Injections Gentamicin: ʻōlelo aʻoaʻo no ka hoʻohana ʻana

No ka hui o ka ʻĀogoginecosides ka ʻōmaʻomaʻo o Makikinikini, he pakano ka nui o ka hana.

Ke hōʻike nei ka lāʻau lapaʻau i ka hana i hoʻonui ʻia i nā bakerer aerobic gram-hewa: Shigella, E. coli, Salmonella, Enterobacter, Klebsiella, Protein, Pseudomonas aeruginosa. Hoʻokomo ka Gentamicin i ka staphylococci (ʻoiai nā mea kūpaʻa i nā maʻi ʻē aʻe, penicillin), kekahi mau kaha o ka streptococci.

Ke kū'ē nei i ka meningococcus o ka lālani, pale treponema, kekahi mau ʻano o ka streptococci, nā mea maʻi anaerobic.

Nā hōʻailona no ka hoʻohana ʻana o Gentamicin

Wahi a Gentamicin e like me nā ʻōkuhi.

• urinary tract: cystitis, urethritis, pyelonephritis,
• respiratory tract: empyema, pūhi abscess, pleurisy, pneumonia,
• nā hana maʻi
• ʻāwī: dermatitis, huhū hoʻomaʻemaʻe purulent, ʻōpio trophic, ʻā ʻia.

Nā ʻōkuhi no ka hoʻohana ʻana iā Gentamicin

ʻO ka hoʻohana ʻana o Gentamicin e hana maikaʻi loa ma hope o ka hoʻoholo ʻana i ka hoʻowalewale ʻana iā ia me ka microflora i hoʻokumu i ka maʻi.

Hōʻike nā ʻōlelo i nā awelika i hoʻohana ʻia no ka mālama ʻana:

• me ka maʻi ʻeha o ka urinary no ka wā ʻōpio ma luna o 14l. a no nā pākeke, hoʻokahi dosis he 0.4 mg pākeke o ke kaumaha o ke kino, a me kahi awelika o kēlā me kēia lā he 0.8-1.2 mg pākeke o ka paona maʻi.
• Me ka sepsis a me nā maʻi ʻē aʻe, ʻo ka pākaʻi hoʻokahi he 0.8-1 mg i hoʻokahi kilogram, a ʻo ka nui o kēlā me kēia lā he 2.4-3.2 mg.

ʻO ka nui ka wai ma ka 5 mg no ka kilokilo i kēlā me kēia lā.

ʻO nā kamaliʻi ma lalo o 14 mau makahiki o ka ʻekikoma Gentamicin maʻa wale ʻia no nā hōʻike kūikawā.

ʻO ka maʻa mau i kēlā me kēia lā no nā pēpē a me nā keiki hou aʻe he 2-5 mg pākeke paona. Na keiki mai 1-5l. e koho i ka 1.5-3.0 mg mg pākeke, nā keiki 6-14 lita. - 3 mg no ka kilo.

ʻO ka nui loa o ka nui o ka Gentamicin no nā keiki o nā ʻōhua like ʻole ʻo 5 mg / kg / lā.

Kālā ʻia ka ʻōlelo o kēlā me kēia lā i ʻelua a ʻekolu paha. ʻO ke papa, ma ka awelika, ka lōʻihi 7-10 lā. Hoʻololi pinepine ʻia nā inikina Gentamicin i nā lā 2-3 i intravenously, a ma hope o lākou i ke hoʻololi i nā injections intramuscular.

No ka hoʻokele intramuscularly, hoʻohana ʻia ka gentamicin sulfate i ke ʻano o kahi mea i hoʻomākaukau ʻia a hoʻomākaukau ʻia 2 ml mau. pauku wai ʻaʻa No nā intravenous injections o Gentamicin, hiki iā ʻoe ke hoʻohana wale i kahi mākaukau i hoʻomākaukau ʻia.

Hoʻohana ka ʻōmole cream aila ʻole i ka ʻaila no ka hoʻomaʻemaʻe ʻana o ka ʻili, folliculitis, furunculosis. I ka manawa like, e hoʻopā ʻia nā wahi i hoʻopilikia ʻia me ʻelua a ʻekolu mau lā / lā no hoʻokahi a ʻelua pule.

Me nā conjunctivitis, keratitis, nā maʻi ʻē aʻe o nā maka, ua hoʻohana ʻia nā kihi Gentamicin - ʻekolu i ʻehā a i ka lā.

