Ezimweni eziningi, i-pancreatitis iphathwa ngempumelelo ngosizo lokudla okukhethekile nokwelapha izidakamizwa. Kaningi imishanguzo ye-antispasmodics, enzyme kanye ne-antisecretory ngokwanele. Kepha cishe i-20% yeziguli ihlaselwa yilesi sifo ngendlela ebaluleke kakhulu. Ukuvuvukala kuzo kuhamba phambili ngokushesha, kungenzeka ukuthuthuka kwenqubo yokuhlanza, ukusabalala kokutheleleka kwezinye izifo zomgudu wesisu. Kulokhu, ukusetshenziswa kwemithi elwa namagciwane kuyadingeka. Basiza ukuvimbela izinkinga ezinkulu futhi banciphisa inqubo yokuvuvukala. Kodwa ama-antibiotic we-pancreatitis angathathwa kuphela njengendawo yokugcina futhi njengoba eyalelwe udokotela. Ngemuva kwakho konke, izidakamizwa ezinjalo zithinta kabi i-microflora yamathumbu futhi zibe nemiphumela emibi eminingi.
Zidingeka nini
Ama-antibiotic ama-pancreatitis kubantu abadala asetshenziswa njengendawo yokugcina, lapho kunengozi yokutheleleka. Basiza ukumisa inqubo yokuvuvukala ebhebhetheka kwezinye izitho zokugaya ukudla. Imithi enjalo inqunyiwe uma isiguli sizwa izinhlungu ezinzima ezingenakususwa ngama-painkillers ajwayelekile, ngokunyuka kwezinga lokushisa, futhi futhi uma kukhona izinsolo zokuthuthuka kokutheleleka ngegciwane.
Ukwelashwa okufanele kwe-pancreatitis ngama-antibiotics kusiza ukumisa inqubo yokuvuvukala, kuyivimbe ukuthi ingasakazeki kwezinye izitho. Ikakhulu ikakhulukazi zibekelwe inkambo yesifo esibi. Ngaso leso sikhathi, inqubo yokuvuvukala kanye nokubhujiswa kwezicubu ze-pancreatic kuvame ukuholela ekukhuleni kwezimbali zamagciwane. Ukusetshenziswa kwama-antibiotics kusiza ukuvikela i-peritonitis futhi kumise ngokushesha ukuvuvukala.
Kodwa nge-pancreatitis engapheli, izidakamizwa ezinjalo azivamile ukunqunywa. Imvamisa, ukuvuvukala kuleli cala kuba yi-aseptic, kukhula kancane. Ngezinye izikhathi kuphela kuhambisana nezinkinga. Ngezinjongo ze-prophylactic, ama-antibiotics awakwazi ukusetshenziswa, uma kungenjalo kungaba khona imbaza yamagciwane emelana nanoma yiziphi izidakamizwa. Babekwa kuphela lapho kukhona ukutheleleka, ngokuvuvukala inyongo, ukuphuma kokulimala kwe-bile, ingozi yokulimala emihubeni.
Ama-antibiotic ama-pancreatitis angasetshenziswa kuphela njengoba kuchazwe udokotela uma kukhona ukutheleleka noma uma kunobungozi bokukhula kwayo.
Isenzo esibi
Kubaluleke kakhulu ukuthi ama-antibiotic ekwelapheni i-pancreatitis anqunywe ngudokotela. Ngaphezu kweqiniso lokuthi ukuzelapha ngokwami kuvame ukuphela ngemiphumela emibi, ukukhetha kabi kwezidakamizwa kungaholela ekukhuleni kokumelana kwamagciwane. Ngenxa yalokhu, inqubo yokuvuvukala iyaqhubeka, ukutheleleka kusakazeka, okungaholela ekufeni.
Lapho uthatha izidakamizwa ze-antibacterial, ukuvela komzimba kungavela. Kepha imvamisa balimaza i-mucosa emathunjini bese kuholela ekwakhiweni kwe-dysbiosis. Ngalesi sizathu, ngemuva kokulwa namagciwane, futhi kwesinye isikhathi ngasikhathi sinye sokuzisebenzisa, kunconywa ukuthatha ama-probiotic. Okuhle kunakho konke, iS Linex, iHilak Forte, iBifiform, iLactobacterin, iBifidumbacterin. Lezi zimali zibuyisela i-microflora ejwayelekile yamathumbu.
