Imithi elwa namagciwane i-pancreatitis iyingxenye ebalulekile yokwelashwa okuyinkimbinkimbi uma isifo sikhulu noma isimo esingamahlalakhona siye saba sibi. Ngenxa yokusetshenziswa kwama-antibacterial pharmacological agents, amathuba wokutheleleka kohlelo lokugaya ukudla ancishiswe kakhulu. Kodwa-ke, imithi elwa namagciwane ayikwazi ukubizwa njengesisekelo sokwelashwa kwe-pancreatitis, kunezinkomba zokuqokwa kwabo kuphela ngenkambo yesifo esibi kakhulu.
Kunconywa ngokujwayelekile ukuthatha ama-antispasmodics, ukunamathela ekudleni okuqinile, futhi uma kunesidingo, ngaphezu kwalokho thatha inkambo yamalungiselelo we-enzyme. Kumele kuqashelwe ukuthi enye yezindlela ezibaluleke kakhulu zokwelapha ukwenqatshelwa kokudla okugcwele ngesikhathi sokuqunjelwa kwesifo. Udokotela ukuvumela ukuthi uphuze kuphela amanzi ahlanzekile, lokhu kukuvumela ukuthi wehlise umthwalo kusuka kumanyikwe, kuqedwe inqubo yokuvuvukala.
Kudingeka nini umuthi olwa namagciwane?
Esikhathini esiningi, ukwelashwa okujwayelekile, uma isiguli sinamathela embhalweni kadokotela, kuholela kumphumela osifunayo, kepha kwesinye isikhathi uhlelo alusebenzi futhi aluniki mphumela. Njengamanje, imithi elwa namagciwane ayikwazi ukusatshalaliswa ngayo; izosindisa ama-pancreas ekuqongeleleni ama-microorganisms we-pathogenic.
Ama-antibiotic ama-pancreatitis kubantu abadala ayadingeka futhi ekuthuthukiseni ubunzima, isibonelo, uma i-bile stasis ibonwa enkambeni yesifo esibi, ukuvuvukala okunamandla, uketshezi luqongelela emgodleni wesitho. Ukuvuvukala kuqala ngokushesha kangangokuba odokotela abanaso isikhathi sokusindisa impilo yesiguli.
Ukuvimbela ukufa, kubalulekile ukuqala ukuthatha imishanguzo ngesikhathi esifanele, ingaba amaconsi noma imijovo emgodini wesisu. Isiguli kufanele sihlale sibhekene nodokotela.
Imithi elwa namagciwane yokulimala kwe-pancreatic ingasiza nokubhekana ne-cholecystitis, ngoba lezi zifo ezimbili zihlobene kakhulu:
- ukuqina kwe-bile kwenzeka gallbladder;
- umzimba uyakhanya;
- inqubo ye-pathological iya kumanyikwe.
Ngenxa yalokhu, isiguli sinayo "yonke indlwana" yezifo; kunzima kakhulu ukukwenza ngaphandle kokusebenzisa umuthi olwa namagciwane.
Imiphi imishanguzo ebekwa udokotela
Imithi elwa namagciwane yensimbi esigabeni esibi iba yindlela yokuvikela ukubhekana nezinkinga, kufanele kuqashelwe ukuthi ukusebenza ngokuqondile kuncike ekutheni ukwelashwa ekuqaleni kwaqala kanjani. Kumakhompiyutha, izidakamizwa ezinjalo ziphendukela kaningi kakhulu kunasesimweni esibi sokwephulwa.
Inkomba yokusetshenziswa kwe-antibiotic yi-parapancreatitis, lapho inqubo ye-pathological isabalale kumanyikwe, izicubu eziseduze, i-gallder, i-pancreatitis esebenzayo. Ezimweni ezinjalo, izidakamizwa ze-cephalosporin ne-penicillin zinesizathu.
I-Amoxicillin
I-Amoxicillin iyisidakamizwa esenziwe ngezinto ezinobungako obuningi bezenzo, iqala ukusebenza ngemuva kwamahora ambalwa ngemuva kokuphatha, ivunyelwe ezinganeni kusukela eminyakeni emibili. Umuthi kufanelekile ukuwusebenzisa, ngokunqenqema amahora ayi-12.
Odokotela bathi ukuba khona kwe-asthma ye-bronchial, izifo ezithinta izifo zokuphefumula, i-mononucleosis engatheleleki, kanye nokungabekezeleleki kwezakhi zomuthi kungukuphambana.
Ngaphezu kwalokho, kukhona ukusabela okungekuhle, kubonakaliswa ngokwephulwa:
- i-urticaria;
- izinhlungu ezihlangene
- iminyakazo
- I-edema kaQuincke;
- isiyezi.
Ezimweni ezinzima, ukuthuthukiswa kokuthuthumela kwe-anaphylactic akubeki eceleni.
U-Augmentin (aka Amoxicillin)
Umuthi ukhiqizwa ngendlela yamaphilisi, i-powder yokulungiselela ukumiswa, ukumiswa kokuqedwa noma isixazululo ngendlela yemijovo. I-Augmentin ingumuthi osetshenziswa kabanzi, iyamelana nemithi yamagciwane eyenziwe ngama-penicillins, cephalosporins.
