Mirayiridzo yekushandisa, yakagadzirwa uye zvakafanana zve "Vankomycin"

Mabhakitiriya zvirwere zvezvikamu zvakasiyana zvinogona kukanganisa munhu wese. Hapana munhu ari inshumo kubva kwavari. Nenzira yakanaka, mushonga wemazuva ano unopa mishonga yakawanda yakasiyana-siyana, antibiotics, inokwanisa kurarama nemararamiro akadaro. Inonyanya kuzivikanwa uye yakakurumbira ipenicillin, tetracyclines uye cephalosporins. Asi pane mabhakitiriya anoramba pamberi pavo. Kubvisa zvakadaro zvipembenene zvinokonzera mishonga "Vancomycin". Mirayiridzo yekushandiswa, mutengo, zvakafanana zvechigadziri ichi zvichaendeswa kwauri nhasi.

Tsanangudzo yekutanga yekugadzirira

Usati watanga kushandisa zvinonzi chirwere, zvakakosha kuziva kuti bhuku rerayiridzo rinoti chii nezve "Vancomycin". Analogs uye mamwe mishonga inokodzera inofanira kusarudzwa pamwe chete nechiremba. Izvi zvinowanzonyeverwa nemuiti uye vanoyeuchidza nyanzvi. Kuumbwa kwechirwere kunobatsira kutsanangura nzira yakasiyana yemishonga iyi. Mishonga inorwisa mabhakitiriya "Vancomycin" ine chinhu chinoshanda che vancomycin hydrochloride. Iko poda yakachena inoda kutanga kugadzirira musati washandiswa.

Bhou rimwe nerimwe rine 0.5 kana 1 gram yezvinhu zvinoshanda. Ivhareji inodhura imwe bhodhoro ichave iine 150 uye 250 rubles. Iwe unogona kutenga chiremba mune imwe mishonga mishonga pamutemo wechiremba.

Zviratidzo zvekushandiswa

Mune zviitiko zvipi zvinokurudzira kushandiswa kwemishonga inorwisa maitiro "Vancomycin"? Zvinyorwa zvinyorwa, mifananidzo, zvipupuriro, uyewo zviratidzo zvekushandiswa kwevakatsiva zvichakurukurwa gare gare. Pakutanga zvakakosha kudzidza zvakawanda zvingaita pamusoro pemishonga inotsanangurwa. Antibiotic "Vancomycin" inogadzwa mushure mekuongorora bhakitiriya kwe microflora nokuda kwekunzwa kwechirwere ichi. Kana chirwere ichocho chichikonzerwa nema microorganisms asingakwanisi kurwisa chinhu ichi chinoshanda, ipapo kurapwa kuchave kwakabudirira. Dzidziso yekushandiswa inoratidza zviratidzo zvinotevera:

• Pathology yemapfupa ne purulent-necrotic processes;
• Kuvhiringidza uye utachiona hwezvikamu zviduku zvekufema;
• Endocarditis yehutachiona hwehutachiona ;
• Utumbo hwezvipembenene nemavhakitiriya epathogenic;
• Dental manipulation;
• Kupindira kwekupindira;
• Sepsis.

Muiti anotaura kuti kushandiswa kwe "Vancomycin" kunoratidzirwa mukusava nemishonga yekurapa maantibiotic penicillin uye cephalosporin series.

Vancomycin anoshanda sei?

Zvinyorwa zvinyorwa, zvakafanana zvechirwere ichi, izvo zviri muhutano hwavo zvakafanana zvinoshandiswa, zvinogadzirisa zvakafanana mumuviri wemurwere. Iyi mishonga inobata biosynthesis yemasero murusvingo rwepathogenic microorganism. Kuwirirana hakusi munzvimbo iyo penicillin inoshanda. Nokudaro, zvibereko zverapi zvakasiyana. Mushonga we "Vancomycin" uye zvinodhaka zvakabva pauri zvinosanganiswa nemaamino acid anoita seni masvingo. Somugumisiro wesimba iri, mabhakitiriya anowedzera uye anodzivirira kuwedzera kubereka.

Zvakakosha kushandisa mushonga chete kana pane zvipembenene zvinofunga nazvo. Vancomycin hydrochloride inobudirira inopindirana nemabhakitiriya anotevera:

• Staphylococcus aureus;
• Epidermal staphylococcus aureus;
• Pyogenic streptococcus;
• Streptococcus agalactia;
• Pneumococcus;
• Dodderlein's wand;
• Hay bacillus;
• Listeria monocytogenes;
• Enterococci uye zvimwe.

