ImpiloAmalungiselelo

Isicelo futhi umphumela "Cefotaxime." "Cefotaxime": i Analogue zomuthi

Ama-antibiotic "cefotaxime" - umuthi onamandla wokwelapha izifo ezithathelwanayo kanye nokuvimbela yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa. Umuthi busuka emzimbeni umjovo, ngokuvamile ezinqunyiwe kokubili abadala kanye nezingane. Kuyinto-antibiotic semisynthetic ne-sodium ketshezi asebenzayo sefotaksim.

imiphumela kwemithi

"Cefotaxime" - cephalosporins omele, isinyathelo amagciwane kuqinisekiswa nokucindezela kumiswa iseli izindonga kwamagciwane.

Elwa Namagciwane senzelwe ukusetshenziswa parenteral, kuyaphumelela lapho zihlatshwa Gram-negative namagciwane amelana namanye antibiotic, bakwazi ukuthatha isinyathelo cocci igremu-HIV, kodwa ngaphansi asebenzayo kuka amagciwane igramu-HIV.

Pharmacokinetics

Umuthi ngokushesha ugxile, kuncike umthamo ungaphakathi plasma imizuzu emihlanu noma isigamu sehora ngemva ujova futhi igcina lokuhlala amagciwane egazini amahora angaphezu kuka-12. Umuthi engena izicubu futhi uketshezi, basakaza kahle kuzo. Uma kusetshenziswe lactation imithi angangena ubisi lwebele. Umkhawulo umphumela "Cefotaxime" kuba yipumelelo lokha lokuhlala aphumelele lwamalunga, peritoneal nasoketshezini pleural. Bheke wenziwa ezingaguquliwe umchamo (angu-60%) kanye ngesimo metabolites. Kwaphela isigamu-ukuphila ngenxa V / m / e edingekayo 1 ihora.

Izinkomba ngoba ukusetshenziswa nomuthi

Izinkomba ukusetshenziswa kwezidakamizwa kukhona uhlobo esithathelanayo ukuvuvukala cuphuluza ezincane-eziphilayo ukuthi kukhona okuhlonishwayo ezahlukene "cefotaxime" (ikakhulukazi igremu-negative). Ikhishwe kuphela kusho imijovo "Cefotaxime" analogs amaphilisi etholakalayo, umuthi isetshenziswa ekukhombeni uthi ezifana:

  • ukutheleleka ezithinta ngaphakathi komgodi ongaphakathi kwamathumbu;
  • izilonda zesikhumba, amalunga, izicubu zomzimba ezithambile bone;
  • izifo we zokuphefumula ipheshana, ekhaleni, emphinjeni, izindlebe;
  • ukutheleleka ezithinta uhlelo urinary;
  • isifo saseLyme;
  • ukuvuvukala izinqubo ezithathelwanayo nemvelo izitho okhalo, isipatsholo;
  • ukusha, itheleleke amanxeba;
  • meningitis, endocarditis, septicemia;
  • izifo of immunocompromised;
  • zokuvimbela izifo ezithathelwanayo ngemva izinqubo kuhlinzwa (imisebenzi kwi emathunjini ipheshana izitho, azoya futhi izifo zabesifazane kanye nezinqubo urological).

Izimo

"Cefotaxime" analogue ku imijovo babe Izimo ezithile okumelwe icatshangelwe ngaphambi kokwenziwa zomuthi.

Umuthi is contraindicated uma hypersensitivity kuya penicillins, carbapenems nezinye cephalosporins. Its ebekiwe ngokucophelela ngoba izifo zesibindi nezinso, izilonda emathunjini, lactation. Abesifazane abakhulelwe kunqunyiwe uma kunobungozi enkulu ezingenzeka embungwini noma unina umzimba kufanele ukuba bazuze kakhulu kunemiphumela emibi edlula izingozi ezingase zibe khona. Lapho esetshenzisiwe kuqhathaniswa nezingane ezineminyaka engaphansi kwengu-2.5, abavunyelwe ukusebenzisa indlela ujove esicutshini.

Ukusebenzisa izidakamizwa, umthamo

Ukuze nikwazi ukuzalela "cefotaxime", kubalulekile ukufunda imininingwane enikezwe yokusetshenziswa zomuthi. Imithi wayehlele ukuba / m / esethulweni (nge weThrojani noma bolus).

