ʻO ka Gentamicin Sulfate kahi antibiotic ākea ākea i hōʻike ʻia i loko o ia mau wahi o ka lāʻau lapaʻau e like me:
- gynecology;
- dermatology;
- opalthalmology;
- nephrology;
- urology;
- pulmonology;
- otolaryngology;
- nā maʻi pīpī.
Inoa Kūʻai ʻole honua
ʻO ka inoa inoa hoʻoili honua ʻole o ka lālani ʻo Gentamicin (i loko o Latin - Gentamycin a Gentamycinum).
ʻO ka ʻōkuhi ākea ka Gentamicin Sulfate me ka palahalaha ākea ākea.
ATX
Gentamicin i ke ʻano o kahi hopena no ka inikini ua wae ʻia ka anatomical-therapeutic-chemical (ATX) code J01GB03. ʻO ka leka J ke ʻano he lāʻau antimicrobial a me antibacterial a ua hoʻohana ʻia no ka hoʻomaʻamaʻa systemic, nā huaʻōlelo o G a me B e pili ana i ka hui o aminoglycosides.
ʻO ka pāʻālua ATX no ka hāʻule ʻana o ka maka he S01AA11. ʻO ka leka S, ʻo ia ke hoʻohana ʻia ka lāʻau lapaʻau no ka mālama ʻana i nā ʻōpū sensory, a me nā leka Ua hōʻike ʻia ʻo kēia antibiotic i manaʻo no ka hoʻohana topical a pākuʻi i ka metabolism.
ʻO ka code ATX o Gentamicin i ke ʻano o ka ʻaila poni ʻo D06AX07. ʻO ka leka D ʻo ia ka manaʻo o ka lāʻau lapaʻau no ka hoʻohanaʻana i dermatology, a me nā leka AX - he topical antibiotic ia.
E hoʻokuʻu i nā palapala a me ka ʻano
E hoʻokuʻu iā 4 i kahi puka mele:
- ua hoʻonā i ka ʻōiwi;
- maka maka;
- aila;
- aerosol.
ʻO ka pahuhopu mea nui ma ka 4 mau puka he gentamicin sulfate. Ka hoʻonohonoho pono ʻana o ka hoʻonā ʻana ma nā ʻano mea kōkua like:
- sodium metabisulfite;
- disodium paʻakai;
- wai no ka uliaa.
Hoʻokuʻu ʻia ka lāʻau lapaʻau i ka 2 ml ampoules, kahi mea i huki ʻia ma 5 pcs. i nā kīʻaha blister. Hoʻokomo i kahi pahu 1 a i ʻole 2 mau paʻi (5 a 10 mau ampoule) a me nā ʻōlelo no ka hoʻohana ʻana.
ʻO nā mea kōkua o ka nānā ʻana o nā maka:
- disodium paʻakai;
- sodium chloride;
- wai no ka uliaa.
Hoʻopili ʻia ka mea hoʻonā i ka 1 ml i loko o nā puʻu dropper (1 ml aia ka 3 mg o ka mea ikaika). 1 ka mea hiki ke lilo i 1 a i ʻole 2 mau wai kūpeʻe.
ʻO nā mea hoʻowalewale o ka pahola:
- pūlia;
- wai wai;
- ʻōmaʻomaʻo;
- keʻokeʻo.
Kūʻai ʻia ka lāʻau lapaʻau i nā ʻōpala o 15 mg.
Gentamicin i ke ʻano o ka aerosol ma ke ʻano he mea kōkua a loaʻa i ka umu aerosol a hoʻopaʻa ʻia i ka 140 g i loko o nā hue aerosol kūikawā i lako ʻia me kahi pīpī.
