Pāheʻu maka Gentamicin: nā ʻōlelo i hoʻohana no ka hoʻohana

Pākuʻi mau maka makū ʻokiʻoki e hoʻomaʻamaʻa ia no ka hoʻohana ʻana i ka ʻōnaehana hoʻonohonoho.

Kūloko ka maka o ka Gentamicin he mākaʻi antibakopa

He hopena kūpono nā pulu ma nā maka, hana i ka pale pale a me ka hoʻihoʻi i ka moʻo o ka hihiʻo.

Nā hana lāʻau

E haʻaheo ʻo Gentamicin i kahi ʻano ākea o nā hopena antimicrobial. Wahi a ia, hiki iā ia ke hakakā i nā maʻi nui e hoʻomake ʻia e nā maʻi kino.

Hoʻohana ʻia ka maka lāliʻi Gentamicin no nā maʻi aʻe:

1. Blepharitis.
2. Keratitis
3. Kau kuihue.
4. Hoʻopilikia i nā maka.
5. No ka pale ʻana i ka ʻaila hōʻiliʻili.
6. Me nā mea kuni.
7. Waha kikini.
8. Hoʻokomo ʻia ʻo Iridocyclitis.
9. Hoʻopilikia ʻia nā maka i nā maka.

ʻO nā mea aʻe ma luna nei nā maʻi kumu nui e hiki ai i kēia lāʻau lapaʻau ke hakakā. I ka ʻoiaʻiʻo, e hele nei kēia papa inoa no ka manawa lōʻihi.

Hoʻololi nā maka i nā ʻōlelo ʻōlelo Gentamicin no ka hoʻohana

Pono nā keiki ma hope o 12 mau makahiki a me nā pākeke e hoʻonoho i hoʻokahi a i ʻelua mau hāʻule ma ka maka i paʻi ʻia no nā manawa he 3-4 i ka lā. ʻO ke kumukūʻai o ka hoʻokomo ʻia he 14 mau lā. Akā, hilinaʻi āpau i nā maʻi a me ke kūlana o ke kino o ke kanaka.

Eia kekahi, hiki ke hoʻohanaʻia ka lāʻau therapeutic no ka prophylaxis ma mua a ma hope o nā mea hana o ka hōʻoki ʻana. Hiki iā ia:

1. Ka hoopau ana i na mea haole.
2. Kikowaʻe.
3. I ka hihia.

I kēia hihia, pono e hoʻopili i kahi hāʻule 4 i hoʻokahi manawa i kahi lā no 3 mau lā ma ka lālani.

Nā hopena ʻaoʻao a me nā contraindications

Mai nā hopena ʻaoʻao, hiki iā mākou ke hoʻokaʻawale.

ʻAʻole hiki iā ʻoe ke hoʻohana i ka hāmeʻa i loko o kēia mau kūlana:

1. I ka wā hāpai.
2. I ka wā lactation.
3. Na keiki malalo o ke 12 mau makahiki.
4. Me ka neuritis o ka nerve auditory.
5. Hola paʻa kino hana.
6. ʻĀmia.
7. Eia kekahi, ʻaʻole hiki iā ʻoe ke hoʻohana i ka hāmeʻa inā he alerē.

Hoʻi mākou i kāu nānā! Mai hoʻohana i nā maka Gentamicin i hāʻule ma mua o 5 mau manawa i ka lā. Hiki ke alakaʻi i kēiaʻano o ka palu o ka palake.

Inā aia kekahi o nā papa inoa i papa inoa ʻia, a laila pono ʻoe e hōʻole i ka lawe i ka lāʻau lapaʻau a nīnau aku i kahi kauka.

Nā ʻōlelo kikoʻī kūikawā e hoʻohana ai

1. Mai hoʻopū i ka papa o ka dropper - hiki i kēia ke hōʻeha i nā maʻi.
2. E wehe i nā lono pili 15 mau minuke ma mua o ke kau ʻana.
3. Hiki i ka hāmeʻa ke hoʻemi i ka ʻike, no laila e haʻalele ʻoe i nā huakaʻi ma hope o ka huila.
4. ʻO ʻelua mau makahiki ka noho o ke ola o nā hāʻule.
5. Inā wehe ka waapa, pono ʻoe e hoʻohana iā ia i 4 wiki.

