"Streptomycin yakawanikwa sulfate": mirayiridzo kushandiswa, analogs uye wongororo

mushonga ano anoita kushandisa zvikuru inorwisa mabhakitiriya kurapa zvirwere. Chitarisiko chake ivo chaizvo revolutionized okurapa. Ava makemikoro kuti anogona tunodzivisa kuparadzwa utachiona nezvimwe utachiona. Avo akasiyana toxicity dzavo uye zviito. Ivo inoshandiswa pakurapa kwete chete vanhu asiwo nezvipfuwo. On mumwe inorwisa mabhakitiriya izvi ichakurukurwa pashure.

Release chimiro zvinodhaka uye nheyo

Kugadzirira "streptomycin yakawanikwa sulfate" iri rakapa muchimiro upfu chena iri Hauoneki uye odorless. It ane shungu kuravira. Zviri nyore kuti nyunguduka. Kuparadzwa zvingaitwa kuti acids simba uye alkalis pasi kudziyisa. Available muhombodo 1 giremu kuti upfu, uko, mhinduro jekiseni.

Zvino mashoko mashomanana pamusoro sei akunoita uye chii sei muviri une.

"Streptomycin yakawanikwa sulfate" - kugadzirira bacteriostatic uye bactericidal chiito. Active pachinhu vakawanda giremu negative uye vamwe giremu-zvakanaka utachiona, uyewo nomusi Koch bacillus, afunge tibhii. Zvinoreva kukwanisa kuparadza streptococci uye pneumococci. Hazvina chokuita utachiona, izvo zvinogona zvakanaka kuita pasina oxygen. Uyewo Micro-zvipenyu zviduku zvinokonzera zvirwere uye nemavhairasi zvirwere.

Zvazvakaita zvinodhaka "streptomycin yakawanikwa sulfate" ndiko kuparadza utachiona. Zvimwe zvinhu zvipenyu zviri nokukurumidza tajairira kune zvinodhaka uye zvinoumba yakagadzikana chimiro. Vari ipapo havaratidzi kune asingaurayiwi kurapa. Saka akakurudzira "streptomycin yakawanikwa sulfate" kushandiswa kwete refu. Active kuchatibatsira zvakanaka kurwa tupukanana tusingaoneki, vari zororo, kusiyana nemishonga kuti penicillin kushingaira fuma.

Streptomycin yakawanikwa kuchititadzisa pezvakaitwa biosynthetic makemikari, oxidizing urongwa, uye kupanana nucleic acids. The mushonga haabvumiri zvigare muwande, kamura, kuchambokanganisa dzavo zvakajairika muviri uye inoita kuti morphological kuchinja mamiriro avo.

The mushonga zvakanaka kunyura kana raitongwa intramuscularly. Rikaramba riri ropa maawa 6-8. Yabudiswa kuburikidza netsvo. Pamberi mushonga wefodya unopinda kuipa uye kunoratidzwa kuburikidza muura. Zvinofanira pedyo nokungwaririra mushonga kana pane hadzina kufambiswa zvakanaka ari itsvo.

kugadza

In mushonga "streptomycin yakawanikwa sulfate" Chikumbiro nani rwakafara. Zvinonzi ushandiswe kuvanhu asi rinoshandiswa kuti kurapwa mhuka. Ndezvipi zvirwere zvinogona kurapwa pamwe zvinodhaka:

• Tibhii.
• Tiibhii zvimwe nhengo.
• kuzvimba mumapapu.
• Yomumuzongoza.
• Urinary turakiti chirwere.
• Suppurative kuzvimba.
• Denda uye tularemia.
• Brucellosis.
• Endocarditis.

Nokuti kurapwa kwezvirwere zvakawanda vanoshandisa "streptomycin yakawanikwa sulfate" akabatana nevamwe zvinodhaka, somuenzaniso:

• "Chloramphenicol".
• "Tetracycline".

Ndeupi wavo zvichawedzerwa vabudirire kutsvakwa kuchirapa zvazviri, chiremba anofanira kusarudza, kufungisisa chaizvo nechirwere chacho.

Ndiani hariudzi zvinodhaka kurapa Data

Pane kuti zvinodhaka "streptomycin yakawanikwa sulfate" User Application kunoratidza dzinoverengeka contraindications kuti kushandiswa kwayo. Ivo ndeinotevera:

• Individual kusashivirirana kuti zvinoumba kugadzirira.
• Hypersensitivity.
• Organic lesion of auditory etsinga.
• nzeve chirwere.
• Kwazvo marudzi zvemwoyo chirwere.
• Renal insufficiency.
• chiropa chirwere.
• Zvirwere hematopoiesis.
• Systemic zvirwere, chinonzi systemic lupus erythematosus.
• Cerebrovascular tsaona.
• Myasthenia gravis.

Zvinofanira kucherechedzwa kuti vakadzi vane pamuviri uye vana mushonga wacho ushandiswe chete utano zviratidzo.