Ka hana lāʻau lapaʻau
ʻO ka Gentamicin kahi antibiotic bactericidal i hoʻohana nui ʻia e mālama i ka maʻi super (ʻili) a me nā maʻi kūloko. Ke luku nei ka lāʻau lapaʻau i nā microorganism, e luku ana i kā lākou hana. Hoʻomaʻaʻa ʻia ka lāʻau lapaʻau e kū'ē i nā pūʻulu maʻi e like me:
- laip Mee;
- streptococci (kekahi mau māka);
- Shigella
- Salmonella
- Pseudomonas aeruginosa;
- enterobacter;
- Klebsiella;
- protea.
ʻAʻole hana ka lāʻau lapaʻau:
- treponema (kumu kumu o syphilis);
- ma ka neiseria (maʻi meningococcal);
- ma nā maʻi bacteria anaerobic;
- no nā mea maʻi, nā puʻu a me ka protozoa.
Lapaʻau lāʻau
ʻO ka hopena ikaika loa o ke kino e hāʻawi ʻia e nā inikini no ka hoʻokō intravenous a me intramuscular. Me nā ʻōkuhi intramuscular, ua hoʻopaʻa ʻia ka paila plasma ma hope o 30-60 mau minuke. Hoʻoholo ka lāʻau lapaʻau i loko o ke koko no 12 mau hola. Hoʻohui i ka plasma koko, komo koke ʻo Gentamicin a ua hoʻākāka maikaʻi ʻia i nā kiko o nā pūpū, nā pēpē a me nā paloma, ka plasenta, a me ka huʻu a me nā wai nui e like me:
- synovial;
- makemake;
- peritoneal.
ʻIke ʻia nā kaupaona haʻahaʻa loa i ka hua bile a me ka cerebrospinal fluid.
ʻAʻole hōʻemi ʻia ka lāʻau lapaʻau i loko o ke kino: ʻoi aku ma mua o 90% o ka lāʻau lapaʻau i hōʻili ʻia e nā keiki. Hoʻokumu ka helu o ka excretion i ka makahiki o ka mea maʻi a me ka helu hoʻopāleʻa hana kumu hana. I nā maʻi pākeke me nā keiki olakino, ʻo ka hapalua o ka ola o ka lāʻau he 2-3 mau hola, i nā keiki i hala 1 mau wiki a ʻeono mahina - 3-3.5 mau hola, a hiki i ka hebedoma 1 - 5.5 mau hola, inā kaupaona ke keiki ma mua o 2 kg , a keu aku 8 mau hola, inā ʻoi aku kona koʻikoʻi ma mua o 2 kg.
Hiki ke hoʻopau ʻia ka hapalua hapalua me:
- anemia
- i ke kiʻekiʻe;
- kuni kuni.
Me ka maʻi o ka pēpē, e hoʻolōʻihi ʻia ka hapalua o ke ola o ka Gentamicin a me ka hoʻopau ʻana i ka hoʻopau ʻana, ka mea e alakaʻi ai i ka hōʻiliʻili o ka lāʻau i loko o ke kino a me ka hopena i kahi hopena overdose.
He aha ia e hoʻohana ai i ka?
Hāʻawi ʻia ka lāʻau lapaʻau no nā maʻi maʻi pāpaʻi a me nā maʻi.
- ʻAiʻae i ka maʻi. E like me:
- pyelonephritis;
- urethritis;
- pūnana cystitis
- prostatitis.
- ʻAneki haʻahaʻa. E like me:
- hoʻopuka;
- wahi maʻi pneumonia
- bronchitis;
- empyema;
- lemokū.
- Rongonui ʻia. E like me:
- peritonitis;
- cholangitis;
- huehue ʻo cholecystitis.
- Nā iwi a me nā hono.
- ʻIli kūloko. E like me:
- nā ʻōpala trophic;
- kuni ʻana;
- hulu manu;
- dermatitis seborrheic;
- huehue
- paronychia;
- pyoderma;
- folliculitis.
- ʻO ka maka. E like me:
- konohiki;
- huakini;
- keratitis.
- ʻO nā ʻōnaehana o ke kikowaena, me ka meningitis a me vermiculitis.
Hoʻohana pū ʻia ʻo Gentamicin no ka sepsis ma ke ʻano o ka hana ʻana a me ka septicemia bacteria.
