Novapim yog qhov siv tshuaj tua kab mob ntau yam los siv rau hauv kev kho mob kis mob ntawm lub ntsws, kab mob genitourinary system thiab cov tawv nqaij sib xyaws.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Kab Ntsig.
ATX
J01DE01 - cov neeg sawv cev ua kab mob rau lub cev.
Novapim yog qhov siv tshuaj tua kab mob ntau yam los siv rau hauv kev kho mob kis mob ntawm lub ntsws, kab mob genitourinary system thiab cov tawv nqaij sib xyaws.
Tso cov ntawv thiab cov nyob ua ke
Ib qho tshuaj tua kab mob yog tsim hauv cov hmoov, los ntawm kev daws teeb meem rau kev txhaj tshuaj yog npaj. Lub xim ntawm hmoov yog dawb los yog lub teeb daj. Cov tshuaj tiav tiav yog pob tshab, daj.
Cov tshuaj tseem ceeb yog cefepime chloride thiab L-arginine 500 mg lossis 1000 mg txhua.
Pharmacological kev txiav txim
Nov yog cov tshuaj tua kabmob (antibacterial) ua rau pawg ntawm IV tiam cephalosporins. Nws qhia kev ua haujlwm tawm tsam gram-zoo thiab gram-tsis zoo kab mob. Qhov kev txiav txim ntawm cov tshuaj yog kom qeeb cov synthesis hauv cov cell membrane:
- gram-positive aerobes: Streptococcus viridans, Staphylococcus epidermidis, Staphylococcus aureus, thiab lwm yam kab mob ntawm staphylococci;
- gram-negative aerobic microorganisms: Serratia, Acinetobacter calcoaceticus, Staphylococcus epidermidis, H. rarainfluenzae;
- anaerobic pathogens: Mobiluncus spp, Clostridium perfringens.
Novapim qhia qhov ua tau tawm tsam cov kab mob gram-positive thiab gram-tsis zoo.
Cov Tshuaj Pharmacokinetics
Tom qab kev tswj hwm, cov tshuaj tau muab faib thoob plaws lub cev. Plasma concentration nyob ntawm tus neeg mob lub hnub nyoog thiab poj niam txiv neej. Kev kho kom haum xeeb ntawm cefepime tom qab ib qho kev txhaj tshuaj yog pom nyob hauv cov kua tsib, tso zis, cov khoom zais tawm los ntawm bronchi, hauv cov nqaij mos ntawm lub caj pas prostate thiab appendicitis. Qhov feem pua ntawm cov khi ntawm cov tshuaj tua kab mob rau cov ntshav protein yog nce txog 19%.
Lub sijhawm xav tau ib nrab-lub neej yog li 2 teev, tsis hais kev noj ntau npaum li cas. Kev zam los ntawm lub cev yog nqa los ntawm kev lim lub raum glomeruli, li 85% ntawm cefepime yog tawm ntawm lub cev nrog zis.
Kev ntsuas rau siv
Nws yog kws kho nyob rau hauv txoj kev kho nyob rau hauv cov mob hauv qab no:
- cov kab mob sib kis ntawm cov kab mob hauv nruab nrog qis ntawm qhov ua pa;
- mob ntsws;
- mob ntsws;
- mob txeeb zig;
- mob raum puas, kev loj hlob ntawm cov pyelonephritis me;
- kev puas tsuaj ntawm daim tawv nqaij los ntawm cov kab mob;
- cov ntaub so ntswg mos;
- kis kab mob ntawm cov mob plab plab, nrog rau cov mob rau mob peritonitis thiab kab mob ntawm cov mob biliary;
- febrile neutropenia;
- septicemia - txoj kev nkag los ntawm kev kis mob rau hauv cov hlab ntshav.
Nws kuj tseem siv los kho cov neeg mob neutropenic fever nrog rau kev tsis paub meej txog tus mob.
Kev taw qhia txog kev siv tshuaj tua kab mob hauv kev kho mob ntshav yog muaj raws li hauv qab no: mob ntsws, mob pyelonephritis, kab mob rau daim tawv nqaij.
