ʻO ka wai lālulu kuikawa he topical antibiotic. Ma muli o kona hana koʻikoʻi a me ka haʻahaʻa haʻahaʻa, hoʻohana nui nā lulu i ka ophthalmology no ka mālamaʻana i nā maʻi maka.
Inoa Kūʻai ʻole honua
E ʻae ʻia ka inoa gentamicin ma ke ʻano he hoʻoilina ʻona honua.
ʻO ka wai lālulu kuikawa he topical antibiotic.
Ath
Aia ka lāʻau i ka antibiotics, aminoglycosides, me ka ATX code J01GB03.
Hōʻike
ʻO ka mea hana a ka lāʻau lapaʻau he gentamicin sulfate. Hoʻokomo ʻia nā mea hoʻohui i kekahi mau mea:
- Trilon B (ʻo ia ka disodium paʻakai o ka ethylenediaminetetraacetic acid);
- sodium hydrogen phosphate;
- wai no ka uliaa.
Hōʻike ʻia ka pale ma ka haki plastik a me ka pūlū pepa.
Ka hana lāʻau lapaʻau
ʻO kēia antibiotic ka laulā ākea o ka hana a loaʻa ka waiwai bactericidal. Ke hoʻokūkū pū me nā maʻi huelo, e komo ka mea ikaika i ka membrane cell a hana me ka subunit 30S o nā chromosome bacterial. Ma muli o kēia hana, ua hele hewa ʻole ke kāpae i ka protein synthesis.
Hōʻike ʻia ka pale ma ka haki plastik a me ka pūlū pepa.
ʻO nā ʻano hua microorganisms e pili ana i ka lāʻau lapaʻau:
- shigella;
- E. coli;
- salmonella;
- Klebsiella;
- enterobacteria;
- kahawai;
- Pseudomonas aeruginosa;
- Pale i ka pale;
- gram-kino bacteria acinetobacter;
- laip Mee;
- kekahi mau kaha o ke kahita.
Mālama ʻia ka mea hana no ka mālama ʻana i ka puhi ʻana o nā maka.
Ke kū'ē i ka hoʻonohonohoʻana o ka hōʻike lāʻau lapaʻau:
- mikiokokoko;
- anaerobic bacteria;
- kekahi mau ʻano streptococci;
- pale ʻeleʻele.
Lapaʻau lāʻau
Ke noi topically, ua hoʻoiho koke ʻia ka waiwai ikaika. Loaʻa ka ʻike kiʻekiʻe ma hope o 30-60 mau minuke ma hope o ka hoʻohana ʻana i nā hāʻule. Me nā protein plasma, ʻike ʻia ka paʻa haʻahaʻa, ʻo 0-10% wale nō.
ʻO ka māheleʻana o ka lāʻau i loko o ke kino e loaʻa i ka wai o ka extracellular. ʻO ka hapalua o ka ola o ka mea i hiki iā 2-4 mau hola. Hoʻopili ʻia ka hapa nui o ka gentamicin ma o nā keiki a me kahi liʻiliʻi wale nō ma o ke ake.
He aha nā ʻōliki Gentamicin i hoʻohana ʻia?
Hoʻomaʻamaʻa pinepine kēia mau hāʻule i nā maʻi maʻi i hoʻoili ʻia e nā maʻi i hoʻoweliweli ʻia i ka lāʻau lapaʻau. I kēia hihia, pono ke nānā ʻia.
Kēia pinepine kēia mau ʻōlapa no ka keratitis.
I ka papa inoa o nā hōʻike maʻi i mea e pono ai ka lāʻau lapaʻau.
- keratitis;
- huakini;
- maka ka maka;
- konohiki;
- iridocyclitis;
- hanaʻino e pili ana i nā maka;
- wana ʻōpala.
No nā mea pale, hāʻawi ʻia ka lāʻau lapaʻau ma mua o ka hoʻomaʻamaʻa ʻana ma nā maka a ma hope iho. ʻO kēia mau hana e pale i nā hoʻopiʻi a hōʻōkole i ka wā hoʻolaʻa.
