"Ceftriaxone": kadokotela ngesiLatini, umsebenzisi, isicelo, Izimo

Umuthi 'Ceftriaxone "(Ceftriaxone) kuyinto-antibiotic spectrum iyamangalisa ngempela isinyathelo, ngakho wagunyaza iziguli i nani elihlaba umxhwele izifo. Ukwelashwa nale izidakamizwa ngempumelelo, okwenza kube yinto eza kuqala phakathi kodokotela. izindleko zayo, uma iqhathaniswa nayo imithi elwa namagciwane efanayo kuqhathaniswa ezingabizi, okuvumela iziguli eziningi ukuthenga ke uma kunesidingo.

Ngesikhathi esifanayo, njenganoma iyiphi izidakamizwa, "Ceftriaxone" enezinto eziningi Izimo. Futhi, kufanele libekwe ngokunakekela izingane futhi ngokuqinile nokuphoqelelwa Kunconywa imiyalelo umthamo izidakamizwa.

imiphumela kwemithi

Lesi sidakamizwa kungokwalabo iqembu III isizukulwane imithi elwa namagciwane okuyinto ifa spectrum ezibanzi kakhulu isenzo. Liveza ukumelana izinhlobo eziningi igremu-negative futhi igremu-HIV amagciwane futhi kubuye asebenzayo ngokumelene eziningi amagciwane igramu-HIV aerobic.

Zokwelapha, izidakamizwa esetshenziswa ngempumelelo ngokumelene nesigqi ezilandelayo kokuba sensitivity high nalokho:

• Proteus mirabilis;
• Viridans ka Streptococcus ;
• Enterobacter;
• Shigella SPP.
• Escherichia coli;
• Umkhuhlane haemophilus;
• Streptococcus i-pneumonia,
• meningitides Neisseria;
• Neisseria gonorrhoeae;
• Clostridium SPP.
• Proteus;
• Salmonella SPP.
• S.epidermidis;
• Klebsiella SPP.

izinkomba

Umuthi kungenziwa iphathwe ezifana nezifo zokuphefumula njengoba:

• wamaphaphu ithumba;
• empyema;
• i-pneumonia.

Futhi "Ceftriaxone" - imijovo, ukusetshenziswa okuyinto luphuthuma izifo ezithathelwanayo pheshana emathunjini, kungasetshenziswa ekwelapheni:

• izinqubo ukuvuvukala kule ipheshana biliary (empyema, cholangitis);
• peretonitom komgodi ongaphakathi kwamathumbu;
• salmonellosis;
• typhoid.

A ezahlukene isinyathelo yalesi izidakamizwa ongaphumelela silisebenzise ekwelapheni izifo ezithathelwanayo of etiologies ezahlukene imvelaphi, kuhlanganise:

• elithambile izicubu izifo kanye isikhumba, amalunga amathambo, ukusha onegciwane kanye amanxeba;
• ugcunsula kanye chancroid, isipatsholo;
• sepsis;
• endocarditis;
• meningitis virus.

"Ceftriaxone": imfundo (imijovo)

Imiyalo umthamo izidakamizwa akuvunyelwe ngokomthetho, okuyinto incike engu-isiguli isifo ekhona:

• izingane ezineminyaka engaphezu kwengu-engu-12 futhi abadala, umthamo alahlwayo nsuku zonke 1-2 amagremu, noma 0.5-1 g njalo ngemva kwamahora angu-12;
• Izingane ezingaphansi kweminyaka engu amaviki 2, esiphezulu Isikali avumelekile mg ngelanga 50;
• uma idingekile ukuze zokuvimbela ukutheleleka emva kokuhlinzwa 1-2 g "Ceftriaxone" iqondiswa kanye, imizuzu 30-60 ngaphambi kokuba uhlinzwe;
• ngesikhathi isifo iziguli isipatsholo iqondiswa izidakamizwa imali 250 mg ngoba umjovo owodwa esicutshini;
• meningitis ezinganeni ezincane ezisetshenziswa mg 100 "Ceftriaxone" izikhathi 1 ngosuku.

