Ọgwụ Gentamicin: ntuziaka maka ojiji

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Gentamicin bụ onye na-ahụ maka ọgwụ nje nke so n'òtù aminoglycosides. Ọ nwere ọtụtụ nje na-akpata ahụhụ.

ATX

J01GB03 - Gentamicin

Gentamicin bụ onye na-ahụ maka ọgwụ nje nke so n'òtù aminoglycosides. Ọ nwere ọtụtụ nje na-akpata ahụhụ.

Ha weputara udi ya na ihe mebere ya

Ihe nọ n'ọrụ bụ citamicin sulfate. A na-enweta ya n'ụdị ntụ ntụ ma ọ bụ ihe ngwọta maka ntụtụ (injections in ampoules), otite na ọdịda maka anya.

Ere ọgwụ

Odighi ụdị ogwu.

Ibepu

Mmiri doro anya maka iji ihe eji eme ihe - anya mmiri. 1 ml nwere 5 mg nke ihe eji arụ ọrụ. Ikotara na 5 ml na karama eji eri mmiri. Ihe ngwugwu na ngwugwu kaadiboodu maka 1 pc. yana ntuziaka maka ojiji.

Ngwọta

Mmiri doro anya na-enweghị ụcha maka ịgba ntụtụ (enwere ike ịhazi ya na intramuscularly). 1 ml nwere 40 mg nke ihe eji arụ ọrụ. Achịkọtara n'ime 1 ma ọ bụ 2 ml na ampoules iko. 5 ampoules na-etinye na cassette tree, 1 palle 1 ma ọ bụ na paịlị na mma ampoule.

Mmiri doro anya maka iji ihe eji eme ihe - anya mmiri. 1 ml nwere 5 mg nke ihe eji arụ ọrụ.
Na 1 ml nke ihe ngwọta nke Gentamicin nwere 40 mg nke ihe arụ ọrụ. Achịkọtara n'ime 1 ma ọ bụ 2 ml na ampoules iko.
Gentamicin ntụ ntụ bụ maka ọgwụgwọ ọrịa anụmanụ. 1 g nke ọgwụ nwere 100 mg nke ihe na-arụ ọrụ.
Emere mmanu mmanu Gentamicin maka mpụga. 1 g nke ngwaahịa nwere 0.001 g nke ihe eji arụ ọrụ.

Ntụ ntụ

White ma ọ bụ ude ntụ, packaged na 1 n'arọ laminated foil akpa. 1 g nke ọgwụ nwere 100 mg nke ihe na-arụ ọrụ. Nwere oge ọ ga-eji aka ya gwọọ ya.

Ude

Maka iji ya eme ihe. 1 g nke ngwaahịa nwere 0.001 g nke ihe eji arụ ọrụ. A na-akwakọ ngwaahịa ahụ na igbe nke 15 na 25 g, 1 pc. tinyere ntuziaka na ngwugwu kaadiboodu.

Omume ọgwụ

Ọgwụ nje bacteria. O nwere ọtụtụ mmetụta dị iche iche. Nnọọ mmetụta na ya:

  • aerobic gram-na-adịghị mma microorganisms;
  • aerobic gram-positiveins na cocci.

Ummata ahụ, na-emebi ihe mgbochi - cytoplasmic akpụkpọ ahụ ma na-akpata ọnwụ nke microorganisms pathogenic.

Gentamicin bụ ọgwụ nje na-egbu egbu. O nwere ọtụtụ mmetụta dị iche iche.
Gentamicin, na - agbakọ n'ime ahụ, na - emebi ihe mgbochi - mejupụtara cytoplasmic ma na - akpata ọnwụ nke microorganisms pathogenic.
Gentamicin nwere mmịcha dị ala mgbe a na -emebi ya ọnụ. Edere ya na parenterally.
A na-ekpebi ọdụdụ kachasị elu na plasma ọbara mgbe nchịkwa intramuscular gasịrị mgbe nkeji 30-90 gasịrị, mgbe nchịkwa ọgbụgba, mgbe nkeji 15-30 gasịrị.
Ọ bụ akụrụ na-emekarị Gentamicin. Na dysfunctions gbasara akụrụ, a na-ewepu oge ezumike.
A na-eji Gentamicin maka ọrịa ndị okenye na ụmụaka nke microflora nwere mmetụta.

