Dab tsi yog cov tshuaj tua kab mob zoo tshaj plaws rau tus kab mob hniav?

Teb chaws

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Muaj ntau yam tshuaj tua kab mob uas tua cov kab mob hauv lub qhov ncauj uas ua rau muaj kab mob hniav. Qhov zoo tshaj plaws (thawj kab) tshuaj tua kab mob rau cov hniav muaj xws li:

Cov tshuaj tua kab mob zoo tshaj plaws rau cov kab mob hniav yog paub los tua cov kab mob uas feem ntau pom hauv koj lub qhov ncauj. Thaum koj tus kws kho hniav sau ib qho tshuaj tua kab mob no, qhov kev xaiv yuav nyob ntawm seb koj puas ua xua rau penicillin lossis muaj lwm yam teeb meem.



Amoxicillin feem ntau yog thawj qhov kev xaiv vim tias nws tau siv dav thiab muaj kev phiv tsawg tshaj plaws ntawm plab hnyuv.

Lub koom haum American Dental Association (ADA) pom zoo:

  • Qhov ncauj amoxicillin (yog tias koj tsis ua xua rau penicillin): 500 mg peb zaug ib hnub rau 3 mus rau 7 hnub.
  • Qhov ncauj penicillin (raws li kev xaiv thib ob): 500 mg plaub zaug ib hnub twg rau 3 mus rau 7 hnub.

Yog tias koj muaj keeb kwm ntawm kev ua xua hnyav (cov tsos mob ntawm khaus khaus, o lossis ntshav siab poob) rau penicillin, ampicillin, lossis amoxicillin, ADA pom zoo:

  • Qhov ncauj azithromycin: loading koob tshuaj 500 mg rau hnub 1, tom qab 250 mg rau 4 hnub ntxiv; los yog
  • Qhov ncauj clindamycin: 300 mg plaub zaug ib hnub twg rau 3 mus rau 7 hnub.

Yog tias koj muaj keeb kwm ntawm kev ua xua me me rau penicillin, ampicillin lossis amoxicillin, ADA pom zoo:

  • Qhov ncauj cephalexin: 500 mg plaub zaug ib hnub twg rau 3 mus rau 7 hnub.

Lwm cov tshuaj tua kab mob yuav siv tau yog tias thawj kab tshuaj tua kab mob tsis ua haujlwm. Lawv suav nrog amoxicillin nrog clavulanate (Augmentin) lossis metronidazole.

Tshuaj tua kab mob rau cov hniav abscess teeb meem

Kev kis kab mob hauv caj dab sib sib zog nqus yog ib qho teeb meem txaus ntshai ntawm cov kab mob hniav thaum nws kis mus rau qhov chaw nruab nrab ntawm caj dab. Ib qho abscess tsim nyob rau hauv lub caj dab. Cov abscess yuav o thiab thaiv ua pa los yog nqos.

Cov kab mob hauv caj dab sib sib zog nqus tau kho hauv tsev kho mob nrog cov tshuaj tua kab mob (IV) nrog rau qhib qhov chaw hauv caj dab kom tshem tawm cov abscess. Rau hom kab mob no, cov tshuaj tua kab mob zoo tshaj plaws yuav yog amoxicillin nrog clavulanate los ntawm IV.

Cov tshuaj tua kab mob rau cov kab mob hauv caj dab sib sib zog nqus tuaj yeem hloov pauv yog tias kab lis kev cai kuaj pom tias cov kab mob nkag mus rau lwm cov tshuaj tua kab mob (hu ua kab lis kev cai thiab rhiab heev).

Noj tshuaj tua kab mob

Yog tias koj xav tau cov tshuaj tua kab mob los kho koj cov hniav, kev kawm tag nrho raws nraim li koj tus kws kho mob qhia yuav pab kom tshem tau tus kab mob. Tsis ua li ntawd tuaj yeem ua rau mob hnyav dua los kho.

Cov tshuaj tua kab mob yuav muaj kev phiv xws li:

  • Rash (ib qho cim ntawm kev ua xua tshuaj tua kab mob)
  • Ntshai
  • Kab mob poov xab
  • Mob plab

Kev mob raws plab hnyav tuaj yeem yog ib qho cim ntawm kev kis kab mob hauv plab hu ua C. sib . Tus kab mob no tshwm sim thaum ib txwm kab mob hauv koj lub plab raug tua los ntawm cov tshuaj tua kab mob thiab C. sib cov kab mob coj mus. C. sib yog tus kab mob loj heev uas yuav tsum tau kho sai.

