Ib tug kho rau tus kab mob ntsws. Tshiab anti-TB tshuaj: lub npe, cov lus qhia

Mob Ntsws kab mob no yog hu ua kab xwm, tshwm sim los ntawm Mycobacterium (wand Koch) nrog rau feem ntau ntau manifestation ntawm pulmonary localization. kab mob kev kho mob yuav tsum tau qhia ntawv, tas mus li, xws li ob peb anti-TB tshuaj, muab lub rhiab heev ntawm lub pathogen.

tshuaj pab pawg neeg

Txhua tus kab mob TB tshuaj yog ib feem ntawm ib lub pab pawg neeg ntawm cov cuab tam. Qhov no muab faib rau yog raws li nyob rau hauv cov tshuaj muaj pes tsawg leeg, tus soj ntsuam kev ua si thiab tolerability ntawm cov neeg mob:

• ib tug thawj series ( "cov tshuaj INH" "Rifampicin") - qhov zoo tshaj;
• thib ob kab ( "streptomycin", "Kanamycin") - qhov nruab nrab efficiency;
• ib tug thib peb kab ( "Thioacetazone" "PAS") - yog tsis tshua zoo.

Zoo heev cov tshuaj yog siv feem ntau ntawm combining txhua ntawm lawv nrog cov txhais tau tias ntawm lwm pab pawg neeg. Qhov seem ntsiav tshuaj ntawm tuberculosis hu ua thaub qab. Lawv yog siv nyob rau hauv tus neeg mob qhov twg lub pathogen yog resistant mus rau lub active cov khoom xyaw ntawm cov thawj kab.

"INH"

Cov tshuaj "INH" yog siv nyob rau hauv cov kev kho mob ntawm cov neeg laus thiab cov me nyuam. Nws txiav txim no yog raws kev coj kom lub active hauv daim ntawv ntawm cov pathogen. Nrog kev hwm rau lub mycobacteria nyob rau hauv ib lub xeev ntawm so, nws yog ices. Muaj pes tsawg leeg ntawm lub plhaub Koch wand muaj xws li mikolievaya acid, uas nws synthesis yog suppressed los ntawm cov tshuaj.

"Isoniazid" - ib tug kho rau tus kab mob ntsws nyob rau hauv tag nrho cov qhov chaw thiab cov ntaub ntawv. Cov tshuaj yog tom ib lub zuj zus, nyob ntawm seb yuav ua li cas, muaj dab tsi txhais tau tias ntawm tus kws xav ua ke npaj.

1. "Isoniazid" + "Rifampicin" - ib chav kawm ntawm kev kho mob yuav siv sij hawm qhov chaw tshaj 6 los yog 8 lub lis piam. Cov tshuaj no yog coj ib hnub ib zaug nyob rau hauv thaum sawv ntxov nyob rau ib npliag plab.
2. "Isoniazid" + "Thioacetazone".
3. "Isoniazid" + "Rifampicin" + "pyrazinamide" - nyob rau hauv xws li ib tug ua ke cuab tam yog hu ua "Rifater". Thov rau 2 lub hlis nyob rau hauv ib tug txhua txhua hnub, ua cov hauj lwm zoo ntawm kev kho mob, "streptomycin" los yog "ethambutol".
4. "Isoniazid" + "Ethambutol" - TB cov tshuaj raws li ib tug txij nkawm txoj kev kho.

"Rifampicin"

Nta ntawm cov tshuaj "Rifampicin": cov lus qhia rau kev siv (txhais tau tias ntawm nqi - txog 200 rubles) qhia tias ib yam khoom uas zoo tiv thaiv mycobacteria nyob rau hauv lub cheeb tsam cov, xeeb ib tug tshaj plaws concentration muaj. Kab mob TB yuav sai tau siv rau nws, vim hais tias ntawm yog dab tsi cov tshuaj no xwb. Tsis siv thaum lub sij hawm kev pub niam mis, vim hais tias nws muaj ib tug nyob rau hauv loj qhov ntau rau hauv niam cov kua mis.

