Amikacin: nā ʻōlelo aʻoaʻo no ka hoʻohana, nā analogues a me nā loiloi, nā kumukūʻai ma nā lāʻau lapaʻau ma Russia

ʻO Amikacin kahi papa antibakino (antibiotic) mai ka hui o aminoglycosides. Loaʻa ia mau hopena antibacterial, bactericidal a me anti-tuberculosis, hoʻohana ʻia i ka mālama ʻana i nā maʻi like ʻole a me nā maʻi.

Antibiotic Semi-synthetic o ka hui aminoglycoside o kahi kaʻao ākea o ka hana. Loaʻa ia he hopena bactericidal.

Hoʻomaka kūkaʻi i ka membrane cell bacterial, i nā mea e huki ʻole ai i ka 30unit subunit o nā pūpū bakiʻi a no laila, ke kāohi nei i ka hana o ka protein pathogen.

Ka hana ikaika i ka huaʻai aerobic gram-negative: Pseudomonas aeruginosa, Escherichia coli, Shigella spp., Salmonella spp., Klebsiella spp., Enterobacter spp., Serratia spp., Providencia stuartii.

ʻO ia nō ka mea kū'ē i kekahi mau huamina i ka maikaʻi: Staphylococcus spp. (e komo pū ana i nā kūmau i ka penicillin, methicillin, kekahi cephalosporins), kekahi mau kaha o Streptococcus spp.

Hoʻopuka kū'ē i nā maʻi bacteria anaerobic.

ʻAʻole hiki ke hoʻihoʻi ʻia ka mea hana mai ke aihue, no laila e pono ai ka lawelawe intravenous a intramuscular. Mālama aku ka lāʻau i nā mea pili i ka histohematological a komo i loko o nā kiko o ke kino, kahi e hōʻiliʻili ai i loko o nā pū.

Aia kona kikowaena kiʻekiʻe i loko o nā ʻōpū me ka hoʻokahe koko maikaʻi: nā māmā, nā ʻōpala, ka spleen, myocardium a, inā paha, nā ʻōpū, kahi i hōʻemi ai ka lāʻau i ka waiwai cortical. Hāʻawi maikaʻi ʻia ia i loko o ka wai o ka intracellular, e komo pū me ka wai serum a me ka lymph. ʻAʻole i hoʻemi ʻia.

Hoʻokuʻu ʻia ia ma ka maʻamau i loli ʻole ʻia e ka mōʻī, hana i nā mea kiʻekiʻe i loko o ka urine.

Nā hōʻailona no ka hoʻohana ʻana

He aha ka mea e kōkua ai i ka amikacin? Wahi a nā ʻōkuhi, ua kuhikuhi ʻia ka lāʻau lapaʻau no nā maʻi ʻehaʻeha e hōʻeuʻeu ʻia e nā bacteria-Negative bacteria (ʻoiaʻiʻo inā he pale aku i nā antibiotika ʻē aʻe). I kēlā mau maʻi kekahi:

Nā hanana maʻi i loko o nā ʻōpū o ka pūnao o ka ʻōpū - pneumonia (pneumonia), bronchitis bacterial, ʻōpū i ka ʻōpū (ke ʻano o kahi ana i paʻa ʻia i ka pūpū o ka pūpū), nā empuralema pleural (ka hōʻiliʻili o ka ihu ma ka ana pleural).
ʻO Sepsis kahi hana infectious me ka hele mai o nā maʻi pathogenic i ke koko me kā lākou ulu ulu a hoʻoulu.
ʻO ka endocarditis Bacterial kahi hana infectious (pinepine purulent) o ka luhi o ka naʻau o ka ʻōpū (endocardium).
Ke hanaʻino i loko o ka lolo - encephalitis, meningoencephalitis, meningitis.
ʻO kahi kaʻina maʻi bacterological i loko o nā ʻōpū o ka ʻōpū, pū me ka peritonitis.
Hoʻokomo i nā ʻili o ka ʻili, nā kiko kikoʻī a me nā kiko palupalu - abscesses, phlegmon, gangrenous kaʻina, bedores with necrosis, Burns.
Ke ala o ka pūpū a me nā pāpaʻi biliary - he kahe o ka ate, ka nui, ka cholecystitis, ka empyema o ka papa maʻi.
Nā hana hoʻonāukiuki i ka urinary a me ka hoʻopuka maʻi - pyelonephritis, urethritis, cystitis me ka hoʻomohala pinepine ʻana o ka hoʻopiʻi purulent.
ʻO nā hōʻeha a me nā hoʻopiʻi maʻi postoperative.
Hoʻokomo ʻia o nā iwi (osteomyelitis) a me nā hui (arulula purulent).

