Likokoana-hloko tsa sinusitis li atisa ho behoa e le motheo oa phekolo ea meriana. Tabeng ena, eseng maemong 'ohle, lithethefatsi tsa sehlopha sena li sebelisoa ka mokhoa o fapaneng bakeng sa phekolo ea lefu lena,' me ngaka e lokela ho e khothaletsa ka mor'a hore e khetholle mofuta le lisosa tsa sinusitis.
Mefuta ea sinusitis - matšoao le phekolo
Sinusitis ke mofuta oa sinusitis , o khetholloang ke ho ruruha ha lisele tsa mocosa oa o mong kapa o mong oa maxillary sinus (maxillary). Lefu lena le ka hlaha ka mokhoa o bobebe kapa o sa foleng, ntle le phekolo e lekaneng e rarahaneng ke mafu a tebileng. Ho itšetlehile ka lintho tse bakang maikutlo, ho na le mefuta e sa tšoaneng ea sinusitis, 'me phekolo ea bona e fapane. Nahana ka mefuta e ka sehloohong ea lefu:
- Viral sinusitis - ke e 'ngoe ea lipontšo tsa phekolo e matla ea tšoaetso ea kokoana-hloko, eo ho eona ho ruruha ho fetang ka nģa e le' ngoe. Maemong a mangata, mofuta oa lefu lena ha o hloke phekolo e khethehileng, e feta ka mor'a pheko ea lefu lena. Thuso ea kalafo e ka fanoa ke li-nasal vasoconstrictors, tharollo ea letsoai e khothalletsang ho tsosolosoa ha metsi a sinus. Ka nako e '
- Allergic sinusitis - hangata e hlaha ka ho itšehla thajana, e kopantsoe le bothata ba pele-hloko ea rhinitis le lintho tse ling tse hlahelang. Tšobotsi ea tšobotsi ea ho ruruha ha tlhaho ea tlhaho ha e na mofuta oa li-membrane, empa li-blanching tse nang le bluish tinge. Phekolo ea sinusitis ea tšimoloho ena e fokotsoe ho felisoa ha allerggen, tšebeliso ea li-antihistamine, glucocorticoids, lithethefatsi tsa nasal tsa vasoconstrictive, lithethefatsi tse tsoang sehlopheng sa li-stabilizers tsa lisele tsa methapo ea mast.
- Bacterial Sinusitis - mofuta oa lefu leo hang-hang le fetohang foromo ea purulent. Mabaka a ka 'na a ba tšoaetsano ea kokoana-hloko ea nako e telele le ho kula, ho tsoa likotsi, mahlaba a meno, liphetoho tsa anatomical mokhoeng oa masapo, joalo-joalo. Phekolo ea sinusitis joalo hangata e kenyelletsa ho behoa ha lithibela-mafu, ho phaella moo ho khothalletsoang marotholi a vasoconstrictor, lithethefatsi tse seng li-steroidal tse khahlanong le ho ruruha, ho hlatsoa libe.
Ebang hoa khoneha ho folisa genyantritis ka lithibela-mafu?
Lithethefatsi tsa antibacteria bakeng sa sinusitis li atleha feela tabeng ea tšenyo ea baktheria lietsong tsa paranasal 'me li behiloe ka matla a tebileng kapa a matla a lefu lena. Haeba lefu lena le fumanoa boemong ba pele, boemong bo bobebe, ho hlasela khahlanong le mokokotlo oa tšoaetso e matla ea tšoaetso ea kokoana-hloko kapa mafu a ho kula, ho ruruha ha libe tsa maxillary ho ka phekoloa ntle le lithibela-mafu. Tabeng ena, litekanyetso li nkoa e le ho bula li-sinus le ho fana ka phallo ea li-exudates (ho noa meriana, physiotherapy mekhoa).
Haeba sinusitis e tsamaisana le ho lokolloa ha pus, ho ba le bothata bo matla le bohloko maemong a sinase, matšoao a botahoa (hlooho e bohloko, bofokoli bo tloaelehileng, feberu), lithibela-mafu li ke ke tsa qojoa. Ho potlakela ho phekola sinusitis ka potlako le ka katleho, lithibela-mafu bakeng sa phekolo li lokela ho nkoa hammoho le lithethefatsi tsa vasoconstrictive le likokoana-hloko , ho hlatsoa li-sinus ka tharollo ea letsoai le ea li-antiseptic. Ho phaella moo, ho netefatsa hore lithibela-mafu tsa sinusitis li fana ka phello e nepahetseng, melao e latelang e lokela ho latellana le:
- Meriana e tlameha ho nkoa ka tekanyo e behiloeng le ka nako e tobileng ea nako.
