Ichiza "Sultasin": imiyalelo yokusebenzisa

"Sultasin" - i-zintsholongwane yomnye qela penicillin kulo. Njengenxalenye langoku beta-lactamase inhibitors. Ukuze iintsholongwane ezininzi-onovakalelo kweziyobisi, nto yenzelwe ukusetyenziswa rhoqo.

ngesi yintoni uhlobo ichiza, ekhoyo kumafa wayo?

Iyeza ifumaneka ngumgubo. Oku sisiseko ngokuyila isisombululo elo malihlawulelwe kusetyenziswa inaliti. Ebhotileni inokuba izixa ezahlukeneyo ngumgubo - 0.75 okanye 1.5 g izithako ezisebenzayo ezisetyenziswa ngohlobo iityuwa sodium kwi ekwakhiweni ekhoyo ezimbini yezinto eziphambili - sulbactam kunye ampicillin, nganye laliwaphethe ngeentsuba ka 250 500 mg.

isenzo Drug

"Sultasin" umyalelo phezu iziboniso njenge zintsholongwane bactericidal ukumelana acid. Ichiza abangaphangeliyo ukuba Yindibanisela peptidoglycan, ukuze udonga iseli ezincinane musa ukuphuhlisa.

Ampicillin inxulumene zintsholongwane semisynthetic, isiphathele isenzo bactericidal, kuphazamisa ukuyilwa iindonga iseli ye iintsholongwane, akuyonto phindo ngaloo ngakumbi ezincinane. Ampicillin lutshatyalaliswe yintshukumo asidi.

Sulbactam i inhibitor beta-lactamase, isenzo antibacterial akanayo impembelelo kwi ezimelene nemithi ibeta-lactamase. Ichiza isetyenziselwa ukunyanga iimeko ezibangelwa ziibhaktheriya anaerobic, negative-Igram kunye eziphilayo Igram-HIV, oko unako ukutshabalalisa ezinye iintlobo zazo. Xa baboniswa kwamagciwane musa ukuvelisa imveliso beta-lactamase, umsebenzi iziyobisi "Sultasin" imiyalelo zokusetyenziswa kulingana kwi intshukumo ezwi ampicillin enye kuphela.

Pharmacokinetics

Ichiza ibanjiwe emva kokuba isicelo phantse kuzo zonke neencindi zomzimba omzimba womntu. Phambi iinkqubo ukudumba permeability beziyobisi anda kakhulu kwi ulwelo lwe-cerebrospinal.

Ukwaziswa kwezinto medicament intramuscular kwaye efakwa esebenzayo ezikhoyo egazini kungomlinganiselo eziphakamileyo. kubulawe Partial beziyobisi lwenziwa ngeyure enye. kususwe ku umzimba kwizintso kuliwa, uninzi arhente 'Sultasin "(70 to 80%) ngokumila elimisiweyo. Kwakhona ke kukhuthaza isabelo ichiza olwenziwe sisibindi. Ichiza ifumaneka ubisi lwebele, uphazamise isithintelo kumda placental. Iinkalo eziphambili zezi ukutya sakugcina, malunga nama-25% "Sultasina" bodwa nje metabolites.

ubungqina

Drug "Sultasin" umyalelo manual lithethelela ukuba usebenzise kwezi ithi:

• usulelo echaphazela amalungu aphezulu bokuphefumla isixokelelwano sokuphefumla;
• meningitis;
• iinkqubo ezosulelayo apho amalungu kunye namathambo achaphazelekayo;
• nokudumba;
• syndrome kunye iphecana biliary ezibangelwa ziibhaktheriya;
• peritonitis;
• kolusu, izitshanguba ze emzimbeni soft;
• endocarditis bacteria;
• usuleleko, nto leyo echaphazela amalungu esini kunye womchamo;
• inkqubo usuleleko Gonococcal;
• fever ebomvu.