Ma mua o ka hoʻohana ʻana, ka makemake ʻōlapa ʻana i ka maʻi o ka naʻau o ka pathogen i ka antibiotic e makemake ʻia.

Nā ʻōkuhi no ka hoʻohana ʻana i ka pākē Amikacin

Hoʻohana ʻia ka lāʻau ma intramuscularly a i ʻole intravenously, ʻaʻole i nā papa. ʻO ke kaila maʻamau, e like me nā kauoha no ka hoʻohana ʻana iā Amikacin, ʻo 5 mg / kg kēlā me 8 mau hola a i ʻole 7.5 mg / kg i kēlā me kēia mau hola 12.

I loko o nā maʻi bacterial uncomplicated e hoʻopilikia ana i ka maʻi urinary, hōʻike ʻia ka lāʻau lapaʻau i kēlā me kēia 250 hola no 250 mg.

Hoʻomaka ʻia ʻo Amikacin e hoʻopili i nā pēpē pēpē pēpē hou ma ka make o 10 mg / kg, ma hope o lākou e hoʻololi ai i kahi maʻi o 7.5 mg / kg, ka mea i lawelawe ʻia i nā hola 18-24.

No nā kamaliʻi pēpē olakino, e mālama ʻia ka lāʻau lapaʻau ma loko o kahi hoʻomaka mua o 10 mg / kg, ma hope o lākou e hoʻololi ai i 7.5 mg / kg i kēlā me kēia mau hola 12 no 7-10 lā.

ʻO ka dosage nui i kēlā me kēia lā no nā pākē he 15 mg / kg / lā.

No nā maʻi i hoʻoiho ʻia e Pseudomonas aeruginosa, a me nā maʻi e hoʻoweliweli ʻana i ke ola, ʻo ke ʻano o 15 mg / kg i kēlā me kēia lā i kauoha ʻia ma ka 3 wai.

ʻO ka lōʻihi o ka mālama ʻana me ka hoʻokele intravenous ʻo 3-7 mau lā, me ka hoʻokele intramuscular - 7-10 lā.

No ka poʻe me ka hana excretory renal impaired, hōʻike ke aʻo ʻana i ka hoʻoponopono ʻana i ka hoʻoponopono ʻia dosie o Amikacin e hilinaʻi nei i ka waiwai cleince clearance (ka nui o ka hoʻomaʻemaʻe ʻana i ke koko mai ka hopena o ka hopena o ka glucose metabolism - creatinine).

Nā hopena hopena

Hoʻomaopopo ka ʻōlelo aʻo i ka hiki o ka hoʻomohala ʻana i nā hopena ʻaoʻao aʻe i ka wā i ke kuhikuhi ʻana iā Amikacin:

Mai ka pūnaehana hana ʻana: ka hana i hoʻonui ʻia o ka transaminases hepatic, hyperbilirubinemia, nausea, luaʻi.
Nā ʻano pane: ka ʻili o ke kino, ʻeha, ke kuni, ʻaʻole anu - Quincke edema.
Mai ka pūnaehana hemopoietic: anemia, leukopenia, granulocytopenia, thrombocytopenia.
Mai ka ʻaoʻao o ka pūnaehana nīkini waena a me nā ʻōnaehana hoʻoneʻe peripheral: ʻeha, ka hōʻuluʻulu, ka neʻe ʻana o ka neuromuscular transmission, lohe pio, a hiki i ka hoʻomohala ʻole i nā kuli, hiki ʻole i ka maʻi āpau.
Mai ka papahana urinary: oliguria, proteinuria, microhematuria, luhi - maikaʻi ʻole o ka pale.