Nā Hoʻohui
ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau inā nā mea maʻi:
- ʻaʻole e ae i ka antibiotics o ka hui antiglycoside a i ʻole nā mea āpau e hana i ka lāʻau;
- loaʻa mai i ka neuritis o ka nerve auditory;
- maʻi ana me azotemia, uremia;
- loaʻa nā maʻi he nui a heʻino paha;
- aia i kahi kūlana hānai;
- he makuahine haki;
- maʻi me ka myasthenia;
- ua maʻi ʻia ma ka maʻi o Parkinson;
- ua loaʻa nā maʻi o ka apela vestibular (dizziness, tinnitus);
- malalo o 3 mau makahiki.
Me ka mālama pono
Lawe ʻia ka lāʻau me ka mālama nui loa, inā he mōʻolelo ka hōʻike ʻana i kahi ʻano hoʻohālikelike, a me ke ʻano ka mea maʻi.
- botulism;
- hypnotcemia;
- huehue.
Pehea e lawe ai i ka sulfamic gentate?
No ka poʻe maʻi o ʻoi aku he 14 mau makahiki me nā maʻi o ka urinary tract, ʻo ka hopena therapeutic he 0.4 mg a hoʻokele ʻia ʻo 2-3 mau lā i kahi lā intramuscularly, me nā maʻi maʻi koʻikoʻi a me sepsis, mālama ʻia ka lāʻau lapaʻau i nā manawa 3-4 i ka lā, 0.8-1 mg. ʻAʻole pono nā mea pona kiʻekiʻe loa i ka 5 mg i kēlā me kēia lā. ʻO ka lōʻihi mālama i ka lā 7-10 lā. I nā hihia koʻikoʻi, ma ka lā 2-3 mua, e lawelawe ʻia ana ʻo Gentamicin, a laila lawe ʻia ka mea maʻi i ka maʻi intramuscular.
No ka ʻōkuhi intravenous, hoʻohana ʻia kahi hopena paʻa i loko o nā ampoules; no nā inikini intramuscular, ua hoʻomākaukau ʻia ka lāʻau lapaʻau ma mua o ka hoʻokele ʻana, ʻoki ʻia i ka pauku me ka wai no ka ʻaina.
Hiki ke lawe ʻia ka Gentamicin e like me kahi inhalation e mālama ai i nā maʻi ʻeha.
Hoʻopilikiaʻia nā hoʻomaʻemaʻe Purulent o ka ʻili, nā follicle o ka lauoho, ka furunculosis a me nā maʻi ʻeha maloʻo ʻē aʻe. ʻO ka mea mua, e mālama ʻia nā wahi i hoʻopili ʻia me ka hopena o Furacilin e hoʻokahe i ka maʻi purulent a me nā mea make make, a laila e hoʻopili ʻia kahi pae ʻāpana o ke aila i ka manawa he 2 no ka lā 7-10 mau lā (hiki ke hoʻohana ʻia ka hoʻohana ʻia). ʻO ka pākuʻi lā o kēlā me kēia lā no ka pākeke ʻaʻole pono e hoʻonui i ka 200 mg.
Hoʻohana ʻia ʻo Aerosol e hoʻomaʻamaʻa i nā maʻi ʻeha o ka ʻili, akā ʻo ke ʻano o ka hana e like me ka ʻaila poni. Pono e hoʻopau ʻia ʻo Aerosol mai kahi mamao o 10 cm kahi mai ke alo o ka ʻili.
Hoʻohana ʻia nā maʻi o ka maka me nā hāʻule, e hoʻokomo iā ia i loko o ka sac conjunctival a 3-4 mau lā i ka lā.
Hiki paha ke lawe i ka lāʻau lapaʻau no ka maʻi maʻi?
ʻO kahi maʻi diabetes mellitus ʻaʻole ia he contraindication no ka mālama ʻana me Gentamicin.
