I-Gentamicin. Imiyalo yokusetshenziswa.

Ingabe udokotela wayala i-antibiotic Gentamicin? Imfundo yokusetshenziswa kokulungiswa ichaza ngokuningiliziwe zonke izimo zokusetshenziswa kwalesi sidakamizwa.

"Gentamicin" ibhekisela kuma-antimicrobial and antiparasitic agents. Le antibiotic ikhiqizwa yi-fungi Micromonospora purpurea. Inhlanganisela yezinhlobo ze-gentamicin C1, C2, C1a ibizwa ngokuthi "gentamycin sulfate". Imfundo ye "Gentamycin" ne "Gentamycin sulfate" iyafana. Lokhu kulungiselelwa kubonakala sengathi i-powder emhlophe noma ubukhulu obunamafutha nge-cream tinge. Ihlakazeka kalula emanzini. Ekuphuzeni utshwala, lesi sidakamizwa asikho emthethweni. Ihlukaniswa njengama-antibiotic e-aminoglycoside.

Isidakamizwa sinomphumela we-bacteriostatic ku-Proteus, i-Escherichia coli, i-Salmonella, i-Staphylococcus namanye amabhaktheriya. Ukuphikiswa kwama-microorganisms kukhula kancane. Imithi ye-Kanamycin "nemithi" ye-Neomycin "engamelana nemithi nayo iyamelana nale mithi elwa namagciwane. I-bactericidal concentration emva kokungena kwesidakamizwa emzimbeni idalwe ngehora futhi ihlala kuze kube amahora angu-12.

Antibiotic "Gentamycin", imiyalelo yokusetshenziswa

Nika le prearat ngezifo ezihlukahlukene ezithathelwanayo (pleurisy, pneumonia, empyema, bronchopneumonia, peritonitis, meningitis, urethritis, ukutheleleka kwesilonda, i-septicemia, i-pyelonephritis engapheli, i-cystitis). Isidakamizwa sisebenza kahle nge-prostatitis. Ezimweni zezifo ezinzima ze-purulent kanye nezifo ezixutshwe, isidakamizwa esithi "Gentamicin" sinqunywe. Imiyalo yokusetshenziswa ivumela kulokhu, ukuhlanganiswa kwayo nemithi "Carbenicillin" noma "Ampicillin" (i-semisynthetic penicillin). Kwezinye izimo ezinzima, kuphumelela ngemisebenzi enganele yeminye imithi elwa namagciwane.

Indlela yokusebenza: ngaphakathi (ukudonsa), ngokungahambisani, ngekhanda. Isilinganiso esisodwa esisodwa se-0.4 μ / kg. Isilinganiso esiphezulu nsuku zonke samacala amakhulu si-5 mg / kg. Ukwelashwa kwansuku zonke komuthi kuyahlukahluka. Umthamo wesidakamizwa uxhomeke kuhlobo lwesifo nokuqina kwalo, isisindo somzimba nesiguli. Izingane ezineminyaka engaphansi kwengu-14 ubudala ziyi-antibiotic enqunyiwe ngokusho kwezinkomba ezibalulekile. Umthamo wansuku zonke, njengombuso, uhlukaniswe izikhathi ezimbili, nakuba kungenzeka ukuhlukanisa ngezikhathi ezintathu. Ubude besikhathi semithi yizinsuku ezingu-7-10. I-antibiotic emithanjeni ihlinzekwa okungakapheli izinsuku ezintathu, futhi esikhathini esizayo, ishintshelwe kuma- injection ye-intramuscular.

Ukutheleleka kokuphefumula lokhu kulwa namagciwane okuvame ukusetshenziselwa ukungena (0.1%). E-keratitis, conjunctivitis nezinye izifo zamehlo 3-4 izikhathi ngosuku, amaconsi ambalwa ajojelwe emehlweni ngekhambi le-0.3% le-gentamicin. Amafutha "Gentamycin-AKOS", imfundo: isetshenziswa ku-folliculitis, pyoderma, furunculosis. Iqukethe i-0.1% ye-gentamycin sulfate. Izindawo ezithintekile zigcwala nsuku zonke izikhathi ezingu-2-3. Izinqubo ezinjalo kufanele zenziwe izinsuku ezingu-7-14.

Isidakamizwa sikhiqizwa ngalezi zindlela: ku-ampoules nesisombululo se-4% (1, 2 ml), ngesimo se-powder ku-flacon (0.08 g), kumatayipi anamafutha angama-0.1 (10, 15 g), amaconsi e-iso emathinini Abashayeli abanezixazululo ezingu-0.3%.

Imiphumela emibi kanye nokuphikisana

I-antibiotic esebenzayo "i-Gentamycin", umyalelo wokusetshenziswa kwayo uthembisa ukubhujiswa kwezinambuzane eziningi, kungabangela impilo yesiguli hhayi nje kuphela, kodwa futhi ingozi ebonakalayo. Ukuzivocavoca akuvumelekile. Lapho echaza umuthi, udokotela kufanele acabange ukuthi le mithi elwa namagciwane ingaba nomthelela we-nephrotoxic ne-ototoxic. Lesi sidakamizwa siyaphikisana ngo- neuritis we-nerve auditory. Akuvumelekile ukusebenzisa le mithi ngesikhathi esifanayo namanye ama-antibiotics, ikakhulukazi nalawo anomphumela we-nephro- ne-ototoxic. Imithi yesiguli "Gentamicin" kwabesifazane abakhulelwe yenziwa kuphela ngokusho izinkomba ezibalulekile. Uma ukwephulwa kwemisebenzi exretory yezinso, isetshenziswe ngokuqapha okukhulu (ngamanani amancane). Ngokwehluleka okukhulu kwezinso kanye ne-uremia, ngokuvamile ayikwazi ukumiswa. Le antibiotic inamandla okuvimbela ukuqhutshwa kwesisindo nesisu futhi ingenza njengesidakamizwa esifana nokudla. Ngaphambi kokusebenzisa lesi sidakamizwa, kungcono ukuhlola ukuphendula komzimba futhi uma isayithi lokujola libomvu futhi livuvukala, kungcono ukwenqaba ukwelashwa ne-Gentamicin.