Zvimwe zvirwere zvepamuviri zvirwere ndezvimwe zvezvirwere zvakanyanya kuwanda zvezvirwere, kazhinji pane zvakasiyana ARVI. Zvisinei, pakurapa kwemukati, antibiotics inoshandiswa chete munenge 20% yezviitiko, uye pamberi pezviratidzo zvakaoma: kuwedzera kukuru muhutano hwemuviri, kutema marwadzo mudumbu, chirwere chakanyanya, kusuruvara nguva dzose, uye kupera mvura.
Mishonga inorwisa mabhakitiriya emukirwere
Zvikonzero zvinowanzoitika zvezvirwere zvepurogiramu yakadai ndeye E. coli, Staphylococcus, Shigella uye Salmonella. Asi kazhinji, pane marudzi anopfuura makumi mana emabhakitiriya anogona kukonzera kutsamwa kwebhuku repamuviri. Nokuda kwechikonzero ichi, kakawanda, mishonga inorwisa mabhakitiriya yezviito zvakasiyana-siyana inoshandiswa mukurapa kwepachivi chetachiona, iyo iyo chikamu chikuru chezvirwere zvinoratidzika.
Kazhinji kacho kazhinji inoshandisa zvinodhaka boka cephalosporins uye fluoroquinolones. Pashoma kakawanda (kazhinji neine pathogen chaiyo), aminoglycosides, uye tetracycline uye penicillin mitezo yekugadzirira ingashandiswa pakurapa.
Inwa mishonga inorwisa mabhakitiriya kazhinji kubva pamazuva matatu kusvika kune manomwe, zvichienderana nehutachiona. Sezvo mukati mezvirwere zvirwere zvinowedzera dysbacteriosis, nemishonga inorwisa mabhakitiriya inowedzera, ipapo mushure mokurapa kunobatsira kunwa zvinodhaka kushandisa mucheche microflora.
Rwendo rwemishonga inorwisa mabhakitiriya kurwisa zvirwere
Kusvika iye zvino, kune zvizvarwa zvakasiyana-siyana zvemishonga inorwisa mabhakitiriya. Mukurapa kwepamuviri yezvirwere, maantibayoti e-cephalosporin mutsva wezvitsva, anotanga kubva ku III, zvizvarwa zvinonzi ndizvo zvakanakisisa, zvichienderana nekuita kwenguva refu uye zvisingabatsiri migumisiro.
Cephalosporins yekupedzisira chizvarwa
Zvizvarwa Zvokugadzirira III neV:
- Cefotaxime ;
- Cefoperazone;
- Ceftazidime;
- Ceftriaxone;
- Tsefpir;
- Cefepime.
Kugadzirira kwechizvarwa cheV
- Cetofibiprol;
- Ceftaroline;
- Cefluozane.
Fluoroquinolones
Zvizvarwa Zvokugadzirira III neV:
- Gemifloxacin;
- Gatifloxacin;
- Moxifloxacin;
- Sitafloxacin;
- Trovafloxacin.
Panyaya ye fluoroquinolones, kugadzirira kwechizvarwa cheI-II kunoshandawo zvakanyanya pakurwara kwepamuviri:
- Levofloxacin;
- Sparfloxacin;
- Ofloxacin;
- Ciprofloxacin ;
- Lomefloxacin.
Aminoglycosides
Pamamwe emishonga inorwisa mabhakitiriya emakemikari emukaka, aminoglycosides inoshandiswa:
- Amicacin;
- Nethylmycin;
- Farcicline;
- Garamycin;
- Neomycin.
Tetracyclines
Mukuwedzera, tetracyclines inoshandiswa:
- Vibramycin;
- Doxycycline;
- Doxal;
- Tetradox.