Ke aʻo ʻia ʻana

Pauike Hoʻohana ʻia ia e mālama i nā maʻi i hoʻoiho ʻia e nā microorganism i pili i ka lāʻau lapaʻau.
- nā maʻi ʻeha o ka hanu haʻahaʻa: bronchitis maʻa a me ka hoʻonāukiuki o ka maʻi bronchitis, pneumonia
- nā maʻi maʻi urinary: pyelonephritis, cystitis, urethritis a prostatitis
- nā maʻi o ka ʻili a me nā io palupalu,
- nā maʻi ʻeha: peritonitis, maʻi pāpaʻi biliary,
- nā maʻi pūpū,
septicemia
- ka hoʻōla lapaʻau ʻana no ka neutropenia febrile,
- meningitis huakini.

ʻO nā mana Pharmacological / Biological a me nā mana olakino

Cefepim prigny synthesis o nā enzymes o ka bacterium klitini i loko o kēlā me kēia o nā ʻano o ka groliopositive like ʻole a me nā meaʻino kālai. Paʻa nui loa ka Cephepium i ka hydrolysis o b-lactamase, loaʻa kahi hoʻokūkū liʻiliʻi ma ke alo o nā b-lactamase, kahi i hoʻopā ʻia e nā genes chromosome, a me ka ulu ʻana o shvidko i nā huaʻimanima bakela kino.

ʻO Tsefepіm akteu schodo o ia ʻano microorganism:

limookena aerobi:Staphylococcus aureus i kēlā Mokuahi staphylococcus (including šx shtami, scho produce b-lactamase), іshi shti stafіlokokіv, komo S. hominis, S. saprophyticus, Streptococcus pyogenes (Nā pūʻulu A streptococci), Streptococcus agalactiae (ʻO ka hui Streptococcus B), ʻO ka maʻi pīkoi streptococcus (incl. me shtami mai ke waena waena i ka penicillin - type IPC 0.1 a i 1 μg / ml), piha i ka streptococci b-hemolitic (mau pūʻulu C, G, F), S. bovis (nā pūʻulu D), group streptococci Nā ʻōpiopio. ^ E Ha yM. (Bіlshіst straіnt enterokokіv, no ka laʻana: Enterecoccus faecalis, staphylococcus, kū i ka methicillin, kūpaʻa i nā antibiotic cephalosporin nui, me ke cefepim),

Aai-Gram-hewa aerobi:Pseudomonas spp ,, hui ana P. aeruginosa, P. putida, P. stutzeri, Escherichia coli, Klebsiella spp., hui akuK. pneumoniae, K. oxytoca, K. ozaenae, Enterobacter spp., hui aku E. cloacae, E. aerogenes, E. agolomeratus, E. sakazakii, Proteus spp., hui aku P. mirabilis, P. vulgaris, Acinetobacter calcoaceticus (subspipe. anitratus lwoffi), Aeromonas hydrophila, Capnocytophaga spp., Citrobacter spp., hui aku C. diversus, C. freundii, Campylobacter jejuni, Gardnerella vaginalis, Haemophilus ducreyi, H. influenzae (me ka shtami, e hua i ka beta-lactamase), H. parainfluenzae, Hafnia alvei, Legionella spp., Morganella morganii, Moraxella catarrhalis ( Branhamella catarrhalis)) (me ka shtami, e hua i b-lactamase), Neisseria gonorrhoeae (me (shtami), e hua i b-lactamase), Nessera meningitidis, Pantoea agglomerans (vіdomiy yak Enterobacter agglomerans), Providencia spp. (komoP. rettgeri, P. stuartii), Salmonella spp., Serratia (komo S. na waiole, S. waiwila), Shigella spp., ʻO Yersinia enterocolitica.

(Cefepim ʻaʻole ola Xanthomonas maltophilia i Pseudomonas maltophilia),

anaerobi:Nā Pōʻalima spp., B. melaninogenicus, moe i lalo i ka Nā Pōʻalima, Hoʻolaha Clostridium, Fusobacterium spp., Mobiluncus spp., ʻĀpana Peptostreptococcus spp., Veillonella spp.

(Cefepim ʻaʻole ola Hoʻokomo nā huapili і Hoʻolaha Clostridium).