Mlọ ọgwụ

O nwere ihe a na-anabata pere mpe mgbe ejiri ya mee ihe. Edere ya na parenterally. Mgbe etinyere ya n’uju, a na-etinye ya kpamkpam. A na-ekpebi ọdụdụ kachasị elu na plasma ọbara mgbe nchịkwa intramuscular gasịrị mgbe nkeji 30-90 gasịrị, mgbe nchịkwa ọgbụgba, mgbe nkeji 15-30 gasịrị.

Agbanyeghị na usoro metabolic. Oge nke ọkara kpochapụrụ bụ awa 2-4. Ọ ga - eme ka oghere oghere nke ntị dị na akwara na mkpo ya. Ọ na-abụkarị akụkụ akụrụ. Na dysfunctions gbasara akụrụ, a na-ewepu oge ezumike.

Gịnị ka e ji eme ya?

Ejiri maka ọrịa oria na ndị okenye na ụmụaka nke microflora nwere mmetụta. A na-atụ aro maka ọgwụgwọ nke usoro nje:

  • sistem nke akwara anak;
  • sisitemu ozu;
  • integuments na anụ ahụ dị nro.
Ngwa ngwa banyere ọgwụ. Betamethasone + Gentamicin + Clotrimazole
Gentamicin nwere ọrịa prostatitis

A na-eji ya na gynecology, ya na ọnya na ire ọkụ na-efe efe, otitis media, nje na-efe efe nke ime, yana maka ịgwọ ọrịa nke ọkpụkpụ na akwara-ligamentous ngwa.

Ihe ngbanwe

Edeghi ya ma ọ bụrụ na akụkọ ihe mere eme ahụ nwere ozi gbasara ọnọdụ ndị dị ka:

  • mmadụ inabata ya ọgwụ niile;
  • auditory akwara neuritis;
  • gbasara akwara.

Anaghị etinye ya n'ọrụ n’oge afọ ime na n’ara. Agaghị atụ aro maka ụmụ aka ruru ọnwa 1.

Edebere Gentamicin ma ọ bụrụ na akụkọ ihe mere eme banyere ọnọdụ dị ka ọdịda akụrụngwa dị.
A naghị eji ọgwụ ahụ eme ihe n’oge afọ ime na n’oge a na-ehi ụra.
A naghị akwado Gentamicin maka ụmụ aka ruru ọnwa 1.
Ejiri ogwu mee ihe n ’ogwu banyere ndi oria gbara oria n’azu (mgbe af o iri isii), ya na myasthenia gravis, botulism, oria Parkinson na akpukpo ahihia.

Jiri nlezianya

Maka ndị ọrịa metụtara afọ (mgbe afọ 60), yana myasthenia gravis, botulism, ọrịa Parkinson na akpịrị ịkpọ nkụ.

Usoro onunu ogwu na ochichi

Usoro ọkọlọtọ maka ọgwụgwọ nke usoro nje na - adịghị efe efe maka ndị ọrịa toro eto na - enweghị ọrịa gbasara akụrụ - intramuscularly ma ọ bụ intravenously, 3 mg kwa n'arọ nke anụ ahụ kwa awa 8-12. A na-achịkwa infusions intravenous dropwise karịa minit 90-120 (a gbanyere ọgwụ ahụ na 50-300 ml nke sodium chloride solution ma ọ bụ 5% dextrose solution).

N'ọdị mgbagwoju anya nke ọrịa na-efe efe, a na-a doụ ya kwa ụbọchị bụ 5 mg kwa kilogram nke ahụ mmadụ, kwa awa 6-8. Mgbe emechara ya, a ga-ebelata usoro onunu ogwu ka 3 mg / n'arọ.

N'ihe banyere ọrịa na-efe efe na mkpali nke akwara, a na-ede ya otu ugboro na usoro onunu ogwu nke 120-160 g maka ụbọchị 7-10. Maka ọgwụgwọ gonorrhea - otu ugboro na 240-280 mg.

Usoro ọkọlọtọ maka ọgwụgwọ nke usoro nje na - adịghị efe efe maka ndị ọrịa toro eto na - enweghị ọrịa gbasara akụrụ - intramuscularly ma ọ bụ intravenously, 3 mg kwa n'arọ nke anụ ahụ kwa awa 8-12.
A na-achịkwa infusions intravenous dropwise karịa minit 90-120 (a gbanyere ọgwụ ahụ na 50-300 ml nke sodium chloride solution ma ọ bụ 5% dextrose solution).
N'ihe banyere ọrịa na-efe efe na mkpali nke akwara, a na-enye ọgwụ ahụ otu ugboro na usoro onunu ogwu nke 120-160 g maka ụbọchị 7-10.
Na ọrịa dị egwu, a na-atụ aro injers na obere dos, mana site na iji ọtụtụ ojiji.
Site na nrụpụta nke ọrịa mamịrị (egwu nke mbepụ), a na-edepụtara Gentamicin yana njikọta na Clindamycin.

