A mankhwala a chifuwachi. Watsopano odana ndi TB mankhwala: dzina, malangizo

matenda TB amatchedwa chikhalidwe opatsirana, chifukwa Mycobacterium (Wand Koch) ndi mawonetseredwe ambiri kutanthauzira m'mapapo mwanga. matenda chithandizo ayenera kukhala wopambana, mosalekeza, monga mankhwala angapo odana ndi TB, anapatsidwa tilinazo tizilomboto lapansi.

mankhwala gulu

Mankhwala TB ndi mbali ya gulu lapadera la chuma. lafalitsidwa zachokera mipweya, ntchito yachipatala ndi tolerability odwala:

• mndandanda woyamba ( "INH" "Rifampicin") - zothandiza kwambiri;
• Mzere wachiwiri ( "Streptomycin", "Kanamycin") - Mwachangu pafupifupi;
• mzere wachitatu ( "Thioacetazone" "Pasi") - sakhala ogwira.

mankhwala kwambiri ogwira ntchito zambiri ndi kaphatikizidwe aliyense wa iwo ndi njira magulu ena. Miyala otsala TB otchedwa kubwerera. Iwo ntchito pa nthawi imene tizilomboto kugonjetsedwa kwa yogwira zosakaniza ya mzere woyamba.

"INH"

Mankhwala "INH" ntchito pa matenda a akulu ndi ana. Zimenezi walangizidwa mawonekedwe yogwira tizilomboto lapansi. Mokhudzana mycobacteria mu boma la mpumulo, ali operewera. The zikuchokera chipolopolo Koch Wand zikuphatikizapo mikolievaya asidi, amene kaphatikizidwe ndi kuponderezedwa ndi mankhwala.

"Isoniazid" - mankhwala a TB mu malo onse ndi mitundu. mlingo kusintha payekha, malinga ndi mmene, ndi njira ya katswiri akuonetsa yokonzekera kuphatikiza.

1. "Isoniazid" + "Rifampicin" - njira ya mankhwala kumachitika pa masabata 6 kapena 8. Mankhwala akutengedwa kamodzi tsiku lililonse m'mawa pa chopanda kanthu m'mimba.
2. "Isoniazid" + "Thioacetazone".
3. "Isoniazid" + "Rifampicin" + "pyrazinamide wokhala" - ngati chida kuphatikiza amatchedwa "Rifater". Ntchito kwa miyezi 2 tsiku lililonse, kuchuluka mphamvu ya mankhwala, "wa streptomycin" kapena "wa ethambutol".
4. "Isoniazid" + "Ethambutol" - TB mankhwala monga kukonza mankhwala.

"Rifampicin"

Features wa mankhwala "Rifampicin": malangizo ntchito (njira ya mtengo - 200 rubles) akusonyeza kuti zinthu polimbana mycobacteria mu zinkakhala m'dera, kufika ndende pazipita kumeneko. TB majeremusi amakonda mwamsanga azolowere izo, chifukwa cha zimene mankhwala yochepa. Osati ntchito pa yoyamwitsa, chifukwa ali ndi chuma lalikulu zedi mu mkaka wa m'mawere.

"Rifampicin", malangizo ntchito, mtengo wa zimene zalembedwa pa malo apadera mankhwala ndi mavuto, akusonyeza madera awa:

• cephalalgia (mutu);
• kusintha aimpso kulephera (ntchito aimpso akuchira pambuyo makonzedwe mankhwala);
• thupi lawo siligwirizana;
• dyspeptic zizindikiro - kusanza, kutsekula m'mimba, bloating;
• amaona masomphenya;
• kusintha mu magawo zasayansi magazi zotumphukira.

Para-aminosalicylic asidi

"Pasi" - mankhwala a TB zochokera kwa amino salicylic. Izo zinabala mu mawonekedwe a mapiritsi yothetsera, granules. Mlingo tsiku lagawidwa Mlingo 3 kutengera kumwa mkaka, madzi mchere, ofooka koloko yankho. Nthawi zina, dokotala n'kukulemberani mlingo tsiku mu sitepe imodzi.

kukonzekera A mu mawonekedwe a kudziletsa anatumizidwa osati osakaniza ndi wothandizila ena odana. Panganoli limakhala pa wothandizira amene ali mu mkhalidwe yolimbikira. Kulimbikira mycobacteria kwa thunthu yogwira ali pafupifupi sunayambe.

"Pyrazinamide wokhala"

Mapiritsi a TB zokhudzana ndi mankhwala kupanga yachiwiri mzere. Ntchito ophatikizana mankhwala a TB ya kutanthauzira kulikonse. Kugwiritsa "pyrazinamide wokhala" pa mimba ndi mkaka wa m'mawere ndi zotheka, malinga mycobacteria ndi kugonjetsedwa ndi mankhwala ena aluso.

Kamodzi pa mwezi ayenera kuunikira transamiaz msinkhu ndi kukhalapo kwa asidi uric mu magazi pa yaitali wothandizila chithandizo. Contraindications ntchito ndi:

• hypersensitivity munthuyo chinthu yogwira;
• aakulu aimpso dongosolo;
• organic kudwala chiwindi.

fluoroquinolones

Mankhwala gulu ntchito ngati mankhwala causal. ndalama ndi zotsatira bactericidal anakhudzidwa mycobacteria pa mpumulo ndi pa ntchito.

