Gentamicin ke moemeli oa antibacterial eo e leng ea sehlopha sa aminoglycosides. E na le litlamorao tse fapaneng tsa bactericidal.
ATX
J01GB03 - Gentamicin
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Gentamicin ke moemeli oa antibacterial eo e leng ea sehlopha sa aminoglycosides. E na le litlamorao tse fapaneng tsa bactericidal.
Lokolla liforomo le sebopeho
Ntho e sebetsang ke gentamicin sulfate. E fumaneha ka mokhoa oa phofo kapa tharollo ea ente (liente ho ampoules), litlolo le marotholi a mahlo.
Lipilisi
Ha e fumanehe ka foromo ea pilisi.
Meroho
Sesebelisoa se hlakileng sa ts'ebeliso ea li-topical - marotholi a mahlo. 1 ml e na le 5 mg ea motsoako o sebetsang. E kenelletsoe ka 5 ml ka libotlolong tsa dropper. E paka mekotla ea karete ea karete ea 1 pc. mmoho le litaelo tsa tšebeliso.
Tharollo
Mokelikeli o hlakileng o se nang mmala bakeng sa ente (e ka tsamaisoa ka methapo le kahare). 1 ml e na le 40 mg ea ntho e sebetsang. E behiloe kahare ho 1 kapa 2 ml ka metsing a khalase. Li-ampoule tse 5 li kentsoe ka mokotleng oa likhase, 1 kapa 2 lipakete tse ka lebokoseng la karete e nang le thipa e ngata.
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Phofo
Phofo e tšoeu kapa ea tranelate, e tšetsoeng ka mekotleng ea foil ea boima ba 1 kg. 1 g ea moriana o na le 100 mg ea ntho e sebetsang. O na le peo ea ngaka ea liphoofolo.
Setlolo
Bakeng sa ts'ebeliso ea kantle. 1 g ea sehlahisoa e na le 0,001 g ea motsoako o sebetsang. Sehlahisoa se pakiloe ka lijaneng tsa 15 le 25 g, 1 pc. mmoho le litaelo ka har'a mekotla ea karete.
Ketso ea pharmacological
Motsoako o thibelang likokoana-hloko. E na le litlamorao tse fapaneng. E nahanela:
- likokoana-hloko tse mpe tsa aerobic gram-mpe;
- aerobic gram e ntle e hlahang le cocci.
Ho ata hoa 'mele, ho senya tšitiso e sireletsang - membrane ea cytoplasmic mme e baka lefu la likokoana-hloko tsa pathogenic.
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Mofumahali
E na le monko o tlase ka mor'a ts'ebeliso ea molomo. E abeloa batsoali feela. Ha e kenngoa, e kenella ka botlalo. Satiat e phahameng ka ho fetisisa ea plasma ea mali kamora ts'ebetso ea methapo ea methapo e khethoa kamora metsotso e 30-90, kamora tsamaiso ea methapo, kamora metsotso e 15-30.
Ha e amehe lits'ebetsong tsa metabolic. Nako ea ho felisoa ha halofo ke lihora tse 2-4. E bokellana sebakeng sa "lymphatic" sa tsebe e ka hare le li-rebules tsa renal. E hloekisoa haholo ke liphio. Ka dysfunctions ea renal, nako ea excretion e fokotsehile.
E sebelisetsoa eng?
E sebelisoa bakeng sa tšoaetso ho batho ba baholo le bana ba bakoang ke microflora e bohloko. Ho khothalletsoa kalafo ea mekhoa ea baktheria:
- tsamaiso ea bronchopulmonary;
- tsamaiso ea genitourinary;
- lits'oants'o le linama tse bonolo.
E sebelisoa ho lefu la gynecology, le tšoaetso ea leqeba le ho chesa, mecha ea litaba ea otitis, li-pathologies tsa bakuli ba ka mpeng, hammoho le kalafo ea tšoaetso ea masapo le lisebelisoa tsa mesifa.
