Umuthi Wamehlo "Dexa-Gentamicin": imfundo manual, ukubuyekezwa, izincazelo

Kusukela lokho uphulukisa iso wamafutha "Dexa-Gentamicin?" Izinkomba izidakamizwa amehlo, kuxoxwa ngokuningiliziwe ngezansi. Siphinde ngikuxoxele kanjani ukusebenzisa lolu izidakamizwa, yini ukubaluleka salo eRussia, futhi noma ngabe singasebenza izingane ezincane.

Incazelo lokulungisela ngezithako zawo

Eye wamafutha "Dex-Gentamicin" ikhishwe ngendlela ayevumela ezimhlophe mass alube ephethe tinge aphuzi. izakhi zako ezisemqoka ezisetshenzisiwe gentamycin sulfate kanye dexamethasone. Futhi kule ejenti amehlo zihlanganisa izingxenye asizayo ezifana upharafini liquid, Vaseline elimhlophe kanye lanolin.

Ngo ukudayiswa iso wamafutha engena aluminium amashubhu (umthamo 2.5 g) e ithiphu plastic, ezibekwe ku amakhadibhodi amabhokisi.

Asinakusho ukuthi izidakamizwa okukhulunywa zingatholakala ngesimo amathonsi amehlo.

I kwemithi zomuthi ukuba iso

Eye wamafutha "Dex-Gentamicin" iyindlela kuhlanganiswe ukusetshenziswa sendawo umkhuba amehlo. It has umphumela elwa namagciwane, eqeda ukuvuvukala futhi anti-iguliswa.

Kusebenta lokhu ukulungiselela kungenxa izakhiwo izingxenye zalo asebenzayo.

Dexamethasone - a GCS ukuthi liveza imiphumela anti-iguliswa futhi eqeda ukuvuvukala eshiwo. Ngokusho ochwepheshe, inkomba yomsebenzi eqeda ukuvuvukala (isihlobo) yalesi ingxenye 30.

Kepha gentamicin, kuba i-antibiotic bohlanga aminoglycoside. Ngenxa yalesi isithako elinesimo spectrum ezibanzi yesenzo. Kuyinto ikakhulukazi asebenzayo ngokumelene igremu-negative futhi igremu-HIV sebuningini nezilwanyana ezincane.

Asinakusho ukuthi gentamicin ngokulinganisela kuthinta Staphylococcus SPP.

Kinetics kwezidakamizwa wendawo

Kusho ukumuncwa "Dex-Gentamicin" izidakamizwa kabani wentengo efakwe ohlwini kanjani ngezansi? Lapho ihlelwe ngokulandelana kwezihloko isicelo dexamethasone kahle futhi ngokushesha lingena conjunctiva futhi epithelium corneal. Ngakho edingekayo lokuhlala imithi sithola amahlaya aqueous izitho ezibukwayo. Uma umonakalo noma ukuvuvukala iso mucosa Ukungena izinga inyuka kakhulu.

Isicelo endawo sulfate gentamicin e lokuhlala zokwelapha zitholiwe stroma corneal, kanye ekamelweni Vitreous futhi anterior umswakama (kungakapheli amahora 6).

Kufanele kuqashelwe ukuthi le ingxenye akakwazi ukungena egazini letindzala ngokusebenzisa epithelium njengoba yayinjalo.

Izinkomba ukusetshenziswa okugcoba amehlo

wamafutha Kubhekwe ngebhali kusiza kahle. Futhi, kutuswa ukuba isebenziseke:

• izinqubo iguliswa nasemkhakheni ingxenye anterior ukuthi ahambisana kwegciwane;
• izifo ingxenye anterior isitho ezibukwayo, kubangelwa ukungenwa flora gentamicin (kuhlanganise conjunctivitis, keratitis, blepharitis);
• nokwelashwa kwezinkinga izinqubo ukuvuvukala esikhathini okuthunyelwe (isibonelo, emva glaucoma kanye cataract imisebenzi).

Izimo ukusetshenziswa amalungiselelo amehlo

Kwezinye izimo, amafutha ngebhali nezinye izifo esweni is contraindicated? Ngokusho imiyalelo, leli thuluzi is hhayi Kunconywa uma:

• izifo fungal esweni;
• keratitis esibangelwa igciwane Varicella zoster futhi Herpes simplex (okuyi lapho keratitis isihlahla);
• izifo mycobacterial samehlo;
• izifo ezibangelwa amagciwane we-cornea kanye conjunctiva (kuhlanganise inkukhu Pox);
• acute izifo ubovu iso nge lesion ka epithelium corneal;
• isigqugquzeli ingcindezi intraocular;
• epitheliopathy corneal;
• ukulimala kanye izilonda corneal esidalwa yizilonda emathunjini sibe;
• e senyanga yokuqala nokukhulelwa;
• egqoke contact lens;
• ingane (ngenxa yokuntuleka idatha lokuphepha nokusebenza ngempumelelo kwemithi);
• ukuzwela landa izingxenye ejenti.

