Tsis yog txhua hom tshuaj tiv thaiv kab mob ua rau txhua tus neeg laus, thiab ntau dua rau tus menyuam, yog li, thaum muab tshuaj cefotaxime rau cov me nyuam mos, txhua leej niam txhawj txog kev noj qab nyob zoo ntawm nws tus menyuam. Xws li kev ntxhov siab yog nyob rau hauv vain, txij li thaum no antibiotic yog ntawm cov tshuaj uas yuav raug coj los ntawm cov me nyuam mos.
Cov tshuaj cefotaxime
Cefotaxime yog ib cov hmoov uas muaj npe rau cov pab pawg neeg cephalosporins. Nws yog ib qho tshuaj tua kab mob semi-hluavtaws ntawm lub xeem tiam, uas qhia tias nws tsis zoo xwb, tab sis kuj muaj kev nyab xeeb. Cov tshuaj no muaj ntau qhov dav ntawm kev txiav txim thiab yog npaj rau kev tswj hwm kev noj qab haus huv.
Cov kev qhia rau kev siv cov cefotaxime yog cov kab mob uas tshwm sim los ntawm cov kab mob uas tsis zoo rau nws:
- kab mob ntawm txoj hlab ntsws qis (mob ntsws, mob ntsws, mob hnyuv lossis pleurisy);
- kab mob ntawm cov kab mob urinary;
- impaired raus muaj nuj nqi;
- kab mob ntawm pob ntseg, caj pas thiab lub qhov ntswg (otitis los yog mob caj dab, tab sis tsis kis kab mob hauv siab);
- septicemia;
- Lyme kab mob;
- endocarditis;
- kab mob ntawm cov nqaij mos, cov pob txha, cov kab mob plab;
- kab mob kis tus kab mob (chlamydia, gonorrhea uncomplicated);
- kab mob bacterial meningitis (nrog rau kev sau cov npeeriosis).
Tsis tas li ntawd, cefotaxime rau cov menyuam yaus thiab cov neeg laus tuaj yeem tuaj yeem hais rau kev tiv thaiv ntawm cov teebmeem ntawm kev kho mob.
Txoj kev ntawm daim ntawv thov
Cefotaxime yog cov tshuaj tua kab mob, intramuscularly, los ntawm txoj hlab thiab dav hlau. Txawm hais tias tus kws kho mob los yog tus kws kho mob hauv lub tsev kho mob yuav qhia cov tshuaj, lawv xav pom seb lawv puas yuav ua qhov twg, txhua tus niam xav tau. Ua kom tau li no, koj yuav tsum paub yuav ua li cas rau kev ntxub ntxaug cefotaxime rau menyuam yaus. Rau intramuscular txhaj, 0.5 g ntawm hmoov ntawm no siv tshuaj yaj yeeb yog ntxiv rau lidocaine daws. Sau nws tob mus rau hauv cov leeg ntshav.
Nrog cov thawj coj hauv cov tshuaj intravenous, thawj 0.5 g ntawm cov tshuaj yog dissolved nyob rau hauv 2 ml ntawm sterile dej rau txhaj, thiab ces kho rau 10 ml nrog ib tug hnyav. Kev noj cov tshuaj cefotaxime rau me nyuam yaus yog tsawg tshaj li ntawm tus laus, tab sis txhua zaus, nws tau qeeb qeeb, li 3-5 feeb. Drip taw qhia rau cov leeg yuav siv sij hawm 50 mus rau 60 feeb thiab rau qhov 2 g ntawm cov tshuaj no muab cov kua qaub (5%) los yog 100 ml ntawm isotonic sodium chloride tov.
Cov tshuaj cefotaxime li niaj zaus, thaum txhaj tshuaj los yog tshuaj rau cov menyuam yaus hnub nyoog qis dua 12 xyoos los yog tus menyuam mos, yog 50-100 mg rau 1 kg ntawm lub cev ib hnub twg. Thaum tib lub sijhawm, yuav tsum muaj kev sib txawv uas yuav tsum tau muab tso rau ntawm 6 mus rau 12 teev .Qhov txhua hnub rau menyuam yaus ntxov ntxov yuav tsum tsis pub tshaj 50 mg / kg.
Kev phiv tshuaj thiab kev tsis haum xeeb
Ua ntej yuav tau cefotaxime rau hauv cov menyuam yaus, txhua tus kws kho mob qhia rau leej niam ntawm tus menyuam tias cov tshuaj no muaj kev mob tshwm sim. Tom qab qhov kev taw qhia yuav tshwm sim:
- Kev tsis haum tshuaj (hyperemia, ua pob, ua npaws, tsis tshua muaj mob, ua pa tsis zoo);
- xeev siab, ntuav, dysbiosis, mob plab, mob siab, mob plab nyob rau hauv cov menyuam yaus ;
- cov kev hloov hauv biochemical tsis;
- mob taub hau;
- mob hauv qhov chaw txhaj tshuaj, mob ntawm cov ntaub so ntswg.
Tsis tas li ntawd cov cefotaxime tau muaj kev tsis sib haum xeeb. Yog tias koj tus menyuam muaj mob hnyav rau tshuaj cephalosporin los yog penicillin, los ntshav los yog enterocolitis hauv keeb kwm, nco ntsoov qhia rau koj tus kws kho mob tias cov tshuaj tsis haum nrog cov kab mob no, thiab kev ceeb toom yuav tsum tau noj nrog cefotaxime rau cov menyuam uas muaj kev puas hlwb nplooj siab.