ʻO ka awelika o ka cefepima i ka plasma ma o ka hora wehe ma hope o ka manawa o ka pule intramuscular i hōʻike ʻia i ka papaʻaina.

Ka hana Plasma i loko o ka pulu plasma (/g / ml) me loko (intravenous) a me loko (intravenous) intravenous

ʻO nā waiwai Pharmacological

Hoʻopili ka Cepepime i ka hoʻopili ʻana o ka huina o ka bakalula o nā pale o ka cell a me kahi ākea ākea o ka hana e pili ana i nā ʻano like ʻole o kā gram-maikaʻi a me nā gram-negative. Kūleʻa ka Cepepime i ka hydrolysis e ka hapa nui o ka b-lactamases a he haʻahaʻa haʻahaʻa no ka b-lactamases i hoʻopuni ʻia e nā ʻano chromosomal, a komo koke i ka nui o nā selona bakela gram.

Hoʻohana ʻia ʻo Cepepime e kūʻē i nā microorganism e like me kēia:

aerobes gram-maikaʻiStaphylococcus aureus a Mokuahi staphylococcus ( me ka hoʻohui ʻana i ka hana o ka b-lactamase) nā mea ʻē aʻe o ka staphylococci, e komo pū ana S. hominis, S. saprophyticus, Streptococcus pyogenes (Ke pūʻulu Streptococcus A), Streptococcus agalactiae (ʻO ka hui Streptococcus B), ʻO ka maʻi pīkoi streptococcus (e komo pū me nā kū'ē o ke kū'ē i ka penicillin - MIC mai 0.1 a 1 μg / ml), me nā streptococci b-hemolytic (nā pūʻulu C, G, F), S. bovis (nā pūʻulu D), group streptococci Nā ʻōpiopio . ^ E Ha yM. (Ka hapa nui o enterococci, ma ke ʻano Enterecoccus faecalis, a me ka staphylococci-methicillin-resistant i ka hapanui o nā cephalosporin antibiotics, me ka cefepime)

aerobes maikaʻi ʻinoPseudomonas spp ,, hui ana P. aeruginosa, P. putida, P. stutzeri, Escherichia coli, Klebsiella spp., hui aku K. pneumoniae, K. oxytoca, K. ozaenae, Enterobacter spp., hui aku E. cloacae, E. aerogenes, E. agolomeratus, E. sakazakii, Proteus spp., hui aku P. mirabilis, P. vulgaris, Acinetobacter calcoaceticus (subspipe. Anitratus lwoffi ) , Aeromonas hydrophila, Capnocytophaga spp., Citrobacter spp., hui aku C. diversus, C. freundii, Campylobacter jejuni, Gardnerella vaginalis, Haemophilus ducreyi, H. influenzae (e komo pū ana me nā hana o ka mana beta-lactamase) H. parainfluenzae, Hafnia alvei, Legionella spp., Morganella morganii, Moraxella catarrhalis ( Branhamella catarrhalis ) (komo pū me nā b-lactamase e hana nei i nā kaha) Neisseria gonorrhoeae (komo pū me ka hana o nā b-lactamase) Nessera meningitidis, Pantoea agglomerans (kaulana i kapa ʻia ʻo Enterobacter agglomerans) Providencia spp. (komo P. rettgeri, P. stuartii ) Salmonella spp., Serratia (komo S. na waiole , S. nā waiwai) Shigella spp., ʻO Yersinia enterocolitica .

(Cefepime i ʻole hana e pili ana i nā kumu he nui ʻO Xanthomonas maltophilia lāua ʻo Pseudomonas maltophilia )

pihaleip:Nā Pōʻalima spp., B. melaninogenicus pili ana Nā Pōʻalima , Hoʻolaha Clostridium, Fusobacterium spp., Mobiluncus spp ., ʻĀpana Peptostreptococcus spp., Veillonella spp.

(Ma kahi o Cefepime e Hoʻokomo nā huapili a Hoʻolaha Clostridium ).

Hōʻike ʻia ka awelika plasma cefepime i nā manawa ʻokoʻa ma hope o ka hōʻike hoʻokahi a me kahi intramuscular i hōʻike ʻia i ka papa ʻaina.

