Bronchitis yog ib qho kev mob ntawm lub bronchi, uas feem ntau ua raws li ib qho teeb meem ntawm cov khaub thuas, khaub thuas los yog ARVI. Nws txoj kev kho mob tsis tshua muaj neeg tsis muaj mob uas tsis muaj cov kab mob tua kab mob, uas cov kab mob uas ua rau mob mob.
Txawm li cas los xij, lub khw muag tshuaj loj loj hnub no, thiab ntau cov khoom tua kab mob tuaj muag, uas tej zaum yuav ua pov thawj ua rau cov pob txha tsis ua haujlwm. Yog li ntawd, ntxiv mus peb yuav xav tshuaj tua kab mob ntawm ib tiam tshiab hauv cov hlab ntsws, thiab ua tib zoo saib xyuas cov laus, uas qee zaus tsis muaj txiaj ntsig zoo.
Sau npe ntawm cov tshuaj tua kab mob ntsws rau mob ntsws
Ua ntej xaiv ib qho tshuaj tua kab mob, koj yuav tsum txiav txim siab seb pawg twg muaj nyob. Hauv cov kws tshuaj, txhua cov tshuaj tua kab mob tau muab faib ua ob peb pawg:
- beta-lactam; Qhov no suav nrog penicillins thiab cephalosporins, monobactams thiab carbapenems.
- macrolides;
- aminoglycosides;
- rifamycins;
- glycopeptides;
- ristomycins;
- polymyxins;
- gramicidin;
- polyene tshuaj tua kab mob.
Tag nrho cov pawg ntawm tshuaj tua kab mob muaj subgroups. Lawv muab faib raws li txoj cai ntawm kev kis tus kab mob, nrog rau kev ua kom txhua hom ntawm kev puas tsuaj.
Txoj ntsiab cai ntawm tshuaj tua kab mob:
- Cov tshuaj tua kab mob uas tsis zoo rau cov kab mob, kom lub cev muaj peev xwm tiv tau tus kab mob no: carbapenems, ristomycin, penicillin, monobactams, cephalosporins, cycloserine.
- Tshuaj tua kab mob uas txov cov qauv ntawm kab mob bacterial membranes: polyene antibiotics, glycopeptides, aminoglycosides, polymyxins.
- Tshuaj tua kab mob (Antibiotics) uas ua rau cov tawv nqaij RNA (nyob rau theem ntawm RNA polymerase): ib pawg rifamycins.
- Tshuaj tua kab mob (Antibiotics) uas cuam tshuam cov synthesis ntawm RNA (nyob rau theem ntawm ribosomes): macrolides, tetracyclines, linkomycins, levomycetin.
Kev kho mob ntawm tracheitis thiab bronchitis nrog tshuaj tua kab mob
Yog tias cov hlab ntswv nyuab nyuab heev los ntawm kev mob plab (tracheitis), uas yog ib txwm yog tshwm sim los ntawm tus kab mob staphylococci los yog streptococci (hauv cov mob tsawg heev - los ntawm lwm yam kab mob), ces siv ntau qhov tshuaj tua kab mob. Piv txwv, Flemoxin soluteba yog siv los kho yog tias kuaj tsis tau cov kab mob, thiab cov kws kho mob tsis tuaj yeem qhia rau cov neeg uas ua rau mob. Cov tshuaj tua kab mob no yog hais txog penicillin series thiab tua cov kab mob gram-positive thiab gram-negative.
Yog tias kab mob vwm thiab mob ntsws ua tau los ntawm tus kab mob viral, ces cov tshuaj tua kab mob tsis siv: hauv qhov no, lawv tsis tsuas yog siv, tab sis kuj muaj teeb meem, vim lawv tiv thaiv kev tiv thaiv, thiab qhov no yuav ua rau lub sij hawm muaj mob.
Tshuaj tua kab mob ntsws rau mob ntsws thiab mob ntsws
Ua ke ntawm cov hlab ntsws uas muaj mob ntsws (pneumonia) yog qhov teeb meem nyuab, thiab qhov no yuav tsum tau kho kom tsim nyog. Tshuaj tua kab mob raws li levofloxacin tej zaum yuav ua hauj lwm ntawm no. Lub cim tshiab no, uas nyob rau hauv ib qho me me tsuas muaj cov nyhuv tseem ceeb hauv kev sib ntaus tawm tsam kev kis kab mob ntawm kev mob hnyav. Hauv kev mob ntsws ntsig (pneumonia) nws siv rau 7-14 hnub rau 1 lossis 2 ntsiav tshuaj (nyob ntawm qhov hnyav), suav tias yog 1 ntsiav tshuaj muaj 250 g ntawm cov khoom.
Kev kho mob ntawm kev mob ntsws nrog mob ntsws nrog tshuaj tua kab mob
Kev kho mob ntawm cov pos hniav mob ntev nyob ntawm seb nws puas muaj teeb meem. Piv txwv, nrog rau cov mob uas tsis sib thooj ua ke, cov tshuaj aminopenicillins thiab cov tetracyclines. Tetracyclines tsis raug muab cob rau menyuam yaus.
Cov mob ntsws ntev nrog cov mob nyhav, cov tshuaj tiv thaiv thiab cov cephalosporins yog tus kws kho mob.
Macrolides ntawm thawj tiam neeg yog sawv cev los ntawm erythromycin thiab oleandomycin, thiab tus thib peb - los ntawm azithromycin.
Cephalosporins ntawm thawj tiam neeg muaj xws li cephalosin, thiab tom kawg rau hnub no - cefepime.
Cov tshuaj tua kab mob ntsws rau cov kab mob ntswg yuav tau sau yog tias qhov kev kho mob yog nyob ruaj ruaj. Lawv zoo dua vim tias lawv tab tom nqus dej rau hauv cov ntshav. Kev xaiv tshuaj tua kab mob, raws li txoj cai, nyob ntawm seb tus kab mob pathogen, tab sis yog tias nws tsis paub, tshuaj tiv thaiv kab mob broad-spectrum yog: ampicillin los yog ceftriaxone. Kev kho mob kav ntev li 7 hnub.