Causal kurapa - chii ichi?

Treatment chero chirwere kunoda Integrated kusvika. Kushandiswa mawa zvinodhaka kuita pamusoro siyana Links ari pathogenesis kwechirwere chacho, unokurudzira akurumidze kupora murwere uye kudzivirira yematambudziko. Causative kurapwa chikamu kuchirapa matanho kushandiswa. Kazhinji, causal kurapwa - chii ichi? Next ichaongorora pfungwa rokuti, dzinokosha uye mishonga, nzira dzekuziva nadzo dzinoongorora kugona kwaro.

General pfungwa

Causal kurapa - kuva zviyero zvainanga mukuderedza kana kubvisa zvinokonzera kuita, izvo zvakakonzera kukura chirwere. Shoko rakadaro anonzi zvachero kurapa. Mishonga inoshandiswa neimwe kurapwa ichi, uyewo kunzi etiotropic.

Okurerutsa kurapa kunosanganisira zvinotevera mishonga, kushandiswa iyo kunobva etiologic nomumiririri chirwere:

• kushandiswa inorwisa mabhakitiriya;
• kemikari kurapa;
• vhitamini;
• kurapwa probiotics;
• mishonga;
• kushandisa mushonga.

Nezvinodzidziswa causal kurapwa

Madzivirirwe kurapwa zvirwere uye pathological pezvakaitwa dzinobva huru mbiri, kuurayiwa izvo zvinoita kuti nokukurumidza kuzoita murwere. Etiotropic musimboti muzvidzivirire uye kurapa zvirwere wokutanga kuziva zvinokonzera chirwere uye kushandisa nzira kutamburira kuti amise pathological migumisiro iri muviri. Zvinoguma kuguma chiratidzo kushayikwa kufambira mberi kwemashoko kunotoda mufananidzo.

Nhungamiro etiotropic prophylaxis rechipiri uye kurapa zvirwere inobva elucidation yakawedzerwa zvinhu kuti tiite kufanana huru Kusimbaradza kana simba rayo pathogenic kushanda. zvinonyatsochengeta tsanangudzo dzavo uye kururamiswa pave akanaka ezvinhu kuti nokukurumidza kunaya murwere.

Matanho kuiswa kuti vawane chinangwa wokutanga, chinozoiswa tichibatsirwa zvinodhaka (mahormone, cytokines, enzayemu kugadzirira, mishonga). Physical Zvinhu anechekuita kuurayiwa rechipiri musimboti: kushandiswa unodzivirira zvipfeko, ultraviolet irradiation, akadzokorora nokufumura ari pathological mumiririri kuwedzera nemishonga kwachiri murwere.

Zvigadziko mabatiro zvirwere zvinotapuriranwa mavambo

Causal kurapwa kwezvirwere zvinotapuriranwa kunosanganisira pachake zvinotevera nheyo:

• Treatment kunofanira nzwisisika uye kufukidza zvose zvinobvira uchishandisa zvinhu;
• zvinoreva kuti simba vakashandisa kuva kuparadzwa nayo utachiona;
• kuitisa masoja kurangwa;
• cheteyo kupora hemostasis murwere;
• chamazuva jekiseni sezvo zvirwere zvinoda-refu kunotoda cherechedzo uye anoshivirira kupora pashure chipatara buditsa;
• pakusarudza marapirwo regimens zvinofanira inobva vakanyoresa chimiro uye nguva chirwere, nekuomarara kurapwa kuratidzwa, tinyatsonzwisisa mamiriro murwere uye kuvapo zvakatevera pathologies.

Causal kurapwa kwezvirwere zvakawanda zvinotapukira varwere kunosanganisira kushandisa kugadzirirwa yakananga uye dzisiri chimwe chinhu chaicho. marapiro zvinoreva:

• serum;
• immunoglobulins;
• bacteriophages;
• yokudzivirira;
• antitoxins.

