Cov kab mob ntawm cov kab mob tsuas yog kho tau nrog cov tshuaj tua kab mob xwb, tab sis kom ua tau zoo, txoj cai yuav tsum tau xaiv. Feem ntau, yog tias tus kws kho mob tau xaiv nws, tom qab kuaj thiab raws li cov txiaj ntsig ntawm ntshav thiab cov zis mus kuaj.
Tab sis txawm tias tshuaj tua kab mob los ntawm tus kws kho mob, koj yuav tsum paub tias thaum twg lawv raug siv, dab tsi contraindications lawv muaj, phiv tshuaj, thiab cov tshuaj uas lawv tuaj yeem ua ke nrog.
Ib qho ntawm cov tshuaj tua kab mob siab tshaj plaws uas kws kho los ntawm kws kho mob yog Cefotaxime.
Yam ntxwv ntawm cov tshuaj Cefotaxime
Cefotaxime yog ib hom tshuaj tivthaiv kabmob spectrum broad-spectrum uas yog ib feem ntawm peb pab pawg neeg cephalosporin, tsuas yog siv rau cov kab mob hauv intramuscular thiab intravenous. Cov tshuaj no muaj ntau yam teebmeem:
- ntawm cov kab mob tiv taus cov tshuaj tua kab mob ntawm penicillin series, aminoglycosides thiab sulfonamides;
- nyob rau hom kabmob sib txawv heev;
- rau cov kab mob gram-positive cocci (tshwj xeeb tshaj yog staphylococcus), tab sis qaug zog tshaj nyob rau hauv cephalosporins ntawm thawj tiam.
Cefotaxime muaj lub siab tiv thaiv ntau beta-lactamases ntawm kab mob gram-negative.
Xws li cov tshuaj tiv thaiv antimicrobial yog ua tiav vim kev ua haujlwm ntawm cov kev ua haujlwm ntawm cov kabmob ntawm cov kabmob thiab kev puastsuaj ntawm phab ntsa, uas ua rau lawv tuag. Cov tshuaj tua kab mob no tuaj yeem txuam yuav luag tag nrho cov nqaij thiab kua nqaij, txawm tias los ntawm cov ntshav ntawm lub hlwb.
Cov kev qhia rau kev siv Cefotaxime
Kev kho mob nrog cov kab mob cefotaxime yog yuav tsum tau ua kom muaj tus kab mob hauv cov kab mob uas tshwm sim los ntawm cov kab mob nkag siab, xws li:
- nyob rau hauv cov hlab plawv - mob ntsws, mob ntsws, pleurisy, abscess;
- nyob rau hauv lub plab hnyuv siab raum ntawm lub me pelvis - gonorrhea thiab chlamydia;
- tus kab mob ntawm qis qis ntawm lub cev thiab cov raum;
- nyob rau hauv nasopharynx - tonsillitis thiab otitis (ib qho kev zam yog enterococcal);
- septicemia thiab endocarditis ;
- tus kab mob ntawm cov pob txha thiab cov nqaij mos;
- kab mob bacterial meningitis;
- tus kab mob tom qab hlawv qhov txhab.
Nws kuj siv tau rau cov hom phiaj tiv thaiv tom qab phais tas, kom tiv thaiv kev mob thiab lwm yam teeb meem.
Contraindications rau kev siv Cefotaxime yog:
- ib qho kev tsis haum tshuaj rau txhua hom tshuaj tua kab mob ntawm koob cephalosporin thiab penicillin;
- enterocolitis;
- los ntshav.
Thaum lub caij cev xeeb tub thiab thaum lub sijhawm pub mis, nws tuaj yeem thov, tab sis tsuas yog thaum muaj kev xav tau thiab nrog rau kev tsum ntawm kev pub niam mis.
Dos ntawm Cefotaxime
Vim tias Cefotaxime yog siv rau kev siv parenteral, nws tsis yog ua cov ntsiav tshuaj, tab sis tsuas yog nyob rau hauv cov hmoov rau cov tshuaj, ib ntim ntawm 0.5 g thiab 1 g.
Nyob ntawm seb lawv yuav ua li cas - kev txhaj tshuaj los yog ib lub taub, Cefotaxime yog bred hauv ntau hom tshuaj:
- Intravenous - 1 g ntawm hmoov rau 4 ml dej rau kev txhaj tshuaj, thiab tom qab ntawd ntxiv qhov hnyav rau 10 ml, nrog cov tshuaj txhaj tshuaj - siv dej, 1% ntawm lidocaine. Nyob rau hauv ib hnub, 2 zaug txhaj tshuaj, tsuas yog thaum muaj mob hnyav nws tuaj yeem nce mus rau 3-4;
- Rau ib tug dropper, 2 grams tshuaj noj ib 100 ml ntawm saline los yog 5% kua qab zib. Txoj kev daws teeb meem yuav tsum muab faib rau 1 xuab moos.
Rau cov neeg uas muaj mob hlais lossis mob hauv lub cev, cov koob tshuaj Cefotaxime yuav tsum txo kom tsawg ib nrab.
Cov teebmeem ntawm Cefotaxime:
- kev ua xua ua xua thiab lwm cov kev xav (ua npaws, ua rau mob anaphylactic, redness, erythema);
- xeev siab, mob plab, mob raws plab, dysbiosis , txawm muaj pseudomembranous mob plab;
- hloov hauv cov ciaj ciam ntawm cov kev kuaj ntshav biochemical thiab peripheral;
- arrhythmia thiab mob taub hau, nrog kev qhia sai heev;
- tsim cov densification thiab mob ntawm qhov chaw txhaj tshuaj.