Wamehlo "Dexa-Gentamicin": yesikhokelo, ukubuyekeza, iinkcazelo

Ukususela oko igqirha, linamafutha iliso "Dexa-Gentamicin?" Ezibonisa iziyobisi lwamehlo azixoxwa ngokwenkcukacha ngezantsi. Siya kunixelela ukuba malunga nendlela yokusebenzisa eli chiza, yintoni na ixabiso layo eRashiya, yaye nokuba linokusetyenziswa abantwana abancinane.

Inkcazelo yokulungiselela, lakhiwe

wamafutha Iliso "codex-Gentamicin" ikhutshwa ngokohlobo ubunzima kwawo emhlophe bukhrim namona elityheli. izinto zayo eziphambili zezi gentamycin sulfate kunye dexamethasone. Kwakhona kwi-arhente lwamehlo ziquka amacandelo abangabancedani ezifana neparafini elulwelo, vaseline emhlophe kunye lanolin.

Ekuthengisweni iliso, linamafutha engena netyhubhu aluminiyam (capacity 2.5 g) kwindawo incam zeplastiki, zibekwe kwiibhokisi kwikhadibhodi.

Asinako ukuba ichiza kuthethwa zifumaneka ngohlobo kuncipha lwamehlo.

Kwemithi beziyobisi emehlweni

Iliso wamafutha "codex-Gentamicin" yindlela ezidibanise izifundo ukusetyenziswa basekuhlaleni practice lwamehlo. Kuye ukusebenza antibacterial, anti-ezithintela ukosuleleka kunye anti-komzimba.

Ukusebenza kwalo yokulungiselela kungenxa iimpawu amabakala alo esebenzayo.

Dexamethasone - a GCS eveza iziphumo anti-komzimba kunye anti-ukudumba ichazwa. Ngokutsho iingcali, kwisalathiso umsebenzi anti-ukudumba (isihlobo) yale candelo 30.

Yona gentamicin, yinto zintsholongwane ngoweqela Lendlela Yeqela aminoglycoside kulo. Ngenxa yale nto ebonakala kuluhlu olubanzi amanyathelo. Iyasebenza ngakumbi gram-HIV kunye gram-HIV ezininzi ezincinane.

Asikwazi ukuba gentamicin abangaxhalabisiyo kuchaphazela Staphylococcus spp.

Kinetics kabi lendawo

ntoni kukufakwa "codex-Gentamicin" iziyobisi kabani ixabiso lubalwa njani ngezantsi? Xa isicelo ekula dexamethasone kakuhle kwaye ngokukhawuleza ingena conjunctiva kunye epithelium kwenwebu. Ngaloo ndlela kungomlinganiselo zonyango ezifunekayo alumlwe kwi uburharha zolwelo amalungu ezibonwayo. Ukuba umonakalo okanye ukudumba iliso isifo rate umthondo ukunyuka kakhulu.

Isicelo lendawo sulfate gentamicin kwi ngamayeza nokunyanga boxinzelelo kubonakele ku stroma kwenwebu yamehlo, kwakunye egumbini vitreous kunye Icipande ukufuma (kwiiyure ezi-6).

Kufuneka kuqatshelwe ukuba eli candelo angabi nako ukungena kungena egazini zenkqubo ngokusebenzisa epithelium lomelele.

Iimpawu zibonisa ukuba ukusetyenziswa mafutha ukuba amehlo

amafutha ingqalelo yebhali kunceda kakuhle kakhulu. Kwakhona, kucetyiswa ukuba usebenzise kwi:

• iinkqubo komzimba iqatshelwe kwicandelo sobuKristu ukuba zikhatshwa igciwane;
• izifo yabantu abangakwaziyo Icipande welungu olubonakalayo, zibangelwa basengozini flora gentamicin (kubandakanywa conjunctivitis, keratitis, blepharitis);
• uthintelo kunye nonyango iinkqubo ukudumba ngexesha post (umzekelo, emva kokuba glaucoma kunye cataract nemisebenzi).

Izimo ukusetyenziswa ngamalungiselelo lwamehlo

Kwezinye iimeko, isithambiso irhasi kunye nezinye izifo iliso contraindicated? Ngokutsho imiyalelo, esi sixhobo ayikhuthazwa ukuba:

• izifo fungal iso;
• keratitis esibangelwa yintsholongwane varicella virus zoster kunye Herpes simplex (ngamanye amazwi xa keratitis emthini);
• izifo mycobacterial kwamehlo;
• izifo wentsholongwane egazini we inwebu kunye conjunctiva (kubandakanywa chicken pox);
• izifo ubovu iliso etsolo kunye sisilonda esidumbileyoesingaphakathi of epithelium kwenwebu;
• uxinzelelo intraocular buyobe;
• epitheliopathy kwenwebu;
• atyiwe izilonda kwenwebu sisilonda;
• kwithuba leenyanga ezintathu yokuqala yokukhulelwa;
• enxibe lens contact;
• a minor (ngenxa yokunqongophala data kwi ngokhuseleko kunye nokusebenza amayeza);
• anda ubuntununtunu amacandelo umthengisi.

