Madontho a maso a Gentamicin ndi mankhwala opha tizilombo toyambitsa matenda. Chifukwa chogwira ntchito kwambiri komanso mtengo wotsika, madontho amagwiritsidwa ntchito kwambiri mu ophthalmology pochiza matenda a maso.
Dzinalo Losayenerana
Dzinali lazamicin limavomerezedwa ngati lochita nawo padziko lonse lapansi.
Madontho a maso a Gentamicin ndi mankhwala opha tizilombo toyambitsa matenda.
Ath
Mankhwalawa ndi a antibayotiki, aminoglycosides, okhala ndi code ya ATX J01GB03.
Kupanga
Yogwira pophika ya mankhwala ndi gentamicin sulfate. Nkhani yothandizira imaphatikizaponso zinthu zingapo:
- Trilon B (uwu ndi mchere wa disodium wa ethylenediaminetetraacetic acid);
- sodium hydrogen phosphate;
- madzi a jakisoni.
Katemera amayimiridwa ndi botolo la pulasitiki ndi mtolo wa makatoni.
Zotsatira za pharmacological
Maantibayotiki ali ndi zochitika zambiri ndipo ali ndi katundu wa bacteria. Mukamayanjana ndi mabakiteriya, chinthu chogwira chimalowa mu membrane wa cell ndikukumana ndi 30S subunit ya mabacteria chromosomes. Chifukwa cha izi, kuphwanya mapuloteni apangidwe kumachitika.
Katemera amayimiridwa ndi botolo la pulasitiki ndi mtolo wa makatoni.
Mitundu yotsatirayi ya tizilombo tating'ono imakhudzidwa ndi mankhwalawa:
- shigella;
- E. coli;
- nsomba;
- Klebsiella;
- enterobacteria;
- Server;
- Pseudomonas aeruginosa;
- Mabakiteriya a Proteus;
- gram alibe mabakiteriya acinetobacter;
- staphylococci;
- zovuta zina za streptococcus.
Chidacho chapangidwira zochizira matenda amaso.
Kukana kumapangidwa ndi chiwonetsero cha mankhwala:
- meningococcus;
- mabakiteriya a anaerobic;
- mitundu ina ya streptococci;
- treponema ndi wotumbululuka.
Pharmacokinetics
Ikagwiritsidwa ntchito mopitirira, zinthu zomwe zimayamba kugwira ntchito zimatengedwa mwachangu. Kuzindikira kwakukulu kumafika patatha mphindi 30-60 mutatha kugwiritsa ntchito madontho. Ndi mapuloteni a plasma, kutsika kotsika kumawonedwa, kokha 0-10%.
Kugawa kwa mankhwala m'thupi lonse kumachitika mu madzi akunja. Hafu ya moyo wa chinthu ukufika 2-4 maola. Ambiri a mankhwalawa amawachotsa impso ndipo amakhala ochepa kwambiri kudzera pachiwindi.
Kodi madontho a Gentamicin amagwiritsidwa ntchito bwanji?
Madontho awa nthawi zambiri amapatsidwa matenda opatsirana omwe amayambitsidwa ndi mabakiteriya omwe amamvera mankhwalawo. Pankhaniyi, diagnostics amafunika.
Madontho awa nthawi zambiri amapatsidwa keratitis.
Mndandanda wazomwe amathandizira mankhwalawo:
- keratitis;
- blepharitis;
- diso limayaka;
- conjunctivitis;
- iridocyclitis;
- kuwonongeka kwa mankhwala m'maso;
- zilonda zam'mimba.
Pazifukwa zodzitetezera, mankhwalawa amalembedwa pamaso pa opaleshoni m'maso ndi pambuyo pake. Machitidwe oterewa amaletsa zovuta komanso kufupikitsa nthawi yobwezeretsa.
Contraindication
Musanagwiritse ntchito, muyenera kuzolowera malangizo onse mwatsatanetsatane, popeza madontho amaso ali ndi zotsutsana zotsatirazi:
- Hypersensitivity pazomwe zikuchokera;
- mbiri yokhudzana ndi matupi awo sagwirizana ndi aminoglycosides;
- ana ochepera zaka 8;
- nthawi ya pakati ndi mkaka wa m`mawere;
- kwambiri aimpso kuwonongeka;
- makutu amitsempha;
- myasthenia gravis.
Madokotala amachenjeza za chiopsezo chotenga kachiromboka ndikugwiritsa ntchito nthawi yayitali madontho. Pazifukwa izi, kusankhidwa kuyenera kuonedwa mosamalitsa.