Tshuaj tiv thaiv kab mob

Qee zaum cov tshuaj tua kab mob siv los kho tus kab mob tsis ua haujlwm zoo. Qhov no tej zaum yuav yog vim muaj tshuaj tua kab mob. Qhov no tshwm sim thaum cov kab mob hauv koj cov hniav tsis raug tua los ntawm cov tshuaj tua kab mob. Kev siv tshuaj tua kab mob ntau dhau rau tib neeg lub sijhawm tuaj yeem ua rau qhov no tshwm sim. Hauv qhov no, tej zaum koj yuav tau hloov mus rau lwm hom tshuaj tua kab mob.

Ntau cov kab mob hniav tuaj yeem kho nrog kev kho hniav ib leeg. Kev siv tshuaj tua kab mob tsuas yog thaum xav tau txo qis kev pheej hmoo ntawm cov kab mob tsim tshuaj tua kab mob.

Yog tias koj mob nkaus xwb thiab tsis o, koj tus kws kho hniav tuaj yeem kho koj cov hniav nrog kev kho hniav yam tsis tas siv tshuaj tua kab mob. Qhov no yuav suav nrog tshem cov ntaub so ntswg hauv koj cov hniav (pulpectomy) lossis ua cov kwj dej hauv paus. Yog tias koj muaj cov tsos mob xws li mob, o thiab ua npaws, tshuaj tua kab mob yuav yog ib feem ntawm koj txoj kev kho mob nrog rau kev kho hniav.

Kev tiv thaiv kab mob hniav

Txoj hauv kev zoo tshaj plaws kom tsis txhob muaj kab mob hniav yog mus ntsib koj tus kws kho hniav tsis tu ncua thiab ua kom huv ntawm qhov ncauj nrog txhuam thiab txhuam. Tus kws kho hniav tuaj yeem pab kho cov teeb meem hniav uas tuaj yeem ua rau kis kab mob lossis mob uas yuav ua rau hnyav dua xws li:

montelukast sod 10 mg ntsiav tshuaj
  • Ib tus hniav tawg
  • Qhov ncauj los yog hniav mob nrog o los yog kub taub hau

Teeb meem nqos los yog ua pa yuav tsum tau mus kho mob tam sim ntawd.

Cov ntaub ntawv
  1. American Dental Association. Cov ntaub ntawv pov thawj-based Clinical Practice Guideline on Antibiotic Use for the Urgent Management of Pulpal- and Periapical-Related Dental Pain and Intraoral Swelling: A Report from American Dental Association: http://www.ada.org/~/media/EBD/Files/ADA_Chairside_Guide_Antibiotics_TA.pdf . [Tau Txais Lub Kaum Ib Hlis 6, 2020].
  2. American Academy of Family Physicians. Teebmeem Kev Kho Hniav hauv Kev Pabcuam Thawj. Kaum Ob Hlis 1, 2018. Muaj nyob ntawm: https://www.aafp.org/afp/2018/1201/p654.html . [Tau Txais Lub Kaum Ib Hlis 6, 2020].
  3. American Dental Association. Abscess (Toothache): Muaj nyob ntawm: https://www.mouthhealthy.org/en/az-topics/a/abscess . [Tau Txais Lub Kaum Ib Hlis 6, 2020].
  4. Maharaj S, Ahmed S, Pillay P. Deep Neck Space Infections: A Case Series thiab Review of Literature. Clinical Medicine Insights: Pob ntseg, Nos thiab caj pas. 2019 Aug. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716171/ .
  5. Centers for Disease Control and Prevention. Ua Tshuaj Tiv Thaiv Kab Mob Aware: Siv Ntsej Muag, Kev Kho Mob Zoo Tshaj. Kaum Ib Hlis 9, 2020. Muaj nyob ntawm: https://www.cdc.gov/patientsafety/features/be-antibiotics-aware.html . [Tau Txais Lub Kaum Ib Hlis 10, 2020].

Cov Lus Nug Txog Kev Kho Mob

Cov Ntaub Ntawv Tshuaj

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