ʻO ka kumukūʻai o ka maka ke hāʻule i ka Gentamicin i mau lāʻau lapaʻau Lūkini o 200-250 mau rubles. Inā mākou e kamaʻilio no Ukraine, a laila lilo kā lākou kumukūʻai ma ka ʻāina o 70-80 UAH.

Ka hana lāʻau lapaʻau

Hōʻike ʻia ka Gentamicin e kahi ākea ākea o ka hana antimicrobial. ʻO ia nō ka hana kū'ē i ka hapanui o nā puhipeki o ka gr faaple: Escherichia coli, Klebsiella spp., Indole-positibo a indole-negative Proteus spp., Enterobacter spp.l Providencia stuartii, Salmonella spp., Shigella spp., Acinetobacter spp., Pseudomonas aeruginosa: gram Staphylococcus spp. (e komo pū ana me nā penicillins a me nā mea ʻē aʻe o ka maʻi manuʻa), kekahi mau o ka mana o Streptococcus spp. Ke kū mālie nei ka pale ʻana o nā microorganisms i ka gentamicin, akā naʻe, kūʻa ka pale i ka neomycin a me ka kanamycin i kūleʻa nō hoʻi i ka gentamicin.

Nā hōʻailona no ka hoʻohana ʻana

Ua ʻōlelo ʻia ʻo Gentamicin no ka mālama ʻana i nā maʻi i hoʻoneʻe ʻia e nā pathogens i pili iā ia. Ua hōʻike ʻia ka lāʻau lapaʻau no ka maʻi a me ka maʻi conjunctivitis, ulcer.-G o ka kornea, keratitis, keratoconjunctivitis, ʻitislelo a me nā maʻi iritis, ka maʻi a me ka maʻi Gphphphphitis, blepharoconjunctivitis, dacryocystitis a me nā maʻi ʻeha, nā maʻi maʻi o ka maka, ka maka o ka maka.

Nā Hoʻohui

ʻO ka hypersensitivity i ka gentamicin a i ʻole o nā mea āpau o ka lāʻau lapaʻau, nā lāʻau likeoglycosides.

Aia he hōʻike nō hiki i ka gentamicin ke hōʻeha i ka blockom neuromuscular a no laila contraindicated ma ka myasthenia gravis a me nā maʻi pili. Contandricated the drug in perforation of tympanic membrane, in grabe renal impairment, i nā maʻi o ka auditory nerve, vestibular apparatus, e, i ka wā hapai a me ka hānai (ʻoki i ka umauma i ka wā o ka mālama ʻana).

Loaʻa ka hopena

No ka mea ʻaʻole i loaʻa nā noi lāʻau lapaʻau e hiki ke hoʻohana ʻia e hoʻoholo i ka hala o nā hopena maikaʻiʻole, ʻo ka pinepine o nā hopena āpau i hōʻike ʻia ma lalo nei he "freku ʻole ike".

Mai ka ʻaoʻao o ka io o ka hihiʻo: ka nānā ʻana i ke kaiāulu, ka ʻike aniani, ka huhū o ka maka, ka ʻā ʻana ʻana o ka puʻupuʻu, ka ʻūhā ʻana i nā maka, ka ʻulaʻula hoʻi o ka conjunctival.

Mai ka ʻaoʻao o ka ʻōpū a me ka jaringan o ka subcutaneous: ke nānā ʻana, ke nānā ʻana, ka ʻili, ka ʻeha kulala, dermatitis.

Mai ka pūnaehana genitourinary: nephrotoxicity, hoʻonāukiuki i ka hopena o ka renal.

I nā pilikia pinepine, hiki i nā hopena maʻi maʻi maʻi.

Ma kahi o ka hoʻonāukiuki, hōʻiliʻili a i ʻole superinfection, e ʻoki ʻia ka hoʻohana ʻana i ka lāʻau a pono e kuhikuhi ʻia ka lāʻau kūpono.

