Ukutheleleka kwamagciwane kungelashwa kuphela nge-antibiotic, kodwa ukuze kusebenze kahle, isidakamizwa esifanele kufanele sikhethwe. Cishe, uma udokotela emqoka, emva kokuhlolwa futhi ngokusho kwemiphumela yegazi nokuhlolwa komchamo.
Kodwa noma ngabe ama-antibiotic anqunywe udokotela, kufanele wazi ukuthi yiziphi izigameko ezisetshenzisiwe, yiziphi izinkomba ezingenayo, imiphumela emibi, nokuthi yimiphi imithi abangayibandakanya nayo.
Enye yama-antibiotic ethandwa kakhulu anqunywe odokotela yi-Cefotaxime.
Izici zeCefotaxime yezidakamizwa
I-Cefotaxime iyi-anti-antibiotics ehlanganiswa yesikhulumi esiningi esengxenye yeqembu lesithathu le-cephalosporin, elihloselwe ukuphathwa kwe-intramuscular and intravenous. Lesi sidakamizwa sinemiphumela eminingi ehlukahlukene:
- kuma-bacteria aphikisana nemithi elwa namagciwane we-penicillin uchungechunge, ama-aminoglycosides nama-sulfonamide;
- emithinini engaxilwanga emithini eminingi;
- on cocci gram-positive (ikakhulukazi staphylococcus), kodwa buthakathaka kunama-cephalosporins ezizukulwaneni zokuqala.
I-Cefotaxime inokuphikiswa okuphezulu kuma-beta-lactamasi amaningi we-bacteria engalungile.
Isenzo esinjalo sokulwa nokulwa namagciwane siphumelele ngenxa yokuvimbela umsebenzi we-enzyme yezincane ezincane kanye nokubhujiswa kwezindonga zamaseli, okuholela ekufeni kwabo. Le antibiotic iyakwazi ukungena cishe zonke izicubu neziphuzo, ngisho nangomkhawulo wegazi.
Izinkomba zokusetshenziswa kwe-Cefotaxime
Ukwelashwa nge-cefotaxime kunconywa ukuziphatha ezifweni ezibangelwa amabhaktheriya azizwelayo, njenge:
- ezithombeni zokuphefumula - i-bronchitis, i-pneumonia, pleurisy, i-abscess;
- ezingxenyeni zesikhumba esincane - i-gonorrhea ne-chlamydia;
- ukutheleleka kwezingxenye ezingezansi zesistimu ye-genitourinary nezinso;
- ku-nasopharynx - tonsillitis kanye ne-otitis (okuhlukile ngaphandle kwe-enterococcal);
- i-septicemia ne- endocarditis ;
- ukutheleleka kwamathambo kanye nezicubu ezithambile;
- i-meningitis ye-bacterial;
- ukutheleleka ngemva kokushiswa kwamagundane.
Ingasetshenziswa futhi ngezinhloso zokuvimbela ngemuva kokuhlinzwa, ukuvimbela ukuvuvukala nezinye izinkinga ezingenzeka.
Ukungafani kokusetshenziswa kwe-Cefotaxime yilokhu:
- ukusabela okweqile kunoma yikuphi ukulwa namagciwane okuchungechunge lwe-cephalosporin kanye ne-penicillin;
- i-enterocolitis;
- ukuphuma.
Ngesikhathi sokukhulelwa kanye nesikhathi sokudla, kungenzeka ukuthi usebenzise, kodwa kuphela lapho kunesidingo esikhulu kanye nesimo sokuyeka ukuncelisa.
Isilinganiso se-Cefotaxime
Njengoba i-Cefotaxime ihloselwe ukusetshenziselwa ukubeletha, ayikwenziwe ngamaphilisi, kodwa kuphela nge-powder for injection, ivolumu elilodwa lika-0.5 g no-1 g.
Kuye ngokuthi bazokwenzenjani - umjovo noma i-dropper, i-Cefotaxime ihlolwe ngamanani ahlukene:
- Ukugcoba - 1 g we-powder for 4 ml amanzi wamjovo, bese ufaka i-solvent kuya ku-10 ml, nge-injection ye-intramuscular - esikhundleni samanzi, 1% we-lidocaine ithathwa. Ngosuku, ukujola oku-2 kwenziwa, kuphela uma kwenzeka isimo esibi singakhuphukela ku-3-4;
- Ku-dropper, ama-gramu angu-2 emithi ngayinye nge-100 ml ye-saline noma isisombululo se-glucose esingu-5%. Isixazululo kufanele sinikezwe ihora eli-1.
Kubantu abanesifo sokuqhwaba noma ukungafinyeleli kahle, umthamo weCefotaxime kufanele unciphise ngesigamu.
Imiphumela emibi ye-Cefotaxime:
- izimpande zokwelashwa nezinye izimpendulo (umkhuhlane, ukubonakaliswa kwe-anaphylactic, ubomvu, i-erythema);
- isicanuca, ubuhlungu besisu, isifo sohudo, i- dysbiosis , ngisho ne-colitis engase ihlasele;
- shintsha emiphakathini yokuhlolwa kwegazi kanye ne-peripheral blood;
- i-arrhythmia nekhanda, ngesingeniso esisheshayo;
- ukwakheka kwe-densification nobuhlungu endaweni yomjovo.