Kopi, a me nā papa ʻAi Amikacin he mau ʻano o ka lāʻau lapaʻau i manaʻo ʻia no ka mālama ʻana i nā maʻi maʻi maʻi.
ʻO nā pepa i wehe ʻia a me ka hoʻokumu ʻana
Loaʻa ka lāʻau lapaʻau i nā ʻano 2:
- ʻO kahi hopena i manaʻo ʻia no ka hoʻokele intramuscular a i ʻole intravenous. He aniani, ʻāwili liʻiliʻi a ʻokoʻa ʻole hoʻi. Ke kūʻai ʻia nei i loko o nā pahu ampoule, i kālai ʻia i nā blus palaka blister a me nā ʻupena o ke kāleka. Hoʻokahi kekahi ampoule i 500 mg a i ʻole 1 g o ka mea ikaika.
- ʻO kahi pala i manaʻoʻia no ka hoʻopauʻana i kahi wai. Hoʻohāli ʻia ʻia ke keʻokeʻo a kokoke ke keʻokeʻo lā, hiki ke komo i ka mānoʻi. Kuhi ʻia nā 10 ml pahu i kau ʻia i loko o nā pahu.
Hoʻomoe ʻia ka lāʻau lapaʻau i nā ʻano 2: kahi hopena no ka hoʻokele intramuscular a i ʻole intravenous a kahi pōpoki no ka hoʻopauʻana i kahi wai.
ʻO ka mea hana eʻoki ai ʻo amikacin (ma loko o ka sulfate). ʻAʻole loaʻa ka lāʻau lapaʻau i nā mea ikaika ʻē aʻe.
ʻO nā kumuwaiwai hou o nā hāmeʻa nā mea e like me ka sodium citrate no ka injection, sodium disulfite, dilute sulfuric acid, ka wai no ka injection.
Inoa Kūʻai ʻole honua
ʻO ka inoa inoa ʻole inoa honua ʻo ʻAikake.
ATX
ATX Code - J01GB06
Ka hana lāʻau lapaʻau
He hui antibacterial, he ʻelele o ka hui aminoglycoside. Loaʻa ia i kahi hopena bactericidal ma kekahi mau gram-maikaʻi, a me nā microorganisms maikaʻi-aerobic gram-maikaʻi. Hōʻike ia i ka hana maʻalahi e kū'ē i ka streptococci. Hoʻonui i ka hana bactericidal o benzylpenicillin e kū'ē i ka focal enterococci.
Ke kūlohelohe aku nei nā ala pathogens ma amikacin.
Lapaʻau lāʻau
Kekahi mau maʻi i loaʻa ka hopena antibacterial e nānā i loko o ke koko no nā hola 10-12 ma hope o ka i / m a i ʻole ka lawelawe iv. Me nā protein protein, hoʻopaʻa i ka lāʻau lapaʻau i ka 4-11%.
Hoʻopili ʻia ʻo Amikacin i loko o nā puka āpau, ka extracellular fluid i loko o nā pūpū. Loaʻa nā manaʻo kiʻekiʻe i loko o ka urine a me nā hui me ka hoʻouka koko maikaʻi - puʻuwai, nā ʻōpū, ka spleen, māmā, myocardium. ʻO ka liʻiliʻi o nā mea i hōʻiliʻili i ka hua bile, ka umauma umauma, ka mea huna huna bronchial, kahe cerebrospinal, ka sputum, nā ʻāʻī, nā iwi, a me nā waihona momona. Hele a Amikacin ma loko o ka plasenta, ʻike ʻia i loko o ke koko o kahi pēpē i hānau ʻole a me ka nui o ke ʻano amniotic.
Nā ʻōmaka ʻAmelika
Kūkulu i kahi lāʻau lapaʻau no ka mālama ʻana i nā maʻi ʻeha a me nā maʻi. Hoʻohana ʻia ka lāʻau lapaʻau i nā hihia kahi i loaʻa ai ke kumu kumu o nā maʻi nā microorganisms o ka gram-Negative (kū i ka gentamicin, kanamycin, sisomycin) a i ʻole nā hōʻailona o ka grika-maikaʻi a me nā micro-positive microorganisms.
