Indhakuul "DEXA-gentamicin": diiwaanka, dib u eegista, sharaxaada

Laga soo bilaabo waxa bogsiiya cadar isha "DEXA-gentamicin?" Tilmaamayaasha daroogada indhaha ayaa laga wada hadlaa si faahfaahsan hoos ku. Waxa kale oo aanu kuu sheegi ah oo ku saabsan sida loo isticmaalo this daroogada, waxa miraheeda ee Russia, iyo in lagu saleyn karaa carruurta yaryar.

Description of diyaarinta, inta ay ka kooban

cadar Eye "Dex-gentamicin" waxaa soo saaray qaab a mass cad translucent shiidan la-galyadeena hurdi. xubno ay ugu muhiimsan yihiin sulfate gentamycin iyo Dexamethasone. Sidoo kale wakiilada indhaha ka mid ah qaybaha kaabayaal ah sida gaaska la shito dareere ah, faasliin cad iyo lanolin.

In iibinta cadar indhaha gala tuubooyinka aluminium (awood 2.5 g) in caarada caag ah, waxaa la geeyaa galay kartoonada.

Waxaan ma dhihi karo in daroogada ee su'aasha waxaa laga heli karaa foomka of dhibcood indhaha.

Farmashiiste ee daroogada si uu isha

cadar Eye "Dex-gentamicin" waa hab la isku daray si loogu isticmaalo maxaliga ah ee dhaqanka indhaha. Waxay leedahay bakteeriyada, anti-bararka iyo anti-xasaasiyad saamayn.

oggolyahay ee diyaarinta this waxaa sabab u ah sifooyinka qaybaha firfircoon.

Dexamethasone - GCS in muujinayaa saamaynta anti-xasaasiyad iyo anti-bararka ayaa lagu muujiyay. Sida laga soo xigtay khubaro ah, index ee dhaqdhaqaaqa anti-bararka (qaraabo) ee qayb tani waa 30.

Sida gentamicin, waa antibiotic ah ay leeyihiin koox aminoglycoside ah. Waayo, qayb this lagu gartaa qaybaha kala duwan ee ficil. Waxaa si gaar ah u firfircoon ka dhanka ah garaam-negative iyo hannaanka garaam-wanaagsan ee sheyga.

Waxaan ma dhihi karo gentamicin in si dhexdhexaad ah u saameeyaa spp Staphylococcus.

Kinetics daroogada degaanka

Sidee nuugista ee "Dex-gentamicin" daroogada, kuwaas oo qiimaha waxaa hoos ku qoran? Marka laga dhayayo codsatay Dexamethasone si fiican oo dhakhso ah guskiisa ku conjunctiva iyo epithelium corneal. Sidaas oo kale ayaa looga baahan yahay caddad-daweynta waxaa gaadhin in kaftan aqueous xubnaha muuqaal ah. Hadii uu burburku ama caabuq ku xabka isha heerka lays kordho.

Codsiga maxaliga ah ee sulfate gentamicin in ay isugu soo urureen daweynta la ogaado in stroma ku corneal, iyo sidoo kale in qolkii hallawda iyo jilibka ee qoyaanka (6 saacadood gudahood).

Sidoo kale waa in la ogaadaa in qayb ka this ma awoodo inuu dhex gelin dhiiga systemic dhex epithelium dhawrsan.

Tilmaamayaasha loo isticmaalo cadar indhahana

cadar loo tixgeliyaa ka shaciir ka caawisaa si aad u wanaagsan. Sidoo kale, waxaa lagu talinayaa in la isticmaalo at:

• geeddi socodka xasaasiyad lagu arkay qeybta jilibka in socdo caabuq bakteeriyo,
• cudurada of qeybta jilibka ah hay'adda ugu muuqaal, uu keeno u nugul flora gentamicin (oo ay ku jiraan conjunctivitis, keratitis, blepharitis);
• ka hortagga iyo daaweynta ee geedi socodka bararka ee waqtiga post (tusaale ahaan, ka dib markii hawlgallo glaucoma iyo cataract).

Sababo isticmaalka diyaarinta indhaha

Xaaladaha qaarkood, oo cadar ka shaciir ah iyo cudurrada kale ee isha waa u? Sida laga soo xigtay tilmaamaha, qalab this laguma talinayo haddii:

• cudurada fangas of isha;
• keratitis sababa a virus Varicella Zoster iyo simplex Herpes (i.e. markii keratitis geedka);
• cudurada Gronland indhaha;
• cudurada viral ah wilka iyo conjunctiva (oo ay ku jiraan busbuska);
• cudurada indhaha purulent ba'an la nabar ah epithelium corneal;
• cadaadiska intraocular kacsantahay,
• epitheliopathy corneal;
• dhaawac iyo lesions kolit corneal;
• in bilaha ugu horreeya ee uurka,
• xidhashada contact lenses;
• yar (sabab u la'aanta xogta ku saabsan nabadgelyada iyo waxtarka dawooyinka);
• dareenka korodhay in qaybaha wakiilka.