Nā ʻaoʻao ʻaoʻao o ka Sulfate Gentamicin
ʻO nā hopena ʻinoʻino ma muli o ka lawe ʻana i ka Gentamicin he ʻilihua a hiki ke loaʻa ma ke ʻano:
- hiʻona, ʻewaʻewa, ʻeha;
- lilo ka momona, hoonui ka wai, nausea, paau, luhi;
- ʻehaʻeha nā puʻuwai, twitching, cramps, numbness, paresthesia;
- ka haʻalele ʻana o ka mea hana vestibular;
- lohe;
- pilikia ʻole;
- nā hūnā o nā ʻōnaehana urinary (oliguria, microhematuria, proteinuria);
- urticaria, maʻi, ʻeha, ʻehaʻā;
- haʻahaʻa haʻahaʻa o leukocytes, platelets, pālima, magnesium a me ka calcium i ke koko;
- hoʻokiʻekiʻe ʻia nā hana kūpono no ka maʻi.
Loa a hiki ʻole:
- ʻeha i ka wahi o ka intramuscular injection;
- ʻo phlebitis a i ʻole thrombophlebitis i ke kahua o ka hoʻokō intravenous;
- kūloko
- kūlike;
- anaphylactic pīhoihoi.
Nā ʻōlelo kikoʻī
- I ka wā e mālama ai me ka Gentamicin, pono ia e nānā i nā hana o nā kuli, nā vestibular a me nā mea kōkua pepeiao.
- Pono e kiaʻi mau i ka pae o ka pāhare paʻakai, magnesium a me ka calcium i ke koko.
- No nā mea maʻi me ka maikaʻi ʻole, pono i kahi kākāka hana kuhi.
- ʻO ka mea maʻi e loaʻa ana i kahi maʻi aʻi ʻole paha e pili ana i ka maʻi urinary (ma ka hana o ka exacerbation) pono e hoʻohana i ka wai hou i ka wā e mālama ai me Gentamicin.
- ʻAʻole paʻa loa ka hoʻohana ʻana o ka wai waiʻona a me nā mea inu wai i loko o ka wā e mālama ai me Gentamicin.
- No ka mea ka lāʻau lapaʻau e hōʻemi ai i ka hoʻokaʻawale ʻana i loko o ka kaohi, ke hoʻohālikelike, i hoʻohaʻahaʻa i ka acuity ʻike, pono ia e haʻalele i nā kaʻa e holo nei no ka lōʻihi o ka mālama ʻana.
Hoʻohana i ka wā kahiko
Pono e hoʻohana ʻoluʻolu ʻia e Gentamicin i nā maʻi maʻi ʻelemakule. Ke loaʻa nei ka lāʻau i ka hopena kaumaha ma ka auditory a me ka vestibular apparatus, hana ʻana i nā keiki, a me nā lunakahiko, nā ʻōnaehana o kēia mau makahiki, ma muli o nā loli o ke ʻano o ka makahiki, i ka nui o nā hihia i hana mua i nā pilikia. Inā hoʻoholo ʻia e kuhikuhi i kahi lāʻau lapaʻau, a laila i ka wā o ka mālama ʻana a no kekahi manawa ma hope o kona hōʻea ʻana, pono ke kiaʻi i ka mea maʻi i ka hoʻomaʻamaʻa a me ka mea i ʻike ʻia e ka otolaryngologist.
Koho ʻana i ka Pūnaewele Hoʻolaha ʻO Gentamicin Sulfate i nā Keiki
No nā keiki ma lalo o 14 mau makahiki o ke ola, hoʻolele Intramuscular i ka lāʻau ke kuhikuhi i nā hihia wale nō. Hoʻololi ʻia ka wai hoʻokahi i hoʻokumu ʻia ma ka makahiki a me ke kaupaona o ke keiki: no nā keiki i 6 a hiki i ka 14 makahiki - 3 mg / kg, mai 1 a 6 - 1.5 mg / kg, emi mai ka 1 makahiki - 1.5-2 mg / kg. ʻO ka lāʻau kiʻekiʻe loa no kēlā me kēia lā no nā maʻi āpau ma lalo o 14 mau makahiki ʻaʻole pono e hoʻonui i ka 5 mg / kg. Hoʻohana ʻia ka lāʻau lapaʻau i nā manawa 2-3 i ka lā no 7-10 lā.
