Txog hnub, gentamicin injections yog suav hais tias yog ib qho tshuaj tua kab mob uas muaj zog ntawm ntau qhov kev nqis tes ua. Mus rau hauv lub hlwb ntawm cov kab mob los ntawm daim nyias nyias, gentamicin lawv ntxhov siab lub synthesis ntawm protein ntawm pathogen. Mob siab tiv thaiv Pseudomonas aeruginosa, kab mob gram-negative thiab Gram-positive cocci, nrog rau cov tshuaj tua kab mob rau lwm yam tshuaj tua kab mob.
Daim ntawv tso tawm thiab muaj pes tsawg leeg Gentamycin
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm ointment, qhov muag tshuaj, hmoov rau qhov kev npaj ntawm kev txhaj tshuaj, kua rau txhaj (gentamycin sulfate). Cov lus ntawm lub yav tas, nyob rau hauv tas li ntawd mus rau lub ntsiab tshuaj, muaj xws li:
- sodium metabisulfite;
- sodium hydroxide;
- sulfuric acid;
- disodium ntsev.
Cov kev qhia siv cov Gentamycin
Cov tshuaj Gentamicin, feem ntau yog siv ua mob hnyav. Nws yog qhov zoo rau kev kho mob ntawm cov neeg mob uas muaj kev tiv thaiv qis, uas yog yam ntxwv rau cov neeg mob ntshav qab zib, kab mob ntshav dawb, thiab lwm yam.
Parenteral Gentamicin yog siv rau hauv kev kho:
- kis kab mob ntawm cov pob txha thiab pob qij txha, cov tawv nqaij (nrog rau ntau yam kub hnyiab thiab frostbite );
- cov kab mob ua pa nyuab thiab ENT kabmob;
- mob mob hnyav nyob hauv txoj hnyuv quav thiab mob plab;
- cov kab mob ntawm lub hauv siab hauv hlwb.
Cov tshuaj Gnatamycin feem ntau yog siv los ua poj niam. Hauv kev mob hlav rau hauv cov txheej txheem ntxiv rau cov poj niam, cov tshuaj yog siv tshuaj tua kab mob. Ua tsaug rau kev siv tshuaj tua kab mob, nws muaj peev xwm los tiv thaiv kev mob hnyav hnyav, nrog rau kev mob ntxiv .
Cov lus qhia siv Gentamicin hauv ampoules
Cov tshuaj Gentamicin muaj peev xwm ua tau rau tus neeg mob lub cev mus rau hauv lub cev thiab cov kab mob hauv siab. Rau kev siv cov tshuaj intravenous, ib zaug ntawm cov tshuaj yog diluted nrog 50-100 ml ntawm isotonic chloride tov los sis tib tus nqi ntawm 5% tov piam thaj. Cov lus qhia hais tias niaj hnub txhaj koob tshuaj tiv thaiv txhua tus neeg hnoos yog 3 mus rau 5 mg rau 1 kg ntawm lub cev qhov hnyav, rau cov menyuam yaus tshaj 14 xyoos nws yog 0.8 rau 1.2 mg ib kilogram ntawm lub cev, nrog rau qhov nyiaj muab faib ua 2 mus rau 4 koob . Txoj kev kho mob yog 7 mus rau 10 hnub. Tus kws kho mob tuaj yeem hloov kho tau raws li qhov phem ntawm tus kab mob, hnub nyoog ntawm tus neeg mob, thiab lwm yam. Nws kuj pom tias ntev npaum li cas ntawm kev kho mob, uas, nyob rau hauv tshwj xeeb tshaj yog mob hnyav, tuaj yeem siv sij hawm ntev.
Contraindications thiab kev mob tshwm sim los ntawm kev hnoos los ntawm Gentamycin
Kev siv Gentamicin yog siv tsis tau:
- nrog rau kev mob ntawm tus neeg mob mus rau cov tshuaj tua kab mob ntawm aminoglycoside;
- kev ua txhaum ntawm lub raum ua haujlwm;
- neuritis ntawm lub hlwb auditory;
- thaum cev xeeb tub thiab lactation.
Hauv kev kho mob ntawm Gentamicin, cov txheej xwm nram qab no tuaj yeem tshwm sim tau:
- xeev siab, ntuav;
- mob taub hau;
- leeg tsis muaj zog;
- kev sib ceg;
- tawv kev tsis haum tshuaj;
- hnov mob;
- txoj kev tsis txaus siab.
Cov tshuaj no muaj peev xwm ntawm kev tuaj yeem tsim, yog li ntawd, nrog rau cov kev mob hauv lub cev, kab mob hauv lub plab feem ntau pom.
Nyob rau qee zaum Gentamicin yog qhov tshuaj lom rau tus neeg mob lub cev. Ib qho nyhuv ntawm cov tshuaj rau ntawm txoj hlab ntsha nrog rau kev lag luam ntawm lub rooj sib hais thiab cov cuab yeej siv vestibular. Nyob rau hauv qhov kev txuas no, tus neeg mob yuav tsum nyob hauv qab tswjhwm ntawm tus kws kho mob, tshwj xeeb tshaj yog thaum qhov tshuaj ntau tshaj plaws ntawm cov tshuaj los yog kws kho mob lossis kev kho mob lub caij ntev. Gentamicin tsis tau sau nrog ua ke nrog tshuaj tua kab mob uas muaj cov nyhuv ntawm cov hlab ntsws-los sis cov kab mob ototoxic. Thiab txawm hais tias tsis muaj cov ntaub ntawv tseem ceeb ntawm kev sib txuas ntawm gentamicin thiab cawv txhaj, cov kws kho mob tshwj xeeb yog cov xav paub txog kev txwv tsis pub haus thaum lub sij hawm kho mob tag nrho.