Nā huahelu cefepime i hoʻohui ʻia (mcg / ml) me ka intravenous (i / v) a me ka hana intramuscular (i / m)

Ke ʻano o ka noi

ka wahī. No ka mālama ʻana iā jet, hoʻomoka ka hapa o ka lāʻau lapaʻau ma ka 5 a i ʻole 10 ml o ka isotonic sodium chloride solution, 5% hoʻonā i nā momona glucose a i ʻole ka wai wai no ka hōʻemi a ua neʻe lohi ʻia ma luna o 3 - 5 mau minuke.
Me ka hoʻokaʻawale ʻana i nā lāʻau lapaʻau, 500 a 1000 paha e hoʻokahe ʻia i loko o 100 - 250 ml o kahi hopena isotonic sodium chloride a i ʻole 5% hopena momona, hoʻokō ʻia ka lawelawe ʻana ma kahi o 30 mau minuke.

No nā pākeke.
ʻO nā maʻi kiko o ka urinary, mālie i ke aniani: 500 mg - 1 g intravenously a i ʻole intramuscularly i kēlā me kēia manawa 12:00
ʻO nā maʻi ākea, mālie a maʻalahi i ka g 1 i ka intravenously a i ʻole intramuscularly i kēlā me kēia 12:00
Nā maʻi hōʻeha: 2 g kēlā me kēia 12:00
Pāʻeha koʻikoʻi a me ka weliweli loa o ke ola o 2 g kēlā me kēia 8:00
I ka poʻe maʻi me ka hana renal impaired (creanine clearance 60 2 g kēlā 8:00 2 g i kēlā me kahi 1:00 1 g kēlā me kahi manawa 1:00 i kēlā me kēia 12:00
30 - 50 ʻO ka hoʻoponopono o ka puʻukū e like me nā hoʻopukapuka ma laila
2 g i kēlā me 2 i 2 g nā 24 mau hola 1 g ka 24 mau hola 500 mg i kēlā me 24 hola
11 - 29 2 g i kēlā me kēia 24 hola 1 g kēlā 24 mau hola 500 mg i kēlā me 24 mau hola 500 mg i kēlā me 24 mau hola

ʻO nā luna lāʻau lapaʻau.

Cefepim prigny synthesis o nā enzymes o ka bacterium klitini i loko o kēlā me kēia o nā ʻano o ka groliopositive like ʻole a me nā meaʻino kālai. Paʻa nui loa ka Cephepium i ka hydrolysis o b-lactamase, liʻiliʻi ka hoʻokūkū no ka b-lactamase, hoʻopuni ʻia e nā ʻano chromosome, a ke ʻano nui ia i nā ʻōlaʻi bakela kino.

ʻO Tsefepіm akteu schodo o ia ʻano microorganism:

limookena aerobi:Staphylococcus aureus i kēlā Staphylococcus epidermidis (E pili ana i ka шхні shtami, hana ʻo scho b-lactamase), ʻo інші shtami stafіlokokіv, e komo S. hominis, S. saprophyticus, Streptococcus pyogenes (Nā pūʻulu A streptococci), Streptococcus agalactiae (he pūʻulu streptococci B), ʻO ka maʻi pīkoi streptococcus ((me ke kūanahu waena waena a hiki i ka penicillin - ka nui o ke kikoo o ka ʻike nui he 0.1 a 1 μg / ml), b-hemolitic streptococci (mau pūʻulu C, G, F), S. bovis (nā pūʻulu D), group streptococci Nā ʻōpiopio. ^ E Ha yM. (Bіlshіst strainіnterokokіv, no ka laʻana Enterecoccus faecalis, ст staphylococci pale i ka methicillin, kūpaʻa i nā antibiotika cephalosporin nui, me ke cefepim),