Umuthi ezinqunyiwe iziguli abaneminyaka engama 12, lapho isisindo somzimba amakhilogremu okukhulu kuka-50:

  • izifo ezithathelwanayo of ngomgudu womchamo abese kulezo zimo lapho ukutheleleka kwenzeka ngaphandle yezinkinga umzimba yinoma yimuphi indlela etholakalayo ukunikeza 1 g ekulungisweni ngilokhu amahora 8-12;
  • ayinzima amafomu isipatsholo acute iqondiswa singly yi esicutshini umzila 1 g izidakamizwa;
  • usebenzisa izidakamizwa ukuze kwelashwe izifo bemvelo ezithathelwanayo, kobukhulu okuyinto aphakathi nendawo, noma yiziphi izindlela 1-2g iqondiswa nge PERIODICITY kusho amahora 12 (ngaphambi isitshalo "Cefotaxime", kubalulekile ukufunda ngokucophelela imithetho owawuthi izixazululo zilungiselwa umjovo) ;
  • kanzima okwenzeka izifo, isib, meningitis, okudinga yethula vein 2 g zomuthi ngezikhawu amahora 4-8, nge umthamo esiphezulu ngelanga kungase kungabi ngaphezulu kuka-12 g; isikhathi yokwelapha enqunywe kobukhulu isimo;
  • ngaphambi imisebenzi ngesikhathi izinzwa ukuqeda amathuba okutheleleka iqondiswa 1 g zomuthi, kwezinye izimo amahora 6-12 wenziwa kokuboshelwa ndawonye kusho;
  • kwesigaba cesarean wenziwa ngokwethula 1 g "Cefotaxime" kamuva inqubo iyaphindwa.

Umuthi liyasetshenziswa ngemithambo yegazi maqondana ababelethwa kungakafiki isikhathi nezinsana zabo:

  • iminyaka yobudala engaphansi kuka-1 ngesonto - esetshenziswa 50 mg ngayinye 1 kg esisindo nge imvamisa amahora 12;
  • engu-1 kuya ku-4 amaviki - 50 mg ngayinye 1 kg esisindo nge PERIODICITY amahora angu-8.

Izingane nesisindo esingaba amakhilogremu esingaphansi 50 eneminyaka engu-eminyakeni 2.5, ukhethe 4-6 Isingeniso Enye yezindlela okungenzeka 50-180 mg amakhilogramu esisindo ngasinye (kumelwe kuqondwe njengokusho "cefotaxime" zohlobo novocaine, kuzomele ufunde imiyalelo ngokucophelela) . Uma kukhona Yiqiniso ezinzima kakhulu lesi sifo, ukusetshenziswa 100-200 mg / kg. Ngezinye usuku iyemukeleka 12 g we izidakamizwa.

Ukulungiselela izixazululo for umjovo

umjovo emthanjeni

I oyinyumba amanzi umjovo (4 ml) u buhlanjululwe 1 g zomuthi. Isixazululo iqondiswa imizuzu engaphezu 3-5, kubalulekile ukunikeza ukulethwa kancane emzimbeni.

ukumnika intravenous (ukuvuza)

Ngezinye 50-100 ml we kuphela (dextrose 5% noma i-sodium chloride-0.9% th) buhlanjululwe 1-2 g zomuthi kanye ukumnika Kwenziwa imizuzu 50-60.

esicutshini

Ngo 4 ml isixazululo (1% isixazululo novocaine -th, amanzi umjovo) ukuthatha 1 g zomuthi, wenze umjovo e ezinqeni, inaliti Kufanele ufake shí imisipha.

Ukuhambisana nemiyalelo imithi usebenzisa

"Cefotaxime" analogue in amaphilisi elingenabo atholakalayo, isicelo kuhambisana iziyalezo eziqondile. Ngaphambi kokufaka isicelo imithi edingekayo ukukhipha amathuba komzimba. Iziguli kungaba ukusabela iguliswa penicillin akuzange kusize, umuthi kumele kusetshenziswe ngokuqapha okukhulu. Uma kukhona kuvelana izinto eziqukethwe umkhiqizo okwelapha, ukusetshenziswa kwalo kumisiwe. Ekwelapheni izinsuku ezingaphezu kwezingu-10 kudinga wokuhlola ngezikhathi neuropathy kwegazi. Ukuqeda ukusabela engathandeki ngesikhatsi ukwelashwa kudingeka uyeke utshwala.

