ʻO ka Bronchitis ka mumū o ka maʻi, kahi i hana pinepine ai e like me ka hōʻoia o ke anuanu maʻamau, ka maʻi, a me ka ARVI. ʻAʻole i keakeaʻia kāna hanaʻana me ka loaʻaʻole o nā mea hana kū'ēʻole, kahi i maʻaʻole ai ka maʻi bacteria i hoʻonāukiuki.
Eia nō naʻe, ka nui nui o ka'alamapa i kēia lā, a ke hele mai ana kahiʻano o nā hua antibacterial ma ke kūʻai aku, iʻikeʻole i ka maikaʻiʻole i ka maʻi bronchitis. No laila, e noʻonoʻo hou mākou i nā lāʻau'alapona o kekahi hanauna hou i ka maʻi hānai, a hoʻolohe pū i kaʻelemakule, i kekahi manawa iʻoiʻole ka waiwai.
Ke papa inoa o nā lāʻau'alopelo no ka maʻi
Ma mua o ka kohoʻana i kekahi mau'aʻakikū, ponoʻoe e koho i nā hui e ola ana. I loko o nā lāʻau noiʻi, hoʻokaʻawaleʻia nā lāʻau lapaʻau antibacterial a pau i nāʻano:
- beta-lactam; ʻO kēia me nā penicillins a me nā cephalosporins, nā monobactams a me nā carbapenems.
- ke kākoʻo;
- aminoglycosides;
- nā rifamycins;
- nā kikowaena;
- ristomycins;
- polymyxins;
- gramicidin;
- nā antibiotic polyene.
ʻO kēia mauʻano o nā lāʻau'alopero aia nā loko iho o nā hui. Ua māheleʻia lākou e like me keʻano o kaʻikeʻana i nā huapalapala, a me ka pono o ka lukuʻiaʻana o kēlā me kēia o lākou.
Ke kulekele o nā lāʻau'apaʻau:
- ʻO nā lāʻau'apaʻau e pale i ka uluʻana o ka huapiʻi, i hiki ai i ke kino ke pale aku i ke maʻi: carbapenems, ristomycin, penicillin, monobactams, cephalosporins, cycloserine.
- ʻO nā lāʻau'aloʻolo e hoʻopau i ka hananaʻana o nā kinikona paʻakikī: polyene antibiotics, glycopeptides, aminoglycosides, polymyxins.
- ʻO nā kinakino e kāohi i ka inoa o RNA (ma ka pae o RNA polymerase): kahi hui o nā rifamycins.
- ʻO nā mea'ūlika e kāohi ai i ka inoa o RNA (ma ke kiʻekiʻe o ribosomes): macrolides, tetracyclines, linkomycins, levomycetin.
Hoʻomaʻoʻia o ka tracheitis a me ka bronchitis me nā lāʻau'alope
Inā paʻakikī ka bronchitis ma o ka tracheitis, kahi e loaʻa mau ai i ke staphylococci a iʻole streptococci (i nāʻano koʻikoʻi - e nā huapona'ē aʻe), a laila hoʻohanaʻia kekahi lāʻau'alopelo ākea. ʻO kekahi laʻana, hoʻohanaʻia ka Flemoxin soluteba ma keʻano maʻi ināʻaʻole i laweʻia nā kōpana no ka bacteria, aʻaʻole hiki i nā kauka ke hoʻomaopopo pono i nā mea i loaʻa ai kēia maʻi. ʻO kēia haʻikikikī e pili ana i ka pīpī penisilini a hoʻopau i nā huaʻameʻa gram-maikaʻi a me ka huapalapala.
Inā hanaʻia ka tracheitis a me ka bronchitis e ka maʻi viral, a laila,ʻaʻole hoʻohanaʻia nā lāʻau'alopelo: ma kēia hihia,ʻaʻole wale lākou e ponoʻole, akā, he pōʻino hoʻi, no ka mea e palekana lākou i ka palekana, a hoʻopaneʻi kēia i ka manawa o ka maʻi.
ʻO nā lāʻau'ūlika no ka maʻi pīnoni a me ka bronchitis
ʻO ka hui pūʻana o ka bronchitis me ka lolouma he hihia paʻakikī, aʻo kēia ka mea e pono ai ke kaulike kūpono. ʻO nā lāʻau'aloʻolo e pili ana i ka levofloxacin pono loa maʻaneʻi. ʻO kēia hanauna hou, ka mea i loaʻa ka hopena nui i ka hakakāʻana i nā maʻiʻeha o ka paʻakikī koʻikoʻi. I loko o ka'ōnona e hoʻohanaʻia no nā lā he 7-14 no ka 1 a 2 mau papa (e pili ana i ka paʻakikī), e noʻonoʻo i ka papaʻaina he 250 g.
Hanaʻia o ka bronchitis mau me nā lāʻauʻokoʻa
Hoʻomaʻaʻia i ka maʻi bronchitis e pili ana inā he pilikia. Eia kekahi laʻana, me ka maʻi bronchitis i hoʻopiliʻoleʻia, ua hoʻohālikelikeʻia nā aminopenicillins a me nā tetracycline. ʻAʻole hoʻokomo 'ia nā kāpena pili i nā keiki.
I loko o ka maʻi hānai mau me nā pilikia, ua kauʻia nā macrolides a me nāphaphaporuma.
ʻO Macrolides o ka hanauna mua ke paniʻia e ka erythromycin a me ka oleandomycin, aʻo ke kolu - by azithromycin.
Cephalosporins o ka hanauna mua e komo pū ana me ka cephalosin, a me ka hope no kēia lā - cefepime.
Hoʻokumu 'ia nā hopena o nā lāʻau'alopelo no ka maʻi hānai inā mālamaʻia ka lāʻau hoʻomalu. Uaʻoi aku ka maikaʻi o ia mau mea no ka mea, ua komo koke i loko o ke koko. ʻO ka kohoʻana o ka lāʻau lāʻauʻapa, ma keʻano he kūlana, e hilinaʻiʻia ia i ka bacteri o ka maʻi maʻi, akā ināʻikeʻoleʻia, hoʻohanaʻia nā lāʻau'alopelo nui: ampicillin or ceftriaxone. Hoʻolālā ke ola no 7 mau lā.