kab mob, uas ua rau lawv tuag
Cov tshuaj hauv nqe lus nug yog muab rau cov neeg mob uas muaj ntau yam kab mob, nrog rau cov xwm txheej uas lwm cov tshuaj tua kab mob rau cov kab mob ntsws tsis ua haujlwm.
Raws li cov lus qhia, cov tshuaj "Ofloxacin" nquag siv rau kev mob ntawm lub bronchial mucosa. Tsis tas li cov lus qhia rau kev siv cov tshuaj no yog mob ntsws thiab kab mob ntawm lwm yam kabmob. Nws yuav tsum raug sau tseg tias cov tshuaj no txwv tsis pub noj los ntawm cov poj niam cev xeeb tub thiab cov niam laus, cov menyuam yaus, nrog rau cov neeg uas pom tias muaj kev nkag siab zoo rau cov tshuaj ntawm cov tshuaj.
Tsuas yog tus kws kho mob yuav tsum xaiv cov tshuaj "Ofloxacin" ntawm tus kheej, vim tias muaj kev pheej hmoo loj ntawm kev tsim cov kev mob tshwm sim los ntawm cov hlab plawv, genitourinary thiab paj hlwb.
Lwm tshuaj tua kab mob
Hais txog cov tshuaj tua kab mob twg zoo dua rau cov neeg laus uas muaj mob ntsws, peb tau piav qhia saum toj no. Txawm li cas los xij, cov no tsis yog tib cov tshuaj uas muaj txiaj ntsig zoo tiv thaiv kab mob ntawm lub ntsws. Muaj lwm yam cuab yeej uas muaj qhov dav ntawm qhov kev txiav txim, tab sis lawv kim dua. Xav txog cov tshuaj no ntxiv.
Flemoxin-Solutab
Cov khoom xyaw nquag ntawm cov tshuaj no yog amoxicillin trihydrate. Cov kev npaj kuj muaj cov nram qab no excipients: dispersible cellulose,Txiv qaub tsw, crospovidone, tangerine tsw, magnesium stearate, vanillin, microcrystalline cellulose, saccharin.
Nov yog tshuaj los ntawm cov tshuaj penicillins. Nws feem ntau yog muab tshuaj rau cov mob hnyav lossis mob bronchitis. Ntawm kev muag khoom, cov tshuaj zoo li no los ntawm cov tshuaj ib txwm siv, nrog rau cov ntsiav tshuaj chewable, uas muaj cov saj qab ntxiag.
Ntxiv rau cov neeg laus, "Flemoxin-Solyutab" tau nquag muab tshuaj rau menyuam yaus. Cov kev mob tshwm sim tom qab noj cov tshuaj no tsis tshua muaj heev.
augmentin
Qhov no yog ib qho tshuaj tua kab mob zoo tshaj plaws rau kev mob ntsws ntsws hauv cov neeg laus. Nws cov khoom tseem ceeb yog amoxicillin (nyob rau hauv daim ntawv ntawm trihydrate), nrog rau clavulanic acid (nyob rau hauv daim ntawv ntawm poov tshuaj ntsev). Tsis tas li ntawd, cov tshuaj muaj xws li cov khoom siv xws li sodium carboxymethyl starch, magnesium stearate, colloidal silicon dioxide thiab MCC.
"Augmentin" yog ib qho tshuaj los ntawm pawg aminopenicillins. Nws cuam tshuam rau kev loj hlob ntawm cov kab mob, thiab tseem tsis tso cai rau lawv los ua ke β-lactamase, uas tiv thaiv lawv los ntawm penicillins. Cov tshuaj no tau sau tseg rau cov kab mob inflammatory provoked los ntawm cov kab mob pathogenic.
"Augmentin" yog qhov yooj yim heev rau siv, vim nws muaj nyob rau hauv ntau hom (cov ntsiav tshuaj, tshuaj, hmoov rau kev ncua thiab tee). Kev phiv tshuaj tom qab siv cov tshuaj no tsis tshua muaj.
