"Imipenem + Cilastatin": whakaahuatanga, whakatauranga kaiwhakamahi me arotake

e kore te mea pera ohie ētahi mate hinga hopuhopu. e kore e taea e ratou tino anake waimaero hauora, engari ara te hanga i tētahi tino riri ki te ora o te manawanui. I roto i ngā take pēnei i, kia whakamahia ratou ki te kounga tino tiketike me ngā rongoā whai hua e taea pai hinga i te mate kino, me te whakahoki te hauora. Hei ārai i te momo o ngā mate hopuhopu te maha whakamahia te tikanga "Imipenem + Cilastatin". E ai ki ngā whakautu o te tūroro me rata, ko reira whai hua mīharo. I mua i te whakatau koe ki te tīmata maimoatanga o te moni, he mea e tika ana ki te kitea i roto i rite te nui ngā mōhiohio e pā ana ki te tarukino "Imipenem + Cilastatin": te ingoa o te raau taero hokohoko, rawa mahi me te tikanga o tona tono. Ko wai e whakamahi i te raau taero i roto i te pātai? He aha e nga contraindications? He aha te taha pānga taea titau ahau? tenei mōhiohio katoa ka taea e koe te ako mā te pānui i tēnei tuhinga.

hanganga

Ko te faaineineraa "+ Imipenem Cilastatin" he huinga cilastatin tōkeke (i te mea he inhibitor o te paru digidropeptidazy tākihi) me tai te konutai o imipenem (rongoā paturopi). te tikanga kei roto Kotahi faaineineraa pounamu e rima rau milligrams o matū e rua.

Puka tuku

raau i Tirohia "+ Imipenem Cilastatin" he wātea i roto i te puka paura mō werohanga (mō te whakahaere rō-uaua) i roto i oko o ngā rahi, ara e ono tekau me te kotahi rau e rua tekau milliliters. rewa tenei paura me i roto i te otinga (buffered) ki te konutai hauwai pākawa waro.

I roto i te take i reira whakaritea te tarukino te mo te whakahaere intramuscular kia whiwhi oko, ia kei roto 0.5 0.75 ranei karamu o imipenem me cilastatin (i runga i horopeta, i whakahaere ki te manawanui e te rata haere rānei).

Tuhinga

Ko te medicament "Imipenem + Cilastatin" whakaritea mō te whakamahi i ngā tūroro i roto i te aroaro o ngā mate hopuhopu, me te inflammatory e kua meinga e tetahi tairongo ki te mahi o te matū kaha taketake i microorganisms o te raau taero, e ngā rua mate takohe-anaerobic kia whakauru polymicrobial (ngā hopuhopu enei mate o te mimi me te raro wahi romahā, sepsis, mate o nga hononga, me wheua; peritonitis, mate kōtuitui-puku, inflammatory, me ētahi atu tukanga e tupu i roto i nga whekau papatoiake ,. tini o nga mate hopuhopu o te kiri, me te kopa ngohengohe, me te endocarditis ano, kei te tōtika whakamahia te tarukino rite te ārai o pōauautanga i muri i te pokanga.

pānga pharmacological

Miramira o te tarukino "+ Imipenem Cilastatin" makatu'unga huinga angitu o nga wae hohe rua. Tuatahi, imipenem, tohu he ngā paturopi beta-lactam e whakamate kaha huakita (reira whakarato pānga bactericidal). Ko tēnei rauemi he tūāwhiorangi makona whanui o te mahi. Tenei te tikanga e he tairongo ki ona pānga maha tukumate. Kei te kaha te mahi i te wāhanga tuarua, cilastatin konutai i runga i te whākōkī e decomposes imipenem i te tākihi o te manawanui, inhibits tona mahi, e whai wāhi ana ki te hua rawaka i roto i te kukū o te rongoā paturopi runga ake i roto i te puka kāore i roto i te manawanui. Nō reira, whakanuia te whai huatanga whānui o te tarukino "Imipenem + Cilastatin".

tono

Hei whakatutuki i te pānga nui, a i roto i te tikanga ki te karo i tetahi paanga kino o te therapy he nui ki āta whai i te tūtohutanga i runga i te whakamahi o te raau taero. Kei te whakahaerea te medicament "Imipenem me Cilastatin Dzhodas" ki te manawanui e pâmuhia (maturuturu).

