Benzylpenicillin paʻakai paʻakai: olelo ao no ka hoʻohana. noi lula

Ma kēia 'atikala e kamaʻilio pū mākou e pili ana i ka hoʻomākaukau me "Benzylpenicillin paʻakai paakai". Na Ke Kumu no ka hoʻohana 'ana, nāʻikepili, laʻau heluna, a koi no ka hoʻohana e uhi nō i loko o ka pauku. Eia hou, i ka pharmacological waiwai o ka lāʻau, e hikiʻaoʻao 'ole a me ka lāʻau hana kūleʻa me nā laau mākou noonoo.

Ka lōʻihi o ke

I ka lāʻau o ka antimicrobial Agena a me ka antibiotic no i ka penicillin pae. Benzylpenicillin paʻakai paakai iho, olelo ao no ka hoʻohana ana i e e hōʻike mai iā ia ma lalo iho nei ua hua mai la ia e likeʻole fungi.

Ai 'ma keia pae ua hoʻohana' ia no ka intramuscular hoʻoponopono, 'ole ma kela nā'aʻaʻa a me nā loko ma i ke koko hoʻopakele he uuku nui o ka penicillin. I ka lāʻau 'hoomaka ae la e i' ole ma o ka lolo a me ka spinal kaula a me meninges, subarachnoid lawelawe.

Benzylpenicillin paʻakai paakai, olelo ao no ka hoʻohana: pharmacologically hana

Ka lāʻau 'Ua mana e ku e ia gram-oluʻolu koʻohune, i loaʻa:

• staphylococci;
• streptococci;
• pneumococci;
• diphtheria ;
• coli anthrax;
• aerobic (i koena ma ka wa e kaawale aku o ka oxygen) sporulating mau laau la.

Eia kekahi, i ka lāʻau mea hana ku ei Gram io cocci (meningococcus, gonococcus), spirochetes, actinomycetes a me nā microorganisms. Penicillin paʻakai paakai mea ineffective e ku e ia nā mea hoʻomaʻi, rickettsiae, fungi, protozoa.

Uluwehi O hoʻopale ke kanana nei o ka staphylococci, i mea hiki ke ka'ūhū penicillinase, disintegrating benzylpenicillin. Ke medicament hōʻike haʻahaʻa haʻawina i loko o ka iapaau ana o Pseudomonas aeruginosa, intestinal koʻohune a me nā microorganisms, i mea hiki ke kālā līkaia no Oko a ka mńlamalama o ka penicillinase.

Pharmacokinetics

Ma intramuscular lāʻau hoʻomaka koke komo i ke koko, mai kahi e hāʻawi mai i ke kino fluids a me nā'aʻaʻa. Me ka pili ana i ka cerebrospinal loli, e komo i ka uuku nui o ka penicillin. Ka mea kiekie loa lehulehu i loko o ke koko ma hope o kona mau hoʻoponopono intramuscularly malama ma hope o 30-50 min. Inā ka lāʻau i lawelawe subcutaneously, ua hoemiia a me ka i kā mākou helu o ka waiwai i loko o ke koko e e malama i loko o ka hora o ka uku o ka omo.

Ekolu hola ma hope o ka pahu kui (subcutaneous ole intramuscular) o benzylpenicillin wale ia aku ko läkou noho i loko o ke koko. Nolaila, e malama i ka kiʻekiʻe lehulehu o ka lāʻau i loko o ke kino, no ka lōʻihi manawa, ia mea pono e inject ma kela eha hora.

I ka lawelawe intravenously, kona lehulehu o ka lāʻau hikiwawe loa, e hina ia. A oiai ka lawe hōʻike waha 'benzylpenicillin ua luku e penicillinase ('ūhū) a me ka gastric wai.

Excreted lāʻau excreted i loko o ka mimi.

hoike

Ka mea, e ke akahele? Anoee mua o ka manawa i oleloia ai o ka lāʻau 'like penicillin paʻakai paakai, aʻo no ka hoʻohana, laʻau heluna a me nāʻikepili no ka hoʻohana. E ka hoʻomaka me ka hope. Ke'ī mai, i ka lāʻau 'ua kuhikuhi:

• i maʻi o ka maʻiʻaʻai a me ka ÷ naehana hanu'āpana;
• loa septic maʻi;
• mea koʻohune endocarditis;
• sepsis;
• nā mea palahēhē a mailoko o eha o ka pahee nā'aʻaʻa,ʻili a me ka mucous membranes;
• 'ā;
• li nui o ka spinal kaula a me ka lolo, mazgovyh ili;
• purulent pleurisy;
• peritonitis;
• cystitis;
• Pius a me septicemia;
• osteomyelitis;
• diphtheria;
• ʻulaʻula kuni;
• gonorrhea;
• erysipelas;
• Nā mea palahēhē i loko o nā pēpē i;
• anthrax;
• syphilis;
• actinomycosis;
• kela gynecological aku aat;
• hoʻoʻino maʻi o ka puu, pepeiao a me ka ihu.

