Amikacin - cov lus qhia rau kev siv, analogues, tshuaj xyuas, tus nqi
Amikacin yog tshuaj tua kab mob (tshuaj tua kab mob) los ntawm pab pawg ntawm aminoglycosides. Nws muaj cov kab mob antibacterial, bactericidal thiab anti-tuberculosis effect, nws yog siv rau hauv kev kho mob ntawm ntau yam kab mob kis thiab mob.
Semi-hluavtaws cov tshuaj tua kabmob ntawm aminoglycoside pawg ntawm ntau qhov pom ntawm kev ua. Nws muaj cov nyhuv bactericidal.
Nkag mus rau tus kab mob cell cell, nws irreversibly khi rau 30S subunit ntawm cov kab mob ribosomes thiab, yog li, inhibits cov synthesis ntawm cov protein pathogen.
Ua tau zoo tawm tsam aerobic gram-cov kab mob tsis zoo: Pseudomonas aeruginosa, Escherichia coli, Shigella spp., Salmonella spp., Klebsiella spp., Enterobacter spp., Serratia spp., Providencia stuartii.
Nws kuj tseem nquag tawm tsam qee cov kab mob gram-zoo: Staphylococcus spp. (suav nrog cov kab mob uas tiv taus ntawm penicillin, methicillin, qee yam cephalosporins), qee yam kab mob ntawm Streptococcus spp.
Nquag tiv thaiv tus kab mob anaerobic.
Cov tshuaj nquag yuav luag tsis nqus tawm ntawm txoj hnyuv, yog li ntawd, cov khoom siv tshuaj ntxaum lossis tso ntshav tshuaj yog qhov tsim nyog. Cov tshuaj yooj yim hla cov keeb kwm kev tiv thaiv kab mob thiab nkag mus rau hauv tag nrho cov ntaub so ntswg ntawm lub cev, qhov twg nws txuam rau hauv cov hlwb.
Nws cov ntsiab lus siab tshaj plaws yog nyob hauv cov kabmob nrog cov ntshav txaus: ntsws, nplooj siab, tus po, myocardium thiab, tshwj xeeb, ob lub raum, qhov twg cov tshuaj txuam nrog tshuaj cortical. Nws kuj tseem muaj faib rau hauv cov kua dej, nrog rau cov ntshav cov ntshav thiab cov qog ntshav. Tsis yog metabolized.
Nws yog tawm hauv feem ntau hauv kev hloov pauv tsis los ntawm ob lub raum, tsim kom muaj qhov ntau ntawm cov zis.
Kev ntsuas rau siv
Dab tsi pab amikacin? Raws li cov lus qhia, cov tshuaj yog tawm rau cov kis mob hnyav los ntawm cov kab mob gram-negative (tshwj xeeb yog tias lawv muaj cov tshuaj tiv thaiv lwm cov tshuaj tua kab mob). Xws li cov kabmob muaj:
- Kev kis mob hauv cov nruab nrog cev ntawm cov kab mob ua pa - mob ntsws (mob ntsws), mob ntsws txhaws ntswg, mob ntsws ua paug (tsim kom muaj kab noj hniav txhaws txhaws rau hauv lub ntsws mob ntsws), pleural empyema (nthuav tawm ntawm cov kua paug hauv pleural kab noj hniav).
- Sepsis yog ib txoj kev sib kis nrog cov muaj cov kab mob nyob hauv cov ntshav nrog lawv txoj kev loj hlob thiab kev rov ua tiav.
- Cov kab mob endocarditis yog ib txoj kev sib kis (feem ntau purulent) ntawm sab hauv ntawm lub plawv (endocardium).
- Kev kis mob hauv lub hlwb - txha caj qaum, mob rau daim npluag qhwv paj hlwb, mob rau daim npluag qhwv paj hlwb.
- Cov txheej txheem kab mob hauv cov txheej txheem plab, nrog rau mob peritonitis.