Ndi chisamaliro
Gentamicin imaphatikizidwa mu matenda akuluakulu a impso omwe amachitika chifukwa chophwanya ntchito yawo. Ndi zopatuka zazing'ono, mankhwalawa amatchulidwa mosamala. Pankhaniyi, dokotala ayenera kusankha payekha kuchuluka kwa mankhwalawa ndikuwunikira ntchito ya impso.
Mlingo ndi njira ya makonzedwe a Gentamicin
Madontho amagwiritsidwa ntchito pokhazikitsa gawo la conjunctival sac. Ana opitilira zaka zopitilira 8 ndi akulu akulimbikitsidwa kukhazikitsa madontho a 1-2 m'diso lililonse. Pafupipafupi kugwiritsa ntchito ndi katatu pa tsiku. Ndikofunika kumwa mankhwalawa pafupipafupi.
Kutalika kwa maphunzirawa kumatengera mtundu wa matendawa komanso kuopsa kwawo ndipo amatenga masiku 14.
Popewa, gwiritsani ntchito njira ina. Kuchepetsa chiopsezo cha kutenga kachilomboka, mankhwalawa amangoikidwa 1 dontho 4 pa tsiku. Kutalika kwa ntchito - masiku atatu.
Madontho ndi oyenera kugwiritsidwa ntchito pamutu pokha. Kugwiritsa ntchito iwo pofikitsa m'mphuno ndi makutu osavomerezeka. Pazifukwa izi, pali mankhwala ena omwe ndi madontho ovuta (khutu ndi amphuno) omwe ali ndi mawonekedwe aamamicin.
Kumwa mankhwala a shuga
Pochiza odwala matenda a shuga, madontho amayikidwa mosamala. Mankhwalawa amachitika moyang'aniridwa ndi dokotala.
Pochiza odwala matenda a shuga, madontho amayikidwa mosamala.
Zotsatira zoyipa za Gentamicin
Kutengera malingaliro a dokotala, madontho amaso amaloledwa bwino. Zotsatira zoyipa nthawi zambiri zimachitika chifukwa cha hypersensitivity pazinthu za mankhwala. Pamndandanda wazotheka:
- redness la maso;
- lacure
- kudziwa kuwala;
- kuyabwa kwambiri;
- zotentha m'maso;
- Nthawi zina, thrombocytopenic purpura amawonetsedwa (chizolowezi cha magazi a mucous membrane wa ziwalo);
- kuyerekezera zinthu m'maganizo (osowa kwambiri).
Ngati madontho sagwiritsidwa ntchito molingana ndi malangizo, wodwalayo angazindikire kuchekeka.
Ngati chisonyezo chimodzi kapena china cholimba chikapezeka, muyenera kukana kumwa mankhwalawo. Funsani othandizira anu azaumoyo kuti akuthandizeni.
Zokhudza mphamvu pakuwongolera njira
Kugwiritsa ntchito mankhwalawa kungachepetse kupenyerera. Izi zikufotokozedwa ndi kukhalapo kwa lacrimation. Pokhudzana ndi izi, pochiza matenda a ophthalmic, munthu ayenera kupewa kuyendetsa galimoto ndikuwongolera zina.
Malangizo apadera
Odwala omwe amavala magalasi amayenera kutuluka musanagwiritse ntchito. Apanso, amatha kukhazikitsa mphindi 15 zokha atapangidwa ndi maso. Izi zikufotokozedwa ndikuti benzalkonium chloride pazomwe zimapangidwira zimayambitsa kukwiya kwa diso ndipo amatha kusintha mtundu wa mandala a gel. Odwala ena amagwiritsa ntchito magalasi panthawi yamankhwala.
Mukamagwiritsa ntchito madontho, musakhudze pamwamba pa vial (pomwe pali bowo). Izi zimatha kubweretsa mabakiteriya m'manja omwe amalowetsa conjunctiva ya diso, yomwe imayambitsa matenda ena.
Kwa odwala matenda oopsa, madokotala amatha kukupatsirani mankhwala othandizira pakamwa kapena ngati jakisoni.
Gwiritsani ntchito mu ukalamba
Pakalibe zotsutsana zina, odwala okalamba amatha kuthira madontho malinga ndi muyezo wanthawi zonse wamankhwala.