Nā hopena hopena

ʻO ka hoʻohana ʻana o Gentamicin hiki i nā hopena like ʻole: hoʻoilo, hoʻomehana, hyperbilirubinemia, hoʻonui i ka hele ʻana o ka hepatic transaminases, proteinuria, microhematuria, oliguria, renal failed, headaches, loss loss, drowsiness, irreversible deafness, vestibular disorders, impaired muscle and nerve conduction, rash, rash fiva, haki, lipema o Quincke (luhi).

Nā Hoʻohui

Ke kuhikuhi nei nā ʻōlelo a Gentamicin e hoʻohana ʻia kona hoʻohana ʻana inā he maʻi hypersensitivity ka mea maʻi i nā antibiotics a pau o ka hui aminoglycoside.

Pēlā nō, ʻaʻole i hoʻohana ʻia ʻo Gentamicin no ka neuritis o ke kaula auditory, hoʻopiʻi ikaika ʻana o nā keiki, ka hapai, ka lactation, uremia.

Gentamicin: nā kumukūʻai ma nā lāʻau lapaʻau pūnaewele

ʻO ka olakō Malikinoin 40 mg / ml no ka hoʻokō intravenous a me ka intramuscular hoʻokō o 2 ml 10 pcs.

ʻO ka olakō Malikinoin 40 mg / ml no ka hoʻokō intravenous a me ka intramuscular hoʻokō o 2 ml 10 pcs.

ʻO ka olakō Malikinoin 40 mg / ml no ka hoʻokō intravenous a me ka intramuscular pule 2 ml 5 pcs.

GENTAMICIN 40 mg / ml 2 ml 10 pcs. iaaeao no ka pauku intravenous a me intramuscular hoʻokō

GENTAMICIN 40 mg / ml 2 ml 10 pcs. iaaeao no ka pauku intravenous a me intramuscular hoʻokō

GENTAMICIN 0.1% 15g hinu no ka hoʻohana o waho

Hōʻike nui ʻia ka ʻike e pili ana i ka lāʻau lapaʻau, i hoʻolako ʻia no ka hana ʻike a ʻaʻole hoʻololi i nā ʻōlelo aʻoaʻo. Hoʻopilikia ka lāʻau-pono iā ia ke olakino!

ʻO James Harrison kahi kanaka 74 o kāna makahiki o Australia, ua lilo ia i mea honi koko ma kahi o 1,000 mau manawa. Loaʻa iā ia kekahi ʻano koko nui, nā antibodies o nā mea kōkua i nā pēpē hou me ke anemia koʻikoʻi. No laila, ua mālama ʻo Australia i kahi miliona miliona keiki.

Me ka kipa pinepine ʻana i ka moena maka, hiki i ka manawa o ka loaʻa ʻana o ka maʻi maʻi kino e hoʻonui ʻia e 60%.

Ua ʻike hou ʻia nā Dentist. I ka hope o ke kenekulia 19, ua hana ia i kahi mea kāhiko maʻamau e huki i nā niho maʻi.

Ma UK, aia kekahi kānāwai e like me ka mea e hiki ai i ka mea maʻi ke hōʻole e hana i ka hana ma ka mea maʻi inā ulaula a i ke kaupaona ʻana. Pono ke kanaka e haʻalele i nā hana ʻino, a laila, ʻaʻole paha, ʻaʻole pono ia e kāpili ʻia.

Ua hana ʻia ka vibrator mua i ka kenekulia 19. Ua hana ʻo ia ma ka mokuahi kahi i manaʻo ʻia no ka mālama ʻana i ka hysteria wahine.

Aia nā mea lapaʻau maʻi keu nui loa, e like me ka nānā ʻana o nā mea nānā. Ma ka ʻōpū o kahi mea hoʻomanawanui e loaʻa ana i kēia mania, ua loaʻa nā mea 2500 mau mea ʻē.

ʻO nā kāmera ʻo nā maʻi maʻi maʻi maʻamau i ka honua a hiki i ka maʻi ke hiki ʻole ke hoʻokūkū.