Inkambo egcwele ukwelashwa incike lwegciwane kokuqala. Ngokwesilinganiso, kuba 4 kuya ku-10 izinsuku. Ngo ngamagciwane okunzima, ekwelapheni "Ceftriaxone" kufanele kuhlale okungenani izinsuku 2 emva zonke izimpawu zesifo lidlulile.

Khipha ifomu nezindleko isilinganiso

Lokhu imithi ngesimo powder for umjovo. Iningi izidakamizwa kuthengiswa emaphaketheni ezihlukahlukene, kuhlanganise 'Ceftriaxone ", intengo zazo kuncike inani amabhodlela e 1 iphakethe. Babephethe ibhokisi kungaba 1, 2, 5 noma 10 amayunithi imithi ka 0.5 g noma 1 g Ukuze izibhedlela ayatholakala emakhemisi amaphakheji enkulu, lapho izitsha eziyisikhombisa izidakamizwa 1 g igcwele izicucu 50. Ngokwesilinganiso, 1 umfuma we izidakamizwa ukuze usuku ruble 25 kuya 40. Inani iphakethe enkulu izitsha eziyisikhombisa 50 ezisukela 950 ruble 1050.

Ngokwengxenye enkulu, "Ceftriaxone", ogama intengo ingahluka kuxhomeke nasekutheni yiziphi imikhiqizo kwemithi, kubhekwe uma ziqhathaniswa iningi isizukulwane esisha kwamaphilisi izidakamizwa ayibizi kakhulu. Futhi lena ingenye zako ezibaluleke kakhulu.

"Ceftriaxone": kadokotela ngesiLatini

Udokotela ukuba khona esibhedlela noma owelapha edilini emtholampilo ekukhetfweni zomuthi isiguli ubhala isithako somuthi nokusetshenziswa kwawo ukuthengwa kanye nokusebenzisa izidakamizwa kule ulimi Latin. Ukwenza kube lula ukuqonda isiqu esinjalo ke sizobe sesibheka ongakhetha eziningana.

"Ceftriaxone" iresiphi ngesiLatini okusho ngempela iqukethe igama isithako esikhulu, kuvezwa kanje: Ceftriaxoni. Okunye idatha ingase yehluke kuye ngesistimu lokuhlushwa izidakamizwa ekhethiwe, umzila yokuphathwa (intramuscularly noma ngemithambo yegazi), umthamo Kunconywa kanye nenombolo ledzingekako izidakamizwa ngosuku. Futhi, iresiphi kungase kubonise ngaphandle izidakamizwa esebenzayo kumele buhlanjululwe ngaphambi umjovo (i-sodium chloride, procaine noma lidocaine).

Ngokwesibonelo, ukwelapha izingane samakhaza umphakathi kuluthola, lapho kudingeka ukuba amise "Ceftriaxone" iresiphi ngesiLatini simiswe ngalendlela lelandzelako:

RP: Ceftriaxoni 0,5;.

Dtd №10;

S. Le unamathisele kuphela; V / m, 1 / usuku.

Lokhu kusho ukuthi umuthi in ifomu powder, umthamo okwakukhona 0.5 g, buhlanjululwe usizo kuphela (manje ngokuvamile edayiswa iphakheji amabhodlela "Ceftriaxone"). Umjovo Kwenziwa ujove esicutshini, isikhathi esingu-1 ngosuku. Inkambo egcwele ukwelashwa ngesikhathi esifanayo siqukethe 10 imijovo.

Ezimweni lapho anhlobonhlobo izifo omdala ukhombe "Ceftriaxone" iresiphi e-Latin e version standard kuyoba kanje:

RP: Ceftriaxoni 1,0;.

Novocaini 0,5% - 3.0 ml;

D. td № 20;

S. okuqukethwe isitsha ukuncibilikisa 3 ml. 0, 5% isixazululo novocaine. 2 r / d, a / m.

Leresiphi is ngalezi zindlela ezilandelayo: powder "Ceftriaxone" ku-inani 1 g u buhlanjululwe 0.5% novocaine (3 ml) futhi bafake ke intramuscularly kabili ngosuku. Ukwelapha ngokwenjongo samanje siqukethe imijovo 20.

