Keʻokiʻoki lāʻau Gentamicin: nā ʻōlelo hoʻohana no ka hoʻohana ʻana

Pin
Send
Share
Send

ʻO Gentamicin kahi mea maʻi antibacterial e pili ana i ka hui o aminoglycosides. He pālahalaha nui o nā hopena bactericidal.

ATX

J01GB03 - Kauahi

ʻO Gentamicin kahi mea maʻi antibacterial e pili ana i ka hui o aminoglycosides. He pālahalaha nui o nā hopena bactericidal.

E hoʻokuʻu i nā palapala a me ka ʻano

ʻO ka mea hana e pili ana he gentamicin sulfate. Loaʻa i ke ʻano o kahi pauka a i ʻole ka hopena no ka inake (injections in ampoules), nā ʻaila a me nā kahe no nā maka.

Nā Palaki

ʻAʻole i loaʻa i ka pepa p.

ʻAukā

Hoʻokaʻawale wai wai no ka hoʻohana topical - mau maka. Loaʻa ka 1 ml i ka 5 mg o ka mea hana ikaika. Hoʻopili i ka 5 ml i loko o nā hue wai. Hoʻopili ʻia i nā pā kāleka no 1 pc. me nā kauoha no ka hoʻohana.

Hoʻopau

Ka wai hoʻonaninani kikowaena maikaʻi no ka maʻi (hiki ke hoʻokele iā intravenously a me intramuscularly). 1 ml aia 40 mg o ka hana ikaika. Hoʻopili i ka 1 a i ʻole 2 ml i loko o nā aniani pahu. Hoʻopili ʻia nā 5 ampoule i kahi kīkā cassette, 1 a i ʻole 2 mau paleta a i kahi pūnō kāleka me ka nui pahi ampoule.

Hoʻokaʻawale wai wai no ka hoʻohana topical - mau maka. Loaʻa ka 1 ml i ka 5 mg o ka mea hana ikaika.
I ka 1 ml mau o ka hopena o ka Gentamicin e loaʻa ana he 40 mg o ka mea ikaika. Hoʻopili i ka 1 a i ʻole 2 ml i loko o nā aniani pahu.
ʻO ka pauka Gentamicin no ka hoʻohana lāʻau ʻana. 1 g o ka lāʻau lapaʻau ka 100 mg o ka mea ikaika.
Hoʻolālā ʻia ia iʻa hoʻoliʻalaha Gentamicin no ka hoʻohana waho. 1 g o ka huahana i loaʻa i ka 0.001 g o ka mea kanu olakino.

ʻĀpono

ʻO ka momi keʻokeʻo a i kaʻaila paha, i kāwili ʻia i nā pahu foil laminated 1 kg. 1 g o ka lāʻau lapaʻau ka 100 mg o ka mea ikaika. He wā hānai holoholona mālama.

Hoʻokomo ʻia

No ka hoʻohana ʻana o waho. 1 g o ka huahana i loaʻa i ka 0.001 g o ka mea kanu olakino. Hoʻopaʻa ʻia ka huahana i nā ipu o 15 a 25 g, 1 pc. me nā ʻōkuhi i nā ʻatikala o nā paʻi.

Ka hana lāʻau lapaʻau

ʻO ka antibiotic laila. He pālahalaha ākea. Pono i kēlā

  • aerobic gram-microorganism maikaʻi;
  • aerobic gram-positive strains a me ka cocci.

ʻO ka hoʻopiʻi i loko o ke kino, hoʻopau i ka pale pale - ka membrane no ka cytoplasmic a ke kumu o ka make ʻana o nā microorganism pathogenic.