Contraindications

Chimwe chimiro che "Vancomycin", sechirwere chepakutanga, hachigone kushandiswa kana murwere ane kuwedzera kwekunzwisisika kune chinhu chaicho chinoshanda. Kana zvisina kudaro, kurapwa kwakadai hakuzounzi kubatsira, asi kungokuvadza chete. Kana tikafunga nezvemishonga inorwisa mabhakitiriya "Vancomycin" mumwe nomumwe, saka tinogona kutaurira zvikanganiso zvinotevera.

Contraindicated kune varwere vane hono uye chiropa chisingaiti. Usashandise chirwere ichi neuritis yehutano hwekuongorora. Inoratidzwa kuti "Vancomycin" ine utotoxicity, naizvozvo varwere vane utsi hwekunzwa vanofanira kuishandisa chete pasi pekutariswa kwepedyo kwechiremba. Vakadzi vane pamuviri vanopesana nemutatu wekutanga. Muchikamu chechipiri nechetatu chemazuva ekugadzirira, unogona kushandisa mutezo wakazara we "Vancomycin" kana chirwere pachako, asi maererano nezviratidzo zvakasimba. Munguva yekuvigwa kwemazuva, kushandiswa hakugamuchiri, sezvo chinhu chinoshanda chinongopinda nyore muukaka wemukaka.

Kukanganisa kwakaipa kumushonga

Imwe nzira yakajeka kana yakakwana ye "Vancomycin", sezvimwe chero ipi zvayo yemishonga, inogona kukonzera chirwere chinogadzirisa. Kuoma kwayo kunokera kubva pakusuruvara kusvika kune anaphylactic shock. Kana mushure mekushandisa chiremba iwe unocherechedza zvimwe zviratidzo zvitsva zvisingafadzi, iwe unofanirwa kuzvidudzira kune chiremba.

"Vancomycin" inogona kukonzera tachycardia, kuchinja mukushanda kwenhengo yemwoyo nekuputika kwemitsipa yeropa. Pasinei nokuti mishonga haipfuuri mudumbu, dzimwe nguva inokonzera marwere uye marwadzo mumimba. Iko kune maitiro akarembera maitiro apo mushonga unorwisa mabhakitiriya wakakanganisa basa rezvipfeko zvekuvhara uye zvakashungurudza kunzwa. Uyewo, mishonga inogona kukanganisa kushanda kweiyo itsvo uye zvinyorwa zvisiri nyore zvachose.

Vancomycin: mirayiridzo yekushandiswa

Mutengo wemishonga yakafanana inopesana nemishonga iri mubvunzo. Iwe uchadzidza zvakawanda nezvayo. Pamberi peizvi, iwe unofanira kuverenga kuyerwa kwemishonga inorwisa mabhakitiriya uye kutora mari yekurapa kwacho.

Mishonga "Vancomycin" inorayirwa kuvarwere vakura pa 2 g pazuva (mune 2-4 injections). Nguva yekurapa inoparadzaniswa kubva pamakore manomwe kusvika ku10. Vashandi vanosiya mhinduro dzakasiyana nezvemurapi uyu. Ivhareji mari yekuti kurapa ndeye 3500-5000 rubles. Kune varwere vakawanda, mutengo uyu wakanyanya kwazvo. Nokudaro, vari kuedza kuwana anonyanya kufanirwa analogue ye "Vancomycin".

Nhoroondo yacho inotaura kuti mishonga inofanira kuendeswa mukati, zvishoma nezvishoma. Nekushandiswa kwemajoka, mishonga inorwisa mabhakitiriya inorwadza zvikuru, uye inokonzerawo njodzi yekufa kwenyama. Mugadziri anokubvumira kuti udimbure mushonga nemvura, woiita nomuromo. Asi, sezvakaratidzwa zvinoratidza, shanduro iyi haisi nguva dzose inoshanda.

Chii uye nguva iyo Vancomycin inofanira kuchinjwa?

Sezvaunenge watoziva, kazhinji chikonzero chekugadzirisa mishonga ndeyekudhura kwayo. Kusvika parizvino, kune analogu dzinodhura dzezvinonzi mishonga, somuenzaniso, chirwere "Vankorus". Mari yacho inokwana 190 rubles pamagetsi. Nzira yekurapa nenzira iyi inokubhadhara iwe 2500-4000 rubles. Nhamba yezvinyorwa zvechirwere "Vancomycin" inogona kupfuurirwa nemishonga inorwisa mabhakitiriya: "Vancolide", "Edicin", "Vancoumabol". Uyewo, chinhu chinoshanda chev vancomycin hydrochloride chinowanikwa pasi pemazita: "Vero-Vancomycin", "Vancomycin-Teva", "Vancomycin J".

