Gentamicin qhov muag tee: kev qhia rau kev siv

Gentamicin qhov muag tshuaj tso rau yog tshuaj tua kab mob uas yog npaj rau kev siv tawm haujlwm.

Qhov muag dauv Gentamicin yog cov tshuaj tua kab mob

Cov tee muaj qhov zoo ntawm lub qhov muag, tsim lub plhaub thaiv thiab rov qab ua kom pom tseeb ntawm lub zeem muag.

Tshuaj ua

Gentamicin khav theeb txog ntau yam teebmeem antimicrobial. Raws li, nws tso cai rau koj mus tua ntau yam kabmob loj uas tshwm sim los ntawm cov kab mob phom sij.

Gentamicin qhov muag tshuaj siv tau rau cov kab mob nram qab no:

1. Kab mob Blepharitis.
2. Keratitis
3. Kab mob ntsws.
4. Tshuaj lom neeg rau lub qhov muag.
5. Rau kev tiv thaiv ntawm kev phais mob.
6. Nrog roj hlawv.
7. Mob caj dab.
8. Iridocyclitis.
9. Tshuaj lom neeg rau lub qhov muag.

Qhov saum toj no tsuas yog cov kab mob tseem ceeb uas cov tshuaj no tuaj yeem sib tua. Qhov tseeb, daim ntawv teev npe no mus ntev.

Qhov muag tso tshuaj Gentamicin cov lus qhia rau kev siv

Cov menyuam yaus tom qab 12 xyoos thiab cov neeg laus yuav tsum tau nruab ib lossis ob lub tee hauv qhov muag cuam tshuam rau 3-4 zaug hauv ib hnub. Lub sijhawm kwv yees li pub nkag yog 14 hnub. Tab sis, nws tag nrho yog nyob ntawm kab mob thiab kev mob ntawm tib neeg lub cev.

Tsis tas li, kho tus neeg sawv cev tuaj yeem siv rau prophylaxis ua ntej thiab tom qab kev phais mob. Nws yuav yog:

1. Tshem tawm cov khoom txawv teb chaws.
2. Hlawv.
3. Thaum muaj kev puas tsuaj.

Hauv qhov no, nws yog ib qho tsim nyog los nruab ib qhov poob 4 zaug hauv ib hnub rau 3 hnub hauv cov kab.

Sab nraud thiab contraindications

Los ntawm cov kev mob tshwm sim, peb tuaj yeem paub qhov txawv:

Koj siv tsis tau cov cuab yeej hauv cov xwm txheej hauv qab no:

1. Thaum cev xeeb tub.
2. Thaum lub sijhawm lactation.
3. Cov me nyuam qis dua 12 xyoos.
4. Nrog neuritis ntawm auditory hlab ntsha.
5. Lub raum khiav tsis zoo.
6. Uremia.
7. Tsis tas li, koj siv tsis tau cov khoom lag luam yog tias muaj kev fab tshuaj.

Peb kos koj cov xim! Tsis txhob siv cov tshuaj muag Gentamicin muag ntau dua 5 zaug hauv ib hnub. Qhov no tuaj yeem ua rau o ntawm lub qhov tawv nqaij ntawm lub qhov muag.

Yog tias muaj ib qho ntawm cov tsos mob tshwm sim, ces koj yuav tsum tsis kam noj tshuaj thiab sab laj nrog kws kho mob.

Cov lus qhia tshwj xeeb rau kev siv

1. Tsis txhob kov lub nplaim dej ntawm cov tee - qhov no tuaj yeem ua tus kab mob.
2. Tshem tawm cov lo ntsiab muag 15 feeb ua ntej kev teeb tsa.
3. Lub cuab yeej tuaj yeem txo qhov tsis pom kev, yog li koj yuav tsum tso kev mus ncig ntawm lub log.
4. Lub txee lub neej ntawm cov tee yog ob xyoos.
5. Yog tias lub raj mis qhib, koj yuav tsum tau siv nws li 4 lub lis piam.