Hoʻopili pū me nā lāʻau ʻē aʻe

Me ka hana like o ka gentamicin me ka diuretics ikaika, e like me ka acidacaclic acid a me ka furosemide, piʻi ka nui o ka ototoxicity, aʻo amphotericin B, cisplatin, cyclosporine a me cephalosporins e hiki

Hoʻohui ʻo nephrotoxicity. ʻAʻole hiki ke kuhikuhi i ka lāʻau lapaʻau

me nā lāʻau lapaʻau e hāʻawi aku ana

hopena nephrotoxic. Neuromuscular blockade a me ka hanu pona

hoʻopaʻa inoa i ka wā e kuhikuhi ana i ka aminoglycosides i nā maʻi e loaʻa ana i ka wā

hoʻolāleʻa musesthesia muscle like curare. ʻAʻohe kūpono ʻole i ka lālani me ka amphotericin,

cephalosporins, erythromycin, heparin, penicillins, sodium bicarbonate a

Nā hiʻohiʻona noi

Hoʻokomo i ka hiki ke lawe i nā kaʻa a me nā mīkini ʻē aʻe e weliweli hou ʻia. Pono e mālama pono i ka hoʻokele ʻana, hana ʻana i nā mea ʻenehana a i ʻole e hana ana i nā hana ʻē aʻe. Hiki i ka lāʻau ke hōʻeha i ka ʻike maka. Inā loaʻa iā ʻoe i kahi lohi blurred, pale i nā hana pōʻino.

ʻO nā mea mālama palekana

Hōʻalo i ka hoʻohana lōʻihi, hiki iā ia ke alakaʻi i ka hoʻololi ʻana o ka ʻili a me ka hiki ʻana mai o nā microorganism kūmau. Hiki i nā cross-sensitivity ke kūkulu pū me nā antibiotics aminoglycoside. I nā maʻi koʻikoʻi, pono ke hoʻohui ʻia i ka hoʻohana ʻana i ka gentamicin me ka hoʻohana ʻana i nā antibiotic ponoʻī. Aʻo ʻia ka hoʻomaʻemaʻe e ke kuhikuhi ʻana i ka lāʻau i ka manawa like me ka aminoglycosides systemic. Me ka lōʻihi o ka mālama ʻana, pono ka mālama a me ka hana pepeiao e nānā pono ʻia. ʻAʻole pono e hoʻohana nā maka kuʻekuʻe i nā maʻi me ka hoʻohana ʻana i nā leʻaleʻa hoʻopili.

E hoʻokuʻu i ke ʻano, ka pūpū a me ka hoʻonohonoho pū ʻana me Gentamicin

ʻO ka maka o ka maka ma ke ʻano o ka tinge hoʻonaninani a me ka hoʻonaninani paha.

1 ml
ʻōwili sulfat	5 mg
nā mea e pili ana i nā kiko'ī o gent gentin	3 mg

Nā mea kūʻai: benzalkonium chloride, sodium hydrogen phosphate, sodium dihydrogen phosphate, sodium chloride, wai.

5 ml - mau pahu hūʻele polyethylene (1) - nā kīʻaha o ka pahu paʻi.

ʻO nā hōʻailona o ka lāʻau Gentamicin

Nā maʻi ʻeha o ka maka:

• huakai
• konohiki
• keratoconjunctivitis,
• keratitis
• dacryocystitis
• iridocyclitis.

ʻO ka pale ʻana i nā hoʻopiʻi maʻi ʻana ma hope o nā hōʻeha a me nā hana ʻike maka.

Nā helu ICD-10

Aia ka helu ICD-10	Hōʻike ʻano
H01.0	Blepharitis
H04.3	E hakakā i ka huehue a me ka hoʻākāka ʻole ʻole o nā kumu lacrimal
H04.4	Hoʻopilikia i nā mānoanoa lacrimal o nā papa lacrimal
H10.2	ʻO nā hui kaulike kekahi
H10.4	Hoʻohālikelike Conactttitis
H10.5	Blepharoconjunctivitis
H16	Keratitis
H16.2	Keratoconjunctivitis (me ke kumu no ka hōʻike ʻana i waho)
H20.0	Iridocyclitis ka hopena a me ka subacute iridocyclitis (anterior uveitis)
H20.1	Iridocyclitis kaola
Z29.2	ʻO kekahi ʻano ʻē aʻe o ka pale chemotherapy (antibiotic prophylaxis)

Hoʻohui nūhou

ʻAʻole hoʻolako ʻia ka Co-hoʻokele me ka erythromycin a me chloramphenicol ma muli o kahi hiki ʻole i ke ʻano lāʻau lapaʻau.