Aai-Gram-hewa aerobi:ʻO Pseudomonasspp,, hui ana P. aeruginosa, P. putida, P. stutzeri, Escherichia coli, Klebsiellaspp., hui pū ana K. pneumoniae, K. oxytoca, K. ozaenae, Enterobacter spp., hui pū ana E. cloacae, E. aerogenes, E.agolomeratus, E. sakazakii, Proteusspp., hui pū ana P. mirabilis, P. vulgaris, Acinetobacter calcoaceticus (subsp.anitratus lwoffi), Aeromonas hydrophila, Capnocytophagaspp., Citrobacterspp., hui pū ana C. diversus, C. freundii, Campylobacter jejuni, Gardnerella vaginalis, Haemophilus ducreyi, H. influenzae (me ka shtami, e hua i ka beta-lactamase), H. parainfluenzae, Hafnia alvei, Legionella spp., Morganella morganii, Moraxella catarrhalis (Branhamella catarrhalis)) (me nā shtami, scho e loaʻa ai ka b-lactamase), Neisseria gonorrhoeae ((me kahi shtami, scho e loaʻa ai ka b-lactamase), Nesserameningitidis, Pantoea agglomerans ( vidomy yak Enterobacter agglomerans), Providencia spp. (komo P. rettgeri, P. stuartii), Salmonella spp., Serratia (komo S. na waiole, S. waiwila), Shigellaspp., ʻO Yersinia enterocolitica.

(Cefepim ʻaʻole ola Xanthomonas maltophilia і Pseudomonas maltophilia),

anaerobi:ʻO nā Bacteroides spp. , B. melaninogenicus, moe i lalo i ka Nā Pōʻalima, Hoʻolālā Clostridium, Fusobacterium spp., Mobiluncus spp., Peptostreptococcus spp., Veillonella spp. (Cefepim ʻaʻole ola Hoʻokomo nā huapili і Hoʻolaha Clostridium).

ʻO ka awelika o ka cefepima i ka plasma ma o ka hora wehe ma hope o ka manawa o ka pule intramuscular i hōʻike ʻia i ka papaʻaina.

Hoʻopili ka Plasma i loko o ke kaila (μg / ml) me loko (intravenous) a me ka 'ulcerative internal (intravenous)

ʻO Sich, zhovchі, kahi ridin peritoneal, kahi huna huna o nā puna bronchial, sputum, prostate, appendix a me ka mastic ua ʻike pū kekahi o ka pilina therapeutic o cefepima.

Ma ka wa waena o ka napivvidendenny cefepіmu me ke ʻano loea e lilo i mau makahiki 2 mau makahiki. I ka poʻe olakino, e like me ka hopena, ua mālama ʻia nā mea i hōʻea a i ka 2 g i kahi manawa o 8 mau makahiki, e mau ana he 9 mau lā, ke kīleʻa ʻana i ka lāʻau i loko o ke kino.

Hoʻopili ka Cepepime i ka N-methylpyrrolidine, a hiki wikiwiki i ka metabolida N-methylpyrolidine. ʻO ka cl_rens waena zagalny e lilo i 120 ml / hv. Hiki iā ʻoe ke ʻike i kāu nui e ʻike ai ma mua o Vinyatkovo no ka mahogany o nā kaola maʻamau - ʻo ka kelepa nui ʻo ia ka pāpale filtration glomerular (ʻo ka rata hoʻomaʻamaʻa nirkovy e 110 ml / hv). Ma kahi o 85% o ka nui o ka hopena o ka cefepime i wehe ʻia, 1% N-methylpyrolidine, ma kahi o 6,8% o N-methylpyrolidine oxide, a ma kahi o 2,5% o nā cefepime i hōʻike ʻia i ka hihia. ʻO ke kani o ka cefepime me nā poloka o ke koko a emi iki ka mea ma lalo o 19% a ʻaʻole pono e noho i ka maka o ka lāʻau i loko o ke koko.

No ka poʻe maʻi maʻi me 65 ka ʻike o ka hana maʻamau, ʻaʻole pono lākou e hoʻoponopono i ka dosage i cefepim, a kūʻokoʻa ka nui o ka nela.

Ua hōʻike ʻia ka hōʻike i hala, no ka hopena o ka poʻe i loaʻa i ka pae kiʻekiʻe loa o ka maʻi ola, ʻike ʻia ka manawa pinepine o ka hoʻonohonoho. Ma ka waena waena, no ka laʻana, i nā poʻe maʻi me nā hana i hoʻopilikia ʻia, pono wau e koi i kahi wahi iki me ka dialysis, lilo i 13 mau makahiki me ka hemodialysis a me 19 mau makahiki me ka dialysis peritoneal.

ʻO ka pharmacokinetics o cefepim i loko o nā maʻi i hoʻopau ʻia i ka hana i hoʻopili ʻia o ka pūpū ʻaʻole hōʻailona ʻia e ka mucoviscidosis. ʻAʻole pono ia Corriguvanny dozi no kēlā mau maʻi.