Nā Hoʻohui
Ma mua o ka hoʻohana ʻana, pono e hoʻomaʻamaʻa ʻoe iā ʻoe iho me nā ʻōlelo o ka kikoʻī, ʻoiai ua loaʻa nā kuʻuna o nā maka.
- hypersensitivity i nā hana o ke ʻano;
- kekahi mōʻaukala o nā hopena alerine i nā aminoglycosides;
- keiki i lalo o 8 makahiki;
- ka wā hapai a me ka lactation;
- pilikia hooili;
- auditis nī neʻe;
- pilina myasthenia.
Hoʻomaopopo nā kauka i nā pilikia o ka maʻi lua ma ka hoʻohana lōʻihi ʻana o nā hāʻule. No kēia kumu, pono ke nānā pono ʻia o ka koho.
Me ka mālama pono
Hoʻopili ʻia nā Gentamicin i nā maʻi maʻi ʻoi loa e pili ana i ka hoʻokūkū ʻana o kā lākou hana. Me nā kiʻina liʻiliʻi, kuhikuhi ke lāʻau lāʻau me ka mālama. I kēia hihia, pono ke koho pono ke kauka i ka nui o ka lāʻau a mālama pono i nā hana o nā aʻoki.
ʻO ka ʻoka a me ke ala o ka hoʻokele waʻa o Gentamicin
Hoʻohana ʻia nā puna no ka instillation i loko o ke pēpē conjunctival. Manaʻo ʻia nā keiki ma mua o 8 mau makahiki a ʻo nā mākua hoʻi e hoʻolapalapa i ka hāʻule 1-2 ma kēlā me kēia maka. ʻO ka pinepine o ka hoʻohana ʻana i nā manawa 3-4 i ka lā. Manea ʻia e lawe i ka lāʻau lapaʻau i nā manawa maʻamau.
Aia ka lōʻihi o ke papa ma ke ʻano o ka maʻi a me kona hōʻino a hoʻopaʻa ʻia he awelika 14 mau lā.
No ka paleʻana, e hoʻohana i nā ʻano lāʻau papa inoa. No ka hoʻopauʻana i ka pilikia o ka hoʻonāukiuki, hoʻohemo ʻia ka lāʻau lapaʻau 1 hāʻule i nā manawa 4 i ka lā. Ka lōʻihi o ka hoʻohana - 3 lā.
He kūpono nā papa lāʻau no ka hoʻohana topical wale nō. Ke hoʻohana nei iā lākou no ka instillation i ka ihu a me nā pepeiao ʻaʻole i ʻōlelo ʻia. No kēia mau pahuhopu, aia kekahi mau lāʻau lapaʻau e hiki ke hōʻuluʻulu i ka pepeiao (ka pepeiao a me ka ihu) me ka gentamicin i ka ʻano.
Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi
Ke mālama nei i ka poʻe maʻi me ka maʻi maʻi, hoʻokaʻawale ʻia nā hāʻule me ka makaʻala. Hoʻolaha ʻia ka lāʻau ma lalo o ka nānā ʻana o kekahi kauka.
Ke mālama nei i ka poʻe maʻi me ka maʻi maʻi, hoʻokaʻawale ʻia nā hāʻule me ka makaʻala.
ʻO nā hopena ʻāpana o ka hāʻule o Gentamicin
Kumuhana i ke kaukaʻi ʻana o ke kauka, ʻanuʻu maikaʻi ke alo ʻana i nā maka. Hoʻopilikia pinepine nā ʻaoʻao ma muli o ka hypersensitivity i nā kumu o ka lāʻau. I ka papa inoa o nā hōʻailona hiki:
- ʻulaʻulaʻula maka o nā maka;
- lakalaka
- mālamalama i ka mālamalama;
- ʻeha loa;
- ka mumū ʻana i nā maka;
- i nā hanana i loaʻa i ka maʻi maʻamau, ua nānā ʻia ka purpura thrombocytopenic (kahiʻano i hoʻokahe ʻia o nā membrane mucous o nā kino o nā moʻo);
- ʻike pāleʻōlelo (loaʻa pinepine).
