Cov tshuaj Kefsepim: cov lus qhia rau kev siv

Kefsepim yog tsim rau kev kho mob los ntawm kev kis mob. Nws yog siv rau kev tso dej khov thiab cov tshuaj intramuscular.

Lub Npe Tsis Yog Neeg Tsis Muaj Npe

Kab Ntsig.

Kefsepim yog tsim rau kev kho mob los ntawm kev kis mob.

ATX

J01DE01.

Tso cov ntawv thiab cov nyob ua ke

Nws yog tso tawm ua hmoov los nrhiav kev daws rau kev tso ntshav thiab tshuaj intramuscular. Tus nquag ua hauj lwm yog cefepime (500 lossis 1000 mg hauv 1 lub raj mis).

Pharmacological kev txiav txim

Qhov no yog cov tshuaj tua kab mob los ntawm pawg ntawm cephalosporins. Nws muaj cov haujlwm dav dav nrog rau kev hwm txog ntau yam kabmob microbes uas tawm tsam cov tshuaj tua kabmob uas muaj zog heev. Ua rau tiv thaiv kev puas tsuaj los ntawm beta-lactamases. Nws yooj yim nkag rau hauv cov kab mob hauv lub cev.

Nws ua txhaum rau tus mob anaerobes, hom kab mob Streptococcus pyogenes, kab mob enterobacteria, Escherichia, Klebsiella, Proteus mirabilis, pseudomonas.

Muaj ntau hom kab mob ntawm enterococci, staphylococci tiv taus methicillin, clostridia tsis rhiab los ntawm tshuaj tua kab mob.

Cov Tshuaj Pharmacokinetics

Qhov siab tshaj plaws ntawm kev kho cov tshuaj tiv thaiv hauv plasma yog ua tiav tom qab ib nrab ib teev thiab kav rau 12 teev. Qhov kev tshem tawm ib nrab-lub neej tshwm sim los ntawm 3 txog 9 teev.

Sau hauv cov zis, cov kua tsib, lub zais pa tawm, prostate.

Kefsepim yog siv los kho cov kab mob ntawm lub plab ua kom plab los ntawm kab mob.

Kefsepim yog siv los kho kev mob pyelonephritis.

Kefsepim qhia rau kev mob ntsws txog rau mob hnyav.

Cov tshuaj yog siv los kho cov mob txeeb zig ua rau muaj kab mob.

Kev ntsuas rau siv

Nws pom hauv cov xwm txheej zoo li no:

1. Cov kab mob ntsws mob nruab nrab thiab mob hnyav los ntawm hom kab mob Streptococcus streptococcus pneumoniae, Pseudomonas aeruginosa, Klebsiella lossis ntau hom enterobacteria.
2. Febrile neutropenia (raws li kev kho mob tiag tiag).
3. Cov mob txeeb zig (ntawm qhov sib txawv ntawm qib mob uas cuam tshuam) tshwm sim los ntawm cov kab mob Staphylococcus aureus thiab Streptococcus pyogenes.
4. Pyelonephritis.
5. Cov kab mob lom ntawm lub plab ua kom muaj kab mob - Escherichia, Klebsiella, pseudomonads thiab tshwj xeeb tshaj yog Enterobacter spp.
6. Kev tiv thaiv kev kis mob thaum lub sijhawm phais ntau yam ua haujlwm ntawm lub plab.

Cov Yuav Tsum Muaj

Cov tshuaj no yog contraindicated nyob rau hauv:

1. Kev tiv thaiv tsis haum lub cev rau cefazolin, tshuaj tua kab mob cephalosporin, tshuaj penicillin, tshuaj beta-lactam, L-arginine.
2. Tus me nyuam lub hnub nyoog txog li 2 hlis (yog tias tsim nyog, tso siab rau tshuaj ntawm qhov tshuaj). Lub caij nyoog ntawm kev qhia Kefsepim hauv hom neeg mob no tsis tau kawm.

