I-sinusitis yisifo esijwayelekile se-ENT. Ezimweni eziningi, ukukhubazeka kukhula njengengcindezi yezifo ezithathelwanayo ezifana ne-influenza, i-tonsillitis, i-pharyngitis, isingqimba, njll. Ama-causative agents of sinusitis angenza njenge-bacteria (kaningi i-staphylococci, streptococci, i-hemophilia), namagciwane kanye ne-fungi. Uma isikhathi singaqala ukwelapha i-sinusitis, kungaholela emiphumeleni enobungozi njenge-meningitis, i-phlegmon ye-ophthalmic, i-osteomyelitis, njll.
Ingabe udinga ama-antibiotic for sinusitis?
Isidingo sama-antibiotic sinqunywa yizimbangela zesifo kanye nohlobo lwamagciwane okutheleleka. Ngakho-ke, uma i-genyantritis ibangelwa ama-virus noma isikhunta, ukusetshenziswa kwezidakamizwa ze-antibiotic kungabangela ukwandisa inqubo yokwelapha. Izimpawu ze-sinusitis yebhaktheriya yilezi:
- ukukhishwa kwe-purulent kusuka ekhaleni (umqubu obukhulu wombala ophuzi noma obuluhlaza);
- isisa endaweni yesono se-maxillary, esanda ngokucindezela;
- ukulahlekelwa iphunga;
- isimo sokudakwa komzimba.
Ngokuqhubeka kwazo lezi zimpawu noma ukuzilondoloza isikhathi esingaphezu kwesonto, ama-antibiotic ayadingeka. Kulesi simo, ngaphambi kokuqala ukwelashwa, kudingeka ukuba kwenziwe isiko le-bacteriological kusuka ekhaleni ukuze kunqume ukuthi izimbangela ezibangelwa ukuvuvukala, kanye nokuzwela kwazo izidakamizwa. Nakuba ekusebenzeni ngokuvuvukala okunzima ukuhlaziywa okunjalo kungavamile kwenziwa, ama-antibiotics wezinyathelo eziningi ezenziweyo anqunyelwe. Kodwa uma kwenzeka sinusitis engapheli ngaphandle kokuthola i-pathogen, ukwelashwa kungase kungabi nomphumela omuhle.
Iyiphi imithi elwa namagciwane engcono ukuthatha ne-genyantritis?
Lapho ukwemukelwa kwezidakamizwa ze-antibiotic kuyadingeka futhi kulungile, lo mbuzo uvela: yiziphi antibiotics ezizophuza ku-genyantritis? Lapho ukhetha izidakamizwa, ikhono eliphenyayo emagqumeni omuncu wezono futhi kungenzeka ukuthi ukudala ukuhlushwa okukhulu kwezinto ezisebenzayo kulokhu kuthathwa. Futhi kucatshangelwa i-spectrum yesidakamizwa, izici eziqondene nesiguli, izifo ezikhona.
Iphuzu elibalulekile ukukhetha uhlobo lomuthi. I-genyantritis ephumelela kakhulu imithi elwa namagciwane, kodwa ngokuvamile iyalulwe ezimweni ezinzima, ngokudakwa umzimba ngokuqinile. Ezimweni eziningi, ama-antibiotic okulawulwa ngomlomo anqunywe. Ukusetshenziswa kwendawo yama-antibiotics, nakuba kugwema ukuphendula okuningi, kodwa akukwazi njalo ukudala ukuhlushwa okudingekayo kwesidakamizwa ekugxilweni kokuvuvukala ngenxa yokuvuvukala kwe-mucosa nokutholakala kwe-mucus ebanzi.
Ama-antibiotic aphumelelayo we-purusent sinusitis (amagama)
Ngokuvamile, ku-genyantritis, izidakamizwa ezilwa namagciwane ezamaqembu alandelayo zibekiwe:
- cefalosporins (Ceftriaxone, Cefotaxime, Cefuroxime, Cefixime, Cedex, Zinnat , Ospexin, njll);
- amapenicillin (Amoxicillin, Amosin, Hiconcil, Ecoclav, Amoxiclav, Augmentin, njll);
- ama-macrolide (iZitrolide, Sumamed, Josamycin, Macropen, Clarithromycin, njll);
- i-fluoroquinolones (i-Ofloxacin, i-Moxifloxacin, i-Lomefloxacin, iProfrofloxacin , i- Levofloxacin ).
Ama-antibiotic wendawo, angasetshenziswa ekwelapheni kwe-sinusitis, ingabe imithi enjengale:
- I-Isophra;
- I-Polidex;
- Fusafungin.
Ngokuhlanganiswa nemithi elwa namagciwane, njengomthetho, ama-vasoconstrictive agents, izidakamizwa eziphikisayo, ama-mucolytics anqunywe, futhi impumu ihlanjululwa ngezixazululo ze-antiseptic. Kufanele kucatshangelwe ukuthi ukwelashwa kwama-antibiotic akukwazi ukuphazanyiswa ngisho nangemva kokuthuthukiswa kwesimo (inkambo yokwelashwa okungenani izinsuku ezingu-7-10).