Sumamed
Cov khoom xyaw nquag ntawm cov tshuaj no yog azithromycin dihydrate. kuj nyob rau hauvCov tshuaj muaj pes tsawg leeg ntawm cov tshuaj muaj xws li cov nram qab no excipients: pregelatinized starch, anhydrous calcium hydrogen phosphate, microcrystalline cellulose, hypromellose, magnesium stearate, sodium lauryl sulfate thiab pob kws starch..
Cov tshuaj no los ntawm ntau tus macrolides tau muab rau cov neeg mob los ntawm cov npe dav dav ntawm cov kab mob sib kis thiab mob. Nws muaj nyob rau hauv strawberry flavored ntsiav tshuaj, capsules thiab hmoov.
"Sumamed" yog lub npe hu rau lub sijhawm luv tshaj plaws ntawm kev siv. Peb ntsiav tshuaj feem ntau txaus los tshem tawm tag nrho cov tsos mob ntawm bronchitis.
Cov tshuaj hauv nqe lus nug tau txais txiaj ntsig zoo los ntawm cov neeg mob. Nws tsis tshua muaj txiaj ntsig rau txoj kev loj hlob ntawm kev phiv tshuaj. Qhov kev zam tsuas yog siv tsis raug lossis siv ntau dhau.
Azithromycin
Lub ntsiab ntawm cov tshuaj no yog azithromycin (hauv daim ntawv ntawm dihydrate). Nws kuj muaj cov tshuaj ntxiv hauv qab no: croscarmellose sodium, sodium lauryl sulfate, pregelatinized starch, magnesium stearate, calcium hydrogen phosphate.
"Azithromycin" yog tshuaj rau cov neeg mob rau cov kab mob uas tshwm sim los ntawm ntau yam kab mob (piv txwv li, mob ntsws thiab mob ntsws). Cov tshuaj muaj nyob rau hauv capsules thiab ntsiav tshuaj.
Tom qab 3 hnub ntawm kev kho mob, cov tshuaj tshem tawm tag nrho cov tsos mob ntawm bronchitis. Txawm li cas los xij, thaum noj nws, cov nram qab no contraindications yuav tsum tau coj mus rau hauv tus account: lub xub ntiag ntawm hypersensitivity rau lub Cheebtsam ntawm cov tshuaj, lub sij hawm ntawm cev xeeb tub thiab lactation. Hais txog qhov tsis zoo tshwm sim, ntawm lawv feem ntau tshwm sim yog:ntuav, xeev siab, raws plab, tsis haum tshuaj.
Cefazolin
Yuav ua li cas yog, vim li cas los yog lwm yam, tus neeg mob tsis tuaj yeem noj tshuaj? Cov tshuaj tua kab mob twg zoo dua rau cov kab mob ntsws hauv cov neeg laus? Cefazolin yog ib qho tshuaj zoo uas mus muag hauv daim ntawv ntawm cov hmoov ampoules npaj rau kev txhaj tshuaj. Qhov no yog ib qho tshuaj qub qub los ntawm ntau cov cephalosporins. Nws raug sau rau cov neeg mob rau ntau hom kab mob uas ua rau muaj kab mob sib kis, nrog rau kev mob ntsws, txhua hom kab mob ntsws thiab lub ntsws abscess.
Cov tshuaj nquag ntawm "Cefazolin" yog cov khoom ntawm tib lub npe. Nws muaj qhov tsawg kawg nkaus ntawm contraindications thiab suav hais tias yog ib qho ntawm cov tshuaj lom neeg tsawg hauv nws pawg. Txawm li cas los xij, cov tshuaj no yuav tsum tsis txhob siv los ntawm cov poj niam cev xeeb tub thiab lactating. Nws tseem yuav tsum tau muab sau tseg tias thaum noj nws, muaj kev cuam tshuam tsis zoo los ntawm kev tso zis thiab plab hnyuv yuav muaj.