Zvinhu nonspecific chiito zvinosanganisira mishonga zvinodhaka uye kushandisa mainterferon.

serotherapy

Sezvo causal kurapwa - misoro kurapwa zviyero, mumwe zvinoumba marapirwo ndiko kurapwa whey. Chikamu ichi anoshandisa kushanda antibacterial uye antitoxin Sera.

Antitoxic whey sezvamunoita zvinosanganisira antibodies pamusoro zvinokachidza zvinoberekwa utachiona. antibodies All dzakananga uye aparadze yakananga etiological chinhu kushandisa neutralization zvakaitwa. Mienzaniso iyi mhando Sera:

• tetenasi;
• diphtheria;
• protivogangrenoznaya;
• protivosibireyazvennaya;
• protivobotulinicheskaya.

The sezvamunoita zvinosanganisira antibacterial serum agglutinins, opsonins uye bactericidin, izvo antibodies pamusoro kwemabhakitiriya utachiona.

Efficacy kuti serotherapy runotsamira nguva uye dose chourongwa kwayo. Pakarepo shure yaunodya kuti achiparadzira antitoxins muropa neZvapupu pamwe zvinokachidza utachiona hwakakura. Kwokutanga mazano zvinoreva, kuti nokukurumidza ndiye kuzoita murwere.

Immunoglobulin - Achishandisa causal kurapwa kuti rinoshandiswa kurapwa zvimwe zvirwere zvinotapuriranwa. Globulins nyore zvinopfuura zvinyama uye vane vakawanda antibodies vari sezvamunoita yavo. Kushandisa nyaya inotevera zvirwere:

• tick nezvipembenene encephalitis;
• gwirikwiti;
• bembo;
• pox;
• staphylococcal chirwere;
• whooping chikosoro;
• leptospirosis;
• herpes chirwere;
• nechigwadara and said.

Kushandiswa bacteriophages

zvinodhaka nemavhairasi eBhaibheri inokwanisa unopedza masero womutorwa kwemabhakitiriya dzinoshandiswa serimwe rinogona kutsiva mishonga inorwisa mabhakitiriya kurapa. It anogadzirwa muchimiro Nezvakakuyiwa, mapiritsi, suppositories, zvinogadzirisa, ndiro uye ampoules.

bacteriophages mhinduro anogona kupiwa zvokunwiwa, kubudikidza jekiseni, uye enema, kushandiswa pakushambidza aumba in, kudiridza, wetting pamusoro zvikumbiro sei munzvimbo.

Causal kurapa, zvinodhaka izvo zviri anomiririrwa bacteriophages, haana contraindications uye rakanyatsojeka nevakawanda varwere chiremba. Richishandiswa sechinhu standalone kurapwa kana akabatana nemishonga.

mishonga

kurapa causal kwakadaro inoendeswa kushandisa zvinokachidza Inobaya, tigume mhaka chirwere. Zvichienderana zvevhiki kwaitwa zvinotevera mhando kushandiswa mishonga zvinodhaka:

• inorwisa utachiona mishonga;
• antifungal;
• antitumor;
• antiviral;
• antihelminthic;
• antiparasitic.

Kushandisa chemotherapeutic zvinodhaka mirayiridzo kunoda kunyatsoziva uongororwe vamwe mishonga zvose kushandisirwa varwere. Mune zvimwe zviitiko, mubatanidzwa kuchirapa yomuchipatara kunogona kuva kusafarira pamusoro chikamu muviri murwere.

Kushandiswa inorwisa mabhakitiriya pakurapa kusiri

Antibacterial causal kurapwa - nzira nerokuparadzwa nayo utachiona chirwere pamwe nemishonga. Zvinosuruvarisa panguva iyi vazhinji tusingaoneki vawana kuramba antibacterial nevamiririri.

