Umuthi 'ceftriaxone'. Izibuyekezo. ubufakazi

Ukulungiselela "ceftriaxone" (incazelo nalokho iqukethe ulwazi ezifana) sihambisana ngempumelelo ngokumelene inqwaba Gram-HIV futhi Gram-negative, anaerobic nezilwanyana ezincane. Umuthi kunomphumela amagciwane. umsebenzi izidakamizwa "ceftriaxone" (izilinganiso odokotela siliqinisekise) kusekelwe ikhono zivimbela zamagama weseli Amagciwane izakhi ulwelwesi. I nomuthi olumelana beta-lactamases bembonisa isinyathelo hydrolytic. Umuthi uyasebenza maqondana zamagciwane resistant (ukumelana) kwezinye cephalosporins.

Nomuthi "Ceftriaxone" matasa ngokushesha eyanele yokuzinakekela ngemva kokuthatha umjovo ku imisipha. Emini kukhona emakamu eliphezulu ku serum. Umuthi 'Ceftriaxone "(izimpendulo wezazi siliqinisekise) uyakwazi ukungena zonke izicubu cerebrospinal fluid. Babalelwa ku-60% we isidakamizwa excreted ku umchamo ngefomu asebenzayo, cishe 40% - ku Bile.

Umuthi 'Ceftriaxone "(izimpendulo wezazi uqinisekise lolu lwazi) siyasebenza ezifeni we ngomgudu womchamo, izigaba engezansi umgudu wokuphefumula. Ngu izinkomba zihlanganisa chancroid nogcunsula eyinhloko, septicemia, inyumoniya. Umuthi kuboniswa izifo gonococcal, izilonda ngaphakathi komgodi ongaphakathi kwamathumbu, amalunga, isikhumba kanye izicubu zomzimba ezithambile. Medicine "Ceftriaxone" (ukubuyekezwa odokotela basikisela ke) iye yasetshenziswa ngempumelelo meningitis webhaktheriya nezinye izifo ezinzima. Umuthi ezinqunyiwe futhi njengoba prophylaxis yemiphumela ukonakala ngemuva kokuhlinzwa in iziguli amasosha omzimba kwehlisa.

Umuthi iqondiswa ngemithambo yegazi noma intramuscularly. Umuthi 'ceftriaxone "amaphilisi kungukuthi kukhiqizwa.

Njengomthetho, iziguli ezinemishini engu-nambili ukhethe 1-2 amagremu kanye ngosuku. Ukuze nokwelashwa kwezifo okunzima cuphuluza nezilwanyana ezincane bembonisa ukuzwela ngokulinganisela umenzeli ovunyelwe ukusebenzisa amagremu amane ngosuku.

Isikali ngoba neonates isethi angu kilogram of isisindo ngamunye ngosuku amabili mahlanu. Inani nsuku zonke izidakamizwa "ceftriaxone" kumele singeqi 50 mg / kg. Iziguli kuze kufinyelele eminyakeni eyishumi nambili enqunyiwe (ngokobudala) kusukela angu kilogram per amabili amashumi ayisishiyagalombili. Ezinganeni enesisindo esingaba amakhilogremu ezingaphezu kwamashumi amahlanu Isikali kushintshwe njengoba abadala. umthamo intravenous amahlanu (noma ngaphezulu) milligram amakhilogramu kuphethwe ukumnika okungenani isigamu sehora ngalinye.

Ubude yokwelashwa kuzoncika isifo. Ukusetshenziswa kwezidakamizwa "Ceftriaxone" Kunconywa izinsuku ngisho ezimbili noma ezintathu emva ukumisa imfiva noma ngemva kokuqinisekisa laboratory bacteriological ukuqeda lwegciwane.

Ezinganeni kwezingane kanye umntwana webhaktheriya meningitis, umthamo kokuqala zomuthi - a angu engamakhulu kilogram per (kepha hhayi ngaphezulu kuka ezine amagremu) ngelanga. Ngemva sokunquma ukusungulwa pathogen lobukhali yayo kunciphisa inani izidakamizwa ngokuhambisana imiphumela.

Umuthi 'ceftriaxone "is alinikeziwe uma hypersensitivity.

Lapho ebonisa indlela lo izidakamizwa kwezinye izimo zenzeka ohlangothini ukusabela. Ikakhulu, i-izidakamizwa kungabangela sohudo, stomatitis, exanthema, ukuhlanza, glossitis, edema. Kwezinye izimo, ngokwesilinganiso, kwakubikwa njengemithi yokungezwani komzimba nokuthile, erythema multiforme. ukubonakaliswa Esibi lochwepheshe futhi zihlanganisa nesifo pseudomembranous, ukuphazamiseka coagulation, thrombocytopenia, granulocytopenia, ukwehluleka kwezinso nezinye ukusabela. Lapho zaphathwa zingene soreness imisipha kungenzeka ngaphandle isixazululo lidocaine.

Ngaphambi kokusebenzisa imithi kufanele ubonane nodokotela.