Izidakamizwa "Dexa-Gentamicin": yokusetshenziswa

Njengoba izindlela okuxoxwe okufanele zisetshenziswe? Ngokusho imiyalelo yokugcoba amehlo ukuhlubula ubude 10 mm wenziwe ngaphakathi komgodlana conjunctival. Izinqubo ezinjalo kufanele kwenziwe kuze kube kathathu ngosuku.

Phakathi isicelo zomuthi ukuze zigweme ukuthintana amashubhu conjunctiva kanye isikhumba ebusweni.

Isikhathi ekwelapheni iso wamafutha uqobo esingaphansi kwamasonto amathathu. Kulesi isikhathi yokwelapha kunqunywa kobukhulu izimpawu, izidakamizwa ngempumelelo futhi amathuba side ukusabela.

Lapho usebenzisa i-parallel ejenti amehlo amaningi "Dex-Gentamicin" ngikho okuzokuba ¼ ihora kamuva emva usebenzisa amanye amalungiselelo.

Imiphumela emibi ngemva ebeka wamafutha

Kubhekwe amafutha ngoba amehlo kakhulu ayivamile ukubangela umuzwa esivuthayo kwezitho ezibukwayo nokungezwani komzimba.

Kufanele kuqashelwe ukuthi le-ejenti kungase kube nomthelela ekuthuthukiseni dermatitis (contact), keratitis (HSV), perforation corneal, izifo fungal, izifo ezibangelwa amagciwane of cornea, ptosis futhi mydriasis.

Isicelo yokugcoba ngemuva kokuthola ukulimala corneal kungaholela imisiwe ukuphulukiswa inqubo.

Ngekusetjentiswa eside zomuthi in iziguli kaningi ukuthuthukisa i-glaucoma yesibili futhi cataract steroid.

Overdosing, ekuxhumaneni nezinye izidakamizwa

Umuthi Wamehlo "Dexa-Gentamicin kuyinto" ungakuvumeli ukuba ukuthuthukiswa izimpawu yokweqisa. Ngezinye inhlanganisela yayo nge atropine namanye amanxusa cholinergic namanxusa ezibangela mydriasis, ingcindezi intraocular kungase kukhule ezigulini.

Ukuze baqonde izinto ezenzekayo ukusetshenziswa gentamicin alihambelani heparin, amphotericin B, cephalothin, sulfadiazine, futhi cloxacillin. Inhlanganisela yalawo izidakamizwa kungaholela inqubo sebethule kusheshisa e sac conjunctival.

ulwazi oluthile ukuze iziguli

Wamafutha "Dexa-Gentamicin" izingane (izingane) kungukuthi inikezwa.

Uma isikhathi ukusetshenziswa izindlela (izinsuku phezu 14) kanye abantu, okubonisa umlando glaucoma kuyadingeka ukuze sihlale njalo siqaphele ingcindezi (intraocular).

Uma ufuna ukusebenzisa ama-contact lens, badinga zisuswe phambi ebeka umkhiqizo futhi ufake futhi akukho ngaphambili kuka imizuzu 18.

Ngaphambi aphoyintimenti isiguli kumele baziswe lokhu kusho ukuthi ukuthuthukiswa amathuba okuba nemiphumela engemihle kufanele ngokushesha umise ukwelashwa futhi uthintane uchwepheshe iso.

izifundo zokwelapha ku ukuphepha wamafutha "Dexa-Gentamicin" phakathi nokukhulelwa kanye lactation lwenziwe. Ngakho-ke, ezikhathini ezinjalo, ukusetshenziswa kwezimali kufanele uyekwe.

Ngokushesha ngemva laying wamafutha antiinflammatory ngaphakathi komgodlana conjunctival isiguli kungaba ukwephulwa okuncane acuity ezibukwayo, okuholela ukuphazamiseka lengqondo ukusabela. Ngakho-ke, lokhu izidakamizwa is hhayi Kunconywa ukuba ukushayela izimoto futhi sisebenze izindlela ezahlukene.

Wamafutha "Dexa-Gentamicin": Izibuyekezo

Yini abantu bathini mayelana nokucabangela isiguli? Ngokusho izimpendulo zabo, "Dex-Gentamicin" wamafutha kuyinto anti-inflammatory futhi elwa namagciwane ejenti ngempumelelo kakhulu. Kuyinto fast and okuhle awukudla izifo esweni ezifana ibhali, conjunctivitis, blepharitis, futhi keratitis. Ngaphezu kwalokho, lokhu izidakamizwa livame ukusetshenziswa ukuvuvukala, ukutheleleka nomzimba izitho ezibukwayo.

Asinakusho ukuthi inani elikhulu iziguli yamjabulisa ne ngemali ephansi yalesi izidakamizwa. Njengoba yaziwa, kumayelana 165-180 ruble Russian 2.5g tube.