The njira ndi malangizo ntchito "Loraksona". Analogs ndi ndemanga

mankhwala monga "Lorakson 500" ndi chiyani? Malangizo ntchito, makhalidwe a chida, komanso umboni wake, mawonekedwe, zikuchokera ndi analogs zafotokozedwa pansipa.

Kenaka, mawonekedwe, zikuchokera mankhwala

Kodi mawonekedwe ndi khalidwe kwa mankhwala takambirana? ndalamayi linena malangizo Buku? "Lorakson" ndi crystalline ufa woyera kapena pang'ono chikasu, anafuna kuti yokonza njira mtsempha kapena mu mnofu. The zikuchokera medicament chikuphatikizapo yogwira pophika monga ceftriaxone. Iwo anapereka mu mawonekedwe a mchere ake ndi sodium.

Komanso, mankhwala "Lorakson" malangizo Buku lomwe ali okwana makatoni zikuphatikizapo zosungunulira monga madzi a jekeseni.

Yokonza nkhani amapangidwa mu mbale galasi 10 ml amene anayikidwa mu mabokosi pepala (akhoza kuwagulitsa kapena wopanda zosungunulira a).

Asatayike mankhwala Zamgululi

Kodi mankhwala zatchulidwazi? Zomwe muli malangizo ntchito? "Lorakson" - maantibayotiki (cephalosporin) mbadwo wachitatu, anafuna kuti makonzedwe parenteral. Iwo ali kanthu bactericidal.

Ndi luso ziletsa kaphatikizidwe nembanemba foni ya mankhwala kumabwezera mmbuyo kukula kwambiri tizilombo galamu alibe ndi galamu HIV.

Malinga ndi akatswiri, ceftriaxone limasonyeza kukhazikika makamaka ndi beta-lactamase (penicillinase, cephalosporinase), amene amapangidwa ndi mabakiteriya ambiri.

Kinetics wa mankhwala

Mmene Tiyenera ndi kufalikira mankhwala pa thupi la munthu? Kodi apa akuti malangizo m'munsichi ntchito? "Lorakson" pa makonzedwe parenteral bwino mu pafupifupi onse zimakhala ndi madzi a m'thupi.

Ndi mtsempha kulowetsedwa wa ceftriaxone wokongola msanga diffuses mu madzimadzi interstitial, kumene katundu antibacterial ikutsatiridwa tsiku lonse.

Tikumbukenso kuti ndi yogwira zikuluzikulu za wothandizila ndi reversibly womangidwa kwa albumin. Chifukwa cha okhutira ka yotsirizira mu madzimadzi interstitial, ndende ya mankhwala mu pang'ono kuposa mu seramu wa.

Kodi mawu mankhwala lachokera ku wodwala? Zimene limanena pa malangizo ntchito? "Lorakson» amene zikuchokera wakhala zafotokozedwa pamwambapa, chimaonetsedwa kwa maola 8 (pamodzi ndi ya ndulu ndi mkodzo). Iwo ayenera kukumbukira kuti mchikakamizo cha nyama matumbo a mchitidwe yogwira chida likamadzakonzedwa kwa metabolite kulalikira.

Makanda obadwa kumene, theka moyo imatengedwa mankhwala a masiku 8, ndi okalamba (zaka 70), nyengo imeneyi nthawi 2 zambiri.

The kinetics mankhwala milandu wapadera

Pamene malfunctions dongosolo aimpso ndi pathologies a chiwindi wamkulu anthu pharmacokinetics wa ceftriaxone ndi m'pang'ono, nthawi theka moyo lengthened si zoona.

Pamene ntchito impso ndi kusweka kwambiri, kuwonongedwa kwa mankhwala kumachitika makamaka ndi ya ndulu, koma ngati kuonongeka chiwindi, ceftriaxone linachokera makamaka kudzera impso.