"Rifampicin", cov lus qhia rau kev siv, tus nqi ntawm uas muaj teev nyob rau hauv tshwj xeeb kws qhov chaw muaj kev phiv, exhibits lub nram qab no hais tias:

• cephalalgia (mob taub hau);
• reversible raum tsis ua hauj lwm (lub raum lag luam zaug tom qab cov tshuaj thawj coj);
• kev tsis haum tshuaj;
• dyspeptic cov tsos mob - ntuav, raws plab, tsam plab;
• qhov muag plooj tsis pom kev;
• kev hloov nyob rau hauv laboratory tsis ntawm peripheral cov ntshav.

para-aminosalicylic acid

"PAS" - ib tug kho rau tus kab mob ntsws raws li amino salicylic acid. Nws yuav ua nyob rau hauv daim ntawv ntawm cov tshuaj, ib tug daws, granules. Lub sij hawm ntau npaum yog muab faib ua 3 koob tshuaj yog saws, haus mis nyuj, ntxhia dej, tsis muaj zog dej qab zib tov. Nyob rau hauv tej rooj plaub, tus kws kho mob prescribes ib tug txhua txhua hnub koob tshuaj nyob rau hauv ib kauj ruam.

Ib tug npaj nyob rau hauv daim ntawv ntawm nws tus kheej-muab tsis tau tsuas yog nyob rau hauv ua ke nrog nrog rau lwm cov anti agents. Siv tau tsuas yog nyob rau cov neeg, uas yog nyob rau hauv ib tug active lub xeev. Kuj ntawm mycobacteria mus rau lub active tshuaj yog xyaum tsis tsim.

"Pyrazinamide"

Ntsiav tshuaj ntawm tuberculosis muaj feem xyuam rau cov khoom cua thib ob-line tshuaj. Siv nyob rau hauv lub neej coj kev kho mob ntawm tuberculosis ntawm tej chaw. Siv "pyrazinamide" thaum lub sij hawm cev xeeb tub thiab lactation yog ua tau, muab hais tias cov mycobacteria yog resistant mus rau lwm cov zoo tshaj tshuaj.

Ib hlis ib zaug yuav tsum tau saib xyuas transamiaz theem thiab muaj cov uric acid nyob rau hauv cov ntshav thaum lub sij hawm heev kev kho mob tus neeg saib xyuas. Contraindications rau kev siv yog:

• ib tug neeg npau taws me ntsis rau ib tug active tshuaj;
• mob loj heev raum system;
• organic pathology ntawm lub siab.

fluoroquinolones

Tshuaj pab pawg neeg yog siv raws li ib tug causal kev kho mob. Cov nyiaj muaj ib tug bactericidal nyhuv, rau mycobacteria so thiab thaum lub sij hawm ua si.

"Ciprofloxacin" yog pom zoo nyob rau hauv ua ke nrog nrog rau lwm cov anti-TB tshuaj. Maximum concentration nyob rau hauv lub cev yog tau nyob rau hauv ib ob peb teev los ntawm lub sij hawm ntawm kev txais tos. Nws yuav ua rau raws plab mob, cephalalgia, ntxhov siab vim, kev tsis haum tshuaj, tsis pom tau qhov sib pom tseeb tseeb.

"Ofloxacin" - ib tug kho rau tus kab mob ntsws, uas muaj feem xyuam rau qhov chaw ntawm lub DNA nyob rau hauv lub hlwb ntawm lub pathogen. Nws yog muaj nyob rau hauv cov ntsiav tshuaj thiab cov tshuaj rau cov Txoj kev lis ntshav. Lub sij hawm tshuaj tau txais nyob rau hauv ob kauj ruam nrog ib tug 12-teev cov Team sib. Qhov no ua rau nws ua tau rau lossi muaj qhov tsim nyog concentration ntawm "ofloxacin" nyob rau hauv lub cev.

"Lomefloxacin" - ib tug zoo tshuaj uas muaj yuav luag 100% bioavailability. Txhais tau hais tias "cov teeb liab ntsais" nyob rau hauv lub DNA ntawm lub pathogen saw kuv nws qhov chaw nyob nyob rau hauv lub cell. Txhob thaum lub sij hawm cev xeeb tub, lactation, cov me nyuam nyob rau hauv 18 lub xyoos.

cov tshuaj tshiab

Nrhav nyob rau hauv lub teb ntawm tus kab mob TB uas txuam nrog rau txoj kev loj hlob ntawm zoo heev anti-TB tshuaj, qhov rhiab heev ntawm pathogens uas yuav tsis txo tshaj ib tug ntev lub sij hawm ntawm lub sij hawm.

