I-pneumonia iyindlela yokuvuvukala emaphashini, ngokuvamile okuwumphumela noma ukucindezeleka kwe-bronchitis. Ukwelashwa kwe-pneumonia kwenziwa nge-antibiotics ngokusemthethweni, ngoba ama-causative agents of the disease kukhona ukutheleleka kwe-bacteriological.
Izinhlobo zezifo
Kukhona indumoniya:
- Isibhedlela.
- Ukuthola umphakathi.
Ngokuya kombuso wezokwelapha, imilayezo ehlukene yama-antibiotics ikhethiwe.
Imithetho yokumisa:
- Khetha i-anti-antibiotic. Lokhu kuyoba yindlela yokwelashwa yokuqala yama-antibiotic. Isizathu saleso sifo sithathwa ngokusekelwe kumbala we-sputum ohlukaniswe namapayipi kanye nesimo se-pneumonia.
- Yenza ukuhlaziywa ukuze ubone amabhaktheriya abangela lesi sifo, kanye nokuzwela kwabo kuma-antibiotics.
- Lungisa uhlelo lwezokwelapha ngokwemiphumela yokuhlaziywa kwe-smear ye-sputum ezohlukaniswa.
Uma ukhetha ukuthi yimiphi imithi elwa namagciwane okuphuza i-bronchitis ejulile ne-pneumonia, kufanele ucabangele:
- ukuqina kwesifo;
- ukuphikisana;
- kungenzeka ukuphendula okwehla;
- uketshezi kwezidakamizwa;
- ukuthambekela kokuthuthukiswa kwamagciwane okulwa namagciwane;
- ijubane lokungena kwesidakamizwa emzimbeni;
- ijubane lapho umthamo wezokwelapha ufinyelelwa khona ekuvukeni;
- inqwaba yesenzo somuthi.
Ukungasebenzi kwemithi elwa namagciwane e-pneumonia
Izimo ezinjalo ziyize. Ngokuyinhloko zivela ngenxa yokwelashwa kwangaphambili kwesiguli ngosizo lwe-bactericidal noma ama-bacteriostatic agents. Izimbangela zokuntuleka kwezidakamizwa zingaba:
- ukusetshenziswa njalo kanye nokuguqulwa kwama-antibiotics;
- ukuthuthukiswa kokumelana kwama-microorganisms kumuthi okhethiwe;
- Ukukhetha okungalungile kokulinganisa kanye nobude besikhathi sokwelapha.
Isixazululo senkinga sithatha isidakamizwa ngomunye, noma ukuhlanganisa izidakamizwa eziningana.
Yiziphi antibiotics zokwelapha isibhedlela sesibhedlela?
Uhlobo lwesibhedlela lwe-pneumonia luhlanganisa ukutholakala okuqhubekayo kwesiguli esibhedlela esibhedlela nokuqondiswa udokotela.
Umzila wokuqala. Imithi elandelayo isetshenziswa:
- Amoxicillin.
- I-Penicillin.
- I-Cefepime.
- I-Ceftazidime.
- I-Cefoperazone.
Uma ukungaboni ngaso linye kwalezi zinambuzane ezingenhla noma ukutholakala kokuthinta okweqile, kungenzeka ukusebenzisa amanye ama-agent:
- I-Ticarcillin.
- I-Piperacillin.
- I-Cefotaxime.
- Ceftriaxone.
- I-Ciprofloxacin.
Kwezinye izimo, inhlanganisela yama-antibiotic iyadingeka ukuba ithuthukise ngokushesha isimo sesiguli futhi ifinyelele ukuhlushwa okudingekayo kwezinto ezisebenzayo emzimbeni.
Isisekelo sokusetshenziswa kwayo yilezi:
- inkinga enkulu yesifo;
- ukutheleleka okuxubile
- ukuthuthukiswa okusheshayo kokumelana namagciwane ezinhlobo ezilodwa zama-antibiotic;
- inqubo yokuvuvukala kwenzeka ngemuva kwesizinda sokuzivikela okucindezelwe;
- I-agent causative yokutheleleka iyinhlanganisela yama-microorganisms engangeni ngaphansi kwezinga lokuchayeka kwanoma imuphi umuthi.
Ama-antibiotics asetshenziswa ndawonye:
- I-Cefuroxime ne-gentamicin;
- I-Amoxicillin ne-gentamicin.
- I-Lincomycin ne-amoxicillin.
- I-Cephalosporin ne-lincomycin.
- I-Cephalosporin ne-metronidazole.
Umzila wesibili. Uma umuthi wokuqala wezokwelapha ungasebenzi noma ngokuhambisana nokulungiswa ngokwemiphumela yokuhlaziywa kwe-pathogen:
- I-Cefepime.
- I-Ticarcillin.
- I-fluoroquinolone.
- Imipenem.
- I-Meropenem.
Ama-antibiotics aphikisana nomoya wokuphefumula womphakathi
Esigabeni esincane futhi esilinganiselwe sesi sifo, kusetshenziswe ama-antibiotics anjalo:
- I-Clartromycin.
- I-azithromycin.
- I-fluoroquinolone.
- I-Doxycycline.
- Aminopenicillin.
- I-benzylpenicillin.
Amagama ama-antibiotic esigabeni esinzima se-pneumonia:
- I-Cefotaxime.
- Ceftriaxone.
- I-Clarithromycin.
- I-azithromycin.
- I-fluoroquinolone.
Ukuhlanganiswa kwezidakamizwa ngenhla kungasetshenziswa.
Ukuze ukhethe i-antibiotic efanelekayo ye-pneumonia, ngokuqinisekile, kufanele udokotela. Lokhu kuzovimbela ukuhlukumeza kwenkinga yesifo kanye nokuvela kwama-antibiotic-resistant bacteria emzimbeni.