Differential diagnosis of inflammatory lesions of the sigmoid colon, caused by different reasons, often causes serious difficulties. Ambroxol stimulates the formation of a tracheo-bronchial secretion of reduced viscosity due to destruction of mucopolysaccharides of sputum. The drug is inactive in relation to all Gram-negative aerobes, enterococci, all anaerobes and intracellular pathogens. In the SOC group, hydroxychloroquine or chloroquine was administered to 15/20 (75.0%) patients, lopinavir/ritonavir was used in 1/20 (5%) patient, and 4/20 (20%) patients did not receive etiotropic treatment. The choice of the most effective of them depends on many factors, primarily on the accuracy of identification of the causative agent of pneumonia, its sensitivity to antibiotics and the early onset of adequate treatment of pneumonia with antibiotics. The main factors determining the solution of the question of the place of treatment of a patient with pneumonia are the severity of the disease, the presence of complications, as well as the risk factors for the unfavorable course of the disease and the lethal outcome. Respiratory gymnastics is an effective means of restoring the drainage function of the bronchi. 2 Structures (natural bends and physiological sphincters that impede the promotion of fecal masses). In such cases, the disease develops in old age (60-70 years and older). With regard to violations of the chair, then most often patients complain of constipation and / or constipation, alternating diarrhea. The branch of medicine that deals with the causes or origins of disease. The average duration of antibiotic treatment, depending on the pathogen of pneumonia (according to Yu.K. Thus, the deeper layers of the intestinal mucosa are affected - it develops ulcerative sigmoiditis . Carbapenems are inactive for methicillin-resistant staphylococci (S. Aureus, S. Epidermalis), certain strains of Enterococcus faecium and intracellular pathogens. This facilitates the drainage of the lungs and decreases the severity of inflammatory changes in the lung tissue. Hereditary predisposition is traced (17% of patients have a burdened family history). Under the restriction fall salt - to the lower limit of the norm (8-10 g), as well as all dishes containing mechanical, chemical or thermal irritants. As a rule, there is a combined lesion of the end section of the gastrointestinal tract - proctosigmoiditis. The table shows the most important modifying factors that increase the risk of infection with antibiotic-resistant strains of pneumococci, Gram-negative bacteria and Pseudomonas aeruginosa. Pain in this disease is cramping in nature. This combination "overlaps" almost the entire spectrum of possible causative agents of community-acquired pneumonia of severe course. This indicator is considered important. The latter, as is known, can not be detected by classical routine methods of microbiological research, which creates serious difficulties in the selection of adequate etiotropic treatment. Percussion massage is performed with the edge of the palm, pokolachivaya chest wall of the patient with a frequency of 40-60 per minute. His clinic is very similar to ischemic and ulcerative colitis. Occasionally, a slight discomfort on the stomach side is possible. One of the effects of the reflex action of these drugs on the tone of the vagus nerve is nausea and vomiting. Sometimes inflammation of the joints may precede the development of ulcerative colitis. Regardless of the anatomical location of the department, the pain of sigmoiditis, as a rule, is aggravated after emptying the bowels, with sudden movements, long walking and shaking rides. The exception is cases where the patient's condition clearly and rapidly deteriorates: fever, intoxication, progresses respiratory failure, auscultatory and radiologic signs of pneumonia increase, leukocytosis and a nuclear shift to the left increase. With caution, respiratory gymnastics should be conducted with the threat of spontaneous pneumothorax. It should be remembered, however, that social and domestic factors, such as the inability to care for the patient at home, can influence the final decision on hospitalization. As is known, the intestine consists of thin and thick sections. In chronic circulatory failure, etiotropic treatment may be radical (vascular plasty) or conservative (correction of heart failure and hypovolemia). Sigmoiditis in ulcerative colitis is accompanied by symptoms of intoxication: Isolated proctosigmoiditis has, as a rule, a chronically-relapsing course, with periods of remission of up to 3-6 months, and exacerbations of varying severity. The incubation period ranges from several hours to a week - most often two to three days. Specific treatment involves the appointment of anthelmintic drugs for the type of worms and stage of infection. The nutritional factor (lack of dietary fiber in the diet, and frequent use of chemical preservatives and dyes) has a certain value in the development of pathology. Microclyster enter overnight and hold until the urge to defecate. In severe diarrhea, it is recommended to spend 1-3 hungry days. With the formation of cracks in the anal region, the appearance of fresh blood in the feces. Parenteral drug is administered at 1.2 g every 6-8 hours. All rights reserved. The sigmoid colon is an S-shaped end section of the colon. Improving the drainage function of the bronchi is one of the most important conditions for the effective treatment of pneumonia. 