Tus nqi nruab nrab ntawm lub qhov muag poob Gentamicin hauv cov chaw muag tshuaj Lavxias tam sim no 200-250 rubles. Yog tias peb hais lus rau Ukraine, ces lawv cov nqi hauv thaj av ntawm 70-80 UAH.

Pharmacological kev txiav txim

Gentamicin yog tus cwj pwm tau los ntawm kev pom tseeb hauv kev ua haujlwm ntawm antimicrobial. Nws nquag ua rau ntau cov kab mob gram-tsis zoo: Escherichia coli, Klebsiella spp., Indole-positive thiab indole-negative Proteus spp., Enterobacter spp.l Providencia stuartii, Salmonella spp., Shigella spp., Acinetobacter spp., Acinetobacter spp., Pseudomonas aeruginosa: gram Dab Tsi Staphylococcus spp. (suav nrog cov tshuaj tiv thaiv penicillins thiab lwm cov tshuaj tua kab mob), qee cov kab mob ntawm Streptococcus spp. Kev tawm tsam ntawm cov kab mob me me mus rau gentamicin tshwm sim qeeb, txawm li cas los xij, cov kab mob tsis haum nrog neomycin thiab kanamycin kuj tiv taus gentamicin.

Kev ntsuas rau siv

Gentamicin yog raug kho rau kev kho mob ntawm kev kis mob los ntawm pathogens nkag siab nws. Cov tshuaj yog tawm rau mob siab thiab mob sib xyaw ua ke, mob txhab.-G ntawm lub qhov muag, keratitis, keratoconjunctivitis, mob thiab mob ntev iritis, mob thiab G ntev mob blepharitis, blepharoconjunctivitis, dacryocystitis thiab lwm yam kev kis mob, mob ntawm lub qhov muag, thiab tseem rau kev tiv thaiv. qhov muag phais.

Cov Yuav Tsum Tau Ua

Hypersensitivity rau gentamicin lossis rau ib qho ntawm cov tshuaj ntawm lwm yam tshuaj, lwm yam aminoglycosides.

Muaj pov thawj tias gentamicin tuaj yeem ua rau neuromuscular blockade thiab yog li ntawd yog contraindicated hauv myasthenia gravis thiab kab mob ntsig txog. Cov tshuaj yog contraindicated nyob rau hauv perforation ntawm lub tympanic daim nyias nyias, nyob rau hauv lub raum tsis txaus, nyob rau hauv cov kab mob ntawm cov neeg hnov ​​mob hlab ntsha, vestibular apparatus, e, thaum cev xeeb tub thiab pub niam mis (txwv tsis pub niam mis thaum kho).

Sab sij huam

Vim tias tsis muaj cov kev tshawb fawb soj ntsuam uas tuaj yeem siv los txiav txim siab qhov xwm txheej ntawm cov kev mob tshwm sim, qhov ntau zaus ntawm cov kev mob tshwm sim hauv qab no tau muab cais ua "tsis paub ntau zaus".

Los ntawm ob sab ntawm cov khoom hauv nruab nrog ntawm qhov muag: qhov muag pom hauv zos, qhov muag tsis pom kev, khaus qhov muag, khaus qhov muag, khaus hauv qhov muag, pom pob liab liab, o.

Los ntawm sab ntawm lub rut thiab subcutaneous cov ntaub so ntswg: mob ncus, tingling, tawv nqaij khaus, dermatitis.

Los ntawm cov kab mob genitourinary: nephrotoxicity, mob raum tsis ua haujlwm.

Tsis tshua muaj qee zaus, kev fab tshuaj muaj peev xwm ua tau.

Thaum lub voos voos, rhiab lossis superinfection, kev siv cov tshuaj yuav tsum raug txiav thiab kev kho tsim nyog yuav tsum tau kho.