- U ke ke ua fokotsa thupelo e tiisitsoeng, esita leha boemo ba bophelo bo ntlafetse.
- Haeba matšoao a ntlafatso a sa hlokomeloe ka hare ho matsatsi a 2-3, lithibela-mafu li lokela ho fetoloa.
Ke lithibela-mafu life tse behiloeng bakeng sa sinusitis?
Ke lithibela-mafu life tse lokelang ho nkoa ka genyantritis li lokela ho khethoa ke ngaka, e thehiloeng setšoantšong sa lefu lena, e leng mohlomong e bakang tšoaetso ea tšoaetso, bokhoni ba meriana e le hore e bokellane le letšoao leo le le batlang. Ha u khetha pheko, ho hlokahala hore u nahane hore na ebe mokuli o nkile likokoana-hloko leha e le life likhoeling tse tšeletseng tse fetileng, ke eng e sa tloaelehang le ea motho ka bomong mekhoa ea sebōpeho.
Matšoao ka nko ka antibiotic bakeng sa sinusitis
E le tlatsetso ho ea kalafo ea lithibela-mafu kapa ka boima bo matla ba lefu lena, marotholi a sinusitis a nang le lithibela-mafu a sebakeng seo a ka boleloa. Lithethefatsi tsena li kenyelletsa:
- Polidex (spray) - e na le li-antibiotics neomycin le polymyxin B, li-hormone tse khahlanong le ho ruruha li-dexamethasone le vasoconstrictor motsoako oa phenylephrine;
- Isophra (Spray) - e na le lithibela-mafu Framicetin;
- Likokoana-hloko tsa Fluimucil IT (lyophilizate bakeng sa tharollo) - e akarelletsa lithibela-mafu thiamphenicol le mucolytic acetylcysteine.
Mafura a antibacteria ho sinusitis
Tharollo e joalo, joaloka mafura, ho sinusitis hangata ha e laeloe ke lingaka kalafo ea setso, leha ho le joalo e sebelisoa ka mafolofolo e le mothusi oa ho iphekola. Ho atleha ha phekolo e joalo ho belaella, le hoja, ho ea ka litlhaloso, bakuli ba bangata ba sebelisa mafura a tlisa khatholoho ha ho hlajoa litemana tsa letsoho. Lisebelisoa tse latelang tse nang le lisebelisoa tsa antibacteria le li-antiseptic li sebelisoa:
- Levomekol;
- Levosin;
- mafura a ichthyol;
- sintomycin mafura;
- Mafura a Vishnevsky.
Likokoana-hloko tse tsoang ho genyantritis ka matlapa
Ho ruruha ha baktheria ea phekolo ea ma-maxillary ka li-antibiotics e hlahisitseng liphello tse ntle. Ha re nahana hore na ke lithibela-mafu life tseo re ka li etsang ka sinusitis, re tla thathamisa litokisetso tse khethiloeng tsa liketso tse ngata:
- aminopenicillins (Ampicillin, Amoxicillin, Flemoxin, Augmentin);
- cephalosporins (Zinnat, Supraks, Cefixim);
- macrolides (Clarithromycin, Azithromycin, Sumamed, Josamycin);
- fluoroquinolones (ciprofloxacin, levofloxacin).
Likokoana-hloko-liente le genyantritis
Ho nka li-antibiotics ho phekola sinusitis, lingaka li emisa litokisetso tsa ente ka liketso tse thata le tse thata, tse nang le mafu a nosocomial. Li-antibiotics joalo li ka behoa ka mokhoa oa liente tse nang le genyantritis:
- Ceftriaxone ;
- Cefazolin;
- Cefuroxime;
- Tobramycin;
- Gentamicin;
- Doripenem le ba bang.
Ke lithibela-mafu life tse molemo bakeng sa maxillary sinusitis?
E le ho khetha lithibela-mafu tse atlehang ka ho fetisisa bakeng sa sinusitis, ho hlokahala hore u etse li- bacussis tsa lintho tse ka hare ho sinus, e leng ho khoneha feela ka ho pepa. Kaha sena ke mokhoa o tsosang takatso, o etsoa ka maemong a ikhethang. Hangata lithibela-mafu li ngotsoe ka mokhoa o susumetsang, ho thehiloe boitsebisong ba mefuta e tloaelehileng ea likokoana-hloko ka genyantritis. Molao-motheo ona o u thusa hore u qale ho phekola ka potlako, o felise litšenyehelo tse eketsehileng tsa lipatlisiso. Lithethefatsi tsa mantlha ea pele ke aminopenicillin, eo maemong a mangata e fanang ka liphello tse potlakileng.