- Kev kis mob ntawm daim tawv nqaij, cov nqaij mos thiab cov nqaij mos thiab cov nqaij mos - ua xua, phlegmon, cov txheej txheem tsis ua haujlwm, txheej txheem txaj nrog necrosis, kub hnyiab.
- Pathology ntawm lub siab thiab mob biliary - qhov qog ntawm daim siab, fiber, cholecystitis, empyema ntawm lub zais zis.
- Kev sib kis hauv cov kab mob ntawm lub tso zis thiab yug menyuam - pyelonephritis, urethritis, cystitis nrog kev txhim kho ntau yam ntawm purulent muaj teeb meem.
- Cov qhov txhab thiab tom qab kis tau tus mob hnyav.
- Kev kis mob ntawm cov pob txha (osteomyelitis) thiab pob qij txha (mob txha caj qaum).
Ua ntej siv, kev sim txiav txim siab ntawm kev sim rhiab ntawm cov kab mob sib kis rau cov tshuaj tua kab mob yog qhov tsim nyog.
Cov lus qhia rau siv Amikacin ntau npaum
Cov tshuaj yog muab tshuaj intramuscularly lossis intravenously, ntsiav tshuaj tsis muaj nyob. Tus txheej txheem koob tshuaj, raws li cov lus qhia rau kev siv Amikacin, yog 5 mg / kg txhua 8 teev lossis 7.5 mg / kg txhua 12 teev.
Hauv cov kab mob tsis yooj yim uas cuam tshuam rau lub plab, cov tshuaj tau qhia txhua 250 teev rau 250 mg.
Amikacin pib raug siv rau cov menyuam mos yug me nyuam thaum ntxov txog 10 mg / kg, tom qab ntawd lawv hloov mus rau 7.5 mg / kg, uas tau txhaj tshuaj txhua 18-24 teev.
Rau cov menyuam muaj hnub nyoog noj qab haus huv, cov tshuaj tau muab rau hauv thawj zaug ntawm 10 mg / kg, tom qab ntawd lawv hloov mus rau 7.5 mg / kg txhua 12 teev rau 7-10 hnub.
- Qhov nyiaj siab pub rau txhua hnub rau cov neeg laus yog 15 mg / kg / hnub.
Rau cov mob kis los ntawm tus kab mob Pseudomonas aeruginosa, thiab ua rau tuag taus ntawm lub cev, ib koob tshuaj ntawm 15 mg / kg ib hnub twg tau sau tseg hauv 3 koob.
Lub sijhawm tiv thaiv nrog kev tswj hwm tus mob yog 3-7 hnub, nrog kev muab tshuaj intramuscular - 7-10 hnub.
Rau cov neeg uas lub raum tsis ua haujlwm zoo, ua qhov kev qhia pom zoo kom kho cov tshuaj ntau npaum li cas ntawm Amikacin nyob ntawm tus nqi creatinine tshem tawm (tus nqi ntawm cov ntshav ua kom huv los ntawm cov khoom kawg ntawm nitrogen metabolism - creatinine).
Sab sij huam
Cov kev qhia ceeb toom ceeb toom txog qhov ua tau ntawm kev txhim kho cov kev mob tshwm sim hauv qab no thaum qhia Amikacin:
- Los ntawm cov txheej txheem hauv plab: nce kev ua haujlwm ntawm hepatic transaminases, hyperbilirubinemia, xeev siab, ntuav.
- Ua xua: ua pob khaus tawv, khaus, ua npaws, tsis tshua muaj - Quincke edema.
- Los ntawm cov kab mob hemopoietic: ua haujlwm ntshav, leukopenia, granulocytopenia, thrombocytopenia.
- Los ntawm sab hauv nruab nrab ntawm lub hauv nruab nrab lub paj hlwb thiab lub hlwb txhaws: mob taub hau, tsaug zog, tsis hnov mob neuromuscular kis, tsis hnov lus, mus txog kev txhim kho ntawm kev ua tsis tau zoo, lag ntseg tsis zoo.
- Los ntawm cov kab mob urinary: oliguria, proteinuria, microhematuria, tsis tshua muaj - lub raum tsis ua haujlwm.
