Mankhwala "Sultasin": malangizo ntchito

"Sultasin" - maantibayotiki wa gulu Penicillin. Monga mbali ya pano zoletsa beta-lactamase. Pakuti mabakiteriya ambiri mankhwala tcheru Chinapangidwa ntchito zonse.

Mu mawonekedwe zimene mankhwala adzamasulidwa, kuti alipo mu kapangidwe kake?

Mankhwalawa amapezeka mu ufa. Maziko polenga njira womwe wapangidwa ntchito jekeseni. Mu botolo kungakhale milingo yosiyanasiyana ya ufa - 0,75 kapena 1.5 ga Amalalikira zosakaniza ntchito mu mawonekedwe a salt ndi sodium mu zikuchokera alipo zikuluzikulu ziwiri pophika - sulbactam ndi ampicillin, omwe ali ndi botolo la 250 ndi 500 mg.

kanthu mankhwala

"Sultasin" malangizo kusonyezedwa monga mankhwala bactericidal kugonjetsedwa acid. Mankhwala kumabwezera mmbuyo kaphatikizidwe wa peptidoglycan, kotero kuti khungu khoma tizilombo sindikufuna kukhala.

Ampicillin ukukamba mankhwala semisynthetic, ali kanthu bactericidal, amasokoneza mapangidwe makoma khungu la bakiteriya chulutsa potero zina tizilombo zimachokeradi. Ampicillin si anawonongedwa ndi zochita za zidulo.

Sulbactam ndi beta-lactamase woletsa, zikanakhala antibacterial alibe chikoka pa mitundu kugonjetsedwa kwa beta-lactamase. mankhwala amagwiritsidwa ntchito pofuna kuchiza mavuto oyamba ndi bakiteriya anaerobic, galamu alibe chamoyo galamu HIV, ndi wokhoza kuononga ena a mtundu wawo. Atadziŵa toyambitsa sabala kupanga beta-lactamase, ntchito mankhwala "Sultasin" malangizo ntchito salisiyanitsa kuchitapo kanthu ankachititsa mwa ampicillin chimodzi chokha.

Pharmacokinetics

mankhwala ndi wapezeka pambuyo ntchito pafupifupi madzi onse ndipo zimakhala m'thupi la munthu. Pamaso pa yotupa njira permeability mankhwala kwambiri zochuluka madzimadzi cerebrospinal.

Mawu oyamba a medicament mu mnofu ndi mtsempha yogwira alipo magazi woipa mkulu. Tsankho Kupha mankhwala ikuchitika kwa ola limodzi. kuchotsa ake ku thupi ndi impso ikuchitika, ambiri wothandizila 'Sultasin "(70 80%) ali ndi mawonekedwe amodzi. Ndiponso excretion gawo la mankhwala adatengedwa ndi chiwindi. mankhwala opezeka mu mkaka wa m'mawere, angasokoneze malire placental chotchinga. The Gawo ali kochepa kagayidwe, pafupifupi 25% "Sultasina" olekanitsidwa monga metabolites.

umboni

Mankhwala "Sultasin" malangizo Buku akuonetsa kuti ntchito limati awa:

• matenda okhudza chapamwamba ziwalo kupuma ndi dongosolo kupuma;
• meninjaitisi;
• opatsirana njira imene zimfundo akhudzidwa ndi mafupa;
• sepsis;
• syndrome mantha ndi kapepala biliary oyamba ndi bakiteriya;
• peritonitis;
• zotupa, zotupa za zimakhala zofewa;
• bakiteriya endocarditis;
• matenda amene amakhudza kumaliseche ndi kapepala mkodzo;
• Gonococcal matenda ndondomeko;
• chofiira malungo.

Komanso, mankhwala kwa zodzitetezera umalimbana kupewa mavuto postoperative. Mankhwala ntchito njira opatsirana omwe tizilomboto - mabakiteriya tcheru, ndipo kuteteza chitukuko cha njira zoipa pambuyo ntchito opaleshoni, imene mwai zofunika ankachiritsa mu mafupa a chiuno ndi ziwalo m'mimba.

contraindications

"Sultasin" malangizo ntchito salola ntchito opatsirana mononucleosis, hypersensitivity ndi mkaka wa m'mawere.

Ntchito pakati akazi kukonzekera amafuna kusamalidwa, komanso mankhwala a odwala ndi insufficiency aimpso kapena kwa chiwindi.

Mlingo mankhwala mankhwala ntchito

medicament ndi kutumikiridwa ndi njira mtsempha ndi mu mnofu. Administration wa m'mwamba ziyenera kuperekedwa pang'onopang'ono. Ntchito mtsempha, mankhwala ikuchitika masiku awiri. Ngati pali kufunika kugwiritsa ntchito mankhwala owonjezera, hereinafter yothetsera anali kutumikiridwa intramuscularly.

The chiŵerengero cha yogwira - ampicillin ndi sulbactam - 2: 1. Ngati ndondomeko opatsirana limanenedwa ngati kuwala chofunika mlingo kukhala mu osiyanasiyana kuchokera magalamu 1.5 kuti 3 kutumikiridwa nagawira mu kawiri kukonzekera "Sultasin". Malangizo ntchito jakisoni pa kusalekerera pafupifupi matenda amalimbikitsa kuchita nthawi zitatu kapena zinai, ndi tsiku ayenera kugwiritsidwa ntchito kwa magalamu 3 mpaka 6 a mankhwala. Aakulu matenda ndondomeko liyenela kukhazikitsa 12 ga wa medicament ndi pafupipafupi yomweyo monga mmene zinalili m'mbuyomu.

