IGentamicin Akos wumuthi ukusetshenziswa kwayo okuhloswe ngawo ukubhujiswa kwamagciwane. Isebenza ngempumelelo ngokumelene neningi lazo, kodwa ngaphambi kokusebenzisa umuthi njengenye yezindlela zokwelashwa, kufanelekile ukubonana nodokotela.
Igama Lezwe elingafanele
Kuyafana.
I-ATX
D06AX07.
Khipha amafomu nokwakheka
Umuthi ukhiqizwa yimakethe yemithi ngendlela ye-dosage efana ne-ointment. Ukuhlushwa kwayo kungu-0,1%. Into esebenzayo yi-glamicin. Kwenziwa nesixazululo ngokuphathwa kwe-intravenous and intramuscular enegama elifanayo, kepha ngaphandle kwegama elithi Akos. Enye indlela yokukhishwa imelelwa ngamaconsi asetshenziswa ku-ophthalmology. Kuboniswa ukubangcwaba kwisigaxa se-conjunctival.
IGentamicin Akos wumuthi ukusetshenziswa kwayo okuhloswe ngawo ukubhujiswa kwamagciwane.
Isenzo se-Pharmacological
Umuthi ungoweqembu lama-aminoglycosides. Le yi-antibiotic enemiphumela ehlukahlukene. Ingena ngaphakathi kolwelwesi lwamagciwane futhi ivimbela umsebenzi wama-microorganisms ngenxa yokuxhunyaniswa ne-ribosomes.
Isebenza ngokumelene ne-gram-positive aerobic cocci ne-aerobes ye-gram-negative. Ezinye izidalwa zikhombisa ukumelana nemithi elwa namagciwane. Phakathi kwazo kukhona ama-anaerobes.
I-Pharmacokinetics
Ngemuva kokufaka isicelo, umkhiqizo cishe awuthathiwe ngaphandle. Umuthi ngokushesha usebenza endaweni yokuvuvukala noma isilonda.
Ngemuva kokuphatha intramuscularly, into esebenzayo igxila ngokushesha. I-Excretion inomchamo ne-bile. Ibopha kancane amaprotheni egazi e-plasma.
Ukufakwa kwamaconsi wamehlo kungabonakala kungabalulekanga.
Isetshenziselwa ini?
Inhloso yomkhiqizo ukusetshenziswa kwangaphandle, i.e., ngesimo samafutha, kwenzeka uma isiguli sihlupheka:
- ukutheleleka okwenziwa endaweni enezilonda zesikhumba futhi kunemvelaphi ehlukile (ukushiswa, amanxeba, ukulunywa yizinambuzane);
- izinduna ezithelelekile;
- dermatitis, pyoderma ne furunculosis.
Umuthi uphatha nezilonda ze-varicose. Kungcono ukungasebenzisi izimonyo ngesikhathi sokwelashwa, ngoba lokhu kunganciphisa ukwelashwa kwezilonda zesikhumba.
Udokotela uzonikeza isixazululo sokusetha ama-droppers noma imijovo uma inhloso yokwelapha ukwelapha izifo ezilandelayo:
- ukutheleleka kwe-urogenital (umuthi usetshenziswa ngokuqinile ku-gynecology);
- izinqubo zokuvuvukala epheshaneni lokuphefumula elingaphezulu nelingaphansi (kufaka phakathi umkhuhlane);
- ukutheleleka kwe-peritoneum, i-central system ye-neva ne-otitis media.
Ukusetshenziswa ekwelapheni i-ophthalmic pathologies kubandakanya ukwelashwa kwezilonda zamehlo ezibacteria ezibangelwa yi-microflora ebucayi. Lezi yi-blepharitis, ibhali, i-keratitis kanye ne-corneal ulcer.