Ceftazidime
Cov npe ntawm cov tshuaj tua kab mob zoo tshaj plaws rau kev mob ntsws ntsws hauv cov neeg laus yuav tsum paub tsis yog los ntawm cov kws kho mob nkaus xwb, tab sis kuj los ntawm cov neeg mob. Qhov no yuav tso cai rau koj xaiv cov tshuaj uas tsim nyog thiab nyab xeeb, nrog rau txiav txim siab nws daim ntawv.
"Ceftazidime" yog muaj nyob rau hauv cov hmoov rau kev npaj cov tshuaj intravenous los yog intramuscular tshuaj. Nws cov khoom xyaw nquag yog ceftazidime (hauv daim ntawv ntawm pentahydrate), thiab cov koom haum yog sodium carbonate.
Cov tshuaj suav hais tias los ntawm cov cephalosporins tshiab yog cov tshuaj tua kab mob thib peb. Nws yog tshuaj rau purulent-septic tej yam kev mob ntawm ib tug hnyav xwm, thiabnrog rau cov kab mob ua pa nyuaj. "Ceftazidime" pab tiv nrog mob hnyav thiab mob ntsws ntsws thiab mob ntsws. Nws yog contraindicated rau kev siv nyob rau hauv ib tug neeg intolerance, thiab nrog ceev faj nws yog muab rau cov neeg uas los ntshav thiab raum tsis ua hauj lwm.
Ntawm cov kev mob tshwm sim tom qab siv cov tshuaj, cov hauv qab no tuaj yeem ua tau: ntshav ntswg, kev tsis haum tshuaj, kev hloov hauv cov ntshav muaj pes tsawg leeg, cov kab mob ntawm lub plab zom mov, teeb meem hauv kev ua haujlwm ntawm National Assembly.
Txoj kev siv tshuaj tua kab mob
Tam sim no koj paub tias tshuaj tua kab mob twg zoo dua rau haus nrog mob ntsws ntsws hauv tus neeg laus. Txawm li cas los xij, ua ntej noj cov tshuaj no lossis cov tshuaj ntawd, koj yuav tsum paub tias cov chav kawm tshuaj tua kab mob tsis tuaj yeem cuam tshuam, nrog rau txo lossis nce lub sijhawm kho uas tau muab los ntawm kws kho mob.
Nyob rau hauv tus txheej txheem ntawm kev kho mob bronchitis nrog tshuaj tua kab mob, koj yuav tsum paub cov hauv qab no:
- Kev noj cov tshuaj tua kab mob yuav tsum tau muab khi rau lub sijhawm, suav nrog lub sijhawm ib teev pom zoo hauv cov lus qhia siv. Ntawd yog, thaum kho, lub sijhawm ntawm kev noj tshuaj yuav tsum sib npaug, thiab yog tias cov tshuaj noj ib hnub ib zaug, ces qhov no yuav tsum tau ua tib lub sijhawm. Qhov no yuav tuav qhov tsim nyog concentration ntawm cov khoom xyaw nquag hauv lub cev, thiab kev tawm tsam cov kab mob microbes yuav ua tsis tu ncua.
- Tawm tsam keeb kwm yav dhau los ntawm kev noj tshuaj tua kab mob, nws yog ib qho tsim nyog los saib xyuas tus neeg mob txoj kev noj qab haus huv, txhawm rau txheeb xyuas qhov kev txhim kho lossis, qhov sib txawv, kev tsis zoo, nrog rau cov kev mob tshwm sim. Yog tias tsis muaj kev txhim kho tom qab ob hnub, nws yog qhov zoo dua los hloov cov tshuaj.lwm tus.
- Nws yog ib qho tseem ceeb los saib xyuas txhua yam kev tu cev, tsim kom muaj kev haus dej haus cawv thiab kho cov khoom noj. Qhov no yog qhov tsim nyog kom tib neeg lub cev tuaj yeem tua cov kab mob, thiab cov tshuaj lom tau maj mam tshem tawm.
- Ua ke nrog cov tshuaj tua kab mob, tus kws kho mob tshwj xeeb yuav tsum muab tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob rau tus neeg mob.