Drug "Dexa-Gentamicin": imiyalelo yokusebenzisa

Njengendlela ngazo kufuneka zisetyenziswe? Ngokutsho imiyalelo, namafutha lwamehlo bakuhlube ubude-10 mm ukuya ulalisiwe ke sac conjunctival. iinkqubo ezinjalo kufuneka kwenziwe ukuya kathathu ngemini.

Ngexesha isicelo beziyobisi ukuphepha ukunxulumana netyhubhu conjunctiva kunye umphezulu ulusu.

Ubude konyango lwe iliso, linamafutha ongowona elingaphantsi kweeveki ezintathu. Kule ubude uthomalaliso emiselwe ubungqongqo iimpawu, ukusebenza kweziyobisi kunye amathuba ngayo icala.

Xa usebenzisa izinto ezininzi parallel lwamehlo "codex-Gentamicin" abeke ¼ iyure emva kokuba usebenzise amanye amalungiselelo.

imiphumela emibi emva ekubekeni kwamafutha

Ingqalelo isithambiso kuba amehlo kunqabile kakhulu ubangela imvakalelo elivuthayo amalungu ezibonwayo kunye negazi.

Kufuneka kuqatshelwe ukuba le arhente ukuze negalelo kuphuhliso dermatitis (contact), keratitis (HSV), perforation kwenwebu yamehlo, usulelo fungal, usulelo esihlobene inwebu, ptosis kunye mydriasis.

Isicelo Amafutha emva kokufumana ukwenzakala kwenwebu kunokukhokelela kwinkqubo ukuphiliswa imisiwe.

Nokusebenzisa ixesha elide beziyobisi izigulane badla ukuphuhlisa neglaucoma lesibini kunye cataract steroid.

Overdosing, unxibelelwano kunye namanye amachiza

Wamehlo "Dexa-Gentamicin yi" ungakuvumeli kuphuhliso iimpawu libanda. Xa ile yayo atropine kunye nezinye arhente cholinergic, kunye nezenzi ezibangela mydriasis, uxinzelelo intraocular ukuze zandiswe kwizigulane.

Ngokuba ukusetyenziswa gentamicin mlonyeni engahambelaniyo kunye lweeHedfowuni, amphotericin B, cephalothin, sulfadiazine, kunye cloxacillin. Indibaniso kula machiza kungakhokelela ekubeni inkqubo nokufumba ngokwemvula kwi kule sac conjunctival.

ulwazi oluthile yezigulane

Wamafutha "Dexa-Gentamicin" abantwana (abantwana) agcinwa abelwe.

Ukuba ubude ukusetyenziswa iindlela (iintsuku kwama-14) kwakunye ebantwini, ebonisa imbali ukunyanga iglaucoma agalelwa kuyimfuneko ukuba esweni rhoqo le uxinzelelo (intraocular).

Ukuba ufuna ukusebenzisa lenses, kufuneka zisuswe ngaphambi kokuba imveliso kwaye ufake kwakhona ngaphambi ngaphezu kwemizuzu eli-18.

Phambi kokuba ukutyunjwa isigulane kufuneka baziswe oku kuthetha ukuba uphuhliso yeziphumo ebezingalindelekanga kufuneka ngoko nangoko ukuyeka unyango ize ibhungisane ugqirha wamehlo.

Izifundo lwezonyango kukhuseleko aqholiweyo "Dexa-Gentamicin" ngethuba lokukhulelwa lokwaphusa lwenziwa. Ngoko ke, kumaxesha ezinjalo, ukusetyenziswa kwemali kufuneka kushiywa.

Ngoko nangoko emva ngokubekwa amafutha antiinflammatory kwi sac conjunctival yesigulana inokuba kwaphula okungephi acuity ezibonwayo, nto leyo ekhokelela ukuba ukuphazamiseka ngayo lengqondo. Ngoko ke, eli chiza ayikhuthazwa ukuba aqhube isithuthi baze basebenze kunye neendlela ezahlukeneyo.

Wamafutha "Dexa-Gentamicin": ncomo

Yintoni abantu bathi malunga ingqalelo kwisigulana? Ngokutsho iimpendulo zabo, "codex-Gentamicin", linamafutha i anti-ezithintela ukosuleleka kunye antibacterial arhente ngempumelelo kakhulu. Yinto fast and elungileyo ephatha izifo iliso ezifana nerhasi, conjunctivitis, blepharitis, kunye keratitis. Ukongeza, eli chiza isoloko isetyenziswa ngenxa nangokurhala, usuleleko kunye nezidlo amalungu ezibonwayo.

Asikwazi ukuba inani elikhulu lezigulane emehlweni kunye ngexabiso elifanelekileyo kweli chiza. Njengoko yaziwa, loo nto malunga 165-180 engange Russian 2.5g ityhubhu.