Contraindication
Amafutha awanconywa ngezinhloso zokwelapha uma umuntu enokuzwela okwengeziwe kwengxenye yomuthi (kufaka phakathi umlando) noma i-aminoglycosides, iremia, i-nerve neritis ephazamisayo, kanye nokuphazamiseka okubalulekile kwezinso.
IGentamicin Akos isetshenziswa ekwelapheni izilonda zamehlo ezibangelwa amagciwane.
Ngokunakekela
Kuhle ukunquma umuthi ngokuqapha ngokwengeziwe phambi kwesiguli esine-myasthenia gravis, izifo ze-vestibular apparatus.
Ungayithatha kanjani iGentamicin Acos?
Ngaphambi kokusebenzisa lo muthi, udinga ukutadisha imiyalo yokuwusebenzisa.
Ukusetshenziswa kwangaphandle kukhonjiswa izikhathi ezingama-3-4 ngosuku, ukugcoba ngamafutha kancane endaweni ethintekile. Kubalulekile ukulandela imigomo yokudla okunempilo ukuze ukutakula kusheshe.
Ukulawulwa kwe-intravenous noma kwe-intramuscular, umthamo wabantu abadala uzoba ngu-1.5 mg nge-1 kg yesisindo somzimba. Umuthi uphathwa izikhathi ezingama-2-4 ngosuku. Isikhathi sokwelashwa sizoqala kusuka ezinsukwini eziyisikhombisa kuya kweziyi-10. Imithamo nobude bendawo yokwelashwa bungashintshwa udokotela ngokubona kwakhe.
Ukusetshenziswa kwesihloko: Amaconsi ama-1-2 kufanele afakwe esweni elithintekile. Isikhathi phakathi kwenqubo kufanele okungenani sibe ihora elilodwa. Ngesikhathi sokwelashwa, udinga ukuyeka ukusetshenziswa kwamalensi wokuxhumana.
Ukulawulwa kwe-intravenous noma kwe-intramuscular, umthamo we-Gentamicin Akos wabantu abadala uzoba ngu-1.5 mg nge-1 kg yesisindo somzimba.
Kungenzeka yini ukuthi uphuze umuthi onesifo sikashukela?
Isifo sikashukela kuwukuphikisana nokunikezwa kwezidakamizwa ngendlela yemijovo. Amaconsi e-oyela kanye nawamehlo angasetshenziswa kumthamo ofanele futhi kuvumelana nodokotela.
Imiphumela emibi yeGentamicin Akos
Lapho ufaka amafutha, isiguli singathola ukusabela komzimba ngendlela yokutsha, ukulunywa, ukuqubuka kwesikhumba, ngisho ne-angioedema. Lapho welapha ngokuphatha isixazululo, kusenokuvela okungahambi kahle ngokwengeziwe. Zifanekiselwa yi-anemia, isicanucanu kanye nokuhlanza, ikhanda, ukuqwashisa nobunzima, i-nephrotoxicity kanye nokuphendula endaweni yomjovo. Ukwehlisa ubulukhuni bokubonakaliswa okungekuhle kusuka ohlelweni lokugaya ukudla, ukujwayelekile kokudla okunempilo kubhekwa njengokubalulekile. Kunconywa ukwethula izithasiselo zokudla.
Lapho usebenzisa amaconsi wamehlo, kungavela izimpawu ezingezinhle ezinjengokufiphala kwamehlo ne-conjunctival hyperemia.
Imiyalo ekhethekile
Ngesikhathi sokwelashwa, kubalulekile ukubheka ukusebenza kwe-renal.
Sebenzisa ebudaleni
Awukwazi ukusebenzisa umuthi ngokuhlelekile nangaphandle ekwaluphaleni. Mhlawumbe ukusetshenziswa kwamehlo kwehla.
Ungasebenzisi i-Gentamicin Akos ngokuhlelekile nangaphandle ekwaluphaleni.