Kupatsa ana
Kwa ana ochepera zaka 8, mankhwalawa samalimbikitsidwa, koma akakhala ndi matenda ena amatha. Zikatero, malingaliro a dokotala amayenera kuyang'aniridwa mosamala.
Kwa ana ochepera zaka 8, mankhwalawa samalimbikitsidwa, koma akakhala ndi matenda ena amatha.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Gentamicin iyenera kulembedwa pokhapokha ngati mayi atapindula kwambiri ndi mwayi wokhudza mwana wosabadwayo. Ndi mkaka wa m'mawere, kugwiritsa ntchito kumangovomerezeka pokhapokha ngati dokotala akuwonetsa.
Bongo
Kuchulukitsa kwa mankhwala othandizira kungayambitse kutupa kwa corneal stroma. Ndi zizindikiro izi, maantibayotiki amayimitsidwa.
Kuchita ndi mankhwala ena
Nthawi zambiri madontho amagwiritsidwa ntchito limodzi ndi mankhwala ena (a sinusitis, otitis media ndi matenda ena).
Ndi corticosteroids ndi mankhwala a nephrotoxic ndi ototoxic, madontho amatha kugwiritsidwa ntchito, chifukwa palibe kuyanjana kwakukulu kwa mankhwalawa komwe kunapezeka.
Phosphates, nitrate, sulfates, cations za calcium, potaziyamu, magnesium ndi sodium zimachepetsa mphamvu ya madontho.
Analogi
Gentamicin, yomwe imapangidwa mu mitundu yina ya mankhwala, imakhala ndi bactericidal yofanana: ufa pokonzekera jakisoni, yankho la jakisoni. Palinso mafuta ndi mapiritsi.
Mankhwala otsatirawa ali ndi zotsatirazi:
- Zovuta;
- Kanamycin;
- Isofra;
- Gentamicin Dex.
Kupita kwina mankhwala
Mankhwala amagulitsidwa ku pharmacies ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala m'gululi sagulitsidwa-zotsala.
Mtengo
Mtengo wamatsitsi amaso ku pharmacies aku Moscow umayamba pa ma ruble 150.
Zosungidwa zamankhwala
Mankhwalawa amayenera kusungidwa pa kutentha kwa + 15- + 25 ° C. Kuwala kwamadzulo sikuloledwa.
Tsiku lotha ntchito
Ikatsekedwa, moyo wa alumali wa mankhwalawa ndi zaka zitatu. Botolo lotseguka kuti mugwiritse ntchito limasungidwa osaposa miyezi 3-4.
Madontho a Gentamicin amatha kusinthidwa ndi Esofra.
Wopanga
Mankhwalawa amapangidwa ndi makampani angapo azachipatala ochokera ku Poland, Russia ndi Switzerland.
Ndemanga
Malinga ndi ndemanga, gentamicin mu mawonekedwe a madontho amagwiritsidwa ntchito nthawi zambiri, pomwe madokotala ndi odwala ambiri amakhutira ndi zomwe zimachitika.
Madokotala
Tatyana, ophthalmologist, wazachipatala wazaka 8
Gentamicin amalimbana mwachangu ndi kachilombo ka bakiteriya, motero nthawi zambiri amakayikira matenda opatsirana m'maso. China china ndi mtengo wotsika.
Vitaliy, ophthalmologist, wodziwa ntchito zachipatala kwa zaka 20
Pamene tizilomboka tikamazindikira zinthu zomwe zimagwira, zizindikiritso za matendawa zimathetsedwa mwachangu. Izi zikuwonetsa kukhathamira kwa mankhwalawa. Pankhaniyi, odwala ambiri amakumana ndi matupi awo sagwirizana ndi kapangidwe kamankhwala. Pomwe zingatheke, yesani kupereka mankhwala ena kwa odwala.
Kuchulukitsa kwa mankhwala othandizira kungayambitse kutupa kwa corneal stroma.
Odwala
Marina, wazaka 37, Astrakhan
Ndimayenera kumuwona dotolo, pomwe maso adayamba ofiira, khungu limayera ndipo kuyabwa. Gentamicin mu mawonekedwe a madontho anakhazikitsa. Zinali bwino tsiku lotsatira. Njira yamankhwala inali yathunthu.
Peter, wazaka 44, Krasnodar
Kutsika mtengo kwa matenda a maso. Ikugwiritsa ntchito monga momwe adanenera dokotala. Zotsatira zoyipa sizinachitike, redness ndi zotuluka m'mimba zimachotsedwa patatha masiku angapo.