Ua hana ka poʻe ʻepekemaʻAmelika i nā hoʻokolohua ma nā kaole ka hopena a paʻa ka wai wai melemele i ka hoʻomohala ʻana i ka atherosclerosis o nā kīʻaha koko. Hoʻokahi kekahi pūʻulu o nā kiʻi i ka wai anuanu, a ʻo ka lua o ka wai wai kinawai. ʻO ka hopena, ua kaʻawale nā ​​ipu o ka hui lua i nā kolika poli o ka kolamu.

ʻO ka hana a ka mea makemake ʻole ai i ʻoi aku ka maikaʻi o kāna psyche ma mua o ka nele o ka hana i ka manawa āpau.

I mea e haʻi aku ai i nā ʻōlelo pōkole loa a hoʻohana maʻalahi.

Inā oki ka hana o kou ate, e make ka make i loko o ka lā.

Inā ʻoe e minoʻaka a ʻelua wale i ka lā, hiki iā ʻoe ke hoʻohaʻahaʻa i ke koko a hōʻemi i ka hopena o nā hōʻeha o ka naʻau a me nā kī.

I ka wā e ola ai ka mea, ʻo ka mea maʻamau e hoʻomālamalama ma mua o ʻelua mau loko wai nui.

Wahi a nā kānaka ʻepekema he nui loa ka hoʻohana ʻana i nā mea ʻona no ka poʻe.

ʻAʻohe haʻahaʻa i ka mea i hoʻonaʻauao ʻia i nā maʻi lolo. Hāʻawi ka hana naʻauao i ke kūkulu ʻana i kahi kikoʻī hou aku e uku aku ai i ka poʻe maʻi.

Wahi a nā helu helu, ma kahi o 80% o nā wahine ma Lūkini e loaʻa i kahi maʻi o ka maʻi bacterial. Ma ke kānāwai, ʻo kēia maʻi ʻino i hui pū ʻia me nā pua keʻokeʻo a hina paha.

E hoʻokuʻu i ke ʻano a me ka ʻano

ʻO ke kūmole no ka hoʻokele makua ʻo Gentamicin kahi wai maʻalahi. ʻO ia i loko o ka 2 ml aniani pahu kiʻi. Loaʻa i hoʻokahi ampoule he 80 mg o gentamicin sulfate e like me ka mea nui o ka hana. Hoʻopili ʻia nā Ampoules i nā poho he nui o nā ʻāpana he 10. Aia ka pākōkō pahu kahi i kahi pōpoki palupula palaka a me nā ʻōlelo no ka hoʻohana ʻana i ka lāʻau lapaʻau.

ʻLoe a me ke kākele

Hoʻolakoʻa ʻia ka ʻōmole Hōʻōkoleʻo Gentamicin i kahi intramuscularly a i ʻole intravenously. ʻO ka laʻana i kēlā lā i kēia lā e pili ana i ka lāʻau, ua 3-5 mg / kg ka nui o ke kino, hoʻokaʻawale ʻia i 3 injections. ʻO ka papa maʻamau o nā mea lapaʻau he 7-10 lā, inā pono, hiki i ke kauka ke hoʻonui i ka lāʻau lapaʻau i nā lā he nui. Aia hoʻi kahi hoʻolālā no ka hoʻokō intravenous i kahi hopena Gentulerin ma ka nui o 160 mg (2 ampoules) hoʻokahi manawa i ka lā, ma kahi papa o 7-10 lā. I nā maʻi ākea nui, ʻo kahi maʻi pīhoihoi o 240 mg o antibiotic (3 ampoules) e mālama hoʻokahi. No nā keiki i luna o ke mau makahiki 2, ʻo kēlā me kēia lā o ka lā lapaʻau ke like like me nā mea pākeke - 3-5 mg / kg paona kino. No nā pēpē i hānau pēpē a i nā pēpē, e pau ka nui o ka lā i kēlā me 2-5 mg / kg kino kino, ua mahele ʻia i 2 injections. No nā keiki i lalo o 2 mau makahiki keu, ke ʻano like ʻo ia ka like me ka 3 injections. Me ka hikiʻole o ka renal hiki ʻole ke hoʻoponopono ʻia, e hoʻoponopono ʻia ka hopena o ka hopena o ka Gentamicin, ma muli o ka nui o ka hoʻemi ʻana o ka hana hana o nā kuhi.

