Npaj nrog cov kab mob tua kab mob yog siv los kho cov kab mob uas tshwm sim los ntawm qhov tseem ceeb ntawm cov kab mob pathogenic. Muab cov microbes tau hloov mus rau cov teebmeem ntawm cov tshuaj yeeb dej caw thiab tseem pheej tsis kam ua rau lawv, cov tshuaj tshiab, muaj zog thiab zoo dua tuaj.
Niaj hnub nimno broad-spectrum tshuaj tua kab mob
Ib qho ntawm cov pab pawg neeg ntawm cov neeg ua hauj lwm hauv kev saib xyuas yog tias lawv txawj siv ob qho tib si rau cov kab mob gram-positive thiab gram-negative microorganisms. Tam sim no tshuaj tua kab mob ntawm lub tiam tshiab nrog ntau yam ntawm kev ua si yog ntawm ntau ntau yam:
- monobactams (Azrethra);
- carbapenems (Meropenem, Imipenem, Primaxin, Cilastatin);
- glycopeptides (Teicoplanin);
- Oxazolidinones (Zyvox, Linezolid);
- fluoroquinolones (Avelox).
Tsis tas li ntawd, cov tshuaj tua tau ntawm peb lub xyoo (Sumamed, Rulid, Roxithromycin), Fusidine thiab lincosamides (Lincomycin, Clindomycin), cephalosporins ntawm 3th thiab 4th tiam tom ntej yuav raug xa mus rau ntau hom tshuaj:
- Tsefpir;
- Cefotaxime;
- Cefepime;
- Ceftazidime.
Ntawm cov aminoglycosides, ntau qhov kev ua si yog muaj los ntawm:
- Iepamycin;
- Sisomycin;
- Nethylmycin;
- Tobramycin;
- Amicacin .
Rifamycins:
- Rifamid;
- Rifocin;
- Rifampicin.
Sau npe ntawm cov tshuaj tua kab mob tshwj xeeb ntawm tiam tshiab
Yog hais tias tus kab mob no yog tshwm sim los ntawm qee hom hom kab mob hauv cov kab mob, nws yuav tau siv cov tshuaj siv nrog rau kev ua kom pom tseeb. Cov tshuaj no muaj xws li cov tshiab penicillins:
- Benzylpenicillin;
- Novobiocin;
- Ristomycin;
- Bacitracin.
Cov kab mob gram-negative tsis raug rau kev kho mob nrog polymyxins (E, M), polyene antibiotics:
- Levorin;
- Nystatin;
- Amphotericin B.
Yuav kom tshwj kom txhob siv cov fungi siv:
- Mycoheptin;
- Amphoglucamine;
- Griseofulvin;
- Txawv txawv;
- Ankotil.
Niaj hnub cov tshuaj tua kab mob ntsws rau cov kab mob ntsws thiab mob ntsws (pneumonia)
Inflammatory pathologies ntawm txoj hlab pas yog kho nrog tshuaj tua kab mob, nyob ntawm seb cov kab mob. Yog li, nrog rau cov kab mob cytomegalovirus thiab pneumocystis, cov nram no yog cov sau tseg:
- Ganciclovir;
- Cotrimoxazole;
- Cytotect;
- Acyclovir.
Yog hais tias tus kab mob no tau raug kev ywj siab los ntawm cov hu ua fungi, Fluconazole yog siv los ua tib zoo nrog peb tiam cephalosporins (Ceftazidime, Ceftriaxone).
Tus kabmob ntawm Gram-positive coccal kabmob yog qhov kev txais tos:
- carbapines (Meronem, Tienam);
- cephalosporins ntawm 4th tiam (Cefilin).
Nyob rau hauv muaj ntawm gram-negative microbes:
- aminoglycosides (Netilmicin, Izepamycin, Amikacin, Tobramycin);
- cephalosporins ntawm tiam 3 (Cefotaxime).
Cov kab mob Anaerobic yuav tsum tau siv cov penicillins (Linkomycin).
Nyob rau hauv cov ntaub ntawv ntawm ib atypical chav kawm ntawm tus kab mob thiab lub predominance ntawm intracellular microorganisms, macrolides yog prescribed:
- Roxithromycin;
- Meadecamycin;
- Sumamed ;
- Clarithromycin.