Nā Hoʻohui

Hoʻopili ʻia ʻo Amikacin i kēia mau helu:

Nā neʻeneʻe nerve neʻe,
ʻO ka paleʻole o ka renal a me ka uremia,
Kahawai
Hypersensitivity i nā māhele o ka lāʻau lapaʻau,
ʻO ka maʻi o ka naʻau i nā aminoglycosides ʻē aʻe i ka mōʻaukala.

Ma ke alo o nā hōʻailona koʻikoʻi, hiki ke hoʻohana ʻia ka lāʻau lapaʻau ma ka lactating wahine. Pono e noʻonoʻo ʻia e hoʻopili ʻia nā aminoglycosides i loko o ka umauma umauma i nā liʻiliʻi liʻiliʻi. ʻAno lākou i ka hoʻopono mai ka gastrointestinal tract, a me nā hoʻopiʻi e pili ana i nā pēpē.

Ke keu

ʻO nā ʻōmaʻomaʻo o ka overdose o ka lāʻau ke komo i ka hopena o nā mea maʻi, hōʻike ʻia e ka lohe ʻana i ke kaumaha, dizziness, dyspepsia, makewai, hōʻemi ka hoʻopoina ʻana, ka nausea, ka luaʻi, ke kani ʻana i nā pepeiao, ka neuromuscular blockade me ka hoʻopiʻi ʻana a hōʻea ʻole i ka hanu.

I ka wā kamaliʻi, i ka nui o ka hala, ʻo ʻAikikin ka mea e hōʻeha ai i ka luʻulu CNS, ka mea i hōʻike ʻia e ka lethargy, stupor, a me ka coma.

No ka mālamaʻana i nā hopena o ka hopena o ka lāʻau lapaʻau, hemodialysis a i kēlā me kēia dialysis peritoneal, paʻakai kalima, nā lāʻau anticholinesterase, ʻimi hoʻololi, a, inā pono, ua hoʻohana ʻia ka hoʻoneʻe ʻana o ka mechanical.

Hoʻopili Amikacin, kumukūʻai ma nā lāʻau lapaʻau

Inā pono, hiki iā ʻoe ke kahakaha iā Amikacin me kahi analogue o ka mea ikaika - eia nā mau lāʻau lapaʻau:

Nā ʻōmaka ma ka code ATX:

Ke koho nei i nā mea kikoʻī, pono ia e hoʻomaopopo i nā ʻōlelo aʻo no ka hoʻohana ʻana iā Amikacin, kumukūʻai a me nā loiloi, ʻaʻole pili mai i nā lāʻau lapaʻau me kahi hopena like. He mea nui ia e kamaʻilio pū me ke kauka kauka a ʻaʻole hoʻi e hana i kahi loli kūʻokoʻa kūʻokoʻa.

Kumukūʻai ma nā lāʻau lapaʻau Lūkia: Amikacin 500 mg hoʻāla - mai 39 mau rubles, ʻōpala 1 g 10 ml - mai 60 mau rubles, hoʻonāukiuki 250 mg / ml 2 ml 10 mau polē. - mai 219 rubles, e like me 573 mau lāʻau lapaʻau.

Store i kahi maloʻo hiki ʻole i nā keiki, pale ʻia mai ka lā maka, i ke ʻano o 5-25 ° C. ʻO 2 mau makahiki kahi ola.

ʻO nā kūlana o ka hāʻawi ʻana mai i nā lāʻau lapaʻau ma o ke kau ʻana.