Drug "DEXA-gentamicin": tilmaamaha loo isticmaalo

Iyada oo loo adeegsanayo wada hadleen waa in la isticmaalaa? Sida laga soo xigtay tilmaamaha, cadar indhaha furan dhererka of 10 mm si koleyga ee conjunctival la dhigay. nidaamka noocan oo kale ah waa in la sameeyaa ilaa saddex jeer maalintii.

Inta lagu jiro codsiga of daroogada si looga fogaado xiriir la tuubooyinka conjunctiva oo dusha maqaarka.

Duration daaweynta ah oo cadar isha caadi ahaan waa in ka yar saddex toddobaad. In muddo this of therapy waxaa lagu go'aamiyaa darnaanta calaamadaha, waxtarka daawada iyo suurtagalnimada of falcelinta kooxda.

Marka la isticmaalayo wakiilada indhaha barbar badan "Dex-gentamicin" Waa in jiifay ¼ saac ka dib ka dib markii la isticmaalayo diyaarinta kale.

Dhibaatooyinka ay keento ka dib markii yeynan marisay

Waxaa loo tixgeliyaa cadar indhahana waa mid aad u dhif ah sababa dareen gubasho leh xubnaha muuqaal ah oo dareen diidmo oo xasaasiyadeed ah.

Sidoo kale waa in la ogaadaa in wakiilka this laga yaabaa in ay gacan horumarka dermatitis (xidhiidhka), keratitis (HSV), daloolin corneal, caabuq fangas, cudurrada bakteeriyada ee wilka, ptosis iyo mydriasis.

Codsiga of cadar kadib helista dhaawac corneal waxay keeni kartaa in habka bogsashada dhac.

Iyada oo la isticmaalo muddada-dheer ee daroogada ee bukaanka inta badan la horumariyo glaucoma sare iyo cataract steroid.

Overdosing, isdhexgalka daawooyin kale

Indhakuul "DEXA-gentamicin waa" ma sahla horumarinta calaamadaha xad dhaafka ah. At ay isku dhafan oo atropine iyo wakiilada kale cholinergic, iyo wakiilada keeni mydriasis, cadaadis intraocular kordhin kara in bukaanka.

Waayo, gentamicin mariyo isticmaalka leheyn heparin, amphotericin B, cephalothin, sulfadiazine, iyo cloxacillin. Isku daawooyinkaan waxay keeni kartaa habka dhigaalka precipitates in koleyga ee conjunctival.

macluumaad gaar ah oo loogu talogalay bukaanka

Waxay cadarkan carruurta "DEXA-gentamicin" (aan qaan gaarin) oo aan la xilsaaray.

Haddii muddada isticmaalka yahay (in ka badan 14 maalmood) iyo sidoo kale in aadanuhu, taasoo muujinaysa taariikhda glaucoma lagama maarmaan ah in si joogto ah loola socdo ee cadaadiska (intraocular).

Haddii aad rabto in aad isticmaasho contact lenses, ay u baahan yihiin in laga saaro ka hor inta yeynan sheyga iyo mar hore ka badan 18 daqiiqo ku rakibi.

Ka hor inta ballan bukaan socodka waa in la wargeliyo taas macnaheedu waa in horumarka waxyeellooyinka waa in si deg deg ah u joojiso daaweynta iyo la tasho dhakhtarka indhaha.

waxbarashada Clinical on ammaanka ah oo cadar ah "DEXA-gentamicin" xilliga uurka iyo nuujinta la sameeyay. Sidaa darteed, in times sida, isticmaalka lacagta waa in la dayacay.

Isla markii yeynan cadar antiinflammatory koleyga ee conjunctival bukaanka waxaa laga yaabaa in la jebiyey yar ee toosan muuqaal ah, taas oo horseedaysa in ay carqalad ah reactions psychomotor. Sidaa darteed, daroogada this laguma talinayo in la wado baabuur iyo habab kala duwan u shaqeeyaan.

Waxay cadarkan "DEXA-gentamicin": dib u eegista

Maxaa qof ayaa ku yidhi ku saabsan tixgelinta bukaanka? Sida laga soo xigtay jawaabahooda, "Dex-gentamicin" cadar waa wakiilka ah aad wax ku ool anti-bararka iyo bakteeriyada. Waa kuula dhaqmo si degdeg ah oo wanaagsan cudurada isha sida shaciir, conjunctivitis, blepharitis, iyo keratitis. Intaa waxaa dheer, daroogada this waxaa badanaa loo isticmaalaa bararka, cudurka iyo xasaasiyadda xubnaha muuqaal ah.

Waxaan ma dhihi karo in tiro badan oo ah dadka bukaanka ah ka farxisay qiimo macquul ah daroogada this. Sida la og yahay, waxa ay ku saabsan 165-180 rubles Ruush tube 2.5g.