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Reçete Defteri Değerli hekimlerimize fikir vermesi açısından hazırlanmıştır.Hasta ve hasta yakınlarının burdaki tedavileri doktor kontrolü olmadan uygulaması kesinlikle önerilmez.Doğacak sorunlardan sitemiz ve reçete önerisi yapan kullanıcılarımız kesinlikle mesul değildir.En iyi tanı ve tedavi bire bir doktorunuza muayene sonucu yapılır.Lütfen doktorunuzun tavsiyelerini dinleyiniz...

6330 (1 Kayıtlı Ve 6329 Misafir Üye Bulunmaktadır.)
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Alt 01-24-2010, 11:26   #1
drriza
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Standart Pediatri Tonsillit ve Tonsillofarenjit

Pediatri Tonsillit ve Tonsillofarenjit
Tanı
1 yaş altında nadirdir. Özellikle 4 - 7 yaşın hastalığıdır. En sık etken virüslerdir. Bakterilerden en sık etken A grubu beta hemolitik streptokoklar görülür. Etken virüs İse subfebril ateş, boğaz ağrısı, burun tıkanıklığı ve halsizlik tipiktir.
Streptokokal farenjitte İse ani ateş kusma, boğaz ağrısı, yutma güçlüğü, 40°C ye varan ateş, tonsillerde hiperemi ve eksüdasyon görülür. Servikal lenf adenit sıktır. Peritonsiller abse, pyelonefrit, menenjit ve ARA gibi komplikasyonlar gelişebilir.



Ayırıcı Tanı
■ Diğer ÜSYE sebepleri



Tedavi
Eğer hastada viral enfeksiyon düşünülüyorsa akut nazofaren-jit gibi tedavi edilmelidir. Spesifik tedavisi yoktur. Bakteriyel etkenlerde İse İlk seçenek penisilin tedavisidir. Ek olarak semp-tomatik tedavi verilmelidir.


Tonsillitte im tedavi vermeye gerek yoktur. Oral tedavi verilir.

Rp/ 30-40 kg çocuk için
1.
Pen - Os 750 srp S: 3 x 1 ölçek (7 gün)
2.
Minoset 250 mg tab S: 4 x 1 ölçek

Tonsillofarenjit (H. Influenza, M. Catarhalis'e bağlı)
Nadir tonsillofarenjit etkenidirler. Tedavi olarak amoksisilin -klavülonik asit (30-50 mg/kg/gün) veya sefuroksim aksetil (30 mg/kg/gün) tercih edilebilir.
Rp/ 20 kg çocuk için
1.
Klamoks 400 mg süsp S: 2 x 1 ölçek (7 veya 10 gün)
2.Tylol 6 plus srp S: 4 x 1 ölçek
veya


Rp/
1.
Zinnat 125/100 ml süsp S: 2 x 2 ölçek (7 veya 10 gün)
2.
Tylol 6 plus srp S: 4 X 1 ölçek
*** Günümüzde tonsillofarenjit tedavisinde çok çeşitli ve etkili antibiyotikler tedavi seçenekleri arasında yer alsada İlk tercihimiz daima penisilinler olmalıdır.


Tonsillofarenjit (Penisilin allerjisi varsa)
Penisilin allerjisi durumunda eritromisin (40 mg/kg/gün) kullanılır.
Rp/ 20 kg çocuk için
1.
Erythrocin granül 200 mg/5ml S: 4 x 1 ölçek (10 gün)
2.Calpol 6 plus süsp S: 4 X 1 ölçek


Rp/ 30 - 40 kg çocuk için
1.
Enmicin 250 mg iab S: 4 x 1 (10 gün)
2.Tylol tab S: 4 X 1
*** Medikal tedaviye ek olarak bol sıvı gıda, kısa süreli dinlenme ve nemli ortam önerilebilir.

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