Pamene chinzonono alibe mavuto mokwanira 1.5g medicament amene kutumikiridwa kamodzi. Akhanda, ukalamba choposa sabata imodzi, ndi ana omwe asanakwane, ndi kutumikiridwa ndi imeneyi ya maola 12, yankho "Sultasin". Malangizo pa ntchito ya ana amalimbikitsidwa kuti asankhe 150 mg wa mankhwala pa aliyense kilogalamu ya kulemera kwa mwanayo. Izi mlingo tsiku limene limapangidwa sulbactam ndi ampicillin pa 100 ndi 50 mg / kg, motero. Pa mankhwala, yoyenera mlingo wa mankhwala wovulala mwana tsiku lililonse katatu kapena anayi.

Pakuti kupewa mavuto a akatswiri ntchito 1.5-3 ga mankhwala pa mankhwala, kenako (mkati tsiku lina pambuyo opaleshoni) ntchito chimodzimodzi mlingo njira, koma osati kamodzi, koma ndi intervals wa maola 6-8.

Chithandizo limatenga asanu masiku khumi ndi zinayi. Zizindikiro zonse zinafa, ndiponso kutentha thupi yachibadwa, mankhwala opangidwa ngakhale masiku awiri.

N'kukhala kugwiritsira medicament "Sultasin" malangizo Buku akuonetsa kulephera impso, kunachitika mawonekedwe aakulu pamene chilolezo 30 ml ya / min.

Kukonzekera njira

Ngati mukufuna makonzedwe parenteral wa njira mankhwala mwamsanga pambuyo kukonzekera chikuyendetsedwera la wodwalayo. Ngati "Sultasin" ayenera kuperekedwa intramuscularly, ufa wasukuluka ndi madzi a jekeseni mu kuchuluka kwa 2 (mbale zing'onozing'ono) kapena 4 ml ya (vial munali 1.5 ga wothandizila youma), malingana ndi kuchuluka kwa ufa. Mukhoza kugwiritsa ntchito njira zosiyana. Zikutanthauza jekeseni kukonzekera katswiri chifukwa yekha adzatha kuti yolondola kwambiri.

Kukonzekera njira mu mlingo umodzi wofunikila makonzedwe m'nsinga, amafuna kugwiritsa ntchito sodium kolorayidi kapena 5% shuga.

zotsatira zoyipazi

Anatumizidwa kwa inu "Sultasin"? Malangizo ntchito, ndemanga kuti chiopsezo zosiyanasiyana chokhwima thupi la ena mwa machitidwe ake monga m'mimba, chapakati mantha dongosolo. N'zotheka tsoka kwa kugwira ntchito kwa magazi, angagwe thupi lawo siligwirizana ndi kusintha ena magawo zasayansi. Odwala ena kuona zochita m'dera pamene kutumikiridwa m'nsinga - phlebitis, pogwiritsa ntchito njira ina makonzedwe - soreness pa malo jekeseni. Mwa nkhanza zina - zotsatira chifukwa cha mankhwala yaitali (candidiasis, superinfection).

ambiri osokoneza

Mkulu Mlingo wa mankhwala akhoza kuyambitsa kupweteka khunyu, kuthetsa amene amafuna kuchotsa mankhwala ndi kugwiritsa ntchito mankhwala ofewetsa tuvi kwa bwino madzi-electrolyte ndi pa mlingo lolondola ndiponso mankhwala symptomatic.

Kusamala

Ziyenera kukhala bwino "Sultasin" kukonzekera (malangizo ntchito, ikulongosola za) amene sachedwa thupi lawo siligwirizana, monga pamene pamodzi ndi antibayotiki cephalosporin ndi hypersensitivity penicillin pali chiopsezo cha mtanda matupi awo sagwirizana anachita.

Inde mankhwala amafuna zonse udindo polojekiti aimpso ndi kugwira ntchito kwa hematopoiesis chiwindi. Nthawi kumene kunali ponso kukula microflora, tcheru ndi mankhwala, wodwala akhoza kuona pamaso pa superinfection. Pazochitika izi, kusintha ndi kutumikiridwa mu chakudya cha.

Pa mankhwala a sepsis bacteriolysis anachita angagwe. Pa kuthekera kaphatikizidwe "Sultasina" ndi mankhwala ena ayenera kuphunzira kwa katswiri.

ndemanga Analogs

Ngati mulibe amalola ntchito "malangizo Sultasin 'ntchito, analogs, monga mankhwala" unazin "imene ili m'malo mwa mankhwala yogwira," Sulbatsin "," Sulatsillin "ndi" Ampisid "amasankha dokotala nawo poona ukupeza wodwala. Nthawi zina analogue kumadzetsa phindu kwambiri kuposa zoyambirira, abwino kwambiri kwa wodwalayo ndipo limafanana ndi peculiarities wa thupi lake.

Makasitomala amakhutira ndi mtengo wa mankhwala, koma ambiri amaopa ambiri zosiyanasiyana chokhwima. Monga mauniko, pa nthawi imene mankhwala yakhala ikugwiritsidwa ntchito ndi akazi woyembekezera, kungasokoneze boma sanali thanzi mwana. Odwala ena pano zazing'ono zosiyanasiyana chokhwima. Kuti iwo sanali kapena anali anasonyeza pang'ono, chithandizo choyenera "Sultasin" njira ayenera akuyendera. Malangizo ntchito ana limalola mankhwala ndi mankhwala Komabe, kuweruza ndi ndemanga, zina, mavuto aakulu zidzachitika, pali zotsatira kwambiri mbali, m'pofunika dolechivatsya njira zina.