Hoʻomaopopo ʻia e hoʻohana i ka Amikacin no nā maʻi maʻi kino o ka ʻili, ka pūnaehana sentral pokupeka, nā pelvic organ, nā pūnaehana māhā, nā pihi a me nā iwi:
- ʻO bronchitis, mumū a i ʻole pale paha, a me nā mea ʻeha o ka ʻeha;
- peritonitis a me nā maʻi ʻē aʻe o ka ʻōpū o ka ʻōpū;
- urethritis, cystitis, pyelonephritis;
- endocarditis septic;
- meningitis;
- sepsis
- pāʻālua pili i nā huapalapala;
- nā ʻeha ʻōpua, nā ʻōpū, ke ahi a me nā maʻi ʻē aʻe;
- hōʻeha a me ka hōʻeha ʻana i nā maʻi;
- nā maʻi o ka ihu a me nā ʻāʻī;
- osteomyelitis.
Nā Hoʻohui
Aole papa i kuhikuhi ia Amikacin me:
- ka ʻana ʻole o kēlā me kēia ʻāpana o ka lāʻau;
- i nānā mua ʻia hypersensitivity i aminoglycosides;
- neuritis of the auditory nerve;
- hapai
- pilikia hana kino nui, paʻakikī i ka uremia (ʻo nā mea make ʻana i nā huahana o ka protein metabolism) a me ka azotemia (nā mea make a nā mea huikala e pili ana i ka nitrogen).
ʻO ka poʻe me ka botulism, myasthenia gravis, dehydration, parkinsonism, a me ka impalired renal function e pono e makaʻala i ka wā e hoʻohana ai i ka amikacin. Hoʻopau kēia i nā pēpē, pēpē, mua, nā wahine hānai, nā ʻelemakule.
Pehea e lawe ai i ka amikacin?
E hoʻopili i ka lāʻau lapaʻau intramuscularly a intravenously (hoʻoheheʻe a kahawai). Ua ʻōlelo ʻia e nā pākeke e lawelawe i ka 10 i ka 15 mg no ka nui o ka paona kino. I kuhikuhi ʻia i kēia lā i kēlā me kēia lā, hoʻolālā ʻia no 2 a me 3 mau helu. I ka hihia o ka hana renal excretory hana, pono kahi loli e pono ai.
ʻO ka ʻōmua mua no nā pēpē mua a me nā pēpē pēpē 10 mg / kg. Ma hope iho, ua hoʻemi ʻia i 7.5 mg / kg, hoʻopili ʻia i kēlā me kēia 12 hola.
Hiki i kahi antibiotic ākea ākea ke hoʻomālamalama ʻia intravenously.
Aia ka lōʻihi o ke kau ʻana ma o ke ʻano o ka hoʻokele ʻana o ka lāʻau (mai 3 a hiki i 7 mau lā no i / v, mai 7 a 10 mau lā no i / m).
Pehea e pehea ai e ʻano?
ʻO ke ʻano o ka palalike o ka pauku e pili ana i ke ʻano o ka hoʻokele:
- no v / m - nā mea kiko o ka ipu i hoʻoheheʻe ʻia i ka 4-5 ml wai no ka ʻomaʻomaʻi;
- no ka waiū iv - ua hoʻoneʻe ʻia nā kiko o ke kīʻaha ma 200 ml o ka 0.9% hopena pākia sodium a i ʻole 5% hoʻonā wai;
- no ka huina o ka iv iv - 0.9% hoʻonā sodium chloride, 5% solution dextrose a i ʻole wai no ka inikeni (mai ka 4 a 5 ml) e hoʻohui ʻia i nā mea o loko o ke kīʻaha.
He mea nui ia e hōʻoia i ka manaʻo o ka amikacin i ka hopena no ka hoʻokō intravenous ʻaʻole iʻoi aku i ka 5 mg / ml.
Hiki paha ke lawe i ka lāʻau lapaʻau no ka maʻi maʻi?
Ma ka hihia o ka insulin-depend type type 1, ua ʻōlelo ʻia ʻo Amikacin me ka makaʻala. Ke koho nei i nā taktika lapaʻau, pono e noʻonoʻo i ke kūlana o ka mea maʻi.