Nws yog txwv tsis pub txhaj tshuaj ntxiv ntev txog 12 xyoos.

Nrog saib xyuas

Ceev faj tshuaj rau cov neeg uas tau pom pathology ntawm lub plab zom mov, nyiam rau kev ua xua rau kev siv tshuaj. Yog tias muaj kev fab tshuaj, cov tshuaj raug muab tso tseg.

Kefsepim yog muab tshuaj rau txoj leeg li txoj kev lis ntshav.

Nws raug txwv tsis pub txhaj tshuaj rau cov menyuam yaus hnub nyoog qis dua 12 xyoos.

Kefsepim yuav tsum tau pricked ua ke nrog lidocaine hydrochloride.

Yuav ua li cas noj Kefsepim

Nws muab tshuaj rau dej hiav txwv raws li ib tug Txoj kev lis ntshav. Lub sijhawm ntawm cov txheej txheem tsis yog tsawg tshaj li ib nrab ib teev. Tshuaj Intramuscular ntawm cov tshuaj yog tso cai rau mob sib khuav lossis mob nyhav ntawm lub cev mob txeeb zig. Qhov ntau npaum li cas yog nyob ntawm seb hom pathogen, qhov hnyav npaum li cas ntawm cov txheej txheem kis thiab kev ua haujlwm ntawm lub raum.

Cov tshuaj yuav tsum tau txhaj nrog ua ke nrog lidocaine hydrochloride.

Hauv cov hlab ntsws: 1-2 g ntawm kev daws yog txhaj rau hauv txoj hlab ntshav ib hnub ob zaug nrog zaus ntawm 12 teev. Lub sijhawm tiv thaiv yog 10 hnub.

Thaum mob txeeb zig: tso rau hauv txoj hlab ntshav lossis niam txiv ntawm 500-1000 mg tom qab 12 teev rau 7-10 hnub.

Thaum muaj mob me ntawm daim tawv nqaij thiab cov nqaij mos: 2 g tshuaj yog txhaj rau hauv cov hlab ntsha nrog zaus ntawm 12 teev. Lub sijhawm tshuaj kho yog 10 hnub. Kev noj haus tib lub sijhawm thiab lub sijhawm saib xyuas cov tshuaj yog siv rau kev kis mob hauv plab.

Txhawm rau txhawm rau txhawm rau tiv thaiv tus mob thaum phais mob plab, iv tau siv sijhawm ib teev ua ntej kev cuam tshuam. Qhov ntau npaum li cas ntawm cov tshuaj yog 2 g. Txoj kev daws teeb meem yog txwv tsis pub siv ib txhij nrog metronidazole. Yog tias yuav tsum ua kom paub cov tshuaj metronidazole, tom qab ntawd koj yuav tsum coj lwm lub koob txhaj tshuaj lossis nqus dej.

Rau cov menyuam yaus, cov koob tshuaj yog xaiv raws li qhov piv ntawm 50 mg rau ib phaus ntawm lub cev qhov hnyav. Qhov ntau zaus ntawm kev txhaj tshuaj yog 12 teev, thiab nrog txo tus lej ntawm neutrophils - 8 teev.

Hauv lub raum tsis ua haujlwm ntev, qhov ntau ntawm cov tshuaj txo qis.

Hauv lub raum tsis ua haujlwm ntev, qhov ntau ntawm cov tshuaj txo qis.

Hauv qee cov neeg mob, tom qab siv cov tshuaj, mob caj pas yuav tshwm sim.

Kefsepim yuav ua rau tsis hnov ​​qab qhov qab.

Tom qab thov cov tshuaj, cov kab mob lupus erythematosus tawm tsam yuav tshwm sim.

Kev noj tshuaj yuav tuaj yeem nrog kev mob rheumatism.

Thaum siv cov tshuaj, koj yuav ntsib nrog qhov tshwm sim tsis zoo xws li mob nraub qaum.