Isikhathi esincane sokwelashwa siyizinsuku ezi-5, futhi kungakhathalekile ukuthi hlobo laso lesi sifo sinjani. Kunemibono ecacile yokusetshenziswa komuthi, ichazwa ngokuningiliziwe emiyalweni. Kuyadingeka futhi ukuthi ubheke ukuthi kungenzeka ukuthi umzimba usabele ngokungemthetho: i-anemia, komzimba, ukuqwasha, i-thrombocytosis, i-candidiasis yesikhumba nolwelwesi lwama-mucous, isasasa lezinzwa, ukukhathazeka, isifo sohudo.
Lapho isiguli sinemiphumela emibi eyodwa noma eminingana engathandeki ye-Amoxicillin ku-pancreatitis, bayayeka ukuzithatha, baphendukela kudokotela ukuze babuyekeze irejimeni yokwelashwa, umthamo ungashintshwa.
Imithi elwa namagciwane
Izidakamizwa ezibanzi ezibanzi zibizwa njengezidakamizwa ezisebenza kakhulu ekulweni nezifo ezahlukahlukene, zibizwa ngokuthi ama-universal universal antibiotics. Izidakamizwa ezidume kakhulu kuleli qembu yilezi: Ampicillin, Cefoperazone, Doxycycline, Ceftriaxone, Sumamed, Amoxiclav.
I-Ampicillin
Isidakamizwa sinconyelwa i-peritonitis, cholecystitis - izinkinga ezisongela impilo ye-pancreatitis e-acute. Umuthi uthathwa uhhafu wehora ngaphambi kokudla noma amahora amabili ngemuva kokudla. Isikhathi sokwelashwa okungenani izinsuku ezinhlanu, inkambo ephezulu yokwelashwa ingaphezu kwamaviki amathathu.
Kukhona ukuphambana, phakathi kwabo ukukhulelwa kwanoma yisiphi isikhathi, ukwephulwa okunamandla kwesibindi. Ukusabela okuhlukile kuzoba umkhuhlane, ukuhlanza, ikhanda, ukuqaqamba komzimba, ukwethuka kwemikhawulo, isihlalo esingalimele, i-hemorrhagic colitis.
Cefoperazone
Enye i-antibiotic ebanzi ebanzi esetshenziselwa i-pancreatitis, i-Cefoperazone. Isebenza ngokushesha, ifinyelela ekuphakameni okuphezulu cishe ngemizuzu eyi-15 ngemuva kokuphatha. Into esemqoka yesidakamizwa ingena ngaphakathi kwezicubu nezitho zangaphakathi, umphumela uphikelela amanye amahora ayi-12.
Imithi elwa namagciwane yokwanda kwe-pancreatitis engapheli ingabhekelwa enganeni, kodwa ngokuya ngokunamathela ngokuqinile komthamo. Ngaphandle kokuhlolwa okugcwele komzimba, i-antibiotic ayisetshenziswanga, uhlobo lomthamo lukhethiwe ngawodwana. Omunye udokotela angabeka i-doxycycline ye-pancreatitis.
Ama-antibiotic amasha we-Generation
Izidakamizwa zesizukulwane sesithathu zinobubanzi besenzo, zikhonjiswa ngenxa yezinkinga zepancreatitis. Ukuxhumana okuhlobene nokwelashwa yile: i-renal, ukwehluleka kwesibindi, ukukhipha izibunu, izinyanga zokuqala zokukhulelwa, ukuzwela ngokweqile ezingxenyeni zomuthi.
Izindlela ezaziwa kakhulu zaleli qembu yiCeftriaxone, Cefotaxime, Azithromycin.
Imithetho yokwelashwa elwa namagciwane
Ama-antibiotic ama-pancreatitis acute azoba nomphumela ofanele uma athathwe ngendlela efanele. Lokhu kubalulekile, ngoba inqubo yokuvuvukala iba yimbangela yezinkinga cishe kuwo wonke amacala wesihlanu.
Kunconywa ukusebenzisa ama-antibalas (ama-pancreas) ama-pancreas kuphela nge-exacerbation ebizwayo, uma izimpawu zingalapheki ngezindlela ezijwayelekile. Udokotela ngeke anikeze ukunqunywa kwengqondo ngaphandle kokuhlolwa kokuqala kwesiguli, ngaphandle kwalokhu akunakwenzeka ukufeza amandla ahlukahlukene alesi sifo.
Lapho umphumela osheshayo uyadingeka, ama-antibiotics asetshenziswa ngendlela yemijovo. Kuzodingeka ukuthi ubheke ngokuqinile inkambo yokwelashwa, uma kunqunyelwe ukwenza isifundo sezinsuku eziyishumi, okusho ukuthi isiguli kufanele siphuze imishanguzo isikhathi esiningi leso. Kwenqatshelwe ukunqumela noma ukunweba inkambo yokwelashwa.
Mayelana nezidakamizwa ze-pancreatitis zichazwe kuvidiyo kule ndatshana.