Nā ʻāpana ʻaoʻao o Amikacin
E like me nā lāʻau'ē aʻe, hiki i Amikacin ke hōʻemi i ka uluʻana o nā hopena maikaʻiʻole.
Pūnaehana pīhoihoi waena
Mai ka ʻaoʻao o ka ʻōnaehana pīhoihoi koʻikoʻi.
- hiamoe
- poʻomanaʻo
- ʻneapiha
I kekahi mau hihia, ka hopena o ka lāʻau i ka hopena neurotoxic, i hōʻike ʻia i loko o nā māhina o nā mākala, nā kuʻekahi epileptic, ka manele o nā manamana.
Mai ka pūnaehana urinary
I ka wā o ka mālama ʻana me ka amikacin, hiki ke hōʻike ʻia nā nephrotoxicity, e like me oliguria, microhematuria, proteinuria.
Allergies
Me ka hypersensitivity i nā mea i loko o ka lāʻau, hiki i nā hopena kūlohelohe e hiki mai nei:
- hyperemia o ka ʻili;
- ʻO ka makeʻe o Quincke;
- nā pulu ʻili;
- fiva
- huu
Hoʻopilikia i ka hiki ke mālama i nā mīkini
Me ka hoʻomohala ʻana o nā hopena ʻino loa mai ka pūnaehana o ka puni waena, ʻoi aku ka maikaʻi o ka hōʻole ʻana i ka mālama ʻana i nā hana.
Nā ʻōlelo kikoʻī
Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono e hoʻoholo i ka nānā ʻana o nā pathogens infectious. No ka hana i kēia, hoʻohana i nā disks me 30 μg o amikacin.
Pono e hōʻoiaʻiʻo e ʻaʻole eʻoi aku ka nui o ka plasma o ka amikacin iʻoi aku ma mua o 25 mlg / ml.
I ka wā o ka ʻoihana, pono ia e nānā i nā hana o ke nerve auditory, nā ʻula a me nā ʻāpana vestibular. Manea ʻia e hana i kēia he hoʻokahi pule.
I ka hihia o ka hoʻāʻo ʻana e hōʻike i ka hoʻonaninani leo ʻole a hōʻemi i ka lāʻau lapaʻau.
I ka hihia o ka hana renal impaired, hoʻohana lōʻihi a i ʻole ka hoʻohana ʻana i nā dosis nui o ka lāʻau, hiki i ka nephrotoxicity ke ulu.
Me nā alaʻeha a me ka maʻi o ka urinary tract, ʻoi aku ka nui o ka wai o ka wai.
ʻO ka nele o nā hopena kūpono e hōʻike i ka hiki ʻana mai o nā microorganism kūmau. I kēia hihia, ua hōʻole ʻia ʻo Amikacin, lawe ʻia ka lāʻau kūpono.
Hoʻohana i ka wā kahiko
No nā poʻeʻelemakule, hāʻawi ʻia ʻo Amikacin me ka mālama.
Koha i na keiki
Hoʻomaka ka mālamaʻana o nā pēpē preterm i kahi maile o 10 mg / kg. A laila mālama ʻia ka lāʻau lapaʻau ma 7.5 mg / kg no kēlā me kēia hola 18-24.
ʻO ka ʻōmomi mua no nā mea maʻi mai 0 a 6 mau makahiki he 10 mg / kg. A laila mālama ʻia ka lāʻau lapaʻau i kēlā me kēia mau hola 12 ma 7.5 mg / kg. Hoʻomaka ka Therapy mai ka 7 a 10 mau lā.
Hoʻohana i ka wā hāpai a me ka lactation
ʻAʻole i kuhikuhi ʻia ʻo Amikacin no nā maʻi maʻi.
E hoʻohana i ka lāʻau lapaʻau inā ʻae ʻia ka umauma, inā he mau hōʻailona koʻikoʻi.
Ke keu
Inā loaʻa kahi overdose, hiki i nā mea make ke ola: ataxia, makewai, ʻilihune, hoʻolohe ʻana i ka hema, maʻi urination, hele aʻiwa, nausea, hoʻoluhi ka makemake, ka lohe a me ka hanu.