Kwakhona, ichiza ngenxa amanyathelo othintelo ejolise ekuthinteleni ingxaki postoperative. Eli chiza esetyenziswa apho pathogen iinkqubo esosulelayo - iintsholongwane ezibuthathaka kulo, kunye nokuthintela uphuhliso neenkqubo ezimbi emva ukuhlinzwa, apho zazo ezifunekayo eyenziwa isinqe kunye amalungu esiswini.

Izimo

"Sultasin" imiyalelo zokusetyenziswa awukuvumeli ukusetyenziswa mononucleosis ezosulelayo, hypersensitivity kunye zisanyisa.

Xa usebenzisa ukulungiselela abasetyhini abakhulelweyo kufuneka ndinyanyekelwe, kwakunye kwi unyango kwezigulane insufficiency kwezintso okanye hepatic.

ngamachiza unyango Izikali ukuyisebenzisa

Le medicament ilawulwa ngeendlela efakwa kunye intramuscular. Ulawulo lwe-arhente kufuneka wenziwe kancinci. Ngokuba ukusetyenziswa efakwa, unyango yenziwa iintsuku ezintlanu ukuya esixhenxe. Ukuba kukho imfuneko ukuze aphumeze unyango olongeziweyo, apha isicombululo elaliselugcinweni intramuscularly.

Umlinganiselo kwezinto esebenzayo - ampicillin kunye sulbactam - ngu-2: 1. Ukuba inkqubo ezosulelayo sichazwa njengokukhanya efunekayo ithamo ukuba kuluhlu ukusuka grams 1.5 ukuya 3 zilawulwa hlula ibe izihlandlo ezibini ukulungiselela "Sultasin". Imiyalelo inaliti zisetyenziswe kwindawo ubucaka avareji zokugula icebisa ukuba wenza izihlandlo ezithathu okanye ezine, yaye umhla kufuneka zisetyenziswe ukusuka grams-3 ukuya kwisi-6 kweli chiza. inkqubo losuleleko ezimandundu ifuna ukuqaliswa-12 g ye-medicament nge frequency efanayo kwimeko yangaphambili.

Xa ukuvuza ngaphantsi has akukho zingxaki medicament ngokwaneleyo 1.5g lulungiselelwayo kanye. Kubelekwa, ubudala elingadlulanga ngeveki enye, kwaye abantwana ngaphambi kwexesha, zilawulwa kudluliswe iiyure ezili-12, umxube "Sultasin". Imiyalelo kusetyenziso abantwana ziyakhuthazwa ukuba batyumbe 150 mg kweziyobisi ngamnye obunzima buyikhilogram nganye ubunzima yomntwana. Le idosi yemihla ngemihla eliquka sulbactam kunye ampicillin kwi-100 no-50 mg / kg, ngokulandelelana. Ngexesha unyango, idosi efanelekileyo ichiza elawulwa umntwana yonke imihla kathathu okanye kane.

Kuba nokuthintelwa iingxaki ziingcali izicelo 1.5-3 g beziyobisi ngexesha zomzimba, kamva (phakathi kosuku olunye emva kotyando) usebenzisa iindlela idosi enye, kodwa hayi kanye, kodwa ngamathuba iiyure 6-8.

Unyango kuthatha malunga ezintlanu iintsuku ezilishumi elinesine. Xa zonke iimpawu aphel, kwaye ubushushu bomzimba eziqhelekileyo, unyango wavelisa nokuba iintsuku ezimbini.

Anqabe medicament lokuphatha "Sultasin" yemiyalezo icebisa ukuba ukusilela kwezintso, ivela ngathi ezigulo ezondeleyo xa imvume 30 ml / min.

Ukulungiswa yezisombululo

Ukuba uceba ulawulo parenteral of sisombululo zeziyobisi ngoko nangoko emva amalungiselelo yenziwa isigulane. Ukuba "Sultasin" kufuneka ufakwe intramuscularly, umgubo bungxengwe ngamanzi ukuba isitofu xa isixa-mali ka-2 (igutyana ezincinane) okanye ml-4 (igutyana equlathe 1.5 g arhente eyomileyo), ngokuxhomekeke kwisixa powder. Ungenza isicelo isisombululo eyahlukileyo. Kuthetha ukuba isitofu ukubalungiselela ingcali, kuba nguye yedwa oya kuba nako ukwenza kakhulu echanekileyo.