I ka manawa o ka hoʻokele ʻana, ʻaʻole ka hopena o ka nui o ka cefepime 50 mg / kg o nā ʻona no nā makahiki he 12; hiapo 8 mau makahiki.

Nā hiʻohiʻona Klіnіchnі.

ʻO ka maʻi paʻi, ma muli o ka hoʻouluʻana i ka mikroflora lāʻau:

- nā hale lole pīpī, ʻo ia hoʻi nā mākela, bronchitis,

- Shkіri a pidshkіrno klіtkovini,

- Іntraabdomіnalі інфекції, hui pū ka helu o peritonitis a me інфекції човчовивідних хлавів,

Hoʻomaʻemau maʻi empvoric вvorich iz iz neutropenichnoy garyachkoy.

ʻO ka pale ʻana i ka hana olakino ma ka ʻeneki olakino o loko.

- Інфекції hulina secchivividnyh, i hui pū ka pyonephritis,

- ʻike pili shkіri a pidshkіrno klіtkovini,

- empirical therapy ориvorich iz ot neutropenichesky hotachka,

Ke kikowaena me nā pakuhi nui loa a ʻike i ka hoʻololi ʻana.

ʻO nā dosis nui o Zastosovuchi o aminoglycosides me ka likes Likesky trick Extentsef, ka mahalo o ka hana ʻana i nā hana o nela ma o ke ʻano o ka nephrotoxicity a me ka ototoxicity o nā antibiotika aminoglycoside. Ua hōʻike ʻia me ka nekaʻi cocrosexism no ka staz ku cephalosporins me ka diuretics, e like me ka furosemide.

Ka makemake nui o ka 1 i ka 40 mg / ml moni me nā pōmaikaʻi o nā mākua: 0.9% sodium chloride chloride no 5%, 10% glucose koko no 6%, 6% sodium chloride no 5%, 5% glucose a me 0.9% sodium klorida no ka inoculation, hōʻike a Ringer no ka lactate a me ka 5% glucose no ka inoculation.

ʻAʻole hiki iā ʻoe ke hōʻola koke i nā lāʻau lapaʻau me nā lāʻau e pono ai, e kūʻai i ka lāʻau Extentsef (me ka maikaʻi loa o nā poma antibiotika b-lactam), mai lawelawe koke i ka metronidazole, vancomycin, sulfate, a me ka hoʻōlo me ka makū. I ka manawa koho o ka lāʻau Extentsef me nā lāʻau i kuhikuhi ʻia, e komo i ka okremo antibiotic hōʻula.

Hoʻokomo ʻia ma ka hopena o nā hoʻokolohua hoʻokolohua.

Hiki i ka uluʻana o ka cefepime ke alakaʻi i kahi hopena hibnopositive no ka glucose i mua o ka mana o Benedict. Hoʻomaopopo ʻia e ho'āʻo ai no ka glucose, e pili ana i ka hoʻomehana enzymatic o ka oxygen oxidation.

ʻO nā hiʻohiʻona zastosuvannya.

No ka poʻe maʻi me ka maʻi nui o ka maʻi nui (no ka laʻana, no ka poʻe maʻi a me nā keiki, ua hōʻaola lākou i ka hoʻohuli o ka lolo o ka bipi me kahi hana i hōʻemi ʻia, a ma kahi wale nō i hoʻōla ʻia i hōʻike ʻia no kēia).

Pono ia e hoʻomaopopo i ka poʻe i ʻike mua i ka maʻi maʻi o ka hypertrophy o ke ʻano huna ʻole i loko o ka cefepime, cephalosporini, penicillin, a me nā mea hoʻōki a inoculant. E hoʻoliʻoli ka vodite Antibiotics e mālama me ka mālama aka hoʻomaikaʻi mākou i nā ʻano āpau o ka alerika, ʻo ia hoʻi no ka hoʻomākaukau ʻana i ka lāʻau lapaʻau. Inā he hopena ʻokoʻa, pono e hoʻonā ʻia ka lāʻau lapaʻau. ʻO ka hopena hoʻonāukiuki o nā ʻano maʻi kīpē o ka hyperpathy hiki i ke adrenaline a me nā haʻahaʻa haʻahaʻa o ka maʻi.