Panyaya iyi, kushandisa zvinodhaka vanofanira kutevedza nzira dzekuziva kuti kodzera kurapwa:

1. Zvipatara vanofanira kutanga nekukurumidza, uchishandisa munoremekedza chakarondedzera chiito kusvikira kujekeswa nayo utachiona.
2. Treatment kunofanira pasi kuramba rabhoritari uye bacteriological kuzvidzora.
3. Chipimo chemushonga Kutarisirwa uye chipimo chemushonga penguva vanofanira nechokwadi zvachose riparadzirwe ropa kunoreva zvichidiwa.
4. Treatment pamwe antibacterial yomuchipatara kwapedza mazuva 3-4 kunopfuura zviratidzo kudhaka kuonekwa, hyperthermia.
5. Mazuva mashoma kushaya kunyatsoshanda chiratidzo kuchinja antibacterial mumiririri mumwe kurapwa zvaiitwa yokudzokorora.
6. Long-izwi causal asingaurayiwi kurapa chinokurwadzai hypovitaminosis B uye zvinoda kufanana vhitamini mishonga.
7. Treatment kunofanira kubatana kutonga masoja chinzvimbo, sezvinobvira chinovhiringidza ari masoja akapindura vakadhakwa inorwisa mabhakitiriya.

Kubudirira asingaurayiwi ARV kuongororwa pamusoro mukuru ezvinhu omurwere, normalization kuti tembiricha yomuviri, kuderedza kudhaka kuratidzwa peripheral ropa.

Somuenzaniso, funga pakurapa antibacterial vamiririri mumwe zvirwere kufema hurongwa. Causal nemabayo kurapa kunosanganisira kushandisa kugadzirira dzinotevera mapoka:

• penicillins - "Amoxicillin", "Flemoksin", "Ampioks";
• cephalosporins - "Ceftriaxone", "Cefazolin", "cefotaxime";
• macrolides - "Clarithromycin" "Erythromycin";
• tetracyclines - "methacycline," "Doxycycline";
• aminoglycosides - "gentamicin", "neomycin", "Amikacin";
• "Chloramphenicol";
• "Fuzidin";
• "Novobiocin";
• nitrofurans - "furazolidone", "furadonin", "Furatsilinom";
• antifungal mishonga - "Levorinum" "Nystatin";
• sulfonamides - "Biseptol", "Sulfalen", "Sulfadimetoksin".

Vana, vakadzi vane pamuviri, uye varwere havachanyatsogoni itsvo nerevane chiropa ndiwo kupfuura inonyatsoziva hunokachidza zviito antibacterial vamiririri Zvisinei mapoka aya nokuzvidzora Formulations isingagamuchiriki.

Kushandiswa mahormone

Hormone causal kurapwa - kunzwisisa zviyero zvainanga Achabvisa zvinokonzera hosha nokubatsirwa mahormone. Kusiyanisa yokutsiva, anotokonya uye zvichivhiringidza mishonga.

Kuzvitsinhanisa kushanda mahormone yaishandiswa momuviri pamwe kukwana kana zvakakwana kushayikwa kushanda kwemakemikari anobudiswa mumasero. Murwere anotora zvinodhaka, pakatanga iyo kunovimbisa inowanzotorwa hormone zvakanakanaka mumuviri. Kakawanda, izvi mhando kurapwa rinoshandiswa upenyu. Muenzaniso ndiko kudya insulin yakakodzera iri cheshuga.

Kumutsa chimiro hormone yomuchipatara riri basa kana kwemakemikari anobudiswa shwanu inoda kukurudzira basa. Nokuti chinangwa ichi, mahormone pamusoro pituitary uye hypothalamus.

Braking mhando kurapwa chinokurwadzai rutapudzo shwanu kemikari panguva yayo hyperfunction. Ivepo antagonist kuti kemikari, izvo zvinopfuura. Kazhinji kushandiswa oncology, Gynecology, urology, andrology.

vhitameni

Shandisa mavhitamini kuti kurapwa kwezvirwere zvinokonzerwa kukundikana kwavo kana kushaya zvakakwana muviri murwere, inonzi vhitamini kurapa. The unorapa ndiwo regulators zvoupenyu hwose hwevanhu kushanda, saka kuvapo kwavo kunodiwa mari anonzi fanira.