Rakashandiswa "streptomycin yakawanikwa sulfate"

Mirayiridzo kushandiswa kurondedzera mitemo inotevera uye chipimo chemushonga zvinodhaka.

Zvinofanira kucherechedzwa kuti "streptomycin yakawanikwa sulfate" rinoshandiswa vakuru sezvo majekiseni, aerosols uye zvakare mukati mhango pakati trachea.

In intramuscular dose kuti vakuru varwere kazhinji 0.5-1.0 giremu. zvazvingava Daily haafaniri kupfuudza 2 magiramu. Kana murwere anoyera makirogiramu asingasviki 50, kana zera vakuru nemakore 60, ari chipimo chemushonga anofanira kanenge 0.75 magiramu pazuva.

Nokuti vana uye kuyaruka uwandu zvinodhaka rinowanikwa maererano uremu muviri. 1 kg kurema dose vanofanira kusvika 15-20 MG uye kwete kupfuura 0.5 magiramu pazuva vana nevechidiki 1 giremu.

zvirwere zvakadai tibhii, zvinoda kutanga zuva nezuva zvinodiwa mune imwe zvinofambidzana. Kana mushonga wacho havaratidzi akashivirira, yaipedzerwa yakakamurwa kaviri. Zvirwere kwete tiibhii mavambo kubatwa kutungamirira zuva dose, muzvikamu 3-4 mishonga. Kurapa kwapedza mazuva 7-14.

Kana itsvo inoshanda dose zvanhasi kuderedzwa yekudyidzana.

Preparation majekiseni mhinduro

mashoko zvikuru pamusoro gadziriro "streptomycin yakawanikwa sulfate" - sei ruchikonzera nokuda ose ezvinhu.

Nokuti jekiseni mushonga zvazvichanyungudutswa imwe mvura;

• mvura asingabereki kuti jekiseni.
• Sesaline.
• 0.25-0.5% novocaine kugadzirisa.

Huwandu chinofanira sezvinotevera: 1 giremu chigadzirwa pa 4 ml solvent.

Kugadzirisa "streptomycin yakawanikwa sulfate" yakagadzirira kuti jekiseni pakarepo asati kushandiswa. Storage harigoni, sezvo hazvigoni neshungu.

Nokuti pakatanga zvinodhaka ari mhango pakati trachea yakanga zvazvichanyungudutswa zvinotevera reshiyo:

• 0.5-1.0 giremu chigadzirwa sezvo 5-7 ml isotonic yavaibvisa chloride mhinduro kana 0.5% novocaine mhinduro.

Akagadzwa nguva anosvika 2-3 pavhiki, haina warambidzwa mamwe maitirwo ezvinhu.

Kuti kushandisa mushonga mu aerosol muchimiro:

• Varwere vakura 0.5-1.0 giremu upfu rakasanganiswa muna 4,5 Rine mamiririta sesaline. Nokuti kupisa-nyoro inhalation uchishandisa 25-100 ml mumushonga.
• For vana kushandisa chete chipimo chemushonga kana intramuscular jekiseni.

Nhanganyaya rekugadzirira kupinda mhango pakati trachea kuti akaumba somugumisiro zvinyama necrosis, akaita kushandisa poroshkovduvatelya. Kushandiswa zvakasimba pulverized guruva uye zvivako 10% mhinduro. The nzira inofanira kutora nzvimbo ezvinhu ane chipatara zvomusejari, chiremba kutarisira, kwete anopfuura 1 kanomwe pazuva, kuti dose haafaniri kupfuudza 1 g rekugadzirira "streptomycin yakawanikwa sulfate."

mabatiro yemhuka

Zvinokosha kuziva kuti zvinodhaka "streptomycin yakawanikwa sulfate" mhuka kazhinji chinhu chinokosha zvikuru. Sezvo zvinobatsira mune zvirwere zvakasiyana-siyana, zvakadai:

• Leptospirosis.
• Penguruve erysipelas.
• Bronchopneumonia.
• Mastitis.
• Ronda uye puerperal sepsis.

Contraindications mhuka dziri chaizvo zvakafanana avo vanhu.

The mushonga chinotarisirwa intramuscularly mhuka. Nokuti jekiseni "streptomycin yakawanikwa sulfate 'mhinduro inotevera resipi:

• Zvinofanira kutora 10 ml mvura kugadzirira negadziriso jekiseni kana chena sesaline.
• The upfu rakasanganiswa pa mwero 0.25 d streptomycin pa 1 ml solvent (zvachose dose anoratidzwa, inobva muviri uremu uye zera hwemhuka).
• The Kugadzirisa rinogadzirirwa pamberi kushandiswa, chitoro uye kudziyisa nayo isingagamuchiriki.

Nokuti kurapa "streptomycin yakawanikwa sulfate" mhuka yaishandiswa pesvondo. The dose chinotarisirwa intramuscularly ane gumi-awa zvikamu.