Cov tshuaj yuav ua rau muaj kev hloov hauv chav ntshav cov ntshav.

Nrog ntshav qab zib

Kev nce ntxiv hauv qab zib tsis yog qhov ua rau txo qis koob.

Phiv fab ntawm Kefsepim

Nws tuaj yeem ua rau muaj kev mob tshwm sim ntau yam, tshwj xeeb tshaj yog rau cov neeg mob nkag siab cov tshuaj tua kab mob.

Qee tus neeg mob yuav hnov ​​mob caj pas, sab nraub qaum, qhov chaw txhaj tshuaj, qhov tsis hnov ​​qab zoo, thiab lub ntsej muag ua kom tsis muaj zog. Nrog kev txhaj tshuaj iv, phlebitis feem ntau tshwm sim. Raws li kev ua haujlwm ntawm i / m tswj hwm, mob hnyav tshwm sim. Tsis tshua muaj txiaj ntsig yog kev txhim kho ntawm superinfection.

Los ntawm cov leeg nqaij thiab pob txha sib txuas

Tsis tshua muaj: cov tsos ntawm cov kab mob lupus erythematosus, mob rheumatism, o ntawm cov pob qij txha.

Kev kho mob txoj hnyuv

Kev zom zaub mov muaj peev xwm ua tau, tshwm sim hauv daim ntawv ntawm xeev siab, ntuav, cem quav lossis zawv plab. Feem ntau cov neeg mob txhawj xeeb txog qhov mob plab.

Dyspeptic cov tsos mob tau yooj yim tshem tawm nrog kev pab ntawm probiotics.

Hematopoietic plab hnyuv siab raum

Cov tshuaj muaj peev xwm ua rau muaj kev hloov hauv qhov ntsuas ntshav ntshav thiab kev tso pa tawm.

Nruab nrab hauv lub paj hlwb

Cov teeb meem muaj peev xwm CNS:

• mob hauv thaj tsam taub hau;
• kiv taub hau heev;
• pw tsaug zog hauv daim ntawv ntawm hmo ntuj pw tsis tsaug zog thiab nruab hnub pw tsaug zog;
• rhiab siab tsis xis nyob;
• kev xav ntawm kev ntxhov siab heev;
• tsis meej pem;
• hnov tsis zoo, tsis nco qab thiab xav tsis thoob;
• mob leeg ib ce ib ce.

Tom qab siv cov tshuaj, ib qho mob taub hau feem ntau tshwm sim, uas yog qhov cuam tshuam ntawm kev phiv.

Kev siv cov tshuaj tuaj yeem nrog tus kiv taub hau heev.

Cov tshuaj muaj peev xwm ua rau pw tsaug zog hauv daim ntawv ntawm hmo ntuj insomnia.

Tawm tsam keeb kwm ntawm kev siv tshuaj, kev tawm tsam ntawm xeev siab thiab ntuav tej zaum yuav tshwm sim.

Lub sijhawm siv cov tshuaj, cov kev phiv tsis zoo xws li cem quav lossis zawv plab yuav tshwm sim.

Feem ntau tom qab siv Kefsepim, cov neeg mob txhawj xeeb txog kev mob plab.

Kefsepim tuaj yeem ua rau lub cim xeeb tsis zoo.

Nrog kev kho mob ntev hauv cov neeg mob raum pathologies, mob hlwb loj heev yog qhov ua tau.

Los ntawm cov kab mob zis

Qee lub sij hawm nws ua rau muaj kev puas tsuaj loj rau cov txheej txheem los ntawm lub cev. Nws tuaj yeem tshwm sim nws tus kheej hauv kev txo qis cov zis (txog anuria).

Los ntawm lub tshuab ua pa

Kev puas tsuaj rau cov pa ua pa tau muaj peev xwm. Cov neeg mob tau txhawj xeeb txog kev hnoos, qhov kev xav zoo li nruj hauv lub hauv siab thiab txog siav.