4 Amikacin

Ua kuhikuhi ʻia ke keiki no ka mālama ʻana i ka bronchitis, pana akula lākou no 7 mau lā ma kahi awelika no ka paona ʻana, a laila hoʻomaka lākou e inu iā Vilprofen. A ke hopena, i ka lā ma hope o ke ala o Amikacin, ʻoiai ke inu nei ʻo Wilprofen, ua hoʻomaka ka mahana, a ma ke kolu o ka lā o ka maʻi i loaʻa ai iā mākou ka maʻi maʻi maʻi 5. Ua hōʻike pū ʻia lākou me ka maʻi pneumonia, ua ʻōlelo hou ʻia lākou iā Cefotaxin no nā lā 5 a ʻo Ceftozidime no 5 lā. ʻAe wale lākou i hōʻoki iā mākou mai ka maʻi. Mai ka hopena ua hoʻohiki wau ʻo ka Cephalosporins e ʻoi aku ka maikaʻi o ka hoʻoulu ʻana i ka pneumonia.

ua hoʻoluhi wale mākou i kēia maʻi me kēia kaila, ua hana nā kauka like i ka maʻi maʻi ((me ka ʻike ʻole i ka maʻi i mālama ʻia e lākou ..

ʻO Amikacin ka ho'ōla mua loa no nā pilikia me ka gastrointestinal tract! Kūleʻa wau iā ʻoe e kūʻai

Ua lohe kuʻu keikikāne i mau pio o 3 degere mai amikacin. Kani ʻia i loko o ka hale haukapila, ʻaʻohe mea i hōʻike i ka lāʻau a me ka hopena i ka lohe ʻana. Ua ʻike ʻia ka nalowale o ka lohe ma hope o ka hala ʻana o 2 mau makahiki i ka hoʻomohala ʻana o ka ʻōlelo.

Amikacin

Amikacin he semi-synthetic nā maʻi maʻi a hui ʻia i ka hui o aminoglycosides. Hoʻokomo ka lāʻau i ka microorganisms bacteriostatically a me ka bactericidal, e hoʻolohi ana i kā lākou hana nui a hoʻoili i ka make. Ke hoʻomohala nei ka pale ʻana o nā microorganisms i ka Amikacin no laila, noho ka mea maʻi i ke kūlana koʻikoʻi i ka pono ma waena o nā lāʻau ʻē aʻe mai ka hui aminoglycoside.

ʻO Amikacin e pili pū ana i ka antibiotics ākea ākea. Eia nō ka hana ʻino aku e:
1. Nā microorganisms o Gram-hewa - Salmonella, Escherichia coli, Pseudomonas aeruginosa, Shigella, Klebsiella, Serrations, Enterobacteriaceae a me Providencia.
2. ʻO kekahi microorganisms huaora maikaʻi - staphylococci (kū i nā cephalosporins, methicillin a me penicillin), kekahi mau o nā o nā streptococci.

Hiki i Amikacin ke hopena i nā hopena maikaʻiʻole i ka aila kumu o ka maʻi pākuʻi (kahe a Koch).

E pili ana i ka maʻi anaerobic, ʻaʻole i hoʻoikaika kēia antibiotic.

Hoʻopaʻa piha ka lāʻau i loko o ke koko ma hope o ka mālama makua, a ʻo kona hoʻomoʻi i ke koko a mālama ʻia i 12 mau hola. Hoʻopili maikaʻi ʻo Amikacin i loko o nā lau o ke kino a hōʻuluʻulu i loko o ka wai o ka extracellular a me ka intracellularly. Hoʻoholo ʻia kona mau kiʻekiʻe kiʻekiʻe loa i nā pūpū, nā pepi, nā ʻuna, nā myocardium a me ka manina. Hoʻopau nui ʻia nā koena o ka lāʻau no nā keiki.

Hiki ke hoʻohanaʻia ʻo Amikacin e mālama i nā maʻi maʻi like ʻole i nā keiki (mai ka wā neonatal) a i nā pākeke.