Ke mālama nei i ka maʻi ʻili a i ʻole nā maka me ka aerosol, aila, a i ʻole ka emi o nā maka i hōʻemi ʻia a hiki ke kuhikuhi ʻia i nā mea maʻi ma lalo o 14 mau makahiki o ka makahiki. ʻO nā regimens Therapeutic e like like me ka pākeke. ʻAʻole pono ka dosis o ka lā o ka poni ma mua o 60 mg.
Hoʻohana i ka wā hāpai a me ka lactation
E hele koke ʻia ka lāʻau lapaʻau i ka plasenta a i loko o ka waiū umauma, no laila, pāpā ʻia ka pale ʻana i ka antibiotika no nā wahine hāpai a me ka hē nui. I hoʻokahi manawa i ke kino o ke keiki, hoʻokō ʻia ka lāʻau lapaʻau i ka ʻeha o ka pēpē o ka gastrointestinal a hiki i nā hōʻailona o ka ototoxicity. ʻO kahi meaʻokoʻa loa ke kūlana i hiki i ka hopena no ka makuahine ke hoʻonui aku i ka hana ʻino i ke keiki.
ʻOi aku ka nui o ka Sulfate Gentamicin
Hiki ke hoʻopiʻi wale ʻia kahi hopena overdose e nā ʻōkuhi gentamicin. Hoʻokomo ʻia ka ʻaila, ka hāʻule ʻana o ka maka a me nā aerosol i kahi hopena like. Hoʻomaopopo ʻia nā ʻano hōʻailona o kahi overdose:
- ninaki a me ka luaʻi
- ʻeha a me ke poʻo;
- ʻili nā ʻili, ʻili;
- fiva
- hikiuli ʻole ke kuli;
- ka haʻalele ʻana i nā hana o ka ʻae hana vestibular;
- pilikia ʻole;
- ka hanaʻole ʻana o ka hoʻōla ʻana o ka urine;
- ʻO ka edema ʻo Quincke (kahi liʻiliʻi).
Hoʻokomo ʻia ka regimen mālama i ka hoʻihoʻi ʻana i ka lāʻau a me ka holoi ʻana i ke koko me ka hemodialysis a i ʻole dialysis.
Hoʻopili pū me nā lāʻau ʻē aʻe
He kūlike kūpono me ka gentamicin e:
- Amphotericin;
- Heparin;
- Nā antibiotika lactam beta.
Hoʻohui me ka Gentamicin me ka acid ethacrylic a me ka furosemide ka hopena maikaʻiʻole i ke aʻalopona a me ke kōkua pepeiao.
ʻO ka hoʻomohala ʻana o ka hopu ʻana i ka hanu a me ka poloka hoonee hiki ke alakaʻi i ka hoʻohana pinepine ʻana o Gentamicin me nā lāʻau lapaʻau e like me:
- Decamethonium;
- Tubocurarine;
- ʻOlopaina.
ʻAʻole ia e hāʻawi pū i hoʻohui i ka Gentamicin me nā lāʻau lapaʻau e hiki mai ana.
- Viomycin;
- Vancomycin;
- Tobramycin;
- Streptomycin;
- Paromomycin;
- Amikacin;
- Kanamycin;
- Cephaloridin.
Nā kuʻina
Nā ʻano o ka hoʻonāuki ʻana ma ka ʻano:
- Gentamicin Sandoz (Polani, Slovenia);
- Gentamicin-K (Slovenia);
- Gentamicin-Health (Ukraine).
ʻO nā ʻōmole o ka lāʻau lapaʻau i ke ʻano o ka hāʻule ʻana o ka maka:
- Gentadeks (Belarus);
- Dexon (India);
- Dexamethasons (Rūsia, Slovenia, Finlandia, Romania, Ukraine).