Ahakoa te meka e tuku te aratohu horopeta toharite o te raau taero, i mua i te tīmata maimoatanga, he mea nui ki te whakatika i te kaupapa o te therapy tika i te tākuta tika e taea e te tāuta i te inenga tika i roto i te tirohanga o te aamu o te manawanui, me ona āhuatanga motuhake.

Pota e kei te medicament "+ Imipenem Cilastatin" ako i runga i te taonga whakaaro tikanga mo te hunga tūroro nei taimaha nui e whitu tekau kirokaramu. Ko te hunga tūroro nei te tinana taimaha ko iti, kia heke i roto i te rahi ki te horopeta mahi o te tarukino (ko reira nui e tenei tukanga arahina e te tangata mātau).

No te tūroro pakeke, he rā horopeta toharite o te tarukino "Imipenem me Cilastatin Dzhodas" Ko tetahi - rua karamu, ngā ona wehenga ki toru - wha whakahaere. I te wa ano, i te horopeta mōrahi i te mea e manakohia mo te whakahaere mo te ra kotahi ko te wha, me te rima tekau karamu milligrams ia manokaramu o taimaha (me hinga i te pai rawa i runga i te iti o te pota tīkina e rua) te tinana ranei.

Ano, rerekē te horopeta i runga i te pakeke o te mate rānei. Ko te kupu, i roto i te take o te manawanui ki te pakeke ngawari o te mate, ka waiho i te horopeta mahi hoki a ia e rua rau me te rima tekau milligrams (kia werohanga toutou kia wha ngā wā he ra). Ki te te tohu toharite o te pakeke, me waiho te nui o waihanga mō te whakahaere kotahi e rima rau milligrams. tikanga Tāuru kia toru nga wa he ra. Ki te he nui te mate, na kia whakamahia te horopeta o rongoā wha nga wa he ra. A, no te he kia nui e reira ko te riri nui ki tona ora huru o te manawanui, kia whakahaerea reira ki runga tetahi karamu o toru - e wha nga wa he ra. kia te tarukino kia āta whakahaere (karamu ia haora, e rua rau e rima tekau - e rima rau milligrams - mō te rua tekau - e toru tekau meneti).

Ki te te whakamahia te tarukino mo te ārai o mate postoperative he nui ki te whakauru i tetahi karamu i roto i rehunga me te horopeta taua, e toru haora i muri i taua.

Ki te i roto i te mahi i reira ko te riri o te ahua o te mate tetahi (rawa ki te faatura ki ngā mahi i roto i te tōu me kopirua), "Imipenem + Cilastatin" tohutohu mō te whakamahi taunaki ki te tomo e rima rau milligrams, waru, me te tekau ma ono haora i muri i rehunga.

No te faaineine i te otinga mahi i roto i te oko, ko te tika ki te tāpiri rauemi paura rau milliliters o whakarewa motuhake, e ngā rima ōrau tekau ōrau tēhuka waiwai ranei, 0.9% otinga konutai pūhaumāota. e kore e tenei paturopi kukū otinga imipenem nui rima milligrams ia ritamano.

e kore e kia whakaaro te reira ki te whakamahi i te tarukino i roto i te taha ki te tahi atu taero antibacterial, me te te tote o te waikawa lactic.

e kore te mea hototahi ki ētahi atu paturopi beta-lactam (e ngā cephalosporin, rongoā paturopi me te monobactam) te taonga. Ratou whakamahi tukutahi kia arahi ki tauhohe ripeka-mate pāwera.

Ngā pāhekoheko ki ganciclovir ētahi wā whakaoho haehae whānui.

matū Various e aukati secretion tubular, ake i te kukū o te imipenem i roto i te wē toto, me tona wā hawhe-ora. Ko te kupu, ki te hoki maimoatanga whai hua titau whakahaere te kaihoko i roto i pota tiketike e kore te mea e tika ana ki te whakamahi i enei rōpū o matū wā kotahi.

Kei te riria te reira ki te whakamahi i te raau taero i roto i te pātai i roto i te wā o te hapūtanga o te tamaiti, me te i roto i te whāngai ū.

e kore e whakamahi i te tarukino ki te aro kakā.