Contraindication
Ha e khethoe haeba nalane e na le tlhahisoleseling mabapi le maemo a kang:
- ho se mamellane ha motho ka mong likarolo tsa moriana;
- li-nerve neuritis;
- ho hloleha ha rems.
Ha e sebetse nakong ea bokhachane le pelehi. Ha e khothalletsoe masea ho fihlela khoeli e le 'ngoe.
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Ka tlhokomelo
Bakeng sa bakuli ba amanang le lilemo (kamora lilemo tse 60), ka myasthenia gravis, botulism, lefu la Parkinson le ho felloa ke metsi 'meleng.
Tekanyetso le Tsamaiso
Li-regimens tse tloaelehileng bakeng sa kalafo ea mekhoa e sa rarahaneng ea tšoaetso bakeng sa bakuli ba baholo ntle le methapo ea methapo - intramuscularly kapa intravenly, 3 mg ka kilo e 'ngoe ea' mele ka lihora tse 8-12. Li-infusions tsa methapo ea methapo li kenngoa ka mokhoa o theohileng ka nako ea metsotso e 90-120 (setlhare se kenngoa ka 50-300 ml ea tharollo ea sodium chloride kapa 5% dextrose solution).
Ka mefuta e rarahaneng ea lefu le tšoaetsanoang, litekanyetso tsa letsatsi le letsatsi ke 5 mg ka boima ba 'mele ka lihora tse ling le tse ling tse' ne. Kamora ho ntlafala, litekanyetso li fokotsoa ho 3 mg / kg.
Maemong a tšoaetsanoang le a tšoaetsanoang a mofets'e oa moroto, ho fanoa ka tekanyetso e le 'ngoe ea 120-160 g bakeng sa matsatsi a 7-10. Bakeng sa kalafo ea gonorrhea - hang ka tekanyetso ea 240-280 mg.
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Ho mafu a tšoaetsanoang ho masea a sa tsoa hlaha ho tloha khoeling e le 'ngoe le bana ho fihlela lilemo tse 2 - 6 mg / kg e sebelisoa lihora tse ling le tse ling tse 8. Bana ba lilemo li 2 - 3-5 mg / kg makhetlo a mararo ka letsatsi.
Ho li-pathologies tse matla, liente li khothalletsoa litekanyetso tse tlase, empa hangata li sebelisoa.
Bakeng sa batho ba nang le bothata ba ho sebetsa ha renal hampe - litekanyetso tsa 1-1.7 mg / kg, bakeng sa masea - 2-2.5 mg / kg.
Na hoa khoneha ho sebelisa moriana oa lefu la tsoekere?
Ka nts'etsopele ea leoto la tsoekere (tšokelo ea ho khaoloa), e laetsoe hammoho le clindamycin.
Litlamorao
Ha o sebelisa meriana e thibelang likokoana-hloko, melemo e sa lekaneng ea 'mele oa khoneha, o bonahala ka sebopeho sa:
- nausea (ho fihlela ho hlatsa);
- Ho tsekela
- hlooho e opang;
- ho otsela
- mafu a kelello le maikutlo;
- ho sitisoa ke kutlo;
- ho se utloe litsebeng;
- khokahano e senyehileng;
- hyperbilirubinemia;
- phokolo ea mali
- leukopenia;
- granulocytopenia;
- thrombocytopenia;
- maemo a tšosang;
- mosebetsi o sa sebetseng oa renal;
- matšoao a ho kulisa letlalong;
- ho ruruha.
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Ka tšebeliso ea nako e telele, e lebisa kholisong ea bonohe ba bomenemene, melidi ea molomo le ea botšehali.
Litaelo tse khethehileng
Ha lets'oao la nako e telele le etsahala, ho hloka ho khetholloe ha pseudomembranous colitis.
Ha ho phekoloa mafu a tšoaetsanoang le a tšoaetsanoang a lefu la genitourinary system, ho hlokahala hore ho sebelisoe metsi a mangata.
Bakeng sa ho thibela nts'etsopele ea khaello ea kutlo, lithuto tse mahlaleng a phahameng li lokela ho etsoa khafetsa. Ka matšoao a soabisang, litekanyetso tsa lithibela-mafu li ea fokotsoa kapa li hlakotsoe.