Nā hopena hopena

Mai ka pūnaehana pili ʻana - ke hiamoe, nā hōʻeha, nā pilikia a i ʻole ka hopu ʻana i ka ʻōpū, ka ʻōpū, ka puʻuwai a me nā kūwaha o nā ʻōpū, nā ʻōkuhi epileptic.
Ma ka ʻāpana o nā hui hoʻolohe - ka lohe, ke kuli, ka hopena o nā mea make i ka vestibular apparatus (paʻa i ke ʻano o nā neʻe, ʻāha, hōʻeha, ka luaʻi,).
ʻAoʻao koko - leukopenia, thrombocytopenia, granulocytopenia, anemia.
Mai ka gastrointestinal tract - ka luaʻi, ihu, ka hana ʻōpū i kau ʻia.
Mai ka pūnaehana urinary - hana ʻo ia i ka hana renal i ke ʻano o ka oliguria, microhematuria a me proteinuria.
Mai ka pānaʻi - ʻomi kūwaho, ʻulaʻula hoʻi o ka ʻili, kaʻeha, ka edema o Quincke, ʻnipi.
Nā kūloko kūloko - dermatitis, ʻeha ma ke kahua hōʻōlaʻi, ka huhū o nā veins (me ka hoʻokele intravenous).

Ke keu

Ke hoʻolohe ʻana i ka nalo
āhāhuʻe
nā maʻi urination
lilo ka momona
makewai
ninaki a me ka luaʻi
ka ʻāʻule a i ʻole ke kani ʻana i nā pepeiao,
pauna aho hanu.

Inā loaʻa kekahi o nā hōʻailona, e nīnau koke i ke kauka.

Hoʻomaʻomaʻi ʻia ʻo Amikacin

Pehea e pili ai i amikacin?
ʻO ka koho ʻana i kēia lāʻau lapaʻau e pono ke lawe ʻia ma hope o ka hoʻoholo ʻana i ka naʻau o ka microorganisms i hoʻolilo i ka maʻi. Hoʻolakoʻa ʻia ka hopena ʻo Amikacin intramuscularly a i ʻole intravenously (e kahe a i ka hāʻule). Hoʻoholo kū hoʻokahi ka holo ʻana o ka ʻoihana.

E hoʻomākaukau i ka hoʻonā, ua hoʻohui ʻia ka wai no ka injection i ka pauma maloʻo ma nā pahu. No ka hoʻomākaukau ʻana i kahi kūleʻa no ka inea intramuscular o 0.5 g o ka pauka, pono ia e hoʻopuka i ka 2-3 ml o ka wai no ka maʻi ʻana i loko o ke kō, e nānā ana i ka sterility. Ma hope o ka hoʻopau ʻana i ka pauma, hiki ke hoʻohana ʻia iā ia ka ʻōmole Amikacin no ka hoʻokele intramuscular.

Hiki i ka ʻike ʻana o ka amikacin i ka hoʻonā ʻana no ka maʻi intravenous ʻaʻole hiki i nā 5 mg / ml. Inā makemake, e hoʻokau ʻia ka puʻuwai intravenous i ka hopena o ka ʻAmikacin like ʻole e like me ka hoʻomehana intramuscular, i hoʻohui ʻia i ka 200 ml o kahi hopena 5% glucose a i ʻole ka hopena isotonic sodium chloride. Hoʻohana ʻia ka lawelawe ʻana o Drip intravenous ma ka wikiwiki o 60 ka hāʻule i loko o hoʻokahi mau minuke, jet - no 3-7 mau minuke.

I ka manawa o ka mālama ʻana, pono ka mea maʻi e nānā ma ka liʻiliʻi 1 i ka manawa 7 i nā hana o ka apparatus vestibular, ʻeha a me ka nerve auditory. Inā ʻaʻole pono ka hopena o ka hopena kāohi, ʻike ʻia ka hoʻēmi ʻana a hāpai ʻia paha ka lāʻau.

Ke hoʻohana nei iā Amikacin, ʻōlelo ʻia nā mea maʻi (ʻoi aku ka poʻe me nā maʻi o ka maʻi maʻi) e lawe i nā wai hou aku.

Ke hana ʻole nei i ka dinamics maikaʻi o ka maʻi i loko o nā lā 5 o ka hoʻohana ʻana iā Amikacin, ʻoi ʻia ia e kāpae ʻia a kuhikuhi i kekahi lāʻau lapaʻau hou.

Amikacin Puka
Hoʻolālā ʻia ka hopena ʻo Amikacin intramuscularly a i ʻole intravenously ma 5 mg / kg momona kino i kēlā me kēia 8 mau hola a i ʻole 7.5 mg / kg i kēlā me kēia mau hola 12.