Makanda ndi ana aang'ono ndi kutukusira kwa meninges ndi medicament ichi amatha kulowa mu madzimadzi cerebrospinal. Akuluakulu ndi meninjaitisi pambuyo maola 5-25 pambuyo makonzedwe pa mlingo wa ceftriaxone 50 mg / kg thupi kangapo ndende wake kuposa MIKA, amene ali wofunikila yimitsira mabakiteriya amene amayambitsa matenda.

umboni

Pamene ndichite naye jekeseni mankhwala "Lorakson 500"? Malangizo ntchito (jakisoni ayenera kuperekedwa kokha dokotala wodziwa) limanena kuti mankhwala lakonzedwa kuti kuchiza matenda opatsirana ndi yotupa ndi bakiteriya tcheru mankhwala. Choncho, ntchito mwakhama:

• meninjaitisi;
• matenda pa mundawo chapamwamba kupuma;
• sepsis;
• matenda a njira ya mkodzo thirakiti impso;
• matenda mu ziwalo zoberekera (kuphatikizapo chinzonono);
• matenda m'mimba (kuphatikizapo matenda yotupa za m'mimba, peritonitis, biliary thirakiti matenda);
• Matenda a khungu;
• matenda a thirakiti kupuma (kuphatikizapo chibayo);
• matenda, olowa ndi fupa zimakhala;
• Matenda anthu ndi chitetezo chokwanira adatchithisira.

Komanso, njira akhoza ankaona anasonyeza kuti kupewa zotupa opatsirana mu nthawi postoperative.

Ziletso woika

Kodi pali contraindications aliyense mankhwala zatchulidwazi? Zimene limanena malangizo m'munsili ntchito? "Lorakson" zikuonetsa omwe ali pamwambawa, sayenera mankhwala milandu zotsatirazi:

• mtima ndi hypersensitivity kwa penicillin ndi cephalosporins;
• mu trimester mimba.

Mosamala ndi mankhwala akulimbikitsidwa anthu ndi chiwindi matenda, matenda a m'matumbo ndipo enteritis. Komanso, kusamala kusamala pamene NUC, hyperbilirubinemia mu makanda obadwa kumene mu trimesters awiri otsiriza wa mimba, ana azionera yoyamwitsa.

Malangizo ntchito

"Lorakson" kutumikiridwa odwala kudzera m'mitsempha kapena intramuscularly. The tsiku mlingo avareji mankhwala kwa ana ndi akulu ku zaka 12 ndi 1-2 ga kamodzi tsiku lililonse (mawola 24).

Zikavuta, komanso matenda amene amayamba ndi tizilombo toyambitsa matenda tcheru amtengo, mlingo tsiku la wothandizila uyu akhoza ziwonjezeke kwa 4 ga

Wongobadwa ana popereka mankhwala 1 nthawi patsiku tikulimbikitsidwa mlingo zotsatirazi: 20-50 mg / kg pa (kwa masabata 2 zakubadwa).

Baby aang'ono ndi ana kwa zaka 12, mlingo patsiku ayenera kukhala 20-75 mg / kg. Ana ndi thupi la makilogalamu 50 medicament Mlingo kutumikiridwa mu akulu.

Kutalika kwa chithandizo kudzera izi zimadalira matenda.

Terms kukonza njira

Kodi kukonza njira mankhwala? ndalamayi linena malangizo Buku? "Lorakson" kumasulidwa mtundu umene waperekedwa pamwamba, jekeseni mu mnofu ayenera kuchepetsedwa (1 g) mu 3.5 ml ya 1% - njira ya lidocaine, kenako kulowa kwambiri mu minofu gluteal.

Kuti akonze chiphunzitso jekeseni mtsempha, 1 g wa ufa ayenera kuchepetsedwa mu 10 ml madzi otchezedwa (wosabala). Yankho komaliza ayenera pang'onopang'ono anadzetsa mtsempha (kwa mphindi 4).