Kev cuam tshuam nrog lwm yam tshuaj

Nrog rau kev siv gentamicin nrog cov diuretics haib, xws li ethacrylic acid thiab furosemide, kev pheej hmoo ntawm ototoxicity nce, thaum amphotericin B, cisplatin, cyclosporine thiab cephalosporins muaj peev xwm

nephrotoxicity enhancers. Cov tshuaj tsis tuaj yeem sau tseg

nrog rau lwm cov tshuaj muab

nephrotoxic nyhuv. Neuromuscular thaiv thiab ua pa tuag tes tuag taw tau

sau npe thaum kws kho mob aminoglycosides rau cov neeg mob tau txais thaum lub sijhawm

Tshuaj loog nqaij mob nploog zoo li curare. Tshuaj tsis sib haum nrog tshuaj amphotericin,

cephalosporins, erythromycin, heparin, penicillins, sodium bicarbonate thiab

Daim ntawv thov nta

Cuam tshuam rau lub peev xwm tsav tsheb thiab lwm yam uas muaj peev xwm txaus ntshai. Kev ceev faj yuav tsum ua kom zoo thaum tsav tsheb, siv cov khoom lag luam lossis lwm yam kev ua haujlwm tsis zoo. Cov tshuaj yuav ua rau tsis pom kev. Yog tias koj pom kev qhov muag plooj, tsis lees paub los ntawm cov haujlwm uas tsim kev puas tsuaj.

Kev tiv thaiv kev nyab xeeb

Zam kev siv sijhawm ntev, uas tuaj yeem ua rau tawv nqaij tawv thiab rov tshwm sim ntawm cov kab mob me. Kab mob khaub lig-rhiab tuaj yeem txhim kho nrog lwm cov tshuaj tua kab mob aminoglycoside. Hauv kev kis mob hnyav, kev siv lub zos gentamicin yuav tsum tau ntxiv nrog kev siv tshuaj tua kab mob ntawm lub cev. Kev ceeb toom yog qhia thaum sau ntawv rau cov tshuaj ib txhij nrog cov kab mob aminoglycosides. Nrog kev kho mob mus ntev, lub raum thiab lub pob ntseg yuav tsum kuaj xyuas. Cov tshuaj rau qhov muag yuav tsum tsis txhob siv rau hauv cov neeg mob hnav tsom iav.

Daim ntawv tso tawm, ntim thiab muaj pes tsawg leeg Gentamicin

Qhov muag ua rau hauv daim ntawv pob tshab, tsis muaj xim lossis daj uas muaj kua.

1 ml
gentamicin sulfate	5 mg
uas sib raug rau cov ntsiab lus ntawm gentamicin	3 mg

Tshwjxeeb: benzalkonium chloride, sodium sodium phosphate, sodium dihydrogen phosphate, sodium chloride, dej.

5 ml - polyethylene dropper lub raj mis (1) - pob khoom los ntawm cardboard.

Kev ntsuas pom ntawm cov tshuaj Gentamicin

Kab mob sib kis:

• blepharitis
• pom mob pob txha
• keratoconjunctivitis,
• keratitis
• dacryocystitis
• iridocyclitis.

Tiv thaiv kev kis kab mob tom qab raug mob thiab ua haujlwm qhov muag.

ICD-10 cov lis dej num

ICD-10 code	Kev taw qhia
H01.0	Kab mob Blepharitis
H04.3	Mob thiab tsis paub meej mob o cov lacrimal ducts
H04.4	Mob o ntawm lub lacrimal ducts
H10.2	Lwm cov mob sib xyaw ua ke
H10.4	Mob ntsws ntev
H10,5	Blepharoconjunctivitis
H16	Keratitis
H16.2	Keratoconjunctivitis (suav nrog nrog los ntawm kev kis sab nraud)
H20.0	Mob ncauj lus thiab tso mob raws raum (anterior uveitis)
H20.1	Ntev nrog mob iridocyclitis
Z29.2	Lwm hom kev tiv thaiv tshuaj (tshuaj tua kab mob prophylaxis)

Yeeb tshuaj sib cuam tshuam

Kev tswj hwm nrog erythromycin thiab chloramphenicol tsis pom zoo vim yog tshuaj tshuaj tsis haum.

Thaum muaj cov kab mob loj rau lub qhov muag, kev kho mob hauv zos yuav tsum tau txais kev ntxiv los ntawm kev siv tshuaj tua kab mob, txawm li cas los xij, kev siv Gentamicin qhov muag tshuaj yuav tsum tsis txhob muab coj los ua ke nrog lwm cov tshuaj tua kab mob uas muaj oto- thiab nephrotoxic.