1. The kwomuzvarirwo kurapwa kunoratidzwa vasvika zvinokosha mavhitaminzi zvokudya. Kuitwa zvokudya kururamiswa, umo chiri kusimbiswa zvigadzirwa kupfuura kupfuma zvinokosha unorapa.
2. Kuzvitsinhanisa kurapwa achabatsirwa pakatanga mavhitaminzi muchimiro zvapanzvimbo kurapwa vhitamini kukanganisika kana hypovitaminosis. Kune vose mono- uye multi-vhitamini mari.
3. Pathogenetic vhitamini inozivikanwa varwere kurapwa zvirwere zvinokonzerwa vhitamini kushaikwa (hypotension, migraine, huta Kuparara).
4. Pharmacodynamic kurapwa inoshandisa mavhitaminzi rokudzora zvinhu vasina chokuita mashandiro vhitamini A kushayikwa. Somuenzaniso, kwokubatsira vamiririri vanokwanisa constrict kana dilate midziyo ropa.

Kushandiswa vhitamini zvokuwedzera, vakawanda vaiona yakachengeteka mhinduro, asi izvi zvinofanira kuitwa chete pashure zano nyanzvi.

probiotics

Causal symptomatic probiotic ARV nachiremba mishonga intestinal dysbiosis. Kubvisa mhosva chirwere, mishonga zvigoneke ndeyokubvisa ari zvekuchipatara kuratidzwa. The Zvinoumba probiotics zvinosanganisira utachiona uye mamwe majemusi, vari pakati dzose microflora ari intestinal turakiti. Kutambirwa womunhu nomuviri zvakakwana mari zvinobatsira normalize vanhu zvomudumbu turakiti basa, nokudzosa microbiocenosis uye mhanyisa anoshivirira kupora.

Dysbacteriosis Uyezve, kushandisa zvinodhaka unoratidzwa zvinotevera nyaya:

• kunzwisisa Mabatirwo kwemakemikari anobudiswa abnormalities;
• enzymatic zera-chokuita;
• chepfu maronda ose tsinga;
• Occupational zvirwere ;
• renal kukundikana, mwoyo uye ropa midziyo;
• hypovitaminosis;
• immunodeficiency ezvinhu;
• atherosclerosis;
• mamiriro chokuita rakaoma basa uye simba mupfungwa.

Antidototerapiya

Kutambirwa chepfu uye noxious zvinhu zviri mumuviri womunhu anorayira yepakarepo kushaya okupedzisira. Vamwe vakadaro zvinhu vane mushonga anokwanisa neutralizing rokuparadza mugumisiro chepfu.

Mushonga uri venhumbi zvaanoita ane chepfu yomuchipatara kana zvimwe nemishonga, anoita neutralization zvakaitwa, hakubvisi Migumisiro nomuchetura. Zvinhu zvinogona yakamanikana uye chakarondedzera basa. Chimbofunga mienzaniso chaiyo yomuchipatara zvaishandiswa antidototerapii.

Muchetura, chepfu fuma	The chaicho mushonga
Amanita, organophosphorus vamiririri	Atropine sulfate pachiimbwa dipiroksimom
uturu hwenyoka	Heparin, epinephrine hydrochloride, protivozmeinaya serum
acids	Yavaibvisa bicarbonate (kubikira pasoda mhinduro)
potassium permanganate	ascorbic asidhi
hydrocyanic asidhi	Unitiol, methylene zvitema
carbon monoxide	Inhalation reokisijeni
Opiates uye morphine nomukaka	naloxone
Phenol, munyu inorema nesimbi, Arsenic, hydrocyanic asidhi	yavaibvisa thiosulfate

Causal kurapwa, marudzi uye maitiro ayo zvakurukurwa munyaya, haibvi kungovimba kushandisa imwe boka zvinodhaka. The kunyatsoshanda pakuti kwayo kutakura revatema kusvika: kururamiswa zvinodhaka emuchina kuramba rabhoritari uye bacteriological kudzora muviri murwere, mishonga chokuita pathologies.