Los ntawm genitourinary system

Cov poj niam tuaj yeem cuam tshuam feem ntau los ntawm qhov chaw mos tawm thiab khaus khaus ntawm qhov perineum.

Los ntawm cov hlab plawv system

Tej zaum kev loj hlob ntawm tachycardia, edema.

Kev ua xua

Kev tsis haum cov tshuaj tiv thaiv lawv tus kheej hauv hom:

• pob xoo, tshwj xeeb erythema;
• ua npaws;
• anaphylactoid tshwm sim;
• eosinophilia;
• erythema multiforme exudative;
• Tus mob Steven Johnson.

Kev tsis haum tshuaj rau qhov tshuaj tshwm sim nws tus kheej ntawm daim ntawv ua pob.

Cov tshuaj yuav ua rau tachycardia.

Tom qab siv Kefsepim, cov poj niam yuav ntxhov siab los ntawm qhov chaw mos ua kom tawm thiab khaus ntawm qhov perineum.

Thaum siv tshuaj, hnoos yuav tshwm sim.

Cov kws kho mob pom zoo tias koj tsis tsav tsheb thaum Kefsepim txoj kev kho.

Yog hais tias tus neeg mob pib mob pseudomembranous mob plab, ces txoj kev tswj hwm ntawm Kefsepim nres.

Tom qab siv cov tshuaj, tus neeg mob yuav cuam tshuam los ntawm ua pa luv.

Cuam tshuam rau lub peev xwm los tswj cov tshuab

Hauv qee kis, cov tshuaj yuav ua rau tsis nco qab zoo, poob siab. Yog li cov kws kho mob pom zoo kom koj tsis txhob tsav tsheb thiab tsis ua haujlwm nrog cov txheej txheem nyuaj thaum kho.

Cov lus qhia tshwj xeeb

Yog hais tias tus neeg mob pib mob pseudomembranous los yog cov tshuaj tua kab mob sib kis, mob raws plab ntev, ces kev tswj hwm ntawm cov tshuaj no nres. Vancomycin lossis metronidazole yog muab rau qhov ncauj.

Siv rau lub sijhawm qub

Nrog rau mob raum tsis zoo, yuav tsum tau txhaj tshuaj ntau dua lossis hloov cov tshuaj ntxiv.

Txiag tej menyuam

Tsis tau sau ntawv khomob rau cov menyuam yaus hnub nyoog qis dua ob hlis.

Siv thaum cev xeeb tub thiab lactation

Siv nyob rau hauv lub sijhawm muaj tus cwj pwm tsuas yog thaum xav tau cov txiaj ntsig los ntawm nws ntau dua qhov kev pheej hmoo. Hauv thawj peb lub hlis tsis xaiv tsa.

Kefsepim yog siv thaum cev xeeb tub thaum cov txiaj ntsig xav tau tshaj li txoj kev pheej hmoo.

Thaum kho nrog Kefsepim thaum lactation, tus me nyuam pauv mus rau khoom noj pub mis.

Kev mob siab rau daim siab hnyav - qhov taw qhia kom txo tau qhov koob ntawm Kefsepim.

Kefsepim tsis tau sau tseg rau cov menyuam yaus hnub nyoog qis dua ob hlis.

Yog tias nws yog qhov yuav tsum tau nqa tawm kev kho mob thaum pub niam mis, tom qab ntawd tus menyuam yuav tsum tsiv mus nyob ib ntus rau kev pub mis.

Daim ntawv thov rau lub raum khiav tsis zoo

Nrog lub raum pathology, yuav tsum tau txo koob tshuaj rau hauv tus account qib ntawm creatinine. Nws yog ib qho tsim nyog yuav tsum soj ntsuam cov ntsiab lus ntawm yam muaj sia nyob hauv ntshav.

Siv rau lub siab ua haujlwm tsis zoo

Kev mob siab rau daim siab hnyav - qhov taw qhia kom txo tau cov koob tshuaj lossis kho kho mob thaum muaj kev hloov pauv hauv cov ntshav siab.