"Ciprofloxacin" tikulimbikitsidwa limodzi ndi mankhwala ena odana ndi TB. Zolemba malire ndende mu thupi zimatheka mwa maora pang'ono kuchokera pa nthawi ya phwando. Zingayambitse matenda otsegula m'mimba, cephalalgia, nkhawa, thupi lawo siligwirizana, utachepa zithunzi acuity.

"Ofloxacin" - mankhwala a TB, izi zimakhudza malo DNA a maselo a tizilomboto lapansi. Lilipo mapiritsi ndi njira yothetsera kulowetsedwa. Mlingo wa tsiku ndi tsiku analandira mu masitepe awiri ndi intervals 12 maola. Izi zimathandiza kuti nthawi zonse kukhala ndende kofunika "ofloxacin" mu thupi.

"Lomefloxacin" - kupanga mankhwala ogwira kuti ali pafupifupi 100% bioavailability. Kumatanthauza "n'kusokoneza" mu DNA wa tizilomboto unyolo ine malo mchipindamo. Contraindicated woyembekezera, mkaka wa m'mawere, ana osaposa zaka 18.

mankhwala atsopano

Zaluso m'munda wa TB kugwirizana ndi kukula kwambiri ogwira mankhwala odana ndi TB, tilinazo tizilombo toyambitsa matenda amene sakanakhoza ndichepe pa nthawiyo.

mankhwala atsopano ndi chifuwa chachikulu:

• "Perchlozone" - thunthu ali kawopsedwe otsika kwa thupi Komabe, yogwira kwambiri ndi mycobacteria. Contraindications monga mimba, mkaka wa m'mawere, wakhanda, hypersensitivity munthu, impso ndi chiwindi kudwala.
• "Mikobutin" - anachokera antibacterial wothandizila rifabutin ntchito pofuna kuchiza mitundu aakulu a matenda odwala amene ali kugonjetsedwa "Rifampicin". Izo ntchito monga mankhwala, komanso chifukwa kupewa matenda.
• "Bedakvilin" ( "Sirturo") ndi nzeru kudzera mwa kupondereza yopanga michere yofunika Mycobacterium TB. Kugwiritsa pambuyo 3 months chithandizo (poyerekeza ndi mankhwala ena kusonyeza zotsatira mu zaka 1.5-2), kupereka zotsatira zoipa mayeso.

Zotsatira zoyipa za mankhwala

Nthawi mavuto chifukwa chakuti mankhwala ntchito kwambiri bwanji njira kagayidwe kachakudya kuti chichitike mu mtima, ndipo chifukwa chitukuko cha matenda hypo- kapena akusowa, matenda njira redox.

Zotsatira ambiri mbali ndi:

• kumva imfa;
• polyneuritis zotumphukira;
• kuwonongeka kwa ntchito ya ziwalo zina ndi kachitidwe;
• thupi lawo siligwirizana;
• Chotupa chija;
• candidiasis;
• dyspeptic zizindikiro.

Chisonyezo yeniyeni ya Jarisch-Herxheimer anachita - zimene wodwalayo chiwonongeko chachikulu cha mycobacteria mu masiku oyambirira angapo pambuyo kuyambitsa mankhwala.

Folk mankhwala ochizira chifuwa chachikulu

Ndi yaitali chithandizo cha odwala akalola kuyesa njira iliyonse, malingana ngati iwo imathandizira lipole. angapo maphikidwe kuti kuonjezera mphamvu ya mankhwala.

Supuni birch masamba kutsanulira makapu 2 kuchepetsedwa mowa kapena mowa wamphamvu. Kuumirira mpaka kufikira njira adzakhala konyaki mtundu. Tengani supuni 3 zina tsiku pa njira yonse ya mankhwala.

Reed masamba wosambitsa, wouma ndi akupera, amene anachokera 3 supuni. Thirani 2 makapu madzi, wiritsani kwa mphindi 5-7. Kunena ndi mavuto. Imwani 1/2 chikho cha madzi musanadye kudya chakudya.

Akatumbu mafuta, ndi uchi ndipo walnuts - mankhwala wowerengeka chifuwachi, mphamvu ya potsata kuphatikiza ufulu. Atavutika mtedza, ndi peretaplivaetsya mafuta. zosakaniza onse ali osokonezeka mulingo ofanana. osakaniza aikidwa mu pakamwa ndi kuligwira mpaka iye zitasungunuka.

Pine kapena spruce kuyamwa anatsanulira mowa 2-2.5 masentimita pamwamba ndipo chili pamwamba. Patapita masiku angapo njira akukhala homogeneous. Kuti izi lidawonjezeka kwa anyama anasungunuka uchi mandimu mu yofanana. Tengani supuni katatu pa tsiku kwa miyezi sikisi.

Tiyenera kukumbukira kuti ntchito njira iliyonse ndi kukonzekera ziyenera kuchitika kuyang'aniridwa ndi katswiri wodziwa bwino.