Cov Yuav Tsum Tau Ua
Amikacin yog sib kis hauv cov xwm txheej hauv qab no:
- Lub paj hlwb ntawm cov leeg hlwb,
- Kev mob raum tsis ua haujlwm nrog rau azotemia thiab uremia,
- Cev xeeb tub
- Hypersensitivity rau lub Cheebtsam ntawm cov tshuaj,
- Hypersensitivity rau lwm aminoglycosides hauv keeb kwm.
Nyob rau hauv qhov muaj qhov tseem ceeb qhia, cov tshuaj yeeb yaj kiab yuav siv tau rau hauv cov poj niam muaj mis. Nws yuav tsum tau yug hauv lub siab tias aminoglycosides yog tawm hauv cov kua mis hauv cov khoom me me. Lawv ua tsis tau zoo los ntawm kev mob plab, thiab teeb meem cuam tshuam hauv cov menyuam tsis tau sau npe.
Noj ntau dhau
Cov tsos mob ntawm kev haus ntau dhau ntawm cov tshuaj muaj xws li lom tshuaj lom, tshwm sim los ntawm kev hnov lus, kiv taub hau, qaug zog, nqhis dej, tsis qab los, xeev siab, ntuav, lub suab nrov hauv lub pob ntseg, neuromuscular blockade nrog kev ua tsis taus pa kom txog thaum nws nres.
Hauv cov menyuam yaus, thaum kev noj tshuaj ntau dua, Amikacin ua rau CNS qhov kev nyuaj siab, uas yog qhov pom los ntawm tus neeg tsis muaj zog, tsis quav ntsej, thiab tsis nco qab yog qhov ua tau.
Txhawm rau kho qhov tshwm sim ntawm kev siv tshuaj ntau dhau, hemodialysis lossis peritoneal dialysis, tshuaj ntsev calcium, tshuaj anticholinesterase, tshuaj kho mob, thiab yog tias tsim nyog, siv tshuab cua tawm.
Amikacin analogs, tus nqi hauv cov chaw muag tshuaj
Yog tias tsim nyog, koj tuaj yeem hloov Amikacin nrog ib qho tshuaj tiv thaiv ntawm cov tshuaj nquag - cov no yog cov tshuaj:
Cov lus qhia los ntawm ATX code:
Thaum xaiv cov analogues, nws yog ib qho tseem ceeb kom nkag siab tias cov lus qhia rau kev siv Amikacin, tus nqi thiab tshuaj xyuas, tsis txhob siv rau cov tshuaj uas muaj cov nyhuv zoo sib xws. Nws yog ib qho tseem ceeb kom kws kho mob sab laj thiab tsis txhob hloov pauv cov tshuaj ywj siab.
Nqe hauv cov khw muag tshuaj Lavxias: Amikacin 500 mg hmoov - los ntawm 39 rubles, hmoov 1 g 10 ml - los ntawm 60 rubles, daws 250 mg / ml 2 ml 10 pcs. - los ntawm 219 rubles, raws li 573 lub tsev muag tshuaj.
Khaws rau hauv qhov chaw qhuav kom tsis muaj kev nkag tau rau me nyuam, tiv thaiv los ntawm tshav ntuj ncaj qha, ntawm qhov kub ntawm 5-25 ° C. Txee lub neej yog 2 xyoos.
Qhov xwm txheej ntawm kev faib tawm los ntawm cov khw muag tshuaj yog los ntawm cov tshuaj noj.
