Cov tshuaj "Bactrim": cov lus qhia rau kev siv rau cov me nyuam. Raug tshem tawm: piav qhia, muaj pes tsawg leeg, thiab kev txheeb xyuas

Nyob rau hauv dab tsi koob thiab rau cov uas kho cov tshuaj "Bactrim"? Cov lus qhia rau kev siv, nqe, xyuas rau cov hauj lwm zoo ntawm no lub cuab tam yuav tsum hais hauv qab no. Koj kuj yuav kawm txog yuav ua li cas thiab nyob rau hauv dab tsi tej yam kev mob nws yog tsis yooj yim sua rau siv hais tias medicament, koj yuav muab nws rau cov me nyuam, thiab hais txog. D.

Daim ntawv thiab muaj pes tsawg leeg ntawm ntim tshuaj

Yuav cov tshuaj no yuav ua tau nyob rau hauv ntau yam ntaub ntawv:

• Syrup "Bactrim" (ncua kev kawm ntawv). Cov lus qhia rau kev siv qhia tias lub active sib txuas ntawm qhov cuab tam yog trimethoprim thiab sulfamethoxazole. Tsis tas li ntawd lub qhov ncauj ncua kev kawm ntawv muaj xws li ntxiv Cheebtsam xws li methyl parahydroxybenzoate, dispersible cellulose, polysorbate 80, propyl parahydroxybenzoate, sorbitol, purified dej, vanilla thiab txiv tsawb flavors. Nyob rau hauv lub qhov muag ntawm ib tug ntshiab phoov los nyob rau hauv rhawv zeb, uas yog muab tso rau hauv ib lub cardboard lub thawv nrog daus.
• "Bactrim" tshuaj. Xyuas ntawm "Bactrim" lub xeev uas nws active tshuaj yog tseem trimethoprim thiab sulfamethoxazole. Raws li ntxiv cov khoom xyaw uas siv sodium docusate, sodium cov hmoov txhuv nplej glycolate, magnesium stearate thiab povidone. Yuav oblong ntsiav tshuaj ntawm dawb xim yuav ua tau contoured tej pob khoom muab tso rau hauv cov duab los qhia thawv.

pharmacological nta

tshuaj "Bactrim" Yuav ua li cas yog nws ua hauj lwm? Cov lus qhia rau kev siv ntawm ncua thiab ntsiav tshuaj tshaj tawm hais tias ib tug puas antibacterial neeg sawv cev uas teev ib synergistic nyhuv.

Lub mechanism ntawm qhov kev txiav txim ntawm tej active tshuaj, xws li trimethoprim, yog thaiv cov hlab qhov 2 enzymes nyob rau hauv cov kab mob koob nyob rau hauv kauj ruam replication folinic acid. Nyob rau hauv ua ke nrog nrog sulfamethoxazole antibacterial nyhuv ntawm no tivthaiv muaj xws li ib tug plurality ntawm pathogens (Haemophilus influenzae, tus kab mob Streptococcus, Pneumocystis mob ntsws, meningococci, Morganella, staphylococci, pathogenic fungi, gonococci, Serratia, Escherichia coli, histoplasmosis, Salmonella, plasmodia, Vibrio cholerae, tsitrobakter, Klebsiella, Listeria, chlamydia, pertussis Bacillus, kis, quav Enterococci, actinomycetes, Brucella, Enterobacteriaceae pathogens nocardiosis, Shigella, mob legionellosis no , Plab hnyuv yersiniosis, tularemia, coccidioidomycosis).

tshuaj

Seb cov tshuaj yog absorbed, "Bactrim"? Cov lus qhia rau kev siv (rau ib ncua kev kawm ntawm cov me nyuam ua hauj lwm zoo tshaj plaws) hais tias tom qab tau txais cov tshuaj hauv nws yog heev sai absorbed rau hauv lub Upper GI ib ntsuj av.

Qhov siab tshaj plaws ntshav concentration ntawm cov tshuaj attained hauv 2-4 lub sij hawm. Nws antimicrobial kev ua si yog khaws cia rau 7 teev. Kev sib txuas lus nrog sulfamethoxazole ntshav cov nqaijrog yog 70%, thiab trimethoprim - 44%.

Lub lom transformation ntawm qhov yooj yim tshuaj (los tsaug zog metabolites) los ntawm acetylation tshwm sim nyob rau hauv lub siab. Nyob rau hauv tib neeg, cov tshuaj no yog tusyees faib, nrog rau cov allergic los ntawm cov ntshav-cov ntaub so ntswg teeb meem.

Lub ntsws thiab zis tsi ntsees ntawm trimethoprim tshaj ntshav. Raws li rau bronchial kua, prostate, raws li zoo raws li cov qaub ncaug, cov kua tsib, paum tsis muaj kua, txha caj thiab interstitial kua ntawm nruab nrab pob ntseg, niam cov kua mis, thiab cov pob txha ntawm ob lub qhov muag, nyob rau hauv uas lub medicament yog muab cia rau hauv ib tug tsawg degree.