Pakuti mtsempha kulowetsedwa wa 2 ga mankhwala chofunika kupasuka mu 40 ml ya njira (mwachitsanzo, sodium mankhwala enaake, dextrose kapena fructose), free ku calcium. kulowetsedwa Izi ziyenera kuchitidwa kwa osachepera theka la ola.

Zochitika mwa khalidwe

Kodi kukwiya njira mankhwala "Lorakson"? Malangizo ntchito (jakisoni zizichitidwa yekha m'chipatala) ananena kuti pa nkhani ya kugwiritsa ntchito mankhwala wodwala angathe:

• nseru, leukopenia ndi kusanza, granulocytopenia, kutsekula m'mimba, hypocoagulation, kudzimbidwa, hemolytic magazi m'thupi, flatulence, lymphopenia;
• ululu m'mimba, phlebitis, kukoma chisokonezo, mavuto ndiponso m'mitsempha, stomatitis, urticaria, glossitis, neutropenia;
• pseudomembranous enterocolitis, kusalola ndi wachifundo pa malo makonzedwe mu mnofu, mkhutu chiwindi ntchito;
• mkhutu aimpso ntchito, Chotupa chija, thrombocytosis, glycosuria, thrombocytopenia, oliguria, zotupa azotemia, bronchospasm;
• kuenjezera urea mu magazi, eosinophilia, hypercreatininemia, polymorphic erythema, cylinduria, epistaxis, hematuria, superinfection, anuria;
• malungo, seramu matenda, malungo, angioedema, pruritus, chizungulire, anaphylactic mantha, candidiasis, mutu.

Cooperation ndi milandu cha mankhwala osokoneza bongo

Ambiri osokoneza la ndalama akuwonekera chizungulire, kupweteka kwa mutu, paresthesia, khunyu, encephalopathy ndi chikomokere. Kuthetsa zinthuzo ntchito mankhwala symptomatic, ndipo akuthandiza ntchito yofunika kwambiri ya thupi.

Munthawi yomweyo chithandizo ndi ceftriaxone ndi aminoglycosides zochita zawo antibacterial. Pofuna kupewa zotsatira poizoni wa wothandizila awa kutumikiridwa pa nthaŵi zosiyanasiyana komanso m'malo osiyanasiyana.

Ntchito mu kufanana "Loraksona" zoletsa kupatsidwa zinthu za m'mwazi loitanirana ndi NSAIDs pali chiopsezo magazi.

Pamene inu kulandira "kuzungulira" okodzetsa, pali chiopsezo chachikulu cha nephrotoxicity.

Ankaona mankhwala atakwatirana ndi Mowa, monga kuphatikiza amachititsa nseru kwambiri, spasms m'dera epigastric, kusanza, ankatenthetsa, kuchepetsa magazi ndi tachycardia.

Izo kutiletsa lembani wina syringe ceftriaxone ndi maantibayotiki ena.

mankhwala ofanana ndi ndemanga mankhwala

Tsopano inu mukudziwa chimene "Lorakson". Malangizo ntchito, amatanthauza analogs zafotokozedwa m'nkhani ino.

Kodi m'malo mankhwala? Pakuti mankhwala ofanana akatswiri zotsatirazi: "Ceftriaxone-Promed" "Ceftriaxone-Elf," "Tsefogram", "Tsefson" "Ceftriaxone-Protekh" "Ceftriaxone-Dzhodas", "Tseftriabol", "Tsefatrin".

Malinga ndi mayankho odwala, nthawi zambiri amachita ndi njira iwo amagwiritsidwa ntchito pofuna kuchiza matenda chapamwamba kupuma ndi matenda thirakiti kupuma. Kusanthula mauthenga awo, tikhoza kunena motsimikiza kanthu ake mofulumira ndi dzuwa mkulu. Tiyeneranso kukumbukira kuti pamene ntchito mankhwala odwala ena panali zotsatira zazing'ono mbali popanda discontinuation wa mankhwala.