Gentamicin - jekeseni

Pakadali pano, gentamicin mu jekeseni amaonedwa kuti ndi mankhwala amphamvu kwambiri. Kulowa mkati mwa maselo a mabakiteriya kupyolera mu nembanemba, gentamicin imatsutsa makamaka kaphatikizidwe ka puloteni ya tizilombo toyambitsa matenda. Amagwira ntchito kwambiri polimbana ndi Pseudomonas aeruginosa, mabakiteriya a gram-negative ndi gram-positive cocci, kuphatikizapo omwe amakana ndi mitundu ina ya maantibayotiki.

Kutulutsidwa kwa mawonekedwe ndi zolemba Gentamycin

Mankhwalawa amapezeka ngati mafuta, madontho a diso, ufa wophikira jekeseni, madzi a jekeseni (gentamycin sulfate). Zomwe zimapangidwanso, kuphatikizapo chinthu chachikulu, zikuphatikizapo:

• sodium metabisulfite;
• sodium hydroxide;
• sulfuric acid;
• mchere wa disodium.

Zizindikiro zogwiritsidwa ntchito Gentamycin

Mankhwala a Gentamicin, omwe amagwiritsidwa ntchito pa matenda aakulu. Zimathandiza pochiza odwala omwe ali ndi chitetezo chochepa, chomwe chiri choyimira kwa odwala matenda a shuga, khansa ya m'magazi, ndi zina zotero.

Parenteral Gentamicin amagwiritsidwa ntchito pochiza:

1. Matenda opatsirana a minofu ndi mafupa, khungu (kuphatikizapo kutentha kwakukulu ndi chisanu );
2. matenda opuma opatsirana ndi ziwalo za ENT;
3. kutupa kwakukulu m'matumbo ndi m'mimba;
4. Matenda a pakatikati a mitsempha.

Majekeseni a Gnatamycin amagwiritsidwa ntchito m'mabanja a amayi. Mu zotupa zothandizira m'magulu a amayi, mankhwalawa amathandizidwa mwachindunji. Chifukwa cha kugwiritsidwa ntchito kwa antibiotic, n'zotheka kupewa mavuto aakulu a umoyo, kuphatikizapo infertility .

Malangizo ogwiritsidwa ntchito Gentamicin mu ampoules

Mankhwala a Gentamicin angaperekedwe kwa thupi la wodwala onse mwachangu komanso mwachangu. Pofuna kugwiritsa ntchito mankhwala osokoneza bongo, mlingo umodzi wa mankhwalawo umachepetsedwanso ndi 50-100 ml ya isotonic chloride yankho kapena njira imodzi yokha ya shuga. Malangizowo amanena kuti mlingo wa Gentamicin tsiku lililonse mu jekeseni wamkulu ndi 3 mpaka 5 mg pa 1 kg ya kulemera kwa thupi, kwa ana oposa zaka 14 ndi 0.8 mpaka 1.2 mg pa kilo imodzi ya thupi, ndipo ndalamayi iligawidwa muyeso 2 mpaka 4 . Njira ya mankhwala ndi masiku 7 mpaka 10. Dokotala yemwe akupezekapo akhoza kusintha chifukwa cha kuopsa kwa matenda, msinkhu wa wodwalayo, ndi zina zotero. Amadziŵikiranso nthawi ya chithandizo cha mankhwala, chomwe, makamaka milandu yoopsa, ikhoza kuwonjezereka.

Zotsutsana ndi zotsatira za jekeseni Gentamycin

Kugwiritsidwa ntchito kwa Gentamicin sikulakwa:

• ndi kuwonjezeka kwa mphamvu kwa wodwalayo ku ma antibayotiki a gulu la aminoglycoside;
• kuphwanya kwa impso;
• neuritis ya mitsempha yolondola;
• pa nthawi ya mimba ndi lactation.

Pochiza Gentamicin, zochitika zovuta zotsatirazi zikhoza kuchitika:

• kunyoza, kusanza;
• mutu;
• minofu yofooka;
• phokoso;
• khungu;
• zovuta;
• kusowa nzeru.

Mankhwalawa amatha kusinthasintha, motero, ndi matenda opatsirana a impso, zilonda zam'mimba zimatchulidwa nthawi zambiri.

Nthawi zina Gentamicin ndi poizoni kwambiri thupi la wodwalayo. Zotsatirapo za mankhwalawa pamapeto a mitsempha yogwirizanitsidwa ndi ntchito ya zida zomvetsera ndi zobvala zimadziwika. Pachifukwa ichi, wodwalayo ayenera kukhala wotsogoleredwa ndi dokotala, makamaka ngati mankhwala opatsirana amadziwika bwino kapena mankhwalawo ataliatali. Gentamicin sinalembedwenso kuphatikizapo maantibayotiki omwe ali ndi mphamvu ya nephro- kapena ototoxic. Ndipo ngakhale kuti palibe deta yeniyeni yokhudza kugwirizana kwa gentamicin ndi jakisoni za mowa, akatswiri amalangizidwa kuti asamamwe mowa nthawi yonse ya mankhwala.