4 kev xyuas rau “Amikacin”
Tus menyuam tau raug tshuaj rau kev kho mob ntsws, lawv tau chob 7 hnub hauv ib qho tshuaj nruab nrab rau lub cev hnyav, tom qab ntawd lawv pib haus Vilprofen. Raws li qhov tshwm sim, ib hnub tom qab kawm tiav ntawm Amikacin, txawm hais tias Wilprofen tseem haus, qhov kub tau pib nti, thiab nyob rau hnub peb kub taub hau peb tau mus rau 5 lub tsev kho mob sib kis. Lawv tau kuaj pom tias muaj mob ntsws, lawv kuj tau txhaj tshuaj Cefotaxin rau 5 hnub thiab Ceftozidime rau 5 hnub. Tsuas yog lawv txwv peb ntawm tus kabmob. Ntawm qhov kuv xaus lus tias Cephalosporins ua tau zoo dua hauv kev tiv thaiv mob ntsws.
peb tsuas yog cuam tshuam tus kab mob nrog cov tshuaj tua kab mob no, cov kws kho mob ua haujlwm hauv kev sib kis tus kab mob (((tsis nkag siab qhov kev kho mob lawv kho ..
Amikacin yog thawj txoj kev cawm seej rau teeb meem nrog txoj hnyuv! Kuv qhia koj yuav
Kuv tus ntxhais tau hnov pob ntseg ntawm 3 qib los ntawm amikacin. Raug muag rau hauv tsev kho mob, tsis muaj leej twg ceeb toom txog tshuaj lom thiab cuam tshuam ntawm kev hnov lus. Kev tsis hnov lus tau pom tom qab poob 2 xyoo hauv kev txhim kho kev hais lus.
Amikacin
Amikacin yog semi-hluavtaws tshuaj tua kab mob thiab zwm rau pawg aminoglycosides. Cov tshuaj cuam tshuam rau cov kab mob me me bacteriostatically thiab bactericidal, qeeb lawv cov txheej txheem tseem ceeb thiab ua rau tuag. Cov tshuaj tiv thaiv ntawm cov kab mob me me mus rau Amikacin tshwm sim qeeb, yog li ntawd, cov tshuaj tua kab mob no ua txoj haujlwm tseem ceeb ntawm lwm cov tshuaj los ntawm aminoglycoside pawg.
Amikacin hais txog cov tshuaj tua kab mob sab-spectrum. Nws mas nquag tawm tsam:
1. Gram-negative microorganisms - salmonella, Escherichia coli, Pseudomonas aeruginosa, Shigella, Klebsiella, Serrations, Enterobacteriaceae thiab Providencia.
2. Qee cov kab mob micro-positive - staphylococci (tiv taus cephalosporins, methicillin thiab penicillin), qee yam kab mob ntawm streptococci.
Amikacin muaj peev xwm ntawm deleterious ua rau tus neeg sawv cev ntawm tus kabmob tuberculosis (Koch's wand).
Hauv kev hais txog tus kab mob anaerobic, cov tshuaj tua kab mob no tsis ua haujlwm.
Cov tshuaj yog kom meej rau hauv cov ntshav tom qab kev tswj hwm hauv tsoomfwv, thiab nws cov tshuaj lom hauv cov ntshav tswj tau txog 12 teev. Amikacin nkag mus rau hauv cov nqaij hauv lub cev kom zoo thiab sib ntxiv hauv cov kua tshuaj ntxiv thiab tso dej. Nws cov peev xwm ntau tshaj plaws tau txiav txim siab hauv lub raum, siab, lub ntsws, myocardium thiab tus po. Cov seem ntawm cov tshuaj no tsuas yog ua tawm los ntawm ob lub raum.
Amikacin tuaj yeem siv los kho ntau yam kabmob sib kis hauv menyuam yaus (txij li lub sijhawm neonatal) thiab rau cov laus.
Sab sij huam
- Los ntawm lub paj hlwb tawg - kev tsaug zog, mob taub hau, ntxhov siab lossis ua pa ntawm lub cev ua pa, loog, txhaws thiab leeg ntawm cov leeg, qaug dab peg.
- Ntawm ib feem ntawm cov hnov lus - hnov lus tsis zoo, lag ntseg, tshuaj lom ntawm lub cev vestibular (ua kom tsis muaj kev sib haum xeeb ntawm kev txav, xeev siab, mob taub hau, ntuav).
- Ntshav - kab mob leukopenia, thrombocytopenia, granulocytopenia, ntshav liab.