Ob leeg lub tebchaw tshem tawm tus nqi yog tib yam. Thaum lub sij hawm lawv cov ib nrab-lub neej nyob rau lub hnub nyoog:

• cov me nyuam mus txog ib lub xyoo - 7 teev;
• cov me nyuam 1-10 xyoo - 6 teev;
• neeg laus - 11 teev.

Thaum tsis hnov raum muaj nuj nqi, raws li zoo raws li nyob rau hauv cov neeg laus nce lub ib nrab-lub neej ntawm cov tshuaj.

Tso tawm kom pom medicament los ntawm raum (70% ntawm trimethoprim thiab sulfamethoxazole mus rau 30%).

indications

Uas hu rau cov tshuaj "Bactrim"? Cov lus qhia rau kev siv (rau qhov kev ncua ntawm cov me nyuam - qhov zoo tshaj plaws kev xaiv) qhia cov nram qab no indications:

• Ua pa system: lobar mob ntsws, bronchiectasis, mob ntsws, Pneumocystis mob ntsws, mob los yog mob ntsws.
• ENT kabmob: kub taub hau, sinusitis, otitis media, tonsillitis, laryngitis.
• Urogenital: chancroid, urethritis, prostatitis, pyelitis, lymphogranuloma venereum, cystitis, epididymitis, pyelonephritis, gonorrhea, granuloma inguinale.
• Digestive system: cholecystitis, paratyphoid kub taub hau, Gastroenteritis, typhoid, kab mob cholera, cholangitis, dysentery, salmonellonositelstvo.
• Ntawm daim tawv nqaij: pob txuv, abrasions, kab mob, wounds, pyoderma.
• Lwm yam mob brucellosis, mob los yog mob osteomyelitis, malaria, mob osteoarticular pathology, toxoplasmosis (raws li adjuvant therapy), lub South American blastomycosis.

Contraindications

Yuav ua li cas yog cov contraindications yog tam sim no nyob rau hauv "Bactrim" tshuaj? Cov lus qhia rau kev siv (rau cov me nyuam slurry muag tsuas yog nyob rau tus kws kho mob lub tswv yim) ceeb toom txog cov nram qab no txwv:

• leukopenia;
• npau taws me ntsis mus rau lub ntsiab Cheebtsam ntawm cov tshuaj;
• agranulocytosis;
• siab ua hauj lwm;
• lub hnub nyoog ntawm peb lub hlis;
• aplastic anemia;
• raum tsis ua hauj lwm;
• B12-deficiency anemia;
• kev pub niam mis;
• tsis muaj peev xwm ntawm glucose-6-phosphate dehydrogenase;
• thaum lub sij hawm cev xeeb tub;
• me nyuam mos liab hyperbilirubinemia.

Ceev faj cov ntawv

Nrog huab ceev faj, cov tshuaj no yog tshuaj rau:

• porphyria;
• thyroid kab mob;
• bronchial hawb pob;
• folic acid deficiency.

Tshuaj "Bactrim" (ncua kev kawm ntawv): Cov Lus Qhia rau kev siv rau cov me nyuam

Xyuas txog qhov no medicament yuav tau piav rau hauv qab no.

Cov tshuaj ntawm cov tshuaj rau cov me nyuam yuav tsum tau xaiv tsuas yog ib tug tej tus kws khomob tshwjxeeb. Yuav thov yuav tsum tau npaum li cas ntawm kev ncua siv daus (5 mL), lub nkag.

Los ntawm cov muaj hnub nyoog ntawm 12 koob "Bactrim" tshuaj yuav tsum tau 20 ml ib hnub ob zaug (thaum sawv ntxov thiab yav tsaus ntuj). Yog hais tias koj xav tau mus kho mob, cov kws kho mob pom zoo kom noj cov tshuaj, 10 ml nyob rau hauv lub yav sawv ntxov thiab tib yav tsaus ntuj. Nyob rau hauv cov kab mob uas tshwm sim nyob rau hauv mob loj heev tau tso cai txais tos yav tsaus ntuj thiab thaum sawv ntxov koob tshuaj ntawm 30 ml.

kev npaj rau "Bactrim" ntev npaum li cas cov me nyuam mob mob siv? Cov lus qhia rau kev siv (piav qhia tshuaj twb hais saum toj no) qhia tias nyob rau hauv xws kab mob ntev ntawm kev kho mob yuav tsum tau muaj yam tsawg tsib hnub, los yog kom txog rau thaum tiav disappearance ntawm tag nrho cov tsos mob.

Kev kho mob ntawm cov me nyuam uas tsis muaj tej yam tshwm sim ntawm txoj kev txhim kho nyob rau hauv lawv tus mob yog ib qho kev caij nyoog rau xa mus rau lub hoomaum nyob rau hauv thiaj li yuav tau kho cov koob tshuaj.

Nyob rau hauv xws li ib tug kab mob raws li chancroid, active medicament muab 20 ml ob zaug ib hnub twg. Yog hais tias tom qab 7 hnub tsis muaj tej yam tshwm sim ntawm kev kho neeg mob, cov kev kho mob yuav raug ncua rau lwm lub lim tiam. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias tus ineffectiveness ntawm cov tshuaj tej zaum yuav txuam nrog emergence ntawm lub pathogen kuj.

