'Gentamicin'. Cov lus qhia rau kev siv.

Tus kws kho mob tshuaj tshuaj tua kab mob "Gentamicin"? Cov lus qhia rau kev siv ntawm cov tshuaj qhia txog nyob rau hauv kom meej txhua zaus ntawm cov tshuaj no.

"Gentamicin" yog hais txog antimicrobial thiab antiparasitic agents. Qhov no tshuaj tua kab mob yog ua los ntawm fungi Micromonospora purpurea. Ib tug sib tov ntawm gentamicin hom C1, C2, C1a hu ua "Gentamicin sulfate." Cov lus qhia rau "Gentamicin" thiab "Gentamicin sulphate" yog zoo tib yam. Tej kev npaj no muaj hauv daim ntawv ntawm ib tug dawb hmoov los yog ntxeem tau loj nrog kua zas. Nws yog yooj yim soluble nyob rau hauv cov dej. Cov cawv thiab tshuaj yaj yeeb yog suab insoluble. Nws belongs rau lub aminoglycoside tshuaj tua kab mob.

Cov tshuaj muaj ib tug bacteriostatic ntxim rau Proteus, E. coli, Salmonella, staphylococci thiab lwm yam kab mob. Microbial kuj yog tsim heev maj mam. Drug-resistant "Kanamycin" thiab "neomycin" hom, thiab kuj resistant mus rau qhov tshuaj tua kab mob. Bactericidal concentration ntawm cov tshuaj tom qab haus ntawm ib teev yog tsim thiab khaws cia kom txog rau thaum 12 teev.

Tshuaj tua kab mob "Gentamicin" qhia rau kev siv

Muab qhov no prearat nyob rau ntau lub kis kab mob (pleurisy, mob ntsws, empyema, mob ntsws, peritonitis, meningitis, urethritis, qhov txhab mob, Septicemia, mob pyelonephritis, cystitis). Cov tshuaj no yuav siv tau thiab prostatitis. Rau hauv loj heev purulent kab mob thiab mixed kab mob thiab muab tshuaj "gentamicin." Cov lus qhia rau kev siv daim ntawv tso cai, nyob rau hauv cov ntaub ntawv no nws ua ke nrog tshuaj "Carbenicillin" los yog "ampicillin" (semisynthetic penicillins). Nyob rau hauv ib co loj heev zaum, nws yog zoo nyob rau hauv deficient kev ua ntawm lwm yam tshuaj tua kab mob.

Txoj kev ntawm daim ntawv thov: intravenously (nrog), intramuscular txhaj tshuaj, topically. Ib tug tib yam tsawg kawg nkaus koob tshuaj - 0.4 mg / kg. Lub sij hawm nyiaj pab ntau tshaj koob nyob rau hauv loj heev zaum - 5 mg / kg. Txhua hnub koob tshuaj ntau yam ntawm daim ntawv thov ntawm cov tshuaj. Cov koob tshuaj nyob ntawm seb yam ntawm tus kab mob thiab nws heev, lub cev hnyav thiab muaj hnub nyoog. Cov me nyuam nyob rau hauv 14 lub xyoos ntawm tshuaj tua kab mob tshuaj rau kev kho mob yog vim li cas. Lub hnub koob tshuaj no feem ntau yog muab faib ua 2 lub sij hawm, txawm hais tias nws tso cai rau division 3 lub sij hawm. Qhov nruab nrab ntev ntawm kev kho mob - 7-10 hnub. Tshuaj tua kab mob yog muab intravenously tsis muaj ntau tshaj li 3 hnub thiab, tom qab, pauv mus rau intramuscular txhaj tshuaj.

Ua pa kab mob active tshuaj tua kab mob yog feem ntau siv rau inhalations (0.1%). Thaum keratitis, conjunctivitis thiab lwm yam qhov muag mob 3-4 lub sij hawm txhua txhua hnub khoom instillation rau hauv lub qhov muag ib ob peb tee ntawm ib tug 0.3% tshuaj ntawm gentamicin. Tshuaj pleev "Gentamicin-Akos" phau ntawv: siv rau folliculitis, pyoderma, furunkulleze. Nws muaj 0.1% gentamicin sulfate. Cuam tshuam qhov chaw yog lubricated 2-3 lub sij hawm txhua txhua hnub. Tej txheej txheem yuav tsum tau nqa tawm 7-14 hnub.

Tshuaj tso tawm nyob rau hauv xws cov ntaub ntawv, nyob rau hauv ampoules nrog ib tug 4% tov (1; 2 ml) rau hauv cov hmoov daim ntawv nyob rau hauv vials (0.08 g) nyob rau hauv cov hlab nrog 0.1% tshuaj pleev (10; 15 g), qhov muag dauv nyob rau hauv cov hlab -kapelnitsah nrog 0.3% saline.

Mob tshwm sim thiab contraindications

Pib tshuaj tua kab mob "Gentamicin" cov lus qhia rau kev siv uas cog lus tias yuav ua kom puas lub teeb ntawm micro-kab, yuav ua rau tus neeg mob lub noj qab haus huv tsis yog tsuas yog cov kev pab cuam, tab sis kuj puas tsuaj. Self-tshuaj yog tsis tau tso cai. Appointing ib cov tshuaj, tus kws kho mob yuav tsum coj mus rau hauv tus account tias qhov no tshuaj tua kab mob tej zaum yuav muaj nephrotoxic thiab ototoxic los. Qhov no tshuaj yog txhob nrog neuritis ntawm lub hnov paj. Tsis tsim nyog siv cov tshuaj ib txhij nrog lwm tshuaj tua kab mob, tshwj xeeb tshaj yog cov neeg uas tseem muaj ib tug nephrotoxic thiab ototoxic los. Drug Administration "Gentamicin" cev xeeb tub cov poj niam ua tsuas yog rau cov kev kho mob yog vim li cas. Thaum teeb ntawm lub excretory raum muaj nuj nqi nws yog siv nrog huab ceev faj (nyob rau hauv me me koob tshuaj). Rau hauv loj heev raum tsis ua hauj lwm thiab uremia nws feem ntau tsis tau ntawv. Qhov no tshuaj tua kab mob muaj peev xwm sawv ntawm thaiv cov hlab paj thiab nqaij conductivity thiab yuav ua raws li kurarepodobnymi tshuaj. Ua ntej siv cov khoom nws yog ib qhov zoo tshaj plaws los mus ua kom ib txoj kev kuaj rau lub cev teb thiab yog hais tias lub qhov koob twb liab thiab o ntawm cov kev kho mob nrog "Gentamicin" yuav tsum tau tso tseg.