Tshiab tshuaj tiv thaiv kab mob ntsws:

• "Perchlozone" - lub tshuaj muaj ib tug uas tsis muaj toxicity rau tib neeg lub cev, txawm li cas los, yog ib co active tiv thaiv mycobacteria. Contraindications muaj xws li cev xeeb tub, lactation, kiag, ib tug neeg npau taws me ntsis, lub raum thiab lub siab pathology.
• "Mikobutin" - muab tua neeg sawv cev rifabutin siv los kho mob ntaub ntawv ntawm tus kab mob nyob rau hauv cov neeg mob uas yog resistant mus rau "Rifampicin". Nws yog siv tsis tau tsuas yog raws li ib tug txoj kev kho, tab sis kuj rau kev tiv thaiv ntawm tus kab mob.
• "Bedakvilin" ( "Sirturo") yog ib lub txhais tau tias ntawm suppressing zus tau tej cov tseem ceeb heev enzymes ntawm Mycobacterium tuberculosis. Pib tom qab 3 lub hlis ntawm kev kho mob (piv nrog rau lwm cov tshuaj qhia qhov tshwm sim nyob rau hauv 1.5-2 xyoo), muab qhov tsis zoo kev xeem.

Tshwm sim los ntawm txoj kev kho

Cov tshwm sim ntawm sab los vim lub fact tias cov tshuaj siv ho cuam tshuam rau metabolic dab uas coj qhov chaw nyob rau hauv tus neeg mob, thiab ua rau txoj kev loj hlob ntawm hypo- los yog tsis muaj peev xwm kab mob, mob redox dab.

Feem ntau sab los yog:

• tsis hnov lus;
• peripheral polyneuritis;
• puas ntawm cov nuj nqi ntawm loj nruab nrog cev thiab tshuab;
• kev tsis haum tshuaj;
• goiter;
• Candidiasis;
• dyspeptic cov tsos mob.

Ib tug kev manifestation ntawm ib tug Jarisch-Herxheimer cov tshuaj tiv thaiv - cov lus teb ntawm tus neeg mob mus rau lub loj heev kev puas tsuaj ntawm mycobacteria nyob rau hauv thawj ob peb hnub tom qab pib txoj kev kho.

Folk kev rau cov kab mob ntsws

Nrog ntev-lub sij hawm kev kho mob ntawm cov neeg mob kam sim tej txhais tau tias, raws li ntev raws li lawv leeb zoo txheej txheem. Ib tug xov tooj ntawm cov zaub mov txawv uas ua rau kom cov hauj lwm zoo ntawm cov tshuaj kho.

Diav birch buds ncuav 2 khob diluted dej caw los yog vodka. Hais kom txog rau thaum mus txog rau thaum cov tshuaj yuav ua cognac xim. Noj ib diav 3 lub sij hawm ib hnub twg thaum lub sij hawm tag nrho cov hoob kawm ntawm kev kho mob.

Reed yoojyim ntxuav, qhuav thiab zom, uas tuaj tawm 3 dia. Ncuav 2 khob dej, boil rau 5-7 feeb. Yuav kom hais thiab lim. Haus 1/2 khob ntawm cov kua ua ntej noj mov kom tsawg.

Badger roj, zib ntab thiab walnuts - folk tshuaj rau tuberculosis, cov hauj lwm zoo uas nyob rau hauv txoj cai thaum lawv tseem. Crushed ceev, thiab muaj roj peretaplivaetsya. Tag nrho cov khoom xyaw yog tov nyob rau hauv vaj huam sib proportions. Cov sib tov yog muab tso rau hauv lub qhov ncauj thiab tsa kom txog thaum nws tau melted.

Ntoo thuv los yog spruce kua ntoo nchuav cawv 2-2.5 cm saum toj no thiab capped. Ob peb hnub tom qab cov tshuaj yuav homogeneous. Yuav kom qhov no ntxiv lub melted lard thiab txiv qaub thiab zib mu nyob rau hauv tib tus nqi. Siv ib tug me nyuam diav peb zaug ib hnub twg rau rau lub hlis.

Nws yuav tsum tau nco ntsoov tias kev siv ntawm kev txhais tau tias thiab npaj yuav tsum muab qhov chaw nyob rau hauv lub saib xyuas ntawm ib tug tsim nyog.