He aha te anti-TB tarukino te pai whakamahia mō te maimoatanga?

Undiagnosed kohi pūkahukahu taea te ora i roto i te wā o nga marama maramataka 10 ki te 1.5 tau. Kia pehea te roa o ta tei te maimoatanga i runga i te pakeke o te tukanga mate me te whakarite o te raau taero kaka-hanga tino tika ana.

Kohi i roto i to tatou wa - he mate curable

I roto i te hou therapy kohi paturopi ko te tūturu o te maimoatanga pahekotanga. Ko tenei no te mea ka kotahi-wā taenga o ngā taero he nui pōturi tipu mycobacteria ātete ki te tarukino. whakaritea te manawanui e ki te akoranga tonu Hour 2 3 ranei tarukino. Aua'e, he whānui nga taea o rongoa i tenei ra. Tenei anake e taea te waiho he maha o te 1 TB taero ranei te huinga o formulations ngā ahau me II raupapa.

Whakarōpū o āpiha anti-TB hanga e te tohu o to ratou whai huatanga. E te ara, e rave rahi whakawhetai ki to tatou Research Institute mo te tenenga o taua raau taero rite "Inh". Tenei Ko tetahi o nga taero anti-kohi nui, te mea te painga i roto i te mahi bacteriostatic tiketike rawa. I roto i tenei take, ko reira tikanga rawa hua i roto i tūroro hou pāngia.

Muri i runga i te rārangi

Ko te tuarua-huatanga o te maimoatanga i muri i "Isoniazid" - he "Rifampicin". tikanga ataahua rawa me whai hua. Ka taea te whakaritea taka muri Active i roto i te raupapa e whai ake nei: "streptomycin", "Kanamycin", atu "Pyrazinamide" "Ethionamide" aru e "Prothionamide" "Ethambutol", me 3 florimitsina atu ' "" kapenga, "TB "Thioacetazone" tarukino.

vozdeystuyuschie rongoā katoa ki Mycobacterium me te āwhina whakaoti rapanga haumanu o tūroro kua whakanohoia ki runga ki te rōpū o taero anti-TB:

1. Antibacterial taero anti-TB nui 1 raupapa
2. taero rāhui II raupapa.

Ko te taka rerekē 1 me 2 rarangi

I roto i te rarangi tuatahi ko te raau taero matua e titau ki te tōtika teitei o nga āpiha chemotherapeutic me o ratou pärönaki. Whai iti tāoke.

taero Antituberculosis 2 rarangi, tae atu i te raau taero tārua, e kore e whai i te taua hua pai i roto i tohe Koch rakau, ki tino paitini. E whakahaere ana ratou ki tūroro i roto i te take ki te he rānei i ki rongoā tau 1 ranei ātete o enei taero kitea te te tinana.

tatauranga Pouri whakaatu e he faatîtîraa tetahi raau taero wā i roto i te tinana, i.e. te nui heke te tōtika. Ano, te raau taero anti-TB matua i muri i te tetahi wa, meinga ki a ratou ano, me te faatîtîraa no te riro ārai ki a ratou mycobacteria. Hei tauira, ki te te taratahi te whakaae tetahi anake raau ngā, ka kitea ātete ki reira mycobacteria roto 2-4 marama.

raau taero TB: te whakamahi o te kaha, me te pānga

Ko te nuinga o te whakaeke taero TB pānga bacteriostatic i runga i mycobacteria, e ko, whakaiti ratou ratou virulence me pehi te taea ki te tini. Waihoki, ko te "Inh" me "Rifampicin" i roto i te pota takiwa i te kaha ki te mahi bactericidal. Hei whiwhi pānga pūmau hauora, me te ki te whakatupato, a tau'a ore kia tonu te hohokitanga taea o taero anti-TB mo te wa roa.

Ki te katoa o tenei kōwhiringa me te whakarite o te huinga pai o taero, me te te roanga o to ratou tono ko tika ti'aturi i runga i nga rerenga o te manawanui i taua wa momo o te mate kohi, i te mea tikanga i kawea i roto i maimoatanga o mua (ki te tetahi), rite faatia e te manawanui o etahi rongoa i rite Mycobacterium kohi e tairongo ki te tarukino whiriwhiri.

hototahi pai

Ko te huinga o taero anti-TB whakaritea i runga i te whakaaro e kia te hōtaka maimoatanga tetahi hakari e rua tarukino raina-tuatahi ranei. O te akoranga, ki te kahore ratou e whai i tetahi contraindications whakaatu ratou pūmautanga ranei. I tenei horopeta e kore te tikanga e iti taka ngā katoa.

