Kurapa kwepyelonephritis kune vakadzi kunoreva mishonga inorwisa mishonga, nokuti inenge nguva dzose chirwere ichi chinosanganiswa nebasa reakiramita gram-positive kana gram-negative. Munyaya iyi, kusarudzwa kwemishonga inorwisa mabhakitiriya munyaya imwe neimwe inofanira kunge iri mumwe munhu, sezvo pakurapa acute pyelonephritis muvakadzi uye zvirwere zvisingaperi zvechirwere zvinosanganisira kushandiswa kwemishonga yakasiyana-siyana. Zvinetso zvechirwere, zvakadai sa purulent pyelonephritis, zvinoratidza kushandiswa kwezvinodhaka nezvinokanganisa zvinowedzera nekugadzirisa.
Zviratidzo zvekurapwa kwepyelonephritis muvakadzi
Pyelonephritis muvakadzi inonyanya kukanganisa kubereka basa. Vaya vakatambura chirwere ichi, zvakaoma kuwana pamuviri uye kubereka mwana. Kana chirwere ichi chisingaperi, pamuviri uzere nezvinetso, uye kuberekwa kunogona kuchinjwa nechinangwa chekushaya chirwere kuitira kuti kuderedze njodzi yekukura kweputsvo. Ndokusaka pyelonephritis inofanirwa kurapwa pakarepo, sezvakaonekwa. Chirongwa chekurapa kwe pyelonephritis muvakadzi chinosanganisira kushandiswa kwemhando dzakasiyana dzemagetsi antimicrobial:
- boka reaminopenicillins;
- semisynthetic yakabatana yakagadzirirwa yakabva aminopenicillin uye clavulanic acid;
- boka re cephalosporins;
- aminoglycosides ;
- boka re fluoroquinolones.
Ndeapi maantibayoti ekurapa pyelonephritis pakati pevakadzi vanosarudza?
Aminopenicillins haazovi nemigumisiro uye zvinopesana, zvinogona kushandiswa panguva yekudzivirira nekurapa vana kubva pamwedzi mitatu. Asi migumisiro yemishonga iri muboka iri haina kusimba, sezvo zvigadzirwa zvebasa rinokosha zvezvipembenene zvakawanda zvepyelonephritis zvinotungamirira kuparadzwa kwezvinhu zvinoshanda. Iyi mishonga inokurudzirwa kushandiswa iyo iyo causative agent yechirwere iE E. coli, kana inococci. Mishonga inonyanya kuzivikanwa neboka iri iri Amoxicillin uye Penicillin.
Kurapa kwechirwere chine pyelonephritis kuvakadzi kunonyanya kuitwa nemishonga inobva kumaminopenicillin uye clavulanic acid. Kubudirira kwavo kwakakwirira kwazvo, asi kuitika pamuviri kwakanyorova. Sezvinetso, pane zvinokonzera uye neukopenia, asi izvi zvinoitika kazhinji. Muenzaniso wemishonga yakadaro ndiyo mahwendefa Flemoklav Solutab.
Acute pyelonephritis inobatwa neaminoglycosides uye fluoroquinolones. Pano ndiyo yakakurumbira kwavari:
- Ciprofloxacin ;
- Ofloxacin;
- Ramikazin;
- Gentamicin;
- Nethylmycin.
Zvimwe zvinokonzera uye kusawirirana kwemishonga iyi yakawanda, inonyanya kuipa nephrotoxic yavo.
Zvinetso zvechirwere, kunyanya purulent fomu ye pyelonephritis, inobatwa ne cephalosporins. Izvi ndezvi:
- Cephalexin;
- Zinnat;
- Tamycin nevamwe.