Mapiritsi a Gentamicin sanapangidwe. Maantibayotiki amatha kugulidwa mwanjira zina. Kudzichitira nokha mankhwala kumatha kukhala kowopsa thanzi, kuvulaza thupi.
Dzinalo Losayenerana
Dzinalo losavomerezeka la mankhwalawa ndi Gentamicin.
Mapiritsi a Gentamicin sanapangidwe. Maantibayotiki amatha kugulidwa mwanjira zina.
ATX
Khodi ya Gentamicin ndi J01GB03.
Kupanga
Chosakaniza chophatikizacho ndi gentamicin sulfate. Kuphatikiza apo, yankho la jakisoni wamkati ndi mu mnofu umaphatikizapo madzi, sodium metabisulfite, mchere wa disodium wa ethylenediaminetetraacetic acid. Kapangidwe ka madontho amaso ndikosiyana: mu mawonekedwe amtunduwu, othira madzi, sodium chloride, sodium dihydrogen phosphate monohydrate, ndi yankho la benzalkonium chloride.
Zotsatira za pharmacological
Ndi othandizira antibacterial kuchokera pagulu la aminoglycosides. Imawonetsa zochita zambiri. Amamangirira ma ribosomes a bakiteriya, kusokoneza kaphatikizidwe kazinthu zama protein. Imathandizira polimbana ndi mabakiteriya osagwiritsa ntchito gram yopanda mphamvu ndi mitundu ina ya aerobic gram: Streptococcus, Staphulococcus tizilombo.
Sizikhudza ma virus, bowa, protozoa.
Pharmacokinetics
Ikaperekedwa kudzera m'mitsempha, imayamwa mwachangu, ndende kwambiri m'magazi imadziwika pambuyo pa mphindi 30-90 pambuyo pa kubayidwa. Osapukusidwa. Amachotsedwa m'thupi la munthu wamkulu m'maola awiri.
Chosakaniza chophatikizacho ndi gentamicin sulfate.
Kodi mapiritsi a Gentamicin amagwiritsidwa ntchito ndi chiyani?
Mankhwalawa amalembera njira zotupa zomwe zimayamba chifukwa cha bakiteriya wa pathogenic. Amagwiritsidwa ntchito pochizira matenda amkodzo, pyelonephritis, cholecystitis, peritonitis, sepsis, cholangitis, chibayo, ndikuwotcha matenda, mabala.
Kugwiritsa ntchito kunja, amalembera zilonda zam'mimba ndi zilonda za varicose, paronchia, furunculosis, dorratitis ya seborrheic, superficial folliculitis.
Kugwiritsa ntchito kwawo kungathe kuperekedwa kwa conjunctivitis, keratitis, blepharitis, meibomite.
Chifukwa chiyani mapiritsi a Trental 100 adayikidwa komanso momwe angamwetsere?
Dziwani chizindikiro cha matenda ashuga mwa azimayi powerenga nkhaniyi.
Malangizo ogwiritsira ntchito Clindamycin gel.
Contraindication
Ndi zoletsedwa kugwiritsa ntchito nthawi yobala mwana komanso nthawi ya mkaka wa m'mawere, anthu omwe ali ndi vuto laimpso, hypersensitivity ku zigawo za mankhwala, ndi uremia ndi neuritis yam'mitsempha yama mtima.
Ndi chisamaliro
Popeza mankhwalawa ali ndi ototoxicity yayikulu, nephrotoxicity, imangoperekedwa pokhapokha ngati njira zina zochiritsira zilipo. Kuphatikiza apo, tikulimbikitsidwa kuwunika ntchito ya aimpso pakumwa.
Ikaperekedwa kudzera m'mitsempha, imayamba kugwira ntchito mwachangu.
Zoyipa zotsutsana ndi parkinsonism, botulism, myasthenia gravis. Gwiritsani ntchito mosamala pochiza ana, makanda obadwa msanga, okalamba.
Mlingo ndi njira ya makonzedwe a mapiritsi a Gentamicin
Mlingo umasiyana malinga ndi matenda, kuuma kwake, komanso kutulutsa kwawo. Ndikulimbikitsidwa kuti muwerenge malangizo oti mugwiritse ntchito, funsani kwa dokotala: mungafunike kusintha dongosolo.
Mukabayidwa, 1.7 mg pa 1 kg ya kulemera kwa thupi imayendetsedwa. Mankhwalawa amaperekedwa kawiri pa tsiku. Njira yochizira ndiyoti imayambira sabata limodzi mpaka masiku 10. Mwinanso kugwiritsidwa ntchito kamodzi pa mlingo wa 240-280 mg 1 nthawi yina ya ma pathologies.
Kwa ana, mankhwalawa ndi osiyana, kutengera zaka. Ndikulimbikitsidwa kuti mukafunsire kwa dokotala wa ana.
