Kev kho mob ntawm cov kab mob pyelonephritis hauv cov pojniam txhais tau tias cov tshuaj tua kabmob antimicrobial, vim hais tias yuav luag txhua tus kabmob no yog txuam nrog kev ua haujlwm ntawm gram-positive lossis gram-negative bacteria. Hauv qhov no, txoj kev xaiv ntawm tshuaj tua kab mob hauv txhua qhov tshwj xeeb yuav tsum yog tus neeg, txij li kev kho mob ntawm tus kab mob pyelonephritis hauv cov poj niam thiab cov kab mob ntawm tus kab mob yuav siv ntau hom yeeb tshuaj. Cov teeb meem ntawm tus kab mob, xws li purulent pyelonephritis, hais kom siv cov tshuaj nrog cov teebmeem nrog kev kho kom zoo.
Cov nta ntawm kev kho mob pyelonephritis rau cov poj niam
Pyelonephritis nyob rau hauv cov poj niam feem ntau cuam tshuam kev ua me nyuam. Cov neeg uas tau raug tus kab mob no, nws yog qhov nyuaj tshaj kom cev xeeb tub thiab dais tus menyuam. Yog tias tus kab mob no tsis muaj zog, kev xeeb tub tau muaj kev nyuab siab, thiab kev yug me nyuam yeej hloov tau los ntawm qaug caesarean thiaj li yuav txo tau txoj kev pheej hmoo ntawm kev mob hauv lub plab. Tias yog vim li cas thiaj yuav tsum tau kho tus mob pyelonephritis tam sim ntawd, raws li tau kuaj pom. Lub tswv yim ntawm kev kho mob ntawm pyelonephritis rau cov poj niam siv ntau hom antimicrobials:
- pab pawg neeg ntawm aminopenicillins;
- semisynthetic kev npaj ua ke raws li aminopenicillin thiab clavulanic acid;
- pab pawg neeg ntawm cephalosporins;
- aminoglycosides ;
- pawg fluoroquinolones.
Cov tshuaj tua kab mob pyelonephritis rau cov poj niam puas xaiv?
Aminopenicillins tsis hnov mob thiab tsis muaj teeb meem, lawv tuaj yeem siv thaum cev xeeb tub thiab rau kev kho me nyuam los ntawm 3 lub hlis. Tab sis cov nyhuv ntawm cov tshuaj nyob rau hauv no pab pawg neeg yog qaug zog, vim hais tias cov khoom ntawm tseem ceeb ua si ntawm feem ntau pathogens ntawm pyelonephritis ua rau kev puas tsuaj ntawm cov khoom nquag. Cov tshuaj no yog xav kom siv thaum tus neeg mob tus kabmob ntawm tus kabmob no yog E. coli, lossis enterococci. Cov tshuaj tua kab mob siab tshaj plaws ntawm no yog Amoxicillin thiab Penicillin.
Kev kho mob ntawm cov mob pyelonephritis nyob rau hauv cov poj niam yog qhov zoo tshaj plaws ua nrog cov tshuaj raws li aminopenicillin thiab clavulanic acid. Lawv cov kev ua haujlwm zoo siab heev, tab sis cov nyhuv hauv lub cev tsis zoo. Ua rau muaj kev tsis haum, muaj kev tsis haum thiab leukopenia, tab sis qhov no tshwm sim tsis tshua muaj heev. Ib qho piv txwv ntawm xws li yeeb tshuaj yog lub ntsiav tshuaj Flemoklav Solutab.
Mob pyelonephritis raug kho nrog aminoglycosides thiab fluoroquinolones. Ntawm no yog cov tshaj plaws ntawm lawv:
- Ciprofloxacin ;
- Ofloxacin;
- Ramikazin;
- Gentamicin;
- Nethylmycin.
Cov kev mob tshwm sim thiab cov tshuaj tiv thaiv rau cov tshuaj no muaj ntau, tshwj xeeb tshaj yog txaus ntshai yog lawv cov nyhuv nyhuv.
Cov teeb meem ntawm tus kab mob, tshwj xeeb tshaj yog purulent daim ntawv ntawm pyelonephritis, raug kho nrog cephalosporins. Cov no yog:
- Cephalexin;
- Zinnat;
- Tamycin thiab lwm tus.