ʻO Zastosovuvati me ka mālama ʻana i nā mea maʻi іz hopu i ka ʻōpala o nā lau nahele (huna ʻia i ka mōʻaukala), ʻoi aku ka helu.

I ka hihia o ka stasis, hoʻomaʻamaʻa maʻamau i nā antibiotics a me kahi pālahalaha o ka colitis pseudomembranous e like ʻole loa. He mea nui ia e hoʻolohe i ka hoʻomohala ʻana i nā kiʻokala o ka ʻimi i ka manawa o ka mālama ʻana i nā keiki a me nā keiki me ka lāʻau lapaʻau ʻo Ekstentsef Dosledzhennya e hoʻopaʻi i ka poʻe i loaʻa ka mea hiki ke hoʻopuka Hoʻolaha Clostridium, є ke kumu nui o ka kaiāulu lāʻau. I mea e hōʻike ai i kahi colitis pseudomembranous, pono ia e hoʻokomo i nā kipa therapeutic. ʻO ka colse o Pseudomembranous o ka lua kupapaʻu o ke kaumaha e hiki ke hele mai i ka mālamalama i ka wā e paʻa ai ka hoʻomākaukau ʻana. Ma ka vipadok, ʻo ka nui o nā poʻe e maluhia a me nā ʻoi loa ka paʻakikī e nānā pono i ka pono o ka wikiwiki a me ka electrolyte, ka mea maikaʻi loa no ka wikiwiki a wikiwiki i ka lāʻau antibacterial, ala kūpono Hoʻolaha Clostridium.

No nā mea maʻi me nā hana function impaired (clearance creatinine ≤ 60 ml / hv), e hoʻoponopono ʻia ka nui o ka cefepime e ka hoʻokūkū ʻana no ka wikiwiki o ka lāʻau lapaʻau. I loko o ia mau lā, i ka wā e loaʻa ai nā kaila o ke cefep i nā mea maʻi me ka nele o nā lāʻau lapaʻau, hiki iā lākou ke hooki i ka hana o ke nirk, a hiki iā mākou ke hoʻonui pū i ka ʻike. Me kahi kānana paʻa mau ka palekana, ka laʻana o ka nui o ka neʻe o ka hana, ka nui o ka maʻi a me ka nānāʻana o ka pae microorganism i ka antibiotic. Ma nā kaʻina o ke kūʻai aku ʻana ma hope o ka kūʻai ʻana, ua pau ka lāʻau lapaʻau i ka hōʻeha ʻeha, a ua lilo lākou i mea hoʻoweliweli no ke ola, a i ʻole nā ​​eʻae i ka lethal: encephalopathy (ka hoʻopiʻi o ka hoʻoholo, ka lilo ʻana o ka ʻike, ʻike ʻole ʻole ʻia) ʻO ka hapa nui o nā vipadas e hoʻopaʻa ʻia e nā mea maʻi me ka hana i hoʻopuni ʻia o ka nirok; ma ke kumu, ua hoʻonohonoho ʻia nā hewa o cefepima, akā ua ʻōlelo ʻia e hōʻano hou iā ia. Inkoli ino loa hoʻonā ʻia i ka pāʻina, yakimiruyut dosages, scorched mai urahuvannyam funktsії nirok. ʻO ka hapa nui, ua pili nā hōʻailona o ka nephrotoxicity me nā werewolves, ʻaʻohe hōʻailona hōʻailona o ka ʻili ʻana i ka cefepima a me / a i ʻole a hemodialysis.

Aia iki kekahi pono nui o ka holomua inā he liʻiliʻi liʻiliʻi ka hopena o ka oki inā loaʻa ka hoʻonui ʻana i nā maʻi bacterial i kēia wā e hiki mai ana. Ma kahi e hiki ai iā Trivale congestion cefepіmu (ʻak іnshih antibiotics) i hiki i ka hoʻomohala ʻana o ka superinfection. Pono e hoʻokō pono i ka hana hou ʻana i ka patsenta. I ka manawa e hoʻomohala ai i ka superinfection, pono ʻoe e noho i waho o kāu mau kipa kipa loa

ʻO Bagato cephalosporins, e hui pū me nā cefepim, i hui pū ʻia me ka hana i hōʻemi ʻia o ka prothrombin.Ma mua o ka hoʻonohonoho ʻana, pono ʻoe e komo i nā maʻi me ka hana i ka hakahaka o ka lāʻau, akā, ʻo nā ʻōpio, nā keiki, nā keiki a ka huhū, ʻo nā keiki hoʻi, ua hele lākou i ka papa trivial o ka ʻoihana antimicrobial. Pono e kāohi i ka prothrombin i nā poʻe maʻi me ka hui a inā he hōʻailona pono o ka hōʻailona o K. K.