Ma ka hihia o ka maʻi bacterial koʻikoʻi o nā maka, pono e hoʻopili i ka lāʻau kūloko me ka hoʻohana maʻamau o ka antibiotika, akā, ʻaʻole e hui pū ʻia ka hoʻohana ʻana o ka maka o ka ʻohi iho ʻana i ka maʻi o ka maʻi me ke ʻano o nā antibiotika e loaʻa nā hopena ole- a me nā nephrotoxic.

No ka hoʻohālikelike a me nā waiwai

ʻO ka gentamycinum i ke ʻano o ka huki he mākaʻi i hoʻomohala ʻia i ninini ʻia i loko o nā hue wai i hoʻopuni ʻia me kahi dropper no ka ʻimi hoʻokō pono o ka lāʻau. ʻO ka hoʻonohonoho pono o ka lāʻau ophthalmic i piha koke 2 mau mea ikaika: gentamicin sulfate a me dexamethasone sodium phosphate. Kēia hui kikoʻī e hoʻolako i kahi hakakā maikaʻi e pale aku ai i ka pehu aerobic kino a me nā huama he + cocci.

Ma kahi o nā hopena antibacterial i haʻi ʻia, loaʻa i ka Gentamicin kahi hopena anti-inflammatory a me ka hopena anti-alaka.

Mālama pū ka mea pili i ka maka o nā maka, ʻo ia hoʻi:

• d / a wai
• hôkena kuikilika
• benzazhexonium chloride,
• ka paʻakai paʻakai paleka
• hoʻokaʻawale ʻana ka hydrogen phosphate.

No ka wikiwiki o ka wikiwiki o ka mea maʻi me kahi papa maʻi ʻoi loa ka nui o ka maʻi, he mea nui ia e hoʻohui i ka mālama ʻana me kahi ʻano pane ʻole o ka lāʻau.

Hoʻolālā wale ʻia ka Gentamicin no ka hoʻohana topical. ʻAʻole komo kāna mau ʻāpana i loko o ke kahe koko ākea a ʻaʻohe a me kahi hopena systemic. No laila, ma nā maʻi koʻikoʻi, ʻoi aku ka ʻōlelo o ka hoʻohana ʻana i ka maka i ka hui pū ʻana me nā lāʻau lapaʻau maʻi i kēlā me kēia ʻano.

Nā Kūmole

ʻO ka ʻōlelo aʻoaʻo no ka hoʻohana ʻana e wehewehe i kēia mau ʻōkuhi i lalo, i ka ʻike ʻana i ka hoʻohana ʻana o nā maka i ka nānā "Gentamicin" pono:

• maʻi pālohelohe
• ulia ʻopa purulent lesi ʻo ka ʻili lauoho lauoho,
• ka mumū o ka conjunctiva, ka wahi o ka mākeke o ka māka.

Ua ʻōkuhi ʻia ʻo Gentamycinum i nā maʻi nā mea i hana i ka hōʻiliʻili o ka maʻi ma ke ʻano o ka glaucoma, cataracts a me nā maʻi ophthalmic e koi ai i ka hana. Ma kēia hihia, me ke kōkua o kahi lāʻau lapaʻau i hoʻohui ʻia, hiki ke pale ʻia i nā hōʻeha hōʻeha a hoʻopaʻa i nā hana hoʻonā kino e kū pinepine ana i ka wā postoperative.

Nā ʻōkuhi no ka hoʻohana

He kūpono nā kihi ʻiliiki no nā pākeke a me nā keiki. Pono ʻoe e hoʻohana iā lākou, e pili pono i nā ʻōlelo aʻe:

1. Holoi lima me ka kāʻei ma mua o ke kaʻina hana.
2. E neʻe mālie i ka haki haʻahaʻa ma lalo a hoʻokuʻu i nā 1-2 hāʻule o ka hoʻonā i loko o ka ʻeke conjunctival.
3. E hana hou i ka hoʻonā ʻana i kēlā me kēia 4 hola.
4. ʻAʻole pono nā lōʻihi o ka papa mālama lapaʻau ma mua o 2 hebedoma.
5. I ka wā o ke kaʻina hana, pono ʻoe e hōʻoia e pili ʻole i ka popoki o ka hūʻili me ka maka.