Ka lōʻihi o ka hoʻohana ʻana:

me kahi maʻi intramuscular - 7-10 lā,
me ka hoʻokele paʻa - 3-7 lā.

ʻO ka paona ʻana loa i kēlā me kēia lā no ka mea maʻi makua he 15 mg / kg, akā ʻaʻole iʻoi aku ma mua o 1.5 g i kēlā me kēia lā no 10 mau lā.

No kekahi mau maʻi, e kuhikuhi ʻia nā ʻano ʻē aʻe:

me ka loaʻa ʻana o nā maʻi urinary uncomplicated - 250 mg i kēlā me kēia mau hola 12, ma hope o ka hemodialysis, hiki i kahi manawa hou ke koho ʻia he 3-5 mg / kg.
me ka maʻi o nā pauahi - 5-7.5 mg / kg ma hope o nā hola 4-6.

I nā mea maʻi me ka pilikia ʻole, hiki ke hoʻoponopono ʻia ke kūlike a me ka hoʻoponopono regimen e pili ana i ka pae o ka creatinine i loko o ke koko.

ʻAmike ʻAikaka no nā keiki

Hiki ke hoʻohana ʻia ka Amikacin e mālama i nā maʻi maʻi ma nā keiki o kēlā me kēia makahiki. Ma muli o kona ototoxicity a me nephrotoxicity (nā hopena maikaʻi ʻole i ka lālā loiloi a ma nā ʻōpū), ua kuhikuhi ʻia me ka mālama me ka hānau mua a me nā pēpē.

Nā pāʻālua:

nā pēpē mua a me nā keiki mai 6-6 mau makahiki - kahi mua ma mua o 10 mg / kg, a laila 7.5 mg / kg i kēlā me nā hola 18-24.
nā keiki ma mua o 6 mau makahiki o 5 - mg / kg ma hope o 8 mau hola a i ʻole 7.5 mg / kg i kēlā me kēia mau hola 12.

Hoʻonohonoho paʻa ka lōʻihi o ka mālamaʻana i nā keiki me Amikacin. I ka awelika, ʻo 3-7 mau lā me ka hoʻokele intravenous a i ʻole 7-10 lā me ka hoʻokele intramuscular o ka lāʻau.

Amikacin i ka wā hāpai a me ka lactation

Hoʻopili ʻia ʻo Amikacin i ka wā hāpai.

I ka wā lactation, hiki ke kuhikuhi ʻia ka lāʻau inā loaʻa nā hōʻailona koʻikoʻi. Hiki i ka Amikacin ke komo i loko o ka waiū o ka makuahine i loko o nā helu liʻiliʻi a maloʻo wau i ka hana o ka digestive tract. ʻAʻohe mea i hoʻopili i pili me kēia i nā keiki hānai hānai.

Nā ʻAina Kūleʻa Amikacin

ʻAi ʻole ka Amikacin i ka cephalosporins, Heparin, penicillins, Amphotericin B, Capreomycin, Erythromycin, Hydrochlorothiazide, Nitrofurantoin, KCl, nā mākeke mai ka hui B a me C,
ka hui pū ʻana o Amikacin me Benzylpenicillin a me Carbenicillin e hoʻonui i ka hopena o kēia mau lāʻau, pono e lawe pono ʻia i ke kau ʻana i ka ʻaina,
ka hui pū ʻana o Amikacin me Cisplatin, nalidixic acid, Vancomycin a me Polymyxin B e hoʻonui i ka hopena o kona hopena nephrotoxic a me ototoxic,
Hoʻonui hou ʻo Amikacin i ka hopena hoʻomaha hoʻomaha o ke kino o nā lāʻau lapaʻau e like me ka curare, e like me
ka lawe ʻana i ka amikacin e pili ana i ka ʻāina o ka mālama ʻana i ka makua o ka indomethacin i hoʻonui ʻia i ka hopena o ka ototoxic a me nephrotoxic hopena,
Hoʻopau ʻo Amikacin i ka hopena o nā lāʻau anti-myasthenic,
ka hui pū ʻana o Amikacin me polymyxins no ka hoʻomehana makua, Methoxifluran, Capreomycin, hydrocarbons halogenated (mau mea no ka inhalation anesthesia), analio opioid hoʻonui i ka nui o ka hopu ʻana i ke ea.