I-Gentamicin Akos yezingane
Umthamo omkhulu ovunyelwe wezingane onokulawulwa kokuhlinzwa nokuqina kwemithambo ungaphezu kwe-5 mg nge-1 kg yesisindo sesiguli. Yabela izingane ikakhulu iminyaka emi-2.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Njengoba into esebenzayo idlulela obisini lwebele, awukwazi ukusebenzisa umuthi ngenkathi uncelisa ibele. Ukwemukelwa ngesikhathi sokuzala ingane kungenzeka kuphela lapho kudingekile kakhulu. Lokhu kukhawulelwa kungenxa yokuthi ukwelashwa nge-aminoglycosides kungavusa ubuthulu emntwaneni ongakazalwa.
Ukweqisa kwe-Gentamicin Akos
Isibonakaliso esiyinhloko sedosi eleqile ukwehluleka kokuphefumula, okungaholela ekumeni ngokuphelele. Njengokwelashwa, udinga ukwethula amalungiselelo we-Proserin ne-calcium. Uma ukwehluleka ukuphefumula kukhulu, kunesidingo sokuphefumula komoya.
Isibonakaliso esiyinhloko sedosi eleqile le-Gentamicin Akos ukwehluleka kokuphefumula.
Ukuxhumana nezinye izidakamizwa
Ukusetshenziswa ngokubambisana ne-opioid analgesics kukhulisa ubungozi bokuthuthukisa i-apnea esigulini.
Ukuhambisana notshwala
Ukuphuza utshwala akufiseleki.
Ama-Analog
Okufana nalomuthi yi-Dexa-gentamicin ne-Gentamicin i-oils, i-Gentamaks ne-Gentsin.
Imibandela yekhefu lekhemisi
Ngingakwazi ukuthenga ngaphandle kadokotela?
Ungathenga uwoyela ngaphandle kwencwadi kadokotela.
Intengo ye-Gentamicin Akos
Izindleko eziphansi eziseRussia zingama-ruble ayikhulu.
Izimo zokugcina zomuthi
Izinga lokushisa kufanele libe lokushisa lasekamelweni.
Isikhathi sokuphelelwa yisikhathi
Iminyaka emithathu
Umkhiqizi
I-Synthesis ye-OJSC (Russia).
Ukubuyekezwa mayelana neGentamicin Akos
U-Elvira, oneminyaka engama-32, uGrozny: "Bengisebenzisa lesi sidakamizwa ukwelapha isifo somoya. Sisizile masinyane. Lesi sifo besingathandeki, sibanga ukucasuka kwesikhumba nokuhlala njalo. Bengingakaze ngizwe ngalo muthi ngaphambili, angifundanga izincomo kunethiwekhi futhi nginqume ukuxhumana nochwepheshe ngokushesha. Ngemuva kokubonisana, umuthi wanqunywa.
Ngayithenga ngalo lolo suku futhi ngaqala ukuyisebenzisa kaningana ngosuku ezindaweni ezithintekile zesikhumba. Kwaba lula ngokushesha. Ngakho-ke, ngiyeluleka ithuluzi kuwo wonke umuntu onenkinga efanayo yesikhumba. Kuhle ukubonana nodokotela wakho ngaphambi kokusebenzisa lo mkhiqizo wezemithi. "
U-Alina, oneminyaka engama-49, u-Perm: "Umuthi usebenza kahle ngenxa yokulimala kwamehlo. Kubalulekile ukuqonda ukuthi udinga ukubonana nodokotela ngaphambi kokuwusebenzisa. Uzokweluleka ngokusetshenziswa kwesidakamizwa esifanele futhi uthathe isinqumo sokuthi lolu hlobo lonyango lungaphikiswa yini noma cha. Kwezinye izimo, lokhu akwenzeki ngenxa yokuba khona kwezifo ngazinye noma izici zomzimba ezigulini, ngakho-ke kufanele uthembele kudokotela futhi uthembele ngokuphelele esinqumweni sakhe esekelwe ekusebenzeni komtholampilo. ngokwesaba ukuya kudokotela. "