N'ime ọrịa na-efe efe na ụmụ amụrụ ọhụrụ site na ọnwa 1 na ụmụaka ruo afọ 2 - 6 mg / n'arọ ka etinyere n’awa asatọ ọ bụla. Frommụaka site na afọ abụọ - 3-5 mg / n'arọ ugboro atọ n'ụbọchị.

Na ọrịa dị egwu, a na-atụ aro injers na obere dos, mana site na iji ọtụtụ ojiji.

Maka ndị nwere nsogbu gbasara akụrụngwa - na usoro nke 1-1.7 mg / n'arọ, maka ụmụ aka - 2-2.5 mg / kg.

Ọ ga - ekwe omume ị forụ ọgwụ maka ọrịa shuga?

Site na mmepe nke ụkwụ mamịrị (iyi egwu bepụ), edepụtara ya na clindamycin.

Nsonaazụ

Mgbe ị na-eji ọgwụ nje, ihe na-ezughị ezu nke anụ ahụ ga-ekwe omume, gosipụtara n’ụdị:

  • ọgbụgbọ (ruo na vomiting);
  • Dizziness
  • isi ọwụwa;
  • iro ụra
  • nsogbu uche-obi;
  • ntị anụrị;
  • ntị chiri;
  • nhazi;
  • hyperbilirubinemia;
  • anaemia
  • leukopenia;
  • granulocytopenia;
  • thrombocytopenia;
  • Ọnọdụ nkwenye;
  • arụ ọrụ ezumike;
  • Ngosiputa nfụkasị akpụkpọ ahụ;
  • ọzịza.
Mgbe ị na-eji ọgwụ nje eme ihe, mmeghachi omume na-ezughị ezu nke anụ ahụ ga-ekwe omume, dịka ọmụmaatụ, isi ọwụwa, isi ọwụwa, ọgbụgbọ.
Dika mmetụta nke ị takingụ na Gentamicin, anaemia na leukopenia ga-ekwe omume.
N'iji ogologo oge, ọgwụ ahụ na-eduga na mmepe nke superinfection, onu na nwoke candidiasis.

Site na iji ogologo oge, ọ na-eduga na mmepe nke superinfection, onu na candidiasis nke ntutu.

Ntụziaka pụrụ iche

Mgbe afọ ọsịsa malitere, ọ na-achọ mwepu pseudomembranous colitis.

Na ọgwụgwọ nke ọrịa na-efe efe na mkpali nke usoro mkpụrụ ndụ, ọ dị mkpa iji oke mmiri.

Iji gbochie mmepe nke ntị ịnụ ihe, a ga-eme ọmụmụ n'obere oge. Site na ngosipụta ndị na-akụda mmụọ, a na-ebelata ma ọ bụ kagbuo usoro ọgwụ nje.

Mgbe ị na-edegara ndị gaferela afọ 60 ozi, ọ dị mkpa ijikwa ọkwa nke creatine.

Mgbe afọ ọsịsa malitere, ọ na-achọ mwepu pseudomembranous colitis.
Na ọgwụgwọ nke ọrịa na-efe efe na mkpali nke usoro mkpụrụ ndụ, ọ dị mkpa iji oke mmiri.
Iji gbochie mmepe nke ntị ịnụ ihe, a ga-eme ọmụmụ n'obere oge.
Mgbe ị na-edegara ndị gaferela afọ 60 ozi, ọ dị mkpa ijikwa ọkwa nke creatine.

Mmetụta ikike ịchịkwa usoro

Enwere ike inwe mmetụta na-adịghị mma.

Jiri n'oge ime na lactation

Agaghị atụ aro.

Gentamicin maka ụmụaka

A na-eji ya na ọgwụgwọ nke ọrịa na-efe efe na mkpali na ụmụ site na ọnwa 1.

Jiri na agadi

Na-akpachara anya.

Dodoụbiga ya ókè

Nchịkwa nke ọgwụ nje a na - achịkwaghị achịkwa nwere ike ịkpalite mbelata akụkụ anụ ahụ nke anụ ahụ ruo mgbe iku ume kwụsịrị.