Mafuta amagwiritsidwa ntchito panja 3-4 pa tsiku, pochiritsa malo owonongeka. Zoposa 200 g patsiku sizikhala pakhungu.
Mawonekedwe amaso amagwiritsidwa ntchito maola aliwonse a 1-4.
Kodi ndizotheka kumwa mankhwalawa chifukwa cha matenda ashuga
Kwa odwala matenda ashuga, samalani. Mankhwalawa amachitika moyang'aniridwa ndi dokotala.
Mafuta amagwiritsidwa ntchito panja 3-4 pa tsiku, pochiritsa malo owonongeka.
Zotsatira zoyipa za mapiritsi a Gentamicin
Kusanza mseru, kusanza, kuchuluka kwa bilirubin, kuchuluka kwa hepatic transaminases. Leukopenia, kuchepa magazi, thrombocytopenia nthawi zina zimawonedwa. Mutu, kusokonezeka kwa kufala kwa mitsempha, paresthesia kumatha kuchitika. Muubwana, psychosis imatha kuwoneka. Odwala ena amati proteinuria, micromaturia, oliguria, matenda a impso. Nealosis ya real sichionedwa kawirikawiri. Tinnitus, kuchepa kwa makutu, thupi lawo siligwirizana.
Zokhudza mphamvu pakuwongolera njira
Muyenera kusamala kapena kukana kuyendetsa galimoto, kuyendetsa magalimoto ena.
Malangizo apadera
Odwala ena amafuna kusintha kwa mlingo.
Gwiritsani ntchito mu ukalamba
Chisamaliro chiyenera kutengedwa. Itha kugwiritsidwa ntchito mwanjira zina.
Kupatsa ana
Pakadutsa masiku 10 chibadwire sichinakhazikitsidwe. Mlingo umasiyana ndi akulu;
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Osamapereka mankhwala kwa amayi oyembekezera ndi kuyamwitsa.
Bongo
Neuromuscular conduction imalephera. Momwe mungatheke kupuma.
Atropine imayenera kutumikiridwa kudzera m'mitsempha. Mtima ukafika pafupipafupi, prozerin imayendetsedwa.
Mukakalamba, chisamaliro chimayenera kuchitidwa.
Kuchita ndi mankhwala ena
Ngati ntchito munthawi yomweyo ndi vancomycin, aminoglycosides, cephalosporins, kawopsedwe umachulukana. Ikagwiritsidwa ntchito nthawi yomweyo ndi okodzetsa, Indomethacin, kuchuluka kwa mankhwalawa m'magazi kumakulirakulira, zomwe zimapangitsa kuti zikhale zowopsa.
Analogi
Mafuta a Colbiocin ogwira 10 mg a chloramphenicol, 5 mg ya roletetracycline ndi 180,000 IU ya sodium colistimetate. Yankho la Tobrex limathandiza kwambiri. Maso a Maxitirol amagwiritsidwa ntchito. Powder imagwiritsidwa ntchito kukonzekera yankho la jakisoni wa mercacin wokhala ndi amikacin 50 kapena 100 μg mu 1 ml.
Kupita kwina mankhwala
Kugulitsa pokhapokha ngati adalembedwa ndi adokotala.
Kodi ndingagule popanda kulandira mankhwala?
Kugulitsa kotsatsa kuli koletsedwa.
Mtengo
Mtengo: pafupifupi 40-50 ma ruble a ma ampoules 10, 60 opaka mafuta ndi 130 onyamula madontho.
Ngati angagwiritsidwe ntchito nthawi yomweyo ndi vancomycin, kawopsedwe amakula.
Zosungidwa zamankhwala
Khalani m'malo owuma kutali ndi dzuwa, kutali ndi ana. Onani kutentha ngati 25-25 C.
Tsiku lotha ntchito
Sungani zaka zopitilira 4, ndiye kutaya.
Wopanga
Mankhwalawa amapangidwa ku Russia.
Ndemanga
Ndemanga zimatsimikizira kuchuluka kwa mankhwalawa.
Madokotala
Alena, wazaka 54, Saratov: "Odwala amachira msanga ngati agwiritsa ntchito maantibayotiki. Nthawi zambiri ndimakumana ndi zovuta, motero ndimakonda kugwiritsa ntchito mankhwala ena kuchiza odwala, ngati zingatheke."
Odwala
Igor, wazaka 38, Kharkov: "Gentamicin adalandira mankhwala a chibayo. Adathandizira mwachangu, koma zovuta zake zidayamba: kumva kunachepa."
Irina, wazaka 37, Krasnoyarsk: "Ndinaitenga kuti ndithandizire cystitis. Inathandiza kwambiri ndipo mtengo wake ndi wochepa. Sindinakumane ndi zovuta. Ndimalimbikitsa."
