Bronchitis ndi kutupa kwa bronchi, yomwe nthawi zambiri imakhala ngati vuto la chimfine, chimfine kapena ARVI. Chithandizo chake sichipezeka kawirikawiri popanda antibacterial agents, komwe mabakiteriya omwe amachititsa kutupa amakhala ovuta.
Komabe, msika wamagetsi ndi waukulu masiku ano, ndipo mankhwala osiyanasiyana a antibacterial akugulitsidwa, omwe angayesetse kusagwirizana ndi bronchitis. Choncho, tipitiliza kukambirana ma antibayotiki a mbadwo watsopano mu bronchitis, komanso tcheru kumvetsera zakale zomwe nthawi zina sizikhala zothandiza.
Mndandanda wa maantibayotiki a bronchitis
Musanasankhe antibiotic, muyenera kusankha magulu omwe alipo. Mu mankhwala, mankhwala onse ophera tizilombo amagawidwa m'magulu angapo:
- lalitali; Izi zikuphatikizapo penicillins ndi cephalosporins, monobactam ndi carbapenems.
- macrodes;
- aminoglycosides;
- rifamycins;
- glycopeptides;
- ristomycins;
- polymyxins;
- gramicidin;
- ma antibiotics a polyene.
Magulu onsewa a antibiotic ali ndi magulu ang'onoang'ono. Iwo amagawanika molingana ndi mfundo yowonekera kwa mabakiteriya, komanso kupambana kwa chiwonongeko cha mitundu yawo yonse.
Mfundo ya maantibayotiki:
- Maantibayotiki omwe amaletsa kukula kwa mabakiteriya, kotero kuti thupi likhoza kuthana ndi matendawa: carbapenems, ristomycin, penicillin, monobactam, cephalosporins, cycloserine.
- Mankhwala opha majeremusi omwe amawononga kapangidwe ka mabakiteriya: mabakiteriya a polyene, glycopeptides, aminoglycosides, polymyxins.
- Mankhwala oletsa antibiotics omwe amalephera kupanga kapangidwe ka RNA (pa mlingo wa RNA polymerase): gulu la rifamycins.
- Mankhwala oletsa tizilombo toyambitsa matenda omwe amalepheretsa kupangira RNA (pa mlingo wa ribosomes): macrolides, tetracyclines, linkomycins, levomycetin.
Chithandizo cha tracheitis ndi bronchitis ndi mankhwala opha tizilombo
Ngati bronchitis ndi yovuta ndi tracheitis, yomwe nthawi zonse imayamba chifukwa cha staphylococci kapena streptococci (nthawi zambiri - ndi mabakiteriya ena), ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri. Mwachitsanzo, Flemoxin soluteba imagwiritsidwa ntchito pa mankhwala ngati zitsanzo za mabakiteriya asanatengedwe, ndipo madokotala sangathe kudziwa chomwe chinayambitsa matendawa. Mankhwala a antibiotic amatanthauza mndandanda wa penicillin ndipo amawononga mabakiteriya onse a gram-positive ndi gram.
Ngati tracheitis ndi bronchitis zimayambitsidwa ndi matenda a tizilombo, ndiye kuti mankhwala osagwiritsira ntchito mankhwalawa sagwiritsidwa ntchito: Pankhaniyi, sizothandiza chabe, komanso zimavulaza, chifukwa zimachepetsa chitetezo cha thupi, ndipo izi zimatalikitsa nthawi ya matenda.
Maantibayotiki a chibayo ndi bronchitis
Kuphatikizidwa kwa bronchitis ndi chibayo ndi vuto lovuta, ndipo izi zimafuna chithandizo choyenera. Maantibayotiki omwe amachokera ku levofloxacin akhoza kugwira ntchito pano. Mbadwo watsopanowu, umene uli ndi mlingo waung'ono umakhudza kwambiri matenda opatsirana omwe amakhala ovuta kwambiri. Mu chibayo amagwiritsidwa ntchito masiku 7-14 kwa mapiritsi 1 kapena 2 (malingana ndi kuuma), poganizira kuti piritsi imodzi ili ndi 250 g ya mankhwala.
Chithandizo cha bronchitis chosatha ndi mankhwala opha tizilombo
Chithandizo cha bronchitis chosadalira chimadalira ngati chiri ndi mavuto. Mwachitsanzo, ndi mankhwala ovuta a bronchitis, aminopenicillins ndi tetracyclines. Tetracyclines sizinawapatse ana.
Mu bronchitis osatha ndi zovuta, macrolides ndi cephalosporins akulamulidwa.
Mazira oyambirira a m'badwo woyamba amaimiridwa ndi erythromycin ndi oleandomycin, ndipo lachitatu - ndi azithromycin.
Cephalosporins wa m'badwo woyamba umaphatikizapo cephalosin, ndipo masikawa lero.
Majekeseni a maantibayotiki a bronchitis amalamulidwa ngati chithandizo chilipo. Zimakhala zogwira mtima chifukwa zimapangidwira mwamsanga mwazi. Kusankhidwa kwa jekeseni wa maantibayotiki, monga lamulo, kumadalira mabakiteriya a tizilombo toyambitsa matenda, koma ngati sakudziwika, ma antibayotiki ochuluka amagwiritsidwa ntchito: ampicillin kapena ceftriaxone. Chithandizo chimatenga masiku osachepera asanu ndi awiri.