No ka hoʻopauʻana i nā hopena o kahi overdose, hiki ke hoʻohana ʻia nā dialysis peritoneal a me hemodialysis. Hiki nō hoʻi ke hoʻohana i nā lāʻau lapaʻau anticholinesterase, hoʻopili ʻana i ka mīkini, nā paʻakai kalapona.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hoʻopili aku ʻo Amikacin i kēia mau mea:
- me nā cephalosporins, benzylpenicillin, carbenicillin - he nui ka hoʻonui ʻana o ka hopena o amikacin a me nā lāʻau i hoʻopaʻa ʻia;
- me nā mea kanu diuretic (ʻoi aku ka furosemide), penicillins, NSAIDs, cephalosporins, sulfonamides - hoʻonui neuro- a me nephrotoxicity;
- me nā kumu like-curare - i hoʻonui ʻia i ka hopena hoʻomaha hoʻomaha;
- me ka indomethacin (me ka hoʻomehana makua) - ka hoʻomohala ʻana o ka hopena o ka hopena o ka hopena o ka antibiotika aminoglycosides;
- me ka polymyxin B, vancomycin, nalidixic acid, cisplatin - piʻi nui ka hopena o ka nephro- a me ka ototoxicity;
- me nā lāʻau anti-astiastenic - kahi emi mai o ka hana o nā lāʻau i haʻi ʻia;
- me ka methoxyflurane, capreomycin, polymyxins makua a me nā lāʻau like ʻole me ka hopena like - he nui ka hoʻonui ʻana o ka hopu ʻana i ke ea.
Pono e hoʻomanaʻo ʻia ʻo ʻAnikacin hiki ʻole i nā lāʻau lapaʻau me ka hoʻopili aku i kēia mau mea: heparin, capreomycin, hydrochlorothiazide, potassium chloride, erythromycin, amphotericin B, nitrofurantoin, penicillins, cephalosporins, huaora C a me B.
Hoʻolaha ka waipuna
Mai lawe i ka waiʻona i ka wā e mālama ai me Amikacin. Hoʻonui kēia hui i ka luhi ma ka ate, hiki i ka hoʻomohala ʻana i nā hopena ʻino.
Nā kuʻina
Hoʻoikaika analogues no ka mea hana:
- Amikabol;
- Amikacin Ferein;
- Amikacin Vial;
- Amikacin sulfate;
- Amicositis;
- Amikin;
- Seleomycin;
- Lycacin;
- Hemacin;
- Palapala Fercycline.
Waihue huaʻōlelo waiho nā huaʻōlelo
E kūʻai iā Amikacin, pono ʻoe i kahi lāʻau lapaʻau.
Kūʻai
Ke kumukūʻai o ka lāʻau lapaʻau e hilinaʻi ana i ka nui o nā ampoules (mau ipu) i kahi pāʻai, nā mākinakena a me nā mea ʻē aʻe. ʻO ka uku kiʻekiʻe loa o Amikacin ma Lūkia he 2500-2600 rubles. ma kēlā me kēia pā o 50 mau pahu o ka pauma.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Mālama ʻia ka ʻōpala a me ka hoʻonā i nā wahi maloʻo a me ka pouli, ʻaʻole i hiki i nā keiki. Lae 'ia ke' ano o ka mālama 'ana i ka lāʻau ma waena o + 5 ... + 25 ° C.
ʻO ka lā kau
Mālama ʻo Amikacin i kāna mau waiwai no 36 mau mahina.
Mea hana
ʻO ka mea hana i ka lāʻau lapaʻau ʻo Kraspharm OJSC, aia i ka'āina o Krasnoyarsk.
Hoike Mai
Yana, 31 makahiki, Perm: "I ka wā i ʻike ai kaʻu kaikamahine i kahi ʻōpū o ka ʻōpū, ua kūʻai mākou iā Amikacin i loko o ka pauka.
ʻO Olga, 27 makahiki, Ufa: "Ua hoʻomaka wau e hoʻohana iā Amikacin i ka wā i loaʻa ai ka maʻi pomaonia. Ua hana wau i ka injections i kēlā me kēia lā no nā lā he 5. hale mālama home. "