Cov Yuav Tsum Muaj
Nws yog txwv tsis pub noj tshuaj tiv thaiv kab mob rau cov neeg uas muaj qee tus neeg tsis kam txais rau qee yam tshuaj ntawm cov tshuaj thiab mob rhiab rau cov kab mob antibacterial ntawm pawg cephalosporin.
Nrog saib xyuas
Cov lus qhia rau kev siv ceeb toom ntawm tus txheeb ze sib kis nrog kev siv tshuaj tua kab mob - kab mob ntawm lub plab zom mov. Yuav tsum ceev faj thaum siv tshuaj los ntawm cov neeg muaj mob plab, tsis hais nws yog hom twg. Hauv qhov no, kev siv tshuaj tua kab mob yog tso cai tsuas yog thaum ua haujlwm zoo ntawm nws txoj kev siv ntau tshaj qhov kev pheej hmoo ntawm kev tsim cov kev mob tshwm sim.
Yuav noj Novapim li cas?
Cov tshuaj tiv thaiv kab mob tau muab rau cov tshuaj intramuscularly lossis intravenously. Dosage thiab txoj kev ntawm cov thawj coj yog txiav txim siab ib leeg zuj zus.
Pom zoo kom noj tshuaj rau cov neeg mob laus:
- kev kis kab mob ntawm cov kab mob genitourinary, tsis hais qhov hnyav li cas: los ntawm 500 mg rau 1 g, txhaj tshuaj intramuscularly lossis leeg ntshav rau txhua 12 teev;
- cov kab mob ntawm daim tawv nqaij: 2 g tso dej nrog ib nrab ntawm 12 teev;
- cov ntaub so ntswg mos: 2 g leeg mob ib hnub ob zaug;
- mob ntsws: los ntawm 1 mus rau 2 g tso ntshav txhua 12 teev;
- Kev mob hauv plab: 2 g leeg mob;
- kev kho mob ntawm febrile neutropenia: 2 g leeg tso rau hauv txhua 8 teev.
Cov tshuaj tiv thaiv kab mob tau muab rau cov tshuaj intramuscularly lossis intravenously.
Siv Novapim ua pov thawj los tiv thaiv kev kis kab mob tom qab kev phais mob: 1 teev ua ntej kev phais mob, qhia 2 g ntawm cov tshuaj, thiab tom qab ntawd cov tshuaj Metronidazole (500 mg).
Nrog ntshav qab zib
Qhov ntau npaum li cas yog txiav txim siab ntawm tus kheej nyob ntawm qhov mob hnyav ntawm cov chaw kuaj mob lossis raws li cov tshuaj tua kab mob tau pom zoo.
Phiv los ntawm Novapima
Kev ua txhaum ntawm kev noj tshuaj lossis cov cai ntawm kev tswj hwm ua rau cov kev xav tsis zoo:
- Kev tiv thaiv kab mob: nce cov cim ntawm kev ua kom tsis nco qab. Tsis tshua muaj - anaphylaxis, qhov kev txhim kho ntawm angioedema poob siab.
- Lub plab zom mov: xeev siab thiab ntuav, kev loj hlob ntawm candidiasis ntawm mucous daim nyias nyias ntawm qhov ncauj kab noj hniav, raws plab. Tsawg tsawg dua - qhov pom ntawm pseudomembranous colitis, cem quav, distortion ntawm kev nkag siab saj.
- Nruab nrab hauv lub paj hlwb: mob taub hau thiab kiv taub hau, pw tsaug zog, hloov pauv ntawm txoj kev nco qab. Tsis tshua muaj txiaj ntsig - kev txhim kho ntawm encephalopathy, tsaus muag. Tsis tshua muaj heev - cov tsos ntawm cov tsoos tsho, coma, stupor.
- Cov kab mob: txoj kev loj hlob ntawm kev ua kom haum, paum, mob chaw mos.