- Los ntawm cov mob hauv plab zom mov - ntuav, xeev siab, ua kom lub siab ua haujlwm tsis zoo.
- Los ntawm cov kab mob zis - Lub plawv dhia ua haujlwm tsis zoo nyob rau hauv daim ntawv ntawm oliguria, microhematuria thiab proteinuria.
- Los ntawm lub cev tiv thaiv kab mob - Ua xua pob liab liab, tawv nqaij liab, khaus, Quincke's edema, ua npaws.
- Kev tiv thaiv hauv zos - dermatitis, mob ntawm qhov chaw txhaj tshuaj, mob ntawm cov leeg ntshav (nrog kev tswj hwm ntshav).
Noj ntau dhau
- Hnov tsis hnov lus
- kiv taub hau
- tso zis muaj teeb meem
- tsis qab los noj mov
- kev nqhis dej
- xeev siab thiab ntuav
- zoo nkaus li txhaws qa lossis nrov nrov rau hauv pob ntseg,
- ua pa tsis ua hauj lwm.
Yog tias pom cov tsos mob tshwm sim, sab laj tus kws kho mob tam sim ntawd.
Amikacin Kev Kho Mob
Yuav thov li cas thov amikacin?
Kev teem sij hawm ntawm cov tshuaj no yuav tsum tau ua tom qab txiav txim siab rhiab rau nws ntawm cov kab mob me me uas ua rau muaj tus kabmob. Amikacin kev daws teeb meem yog muab rau tshuaj intramuscularly lossis intravenously (los ntawm cov kwj lossis los ntawm kev poob). Qhov ntau zaus ntawm kev tswj hwm yog txiav txim siab zuj zus.
Txhawm rau npaj qhov kev daws teeb meem, dej rau kev txhaj tshuaj yog ntxiv rau cov hmoov qhuav hauv cov vials. Txhawm rau npaj cov tshuaj rau kev txhaj tshuaj rau intramuscular ntawm 0.5 g ntawm hmoov, nws yog qhov tsim nyog los qhia 2-3 ml dej rau kev txhaj tshuaj rau hauv lub vial, saib xyuas kom tsis muaj menyuam. Tom qab yaj cov hmoov, cov tshuaj Amikacin tuaj yeem siv rau kev tswj hwm intramuscular.
Qhov siab ntawm amikacin hauv kev daws rau kev txhaj tshuaj rau tus mob tsis tuaj yeem siab tshaj 5 mg / ml. Yog tias tsim nyog, kev tswj hwm kev siv tshuaj ntawm cov tshuaj siv tib lub ntsiab lus Amikacin li rau kev tswj hwm intramuscular, uas tau ntxiv rau 200 ml ntawm 5% piam thaj hauv kev ua haujlwm lossis isotonic sodium chloride tov. Kev tswj hwm dej nrog tshuaj yeeb yog ua tiav ntawm tus nqi ntawm 60 tee hauv ib feeb, dav hlau - rau 3-7 feeb.
Hauv lub sijhawm kho mob, tus neeg mob yuav tsum soj ntsuam tsawg kawg yog 1 zaug hauv 7 hnub ua haujlwm ntawm kev ua haujlwm vestibular apparatus, lub raum thiab cov leeg hnov mob. Yog tias qhov kev tswj tau tshwm sim tsis txaus siab, txo koob tshuaj los yog tshem tawm cov tshuaj yog pom zoo.
Thaum siv Amikacin, cov neeg mob (tshwj xeeb yog cov neeg muaj kab mob hauv lub raum) tau qhia kom haus dej ntau.
Thaum tsis muaj qhov kev ua haujlwm zoo ntawm tus kabmob ua ntej 5 hnub ntawm kev siv Amikacin, nws raug nquahu kom thim nws thiab sau ntawv rau lwm cov tshuaj tua kabmob.
Amikacin Cov Tshuaj Quav
Amikacin tov yog muab rau tshuaj kom zoo ib yam lossis tso ntshav thaum muaj 5 mg / kg lub cev hnyav txhua 8 teev lossis 7.5 mg / kg txhua 12 teev.