Nā hopena hopena

ʻO ka hoʻohanaʻana i kahi hoʻonā no ka hoʻomehana makua no ka Gentamicin hiki ke alakaʻi i ka hoʻomohala ʻana i nā hopena ʻaoʻao mai nā ʻano ʻano kino a me nā ʻōnaehana:

• Pūnaehana Digestive - hanilo, luaʻi, stool stst.
• Pūnaehana wahī - ʻeha, kuʻi, ʻeha.
• Pūnaehana urinary - proteinuria (ke ʻano o ka protein i ka urine), cylindruria (ke ʻano o nā kahe o nā renal tubula i loko o ka pāʻai i ka ʻano o nā cylinders), ka hoʻomohala ʻana o ka hana ʻole i ka renal.
• ʻOi aku ka momona o ka iwi a me ka ʻōnaehana koko - anemia (kahi hōʻemi i ka hemoglobin a me nā ʻōpū koko wīwī), granulocytopenia (kahi hoʻoli ka helu o kekahi mau ʻano pili koko keʻokeʻo i loko o ke koko, i nā neutrophils a me nā eosinophils).
• Nā ʻōnaehana olakino Biochemical - ke hoʻonui ʻana i ka hana o nā enzymes transaminase o ke ake (AST, ALT), e hōʻike ana i ka hōʻeha i nā hepatocytes (nā pūlima o nā ate).
• Nā kumuhana alika - ke ʻano o ke kahe ma ka ʻili, kona ʻōlohelohe, ka hives (a me ke ʻano he nui a me ka ʻalī e like me ka puhi ʻā ʻana o ka net). ʻO ka hopena maʻi maʻi kūlohelohe ma ke ʻano o ka angioedema Quincke edema (ka ʻōpū ikaika o ka ʻili a me ka kiko o ka subcutaneous ma ke alo, ke kūlohelohe o waho) e ulu pinepine. Aia ke ʻike ʻia nā hihia o ka hoʻomohala ʻana o ka pīhoihoi anaphylactic (kahi hōʻemi nui ka piʻi ʻana i ka pae o ka paepae koko a me ka holo ʻana o ka nui o ka organ).

Ma ka hihia o nā hopena ʻokoʻa, ua kāpae ʻia ka lawelawe ʻana o ka ʻōnaehana Gentamicin.

Nā ʻōlelo kikoʻī

Ma mua o ka hoʻomaka ʻana i ka mālama ʻana me ka Gentamicin Injection, pono e noʻonoʻo pono i nā ʻōkuhi kūikawā e pili ana i kona hoʻohana ʻana, ʻo ia hoʻi:

• Hōʻikeʻike i nā hana hana paʻa o ke keiki a i ʻole ka auditory nerve e koi koke i ka wehe ʻana i ka lāʻau.
• Me ka mālama aka, hoʻohana ʻia ʻo Gentamicin Injection i nā keiki ʻōpio.
• Inā pono e lawelawe i ka lāʻau lapaʻau i ka wahine hānai, e hoʻoneʻe ʻia ke keiki i ka mea kīloi o ka wai i hoʻohuihui ʻia ʻia no ka lōʻihi o ka hoʻohana ʻana i ka hopena no ka ʻano o ka ʻano o ka ʻano ʻāwalu hoʻi.
• I ka wā o ka papa hana me ka hoʻonā ʻana aku o Gentamicin injection, ka nānā ʻana i ka manawa maʻamau me ka nui o nā parameter biochemical nui o ka hana hana no ke akeʻa a me nā ʻonaninā.
• Ma lalo o ka mālama mālama olakino maʻamau, ua hoʻokaʻawale ʻia ka lāʻau lapaʻau no nā poʻe maʻi me ka puʻukui concomitant o ke kino (dehydration) a me ka myasthenia gravis (nāwaliwali o ka māla).
• Hiki i ka lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau o nā lāʻau lapaʻau ʻē aʻe, i ka lawelawe pū ʻana me ka diuretics loop (diuretics) hiki ke hoʻonui i kāna hopena maikaʻi ʻole i nā keiki.
• ʻAʻole pili ka lāʻau lapaʻau i ka neʻe ʻana o ka nānā a me ka wikiwiki o ka hopena psychomotor.

I loko o ka pūnaewele olohila, dis kaha i ka ʻikepili Gentamicin e ka lāʻau lapaʻau. ʻO ke kūʻokoʻa a i ʻole hoʻi ma ka ʻōlelo aʻo a nā ʻaoʻao e hōʻike ʻia ka hoʻohana ʻana i ka lāʻau.