Terms o E ho ohana a me ka laʻau heluna

Ke kaumaha ma muli o nāʻano o kaʻike, Inc ka hoʻohana 'ana benzylpenicillin paʻakai paakai o ka lāʻau i ke lawelawe. Na Ke Kumu no ka hoʻohana 'ana, ala hele o ka aaieieno? A me ka hiki laʻau heluna e e noʻonoʻoʻia e mākou i loko o keia pauku.

I ka papa o ka lāʻau lapaʻau hiki hope, ke kaumaha ma muli o ka maʻi, mai ka 4 pule i ka 2 mahina a hiki hou. Ka lāʻau 'hiki e lawelawe i loko o ka kēiaʻaoʻao:

• Intramuscularly i loko o ke keena mawaho quadrant o ka gluteal. Ka la hoomalolo Ua nāu kekahi ma mua aaieieno? I ka i puhi ia ka wai, novocaine a paʻakai koloriside pāʻoihana.
• Intravenous - .. ma lalo o ka loa mai, e like me meningitis, mea koʻohune endocarditis, septicemia, etc. wale ka lāʻau 'Ua lawelawe iho la no kela 4 hola' ole ana drip - 30 kulu ka minuke no 6-12 hola.
• Ua e lawelawe hiki no hoi benzylpenicillin paʻakai paakai endolyumbalno. Na Ke Kumu no ka hoʻohana (ana iaoia) e hoʻolako i ke ano no ka li nui o ka lolo a me ka spinal kaula, a me na meninges. Ka lāʻau 'Ua injected loa lohi - 1-2 minuke.
• Aia nā hihia kahi benzylpenicillin hoʻohana no ka injecting i ka hoʻoʻino foci. No ka laʻana, ka wā actinomycosis, ili leishmaniasis, maʻi pyoderma a me nā infectious ili maʻi.
• Me inhalations - no ka lapaau a me ka Kāohiʻana o ka maʻi o ka maʻiʻaʻai a me ka Air. No keia mea, i kawili pu ia me ka benzylpenicillin paʻakai koloriside pāʻoihana i puhi ia ka wai paha. Inhalations i hou aku 2 manawa no ka lā. Ka loihi o kekahi lapaʻau - mai ka 10 a hiki i 30 minuke.
• Ua Ua hoi injected i loko o ka pleural paha peritoneal lua ma ka purulent peritonitis ole pleurisy.
• Ma ka palapala o washes, me ka hinu, nā hua dressings, lotions, a me ka pauka, - no ka'ā, eha o ka palupalu'aʻaʻa, a me ka osteomyelitis AL.
• Nō hoʻi, i ka lāʻau pāʻoihana hoʻohana no ka iapaau ana o ka luna naehana maʻi, a ma ka ophthalmology.

Penicillin hiki ke hoʻohana 'ia ma Inc pu me nā antibiotics a me sulfanilamide hoomakaukau. Ma ke aha ka mea e hoʻopuʻipuʻi hou i ka pākōlea hopena o ka ai 'i hoʻohana.

ʻaoʻao waiwai

Ua hiki no hoi i ka hopena maikaʻi 'ole o ka benzylpenicillin paʻakai. Na Ke Kumu no ka hoʻohana memo i ka mea i hōʻike 'ia ma intravenous hooponopono o ka lāʻau loa pinepine.

Holo nōhie, ma kaʻaoʻao 'ole pili i allergic reactions i ka waiʻona. Mawaena o ka adverse symptoms malama:

• candidiasis;
• hives;
• kuni;
• headaches;
• ole;
• ami eha;
• Angioedema;
• eosinophilia;
• acee? iuo oeiia o dermatitis;
• kuni;
• lymphadenopathy;
• anaphylactic hawewe - i loa pohihihi keia hihia.