A, no te faaue (manatu ftiziologa) Me tangohia ki pūkete e taua he tarukino anti-TB, rite streptomycin me kore e taea te ngā ona pärönaki ki florimitsina, kanamycin me ētahi atu paturopi e whai pānga nephrotoxic me ototoxic.

He aha te momo o te faaineineraa "pas"

"Pas" - TB tarukino pānga bacteriostatic. Ae muri hoki ra pūtaiao pharmacologists nei i hanga i te reira. kaha Tino ki te bacilli TB. Whai hua i roto i te maimoatanga o ngā puka me ngā localizations o te mate kohi. E horo'a te reira noa pai pānga ina te ngā reira ki te whakarite o te tahi atu mahi taero TB.

He te ingoa Latin "kapenga-AKRI" te tarukino. Wātea rānei i peke o 4 g 100 g i te pareparenga i roto i te putea rongoā "pas" ranei roto 3.2 aminosalicylate konutai, pera i roto i te papa kotahi - 1 g o te konutai para-aminosalicylate. Ko te papa hipoki ki te anga tiaki te puku, me te e hoatu ki runga i roto i te hoko mo te 50/100/500/1000 nga wahi. i roto i te mōkihi.

Aha pai ki ngā

TB tarukino "pas" i roto i ngā o te tuberkulostaticheskoy mahi taero iho pērā i isoniazid me streptomycin, a no te mea kia whakamahia te reira i roto i te taha ki te āpiha kaha ake. Pahekotanga therapy pōturi iho te whanaketanga o te ātete tarukino, me te whakarei ake i te pānga o rongoā te rere.

Pharmacokinetics "pas"

Te raau e te tiketike (90%) o te absorption. Kei te metabolized te reira i roto i te ate. Taea ki te tomo ngāwari te ārai toto-kiko, me te tohaina i roto i te kopa. Ko te auau teitei o te kukū tarukino kitea i roto i te pūkahukahu, whatukuhu, me te ate. More tika "pa" (antituberculosis tarukino) te ô i ki wai cerebrospinal. Otiia i roto i te take o te mumura i roto i te cerebrospinal anga inu kukū waikawa aminosalicylic ko 10-50% o te kukū i roto i te wē toto. Te nuinga (80%) o te tarukino excreted te nuinga i roto i te mimi.

Teuteu II raupapa

2 drugs anti-TB i te maha o ratou ki te whiriwhiri me te whakarite wā i te pānga haumanu pai i roto i ngā o te detoxification, me ano hoki i te inenga nui o huringa inflammatory i roto i te kiko pūkahukahu, a tae noa i roto i te rongoā kohi o te bronchi.

E ai ki te rangahau hauora i roto i te maimoatanga o ngā tamariki me ngā pakeke ki uaua, ma'i, me te kino momo o takanga o kohi ki ngā ngā o taero o te maha II o, homai nga tūroro ātete haumanu, me taumahatanga ātete o huakita ki te raau taero e ahau raupapa, i te 65 ōrau o te wā i riro ai, i te mea rawa reka , atu pānga haumanu.

raau taero TB: pānga taha

A, o te akoranga, hiahia i roto i te hunga taero tango e whakaahuatia i roto i te tuhinga, ratou taea pānga taha. Rawa hoki o te tomo i roto i nga tau tata nei i roto i te mahi o te rongoā tika taero anti-TB whakaaro motuhake. Ko e tika ana ki te meka e ka hohoro whiti tenei mate te paepae urutā, ahakoa nui i muri i te Pakanga II o te Ao ki te whakaiti i te taumata atu tahumaero tenei. nui hoki ko te meka e te maimoatanga o te mate kohi, ka rite ki whakahuatia i runga ake, ko te tino roa te tukanga, me te pānga kino o taero tika whakakitea iho, ranei he tuwhena rawa ranei i roto i roa tona fariiraa.

ētahi tatauranga

A, no te TB therapy pūkete reportable ke me ngā māngai kāinga rongoā pānga taha o nga taero me ratou auau o te takanga kia rite rerekē rite te āhua o te mate. Hei tauira, i 3148 tūroro i roto i te maimoatanga e whai wāhi āpiha kaha ki mycobacteria, kite tauhohe kino i roto i% 12.2 anake o te iwi, ki te nuinga o ratou, ko reira te faaiteraa o te natura mate pāwera, a anake i roto i 74 tūroro i reira ko te paihana paitini.