Overdosing side effects

"Cefotaxime" analogue ekumisweni abe inombolo enkulu yemiphumela emibi:

  • komzimba (urticaria, ukulunywa, ukuqubuka, imfiva, Ukugodola, bronchospasm, anafillaksiya, eosinophilia, angioedema, ezinobuthi epidermal necrolysis futhi Stevens-Johnson);
  • dyspepsia (ubuhlungu esiswini, dysbacteriosis, ukuqumba, isicanucanu, ukuhlanza, ukuqunjelwa noma isifo sohudo, izifo kwesibindi, ezimweni ezingajwayelekile - nesifo pseudomembranous);
  • glossitis, stomatitis;
  • yokuphazamiseka hematopoiesis uhlelo (hypocoagulation, anaemia hemolytic, thrombocytopenia, granulocytopenia, neutropenia, leukopenia);
  • kwezinso kwezitho urinary (nephritis interstitial, anuria, oliguria, azotemia, amazinga aphezulu urea egazini);
  • isiyezi, ubuhlungu bekhanda;
  • izinqubo ongathandeki esimiso senhliziyo nemithambo yegazi (arrhythmias ethwele kuthikameze ukuphila);
  • ukusabela engathandeki wendawo (ngesinyenyela, ubuhlungu / m, phlebitis);
  • izinguquko imingcele laboratory (okungamanga Coombs 'test);
  • superinfection (candidiasis temlomo, Candida lezinkinobho).

"Cefotaxime" Analogue zomuthi uma kusetshenziselwa ebulilini kungaholela ukweqisa izidakamizwa, kulandele Ukudlikizela kanye nezinye izimpawu, phakathi kwawo - izinkathazo, ukundindizela, encephalopathy (ngokuvamile kakhulu lokhu uphawu is ebonwe iziguli ukwehluleka kwezinso). Ukuze ongaqeda imiphumela ngokweqile ukwelashwa lingaze isetshenziswa.

Izidakamizwa nokuxhumana neminye imithi

Uma udinga ukuthola izindlela yenziwe ngohlobo olufana ukubunjwa izimali "cefotaxime" Analogue Pick ngeke kube nzima. Kodwa kungakhathaliseki, ngosizo yokwelapha izidakamizwa is ezenziwe usebenzisa Analogue wokuqala noma, noma kunjalo, kudingeka acabangele nokuxhumana zomuthi nezinye imithi.

Lapho "cefotaxime" kusebenza kokubili izidakamizwa engase nephrotoxic ezifana furosemide, imithi elwa namagciwane aminoglycoside, kubalulekile ukugcina umsebenzi izinso, ngenxa ingozi umthelela nephrotic.

Ukuze ekwelapheni izifo eziningi futhi kuvimbele ukuthuthukiswa yabo ngokuvamile zisebenzisa "cefotaxime". Yokusetshenziswa, izidakamizwa analogue baye ukuba zihlolwe, njengoba leli thuluzi kungabangela komzimba, has a lot of side effects kanye nezinye izici. I izixazululo zomuthi kungenzeka ingasetshenziswa ngokuhlanganyela nezinye izixazululo kwamaphilisi, abakwazi ixhunywe egumbini ukuvuza kanye isipetu.

analogs

Kusho "cefotaxime" analog kumele letikhetselwe izidakamizwa esebenzayo. Of analogue kwesakhiwo bungabonakala:

  • cefotaxime sodium;
  • cefotaxime isitsha, Sandoz, sodium ne lek;
  • tsefosin;
  • tsefantral;
  • tsefabol;
  • tsetaks;
  • tirotaks;
  • tartsefoksim;
  • taltsef;
  • intela ye-ibhidi;
  • spirozin;
  • rezibelakta;
  • oritaksim;
  • oritaks;
  • liforan;
  • klafotaksim;
  • klaforan;
  • klafobrin;
  • kefoteks;
  • intrataksim.

Njengoba kukhona amathuluzi anhlobonhlobo lokulungiselela "cefotaxime" analog ukukhetha lula, kodwa t. Ukuze. I analogs ingaba nezinye imiphumela emibi, futhi ukuphulukisa yabo umphumela ungase ube buthaka, esikhundleni izidakamizwa yokuqala kufanele kukhethwe ngokucophelela. Ukuze ugweme nemiphumela engathandeki, kufanele bafunde ulwazi oluningi mayelana nezidakamizwa ukuthi kuhlelwa ukuba isetshenziswe.

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