Hoʻi i ka papa o nā kikoʻī

Hiki i nā palena a me nā hopena maikaʻi ʻole

ʻO ka hoʻohana ʻia ʻana o "Gentamicin" he mea weliweli no nā maʻi me nā maʻi e like me:

• ʻōpū o ka maka,
• manuā kuʻi manuahi o ke kino,
• ka hooneʻe ʻana o ka palaoa kohi,
• nā maʻi maka
• ulia a me ka hoʻopōʻino i ka cornea,
• nā maʻi i hui pū ʻia e ka hoʻonui ʻia intraocular pressure.

ʻOiai e luhi ana ka wahine, ʻaʻole pono ʻo ia e hoʻomaʻamaʻa i ka lāʻau lapaʻau me kēia lāʻau lapaʻau.

ʻO ka papa inoa o contraindications e pili ana i ka hypersensitivity i ka hoʻohuiʻana o nā maka o ka maka, ka manawa lactation a me ka hapai. Ma hope o ka nānā 'ana i ka maka, "Gentamicin" hiki ke hōʻemi i ka liʻiliʻi o ka puʻupuʻu ʻike, ma kēia mea, i ka hapalua mau hola a i ʻole a i ʻole ʻia ka hana ʻike maoli, ʻaʻole ia i ʻāpono ʻia e hoʻokau a hoʻomaka i ka hana e pono ai ka nānā pono.

I ka wā e mālama ai i nā polikoma ophthalmic me ka hāʻule ʻana o ka maka o Gentamicin, hiki i nā hanana kino ʻino aʻe e ulu ana:

• hoonui ka waiū i loko o ka maka,
• e kahe ana o ka maka o luna,
• leʻa kaulua
• nā maʻi ʻalā o nā pelemaka o ka hakahaka o nā lā a me nā maka.
• ka mumū o ka nerve auditory,
• ka haumia haumana.

Hoʻi i ka papa o nā kikoʻī

ʻO ka pilikia keu

No ka mea ʻaʻole i komo ka mana ikaika o Gentamicin i loko o ka ʻōnaehana hoʻonohonoho, a hoʻomohala ʻia ka lāʻau lapaʻau i ka mea waho, heʻuʻuku ka liʻiliʻi o ka hoʻomohala ʻana i kahi overdose. Eia nō naʻe, me ka hoʻohana mau ʻana o ka nānā ʻana i ka maka, hiki i ka glaucoma a me ke ao ʻana e hiki mai ana i nā kiko o ke lens. Ke hoʻoulu ʻia ʻana i ka nui o ka hoʻonā ophthalmic i kou mau maka, pono ʻoe e holoi pono iā lākou ma lalo o ka wai wela ʻana.

Kūlike

ʻAʻole ʻōlelo nā mea hana o Gentamicin e hoʻohui pū me ia me Erythromycin a me Chloramphenicol ma muli o ka hiki ʻole o ka lāʻau lapaʻau. Inā i kuhikuhi ʻia nā lāʻau ʻē aʻe no ka nānā ʻana i ka maka, a laila pono e nānā ʻia kahi manawa manawa ma kahi o 20 mau minuke i waena o nā kaʻina hana. ʻO nā hoʻomākaukau āpau i hoʻohana ʻia me Gentamicin pono e hōʻike ʻia i ke kauka hele mai - he kanaka ophthalmologist.

E NAI ANA IA ANA E HOʻEA I KA MANU E NOHO ANA I KĀLOHE WAHI?

ʻO ka hoʻopiʻi ʻana e ka heluhelu ʻana i kēia mau laina i kēia manawa, ʻo ka lanakila ma ke kaua ʻana me ka hihiʻo blurred e ʻole ma kou ʻaoʻao.

A ua noʻonoʻo anei ʻoe e pili ana i ka hoʻokele? Hiki ke hoʻomaopopo ʻia, no ka mea he koʻikoʻi nā maka, a ʻo kāna hana pono i ke kī i ke olakino a me ka ola maikaʻi. ʻO ka ʻeha ʻo ka maka, ka puʻu, nā pōʻeleʻele, nā ʻike ʻē aʻe o kahi ʻāina ʻē, ka maloʻo, a i ʻole ka ʻokoʻa, nā maka wai. Ma mua o kēia ʻike kēia mau maʻi āpau.

Akā hiki paha i ka mālama i ke kumu ma mua o ka hopena? Manaʻo mākou e heluhelu i ka moʻolelo o Yuri Astakhov, āna e koi nei e hana. Heluhelu i ka ʻatikala >>