Lub sijhawm siv:
- nrog kev txhaj tshuaj intramuscular - 7-10 hnub,
- nrog kev tswj hwm intravenous - 3-7 hnub.
Qhov siab tshaj plaws uas tau tso cai rau noj rau ib tus neeg mob hnub nyoog yog 15 mg / kg, tab sis tsis ntau tshaj 1.5 g ib hnub twg hauv 10 hnub.
Rau qee cov kab mob, lwm cov koob tshuaj tuaj yeem ua raws cai:
- nrog qhov tsis yooj yim rau cov mob txeeb zig - 250 mg txhua 12 teev, tom qab hemodialysis, yuav tsum tau txhaj ntxiv txog 3-5 mg / kg,
- nrog kev sib kis ntawm kev hlawv - 5-7.5 mg / kg tom qab 4-6 teev.
Hauv cov neeg mob uas lub raum tsis ua haujlwm, qhov koob tshuaj thiab kev tswj hwm kev noj qab haus huv yuav raug kho nyob ntawm theem ntawm creatinine hauv cov ntshav.
Amikacin rau menyuam yaus
Amikacin tuaj yeem siv los kho cov kab mob sib kis hauv cov menyuam yaus hnub nyoog. Vim nws cov ototoxicity thiab nephrotoxicity (qhov tsis zoo hauv lub nruab nrog cev thiab hauv lub raum), nws tau sau tseg nrog kev ceev faj txog kev yug ntxov thiab yug menyuam tshiab.
Muab:
- cov menyuam mos thiab cov menyuam yaus hnub nyoog 1-6 xyoo - qhov pib ntawm 10 mg / kg, tom qab ntawd 7.5 mg / kg txhua 18-24 teev,
- cov menyuam hnub nyoog dhau 6 xyoo - 5 mg / kg tom qab 8 teev lossis 7.5 mg / kg txhua 12 teev.
Lub sijhawm tiv thaiv ntawm kev kho mob rau cov menyuam yaus nrog Amikacin tau teeb tsa ua ib leeg zuj zus. Qhov nruab nrab, nws yog 3-7 hnub nrog kev muab tshuaj intravenous lossis 7-10 hnub nrog kev muab tshuaj intramuscular.
Amikacin thaum cev xeeb tub thiab lactation
Amikacin yog contraindicated rau hauv lub cev xeeb tub.
Thaum lub sijhawm lactation, cov tshuaj tuaj yeem ua haujlwm yog tias muaj cov cim tseem ceeb. Amikacin muaj peev xwm nkag mus rau leej niam cov kua mis hauv qhov me me thiab tsis zoo rau hauv cov hnyuv. Tsis muaj teeb meem dab tsi cuam tshuam nrog qhov no hauv cov menyuam noj niam mis.
Kev sib cuam tshuam yeeb tshuaj Amikacin
- Amikacin yog siv tsis tau rau cephalosporins, Heparin, penicillins, Amphotericin B, Capreomycin, Erythromycin, Hydrochlorothiazide, Nitrofurantoin, KCl, vitamins los ntawm pab pawg B thiab C,
- kev coj ua ke ntawm Amikacin nrog Benzylpenicillin thiab Carbenicillin txhim kho cov nyhuv ntawm cov tshuaj no, uas yuav tsum tau coj mus rau hauv tus account thaum sau ntawv noj ntau npaum li cas,
- kev sib koom tes ntawm Amikacin nrog Cisplatin, nalidixic acid, Vancomycin thiab Polymyxin B ua rau muaj kev pheej hmoo ntawm nws cov teebmeem nephrotoxic thiab ototoxic,
- Amikacin ua rau cov leeg ua rau mob uas ua rau cov tshuaj curare zoo li,
- noj amikacin tiv thaiv keeb kwm ntawm cov niam txiv kev coj noj coj ua ntawm indomethacin nce qhov kev pheej hmoo ntawm cov nyhuv ototoxic thiab nephrotoxic,
- Amikacin txo cov txiaj ntsig ntawm tshuaj tiv thaiv myasthenic,
- kev tswj hwm tib lub sijhawm ntawm Amikacin nrog polymyxins rau kev tswj hwm kev ua niam txiv, Methoxifluran, Capreomycin, halogenated hydrocarbons (tshuaj lom rau tshuaj loog), opioid analgesics ua rau muaj kev pheej hmoo ntawm kev ua pa ua pa.
