Matenda a bakiteriya amatha kuchiritsidwa ndi antibiotic, koma kuti agwire bwino, mankhwala osayenera ayenera kusankhidwa. Mwinanso, ngati dokotala amamuika, atayesedwa ndikutsatira zotsatira za kuyesedwa kwa magazi ndi mkodzo.
Koma ngakhale maantibayotiki atchulidwa ndi dokotala, muyenera kudziwa momwe amagwiritsiridwa ntchito, zomwe zimatsutsana ndi zotsatira zake, komanso mankhwala omwe angagwirizane nawo.
Imodzi mwa ma antibayotiki otchuka kwambiri omwe madokotala amawapatsa ndi Cefotaxime.
Zizindikiro za Cefotaxime ya mankhwala
Cefotaxime ndi mankhwala omwe amagwiritsidwa ntchito mofanana ndi omwe amapezeka m'gulu lachitatu la cephalosporin. Mankhwalawa ali ndi zotsatira zosiyanasiyana:
- pa mabakiteriya otsutsana ndi mankhwala opha tizilombo a penicillin, aminoglycosides ndi sulfonamides;
- pa zovuta zotsutsana ndi mankhwala osokoneza bongo;
- pa gaga-positive cocci (makamaka staplolococcus), koma yofooka kuposa cephalosporins ya mibadwo yoyamba.
Cefotaxime imatha kukana kwambiri ma beta-lactamases ambiri a mabakiteriya a gram.
Katemera woterewu amapezeka chifukwa choletsa ntchito ya michere ya tizilombo toyambitsa matenda ndi chiwonongeko cha maselo a selo, zomwe zimawatsogolera ku imfa yawo. Tizilombo toyambitsa matenda timatha kulowa mkati mwa makoswe onse ndi zamadzimadzi, ngakhale kudzera m'magazi a ubongo.
Zisonyezo za kugwiritsa ntchito Cefotaxime
Chithandizo ndi cefotaxime ndibwino kuti muzichita matenda omwe amabakiteriya amalingalira, monga:
- m'mimba yopuma - bronchitis, chibayo, pleurisy, abscess;
- mu ziwalo zazing'ono za pelvis - gonorrhea ndi chlamydia;
- Matenda a m'munsi mwa dongosolo la genitourinary ndi impso;
- m'matumbo - matonillitis ndi otitis (zosiyana ndi enterococcal);
- septicemia ndi endocarditis ;
- matenda a mafupa ndi matenda ofewa;
- bakiteriya meningitis;
- matenda pambuyo pa zilonda zamoto.
Ikhoza kugwiritsidwanso ntchito pazinthu zothandizira atatha opaleshoni, kuteteza kutupa komanso mavuto ena.
Zotsutsana ndi kugwiritsa ntchito Cefotaxime ndi:
- sagwirizana ndi mankhwala alionse a antibiotic a cephalosporin ndi penicillin;
- enterocolitis;
- magazi.
Pa nthawi ya mimba komanso nthawi ya kudyetsa, n'zotheka kuigwiritsa ntchito, koma pokhapokha ngati mukufunikira kwambiri komanso muli ndi vuto loletsa kuyamwitsa.
Mlingo wa Cefotaxime
Popeza kuti Cefotaxime imagwiritsidwa ntchito paziberekero, sizimapangidwa m'mapiritsi, koma mu ufa wa jekeseni, mlingo umodzi wa 0,5 g ndi 1 g.
Malingana ndi zomwe adzachite - jekeseni kapena dropper, Cefotaxime imamera mosiyana mitundu:
- Zosakaniza - 1 g wa ufa kwa 4 ml ya madzi kwa jekeseni, kenaka yikani zosungunulira 10ml, ndi jekeseni - m'malo mwa madzi, 1% ya lidocaine imatengedwa. Patsiku, majekeseni awiri amachitika, pokhapokha ngati ali ndi vuto lalikulu akhoza kuwonjezeka mpaka 3-4;
- Kwa dropper, 2 gm ya mankhwala pa 100 ml ya saline kapena 5% shuga yankho. Yankho liyenera kuperekedwa kwa ora limodzi.
Kwa anthu omwe ali ndi chidziwitso chachinyengo kapena chidziwitso, chiwerengero cha Cefotaxime chiyenera kuchepetsedwa ndi theka.
Zotsatira za Cefotaxime:
- zowonongeka ndi zochitika zina (malungo, kufotokoza anaphylactic, redness, erythema);
- kunyowa, kupweteka kwa m'mimba, kutsegula m'mimba, dysbiosis , ngakhalenso matenda osokoneza ubongo angapangidwe;
- kusintha mu magawo a zamoyo zam'thupi ndi zowononga magazi;
- arrhythmia ndi mutu, ndi mawu ofulumira kwambiri;
- kupanga mapulitsiro ndi kupweteka pa malo a jekeseni.