Ukwelashwa kwe-pyelonephritis kwabesifazane kusho izidakamizwa zokulwa namagciwane, ngoba cishe njalo lesi sifo sihlotshaniswa nomsebenzi wama-gram-positive noma amagciwane angalungile. Kulokhu, ukhetho lwe-antibiotic esimweni ngasinye kufanele kube ngabanye, ngoba ukwelashwa kwe-pyelonephritis ekhuthele kwabesifazane kanye nesimo esingapheli sesifo kuhilela ukusetshenziswa kwezidakamizwa ezihlukahlukene. Izinkinga zesifo, njenge-purulent pyelonephritis, ziphakamisa ukusetshenziswa kwezidakamizwa nemiphumela eyinkimbinkimbi ngomphumela othuthukisiwe.
Izici zokwelashwa kwe-pyelonephritis kwabesifazane
I-Pyelonephritis yabesifazane ibathinta kakhulu umsebenzi wokuzala. Labo abaye babhekana nalesi sifo, kunzima ukukhulelwa futhi babele ingane. Uma lesi sifo singelapheki, ukukhulelwa kubhekene nezinkinga, futhi ukuzalwa kungahle kuthathelwe indawo yesigaba sokudla ukuze kuncishiswe ingozi yokuhluleka kwezinso. Yingakho i-pyelonephritis kufanele ilashwe ngokushesha, njengoba kutholakala. Uhlelo lokuphathwa kwe-pyelonephritis kwabesifazane kuhilela ukusebenzisa izinhlobo eziningana zama-antimicrobial:
- iqembu lama-aminopenicillin;
- i-semisynthetic ihlanganiswe amalungiselelo asekelwe ku-aminopenicillin ne-clavulanic acid;
- iqembu lama-cephalosporins;
- aminoglycosides ;
- iqembu lama-fluoroquinolones.
Yiziphi antibiotics zokwelapha i-pyelonephritis yabesifazane abakhethayo?
I-Aminopenicillins cishe ayinayo imiphumela emibi kanye nokungafani, ingasetshenziswa ngesikhathi sokukhulelwa nokuphathwa kwezingane kusuka ezinyangeni ezingu-3. Kodwa umphumela wezidakamizwa kuleli qembu ukhululekile kakhulu, ngoba imikhiqizo yomsebenzi obalulekile wezinambuzane eziningi ze-pyelonephritis iholela ekubhujisweni kwezinto ezisebenzayo. Le mithi iluleka ukusebenzisa uma i-agent causative yesifo i-E. coli, noma i-enterococci. Ama-antibiotic athandwa kakhulu kuleli qembu yi-Amoxicillin ne-Penicillin.
Ukwelashwa kwe-pyelonephritis engapheli kwabesifazane kungcono kakhulu kwenziwe ngezidakamizwa ezisuselwa ku-aminopenicillin ne-clavulanic acid. Ukusebenza kwabo kuphakeme kakhulu, kepha umphumela emzimbeni ulula. Njengengcindezi, kunezinkinga zokungezwani komzimba kanye ne-leukopenia, kodwa lokhu kwenzeka ngokungajwayelekile. Isibonelo salo muthi yiziphilisi Flemoklav Solutab.
I-pyelonephritis enamandla iphathwa ngamaminoglycosides kanye ne-fluoroquinolones. Nakhu okuthandwa kakhulu kubo:
- Ciprofloxacin ;
- I-Ofloxacin;
- Ramikazin;
- I-Gentamicin;
- I-Nethylmycin.
Imiphumela emibi kanye nokuphikisana kwezidakamizwa eziningi, ikakhulukazi kuyingozi umphumela wabo we-nephrotoxic.
Izinkinga zesifo, ikakhulukazi uhlobo lwe-purelent of pyelonephritis, ziphathwa nge-cephalosporins. Lezi yizi:
- I-Cephalexin;
- I-Zinnat;
- Tamycin nabanye.