Ukunyangwa kwe-pyelonephritis kubasetyhini kuthetha izidakamizwa ze-antimicrobial, kuba phantse isifo sidibene nomsebenzi we-bacram-positive okanye igritha-negative bacteria. Kule meko, ukhetho lwe-antibiotics kwimeko nganye ethile kufuneka lube ngumntu ngamnye, kuba ukunyangwa kwe-pyelonephritis eqaqambileyo kwabasetyhini kunye nesimo esingapheliyo sesifo kufaka ukusetyenziswa kweziyobisi ezahlukeneyo. Iingxaki zesifo, njenge-purulent pyelonephritis, zibonisa ukusetyenziswa kweziyobisi kunye neziphumo eziyinkimbinkimbi kunye nefuthe eliphuculweyo.
Iimpawu zonyango lwe-pyelonephritis kubasetyhini
I-Pyelonephritis yabasetyhini ichaphazela kakhulu umsebenzi wokuzala. Abo babandezelekileyo esi sifo, kunzima ukukhulelwa baze balele umntwana. Ukuba lesi sifo singunaphakade, ukukhulelwa kubangelwa iingxaki, kwaye ukuzalwa kunokuthathelwa indawo yecandelo le-caesarean ukwenzela ukunciphisa umngcipheko wokuphulwa kwezintso. Yingakho i-pyelonephritis imele iphathwe ngokukhawuleza, njengoko yafunyaniswa. Isicwangciso sonyango lwe-pyelonephritis kubasetyhini kubandakanya ukusetyenziswa kweentlobo ezininzi ze-antimicrobials:
- iqela lama-aminopenicillin;
- i-semisynthetic ihlanganiswe amalungiselelo asekelwe kwi-aminopenicillin kunye ne-clavulanic acid;
- iqela le-cephalosporins;
- aminoglycosides ;
- iqela le-fluoroquinolones.
Ziziphi i-antibiotics zokunyanga kwe-pyelonephritis kubasetyhini abakhethayo?
I-Aminopenicillins ayinayo imiphumo emibi kunye nokuchasene, inokusetyenziswa ngexesha lokukhulelwa kunye nokonyango lwabantwana kwiinyanga ezi-3. Kodwa isiphumo seziyobisi kweli qela libubuthathaka, ekubeni iimveliso ezibalulekileyo zezilwanyana ezininzi ze-pyelonephritis zikhokelela ekutshatyalaliswa kwezinto ezisetyenziswayo. La mayeza acetyiswa ukuba asetyenziswe xa i-agent e causative yesifo i-E. coli, okanye i-enterococci. Iipilisi ze-antibiotic ezithandwa kakhulu kweli qela zi-Amoxicillin kunye ne-Penicillin.
Ukunyanga kwe-pyelonephritis engapheliyo kwabasetyhini kukulungele ukusetyenziswa ngamachiza asekelwe kwi-aminopenicillin kunye ne-clavulanic acid. Impumelelo yabo iphakamileyo, kodwa umphumo kumzimba ulula. Njengeenkxalabo, kukho ukungabikho komzimba kunye ne-leukopenia, kodwa oku kwenzeka kakhulu kunqabile. Umzekelo weso sifo yizipilisi zeFlemoklav Solutab.
I-pyelonephritis eyiyo iphathwa nge-aminoglycosides kunye ne-fluoroquinolones. Nazi ezinye ezithandwa ngabo:
- Ciprofloxacin ;
- Ofloxacin;
- Ramikazin;
- Gentamicin;
- INethylmycin.
Imiphumo emibi kunye neengqinisiso zale mithi zininzi, ingozi yindlela yabo ye-nephrotoxic.
Iingxaki zesifo, ngokukhethekileyo uhlobo lwe-pyelonephritis, ziphathwa nge-cephalosporins. Ezi zi:
- Cephalexin;
- Zinnat;
- Tamycin nabanye.