Mimi i roto i therapy kia paku tae i roto i te kauruku whero.

puka inenga o te tarukino (mo rō-uaua, me te mo te whakahaere intramuscular) ki te whakamahi tino mo taua whakaaro. e kore e whakawhiti ratou. I mua i te tīmata maimoatanga rongoā mo te whakaaro nui ki te whakahaere i te rangahau tino i runga i te tumu parau o mate pāwera hypersensitivity takitahi ki paturopi beta-lactam ranei.

Ki te mea kua kē i te manawanui atu mate o te wahi gastrointestinal, pērā i colitis, e ka whakamahi i te raau taero i raro i te arotake, i reira te mea he pea o te enterocolitis pseudomembranous.

I roto i te tikanga ki te karo pai tetahi tauhohe parori i roto i te pūnaha io pokapū i roto i te hunga tūroro e i tetahi whara ki te roro haehae i tukua ranei tahi rongoā therapy kounga āpiha antiepileptic tūtohutia.

kia whanau te reira i roto i te ngakau e i roto i tūroro paari pea ki te whai pōrearea tākihi e pā ana-tau, e kia rapua e horopeta whakaiti.

He mea nui ki te mahara kia whakamahi i ngā tūroro pakeke te tarukino ki te tūpato. Ka rite ki te tikanga, whakaatu ratou tohu o te momo o disorders e pā ana-tau i roto i te mahi o nga whatukuhu. I roto i tenei take, ki te tika, te whakamahi o te raau taero taunaki "Imipenem + Cilastatin" ā-ako e kōrero koe ki tou rata mō te whakaiti inenga tarukino whakamahia.

Kei reira ētahi tikanga motuhake o te tono o tenei rongoā mō ngā tamariki. Ki te nui ratou taimaha tinana e wha tekau manokaramu, e taea te tono i te taua aratohu ki a ratou rite ki ngā pakeke. Ki te he pakeke atu i te toru marama te tamaiti, a ka he tona taimaha iti iho i te wha tekau toka, te horopeta rā mōrahi o te manawanui taua e kia rua nga karamu. kia wha nga wa he ra e whakahaerea ratou rima milligrams ia kirokaramu.

I roto i kore take e kore e taea te whakamahi i te rongoā "Imipenem + Cilastatin" mō ngā tamariki kua nei kahore ano tae toru nga marama, me te hunga tamariki e raru i te mahi noa o te whatukuhu, e taea te whakahuatia i roto i te taumata o te kukū serum creatinine teitei atu i te rua milligrams tesilita.

contraindications

He etahi onäianei e hiahia ki te kia whakaaro ina whakamahi i te "+ Cilastatin Imepenem". E taunaki ana te ako āta ako i te contraindications ki tenei tarukino. A i roto ia ratou ko te whai ake:

• wā o te hapūtanga o te tamaiti;
• ū;
• Tamariki i raro i te tau o te toru marama;
• Tamariki e whakamamaetia waimaero mahi tākihi e pā ana ki nohanga tiketike o creatinine serum;
• tūtohutanga takitahi ki te wāhanga takitahi o te raau taero i raro i whakaarohia, me te ki atu paturopi beta-lactam me ki carbapenems.

He mea nui ki te mau i roto i te ngakau e kia tangohia nga tūroro ruhiruhia me te hunga e mamae ranei kua tonu tukua i mate o te pūnaha io pokapū mate o te wahi gastrointestinal ranei te tarukino ki tūpato i raro i te te tirotiro tamau o te rata. E taea mātau ia tautapa te inenga tika o te tarukino "Imipenem + Cilastatin". nui Contraindications ki te ako i mua i te tīmata koe maimoatanga.

pānga taha

He mea nui ki te mohio tetahi atu mea e pā ana ki te taputapu "Imipenem + Cilastatin". takanga Tātai Ko e kia ite i te tahi mau tūroro etahi tauhohe taha i roto i ngā pūnaha tinana. I roto ia ratou he: thrombophlebitis, reka ngangau, candidiasis, oliguria, myoclonus, moemoea, paresthesia, whakama, whakapeka täkihi, disorders hinengaro, hukihuki, polyuria, anuria, korere, kakā, whakapairuaki, me te ruaki, leukopenia, enterocolitis pseudomembranous, lymphocytosis, hyperbilirubinemia, eosinophilia, pruritus, leukopenia, ponana kiri, thrombocytosis, hypercreatininemia, monocytosis, urticaria, basophils, he whakamātautau Coombs hāngai pai.