Muaj pes tsawg leeg thiab lub zog

Gentamycinum nyob rau hauv daim ntawv ntawm cov tee yog ib qho kev daws teeb meem uas tau muab hliv rau hauv lub hwj yas uas muaj lub hau dej rau cov kua dej uas yooj yim rau kev tswj hwm ntawm cov tshuaj. Cov tshuaj hauv ophthalmic tshuaj muaj tam sim ntawd 2 yam tseem ceeb: gentamicin sulfate thiab dexamethasone sodium phosphate. Xws li lub cev qhov sib xyaw tau muab qhov kev tawm tsam zoo los tiv thaiv cov kab mob gram-negative aerobic thiab ntau grams + cocci.

Ntxiv nrog rau qhov tawm suab zoo tshaj tawm, Gentamicin muaj qhov sib txig sib luag los tiv thaiv kev tiv thaiv thiab mob me me.

Txoj kev teeb tsa ntawm qhov muag kuj muaj cov tshuaj pab, uas yog:

• d / thiab dej
• hydrochloric acid sodium ntsev,
• benzazhexonium chloride,
• phosphoric acid poov tshuaj ntsev,
• dipotassium hydrogen phosphate.

Txhawm rau kom rov zoo sai ntawm tus neeg mob nrog txoj kev mob hnyav, nws yog qhov tseem ceeb ntxiv rau kev kho mob nrog rau daim ntawv tsis xau dej ntawm cov tshuaj.

Gentamicin yog tsim tshwj rau kev siv tshuaj pleev. Nws lub Cheebtsam tsis nkag mus rau hauv cov ntshav dav dav thiab tsis muaj cov kabmob tsis muaj kabmob. Yog li, hauv kev muaj mob hnyav, nws raug nquahu kom siv cov tshuaj pleev qhov muag nrog cov tshuaj tua kab mob uas muaj lwm yam tshuaj.

Teem Sijhawm

Cov lus qhia rau kev siv piav qhia txog cov kab mob pathologies hauv qab no, hauv kev txheeb xyuas kev siv uas siv qhov muag pom "Gentamicin" muaj feem xyuam:

• kev ua xua tshwm sim
• mob purulent mob hauv lub plaub muag hnab plaub muag,
• cov mob ntawm qhov muag, lub ntug ntawm daim tawv muag.

Gentamycinum raug samfwm rau cov neeg mob uas tau txais kev phais mob txhawm rau kev kho tus mob glaucoma, cataracts lossis lwm yam mob o uas yuav tsum tau phais. Hauv qhov no, nrog kev pabcuam ntawm cov tshuaj kho mob ua ke, nws yuav muaj peev xwm tiv thaiv tau cov kev mob tshwm sim thiab nres qhov mob tshwm sim uas feem ntau tshwm sim tom qab lub sijhawm so.

Cov lus qhia rau kev siv

Tso tshuaj Gentamicin yog qhov tsim nyog rau cov laus thiab menyuam yaus. Koj yuav tsum siv lawv, ua raws nraim li cov cai hauv qab no:

1. Ntxuav tes nrog xab npum ua ntej kev ua.
2. Maj mam rub tawm cov tawv muag sab hauv qab thiab tso tawm 1-2 tee ntawm cov tshuaj mus rau hauv kev sib txuam hnab.
3. Rov ua dua lub installation txhua 4 teev.
4. Lub sijhawm tiv thaiv ntawm txoj kev kho yuav tsum tsis pub ntau tshaj 2 lub lis piam.
5. Thaum lub sij hawm tus txheej txheem, koj yuav tsum xyuas kom meej tias lub hau ntawm lub raj mis tsis chwv lub qhov muag thiab lwm qhov chaw.

Rov qab rau cov lus txheej txheem

Cov peev txheej txwv thiab qhov tsis zoo

Kev siv cov "Gentamicin" yuav muaj kev phom sij rau cov neeg mob uas muaj kabmob xws li:

• tuberculosis ntawm lub qhov muag,
• kis mob ntawm qhov muag pom hloov,
• rov qab mob ntawm pob qij txha yaig,
• fungal qhov muag kab mob
• mob thiab kev puas tsuaj rau lub pob kws,
• ailments nrog mob siab ntxiv ntawm kev ua haujlwm siab.

