Mushonga "Tihenam". Mirairo yekushandiswa

Mushonga "Tienam", zvakafanana nemishonga (zvinoreva kuti "Grimipenem", "Cilapenem" nevamwe) ndevemhando yemishonga inorwisa mabhakitiriya. Izvo zvinoshandiswa zvinoshandiswa zvinonzi cilastatin uye imipenem. Izvo zvinhu zvekupedzisira - zvakabva kwetiminamycin - ndeyedu yekirasi itsva ye carbanemes (beta-lactam type antibiotics). Imipenem inhibits inoshandiswa muBacterial cell wall, ine bhakitiriya inogadzirisa pane zvakasiyana-siyana zvepathogenic Gram-negative uye Gram-positive zvirwere, uye vanaerobes uye aerobes. Sodium cilastatin - an enzyme yemhando yakadaro-inhibits the metabolism of imipenem muitsvo, inowedzera huwandu hwayo (husina kuchinjwa) mumugwagwa wemuguta.

Mushonga "Tihenam." Mirayiridzo. Mutengo. Zviratidzo

Mutengo wekugadzirisa kuiswa mumusungo ndeye 500 r, mhinduro ye infusions inobva ku 5000 r. Mushonga wacho unorayirwa kuti uwane kurapwa-kutapukira kwezvirwere, zvinokonzerwa nemakiriniki anonzwisisa. Kunyanya, chirongwa che "Tienam" chinokurudzirwa kuti chishandiswe muhutachiona hwemadzimai, zvipembenene muzvikamu zvezasi zvekupemha, mune zvikamu zvemuviri wepamuviri. Zviratidzo zvinosanganisira zvirwere zvinotapukira zveganda, mafundo, mavara, mapfupa, nemakumbo akavhenganiswa. Mune chimiro chechirwere chemishonga chinorayirwawo septicemia, endocarditis.

Mushonga "Tihenam". Mirairo yekushandiswa

Nzira yekugadzirisa uye kuenzanisa zuva nezuva inogadzirirwa mumwe nomumwe maererano nekuoma kwehutachiona. Nhamba yose yemishonga inoparadzaniswa zvakafanana, ichifunga nezvehutano hwekunzwisisa kwehutachiona, basa reitsvo uye kuyerwa kwemurwere. Kunyanya kuvharirwa kunonzwisisika pamatanho ekutanga ekurapa kwe endocarditis, sepsis yebhakitiriya uye zvimwe zvirwere zvinotyisa zvoutachiona, kusanganisira zvipembenene muhutano hwemapfupa, ane zvinetso zvakakomba, mamiriro ekutyisa. Pamuviri (paavhareji) ye 70 kg uye yakagadzikana renal function, 1-2 g muzvikamu zvitatu kusvika zvina zvakakanganiswa zvinorayirwa. Zvose zvinoregererwa kupinda zuva hazvina kupfuura 4 g kana 50 mg / kg. Kunyanya kukonzerwa kunokonzerwa kunoitwa mukati memaminitsi makumi maviri nemakumi matatu pamutambo wepasi pe 500 mg uye kwemaminitsi makumi mana nemakumi matanhatu nemirairo inopfuura 500 mg. Kana kushungurudzika kuchiitika, muyero wekuderera kunofanira kuderedzwa. Kune vana kubva pamwedzi mitatu ine uremu hunodarika makirogiramu makumi mana, muyero we 15 mg / kg shure kwemaawa matanhatu. Zuva haritenderwi kupinda ma2 gramu. Kuyera kudarika makirogiramu makumi mana ega semunhu mukuru.

Mushonga "Tihenam." Mirairo yekushandiswa. Contraindications

Mushonga hauna kurongerwa nekuwedzerwa kwekuwedzerwa kune zvikamu zvemugadziri, kuti amide anesthetics yemunharaunda yako. Contraindicated kune varwere vane kushungurudzika kukuru, vane pamuviri uye vanorasikirwa. Mushonga we "Tienam" murayiridzo wekushandiswa haugamuchirwi nehutambudziro muhutakiti hutsika. Kuchenjerera panguva yekurapa kunofanira kuratidzwa nevana, vatana vakwegura. Kana zvichidikanwa, kuchinjwa kwemazi uye kuwedzerwa kwemazinga kunogadziriswa maererano nemamiriro acho ezvinhu.