Kahore he kōrero pau rite ki te pehea, ki te mahi ki te tuwhena rawa o te tarukino i raro i whakaarohia. Heoi kua mohiotia taua mea e ki enei kai kaha mamae pai te tātari toto. Otiia, he reira tonu unknown pēhea te whai hua tenei tukanga ko i te take o te tuwhena rawa. Ko reira he mea nui ki te mau i nga tūtohutanga katoa, e Kei roto te tikanga mō te tono "+ Imipenem Cilastatin" whakaahuatanga o te faaineineraa.

tikanga rokiroki

I roto i te tikanga e ki te tono o te tarukino kia whai hua, he mea nui ki te tango ki te pūkete i tetahi atu wāhi nui. Ara, me pehea ki te rokiroki i te rongoā "Imipenem + Cilastatin". Whakaahuatanga o te taonga ngā o te tohutohu e whai ake nei.

kia roto te puehu i roto i te ruma i roto i ora taua te pāmahana rūma te. kia whakamahia ki te faaineine mahi otinga kore i muri atu i te kotahi haora i muri i tito. Ka taea te rongoa konutai otinga pūhaumāota i te pāmahana rūma mō neke atu i te kotahi tekau haora, me te i roto i te pouaka whakamātao - e kore neke atu i wha tekau-waru. Ka taea te rongoa rongoā te kūhuka mo kore ake atu i te wha me te rua tekau-wha haora, aua.

analogs

He he maha o raau taero e he wahi o te rōpū te tikanga o analogues "Imipenem + Cilastatin". Whakakapi whakaaro taero - "Inemplyus", "Miksatsil", "Lastin", "Sinerpen", "Tiaktam", "Piminov", "Supranem" me "Tienam". Ka rite ki te tikanga, i katoa o enei taero te whakauru hohe taua rite te tarukino whakaaro. Ko te matua kai kaha o enei rongoā - imipenem, cilastatin (ingoa hokohoko, me e whakaata enei rongoa). Ko te kupu, Ko enei rongoa waiwai te taua, me contraindications me ngā pānga taha me ngā pānga pharmacological. Heoi, kia mahara ai e me whakarite i te inenga i te rata e ka e taea ki te whakaaro i te mita katoa. Ko te tarukino "Imipenem + Cilastatin" analogues kore e whakamahi rongoā e tūroro kahore whakaaetanga, i waho te tākuta te rongoā me tona mana tamau. Tae atu tona tohutohu ko hiahiatia me te kōwhiringa o te faaauraa e tika ana.

whakatau

haapapu Practice te whai huatanga o te tarukino "+ Imipenem Cilastatin". Kua korerotia Reviews putanga maimoatanga angitu. Heoi, kua arotahi e rua tākuta me tūroro i runga i te mea he nui ki te piri tika ki te tūtohutanga i roto i roto i te tohutohu, me te whakaekea te rata haere. tenei tikanga o te maimoatanga anake e taea kawe painga ki te tinana o te manawanui.

e kore e waiho contraindications, te aroaro o e kore e tukua ki te tīmata i te maimoatanga whakaaro he tarukino. Kore, e kore e taea tona tono hoatu anake te hua pai, engari ano hoki meinga kino nui ki te huru tinana o te manawanui. Ano, te whakamahi hē o te tarukino whakaaro kia meinga pānga taha, etahi o e taea tino pōhara kē huru o te manawanui. He mea nui kia tangohia e te maimoatanga wahi i raro i te mātakitaki o te rata mātau, ko wai e kore anake e pai-maheni ki te peculiarities o tono o te raau taero, engari ano hoki i taukei nga pūkenga e tika ana, me te mōhiotanga ki te akakoromaki i te mau tupuraa fifi tīmata. kia waiho tō hauora i roto i te ringa o ngaio pono.

I mua i te whakatau koe ki te tīmata maimoatanga whakaaro he whakapōauau, ko reira nui ki āta pānui i te kōrero katoa e pā ana ki reira, e whakaatu ana i te āhuatanga o ona pānga i runga i te tinana. Katoa e hiahia ana koe ki te mohio e pā ana ki te pea mo tauhohe kino, te takanga o e taea te whakaora i te rota o te raruraru ki te manawanui me te uauatanga o tona tākuta.

Na roto i te kōwhiringa o te maimoatanga he mea nui ki te hamani kawenga. Kōwhiritia te hua kounga rawa!