Inā ʻaʻole hoʻokaʻawale ʻia nā hāʻule e like me nā ʻōlelo kuhikuhi, ʻike paha ka mea maʻi i ka lacrimation.
Inā ua ʻike ʻia kekahi a i ʻole kahi mau ʻana o ka ʻōmaʻomaʻo, pono ʻoe e hōʻole e lawe i ka lāʻau lapaʻau. E nīnau i kāu mea e mālama ai i kāu olakino no nā ʻōlelo hāpai.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
ʻO ka hoʻohanaʻana i ka lāʻau lapaʻau e hiki ke hōʻemi i ka acuity ʻike. E wehewehe ʻia kēia ma ka mua o ka lacrimation. No ka pili ʻana o kēia hiʻohiʻona, i ka mālama ʻana o nā maʻi ophthalmic, pono e pale i ka lawe ʻana i ke kaʻa a kāohi i nā mea ʻē aʻe.
Nā ʻōlelo kikoʻī
ʻO nā mea maʻi e kau ana i nā lope pili e hoʻokaʻawale i mua o ka hoʻohana ʻana. Eia hou, hiki iā lākou ke kau 15 i nā minuke ma hope o ka instillation o nā maka. Ua wehewehe ʻia kēia e ka mea ʻo Benzalkonium chloride ma ke ʻano o ka huahana e hoʻonāukiuki i ka maka a hiki ke hoʻololi i ke kala o nā leʻaleʻa gel. Ke hoʻohana nei kekahi mau mea maʻi i nā aniani i ka wā mālama.
Ke hoʻohana nei i ka hāʻule, ʻaʻole pā i ka piko o ka vial (ma hea o ka lua). Hiki i kēia ke alakaʻi i nā maʻi mai nā lima e komo ana i ka conjunctiva o ka maka, e hoʻonāukiuki i ka maʻi lua.
No nā maʻi koʻikoʻi, hiki i nā kauka ke kuhikuhi i kahi lāʻau lapaʻau no ka hoʻohana ʻana i ka waha a i ʻole kahi maʻi ʻana.
Hoʻohana i ka wā kahiko
I ka lilo ʻana o nā contraindications, hiki i nā mea maʻi ke noi aku i nā hāʻule e like me ka hoʻoponopono kaulua maʻamau.
Koha i na keiki
No nā keiki ma lalo o 8 mau makahiki mai, ʻaʻole i aʻo ʻia kēia ʻano maʻi, akā me kekahi maʻi i ka maʻi hiki. I kēlā mau kūlana, pono e mālama pono ʻia nā ʻōlelo a ke kauka.
No nā keiki ma lalo o 8 mau makahiki mai, ʻaʻole i aʻo ʻia kēia ʻano maʻi, akā me kekahi maʻi i ka maʻi hiki.
Hoʻohana i ka wā hāpai a me ka lactation
Pono ke kau ʻana o Gentamicin i ka wā hāpai ʻia inā he pono paha ka pōmaikaʻi i ka makuahine i ka hiki ke ʻeha i ka ʻōpū. Me ka lactation, ʻae ʻia ka hoʻohana ʻana ma ke noi ʻia ʻana o kahi kauka.
Ke keu
Hoʻokuʻu i ka dosis therapeutic hiki ke hoʻonā i ka huhū o ka streal corneal. Me kēia mau hōʻailona, ua pau ka antibiotika.
Hoʻopili pū me nā lāʻau ʻē aʻe
Hoʻohana pinepine ʻia nā hāʻule me nā lāʻau ʻē aʻe (no ka sinusitis, otitis media a me nā maʻi ʻē aʻe).
Me nā corticosteroids a me nā antibiotika o nā hopena nephrotoxic a me nā ototoxic, hiki ke hoʻohana ʻia nā puolo ʻana, no ka mea, ʻaʻole i ʻike ʻia ka ikaika o nā lāʻau lapaʻau.