He maʻi pehu ka bakiola. He pālahalaha ākea.
Gentamicin, hōʻiliʻili i loko o ke kino, hoʻopau i ka pale pale - ka membrane no ka cytoplasmic a ke make nei nā microorganisms pathogenic.
He haʻahaʻa haʻahaʻa o Gentamicin i ka wā i lawe ʻia ai i ka waha. Kuhi ʻia ʻole ma ka makua.
ʻO ka saturation kiʻekiʻe loa i ka plasma koko ma hope o ka hoʻokele intramuscular i hoʻoholo ʻia ma hope o 30-90 mau minuke, ma hope o ka hoʻokele intravenous, ma hope o 15-30 mau minuke.
Hoʻopili nui ʻia ʻo Gentamicin e nā keiki. Me nā renfunctions renal, hoʻopau ʻia ka manawa excretion.
Hoʻohana ka Gentamicin i nā maʻi i nā pākeke a me nā keiki i hoʻoulu ʻia e ka microflora koʻikoʻi.

Lapaʻau lāʻau

He haʻahaʻa haʻahaʻa ma hope o ka hoʻohana waha. Kuhi ʻia ʻole ma ka makua. Ke hoʻoiho ʻia, e hoʻopili piha ʻia. ʻO ka saturation kiʻekiʻe loa i ka plasma koko ma hope o ka hoʻokele intramuscular i hoʻoholo ʻia ma hope o 30-90 mau minuke, ma hope o ka hoʻokele intravenous, ma hope o 15-30 mau minuke.

ʻAʻole i komo i nā kaʻina hana metabola. ʻO ka hapalua hapalua he 2-4 mau hola. Hoʻopau i loko o ka wahi lymphatic o ka pūpū pepeiao a me nā tubula renal. Hoʻokuʻu ʻia ia i nā māka. Me nā renfunctions renal, hoʻopau ʻia ka manawa excretion.

He aha ia e hoʻohana ai i ka?

Hoʻohana ʻia no ka maʻi maʻi i nā pākeke a me nā keiki nā maʻi ma ka microflora koʻikoʻi. A hōʻike ʻia no ka mālama ʻana o nā ʻano i ka maʻi bakalosa:

  • ʻōnaehana bronchopulmonary;
  • ʻōnaehana genitourinary;
  • nā kikoʻī a me nā lole palupalu.
E pili koke i nā lāʻau lapaʻau. Betamethasone + Gentamicin + Clotrimazole
Ka ʻonikini me ka prostatitis

Hoʻohana ʻia ia i ka gynecology, me ka hōʻeha a hoʻopau i nā maʻi, otitis media, nā maʻi o ka maʻi bacterial, a me ka mālama ʻana i nā iwi o nā iwi a me nā mus-ligamentous apparatus.

Nā Hoʻohui

ʻAʻole ia i kuhikuhi ʻia inā ʻike ka moʻolelo i nā ʻike e pili ana i kēia mau ʻano.

  • ka ʻana ʻole o kēlā me kēia ʻāpana o ka lāʻau;
  • auditis nī neʻe;
  • nā mālamalama maikaʻi ʻole.

ʻAʻole pili i ka wā hāpai a me ka lactation. ʻAʻole ia e noʻonoʻo i nā pēpē a hiki i ka 1 mahina aku.

ʻAʻole i kuhikuhi ʻia ka Gentamicin inā loaʻa kahi mōʻaukala o ka ʻike i nā kūlana e like me ka paʻa ʻana i ka renal.
ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau i ka wā o ka hapai a i ka wā lactation.
ʻAʻole ʻōlelo ʻia ʻo Gentamicin no nā pēpē a hiki i ka 1 mahina.
Hoʻohana ʻia ka lāʻau lapaʻau me ka mālama pono no nā poʻe pili e pili ana i nā makahiki (ma hope o 60 mau makahiki), me myasthenia gravis, botulism, maʻi Parkinson a me ka hoʻomōhiku.

Me ka mālama pono

No nā poʻe maʻi e pili ana i nā makahiki (ma hope o 60 mau makahiki), me myasthenia gravis, botulism, maʻi a Parkinson a me ka hoʻomōhiku.