Imithetho yokusebenzisa
I-pancreatitis yisifo esibi kakhulu esivame ukuholela ezinkingeni eziyingozi. Ngakho-ke, ukwelashwa kufanele kwenziwe kuphela ngaphansi kokuqondisa udokotela. Ngemuva kwakho konke, ukukhetha kwezidakamizwa kuncike ezintweni eziningi.
Ngaphezu kwalokho, ukusetshenziswa kwama-antibiotic kunezici ezithile:
Ukwelashwa kwe-pancreatitis eyingozi ekhaya- ukusebenza ngempumelelo kokwelashwa kuncike esikhathini sokuqokwa kwemithi edingekayo;
- udinga ukuthatha kuphela lezo zidakamizwa ezinqunywe ngudokotela, awukwazi ukulungisa ngokuzimela umthamo wazo;
- ku-pancreatitis eyingozi, kungcono ukusebenzisa imishanguzo ngendlela yemijovo, ngakho-ke isebenza ngokushesha futhi ingalimazi i-mucosa yesisu;
- inkambo yokwelashwa imvamisa ingamaviki angama-1-2, ngokuya ngobunzima besifo; uma isimo sithuthuka, awukwazi ukuphazamisa inkambo ngaphandle kokunconywa ngudokotela;
- qiniseka ukuthi ulandela irejimeni yokwelashwa enconywayo;
- lapho usebenzisa ama-antibacterial ezibhebheni, udinga ukuwaphuza ngamanzi ahlanzekile;
- uma kungekho kuthuthukiswa okubonwa kungakapheli izinsuku ezintathu, umuthi kumele ushintshwe.
Izidakamizwa ezejwayelekile
Imaphi ama-antibiotic adingekayo esimweni ngasinye anganqunywa udokotela kuphela. Akuzona zonke izidakamizwa ezinjalo ezisebenza ngokufanelekile kumanyikwe. Ukumisa ngempumelelo ukutheleleka, inhlanganisela yezidakamizwa eziningana ingadingeka.
Kwi-pancreatitis eyingozi, kuphumelela ngokwengeziwe ukusebenzisa imishanguzo yokulimala ngemijovo
Ngokuvamile, ekwelashweni okuyinkimbinkimbi, kusetshenziswa i-metronidazole. Lesi sidakamizwa esisebenza kahle esisebenza ngokubulala amagciwane esinobubanzi besenzo, osebenza kakhulu emgudwini wesisu. Kungcono ukuyihlanganisa ne-fluoroquinolones noma i-cephalosporins.
Ukukhethwa kwezidakamizwa kuncike ekujuleni kwenhliziyo, ukuba khona kwezinkinga. Imvamisa, esigabeni sokuqala, izidakamizwa ezibuthakathaka zanele, kulokhu iBiseptol, Oletetrin, Bactrim, Tetracycline, Amoxicillin zibekiwe. Ekulimazeni okukhulu nokusabalala kokutheleleka, kudingeka izidakamizwa ezinamandla: I-Doxycycline, Kanamycin, Ciprolet, Ampicillin. Uma zingasizi noma ukuvuvukala kubangelwa hhayi ngamagciwane, kepha kungenziwa ngezinye izidalwa ezingamagciwane, amaSumed, Abactal noma amaMetronidazole anqunywe ngokuhambisana nama-anti-spectrum antibiotic.
Ngokukhuphuka
I-pancreatitis ye-acute akuvamile ukuba iqale ngenqubo yokutheleleka. Ngakho-ke, izidakamizwa ze-antibacterial zivame ukubekelwa amasonto angama-2-3 okugula. Kepha kubalulekile kakhulu ukuqala ukuzithatha ngokushesha okukhulu ngokubanga okubukhali kwe-pathology ngomkhuhlane omkhulu nobuhlungu obukhulu. Ezimweni ezinjalo, ama-antibiotic asetshenziswa kakhulu emjovo - intramuscular or intravenous. Kwesinye isikhathi kuyadingeka ukujova izidakamizwa ngqo emgodini wesisu ukuvikela i-peritonitis.