Ukulungiswa umxube idosi enye efunekayo yolawulo butofelwe, ifuna ukusetyenziswa sodium chloride okanye 5% iswekile.

imiphumela emibi

Eyabelwe kuwe "Sultasin"? Imiyalelo yokusebenzisa, ncomo bathi umngcipheko reactions egwenxa umzimba ezinye iinkqubo zayo ezifana wokudla, inkqubo luvo. ukuphazamiseka kunokwenzeka ukuba ukusebenza igazi, zingenzeka negazi kwaye utshintshe ezinye iparameters elebhu. Ezinye izigulane ukusabela zasekuhlaleni xa kuqhutywa yegazi - phlebitis, usebenzisa enye indlela wolawulo - kwindawo efakwe kuyo inaliti. Phakathi kwezinye meza - imiphumela zibangelwa elide unyango (candidiasis, superinfection).

libanda

ngeedosi eziphezulu beziyobisi kungakhokelela unditsho unesathuthwane, ukuze kupheliswe ezifuna ukususwa ichiza kunye nokusetyenziswa laxatives ilungelelane amanzi-electrolyte yi kwinqanaba elichanekileyo kunye nonyango nomqondiso.

oyi

Kufuneka uyazi "Sultasin" ukulungiselela (imiyalelo zokusetyenziswa, inkcazo) abo ezithandwa negazi lakho, njengoko xa kudityaniswe antibiotics cephalosporin kunye hypersensitivity penicillin kukho umngcipheko yokusabela cross-nawo.

ikhondo unyango kufuna iwonga esweni kwezintso rhoqo kunye nokusebenza hematopoiesis zesibindi. Kwiimeko apho kukho ukwanda wokukhula microflora, olunenkathalo ichiza, umguli sinokufumana phambi superinfection. Kwezi meko, utshintsho oluyimfuneko ziqhutywa kwirejimeni.

Ngexesha unyango lwe nokudumba bacteriolysis reaction zingenzeka. Ngomhla ithuba yokudibanisa "Sultasina" kunye namanye amachiza kufuneka bafunde ingcali.

ukubuyekeza Analogs

Ukuba ngaba uvumela ukusetyenziswa "imiyalelo Sultasin 'ukusetyenziswa, analogs, ezifana iziyobisi" unazin ", nto leyo ethatha ukuba into esebenzayo," Sulbatsin "," Sulatsillin "yaye" Ampisid "ikhetha lo gqirha khona, ngokuqwalasela imeko yempilo malunga nesigulane eso. Ngamanye amaxesha Togu kuzisa inzuzo eninzi ngaphezu yokuqala, njengoko efanelekileyo kwisigulana, ekwafanekisa le awohluke yomzimba wakhe.

Agents wanelisekile amaxabiso ichiza, kodwa abaninzi bayoyika iqela elikhulu ngayo ezibi. Njengoko ncomo, kwiimeko apho ichiza iye esetyenziswa ngabasetyhini ngexesha lokukhulelwa, impembelelo engalunganga kurhulumente wayengekho impilo yomntwana. Ezinye izigulane reactions ezibi minor langoku. Ukuba abazange okanye bavakalisa kancinane, unyango olufanelekileyo "Sultasin" lithetha kufuneka kuphunyezwe. Imiyalelo zokusetyenziswa abantwana ivumela unyango nalo eli chiza, Noko ke, ebalawula yi-ncomo, kwezinye iimeko, iingxaki kakhulu kwenzeka, kukho iziphumo ezingalindelekanga ebalulekileyo, oko kuyimfuneko dolechivatsya ezinye iindlela.