Streptomycin yakawanikwa mhuka: mirayiridzo kushandiswa, tsananguro uye wongororo

Chii mutengo uye chii chiri varatidza wemhuka mushonga se "streptomycin yakawanikwa"? Mirayiridzo yokushandisa, mutengo, uye kugadzwa zvinodhaka ichakurukurwa pazasi.

Form rondedzero wemhuka zvivako

Kugadzirira "streptomycin yakawanikwa Sulfate" (wemhuka) ane makemikari chawo munyu icho zvinoberekwa vanopenya nemaziso chakuvhe.

Kutengeswa nzira iyi yaipiwa somunhu hygroscopic upfu kana porous guru chena ruvara, shungu kuravira, pasina hwema uye iri nyore soluble mumvura, novocaine uye sesaline.

"Streptomycin yakawanikwa" nokuti wemhuka zvichishandiswa inowanzoshandiswa zvichidiwa. Zvinofanira kucherechedzwa kuti akatsiga pane kungotevera zvinoitwa acidic svikiro, asi zvakanaka akapwanya alkaline mhinduro (pamwe kudziyisa) uye simba acids.

Pharmacology medicament

Sei mushonga "streptomycin yakawanikwa" mhuka? Mirayiridzo dzokushandisa inoshuma kuti mumiririri uyu ane bactericidal uye bacteriostatic zvivako pamusoro zhinji giremu negative uye giremu-akanaka pathogenic utachiona.

Inorwisa utachiona kubudirira zvinodhaka kunotemwa nemano ayo kutitadzise mapuroteni usage mune microbial masero ari ribosome chechetere. Zvinonzi yakataurawo kuti mushonga une maturo pamusoro chirwere kunokonzerwa Clostridia nemamwe anaerobic utachiona, notumwe tupukanana plasmodia, utachiona uye rickettsia. Uyezve, vamwe tusingaoneki ane wakanaka kuramba streptomycin, uye utachiona kuwedzera muna kurwisa kuti mushonga kunoitika mumazuva mashomanana. Ruzhinji zvahunoitwa nemishonga utachiona kuva pakazopera mwedzi kurapwa wechipiri. Kuti adzivise Fani iyi uye kubvisa utachiona, unofanira kushandisa makuru mishonga yacho chinodhaka, uyewo chokubatanidza nayo nevamwe inorwisa utachiona nevamiririri.

The pharmacokinetic zvechadenga zvinodhaka

kana mushonga wefodya, "streptomycin yakawanikwa" mhuka? Mirayiridzo Use inoti kana chakaunzwa haisi kunyura uye zvachose chose kuburikidza bowel.

Nokuti intramuscular majekiseni zvinoshingaira wemafuta mushonga wefodya pakarepo kupinda muropa, uye inowanikwawo munzvimbo pleural uye peritoneal in, bile, vitreous zvinosetsa, weti, uye maziso.

In chenjera kuzvimba ari pleural mhango pakati wevasungwa ari mushonga mumiririri anogona kusvika vanenge 50% of pamwero muropa.

In dzichiri yomumuzongoza streptomycin yakawanikwa kukwanisa kupinda munzvimbo musana Canal mune mari 10-50%.

Nyaya mumiririri inogona ichipfuura placenta. Chaiye oparesheni, streptomycin yakawanikwa chiropa rinoungana pamatunhu kuwanda mune hepatic tubules. Kana anetseka basa muviri ino anopinda bile iri diki zvakawanda, uye cholecystitis kugutsikana yaro munduru dundira anenge 85% of pamwero muropa.

Kuchirapa streptomycin yakawanikwa wevasungwa mune nyama siyana uye nhengo vakaramba kwemaawa 8-13. Izvi zvinhu nokukurumidza runako yabudiswa muna weti.

Zvairatidza kuti zvinodhaka

Iyo anobata zvirwere mari? Chii ichi inoti mirayiridzo kushandiswa kwezvinodhaka? "Streptomycin yakawanikwa sulfate" kunan'anura:

• pamwe leptospirosis, tularemia, mabayo;
• edema chirwere renguruve uye erysipelas, catarrhal Fivha (nyanyisa);
• diplokokkovyh zvirwere, mastitis, endometritis;
• endocarditis, yomumuzongoza, puerperal sepsis uye ronda;
• actinomycosis mombe campylobacteriosis, uyewo vamwe zvirwere, vamiririri zviri zvikuru nehanya streptomycin yakawanikwa.

Kurambidzwa kushandiswa

Kana iwe hazvifaniri ushandiswe mushonga "streptomycin yakawanikwa" mhuka? Mirayiridzo Dzokushandisa yaipiwa pamwe mishonga, anoti zvinotevera contraindications:

• yakakwirira mhuka aikanganiswa aminoglycoside nemishonga;
• kuvapo zvemwoyo uye renal chirwere.

