I-Otitis yisifo se-otolaryngological esihlotshaniswa nenkambo yenqubo yokuvuvukala ezinxenyeni ezihlukahlukene zendlebe. Kukhona i-otitis yangaphandle nephakathi, kokubili okungaba kokubili okungapheli futhi okunamandla.
I-Otitis - ukwelashwa ngama-antibiotics
Ama-bactericidal agents asetshenziselwa phezulu (ngaphandle) naphakathi. Uhlobo lwe-antibiotic therapy lubekwe ngokuya ngohlobo lwe-otitis kanye nesimo senkinga yesifo.
Yiziphi antibiotics okufanele ziphuze nge-purulent otitis engapheli, futhi yiziphi okumele zizisebenzise ngaphandle?
Ukusetshenziswa kwamalungiselelo e-bactericidal we-otitis okungapheli kulungile uma inqubo yokuvuvukala isesiteji esibucayi kanti okuqukethwe okusetshenziselwa ukwelashwa kuvela endaweni yesifo esikuyo.
Izimpawu:
- ukuwohloka kancane kokulalela;
- ukushisa komzimba okwandisiwe;
- ukubonakala kwezindlebe zokuhlangana okungenangqondo ngezingqungquthela ezingenacala;
- ubuhlungu endlebeni;
- ubuthakathaka;
- pallor.
Ngokuvamile, ama-antibiotics asetshenziswa ohlwini olulandelayo:
1. Ukuphatha ngomlomo:
- i-ampicillin (ampicillin trihydrate). Isu: i-capsule eyodwa 4 r. ezinsukwini ezingu-5;
- amoxicillin. Isu: i-capsule eyodwa 3 r. usuku ngezinsuku ezingu-10;
- spiramycin. Isu: i-capsule eyodwa 2-3 r. ezinsukwini ezingu-7;
- ciprofloxacin. Isu: i-capsule eyodwa 2 r. usuku lubuye nezinsuku ezingu-7;
- i-azithromycin: i-capsule eyodwa 1 k. usuku, izinsuku ezintathu;
- phenoxymethylpenicillin: ama-capsules amathathu ngosuku ngosuku lwezinsuku ezingu-5.
2. Umjovo:
- i-cefazolin - injection ye-intramuscular, kuze kube ngu-4 r. ngosuku, izinsuku ezingu-5;
- I-Netilmicin - injection injection, 2 r. ngosuku ngosuku lwezinsuku ezingu-7.
3. Ukusetshenziswa kwesibhakabhaka (ukugxiliswa kwe-instillation endlebeni), isisombululo sokuphuza i-chloramphenicol sisetshenziswa.
Ngimaphi ama-antibiotics okufanele ngiwathathe nge-acute otitis media, futhi yiziphi okufanele zisetshenziswe ngaphandle?
I-catarrhal i-otitis media ejwayelekile, ngokuvamile, ayidingi ukwelashwa kwama-antibiotic. Ukuqokwa kwemithi enjalo kuyadingeka kuphela ezimweni ezimbi kakhulu, uma ukwelashwa kwendabuko kungenayo imiphumela emihle.
Izimpawu:
- ubuhlungu obunzima endlebeni;
- ukuvinjelwa kwendlebe;
- ukwanda okuqinile kokushisa komzimba;
- umsindo endlebeni;
- ikhanda;
- ubuhlungu bezinyo.
Ama-antibiotics asetshenziswa:
- Ukuze kusetshenziswe ngomlomo, izidakamizwa ezifanayo zisetshenziselwa ukubhekana nesifo se-purulent otitis media.
- Ukuze uthole injection ye-intramuscular, kutuswa ukusebenzisa i-cefazolin.
- Sicelo se-topical:
- i-normax;
- i-norfloxacin;
- i-otofa;
- i-cipromed;
- fugentin;
- fuzafunzhin - spray.
Amaconsi asetshenziswa ngokusho kwemiyalelo.
Ngiziphi i-antibiotics engingayiphatha nge-otitis media yangaphandle?
Ngokuvamile, ukusetshenziswa kwama-agent antifungal wendawo kukwanele ukuphatha izinqubo zokuvuvukala esikhunjeni somngcwabo wangaphandle wokuhlola. Uma isimo sesifo siphuthumayo futhi sihambisana nobuhlungu obukhulu, kulungile ukubeka amalungiselelo okugciwane.
Izimpawu:
- ubuhlungu ngokuthinta i-auricle;
- i-earache;
- ukuzwela indlebe;
- ukwandisa i-lymph nodes;
- ukulahleka kokulalela okuphansi;
- ukukhishwa kwe-purulent kusuka e-auricle.
Ama-antibiotics we-otitis yangaphandle:
1. Ukuphatha ngomlomo:
- nystatin: ama-capsules amabili 4 r. ezinsukwini ezingu-14;
- i-azithromycin: ngosuku lokuqala lwezokwelapha - ama-capsules amabili ngosuku, eqala nge-second-one capsule ye-1 p. ngosuku, izinsuku ezingu-5 kuphela;
- Ampicillin: i-capsule eyodwa 3 r. ngosuku ngezinsuku ezingu-5.
2. Ukusetshenziswa kobuchwepheshe:
- i-ofloxacin;
- i-neomycin;
- i-sophrax;
- i-gramicidin - amaconsi ephuzo;
- I-oxycort - amafutha ngama-hydroortisone ne-oxytetracycline.
Ukulungiswa kokusetshenziswa kwezingqikithi kufakwe futhi kusetshenziswe ngokuhambisana nemiyalelo enamathiselwe.
Ungazibekeli izidakamizwa ze-bactericidal kanye nokwelashwa kwama-antibiotic. Lokhu kungabangela ukuwohloka kwesimo esijwayelekile futhi kuqhubekisele phambili ukuthuthukiswa kokungafani kahle.