Ha o fana ka taelo ho batho ba ka holimo ho lilemo tse 60, ho hlokahala hore ho laoloe maemo a moetsi.
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Tšusumetso ho bokhoni ba taolo ea methapo
E kanna ea ba le tšusumetso e mpe.
Sebelisa nakong ea bokhachane le pelehi
Ha e khothalletsoe.
Gentamicin bakeng sa bana
E sebelisoa kalafo ea mafu a tšoaetsanoang le a tšoaetsanoang ho bana ho tloha khoeling e le 'ngoe.
Sebelisa botsofaling
Ka tlhokomeliso.
Bongata
Ho ja ka mokhoa o sa laoloeng oa moemeli enoa ea antibacteria ho ka etsa hore moea o fokotsehe ka nakoana ho fihlela phefumoloho e emisa.
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E hloka ho kena sepetlele hang-hang.
Ho sebelisana le lithethefatsi tse ling
U ke ke ua kena ka nako e ts'oanang le meriana e meng (ntle le tharollo ea isotonic bakeng sa tsamaiso ea methapo).
E ntlafatsa mesifa ea ho phomola ha mesifa ea lithethefatsi tse joalo ka curare. Fokotsa phello ea lithethefatsi tse khahlanong le myasthenic.
Ka tšebeliso e tšoanang ka diuretics kapa Cisplatin e ntlafatsa nephrotoxicity ea bona.
Hammoho le lithibela-mafu, letoto la penicillin le eketsa thepa ea bona ea antimicrobial.
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Hammoho le indomethacin e eketsa monyetla oa ho ba le litlamorao tsa chefo.
Li-analog
Leha ho na le lethathamo le leholo la li-antiguotic tsa moriana o thibelang likokoana-hloko, li ipakile li le betere ho feta lithethefatsi tse ling.
- Garamycin;
- Gentamicin Akos.
Lipehelo tsa khefu ea khemisi
E fumaneha le lengolo la ngaka.
Theko ea Gentamicin
Litsenyehelo li ipapisitse le mokhoa oa ho lokolla moriana. Litsenyehelo tse tlase ho litlhare tsa Russia li tsoa li-ruble tse 35.
Maemo a polokelo ea lithethefatsi Gentamicin
Ka mocheso o fihla ho 25-25. Qoba hole le bana.
Letsatsi la ho felloa ke nako
Lilemo tse 5
Tlhahlobo ea lingaka le bakuli ka Gentamicin
Minina T.V., setsebi sa bophelo bo botle, Novosibirsk.
Aminoglycoside mfululizo antibacterial lithethefatsi tse nang le litlamorao tse ngata. E na le lenane le leholo la litlamorao. Sebelisa feela ka mabaka a bophelo bo botle joalokaha u laetsoe ke ngaka.
Kosyanov E.D., orthopedist, Krasnoyarsk.
Motsoako o matla oa lithibela-mafu. E sebelisoa ho phekola mafu a tšoaetsanoang le a tšoaetsanoang. Orthopedics e laeloa bakeng sa kalafo le thibelo ea mathata a tšoaetsanoang ka mor'a arthroplasty. E na le li-contraindication le lithibelo tsa ts'ebeliso. E tlameha ho fanoa ke ngaka.
Marina, ea lilemo li 36, toropo ea Tomsk.
Ngoana oa ka o ne a e-na le conjunctivitis e matla. Setsebi sa mahlo sa mahlo se khothalelitse sesebelisoa sena ka mokhoa oa marotholi a mahlo. Sebelisa 1 theoha makhetlo a mararo ka letsatsi. Lintlafatso li ile tsa hlokomeloa ka letsatsi la bobeli la kalafo. Kamora matsatsi a 5 a thupelo, matšoao a sa thabiseng a ile a nyamela ka botlalo. Sesebelisoa ha se theko e tlaase ebile se sebetsa. Ke khotsofetse ke sephetho.