Mabhakitiriya anorwara anogona kungoporesa nemishonga inorwisa mabhakitiriya, asi kuti ave akabudirira, mushonga wakanaka unofanira kusarudzwa. Zvingangodaro, kana chiremba akamugadza, mushure mokuongorora uye maererano nemigumisiro yeropa uye urini.
Asi kunyange kana mishonga inorwisa mabhakitiriya inorayirwa nachiremba, iwe unofanirwa kuziva kuti zviitiko zvipi zvavanoshandiswa, izvo zvinopesana zvakadini zvavari, nemigumisiro, uye mishonga ipi yavanogona kusanganiswa nayo.
Rimwe remishonga inoratidzirwa yakarehwa navanachiremba ndeyeCefotaxime.
Zviratidzo zvechirwere Cefotaxime
Cefotaxime inonzi semi-synthetic broad-spectrum antibiotic iyo inhengo yechizvarwa chechitatu cephalosporin, inongororwa chete nehutachiona uye hutsika. Izvi zvinodhaka zvine zvakasiyana-siyana zvemigumisiro:
- pane mabhakitiriya asinganzwi nemishonga inorwisa mabhakitiriya een penicillin, aminoglycosides uye sulfonamides;
- pamatambudziko asingagadziriswi nemishonga;
- pane gram-positive cocci (zvikurukuru staphylococcus), asi yakanyanya kuderera pane cephalosporins yezvizvarwa zvekutanga.
Cefotaxime ine kupikisa kwepamusoro-soro kune beta-lactamese yebhakitiriya yegam-negative.
Chiito chakadaro chemagetsi chinowanikwa nekuda kwekudziviswa kwebasa re enzyme ye microorganisms nekuparadzwa kwemasero masvingo, izvo zvinotungamirira pakufa kwavo. Iyi mishonga inorwisa mabhakitiriya inokwanisa kupindira kunenge mishonga yose uye zvinodhaka, kunyange kuburikidza neropa reuropi.
Zviratidzo zvekushandiswa kweCefotaxime
Kurapa neecfotaxime kunofanirwa kuitisa mune zvirwere zvinokonzerwa nemaabhakitiriya anonzwisisa, zvakadai se:
- mumitumbi yekufema - bronchitis, pneumonia, pleurisy, abscess;
- mune nhengo dzemadiki mapepa - gonorrhea uye chlamydia;
- utachiona hwezvikamu zvepasi zve genitourinary system uye itsvo;
- mumasopharynx - tonsillitis uye otitis (kunze kweiyo inococcal);
- septicemia uye endocarditis ;
- hutachiona hwemapfupa uye zvinyoro zvinyoro;
- bacterial meningitis;
- utachiona mushure mokupisa maronda.
Inogonawo kushandiswa nekuda kwekudzivirira chinangwa mushure mekuvhiyiwa, kudzivirira kuputika uye zvimwe zvinetso zvinogoneka.
Kupindirana kwekushandiswa kweCefotaxime nde:
- zvinokonzera kugadzikana kune chero mishonga inorwisa mabhakitiriya ye cephalosporin mutsara uye penicillin;
- enterocolitis;
- kubuda ropa.
Panguva yekuzvitakura uye panguva yekudya, zvinogona kushandiswa, asi pazvinenge zvichinyanya kudiwa uye nemamiriro ekudzivirira kunyamwa.
Nhamba yeCefotaxime
Sezvo Cefotaxime inoshandiswa kuti ishandiswe parenteral, haisi kubudiswa mumapiritsi, asi muupfu wezvijaku, imwe chete ye 0.5 g uye 1 g.
Zvichienderana nezvichazoita - jekisi kana kudonhedzera, Cefotaxime inoberekwa muhotera yakasiyana:
- Intravenous - 1 g yehupfu ye 4 ml yemvura yejojo, ezvo wobva wawedzera yega kusvika kune 10 ml, nejira remukati - pane mvura, 1% ye lidocaine inotorwa. Mune rimwe zuva, injini mbiri dzinoitwa, chete kana pane chirwere chakakomba chinogona kuwedzera kusvika ku 3-4;
- Nokudonha, 2 gramu yemishonga pa100 ml ye saline kana 5% glucose solution. Mhinduro yacho inofanira kugoverwa kweawa imwe.
Kune vanhu vane ruzivo rwekushaya ruzivo kana kunyarara, chirwere cheCefotaxime chinofanira kuderedzwa nehafu.
Zvikanganiso zveCefotaxime:
- zvinokonzerwa neharagiki uye mamwe maitiro (fever, anaphylactic manifestations, redness, erythema);
- kusuruvara, kurwadziwa mumimba, chirwere, dysbiosis , kunyange pseudomembranous colitis inogona kuumba;
- kuchinja mumiganhu yezvinyorwa zvehupenyu uye yeropa rekuongorora;
- arrhythmia uye musoro, uye sumo yakakurumidza;
- kuumbwa kwe densification uye kurwadziwa panzvimbo yejojo.