Eyesalve "Dexa-Gentamicin": phau ntawv qhia, xyuas, kev qhia txog

Los ntawm tej yam kho qhov muag tshuaj pleev "Dexa-Gentamicin?" Indications ntawm ophthalmic tshuaj yuav sib tham txog nyob rau hauv kom meej hauv qab no. Peb kuj qhia koj txog yuav ua li cas siv cov tshuaj no, dab tsi yog nws muaj nqis nyob rau hauv Russia, thiab seb nws yuav tsum muaj ntaub ntawv rau cov me nyuam me.

Hauj lwm ntawm cov kev npaj, nws muaj pes tsawg leeg

Qhov muag tshuaj pleev "Dex-Gentamicin" yog muab nyob rau hauv daim ntawv ntawm ib tug translucent dawb creamy loj nrog ib tug yellowish tinge. Nws lub ntsiab ntsiab yog gentamycin sulfate thiab dexamethasone. Tsis tas li ntawd nyob rau hauv lub ophthalmic agents xws li koom haum pab Cheebtsam xws li kua paraffin, dawb Vaseline thiab lanolin.

Nyob rau hauv lub qhov muag ntawm lub qhov muag tshuaj pleev los rau hauv txhuas hlab (muaj peev xwm 2.5 g) nyob rau hauv ib lub hnab yas ntsis, yog muab tso rau hauv cov duab los qhia thawv.

Peb tsis tau hais tias cov tshuaj nyob rau hauv lo lus nug yuav muaj nyob rau hauv daim ntawv ntawm cov ophthalmic ncos.

Lub pharmacology ntawm cov tshuaj mus rau lub qhov muag

Qhov muag tshuaj pleev "Dex-Gentamicin" yog ib tug ua ke txhais tau tias tej chaw siv nyob rau hauv ophthalmic xyaum. Nws muaj antibacterial, anti-inflammatory thiab anti-kev tsis haum cov nyhuv.

Cov miv nyuas siv zug ntawm kev npaj no yog vim lub thaj chaw ntawm nws active Cheebtsam.

Dexamethasone - ib tug GCS uas exhibits anti-tsis haum thiab anti-inflammatory los yog qhia. Raws li cov kws txawj, lub Performance index ntawm anti-inflammatory kev ua si (txheeb ze) ntawm no tivthaiv yog 30.

Raws li rau gentamicin, nws yog ib qho tshuaj tua kab mob teej tug mus rau lub aminoglycoside pab pawg neeg. No muaj yus muaj los ntawm ib tug broad spectrum ntawm kev txiav txim. Nws yog tshwj xeeb yog active tiv thaiv kab-tsis zoo thiab gram-zoo plurality ntawm microorganisms.

Peb tsis tau hais tias gentamicin mob pesnrab muaj feem xyuam rau Staphylococcus spp.

Kinetics ntawm lub zos yeeb tshuaj

Yuav ua li cas yog qhov haum ntawm "Dex-Gentamicin" tshuaj uas nws nqi yog nyob hauv qab no? Thaum topically thov dexamethasone zoo heev thiab sai sai penetrates rau hauv lub conjunctiva thiab corneal epithelium. Yog li qhov yuav tsum tau kho ntau yog attained nyob rau hauv lub aqueous lom zem nrig txog kev pom cov kabmob. Yog hais tias qhov kev puas tsuaj los yog o ntawm lub qhov muag mucosa allergic tus nqi nce ho.

Lub zos daim ntawv thov ntawm gentamicin sulfate nyob rau hauv kho ntau kuaj nyob rau hauv lub corneal stroma, raws li zoo raws li nyob rau hauv lub vitreous thiab anterior chamber ntawm noo noo (tsis pub dhau 6 teev).

Nws yuav tsum raug sau tseg hais tias qhov no kev tivthaiv yog tsis muaj peev xwm mus txeem mus rau hauv lub mauj hlab ntsha los lawm epithelium.