ʻĀina a me ke Keʻena

Nā hoʻoponopono maʻamau no ka mālama ʻana i nā kaʻina maʻi uncomplicated no nā poʻe maʻi me ka ʻole o nā pathologies renal - intramuscularly a i ʻole intravenously, 3 mg pākaha o ke kino i kēlā me kēia 8-12 hola. Hoʻokomo ʻia nā infusions intravenous ma kahi o 90-120 mau minuke (e hoʻemi ʻia ka lāʻau lapaʻau ma 50-300 ml o ka hopena o ka sodium chloride a i ʻole 5% hoʻonā dextrose).

Ma nā hopena paʻakikī i kahi maʻi maʻi maʻi, ʻo kēlā me kēia lā he 5 mg no ka kg o ka paona i ke kino, kēlā me kēia mau hola 6-8. Ma hope o ka holomua, ua hoʻemi ʻia ka nui o ka dosage i 3 mg / kg.

I ka hihia o nā maʻi hope a me ka maʻi o ka pā ʻana o ka urinary, ua kau ʻia i hoʻokahi manawa ma ke kūkaʻi o 120-160 g no nā lā 7-10. No ka mālamaʻana i ka gonorrhea - hoʻokahi manawa ma kahi o 240-280 mg.

Nā hoʻoponopono maʻamau no ka mālama ʻana i nā kaʻina maʻi uncomplicated no nā poʻe maʻi me ka ʻole o nā pathologies renal - intramuscularly a i ʻole intravenously, 3 mg pākaha o ke kino i kēlā me kēia 8-12 hola.
Hoʻokomo ʻia nā infusions intravenous ma kahi o 90-120 mau minuke (e hoʻemi ʻia ka lāʻau lapaʻau ma 50-300 ml o ka hopena o ka sodium chloride a i ʻole 5% hoʻonā dextrose).
I ka hihia o nā maʻi a me ka maʻi o ka pā ʻana o ka urinary, i kau ʻia i ka lāʻau i hoʻokahi manawa ma ke kūkaʻi o 120-160 g no nā lā 7-10.
I loko o nā ala ākea nui, ua ʻōlelo ʻia nā inikina ma nā haʻahaʻa haʻahaʻa, akā me ka nui o ka hoʻohana ʻana.
Me ka hoʻomohala ʻana o ka wāwae maʻi maʻi (hoʻoweliweli a amputation), i ʻōlelo ʻia ai ʻo Gentamicin i hui pū me Clindamycin.

I nā maʻi hopohopo i nā keiki hou mai ka mahina 1 a me nā keiki a hiki i ka mau makahiki 2 - 6 mg / kg e kau ʻia i kēlā me kēia 8 hola. ʻO nā keiki mai 2 mau makahiki - 3-5 mg / kg ʻekolu mau manawa i ka lā.

I loko o nā ala ākea nui, ua ʻōlelo ʻia nā inikina ma nā haʻahaʻa haʻahaʻa, akā me ka nui o ka hoʻohana ʻana.

No nā poʻe me ka hana renal impaired - i nā inika o 1-1.7 mg / kg, no nā pēpē - 2-2.5 mg / kg.

Hiki paha ke lawe i ka lāʻau lapaʻau no ka maʻi maʻi?

Me ka hoʻomohala ʻana o ka wāwae maʻi maʻi (hoʻoweliweli o ka amputation) i kuhikuhi ʻia me ka clindamycin.

Nā hopena hopena

Ke hoʻohana nei i kahi lāʻau, a me nā hopena i hiki ʻole i ke kino ke hōʻike, hōʻike ʻia ma ke ʻano:

  • ʻaila (a hiki i ka luaʻi);
  • ʻʻAla
  • nā kuʻi;
  • hiamoe
  • nā maʻi noʻonoʻo hinengaro;
  • lohe ʻole ka hoʻolohe;
  • hikiuli ʻole ke kuli;
  • ka pilina hoʻonohonoho paʻa;
  • pākaukau home;
  • anemia
  • leukopenia;
  • granulocytopenia;
  • thrombocytopenia;
  • kūlohelohe kūlana;
  • hana ʻole;
  • nā hōʻike maʻi ma ka ʻili;
  • ka māla ʻana.
Ke hoʻohana nei i kahi maʻi maʻi, hiki i nā hopena kūpono o ke kino ke kū, no ka laʻana, maʻi ʻole, ʻeha, hōʻeha.
E like me ka hopena ʻawaʻī e lawe i ka Gentamicin, ʻano anemia a me nā leukopenia.
Me ka hoʻohana ʻana i ka lōʻihi, alakaʻi ka lāʻau lapaʻau i ka hiki ʻana o ka superinfection, wahaiasis a waha a me ka candidiasis kūlohelohe.