Zvinofanira kucherechedzwa kuti mushonga havagoni kubatanidzwa nezvimwe zvinodhaka aminoglycoside (kusanganisira "neomycin" kanamycin "," monomitsin, "Gentamycin") nokuda inobvira kuwedzera yacho nephrotoxic mugumisiro.

Vatungamira pakugadzirira "streptomycin yakawanikwa Sulfate" (ari kushanda kuti mhuka)

Asati kushandiswa, zvakanzi zvazvichanyungudutswa vaiona zvinoreva sesaline, mvura chena, kana 0.25-0.5% M novocaine mhinduro. Zvanzi vanoomerera zvinotevera ukama: 0.25 d streptomycin yakawanikwa uye 1 ml solvent. Zviya, mumwe shuga kugadzirisa somunhu okupedzisira kushandiswa hakubvumidzwi.

More kuramba mari ringave kunorwadza. The rakapedzwa mhinduro inogona kuchengetwa ari mukamuri tembiricha kwevhiki (zvimwe vanoumba mumwe kutonhora kamuri).

Ndingatarira kushandisa zvinodhaka "streptomycin yakawanikwa" mhuka? Mirayiridzo yokushandisa inoti kuti rapera mhinduro inogona wakawanda intramuscularly uye topically, topically, zvokuvataurira nomuromo, vnutrivymyanno, intraperitoneal, intratracheal, intrauterine, uye intracisternally.

Intramuscular majekiseni mhuka vanyura tsandanyama. kurapa kwakadaro rinoitwa kwamazuva 4-7. The medicament chinotarisirwa kaviri zuva nezuva kwamaawa 12 anotevera dosages:

• Mombe yakaisvonaka - 10 MG / makirogiramu yemhuka vakura uye 20 MG / makirogiramu mhuka duku;
• mabhiza - 5 MG / makirogiramu yemhuka vakura uye 10 MG / makirogiramu mhuka duku;
• Mombe guru - 5 MG / makirogiramu yemhuka vakura uye 10 MG / makirogiramu mhuka duku;
• imbwa, nguruve - 10 MG / makirogiramu yemhuka vakura uye 20 MG / makirogiramu mhuka duku;
• sheche - 30 MG / makirogiramu yemhuka vakura uye 40 MG / makirogiramu hwevaduku.

In leptospirosis zvinodhaka "streptomycin yakawanikwa" raitongwa kwemazuva 4-10 ari chipimo chemushonga 25 MG / makirogiramu. Muzviitiko zvakaipisisa, nhamba iyi inowedzera.

Zvinofanira kucherechedzwa kuti mishonga iri pamwe "polymyxin B", "Penicillin" uye sulfanilamidnymi zvinoreva kana zvakakodzera. Kubatana uku zvinodhaka synergistic kuita, uyewo kunodzivisa chimiro utachiona husingakwanisi streptomycin yakawanikwa.

nemishonga

Zvino munoziva chii chinodiwa zvinodhaka "streptomycin yakawanikwa sulfate." Mirayiridzo kushandiswa mhuka yakanga Sezvinotsanangurwa pamusoro.

For intramuscular majekiseni mune mombe kungaratidzwa nokukurumidza kutanga chisimbwa, inova kukanganisa utano uye upenyu hwemhuka. The panowanikwa yematambudziko akadaro chokuita zvinoitwa muviri wayo uye hakubvi pasi chipimo chemushonga ari mushonga kushandiswa.

Uyewo, matambudziko akasiyana-siyana munogona pashure kwokubatsira zvinodhaka, izvo kazhinji kunokonzerwa sensitizing mhuka zvichimurova yamabwe kurapa rokutanga.

In marapirwo pamwe zvinodhaka izvi zvipfuwo kunogona kuonekwa chepfu siyana, manyoka, tachycardia, dermatitis, kusanzwa uye havachanyatsogoni motokari Kufambisa.

Mutengo uye nhoroondo

Mari nehanya rinoreva (chinu 1 g) anenge 18 rubles.

Dzimwe nyanzvi regai dzinokurudzira kusanganisa "streptomycin yakawanikwa sulfate" uye "Penicillin" iri chete sirinji. Zvisinei, dzimwe Vets zvikuru zvinobudirira akashandisa mubatanidzwa uyu kurapwa vezvipfuwo.

Vanhu kwenguva refu neVadzidzi wemhuka chinodhaka, vanoti kuti vakadaro kuonana kunowanzokonzera navo dermatitis kukura.

Maererano nenyanzvi, kuuraya mhuka, iyo "streptomycin yakawanikwa" wakatangwa, vanobvumirwa abate vhiki imwe chete pashure wokupedzisira yaitonga chezvinodhaka. Nyama yemhuka vaZedhekiya zvinokonzerwa, inofanira kushandiswa pakugadzira hwakatsetseka.

Kana mukaka, rinogona kushandiswa zvinangwa zvayo zvokudya kusvikira mazuva maviri pashure rokupedzisira zvinodhaka kutarisira.