Indlela ukulungiselela isixazululo umjovo

Imithi elwa namagciwane, lapho zigcinwa futhi ithengiswe njengendlela impuphu, ngaphambi ujova isiguli sidinga nokonakala ngaphambi. Le mithi kusebenza "Ceftriaxone". Lidocaine namanzi ezisetshenziswa kakhulu ngalezi zinhloso.

Uma uhlelo izidakamizwa iqondiswa intramuscularly ku-inani 1 g ke buhlanjululwe ngo 3.5 ml 1% lidocaine. Uma kudingeka ukuba umjovo emthanjeni, 1 g "Ceftriaxone" ziyoncibilika 10 ml amanzi oyinyumba ngoba umjovo.

Indlela lokunciphisa izinhlungu isidakamizwa kwabathinta

Sicela uqaphele ukuthi iningi kwamaphilisi ngu ekuphathweni esicutshini kungaba yinto ebuhlungu kakhulu. Ayikho ngaphandle, kanye nokubika izidakamizwa "ceftriaxone". Imiyalelo (imijovo befanele) emuthini uthi ukuze kuncishiswe ukungakhululeki ngesikhathi umjovo kumele kusetshenziswe 1% lidocaine. Ngokuba yilowo nalowo buttock omunye is hhayi Kunconywa ukuba iphathwe ezingaphezu kuka 1 g zomuthi. Ukuze wehlise ukungakhululeki ngesikhathi umjovo emthanjeni isidakamizwa iqondiswa kancane kakhulu, imizuzu engaphezu 2-4.

Ikakhulukazi ukuqokwa izidakamizwa izingane

"Ceftriaxone" izinkomba ukusetshenziswa okuyizinto ngempela ngempela anhlobonhlobo, kwesinye isikhathi kuphethwe nodokotela bezingane ngoba uhla enkulu izifo. Umuthi ingasatshenziswa nojahidada eneminyaka engaphansi kwengu-1 unyaka.

"Ceftriaxone" - imijovo, ukusetshenziswa eyakuba afanele lezi zifo ezilandelayo ezinganeni:

• Isifo samaphaphu kanye ENT izifo.
• izifo zesisu, peritonitis.
• Isifo saseLyme.
• Izifo zesikhumba.
• Sepsis.
• izifo Joint bone ezithathelwanayo.
• Meningitis.

"Ceftriaxone" okuyinto umjovo lapho zaphathwa intramuscularly izingane kungaba yinto ebuhlungu kakhulu, batusa iqondiswa ngemithambo yegazi. Lokhu kungenxa yokungabikho yokuthi iziguli ezincane is hhayi Kunconywa ukuba alulaze umuthi "Novocaine" futhi "lidocaine". Umuthi wokuqala kungabangela ukushaqeka anaphylactic, kanti eyesibili - inhliziyo ukuphazamisa uhlelo futhi kubangele Ukudlikizela. Ikhumbula ezingozini ezinjalo izingane "ceftriaxone" iqondiswa ngemithambo yegazi, ngemva Ukuqedwa powder amanzi esikhethekile umjovo.

Ukuhambelana nezinye izidakamizwa

Imiyalelo "Ceftriaxone" uhlu izinto abasebenza ngazo kulo aluhambisani:

• aminoglycosides;
• vancomycin;
• amsacrine;
• i-fluconazole.

Inombolo izifundo kwatholakala ukuthi imithi elwa namagciwane bacteriostatic ukunciphisa umphumela we kokuthola "Ceftriaxone". Ngenxa yalesi sizathu, ukusetshenziswa kwabo ngokuhlanganyela kumelwe zilahlwe. Futhi, ningawenzi afeze Ukuqalwa ngesikhathi esisodwa ama-NSAID-antibiotic kanye ezahlukene njengoba lokhu kungase kwandise amathuba ukopha.