Me ka hoʻohana mau loa ʻana, alakaʻi ia i ka hiki ʻana o ka superinfection, wahaiasis a waha a me ka candidiasis kūlohelohe.

Nā ʻōlelo kikoʻī

Ke hele nei ka maʻi lōʻihi, pono ia i ka wehe ʻana o ka colitis pseudomembranous.

I ka hoʻomaʻamaʻa ʻana o nā maʻi a me ka maʻi o ka hoʻonā ʻana o nā mea genitourinary, pono e hoʻohana i nā nui o ka wai ʻana.

I mea e pale aku ai i ka lilo ʻana o ka hopena o ka hoʻolohe, pono e hana ʻia nā haʻawina ma nā kiʻekiʻe kiʻekiʻe. Me nā manaʻo luhi, ʻaʻole i hōʻemi a kāpae ʻia ka nui o ke ʻano.

I ka hoʻonoho ʻana i nā kānaka ma luna o 60 mau makahiki he pono ka mana o nā pae hana.

Ke hele nei ka maʻi lōʻihi, pono ia i ka wehe ʻana o ka colitis pseudomembranous.
I ka hoʻomaʻamaʻa ʻana o nā maʻi a me ka maʻi o ka hoʻonā ʻana o nā mea genitourinary, pono e hoʻohana i nā nui o ka wai ʻana.
I mea e pale aku ai i ka lilo ʻana o ka hopena o ka hoʻolohe, pono e hana ʻia nā haʻawina ma nā kiʻekiʻe kiʻekiʻe.
I ka hoʻonoho ʻana i nā kānaka ma luna o 60 mau makahiki he pono ka mana o nā pae hana.

Hoʻopilikia i ka hiki ke mālama i nā mīkini

Loaʻa paha nā hopena maikaʻiʻole.

Hoʻohana i ka wā hāpai a me ka lactation

ʻAʻole makemake ʻia.

Gentiralin no nā keiki

Hoʻohana ʻia ia i ka mālama ʻana o nā maʻi maʻi a me nā hoʻowalī i nā keiki mai ka 1 mahina.

Hoʻohana i ka wā kahiko

Me ka makaʻala.

Ke keu

Ke pale ʻole ʻole e hoʻopili ʻia e kēia ʻoi e hoʻonāukiuki i ka hoʻēmi ʻana i ka hoʻohaʻahaʻa o ka neuromuscular o ke kino a pau ka hanu ʻana.

Hiki i ka ʻonikele ka hopena me ka hiki ke hoʻomalu i nā mīkini.
ʻAʻole hoʻohana ʻia ka hoʻohana ʻana o Gentamicin i ka wā hāpai a me ka lactation.
Hoʻohana ʻia ka lāʻau lapaʻau i ka mālama ʻana i nā maʻi maʻi pāpaʻi a me nā maʻi i nā keiki mai 1 mahina.
Ke pale ʻole ʻole ʻia e ia o ke ʻano nui o kēia mea e hoʻōla i ka hoʻēmi ʻana i ka hoʻōla ʻana o ka ʻiʻo a hiki i ka pau ʻana o ka hanu.

Pono i ka hoʻokipa ʻana.

Hoʻopili pū me nā lāʻau ʻē aʻe

ʻAʻole hiki iā ʻoe ke komo i ka wā like me nā lāʻau ʻē aʻe (koe wale nō nā solusi isotonic no ka hoʻokele intravenous).

Hoʻonui i nā pono hoʻomaha hoʻomaha o nā lāʻau like curare-like. Hoʻemi i ka hopena o nā lāʻau anti-myasthenic.