Nā hōʻikeʻike e pili ana i ka lāʻau lapaʻau

ʻO ka hapa nui o nā mea maʻi e pane maikaʻi ana i ka hopena kiʻekiʻe o ka lāʻau maʻamau o Amikacin, e wehewehe ana i ka holomua wikiwiki ʻana i ke kūlana olakino i nā lā mua o ka lawe ʻana i ka lāʻau.

Loaʻa i nā mākua o nā keiki ka hana kiʻekiʻe o kēia antibiotic i ka mālama ʻana i nā maʻi nui o ka maʻi o ka hanu, ka holo ʻana a me ka ʻōnaehana urinary. He nui o lākou i ʻike i kahi hopena maikaʻi inā ʻaʻole ma hope o ka loaʻa mua o ka lāʻau.

Aia nā liʻiliʻi o nā loiloi o nā hopena ʻokoʻa o kēia honi. ʻO ka pinepine, hōʻike ka poʻe maʻi i ka nausea, dyspepsia, a me ka manaʻoʻole o ka nāwaliwali o ka lawe ʻana iā Amikacin. Aia he mau liʻiliʻi nā loiloi o ka hopena maʻi i kēia lāʻau lapaʻau, i hōʻike ʻia ma ke ʻano o kahi hāhai, ʻulaʻula a me ka edema o Quincke. Kuhi iki wale nō nā mea e pili ana i ka ototoxicity o Amikacin, i hōʻike ʻia e ka emi ʻana o ka lohe. ʻAʻohe ʻike ma ka nephrotoxicity o ka lāʻau.

Ua nānā kekahi mau mea maʻi i nā hōʻeha ʻeha o Amikacin. I kekahi mau hihia, e hōʻemi me ia me ka intramuscular injection, ua ʻōlelo nā kauka e hoʻohana ʻole i ka wai no ka hōʻemi ʻia, akā 1% hoʻonā Novocaine no ka hoʻoheheʻe ʻana i ka pauka Amikacin.

Hoʻomaopopo ka hapanui o nā maʻi i ke kumukūʻai ʻo Amikacin he "ʻae ʻia" a "kūpono ʻole."

ʻO ke kumukūʻai o ka lāʻau lapaʻau ma Lūkia a me Ukraine

Aia ke kumukūʻai ʻo Amikacin ma muli o ke ʻano o kona hoʻokuʻu ʻia ʻana, ka mea hana, ka lāʻau lapaʻau a me ke kūlanakauhale e kūʻai aku ana i ka lāʻau lapaʻau. Hiki ke loli nui nā kumukūʻai no kēia lāʻau lapaʻau, a no laila ke koi ʻia e nānā aku ʻoe i nā kumukūʻai ma kekahi mau lāʻau lapaʻau ma mua o ke kūʻai ʻana.

ʻO ʻAmikacin ke kumukūʻai ma Rusia:

mau hakahahana 500 mg (250 mg / 1 ml) o 2 ml - 116-397 mau rubles. no ka pete he 10 mau apana,
500 mg mau pahu me ka pauma - 13-33 ʻōpala. no 1 pahu
hue me nā pulupulu o 1 g- 37-48 mau rubles. no 1 pahu.

He kumukūʻai ʻo Amikacin ma Ukraine:

500 mau momi o 500 mg (250 mg / 1 ml) o 2 ml - 140-170 hryvnia pūpū o nā ʻāpana he 10,
ampoules o 1 g (250 mg / 1 ml) o 4 ml - 270-300 hryvnia no nā pā o 10 mau ʻāpana,
500 mg mau kihi o ka pauma -18-20 hryvnias no 1 kīpē,
hue me nā pulupulu o 1 g –28-36 hryvnias per 1 pahu.

Hoʻokuʻu ʻia ʻo Amikacin mai nā lāʻau lapaʻau ma o ka lāʻau lapaʻau.