Indications rau kev siv tshuaj pleev rau lub qhov muag

Xam tias yog tshuaj pleev los ntawm barley yuav pab zoo heev. Tsis tas li ntawd, nws yog pom zoo kom siv rau ntawm:

• tsis haum dab cai nyob rau hauv lub anterior ya uas nrog cov kab mob kab mob;
• kab mob ntawm lub anterior ya ntawm lub nrig txog kev pom hloov khoom nruab nrog, tshwm sim los ntawm raug rau gentamicin muaj (xws li conjunctivitis, keratitis, blepharitis);
• kev tiv thaiv thiab kev kho mob ntawm inflammatory dab nyob rau hauv lub post lub sij hawm (piv txwv li, tom qab glaucoma thiab cataract hauj lwm).

Contraindications rau kev siv ntawm ophthalmic npaj

Nyob rau hauv tej rooj plaub, ib tug tshuaj pleev los ntawm barley thiab lwm yam kab mob ntawm lub qhov muag yog txhob? Raws li cov lus qhia, qhov cuab tam yog tsis pom zoo yog hais tias:

• fungal cov kab mob ntawm lub qhov muag;
• keratitis tshwm sim los ntawm ib tug kab mob Varicella zoster thiab Herpes simplex (i.e. thaum tsob ntoo keratitis);
• mycobacterial kab mob ntawm lub qhov muag;
• kab kab mob ntawm lub cornea thiab conjunctiva (xws li nqaij qaib pox);
• mob purulent qhov muag kab mob nrog ib tug lesion ntawm corneal epithelium;
• kom intraocular siab;
• corneal epitheliopathy;
• kev raug mob thiab corneal ulcerative txhab;
• nyob rau hauv thawj peb lub hlis uas cev xeeb tub;
• hnav hu lo ntsiab muag;
• ib tug me nyuam (vim tsis muaj cov ntaub ntawv nyob rau hauv kev ruaj ntseg thiab cov hauj lwm zoo ntawm cov tshuaj);
• nce rhiab heev rau tus neeg saib xyuas Cheebtsam.

Tshuaj "Dexa-Gentamicin": cov lus qhia rau kev siv

Raws li sib tham txhais tau tias yuav tsum tau siv? Raws li cov lus qhia, ophthalmic ointments sawb ntev ntawm 10 hli yuav tsum tau muab tso nyob rau hauv lub conjunctival sac. Tej txheej txheem yuav tsum tau ua mus txog peb lub sij hawm ib hnub twg.

Thaum lub sij hawm daim ntawv thov ntawm cov tshuaj kom tsis txhob muaj kev sib cuag nrog cov hlab conjunctiva thiab daim tawv nqaij saum npoo av.

Duration ntawm kev kho mob ntawm lub qhov muag pleev yog feem ntau tsawg tshaj li peb lub lis piam. Nyob rau hauv no ntev ntawm txoj kev kho yog txiav txim los ntawm lub heev ntawm cov tsos mob, cov tshuaj miv nyuas siv zug thiab yuav ua rau muaj ntawm sab tshua.

Thaum uas siv cov ntau yam thaum uas tig mus ophthalmic agents "Dex-Gentamicin" yuav tsum nteg ¼ teev tom qab ntawd tom qab siv lwm npaj.

Sab los tom qab tso cov tshuaj pleev

Xam tias yog ib qho tshuaj pleev rau lub qhov muag yog heev tsis tshua muaj ua rau ib tug burning nov ntawm nqaij tawv nyob rau hauv lub nrig txog kev pom nruab nrog cev thiab kev tsis haum tshuaj loj.

Nws yuav tsum raug sau tseg hais tias qhov no neeg sawv cev yuav pab rau txoj kev loj hlob ntawm dermatitis (hu), keratitis (HSV), corneal perforation, fungal kab mob, kab mob kab mob ntawm lub cornea, ptosis thiab mydriasis.