Me ka hana like me ka diuretics a i ʻole ʻo Cisplatin hoʻonui i ko lākou nephrotoxicity.

I ka hui pūʻana me nā antibiotics, hoʻonui ka penicillin i kā lākou mau anti anticicrobial.

ʻAʻole pono e lawelawe pū ʻia ʻo Gentamicin me nā lāʻau lapaʻau ʻē aʻe (koe wale nō nā solusi isotonic no ka hoʻokō intravenous).
Me ka hana like me ka diuretics a i ʻole ʻo Cisplatin hoʻonui i ko lākou nephrotoxicity.
I ka hui pūʻana me nā antibiotics, hoʻonui ka penicillin i kā lākou mau anti anticicrobial.
I ka hui pū ʻana me indomethacin e hoʻonui i ka hopena o ka hoʻomohala ʻana i nā hopena o nā mea laʻa.
ʻOiai ke ʻano nui o nā papa inoa o nā mea hoʻohālikelike o kēia antibiotik, ʻoi aku ka maikaʻi o Garamycin ma mua o nā lāʻau lapaʻau.

I ka hui pū ʻana me indomethacin e hoʻonui i ka hopena o ka hoʻomohala ʻana i nā hopena o nā mea laʻa.

Nā kuʻina

ʻOiai ke ʻano nui o nā papa inoa o nā ʻano hoʻohālikelike o kēia antibiotik, ua hōʻoiaʻiʻo lākou iā lākou iho i ʻoi aku ma mua o nā lāʻau lapaʻau ʻē aʻe.

  • Garamycin;
  • Akosile Kauwila.

Waihue huaʻōlelo waiho nā huaʻōlelo

Loaʻa me kahi papa inoa ma ka ʻōlelo Latin.

Mea kūʻai Kūʻai

Aia ke kumukūʻai i ke ʻano o ka hoʻokuʻu i ka lāʻau lapaʻau. ʻO ke kumukūʻai haʻahaʻa loa ma nā lāʻau kūʻai Lūkini mai 35 mau rubles.

Nā hui Antibiotics. Na rula o ka hana.
Mai poina ʻole i nā hōʻailona 10 mua o ka maʻi maʻi

Ke mālama nei i nā kūlana o ka lāʻau Gentamicin

Ma ke ana waena e pae i ka + 25˚С. Mai mālama i nā keiki.

ʻO ka lā kau

5 mau makahiki

Hōʻikeʻike i nā kauka a me nā mea maʻi e pili ana iā Gentamicin

Minina T.V., ka mea lapaʻau, Novosibirsk.

ʻO Aminoglycoside series antibactial lāʻau me ka nui o nā hopena. Loaʻa i kahi papa inoa o nā hopena maikaʻi. Hoʻohana wale no nā kumu olakino e like me ka kuhikuhi a ke kauka.

Kosyanov E.D., orthopedist, Krasnoyarsk.

Pāpaʻa ikaika. Hoʻohana ʻia e mālama i nā maʻi maʻi a me ka maʻi. ʻ islelo ʻia nā Orthopedics no ka mālama ʻana a me ka nānā ʻana i nā hoʻopiʻi infectious ma hope o ka arthroplasty. He mau contraindications a me nā palena no ka hoʻohana. Pono e kuhikuhi e ke kauka.

Marina, 36 makahiki, ke kūlanakauhale o Tomsk.

Ua loaʻa i kaʻu keiki nā conjunctivitis. Paipai ʻia e ka ophthalmologist kēia mea hana i ke ʻano o ka hāʻule ʻana o ka maka. Hoʻohana ʻia 1 kahe ʻekolu mau lā i ka lā. E nānā ʻia nā hoʻomaikaʻi ʻana i ka lā 2 o ka mālama ʻana. Ma hope o 5 mau lā o ka papa, ua nalowale nā ​​hōʻailona maikaʻiʻole. He haʻahaʻa a kūpono hoʻi ka lako. Ua hauʻoli wau i ka hopena.

Pin
Send
Share
Send