Kefsepim Noj Ntau Tshaj

Nrog rau kev ua kom ntau ntxiv, tus neeg mob yuav muaj kev mob plab, mob hlwb, ua rau lub leeg puas tsuaj thiab cov leeg nqaij tsis muaj zog. Ntau zaus, cov phiajcim no tshwm sim rau cov neeg muaj mob raum.

Kev kho mob ntau tshaj ntawm cov neeg mob rwj qis rau cov txheej txheem kho mob thiab kho cov tsos mob. Kev tsim tawm ntawm cov mob hnyav ntawm qhov txawv txav rhiab yog qhov qhia tau rau kev teem caij adrenaline.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj tsis sib xyaw nrog heparin analogues, lwm yam tshuaj tua kab mob.

Diuretics nce tshuaj ntau npaum li cas hauv cov ntshav thiab potentiate nws cov nyhuv ntxim rau lub raum. Noj cov tshuaj tsis-steroidal coj los tiv thaiv kev phom sij los ntshav ntau ntxiv.

Kefsipim tsis pub siv nrog kev sib txuas nrog cov tshuaj tsis yog tshuaj steroidal.

Kev daws yuav tsum tsis txhob siv rau hauv cov phwj plaub nrog tib cov tshuaj:

• Vancomycin;
• Gentamicin;
• Tobramycin;
• Netilmicin.

Txhua yam tshuaj tua kab mob sau nrog Kefsepim yuav tsum muab tshuaj cais.

Cawv tau zoo

Tsis sib xws nrog cawv.

Analogs

Xws li cov tshuaj los hloov:

• Abipim;
• Agicef;
• Nqis;
• Extentsef;
• Maxinort;
• Maksipim;
• Septipim.

Cov ntsiab lus ntawm lub tsev muag tshuaj tawm

Tso tawm los ntawm kev kho mob.

Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?

Cov tshuaj tsis tuaj yeem tau yam tsis muaj tshuaj.

Nqi

Tus nqi ntawm 1 g ntawm qhov muaj pes tsawg leeg kom tau txais kev daws yog kwv yees li 170 rubles.

Cia rau cov neeg mob rau cov tshuaj

Cia kom deb ntawm lub teeb thiab noo noo, kom deb ntawm cov menyuam.

Hnub tas sij hawm

Nws siv tau rau 3 xyoos los ntawm hnub ntawm ntau lawm.

Chaw tsim tshuaj paus

Oxford Laboratories Pvt. Ltd., Is Nrias teb.

Tus hloov chaw rau tshuaj yuav tsum yog Abipim.

Hloov chaw nrog qhov sib thooj zoo ib yam ntawm cov kev ua muaj xws li cov tshuaj Maksipim.

Hloov cov tshuaj nrog rau cov tshuaj xws li Extentsef.

Xyuas

Irina, hnub nyoog 35 xyoo, Moscow: "Nrog kev pab los ntawm Kefsepim, Kuv tau kho tus mob ntsws zoo. Cov kev kho mob tau ua nyob rau hauv tsev kho mob tau 10 hnub. Kuv zam qhov kev txhaj tshuaj zoo, txawm hais tias lawv mob.

Olga, hnub nyoog 40 xyoo, Ob: "Cov tshuaj no pab kho tus kab mob ntawm txoj hlab zis, nrog rau mob thiab qhov mob thaum tso zis. Cov kev kho mob tau pom zoo zoo, tsis muaj kev phiv. Kuv ua raws li kev noj haus thiab kev noj tshuaj txhua hnub los tiv thaiv kom rov huam dua."

Oleg, 32 xyoo, St. Petersburg: Ib qho tshuaj zoo uas pab tiv thaiv nrog kev mob voos. Vim tias mob ntsws mob ntev, Kuv tau hnoos heev, uas ploj mus tsuas yog tom qab cov mob ntshav nrog Kefsepim xwb. "