Tshuaj tua kab mob ntsws rau kev mob ntsws

Kev mob ntsws pneumonia yog ib yam kab mob nyob rau hauv cov ntsws, feem ntau yog qhov tsim nyog lossis qhov teeb meem ntawm cov hlab ntsws. Kev kho mob ntawm kev mob ntsws yog raug mob nrog tshuaj tua kab mob ntawm lub hauv paus, vim hais tias cov neeg mob cov kab mob ntawm tus kab mob yog cov kab mob bacteriological.

Hom mob

Muaj mob ntsws o:

1. Tsev kho mob.
2. Community-acquired.

Nyob ntawm qhov kev kho mob tsoom fwv, kev xaiv tshuaj rau cov tshuaj tua kab mob yog xaiv.

Cov kev cai rau kev sau tshuaj:

1. Xaiv cov tshuaj tua kab mob ntau yam. Qhov no yuav yog thawj kab kho tshuaj tua kab mob. Qhov ua rau ntawm tus kab mob no yog kwv yees raws cov xim ntawm cov hnoos qeev los ntawm lub ntsws thiab qhov ntawm kev kawm ntawm kev mob ntsws.
2. Ua ib qho kev ntsuam xyuas txhawm rau txheeb xyuas cov kab mob uas ua rau tus kab mob, nrog rau lawv cov tshuaj tua kab mob.
3. Kho cov tswv yim kho mob raws li cov txiaj ntsig ntawm qhov smear tsom ntawm tus hnoos qeev kom tau sib cais.

Thaum xaiv cov tshuaj tua kab mob uas haus dej hauv kab mob ntsws thiab mob ntsws muaj dej, koj yuav tsum xav txog:

• qhov hnyav ntawm tus kab mob;
• contraindications;
• tej yam kev txhaum fab hnyav;
• toxicity ntawm cov tshuaj;
• qhov kev xav ntawm kev tiv thaiv kab mob kev tiv thaiv rau tshuaj tua kab mob;
• qhov ceev ntawm kev nkag mus ntawm cov tshuaj nyob rau hauv lub cev;
• qhov ceev ntawm qhov kev siv tshuaj kho tau nyob rau hauv lub foci ntawm o tuaj;
• spectrum ntawm kev txiav txim ntawm cov tshuaj.

Ua tsis tau cov tshuaj tua kab mob hauv cov hlab ntsws

Cov xwm txheej zoo li no yog qhov tseem ceeb heev. Yeej lawv tshwm sim vim yog kev kho tus kheej dhau los ntawm tus neeg mob nrog kev pab los ntawm cov neeg mob bactericidal los yog bacteriostatic. Ua rau tsis muaj txiaj ntsim ntawm cov tshuaj kuj yog:

• nquag siv thiab hloov cov tshuaj tua kab mob;
• kev loj hlob ntawm cov kab mob ntawm cov kab mob rau cov khoom siv;
• tsis xaiv qhov noj ntau thiab ntev ntawm kev kho mob.

Txoj kev daws qhov teeb meem yog hloov cov tshuaj nrog lwm tus, los yog sib txuas ntau cov tshuaj.

Cov tshuaj tua kab mob dab tsi los kho tsev khomob pneumonia?

Tsev kho mob hom mob ntsws muaj feem xyuam nrog kev nrhiav tus neeg mob hauv tsev kho mob thiab kev saib xyuas los ntawm kws kho mob.

Thawj kab. Cov tshuaj nram no yog siv:

1. Amoxicillin.
2. Penicillin.
3. Cefepime.
4. Ceftazidime.
5. Cefoperazone.

Thaum tsis pom zoo los ntawm cov tshuaj tiv thaiv kab mob los sis qhov tshwm sim ntawm kev fab tshuaj, nws tuaj yeem siv lwm cov tshuaj tiv thaiv:

1. Ticarcillin.
2. Piperacillin.
3. Cefotaxime.
4. Ceftriaxone.
5. Ciprofloxacin.

Muaj qee zaum, kev siv tshuaj tua kabmob (antibiotics) ua ke yuav tsum ua kom sai sai rau tus neeg mob tus mob thiab ua tiav cov khoom tseem ceeb hauv lub cev.

Lub hauv paus rau nws siv yog:

• mob hnyav heev ntawm tus kab mob;
• sib xyaw cov kab mob;
• kev loj hlob sai heev ntawm microbial tsis kam mus rau ib hom tshuaj tua kab mob;
• inflammatory cov txheej txheem tshwm sim tawm tsam tom qab ntawm oppressed tiv thaiv;
• Tus neeg mob tus kab mob ntawm tus kab mob yog ib qho ua ke ntawm cov kab mob uas tsis ntog hauv cov spectrum ntawm cov tshuaj.

Tshuaj tua kab mob siv ua ke:

1. Cefuroxime thiab gentamicin;
2. Amoxicillin thiab gentamicin.
3. Lincomycin thiab amoxicillin.
4. Cephalosporin thiab lincomycin.
5. Cephalosporin thiab metronidazole.

Qhov thib ob kab. Yog tias txoj kev pib kho thawj zaug tsis muaj txiaj ntsim los yog raws li txoj kev kho raws li cov txiaj ntsim ntawm kev ntsuam xyuas pathogen:

1. Cefepime.
2. Ticarcillin.
3. Fluoroquinolone.
4. Zog.
5. Meropenem.

Antibiotics tawm tsam zej zog-nrhiav tus kab mob ntsws

Thaum mob me thiab me ntsis ntawm tus kab mob, cov tshuaj tua kab mob no yog siv:

1. Clartromycin.
2. Azithromycin.
3. Fluoroquinolone.
4. Doxycycline.
5. Aminopenicillin.
6. Benzylpenicillin.

Cov npe ntawm cov tshuaj tua kab mob hauv theem kawg ntawm kev mob ntsws:

1. Cefotaxime.
2. Ceftriaxone.
3. Clarithromycin.
4. Azithromycin.
5. Fluoroquinolone.

Cov tshuaj tua kab mob saum toj no yuav siv tau.

Yog xav xaiv cov tshuaj tua kab mob zoo tshaj plaws rau kev mob ntsws, yuav tsum yog tus kws kho mob. Qhov no yuav tiv thaiv kom txhob muaj qhov mob ntxiv ntawm tus kab mob thiab qhov tshwm sim ntawm cov tshuaj tua kab mob tua kab mob hauv lub cev.