- Lub plawv thiab cov hlab ntshav: cov tsos ntawm tachycardia, mob hauv lub plawv mob nqaij ntshiv, mob pob txha caj qaum.
- Lymphatic system: thrombocytopenia, ua haujlwm tsis txaus, hom mob leukopenia, eosinophilia.
- Kab mob ua pa: hnoos qhuav, ua tsis taus pa, mob caj pas thaum nqos.
- Cov kab mob hauv lub raum: tsis tshua muaj - kev loj hlob ntawm lub raum tsis ua haujlwm.
Lwm cov kev mob tshwm sim uas tuaj yeem tshwm sim thaum noj Novapim: hemolytic yam anemia, ua haujlwm siab lub siab, qhov tshwm sim ntawm cholestasis, mob hlwb nephropathy.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Nws tuaj yeem ua rau muaj kev nce ntxiv hauv tus nqi ntawm psychomotor hom kev cuam tshuam, nyob rau hauv kev sib txuas nrog uas nws pom zoo kom tsis txhob tsav lub tsheb thiab ua haujlwm nrog cov txheej txheem nyuaj.
Cov lus qhia tshwj xeeb
Koj tuaj yeem nkag rau hauv kev kho tshiab tshiab rau kev txhaj tshuaj. Cov tshuaj siv yog siv ceev faj hauv kev sib xyaw nrog lwm cov tshuaj tiv thaiv kab mob, vim muaj kev pheej hmoo ntawm kev txhim kho cov tsos mob ntawm qhov tsis nco qab.
Cov ntsiab lus ntawm cov tshuaj tua kab mob hauv cov ntshav ntshav hauv cov txiv neej nrog kev tswj hwm ib leeg ntau dua li poj niam.
Tom qab mob hemodialysis rau 3 teev, ntau dua 68% ntawm kev lees paub ntawm cov tshuaj tua kab mob yog raug tawm hauv lub cev, yog li ntawd, rov qab ua dua cov thawj coj ntawm cov tshuaj tom qab txhua ntu yuav tsum tau ua.
Lub sijhawm kho yog li 7 txog 10 hnub. Nrog txoj kev mob hnyav ntawm kev kis tus mob nrog cov duab zoo tshaj plaws, kev kho mob tuaj yeem txuas ntxiv.
Nrog kev txhaj tshuaj rau cov tshuaj tua kab mob, nws raug nquahu kom hloov qhov chaw txhaj tshuaj tas li kom tiv thaiv cov tsos mob ntawm cov leeg mob thiab o.
Siv rau lub sijhawm qub
Cov neeg mob hauv cov hnub nyoog 65 xyoos, yog tias tsis muaj qhov hloov pauv hauv lub raum, tsis tas yuav hloov kho qhov ntau npaum li cas.
Txiag tej menyuam
Kev soj ntsuam tsis tu ncua ntawm kev noj qab haus huv ntawm cov menyuam yaus lub cev nyhav dua 40 kg uas tau sau tseg yuav tsum tau cov tshuaj tiv thaiv no. Rau cov kab mob ntawm lub raum lossis mob siab, qhov nruab nrab uas pom zoo muab tshuaj yuav tsum tau txiav txim siab halved.
Hauv qeb hnub nyoog txij li 1 txog 2 hlis, ib qho tshuaj tua kab mob tsuas yog kho raws cov lus qhia tshwj xeeb. Qhov ntau npaum li cas yog 30 mg rau ib kg ntawm lub cev qhov hnyav, muab rau txhua txhua 8 lossis 12 teev, nyob ntawm qhov siv ntawm cov chav kawm ntawm tus kab mob sib kis. Koob tshuaj rau cov me nyuam hnyav 40 kg yog 100 mg rau ib phaus ntawm ib hnub (50 mg txhua 8-12 teev).
Siv thaum cev xeeb tub thiab lactation
Tsis muaj ntaub ntawv qhia txog kev nyab xeeb ntawm kev siv tshuaj tua kab mob hauv cov poj niam cev xeeb tub thiab thaum lactation. Muab cov kev pheej hmoo muaj feem tsis zoo ntawm tus me nyuam hauv plab, ib yam tshuaj tsis yog tshuaj.
