Amikacin sulfate amagwiritsidwa ntchito pochiza matenda opatsirana. Mankhwalawa ali ndi antibacterial, koma amatha kuyambitsa mavuto ambiri, chifukwa chake musanyalanyaze malangizo a katswiri musanayambe mankhwala.
Dzinalo Losayenerana
Nthawi zambiri dokotala amamulembera mankhwala a Latin. Amikacin - dzina la yogwira mankhwala a antiotic.
Amikacin sulfate amagwiritsidwa ntchito pochiza matenda opatsirana.
ATX
J01GB06 - code for anatomical and achire mankhwala gulu.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa ali ngati mawonekedwe a ufa oyera pokonzekera yankho la kulowetsedwa kapena mtsempha wamitsempha.
Mankhwalawa amapezeka m'mabotolo 10 ml, omwe ali ndi 250 mg ndi 500 mg ya amikacin sulfate.
Zotsatira za pharmacological
Maantibayotiki ndi a gulu la aminoglycosides. Mankhwalawa ali ndi ntchito yosankha motsutsana ndi gramu yoyenera ya gramu ndi ma gram-aerobic. Chogwiritsidwacho sichimayambitsa chidziwitso chabwino cha matenda ngati causative wothandizila wa matendawa ndi anaerobes opanda gram ndi protozoa.
Yogwira pophika mankhwala imalepheretsa kuphatikizika kwa mapuloteni m'maselo ochepa, kuletsa kukula kwa kuchuluka kwa tizilombo toyambitsa matenda.
Pharmacokinetics
Pasanathe ola limodzi, gawo lalikulu la gawo la wothandiziralo likuwonekera.
Pasanathe ola limodzi, gawo lalikulu la gawo la wothandiziralo likuwonekera.
Ma metabolabol amapukusidwa limodzi mkodzo.
Zizindikiro zogwiritsidwa ntchito
Mankhwala opha maantibayotiki amatchulidwa mu milandu yambiri yamankhwala yotere:
- intraperitoneal kutupa (peritonitis);
- sepsis
- kutupa kwa meninges (meningitis);
- chibayo (chibayo);
- mapangidwe a purulent exudate mu pleural patsekeke (pleural empyema);
- kachilombo koyaka;
- bakiteriya matenda a kwamikodzo thirakiti (cystitis, urethritis), kuphatikizapo mawonekedwe a kutupa;
- purulent kutupa kwa zimakhala (abscess);
- purulent-necrotic ndondomeko mu mafupa ndi mafuta m'mafupa, komanso zina zofewa zimakhala (osteomyelitis).
Contraindication
Simungagwiritse ntchito mankhwalawa kangapo:
- organic tsankho kwa amikacin;
- kuchuluka ndende mu magazi a nayitrogeni kagayidwe kachakudya mankhwala (yotsalira wa nayitrogeni) yemwe impso (azotemia);
- pathological mwachangu fatigability wa olimba minofu (myasthenia gravis).
Momwe mungatenge amikacin sulfate
Akuluakulu, mankhwalawa amaperekedwa kudzera mu mtsempha wa magazi kapena mu mnofu. Mlingo wa kaphatikizidwe kamene amawerengedwa motere: 15 mg ya amikacin patsiku imagwera pa 1 kg ya kulemera kwa thupi la wodwala. Pazipita mlingo tsiku lililonse sayenera kupitirira 1.5 g.
Njira ya mankhwala ndi Amikacin ndi masiku osachepera 7. Ngati njira yochizira singayang'anitsidwe patapita nthawi, ndiye kuti kugwiritsa ntchito mankhwala a gulu lina la mankhwala kuyenera kuyamba.
Zomwe ndi kubereketsa
Nthawi zambiri, sodium chloride voliyumu ya 2-3 ml kapena madzi osungunuka omwe amapangira jekeseni amagwiritsidwa ntchito pokonzekera yankho.
Njira yothetsera vutoli iyenera kuperekedwa mwachangu pambuyo poyeserera wa intradermal test to sensitivity to the drug.
Kumwa mankhwala a shuga
Kugwiritsa ntchito mankhwala ochepetsa mphamvu ya matenda a shuga sikopanda umboni, koma upangiri waluso umafunika kupewa zovuta.
Pafupifupi odwala onse omwe amatenga ma antibacterial othandizira omwe ali ndi vuto lalikulu amakumana ndi vuto la kusakwanira kwa mabakiteriya m'matumbo.
Zotsatira zoyipa za Amikacin Sulfate
Pali zovuta zina zomwe zimachitika mthupi zomwe zimayenera kuganiziridwapo musanayambe chithandizo cha matenda.
Matumbo
Nthawi zina pamakhala kuchuluka kwa michere ya chiwindi. Nthawi zambiri pamakhala kukhumudwa komanso kusanza. Koma ndi vuto losokoneza mabakiteriya am'matumbo, pafupifupi odwala onse omwe amamwa mankhwala a antibacterial amakumana nawo.
Hematopoietic ziwalo
Kawirikawiri samawona kuchepa kwa magazi ndi leukopenia (kuchuluka kwa maselo oyera a magazi).
Pakati mantha dongosolo
Odwala amatha kusokonezedwa ndi kupweteka kwam'mutu komanso chizungulire pakusokonezeka kwa zida zapamwamba. Pali kuphwanya kwamvekedwe wamatoni apamwamba (kusalankhula kwa mawu), ndipo kumangomva kwathunthu ndikothekanso.
Nthawi zambiri, odwala amapereka kuphwanya kwa neuromuscular conduction.
