Osati mankhwala alionse omwe ali ndi matenda angathe kukhala kwa wamkulu aliyense, ndipo makamaka kwa mwana, chotero, poika mankhwala a cefotaxim kwa makanda, amayi onse amada nkhaŵa za thanzi la mwana wake. Kuda nkhawa koteroko n'kopanda phindu, popeza mankhwalawa ndi ena mwa mankhwala omwe angatengedwe ngakhale ndi ana.
The cefotaxime mankhwala
Cefotaxime ndi ufa womwe uli m'gulu la cephalosporins. Ndi mankhwala omwe amatha kupanga mankhwalawa, omwe amasonyeza kuti sizothandiza kokha, komanso amakhala otetezeka kwambiri. Mankhwalawa ali ndi zochita zambiri ndipo cholinga cha marenteral administration.
Zisonyezo za kugwiritsidwa ntchito kwa cefotaxime ndi matenda omwe amayamba chifukwa cha tizilombo toyambitsa matenda omwe amamvetsetsa:
- Matenda a m'munsi opuma (chibayo, bronchitis, abscesses kapena pleurisy);
- matenda a mkodzo;
- ntchito yowonongeka;
- Matenda a khutu, mmero ndi mphuno (otitis kapena zilonda zam'mimba, koma osati matenda a enterococcal);
- septicemia;
- Matenda a Lyme;
- posachedwa;
- Matenda a matenda ofewa, mafupa, mimba yamimba;
- Matenda a matenda opatsirana pogonana (chlamydia, gonorrhea osavuta);
- bacterial meningitis (kupatulapo listeriosis).
Komanso, ana aang'ono ndi akuluakulu angathe kuuzidwa kuti athetse mavuto omwe amatha.
Njira yogwiritsira ntchito
Cefotaxime imalembedwa mwachindunji, mopanda phokoso, poyendetsa ndi jet. Ngakhale kuti namwino kapena dokotala kuchipatala adzalengeza mankhwalawa, akufuna kuti awone ngati angachite bwino, mayi aliyense akufuna. Kuti muchite izi, muyenera kudziwa momwe mungasamalire cefotaxime kwa ana. Kwa jekeseni wamakono, 0,5 g wa ufa wa mankhwala akuwonjezeredwa ku lidocaine yankho. Lowetsani mkatikati mwa minofu ya gluteus.
Ndi ma intravenous administration, oyamba 0,5 g wa mankhwalawo amasungunuka mu 2 ml ya madzi wosabala a jekeseni, ndiyeno amasinthira 10 ml ndi zosungunulira. Mlingo wa cefotaximu kwa ana ndi wochepa kuposa wa wamkulu, koma mulimonsemo, umaperekedwa pang'onopang'ono, pafupi mphindi 3-5. Kutsegula koyambirira kwa mitsempha kumatenga mphindi 50 mpaka 60 ndipo 2 g ya mankhwala imasungunuka mu njira ya shuga (5%) kapena 100 ml ya isotonic sodium chloride yankho.
Kawirikawiri mlingo wa cefotaxime, pamene jekeseni kapena madontho amaperekedwa kwa ana osapitirira zaka khumi kapena khumi ndi makumi anayi, ndi 50-100 mg pa 1 makilogalamu a kulemera kwa thupi pa tsiku. Pa nthawi imodzimodziyo, mipata iyenera kuwonedwa yomwe imaikidwa payekha pa maola 6 mpaka 12. Mankhwala a tsiku ndi tsiku kwa ana asanakwane sayenera kupitirira 50 mg / kg.
Zotsatira zoyipa ndi zotsutsana
Asanayambitse mwanayo mankhwala, dokotala aliyense amauza amayi ake kuti mankhwalawa ali ndi zotsatirapo. Pambuyo pake mawu ake atha kuwoneka:
- Zomwe zimayambitsa matenda (hyperemia, rashes, fever, nthawi zambiri, mantha a anaphylactic);
- kunyozetsa, kusanza, dysbiosis, kupweteka kwa m'mimba, kutsekula m'mimba , kutsekula m'mimba kwa ana ;
- kusintha kwa magawo a zachilengedwe;
- mutu;
- ululu mu malo opangira jekeseni, kutupa kwa matenda.
Ndiponso cefotaxime ali ndi contraindications. Ngati mwana wanu ali ndi kachilombo koyambitsa ma antibayotiki a cephalosporin kapena penicillin, magazi kapena enterocolitis m'mbiri, onetsetsani kuwadziwitsa wothandizira zaumoyo kuti mankhwalawa sakugwirizana ndi matendawa, ndipo tcheru tiyenera kutenga ndi cefotaxime kwa ana omwe ali ndi vuto logwira ntchito chiwindi.