Thaum tus poj niam tab tom pub mis, nws yuav tsum tsis yog thaj chaw kho nrog cov tshuaj no.

Daim ntawv ntawm contraindications muaj hypersensitivity rau cov muaj pes tsawg leeg ntawm lub qhov muag, lub sijhawm lactation thiab cev xeeb tub. Tom qab lub qhov muag pom tseeb, "Gentamicin" tuaj yeem ua rau qhov muag pom luv, hais txog qhov no, thawj ib nrab teev lossis kom txog thaum lub qhov muag pom kev ua haujlwm tsis pom zoo, nws tsis pom zoo kom tsav tsheb thiab pib ua haujlwm uas xav tau siab.

Thaum kho ophthalmic pathologies nrog Gentamicin qhov muag pom, cov xwm txheej tsis zoo hauv qab no yuav tsim:

• ua kua dej siab rau sab hauv lub qhov muag,
• drooping ntawm daim tawv muag sab sauv,
• mob ntsws lwj,
• fungal qhov txhab ntawm cov khoob ntawm cov tawv muag thiab qhov muag,
• o ntawm cov hlab auditory,
• menyuam kawm ntawv tso.

Rov qab rau cov lus txheej txheem

Kev pheej hmoo ntau dhau

Txij li cov khoom xyaw nquag ntawm Gentamicin tsis nkag mus rau hauv txoj kev ncig ntawm lub cev, thiab cov tshuaj siv tau rau sab nraud, txoj kev pheej hmoo ntawm kev tsim kev noj ntau dhau yog tsawg heev. Txawm li cas los xij, nrog kev siv lub sijhawm ntev ntawm qhov muag, steroid glaucoma thiab tsis tuaj yeem hloov kho lub lens yuav tshwm sim. Muaj qhov ua rau cov tshuaj ophthalmic ntau nyob hauv koj lub qhov muag, koj yuav tsum yaug dej raws li cov dej sov.

Kev nplua

Cov neeg tsim khoom ntawm Gentamicin tsis pom zoo kom sib txuas nws nrog Erythromycin thiab Chloramphenicol vim tias kev lag luam tshuaj tsis sib xws. Yog tias lwm cov tshuaj rau cov qhov muag instillation tau nyob rau hauv parallel, tom qab ntawd lub sijhawm sib nrug tsawg kawg 20 feeb yuav tsum pom ntawm cov txheej txheem. Txhua yam kev npaj siv nrog Gentamicin yuav tsum tshaj tawm rau tus kws kho mob uas koom nrog - kws kho qhov muag.

PUAS puas tau tseem pom KOJ DAIM ROV QAB LOS DAIM DUA LOS DAIM DUA LOS MAS?

Kev txiav txim los ntawm qhov tseeb tias koj tab tom nyeem cov kab no tam sim no, ib qho kev muaj yeej ntawm kev sib ntaus tawm tsam qhov muag plooj tsis tau nyob ntawm koj ib sab.

Thiab koj puas tau xav txog kev phais mob? Nws yog kev nkag siab, vim tias lub qhov muag yog cov kabmob uas tseem ceeb heev, thiab nws txoj haujlwm ua haujlwm tau zoo yog tus yuam sij rau kev noj qab haus huv thiab lub neej zoo. Kev mob siab rau ntawm lub qhov muag, pos huab, tsaus tsaus nti, hnov ​​ntawm lub cev txawv teb chaws, lub cev qhuav, lossis lwm qhov tsis txaus ntseeg, muag muag ntawm lub ntsej muag. Tag nrho cov tsos mob no yog paub txog koj tus kheej.

Tab sis nws puas tuaj yeem kho qhov laj thawj ntau dua li cov nyhuv? Peb pom zoo kom nyeem zaj dab neeg ntawm Yuri Astakhov, uas nws pom zoo kom ua. Nyeem kab lus >>