1. The table shows an approximate list of antibacterial drugs that have activity against certain pathogens of pneumonia. Currently, a large number of schemes for the empirical treatment of community-acquired pneumonia have been proposed, in which preference is given to certain antibacterial drugs. Indications for hospitalization of patients with community-acquired pneumonia (European Respiratory Society, 1997). Pneumonia treatment involves the administration of hyperimmune plasma intravenously (4-6 ml / kg) and immunoglobulin of 3 biodosomes intramuscularly daily for the first 7-10 days of the disease. We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Some clinicians prefer fluoroquinolones (Ofloxacin and others). Acute and chronic sigmoiditis caused by intestinal infections (dysentery and dysentery-like intestinal lesions). In patients who have risk factors, it is advisable to prescribe combined treatment of pneumonia with beta-lactams (cephalosporins II-III generation, amoxicles, etc.) In severe pneumonia, which is associated with high mortality, the patient should be admitted to the intensive care unit or intensive care unit (ICU). ), "Respiratory" fluoroquinolones (levofloxacin, moxifloxacin), "Protected" ureidopenicillins (picarcillin / clavulanate, piperacillin / tazobactam), Aminopenicillins (amoxicillin, amoxiclav, ampicillin / sulbactam), Cephalosporins of the first generation (cefazolin), Cephalosporins of II-IV generations (cefuroxime, cefotaxime, ceftriaxone, cefazidime, cefepime, etc. is carried out for 1-2 months. During this time, the treatment of pneumonia with antibiotics, including the appointment of alternative drugs, in most cases, community-acquired pneumonia is unreasonable, since it is proved that even with adequate treatment, fever can persist for 2-4 days, and leukocytosis 4-5 days. It is known that sputum present in the lumen of the bronchi in patients with pneumonia consists of two layers: the upper, the more viscous and dense (gel), lying over the cilia, and the lower liquid layer (sol), in which the cilia swim and contract. ); pneumococcusa {Streptococcus pneumoniae); Staphylococcus aureus (Staphylococcus aureus); anaerobic bacteria (Fusohacterium spp., Bacteroides spp., Peptostreptococcus spp.). In inhalation mode of administration, one should beware of bophorrhoea, which can have undesirable consequences if the patient has a cough reflex (IP Zamotayev). Infection occurs by eating infected products (especially dairy products), using unboiled water, and less often through dirty hands. frequent painful urge to defecate - tenesmus; general weakness (up to complete adynamia); Polyarthritis (transient damage to the joints, the symptoms of which disappear during remission). Hospital pneumonia, not associated with the use of intubation or ICL. The inflammatory process caused by ischemia is characterized by the addition of a secondary bacterial infection, damage to the entire thickness of the intestinal wall with the formation of ulcers and subsequent scar deformity. also increase the secretion of the bronchial glands, but not the reflector, but due to their secretion by the mucosa of the airways after ingestion. Dandruff in the ears: why does it appear, how to treat it? Much less frequently (in 5-15% of cases) the causative agents of community-acquired pneumonia are some gram-negative bacteria of the Enterobakteriaceae family, Staphylococcus aureus, anaerobic bacteria, Pseudomonas aeruginosa and others. Very high activity of cephalosporins of the IV generation is manifested to the hemophilic rod, Neisseria, moraxelle and anaerobes. It is also possible to combine a broad-spectrum antibiotic with metronidazole. in combination with "new" macrolides. Deterioration of bronchial patency, observed at least in some patients with pneumonia, contributes to an even greater disruption of the processes of local, including immunological, protection, re-seeding of the airways and prevents the healing of the inflammatory focus in the lung tissue and the restoration of pulmonary ventilation. For etiotropic therapy of helminthiasis the following groups of drugs: protivopolozhnye (albendazole, levamisole, Beenie hydroxynaphthoate, piperazine, Pyrantel, etc. Imipeptem (tienam) more effective against Gram-positive pathogens. The most widespread microclysters. Nonspecific ulcerative colitis Ulcerative colitis is a serious disease of the large intestine of unexplained etiology, characterized by an ulcerative lesion of the intestinal wall and the development of complications, both local and systemic. The use of mucolytic and mucoregulatory drugs is aimed at restoring the ratio of sol and gel, diluting sputum, rehydration, and stimulation of the cilia of the ciliated epithelium. Another characteristic symptom is diarrhea (up to 10-12 times per day) and the presence of blood in the feces. Chronic sigmoiditis occurs with periods of remission when the signs of inflammation subside. Adults drug prescribed in a dose of 30 mg (1 tablet) 3 times