Daweynta pyelonephritis ee dumarka macnaheedu waa daawooyinka antimicrobial, sababtoo ah had iyo jeer waa cudurku waxa uu la xiriiraa waxqabadka bakteeriyada-gram-positive ama gram-negative neglected. Xaaladdan oo kale, doorashada kiniiniga antibiyootig ee kiis gaar ah waa inuu noqdaa mid shakhsi ah, tan iyo markii loo daaweeyo pyelonephritis ba'an ee haweenka iyo qaabka joogtada ah ee cudurku ku lug leeyahay isticmaalka daroogooyinka kala duwan. Dhibaatooyinka cudurka, sida pyelonephritis purulent, waxay soo jeedinaysaa isticmaalka daawooyinka leh saameyn adag oo leh saameyn ballaaran.
Qaababka daaweynta pyelonephritis ee dumarka
Pyelonephritis ee haweenku waxay saameeyeen shaqaynta taranka. Kuwa jirradan cudurkan, way adagtahay in ay uur qaadaan oo dhasho cunug. Haddii cudurku uu soo noqnoqonayo, uurku waa uu ku adag yahay dhibaatooyin, dhalashadana waxaa lagu beddeli karaa qalliinka dhalmada si loo yareeyo khatarta ah in uu ku dhaco kalyo-xumada. Taasi waa sababta ugu dhakhsaha badan ee loo daweeyo pyelonephritis, sida lagu ogaado. Nidaamka daaweynta pyelonephritis ee haweenka waxaa ku jira isticmaalka dhowr nooc oo antimicrobial ah:
- kooxda aminopenicillins;
- Diyaargarow isku dhafan oo isku dhafan oo ku salaysan aminopenicillin iyo clavulanic acid;
- koox cephalosporins ah;
- aminoglycosides ;
- koox ka mid ah fluoroquinolones.
Waa maxay antibiyootikada daaweynta pyelonephritis ee haweenka doorta?
Aminopenicillins ma laha wax saameyn ah oo liddi ku ah iyo ka hortagga, waxaa loo isticmaali karaa xilliga uurka iyo daaweynta carruurta laga bilaabo 3 bilood. Laakiin saamaynta daroogada ee kooxdani waa mid daciif ah, maadaama badeecooyinka waxqabadyada muhiimka ah ee badi bini-aadamnimada pyelonephritis ay horseedi karto burburinta walaxda firfircoon. Daawooyinkaan waxaa lagula talinayaa in la isticmaalo marka uu cudurku keeno cudurka E. coli, ama enterococci. Antibiyootigyada ugu caansan ee kooxdani waa Amoxicillin iyo Penicillin.
Daaweynta durista pyelonephritis ee haweenka ayaa si fiican loogu sameeyaa daawooyinka ku salaysan aminopenicillin iyo clavulanic acid. Waxtarkooda waa mid aad u sarreeya, laakiin saameynta jidhka waa mid khafiif ah. Dhibaato, waxaa jira xasaasiyado iyo leukopenia, laakiin taasi waxay dhacdaa marar dhif ah. Tusaale ahaan daroogada noocan oo kale ah waa kiniinnada Flemoklav Solutab.
Pyelonephritis-da waxaa lagu daaweeyaa aminoglycosides iyo fluoroquinolones. Halkan waxaa ah kuwa ugu caansan:
- Ciprofloxacin ;
- Ofloxacin;
- Ramikazin;
- Gentamicin;
- Nylmycin.
Dhibaatooyinka iyo iska horimaadyada daawooyinkaan waa badan yihiin, khaas ahaan khatarta waa saameynta nephrotoxic.
Dhibaatooyinka cudurka, gaar ahaan nooca pyelonephritis, ayaa lagu daaweeyaa cephalosporins. Kuwani waa:
- Cephalexin;
- Zinnat;
- Tamycin iyo kuwo kale.