ʻO nā Phropates, nitrates, sulfates, cations o ka calcium, pāhare, ka koninima a me ka sodium e hoʻemi ana i ka maikaʻi o nā puna.
Nā kuʻina
E loaʻa i ka gentamicin, i loko o nā palapala like ʻole, kahi like bakicidal like: ka pauku no ka hoʻomākaukau ʻana i nā injections, ka hopena no ka maʻi maʻi. Aia nō hoʻi ka mea aila a me nā paila.
ʻO nā huaʻala like nā hopena like ʻole:
- Taizomed;
- Kanamycin;
- Isofra;
- Hoʻolaha Dex.
Waihue huaʻōlelo waiho nā huaʻōlelo
Mālama ʻia ka lāʻau lapaʻau ma nā lāʻau lapaʻau ma o ka lāʻau lapaʻau.
Hiki iaʻu ke kūʻai me ke kī ʻole
ʻAʻole kūʻai ʻia nā lāʻau lapaʻau ma kēia pūʻulu.
Kūʻai
Ua hoʻomaka ka kumukūʻai o ka maka ma Moscow i nā lāʻau lapaʻau ma 150 mau rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
Pono ke mālama i ka lāʻau ma kahi mahana o + 15- + 25 ° C. ʻAʻole ʻae ʻia ka lā maka.
ʻO ka lā kau
Ke pani nei, he 3 mau makahiki o ka noho papa o ka lāʻau. Mālama ʻia kahi hue wai no ke hoʻohana ʻana no nā ʻoi aku 3 mau mahina.
Hiki ke pani ʻia nā ʻōlule Gentamicin me Esofra.
Mea hana
ʻO kēia lāʻau lapaʻau e hana ʻia e kekahi mau lāʻau lapaʻau mai Polani, Russia a me Switzerland.
Hoike Mai
Wahi a nā loiloi, hoʻohana pinepine ʻia ka gentamicin i ke ʻano o ka hāʻule, aʻo nā kauka a me nā mea maʻi ua hauʻoli me ka hopena.
Kauka
Tatyana, ophthalmologist, ʻike makahiki olakino 8 makahiki
Hoʻopili koke ʻo Gentamicin me kahi maʻi i ka maʻi bacterial, no laila e kuhikuhi pinepine ʻia no nā maʻi maʻi o ka maka. ʻO kekahi hoʻohui me ke kumu haʻahaʻa.
ʻO Vitaliy, kahi ophthalmologist, ka ʻike i ka lāʻau lapaʻau no 20 mau makahiki
Ke paʻakikī nei ka pathogen i ka hana ikaika, hoʻopau koke nā hōʻailona o nā maʻi. Hōʻike kēia i ka hana kiʻekiʻe o ka lāʻau lapaʻau. I kēia hihia, nui nā mea maʻi e loaʻa i nā maʻi kūlohelohe o ka hoʻohui ʻana o ka lāʻau. I nā manawa hiki, hoʻāʻo e kākau i nā lāʻau lapaʻau ʻē aʻe i nā mea maʻi.
Hoʻokuʻu i ka dosis therapeutic hiki ke hoʻonā i ka huhū o ka streal corneal.
ʻO nā maʻi maʻi
Marina, 37 mau makahiki, ʻo Astrakhan
Makā wau i ʻike i ke kauka, me ka huli ʻana o nā maka, ua lacrimation a puka mai ka ihu. Ua kau ʻia ka Gentamicin ma ke ʻano o ka hāʻule. Ua maikaʻi ʻoi aku ka maikaʻi ma ia lā aʻe. Ua paʻa ke kahua o ka mālama ʻana.
ʻO Peter, he 44 makahiki, Krasnodar
ʻO ka hopena kūpono kūpono no nā maʻi ʻike maka. Hoʻohana ʻia e ke kauka. ʻAʻole i hopena mai nā hopena, ua hoʻopau ʻia ke kaomi a me ka hoʻolaʻa ʻana ma hope o kekahi mau lā.