Daim ntawv thov ntawm ointments tom qab tau txais corneal raug mob yuav ua tau kom ncua kho cov txheej txheem.

Nrog ntev-lub sij hawm kev siv ntawm cov tshuaj nyob rau hauv cov neeg mob feem ntau tsim theem nrab glaucoma thiab steroid cataract.

Overdosing, kev sib tshuam nrog lwm yam tshuaj

Eyesalve "Dexa-Gentamicin yog" tsis conducive mus rau lub kev loj hlob ntawm cov tsos mob ntawm overdose. Thaum nws nrog atropine thiab lwm yam cholinergic sawv cev, thiab cov neeg ua hauj uas ua rau mydriasis, intraocular siab tej zaum yuav nce nyob rau hauv cov neeg mob.

Rau cov tshuaj pleev siv gentamicin incompatible nrog heparin, amphotericin B, cephalothin, sulfadiazine, thiab cloxacillin. Lub ua ke ntawm cov tshuaj tej zaum yuav ua rau deposition txheej txheem precipitates nyob rau hauv lub conjunctival sac.

Cov ntaub ntawv rau cov neeg mob

Tshuaj pleev "Dexa-Gentamicin" cov me nyuam (hnub nyoog) yuav tsis muab.

Yog hais tias qhov ntev ntawm kev siv ntawm cov txhais tau tias (tshaj 14 hnub) raws li nyob rau hauv tib neeg, qhia ib tug keeb kwm ntawm glaucoma yog tsim nyog los lossi saib xyuas lub siab (intraocular).

Yog hais tias koj xav siv kev tiv tauj lo ntsiab muag, lawv yuav tsum tau muab tshem tawm ua ntej tso cov khoom thiab nruab dua tsis muaj ntxov tshaj 18 feeb.

Ua ntej lub sij hawm teem rau tus neeg mob yuav tsum tau paub txog qhov no txhais tau hais tias cov kev loj hlob ntawm sab los yuav tsum tam sim ntawd txhob muab kev kho mob thiab tham nrog ib lub qhov muag tshwj xeeb.

Soj ntsuam kev tshawb fawb rau cov muaj kev ruaj ntseg ntawm cov tshuaj pleev "Dexa-Gentamicin" thaum lub sij hawm cev xeeb tub thiab lactation twb tau soj xyuas. Yog li ntawd, nyob rau hauv xws lub sij hawm, kev siv ntawm cov nyiaj yuav tsum tau tso tseg.

Tam sim ntawd tom qab tso antiinflammatory tshuaj pleev nyob rau hauv lub conjunctival sac ntawm tus neeg mob tej zaum yuav ua tau ib tug me ntsis ua txhaum cai nyob rau hauv nrig txog kev pom acuity, uas ua rau yus muaj kev cuam tshuam ntawm psychomotor tshua. Yog li ntawd, qhov no tshuaj yog tsis pom zoo kom tsav tsheb thiab ua hauj lwm nrog ntau mechanisms.

Tshuaj pleev "Dexa-Gentamicin": xyuas

Yuav ua li cas cov neeg no hais txog xav kom tus neeg mob? Raws li lawv cov lus teb, "Dex-Gentamicin" tshuaj pleev yog ib tug heev zoo anti-inflammatory thiab antibacterial neeg sawv cev. Nws yog ceev thiab zoo khoom cov kab mob ntawm lub qhov muag xws li barley, conjunctivitis, blepharitis, thiab keratitis. Nyob rau hauv tas li ntawd, cov tshuaj no yog feem ntau siv rau o, kab mob thiab ua xua nrig txog kev pom cov kabmob.

Peb tsis tau hais tias ib tug loj tus naj npawb ntawm cov neeg mob txaus siab nrog lub tus nqi tsim nyog ntawm cov tshuaj no. Raws li yog lub npe hu, nws yog hais txog 165-180 Lavxias teb sab rubles 2.5g raj.