Pambuyo kumwa mankhwalawa, odwala amatha kusokonezeka ndi mutu.
Kuchokera ku genitourinary system
Pakulephera kwa impso, kuwonjezeka kwa mabetrojeni otsalira ndikuchepa kwa chilolezo cha creatinine kumawonedwa. Nephrotoxicity imayambitsa kutsika kwamkodzo (oliguria) ndikupanga mapuloteni mu lumen ofunikira kwamkodzo (cylindruria). Koma njira izi ndizosinthanso.
Matupi omaliza
Edema ya Quincke sichichitika kawirikawiri, koma chotupa pakhungu chake chimawonedwa nthawi zambiri, chomwe chimayendera limodzi ndi kuyabwa kwambiri.
Zokhudza mphamvu pakuwongolera njira
Sikoyenera kugwiritsa ntchito mankhwalawa kwa anthu omwe ntchito zawo zimagwirizanitsidwa ndi kasamalidwe kazinthu zovuta.
Malangizo apadera
Ndikofunika kuwerenga mosamala malangizo ogwiritsa ntchito maantibayotiki kuti mupewe mavuto.
Mosamala, mankhwala opha mabakiteriya amaperekedwa kwa anthu azaka zopitilira 65.
Gwiritsani ntchito mu ukalamba
Mosamala, mankhwala opha mabakiteriya amaperekedwa kwa anthu azaka zopitilira 65.
Kupangira Amikacin Sulfate kwa Ana
Mlingo woyambirira ndi 10 mg kg, kenako dotolo amamulembera 7.5 mg pa 1 kg ya kulemera kwa thupi kwa mwana aliyense maola 12 aliwonse.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Saloledwa kugwiritsa ntchito maantibayotiki amayi apakati komanso nthawi yoyamwitsa.
Mankhwala ochulukirapo a Amikacin Sulfate
Ngati odwala amaposa mlingo wa amikacin wofotokozedwa ndi adokotala, ndiye kuti nthawi zambiri zizindikiro zotsatirazi za kuledzera zimayang'aniridwa: kukodza kwamkodzo, kusanza, kusamva.
Nthawi zambiri, njira ya hemodialysis ndiyofunikira kuti athetse mawonetseredwe amtunduwu.
Kuchita ndi mankhwala ena
Pali mankhwala omwe sangathe kumwa nthawi yomweyo ndi Amikacin.
Kuphatikiza kophatikizidwa
Akaphatikizidwa ndi penicillin, mphamvu ya bactericidal ya Amikacin imachepa.
Osasakaniza mankhwalawa ndi ascorbic acid ndi mavitamini a B.
Osasakaniza mankhwalawa ndi ascorbic acid.
Osavomerezeka kuphatikiza
Mukamagwiritsidwa ntchito limodzi ndi ma neuromuscular transmission blockers ndi ethyl ether, ngozi ya kupuma imachulukirachulukira.
Kuphatikiza komwe kumafunikira kusamala
Kuwonongeka kwa impso kumawonedwa ndi munthawi yomweyo kugwiritsa ntchito Vancomycin, Cyclosporine ndi Methoxifluran.
Kuyenderana ndi mowa
Ndi zoletsedwa kumwa mowa panthawi yamankhwala othandizira.
Analogi
Loricacin ndi Flexelit ali ndi chithandizo chofanana.
Loricacin ali ndi zofanana zochizira.
Kupita kwina mankhwala
Mankhwala othandizira amaperekedwa.
Mtengo wa Amikacin Sulfate
Ku Russia, mankhwalawa amatha kugulidwa kwa ruble 130-200.
Zosungidwa zamankhwala
Ndikofunikira kuchepetsa kufikira kwa ana ku maantibayotiki.
Tsiku lotha ntchito
Mankhwala amakhalanso ndi mphamvu yochiritsa kwa zaka ziwiri.
Wopanga
Mankhwalawa amapangidwa ndi kampani yaku Russia Synthesis.
Ndemanga pa Amikacin Sulfate
Maria, wazaka 24, Moscow
Mankhwala opha mabakiteriya amapatsidwa matenda otupa m'mapapo. Dokotala anachenjeza kuti kusokonezeka kwa malingaliro kumatheka. Koma kuchokera ku zoyipa zingapo zomwe adalembazo, adangokumana ndi m'mimba. Chifukwa chake, kunali kofunikira kubwezeretsa bwino mabakiteriya m'matumbo ndi kumaliseche. Koma zotsatira za chithandizo cha chibayo zidakhutitsidwa.
Igor, wazaka 40, St. Petersburg
Ndimagwira ntchito ngati urologist. Ndikukupatsani mankhwala othandizira matenda amtundu wa genitourinary system. Ndimakonda mfundo yoti kuchira kumachitika mkati mwa sabata limodzi, ngati tikulankhula za njira yotupa yotupa. Mwa amuna, kutsegula m'mimba nthawi zambiri kumachitika ndi jakisoni wamkati, koma kugwiritsa ntchito zinthu zamkaka zomwe zimapatsa mphamvu mkaka wa Amikacin.
Marta, wazaka 32, Perm
Mankhwalawa anali kuperekedwa kwa mwana wamwamuna wazaka 5 yemwe ali ndi chibayo. Mwanayo adasanza kwambiri. chifukwa chake, ndalamazo zidayenera kuyimitsidwa nthawi yomweyo. Ndikhulupirira kuti ana amafunikira kuti apereke mankhwala osokoneza bongo.