I ka manawa o ke aloha, hiki ke loaʻa i nā cefepim akā ʻaʻole maikaʻi mai ka hōʻike ʻana iā Coombs pololei. I ka wā hematologic a i ʻole ke kaʻina hana, i ka wā i hōʻike ʻia ai ke ʻano o ke koko i hōʻike ʻia ma ke ala nui loa, inā e hoʻomaʻamaʻa ʻia kahi hōʻike antiglobulin, akā ua hoʻohana ʻia kahi hoʻokolohua Coombs no nā poʻe hou, ua kinai nā makuahine i nā antibiotika o nā cephalosporins, ua hiki iā mākou ke loaʻa ka hopena hōʻike maikaʻi.

Ua hānai ʻia ʻo Bulo, no laila, ʻo ka hoʻōla kaila o L-arginine e hoʻolaʻa a me nā calorie i loko o ke koko me nā kūhā, a ʻoi aku ka nui o ka manawa o 33 mau loa i ka nui o ka cefepime. Nā hopena ma nā haʻahaʻa haʻahaʻa haʻahaʻa no ka makahiki hou.

A zasosuvannі lіdokainu yak rozniknika slіd vrakhovuvati іnformatsіy me bezpeki lіdokainu.

Zastosuvannya i ka manawa o ka vaginosti abo makahiki o ka umauma.

ʻAʻohe kūpono a maikaʻi hoʻi ka mālama ʻana i ka hopena o kahi hapa o nā wahine, no laila, hiki i ka Extent ke loaʻa i nā hōʻailona o ka makahiki like o ka makuahine, inā e hoʻomālamalama ʻia ka lauoho no ka hoʻokaʻawale ʻana i ka manaʻo o ka pūpū.

Heʻuʻuku ka Cefepim i loko o ka pahu i ka waiū, ka nui o ka komo ʻana o ka umauma i ka waiū, ʻo ia ka hora o ka ʻike o ka makahiki Extentsef o nā umauma.

ʻO ke olakino e hoʻonā ai i ka wikiwiki o ka hopena i ka wā ʻo cheruvannі kaʻa kaʻa a me nā mea hana ʻē aʻe.

E hōʻoia i nā cefepim no ka wikiwiki o ka hopena i ka wā o kahi kaʻa kaʻa cheruvanny, no ka mea ʻaʻole i palaka nā robots me nā mīkini hou, akā, e hana me koʻu kaikaina, akā, a hala kahi hola e hiki ai iaʻu ke lawe i ka lāʻau lapaʻau, ʻaʻole hiki iaʻu ke kūleʻa ma ka ʻaoʻao o ka pūnaehana.

Sposib zososuvannya that dozi.

ʻO Zvichayna ka wanana no ka hele mua o ka lilo ʻana i 1 g, ka lawelawe ʻana i loko a i ʻole i loko i ke anelau o 12 mau makahiki. ʻO Zvichayna ka waiwai o kahi hoʻolaha - 7-10 lā, hiki i nā maʻi kaumaha ke hoʻopau i ka nui o ka haʻi ʻana.

Dosuvannya і shlyakh izvjennya variyuyut fallowingly in the eyes sensness microorganizm_v-zbudnikіv, kahi uʻi o ka maʻi o ka maʻi, a he ʻawaʻawa hoʻi e hana ai i ka maʻi nirok. ʻO ke koi ʻana o ka nui o ka nui o ka lāʻau Extentsef no ka inddd induction ma ka papa.

Інфекції сечових ххіів maʻalahi a me nā kaumaha

500 mg - 1 g a loko, akā ʻiloko o loko

Інші інфекції māmā a me nā kaumaha

1 g a loko, akā kūloko