a day for the first 3 days, and then 30 mg 2 times a day. The most common symptom of chronic non-ulcer sigmoiditis is a feeling of fullness and pain in the left iliac region, radiating to the left inguinal region and perineum, aggravated by physical exertion, long walking, and jolting. For meningitis of the viral form, therapy is based on antiviral drugs (recombinant interferons, inducers of endogenous interferon, immunomodulators, antiretroviral drugs, etc. Prolonged pneumonia should not be confused with cases of the disease, resistant to the treatment of pneumonia. These are chemical medications that have the ability to suppress the activity of viruses. It is a mucopolysaccharide with a high sulfur content, it has a significant negative charge and is able to interact with various basic and amphoteric substances. In order to appoint him, a special examination is done to the person. In more severe cases, red blood cell transfusions are used to combat anemia. Thus, ambroxol and bromhexine have not only mucolytic, but also important mucoregulatory properties. Ischemic pain occurs when the load requires increased blood supply, that is, after a meal. With pneumonia caused by atypical pathogens, the optimal treatment time increases to 14 days, and with legionella or staphylococcal infection - up to 21 days. As a rule, they have very low activity against pneumococci, hemophilic rod and intracellular pathogens, i.e. In this regard, the appointment of antiviral drugs is based on available data on their efficacy in the treatment of seasonal SARS caused by coronavirus. In the absence of effect, carbapepam monotherapy is indicated. etiotropic. Often, patients become suspicious and suffer from cancer. Treatment of community-acquired pneumonia of moderate severity and patients with aggravating risk factors is advisable to begin with parenteral (intravenous or intramuscular) administration of "protected" aminopenicillins or modern macrolides, if necessary, combining them with each other friend. Currently, the so-called "new" macrolides of III-IV generations are used for the treatment of pneumonia: It is not recommended oral administration of "old" macrolides (erythromycin, oleandomycin) due to the lack of reliable information on the effectiveness and bioavailability of serially produced erythromycin preparations. pronounced structures leading to intestinal obstruction; the formation of external or internal fistula; toxic intestinal expansion tolerant to therapy (24 hours); MAGLINIZATION (malignant tumor formation); profuse bleeding, not amenable to complex therapy. Carbapenems are ß-lactam antibiotics of the ultra-wide spectrum of action. If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter. Deep respiratory movements stimulate a cough reflex, and breathing with the creation of artificial resistance during exhalation (through closed lips, special flutters or other devices) prevents the expiratory collapse of small bronchi and the formation of micro-teleclactases. R-Pharm said there was also a significant difference at 14 days. In 80% of patients, multiple deep non-scarring anal fissures are formed. Moxifloxacin - (a preparation of IV generation) is taken orally at a dose of 400 mg once a day. In most cases, with an adequate choice of antibiotics, 7-10 days of its use is sufficient. Modifying foktorov, increasing the risk of infection with certain pathogens (according to N. Cossiere et ai, 2000), Penicillin-resistant, drug-resistant pneumococci. In severe and moderate chronic ulcerative sigmoiditis, correction of metabolic (metabolic) disorders is necessary. In addition, ATSTS has distinct antioxidant properties. First of all, these are transferred intestinal infections and helminthic invasions: The pathology is promoted by an alimentary factor (violation of the diet, a uniform diet with a lack of vitamins and dietary fiber, alcohol abuse, spicy food, etc.). Apply astringent and adsorbing microclysters (they are also called anti-inflammatory) using starch, chamomile, tannin, and herb St. John's wort. Table 4 provides for a particularly thorough mechanical processing of food (wipe). Pharmacotherapy (or drug therapy), the treatment of disease by drugs. However, when we tried the etiotropic approach (meaning that we targeted the underlying cause with the treatment), we found out that there is in fact a protocol that delivers positive change. This is due to the fact that modern aminoglycosides (gentamicin, amikacin, etc.) With a mild course of community-acquired pneumonia that does not require hospitalization of the patient (treatment at home), and the absence of risk factors, oral amoxicillin, amoxiclav or modern macrolides may be taken. In case of a pronounced inflammatory process, antiseptic and anti-inflammatory microclysters are used, then oil and healing ones. If necessary, the parenteral form of erythromycin may be used, which is administered intravenously in a jet or as an infusion at a dosage of 0.2-0.5 g 4 times a day. There are many hypotheses regarding the conditionality of the occurrence of pathology by infectious agents and the disturbance of the normal state of the intestinal microflora - but none of them have been proven. 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