I runga i ngā raraunga whakaputaina, ka taea e tatou e faaoti e te pānga taha i kitea ai o taero anti-TB rerekē ngā urupare auau. E faataa e ratou maimoatanga kore-ōrite o ngā āhuatanga e te hunga nui e kore e whakamahia anake taero, engari ano hoki i te ahua o te mate kohi, me te te tau o te tūroro, ara nga momo o whakaurunga hauora (hōhipera, hōhipera, whare hauora, institution) rerekē nui.

tonu rangahau

He rongoā kino ki te Bacillus o Koch, ngā he maha o pūhui tūturu me āhua-waihanga i roto i nei i reira ko te kotahi te mea i roto i te noa - he reira mahi ratou ki, arā Mycobacterium kohi (M.tuberculosis). raau taero TB, he whakarōpū i, rite whakahuatia mua i roto i tenei tuhinga, tuwhaina e taero ki 2 raupapa (tuatahi, me te tārua), he o nui te pānga ki pūtaiao.

Ngā aro ko te whanaketanga o te ātete o te bacilli TB. E kawea tūhuratanga taiwhanga katoa ki waho, ka ki runga ki tenei take i te hua whakakitea e ai te nuinga o tūroro rerekē te tohu o te ātete tarukino i roto i te maimoatanga, me maha atu, me te whakararo, pa tonu i nga wa ki tata oti te whakahokinga mai o te tūtohutanga.

Tuhinga o tauhohe kino

A, no te tupu ngā kino i roto i te maimoatanga, te horopeta tuatahi o te rongoā ki te kia heke ki te whakakapi i te tahi atu mau faaineineraa ranei. I roto i te nui take taha tauhohenga tarukino antituberculous ki ta'ofi poto fariiraa ki whakakapinga muri i tetahi. I roto i te tikanga ki te ārai me te whakakore i nga tohu o coronary manawanui mate ngakau e tautapatia i runga i te taunakitanga o tetahi o te maha o taero antispasmodics, pērā i rānei: "Eufillin", "papaverine", "Teofedrin" makaka "Zelenin," etc ...

He tino kanorau āhuatanga me te pakeke o ngā kino i roto i te maimoatanga TB. taero Antituberculosis, whakarōpū i nei te mau faaiteraa motuhake o te āhuatanga matū taua, whakarōpū tahi ki te whakahaere i te rangahau.

maimoatanga TB

I roto i te maimoatanga o te mate tuberculous i roto i to tatou wa e whakaaro hoki reira mahi nui ki te ārai i te horapa o te mate. mai te riri i te tūroro ki te mate kohi pūkahukahu i roto i te puka tuwhera. ka tauturu i to ratou maimoatanga kaha ki te whakaiti i te maha o mate, me te i roto i te ārai o ngā take hou o tenei mate kino.

Mai maimoatanga wā roa-, e te manawanui he rota o te manawanui me te samodistsiplinirovannost. Ko e mo'oni, he tuukino kore patua anake i te tinana, engari ano hoki puta noa i te tinana kia rite ki te katoa kohi. wā tino nui ki te tīmata therapy antimicrobial, i roto i nei te akoranga ko te puhipuhi tino kaha, te raau taero estosnovnye TB. Ngā mihi ki a ratou, ano poronga taea o bacilli i roto i nga tīmatanga, e ka whai wāhi ki te faaho'iraa mai o te okana pāngia ki iti ranei kahore kino ki te rauropi katoa.

maimoatanga whānui kia whakahaerea ki te tango ki pūkete te tau me nga momo tāutuhia o te mate, ngā pānga i runga i nga tukanga pathological o te okana turoro, whakaiti i nga tohu te rere (mamae, mare) ki inhalations rerekē me ngā tikanga therapy tinana.

Urunga tohua rōpū o ngā rongoā tika me waiho he auau rite te huarahi arotahi taea meinga te whanaketanga o te ātete ki a ratou. kia Treatment kia whakamana i roto i te fare ma'i i raro i te mātakitaki o te rata. I muri i phthisiatrician rere āta aroturukitia.

huarahi taumaha, me te whakatinanatanga o prescriptions hauora me ngā take ko te kī ki te whakaoti i whakaora. I tčnei wā e kore ko TB i te rerenga kōrero.