Nzira dzisina kujeka dzinotsigirwa nemishonga inorwisa mabhakitiriya inogona kudanwa nemishonga inobva pane zvimwe zvinhu zvinoshandiswa zvine zvimwe zvakafanana mumuviri wemurwere. Kubudirira kwavo kunofanirawo kugadziriswa nekuongorora mabhakitiriya kwekunzwisisa. Inozivikanwa zvimwe zvinodhaka: Amoxiclav, Ceftriaxone, Metronidazole, Gentamicin, Vilprafen nevamwe. Vakawanda vanotsiviwa nemishonga inorwisa mabhakitiriya "Vancomycin" (mifananidzo yakafanana mumapiritsi kana majekiseni) anotengeswa pasina mushonga. Asi izvi hazvifaniri kuita kuti mutengi atenge mishonga pachavo. Usati wasarudza imwe nzvimbo, tsvaga chiremba.

Mushonga we "Edicyin"

Muchirapa iyi inotsiviwa nechinodhaka "Vancomycin". Iyo mirayiridzo yezvinyorwa zvinyorwa-zvakafanana inogadziriswa zvachose, sezvo inenge yakawanda yemari yakashanda. Izvi zvinoreva kuti pasina kutya, unogona kutora "Vancomycin" ne "Edicyin". Zviratidzo zvekushandisa mune zvinodhaka zvakafanana. Mirayiridzo yekushandiswa inozivisa kuti mishonga "Edicyin" inogona kushandiswa kunyange munguva yewakabatwa, asi nekuchenjerera zvakanyanya. Uyu mushonga unopesana zvakanyanya, pakati pacho chete hutachiona hwehutachiona uye chekutanga chekutora pamuviri. Asi mari yekurapa iyi yakakwirira. Rimwe bhubu rine 1 g yezvinhu zvinoshanda zvinotenga mutengi 550-600 rubles.

Zvinoreva "Vankorus"

Mushonga uyu, sezvaunenge watoziva, une mari shoma kupfuura mushonga wepakutanga. Pasinei neizvi, kunyorwa kwavo kwakanyatsofanana. Kudzidzira kunoratidza kuti iyi mishonga inowanzoshandiswa pakurwere yebhakitiriya. Mune mamwe ose, zviratidzo uye kukwana kwezvinodhaka zvakafanana.

Opinions

Iwe unenge watoziva nezvemafananidzi e "Vancomycin" kugadzirira. Mutengo, murayiridzo wekushandiswa zvakare wakazozivikanwa kwauri. Vakawanda vangave vatengi vachave vachifarira kudzidza maitiro pamusoro pemishonga.

Chinhu chokutanga chaunogona kunzwa kubva kune vashandisi ndiro mari yakakura yemishonga inorwisa mabhakitiriya. Zvisinei, rinoruramisa kubudirira kwayo. Mishonga yakabatsira varwere kuti vatsungirire zvirwere zvakadai, izvo zvisati zvaitika kune mamwe madhiragi asina simba. Kana zvisiri zveVancomycin, vatengi vanoti, hazvizivikanwi kuti chii chingaitika. Vanachiremba havanyatsokurudzire kushandisa mushonga unonzi uchitenderera. Zvichida, izvi hazvigoni kukushandira, sezvo zvinotengeswa nemishonga. Mishonga "Vancomycin" uye mifananidzo yayo yakajeka inorondedzerwa mumamiriro ezvinhu akaoma achida hurongwa hwekukurumidza.

Kunyora zvese

Kubva munyaya yawakadzidza pamusoro pemishonga inorwisa maitiro "Vancomycin". Mirayiridzo yekushandiswa, mutengo, zvinyorwa, zvakafanana uye zvisinganzwisisiki zvinotsiviwa zvinotaurirwa iwe. Shandisa mushonga chete sezvakarayirwa nachiremba, usazvibata iwe pachako. "Vancomycin" inoshandiswa mumamiriro ezvinhu akadaro, apo chero upi zvake-basa rinogona kunge risina kururama uye rinokuvadza. Zadzai maitiro akakodzera zvachose, musinganzwisisi mishonga yekushandisa mishonga pamwe nekuvandudza kwekutanga. Wakasimba kwauri utano!