Yog tias qhov no tsuas yog cov tshuaj nkaus xwb uas tuaj yeem muab cov nyhuv xav ua hauv cov poj niam laus, lactation yuav tsum muaj kev cuam tshuam rau lub sijhawm kho.
Daim ntawv thov rau lub raum khiav tsis zoo
Hauv cov neeg mob uas muaj qhov txawv txav ntawm lub raum kev ua haujlwm, yog tias creatine tshem tawm txog li 30 ml ib feeb, qhov ntau npaum li cas ntawm cov tshuaj tua kab mob yuav tsum tau halved.
Siv rau lub siab ua haujlwm tsis zoo
Cov koob tshuaj pom zoo yog txo.
Kev noj tshuaj ntau ntawm Novapim
Nws nthuav qhia nws tus kheej hauv kev nce ntawm qhov kev siv ntawm cov kev mob tshwm sim. Overdose txoj kev kho yog mob. Nrog rau kev txhim kho qhov tshwm sim tsis zoo, yuav tsum tau tswj hwm cov tshuaj adrenaline sai sai. Thaum siab kawg ntawm cov tshuaj tua kab mob hauv cov ntshav (rau nws qhov kev tshem tawm sai ntawm lub cev), peritoneal lim ntshav yuav tsum ua.
Kev cuam tshuam nrog lwm yam tshuaj
Tshaj tawm cov tshuaj tua kab mob nrog rau cov kev daws teeb meem li no: 0.9% sodium chloride, 10% piam thaj tov, Kab lub zog.
Nws tsis pom zoo kom coj ib txhij nrog Gentamicin Sulfate, Vancomycin, Metronidazole.
Kev siv tib txhij ntawm Novapim nrog aminoglycosides thiab diuretics yog tsis suav nrog. Qhov kev sib xyaw no ua rau muaj kev loj hlob ntawm cov nyhuv nephrotic.
Cawv tau zoo
Cawv thiab dej cawv muaj cawv txwv tsis pub lub sijhawm txwv tshuaj tua kab mob.
Analogs
Cov tshuaj noj uas muaj cov yeeb yam zoo xws li: Abipim, Maxicef, Piccef, Focepim, Cefuroxime, Cefi.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Kuv puas yuav tau yam tsis muaj daim ntawv yuav tshuaj?
Tsis rau muag yam tsis muaj daim ntawv yuav tshuaj.
Nqe rau Novapim
Tus nqi ntawm cov tshuaj yog los ntawm 75 rubles.
Cia rau cov neeg mob rau cov tshuaj
Ntawm qhov kub thiab txias txog li + 25 ° С.
Hnub tas sij hawm
3 xyoos
Chaw tsim tshuaj paus
Lupine Limited, Is Nrias teb.
Kev tshuaj xyuas txog Novapima
Marina, hnub nyoog 35 xyoo, Vorkuta: "Qhov no yog cov tshuaj tua kab mob uas tshem tawm sai txaus ua kom tag nrho cov tsos mob ntawm kev kis tus kab mob.
Ksenia, hnub nyoog 41 xyoo, Perm: “Novapim kev txhaj tshuaj yog kws kho mob sau los kho lub ntsej muag thiab lub cev, vim tias kuv tau mob ntau xyoo, tab sis tsis muaj ib yam dab tsi pab tau. 1.5 xyoo tom qab kev kho mob, tab sis tam sim no tsis muaj qhov muag pom tshwm. "
Eugene, 38 xyoo, Dnipro: “Kuv tus tijlaug siv cov tshuaj tiv thaiv no los kho tus kabmob zoo raws li kab mob gonorrhea. Txhua yam ploj mus rau hauv ib lub lis piam, 3 hnub ntxiv tau txhaj tshuaj rau prophylaxis kom rhuav tshem tus kabmob. Txawm li cas los xij, cov tshuaj tua kab mob tau zoo, pheej yig thiab pab sai sai. "