Kev tshuaj xyuas txog cov tshuaj
Cov neeg mob feem ntau teb tau zoo rau qhov muaj peev xwm kho tau zoo ntawm Amikacin, qhia txog kev txhim kho sai ntawm kev noj qab haus huv hauv thawj hnub ntawm kev noj tshuaj.
Cov niam txiv ntawm cov menyuam yaus muaj lub siab ua haujlwm ntawm cov tshuaj tua kab mob no hauv kev kho mob ntawm ntau yam kab mob sib kis ntawm cov pa, lub plab thiab lub plab. Ntau ntawm lawv pom tias muaj txiaj ntsig tshwm sim txawm tias tom qab txhaj tshuaj thawj zaug.
Muaj qee qhov kev txheeb xyuas cov kev mob tshwm sim ntawm cov tshuaj tua kab mob no. Feem ntau, cov neeg mob qhia txog xeev ntuav, dyspepsia, thiab zoo nkaus li qaug zog thaum noj Amikacin. Muaj qee qhov kev rov qab saib xyuas ntawm kev fab tshuaj rau cov tshuaj no, uas tau tshwm sim los ntawm kev ua pob, liab tawv nqaij thiab Quincke's edema. Tsis tshua muaj neeg ua tim khawv rau qhov ototoxicity ntawm Amikacin, uas tau tshwm sim los ntawm qhov txo qis hauv kev hnov lus. Tsis muaj tshuaj xyuas ntawm nephrotoxicity ntawm cov tshuaj.
Qee tus neeg mob tau sau tseg mob hauv kev txhaj tshuaj ntawm Amikacin. Qee qhov xwm txheej, txhawm rau txo nws nrog kev txhaj tshuaj intramuscular, cov kws kho mob pom zoo kom tsis siv dej rau txhaj, tab sis 1% Novocaine tov rau diluting Amikacin hmoov.
Feem ntau cov neeg mob qhia tus nqi ntawm Amikacin uas yog "tsim nyog" lossis "pheej yig."
Tus nqi ntawm cov tshuaj hauv Lavxias thiab Ukraine
Tus nqi ntawm Amikacin nyob ntawm daim ntawv ntawm nws tso tawm, chaw tsim tshuaj paus, khw muag tshuaj thiab lub nroog muag yeeb tshuaj. Tus nqi rau cov tshuaj no tuaj yeem sib txawv heev, thiab yog li ntawd nws raug nquahu kom koj kuaj tus nqi ntawm ntau lub tsev muag tshuaj ua ntej yuav yuav nws.
Amikacin tus nqi hauv Russia:
- ampoules ntawm 500 mg (250 mg / 1 ml) ntawm 2 ml - 116-397 rubles. rau pob khoom ntawm 10 daim,
- 500 mg vials nrog hmoov - 13-33 rub. rau 1 lub raj mis
- fwj nrog hmoov ntawm 1 g– 37-48 rubles. rau 1 lub raj mis.
Amikacin tus nqi hauv Ukraine:
- ampoules ntawm 500 mg (250 mg / 1 ml) ntawm 2 ml - 140-170 hryvnias ib pob ntawm 10 daim,
- ampoules ntawm 1 g (250 mg / 1 ml) ntawm 4 ml - 270-300 hryvnia rau ib pob ntawm 10 daim,
- 500 mg vials ntawm hmoov –18-20 hryvnias ib 1 vial,
- fwj nrog hmoov ntawm 1 g –28-36 hryvnias ib 1 fwj.
Amikacin tau faib tawm los ntawm cov chaw muag tshuaj los ntawm cov tshuaj noj.