Kana kushandisa zvinodhaka anogona kuva divi migumisiro mune zvose vanhu nemhuka. Ngatimboongororai navo mberi.

nemishonga

Kana kushandisa zvinodhaka zvingaitika zvinotevera divi siyana:

• The unopinza kuwedzera kupisa.
• Sema kuratidzwa.
• Dermatitis.
• Dzungu.
• Nomusoro.
• Tachycardia.
• Nezve puroteni kana ropa iri weti.
• Kutyora intestinal microflora.
• Manyoka.
• Cranial tsinga.
• Kusanzwa.
• General simba.

Zvakakodzera zvinoenderana chipimo chemushonga idzidziso "streptomycin yakawanikwa sulfate." Kushandiswa kumusoro mishonga inogona kuvhiringidza pamusoro vestibular midziyo. Zviratidzo Fani iyi, sezvo mutemo, kuzviratidza mangwanani chaizvo uye zvachose reversible pashure discontinuation zvinodhaka. Mwedzi mishomanana gare gare ivo zvachose kunyangarika.

Saka, tinoratidza kushandisa zvinodhaka ichi kuita chafariz uye audiometric miedzo kuona kutyorwa vestibular nerevane kunzwa matambudziko. Pakubata pakugadzirira "streptomycin yakawanikwa sulfate" mirayiridzo zvinofanira kudzidzwa kuitira kudzivisa vasingadiwi siyana.

Kudyidzana nevamwe zvinodhaka

The mushonga haafaniri kutorwa pachiimbwa nemishonga, vane zvikuvadze ari nhengo pakunzwa. To avo vanosanganisira:

• "Kanamycin".
• "Florimiin"
• "Ristomycin".
• "Gentamicin."
• "Monomitsin".

zvinodhaka Nephrotoxic, kusanganisira aminoglycosides, "Vancomycin" cephalosporins anogona "Furosemide" uye "ethacrynic asidhi" kungawedzera mukana aminoglycoside toxicity.

Hazvigoni kushandiswa pachiimbwa zvinodhaka, skeletal tsandanyama kuzvivaraidza.

Unofanira kuziva chimwe chinhu pamusoro zvinodhaka "streptomycin yakawanikwa sulfate." Mashoko yemaitiro zvokuti haabvumiri nokusanganisa pamwe mushonga penicillin.

Zvakakurukurwa kushandiswa kwezvinodhaka

Zvakakosha kutevera zvose kunenge kuti kushandisa zvinodhaka. With kwenguva refu nevanhu yezviri fuma zvingamuka dermatitis.

Shandisa mhuka mukaka mumaawa 48 pashure kurapa haabvumirwi. Slaughter anogona kuitwa asina kwokutanga pane vhiki imwe pashure wokupedzisira kushandisa zvinodhaka.

Vacheche kugadza "streptomycin yakawanikwa sulfate" chete utano zviratidzo.

Zvinokurudzirwa haana kudzinga kana ishande namano kuti zvinoda kutarisirwa uye wevasungwa munguva kurapika.

Zvinonzi mbidzwa doro pakurapa "streptomycin yakawanikwa sulfate."

analogs

Hazvina nguva dzose zvinogoneka kuwana mishonga zvakakodzera Pharmacies. Zvisinei, akabvumira kuti kushandisa zvinodhaka kana analogs mari yomumwe chete boka. Zvinoreva kuti "streptomycin yakawanikwa sulfate" analogues ndiwo:

• "Streptomycin yakawanikwa - ILC"
• "Streptomycin yakawanikwa - karusiyamu chloride yakaoma."
• "Ampistrep"
• «Endostrep".
• 'Streptolin ".
• "Stritsin".
• "Strizolin".
• "Strepsulfat".
• "Diplostrel".

Usati vanongogamuchira analogue zvinodhaka, bvunza chiremba wako.

Reviews kugadzirira

The mushonga ndohwaJehovha boka inorwisa mabhakitiriya kwenguva refu uye inoshandiswa kurapa vanhu nemhuka. Kwaita refu zvakawana mukurumbira mukurapa zvirwere zvakawanda. Zvikuru dzakakurumbira uye vanobudirira pakurapa tibhii.

A dzakawanda wongororo zvakanaka akagamuchira mushonga pakurapa dzinovaraidza. Vanokurumidza kupora uye vasvike netsoka dzake.

Pari, vazhinji inorwisa mabhakitiriya matsva kuti murege kukonzera migumisiro yakadaro ngozi sezvo kusanzwa kana havachanyatsogoni vestibular ushande. Saka, mushonga uyu pakurapa vanhu vaishandisa zvishoma uye zvishoma. Zvisinei, pane mienzaniso yakawanda uye mashoko vanoti pamusoro kubudirira zvinodhaka ichi pakurapa anogumbura pezvakaitwa uye TB. Uye kuti vadzivise pasingadiwi divi siyana, zvakakosha kuti vabate zvakasimba pasi zvokurapa penhungamiro, nokuchengeta chipimo chemushonga uye nemitemo achigadzirira mhinduro.