Ezimweni lapho ukwelashwa "Ceftriaxone" inikezwe abesifazane ukuthatha izinto zokuvimbela inzalo hormone, kutuswa ukuba inyanga ngaphezu ukusebenzisa ezinye izindlela zokuvimbela. Ama-antibiotic kunganciphisa ukusebenza kwe-isenzo umuthi.

Kuye kungase kutholakale ukuthi ngenkathi ukuqashwa kukaNksz isisu ezifana namandla njengensimbi furosemide, iyiphi kwezinso ku izinso siyenzeka.

Okumele kuqashelwe kanye contraindications

Njenganoma yimuphi izidakamizwa, le izidakamizwa enezinto eziningi Izimo. Kusukela ukusetshenziswa "Ceftriaxone" Kunconywa ukuba senqabe khona lezi zifo ezilandelayo nabanezinkinga zempilo:

• komzimba nemithi;
• hypersensitivity kuya penicillins, cephalosporins, carbapenems.

Umuthi kunikezwa ngokucophelela okukhulu futhi kuphela ezimweni ngekucindzetelwa esiphuthumayo ebukhoneni izinkinga ezifana:

• nesifo, enteritis;
• ukwehluleka kwezinso;
• yokwehluleka kwesibindi oyingozi.

Ukuqokwa abesifazane abakhulelwe nezinsana zabo

ukwelashwa "Ceftriaxone" okumele iqhutshwe ngaphansi kweso lwezokwelapha esiqinile ekumisweni abesifazane abakhulelwe, abantwana bayo singakafiki isikhathi izinsana ukuthi nginesifo hyperbilirubinemia.

Imiphumela engemihle

"Ceftriaxone" izinkomba ukusetshenziswa lapho enza encompass ezihlukahlukene izifo ezithathelwanayo, ijovwe, kungabangela inombolo yemiphumela emibi, kubathinta ezithinta ukusebenza kwe-izinhlelo ezihlukahlukene zomzimba:

1. Umthelela ongemuhle isidakamizwa isimiso sokugaya ukudla bungene kungenzeka isiguli kulandela ukuvela izinkinga: uhudo, ubuhlungu obukhulu besisu, ukuqumba, ukuhlanza, isicanucanu, psevdoholelitiaz. On isizinda "Ceftriaxone" ukwephulwa kunokwenzeka zokunambitha, ukubukeka glossitis kanye stomatitis.
2. Ukwamukelwa izidakamizwa kungathinta uhlelo urinary. oliguria Mhlawumbe okuhlaselayo, hematuria, urea anda glycosuria futhi hypercreatininemia.
3. CNS side effects zingenzeka ukwephulwa njengokuba nesiyezi akunasisekelo futhi izinhlungu zekhanda ezinamandla.
4. Imiphumela engemihle "Ceftriaxone" angakuphazamisa ukusebenza kohlelo hematopoietic. Mhlawumbe okuhlaselayo leukopenia, basophilia, ukuntuleka kwegazi emzimbeni, granulocytopenia, thrombocytosis futhi leukocytosis, futhi anaemia hemolytic. Ngezinye izikhathi wayesebenzisa ekuphathweni emthanjeni zomuthi kungabonakala nasemkhakheni izinguquko ngesikhathi prothrombin futhi ngopha emakhaleni.
5. With ukuthuthukiswa ukusabela iguliswa isidakamizwa ke ungaboniswa ukuqala Ukugodola, imfiva, edema. Mayelana yokungezwani komzimba "Ceftriaxone" futhi angase abonise ukuqala ukushaqeka anaphylactic, ukuthuthukiswa serum ukugula, ukubukeka wonke umzimba ukulunywa, ukuqubuka futhi urticaria ngemva ukungenisa noma umjovo.

Ukuze ugweme ezingase zibe ohlangothini-imiphumela zempilo okwalandela, ekwelapheni "Ceftriaxone" kufanele sigcwaliswe kuphela udokotela, ogcina umthamo Kunconywa.