Gentamicin nwere ike inwe mmetụta na-adịghị mma na ike nke ịchịkwa usoro.
A naghị akwado iji ọgwụ Gentamicin n'oge ime na lactation.
A na-eji ọgwụ ahụ eme ihe na ọgwụgwọ nke ọrịa na-efe efe na mkpali na ụmụ site na ọnwa 1.
Nchịkwa nke ọgwụ nje a na - achịkwaghị achịkwa nwere ike ịkpalite mbelata akụkụ anụ ahụ nke anụ ahụ ruo mgbe iku ume kwụsịrị.

Chọrọ ụlọ ọgwụ ozugbo.

Mmekọrịta na ọgwụ ndị ọzọ

Gaghị enwe ike ịbanye n'otu oge na ọgwụ ndị ọzọ (ma e wezụga usoro isotonic maka nchịkwa intravenous).

Na-akwalite akụrụngwa izu ike nke ọgwụ ndị dị ka curare. Na-ebelata mmetụta nke ọgwụ myasthenic.

N'iji ihe eji eme ihe ma ọ bụ Cisplatin na-emeziwanye nephrotoxicity ha.

Na njikọta ọgwụ mgbochi, usoro penisillin na-abawanye ngwa ọgụ ha.

Ekwesighi iji ọgwụ Gentamicin otu oge na ọgwụ ndị ọzọ (belụsọ maka usoro ọgwụgwọ isotonic maka nchịkwa intravenous).
N'iji ihe eji eme ihe ma ọ bụ Cisplatin na-emeziwanye nephrotoxicity ha.
Na njikọta ọgwụ mgbochi, usoro penisillin na-abawanye ngwa ọgụ ha.
Na indomethacin na - eme ka o nwee ike ibute nsí nsí.
N'agbanyeghị nnukwu aha analorọ nke nhazi nke ọgwụ a, Garamycin dị mma karịa ọgwụ ndị ọzọ.

Na indomethacin na - eme ka o nwee ike ibute nsí nsí.

Analogs

N'agbanyeghị nnukwu aha analogues nke ihe eji egbochi ọgwụ a, ha egosipụtala onwe ha dị mma karịa ọgwụ ndị ọzọ:

  • Garamycin;
  • Gentamicin Akos.

Ahịa ọgwụ na-ahapụ okwu

E nwere ndenye ọgwụ na Latin.

Ọnụahịa Gentamicin

Ọnụ ego ahụ na-adabere n'ụdị ntọhapụ nke ọgwụ. Ọnụ ego kacha nta na ụlọ ahịa ọgwụ Russia sitere na 35 rubles.

Ọgwụ nje. Iwu eji.
Elegharala akara iri nke iri nke ọrịa shuga anya

Ọnọdụ nchekwa nke ọgwụ ọgwụ Gentamicin

Na ọnọdụ okpomọkụ ruo + 25˚С. Ekwela ka ụmụaka ghara iru ya.

Bọchị mmebi

Afọ 5

Nyocha nke ndị dọkịta na ndị ọrịa gbasara Gentamicin

Minina T.V., therapist, Novosibirsk.

Aminoglycoside usoro ọgwụ ọgwụ nje na-enwe ọtụtụ mmetụta. Ọ nwere ndepụta dị ukwuu nke nsonaazụ ya. Jiri naanị maka ahụike dịka dọkịta nyere ya ndụmọdụ.

Kosyanov E.D., orthopedist, Krasnoyarsk.

Ọgwụ mgbochi siri ike. Ji na-emeso ọrịa na-efe efe na mkpali. Edere Orthopedics maka ọgwụgwọ na mgbochi nke ọrịa na-efe efe mgbe arthroplasty gasịrị. Ọ nwere contraindications na mgbochi maka ojiji. Ekwesịrị ka dọkịta depụta ya.

Marina, onye dị afọ 36, bụ obodo Tomsk.

Nwa m nwoke nwere nnukwu ọrịa conjunctivitis. Ọgwụ ọkachamara na-ahụ maka ngwa ọrụ a n'ụdị anya ọdịda. Ejiri 1 dobe ugboro atọ n'ụbọchị. Achọpụtalarị ihe ndị na-emezi emezi n'ụbọchị nke abụọ nke ọgwụgwọ. Mgbe ụbọchị ise nke usoro ahụ gasịrị, mgbaàmà ndị ahụ na-adịghị mma kpamkpam kpamkpam. Ngwá ọrụ adịghị ọnụ ma dị irè. Enwere m afọ ojuju n'ihe si na ya pụta.

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