Mishonga inorwisa mabhakitiriya yepineumonia

Chirwere chinokonzera kuputira mumapapu, kazhinji chigumisiro kana kusagadzikana kwebronchitis. Kurapa kwepneumonia kunoitwa nemishonga inorwisa mabhakitiriya pamusana pekugadzirisa, nokuti zviya zvinokonzera chirwere chacho zvirwere zvepacteriological infections.

Aina dzezvirwere

Pane zvirwere zvepneumonia:

1. Chipatara.
2. Community-acquired.

Zvichienderana nehurumende yehutano, mitemo yakasiyana yemishonga inorwisa mabhakitiriya inosarudzwa.

Mitemo yekuraira:

1. Sarudza mishonga inorwisa mabhakitiriya. Ichi chichava chekutanga mishonga inorwisa mabhakitiriya. Chikonzero chechirwere chacho chinofungidzirwa zvichienderana nemuvara weputi unoparadzaniswa nemapapu uye mararamiro emutambo wepineumonia.
2. Kufambisa tsananguro kuti ione mabhakitiriya akonzera chirwere chacho, pamwe nekunzwa kwavo nemishonga inorwisa mabhakitiriya.
3. Ruramisa chirongwa chekurapa maererano nemigumisiro yekutsvaga smear ye sputum kuti iparadzaniswe.

Paunosarudza mishonga inorwisa mabhakitiriya kunwa mubhakato wakaoma uye pneumonia, unofanira kufunga zvakare:

• kuoma kwechirwere;
• contraindications;
• zvinokonzerwa neanorigic reaction;
• toxicity yemishonga;
• chimiro chekukura kwebhakitiriya kumishonga inorwisa mabhakitiriya;
• kukurumidza kwekupinda kwechirwere mumvura yemuviri;
• iyo inoshandiswa pakurapa kwechirwere chekurapa mufiki yekuputika;
• chiitiko chechiito chechirwere.

Kusagadzikana kwemishonga inorwisa mabhakitiriya mune pneumonia

Mamiriro ezvinhu akadaro haasi nyore. Chaizvoizvo dzinomuka nekuda kwekare kare kurapwa kwemurwere nemubatsiro weBactericidal kana bacteriostatic agents. Zvinokonzera kusasha kwekushandisa zvinodhaka zvinogonawo kuva:

• kushandiswa kakawanda uye kuchinja kwemishonga inorwisa mabhakitiriya;
• kukurudzirwa kwekudzivirira kwe microorganisms kune yakasarudzwa zvinodhaka;
• Chisarudzo chisina kururama chekuita uye nguva yekurapa.

Mhinduro yechinetso chiri kutora mishonga pamwe neimwe, kana kubatanidza mishonga yakawanda.

Ndeapi maantibiotikiti ekurapa chipatara chipatara?

Chipatara chepineumonia chinosanganisira kutsvaga nguva dzose kwechiremba muchipatara muchipatara uye kutarisirwa nachiremba.

Mutsara wokutanga. Mishonga inotevera inoshandiswa:

1. Amoxicillin.
2. Penicillin.
3. Cefepime.
4. Ceftazidime.
5. Cefoperazone.

Kana kusawirirana kwemashure mabhakitiriya ari pamusoro apa kana kuti kuitika kwezvinoitika, zvinokwanisika kushandisa mamwe maitiro:

1. Ticarcillin.
2. Piperacillin.
3. Cefotaxime.
4. Ceftriaxone.
5. Ciprofloxacin.

Mune zvimwe zviitiko, kusanganiswa kwemishonga inorwisa mabhakitiriya inodiwa kuti ikurumidze kuvandudza mamiriro ehutano uye kugadzirisa kudiwa kwakakosha kwezvinhu zvinoshanda mumuviri.

Chikonzero chekushandisa kwayo ndechekuti:

• nzira yakaoma yechipwere;
• kusanganiswa kweutachiona;
• kukurumidza kukura kwehutachiona hwekuzvidzivirira kune imwe nzira yemishonga inorwisa mabhakitiriya;
• kuvhiringidza kunowanzopesana nechemberi kwehutachiona hwakamanikidzwa;
• Izvo zvinokonzerwa nehutachiona hwehutachiona uku kusanganiswa kwezvipembenene zvisingagone mukati mechirwere chekubudiswa kwemishonga chero ipi zvayo.

Maantibayoti anoshandiswa pamwe chete:

1. Cefuroxime uye gentamicin;
2. Amoxicillin uye gentamicin.
3. Lincomycin uye amoxicillin.
4. Cephalosporin uye lincomycin.
5. Cephalosporin uye metronidazole.

Mutsara wechipiri. Kana chirongwa chekutanga chekurapa chisina kubudirira kana maererano nekururamisa maererano nemigumisiro yekuongorora kwepathogen:

1. Cefepime.
2. Ticarcillin.
3. Fluoroquinolone.
4. Imipenem.
5. Meropenem.

Mishonga inorwisa mabhakitiriya inopesana nemagumisiya emunharaunda

Panzvimbo ine unyoro uye ine mwero wechirwere, mishonga inorwisa mabhakitiriya inoshandiswa:

1. Clartromycin.
2. Azithromycin.
3. Fluoroquinolone.
4. Doxycycline.
5. Aminopenicillin.
6. Benzylpenicillin.

Mazita emishonga inorwisa mabhakitiriya muchetete chakanyanya chepneumonia:

1. Cefotaxime.
2. Ceftriaxone.
3. Clarithromycin.
4. Azithromycin.
5. Fluoroquinolone.

Kusanganiswa kwezvinodhaka zvinogona kushandiswa.

Kusarudza yakanakisisa yakakosha mishonga inouraya yepineumonia, zvirokwazvo, inofanira kuva chiremba. Izvi zvinodzivirira kukanganisa kwechirwere chechirwere uye kubuda kwemabhakitiriya asingagadziki mumuviri.