I-Sumamed ingelinye lama-antibiotic aphumelela kakhulu e-pancreatitis.
Esimweni esingamahlalakhona
Kwi-pancreatitis engapheli, akuvamile ukuba usebenzise ama-antibiotics. Imvamisa zibekwa ngemuva kokuhlolwa okuphelele lapho kukhona ukutheleleka noma ukusakazeka kokulimazeka ezithweni eziseduzane. Kulokhu, ama-antibiotic akhethwa ngawodwana, ngokuya ngezimpawu ezibonisiwe kanye nobucayi benkambo yesifo.
Ngokuvamile, nge-pancreatitis engapheli, izidakamizwa ezilandelayo zibekiwe:
- I-Chloramphenicol isebenza ngempumelelo kuhudo olunzima;
- I-Tsiprolet ivimbela inqubo ye-purulent ne-peritonitis;
- nge-cholecystitis, i-Amoxicillin iyadingeka;
- I-Amoxiclav isusa ngokushesha noma yikuphi ukutheleleka ngegciwane.
Amaphilisi
Le ndlela yama-antibacterial agents isetshenziselwa izifo ezilinganiselwe, uma kunengozi yokutheleleka, kepha akukho kuhlanganiswa esiswini namathumbu. Ithebhulethi zidakwa izikhathi ezingama-1-3 ngosuku izinsuku ezingama-5- 10. Qiniseka ukuthi uthobela umthamo kanye nerejimeni yokwelashwa enqunywe udokotela wakho. Kaningi, nge-pancreatitis, izidakamizwa ezilandelayo zibekiwe:
- I-Amoxicycline iyi-antibiotic ebanzi engabonakali ebambeka kahle emgodini wokugaya ukudla futhi ivimbele ukuthuthukiswa kwezinkinga;
- I-Amoxiclav iyinhlanganisela ye-Amoxicycline ne-clavulanic acid, izinzuzo zayo zifaka ukubekezelela okuhle kanye nesidingo sokuthatha isikhathi esisodwa kuphela ngosuku;
- I-Sumamed noma i-Azithromycin isebenza ngempumelelo ngokumelene nenani elikhulu lama-microorganisms;
- I-Ciprolet isidakamizwa esibanzi esibanzi esisebenzayo ekwelapheni ukuvuvukala kwe-purulent.
Kaningi, nge-pancreatitis, imijovo yeCeftriaxone inqunyelwe
Imijovo
Emkhakheni obandayo we-pancreatitis ngokubakhona kokutheleleka ngegciwane, ama-antibiotic ayadingeka kumijovo. Izidakamizwa ezinamandla zisetshenziselwa lezi zinhloso, eziqala ukwenza cishe ngokushesha ngemuva komjovo wokuqala. Ngosuku olulandelayo, ukuvuvukala kuyaphela, izinga lokushisa lesiguli liyancipha futhi nempilo yonke iyathuthuka.
- I-Cefotaxime noma i-Cefoperazone - ama-antibiotic a-wide-spectrum asebenzayo, anezindawo ze-bactericidal, ukuvimbela izinkinga ngemuva kokuhlinzwa;
- I-Abactal ivame ukusetshenziswa ekulimazeni okukhulu kwamanyikwe, ngoba isebenza kakhulu emgodini wesisu, umuthi uyasebenza yize ezinye izidakamizwa zingasebenzi;
- I-Vancomycin isetshenziselwa izifo ezingathi sína, i-sepsis, kanye nasendaweni yokungasebenzi kwezinye izidakamizwa;
- I-Ceftriaxone ibhubhisa kahle amagciwane amaningi futhi ibekezelelwa kahle yiziguli, ngakho-ke ingasetshenziswa ngisho nasezinganeni;
- I-Ampiox noma i-Ampicillin ngokushesha idambisa ukuvuvukala futhi ihambise inkambo ye-pathology.
Zonke izidakamizwa ze-antibacterial zingasetshenziswa kuphela njengoba ziyalelwe udokotela. Ukukhetha kwezidakamizwa okungagunyaziwe noma ushintsho lomthamo kungaholela ezinkingeni ezinkulu.