Yuav ua li cas los kho khuav mob mob txeeb zig? Yuav ua li cas nws hais tias nyob rau cov lus qhia rau kev siv? "Bactrim" (kua syrup), uas xyuas tov, muab ib hnub ib zaug nyob rau hauv ib tug npaum li ntawm 40-60 ml. Txais ncua kev kawm ntawv dua thaum mus pw.

Rau kev tiv thaiv ntawm mob ntsws rau cov me nyuam los ntawm 12 xyoo muab 20 ml ntawm cov tshuaj ib hnub twg.

Cov tshuaj ntawm cov tshuaj rau cov me nyuam yaus

Me nyuam mos cov me nyuam mos 3-5 lub hlis qhia tau hais tias yav tsaus ntuj thiab thaum sawv ntxov koob tshuaj 2.5 ml ntawm lub syrup. Pib los ntawm 6 lub hlis mus rau 5 xyoo, cov me nyuam taw 5 ml ntawm cov kev npaj, thiab los ntawm 6 mus rau 12 xyoo - 10 ml. Rau hauv loj heev mob lub teev ntau npaum yuav muab ntau zog los ntawm ib nrab.

phiv

Yuav ua li cas tshwm sim tsis zoo yuav ua rau cov tshuaj "Bactrim"? Cov lus qhia rau kev siv (rau cov me nyuam raug tshem tawm - tab sis yog tus pom kev xaiv, tab sis tseem muab nkaus xwb los ntawm cov tshuaj) teev cov nram qab no phiv cov txheej xwm:

• leukopenia, neutropenia, agranulocytosis, megaloblastic anemia, thrombocytopenia;
• raws plab, tsis qab los noj mov, xeev siab, gastritis, glossitis, mob plab, kab mob siab, stomatitis, gepatonekroz, cholestasis, txhawb siab transaminases, pseudomembranous enterocolitis;
• co, nkees, mob taub hau, kev nyuaj siab, kiv taub hau, aseptic meningitis, peripheral neuritis;
• polyuria, interstitial nephritis, hematuria, mob ntawm lub raum, hypercreatininemia, crystalluria, tshuaj lom nephropathy, txhawb theem ntawm urea;
• pulmonary infiltrates, bronchospasm;
• khaus, photosensitivity, exfoliative dermatitis, angioedema, tawm pob, epidermal necrolysis lom, exudative erythema multiforme, kub taub hau, kais sclera, allergic myocarditis;
• arthralgia, myalgia;
• hypoglycemia.

tej tswv yim pom zoo

Thaum ib daim tawv nqaij ua pob ua xyua los yog lwm yam kev phiv tshuaj hnyav xwm, kev kho mob nrog cov tshuaj no yuav tsum tau nres.

Duration ntawm kev kho "Bactrim" yuav tsum tsawg heev, txwv tsis pub yuav tsum tswj tus nqi ntawm cov tsim ntsiab nyob rau hauv cov ntshav.

Nyob rau hauv folic acid deficiency, raum tsis ua hauj lwm, thiab nyob rau hauv cov neeg laus thaum noj kev saib xyuas ntawm lub medicament tej zaum yuav muaj hematologic hloov xam qhovkev tsis muaj folic acid nyob rau hauv lub cev tib neeg.

Yuav kom tiv thaiv crystalluria neeg mob yuav tsum muab kom txaus kua ntim thiab saib xyuas txaus diuresis.

Xyuas ntawm "Bactrim" rau cov me nyuam

Cov neeg mob noj cov tshuaj xam tau tias yog raws li ib tug ncua kev kawm ntawv thiab cov ntsiav tshuaj, piav nws uniquely. Rau ib txhia neeg, cov tshuaj no ciali zoo heev thiab tau ua ib tug zoo cuab tam nyob rau hauv sib ntaus tawm tsam ntau yam kab mob, thiab rau lwm tus - nws yog hu ua ib sab nyhuv.

Kws txawj piav xws mixed xyuas vim hais tias "Bactrim" tsis muaj ib tug ntau ntawm cov contraindications, raws li zoo raws li ib tug loj daim ntawv teev kev phiv tshuaj. Nyob rau hauv no hais txog, nws lub hom phiaj tsuas yog tsim nyog, yog hais tias lwm yam kev kho tsis pab tus neeg mob.

Xyuas ntawm no phoov yog tseem varied. Lawv yuav tsis pub ua kom ib tug meej lub tswv yim rau nws muaj kev ruaj ntseg thiab cov hauj lwm zoo.

Raws li cov ntaub ntawv ntawm cov niam txiv, cov tshuaj no yuav tsum tsuas taw ib tug cov menyuam yaus, thiab tsuas yog tom qab ib tug meej kev kho mob soj ntsuam. Tsuas yog nyob rau hauv cov ntaub ntawv no, cov kev kho mob yuav tsum zoo thiab kuj muaj kev nyab xeeb rau tus me nyuam.