Contraindications

'Aʻole i pau nā mea maʻi e hoʻokokoke Inc me ka medicament o ka benzylpenicillin paʻakai paakai. Na Ke Kumu no ka hoʻohana a me na rula o ka hooponopono i ka helu ana o contraindications. I waena o lākou:

• allergic maʻi e like me urticaria, hay kuni, bronchial asthma, a pela aku.;
• hypersensitivity e penicillin nā mea loaʻa;
• hana pane i ka ai ';
• maʻi pathogen ia'ku i ka pa alima mahele lāʻau o ka benzylpenicillin.

I ka hoike ana o ka lāʻau endolyumbarnym hiki ia oe hookapu ma epilepsy.

Hāpai keiki, a lactation

Hoonohoia i hāpai keiki wale nō ina ka pomaikai a hiki i ka iapaau ana o ka wahine, ua oi aku ia mamua o ka Loaʻaʻia kamepiula i kana keiki unborn. I ole ia, i ka lāʻau 'ua i lawelawe. kamepiula hiʻohiʻona a me ka hoʻokōʻana me ka nānā 'ana i ka hele kauka.

Inā pono, i ka hooponopono ana o ka lāʻau i lactation e hooki breastfeeding.

waiwai

Lāʻau waiwai benzylpenicillin paʻakai ka paʻakai i ke ano o ke keʻokeʻo ke olonā i mea pōaka ka pauka me ka ho'āʻoʻana awaawa i mea hana wailana i loko o ka wai.

Ka lāʻau 'ua hikiwawe lukuʻia e nāʻakika, alkalis, oxidizing konohiki,'ūhū penicillinase, e like me paio hahana maoli nō. E hoomakaukau lāʻau waiwai pono e koke mamua i ka hooponopono.

precautionary ana

Ka lāʻau 'Ua lawelawe wale nō i loko o ka haukapila ma kekahi kauka o ka kuhikuhi, a ma lalo o kona hooponopono. Me ka hooholo ia ana o Inc E e hoomanao iho i ka lawa ole mahele lāʻau benzylpenicillin a kakahiaka hoopau wale o ka lapaʻau ke alakai i ke kahua o ka hoʻopale ke kanana nei o microorganisms. Ma ka hanana o ia'ku i ka lāʻau lapaʻau ua hoomau'ē aʻe antibiotics.

Ka welelau o ke allergic reactions lawelawe pu me antihistaminic lāʻau mea benzylpenicillin paʻakai. Na Ke Kumu no ka hoʻohana (hana o ka lāʻau i loko o kona hoakaka ia ua au mamuli) hoʻomaopopo 'o ia i ka wā i ka hoʻomanawanui allergic hoikeana Inc koke hoʻi i kāpiliʻia.

Ma kekahi pūʻulu o nā mea maʻi (kūpuna, na kamalii uuku, hoʻonāwaliwaliʻia ma ke ano) e i ia'ku e benzylpenicillin, i kumu no ka hooulu ana o ka superinfection.

Me ka hooloihi ae i ana, ka antibiotic hiki ke uhi pū paha kekahi lukuia e intestinal microflora, e alakai ana i hoemiia? Iecaianoaaiiuo o nā wikamina o ka pae B. Nolaila prophylactically i nā mea maʻi pinepine i hoakakaia nā wikamina B1, B12, a me na mea e ae.

Inā, ma hope o ka hoʻomaka 'ana o ka Inc no 3 lā i ole i kekahi i kekahi kanawai, ka mea i pono, e hele i ka hui iapaau ana a hāʻawi i ka hou antibiotic.

Cautions

Kaiapuni ia kanaka me ka naau ka hoʻokō 'ole a me kaʻole hakuʻala hana benzylpenicillin paʻakai paakai. Na Ke Kumu no ka hoʻohana pū ia kekahi e haawiia mai i ka poe e hoomanawanui i ka poe i malama hypersensitivity i cephalosporins kūikawā noonoo.

No ka mea, o ka manawa kūpono o fungal superinfection ua? Aeiiaiaoaony e koi 'Anati-fungal konohiki.

AaOIeIOUIeXAOAaIN me nā ai '

I ka manawa o ua mau antibiotics, a i bacteriostatic, bactericidal hana o ka penicillin hoemiia.

E hoomakaukau ai "Probenecid" i ka waiwai e ho'ēmi i omo secretion o ka antibiotic i nā hualoaʻa ma ka mahuahua i loko o ke koko kiʻekiʻe o ka hope, a, me ia i kaʻilihune, hoomahuahua i ka manawa wehe ia mai ke kino.