Nā ʻano o ka ʻoni a Gentamicin:
- Candiderm (India);
- Garamycin (Belzika);
- Celestroderm (Belekia, Lūkia).
Waihue huaʻōlelo waiho nā huaʻōlelo
Wahi a nā ʻōlelo kuhikuhi, e hāʻawi ʻia ʻo Gentamicin (nā ʻano 4 āpau), e like me nā antibiotika ʻē aʻe, e hoʻolilo ʻia i loko o nā lāʻau lapaʻau ma o ka lāʻau lapaʻau wale nō.
Hiki iaʻu ke kūʻai me ka loaʻa ʻole o ka hōʻailona?
Hiki ke kūʻai ʻia kekahi o nā ʻano 4 o ka hoʻokuʻu aku i ka lāʻau lapaʻau me ka loaʻa ʻole o kahi.
Mea Kahi Uila Pūnaewele
Aia ka Gentamicin i ka māhele o nā lāʻau lapaʻau ʻona. ʻO ke kumukūʻai kūpono o 10 ampoules ma Moscow pharmacy he 50 mau rubles., Nā Ointments a aerosol - 85-100 mau rubles., Kūleʻa ka maka - 35 rubles. I loko o nā hale kūʻai pūnaewele, ʻo ka uku o nā lāʻau lapaʻau he 5 mau rubles. emi iho.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Pono e mālama i nā lāʻau ma waho o ka hiki ʻole o nā keiki. ʻO ka ea ʻana o ka mālama ʻana no ka hoʻonā ʻana a me nā maka i ka maka he + 15 ... + 25 ° С, no aerosol a me ka ʻaila - + 8 ... + 15 ° С.
Pono e mālama i nā lāʻau ma waho o ka hiki ʻole o nā keiki.
ʻO ka lā kau
ʻO ka noho mahele o ka maka o ka maka he 3 mau makahiki, aerosol a me kaʻaila - 2 mau makahiki, ka hoʻonā hoʻonāukiuki - 1 makahiki. ʻO nā maka o ka maka ma hope o ka wehe ʻana i ka hue ua kūpono ia no kahi o hoʻokahi mahina.
Mea hana
Gentamicin i ke ʻano o kahi inikua e puka ai:
- Lūkia
- Belarus
- Turkmenistan
- ʻUsekistan
ʻO ka gentamicin i loko o ke ʻano o ka aila a me ka neʻe ʻana o ka maka i hua i Belarus, ma ke ʻano o kahi aerosol - Bulgaria.
Nā Hōʻikeʻike Mali ma Sulfate
ʻO Maria, 25 makahiki, ʻo Voronezh: "Ma kekahi mau pule i hala aku nei, ua hāʻule kekahi mea i loko o ka maka. No ka lā, i ʻō ka ʻū o ka maka, ʻūʻai (kokoke i pani ʻia) a loaʻa ke ʻano maʻi. i nā lā a pau, a ma ka lā 3 - ua hala aku kēlā mau hōʻailona ʻē aʻe, akā holoi wau i nā lā 7 a pau. "
ʻO Vladimir, 40 makahiki, ʻo Kursk: "Kuhi hewa wau i koʻu lima ma ka hana. I ke ahiahi hele mai ana kahi pōkole, ma kekahi mau lā ma hope aku ka hoʻomaka ʻana o ka hōʻeha a hōʻeha nui. ua oki ka hope a hoʻomaka ke ho'ōla. "
Andrei, 38 makahiki, Moscow: "I ka makahiki i hala ua loaʻa au i ka maʻi maʻi. ʻAʻole wau i hoʻomaka koke i ka mālama ʻana, no laila ua hele au i ka haukapila ua maʻi ʻia ke maʻi e kahi maʻi ʻehaʻeha a ua loaʻa i ka maʻi uʻi. . A hoʻokahi mahina ma hope iho ua hoʻokuʻu ʻia wau. "
