Akukho zonke iziyobisi ezinezifo ezinokuthi zingabakho bonke abantu abadala, kwaye nangakumbi nangona kunjalo, xa umntwana echaza i-cefotaxime kwiintsana, wonke umama ukhathazeka ngempilo yengane yakhe. Ukuxhalabisa okunjalo akunanto, kuba le antibiotic iphakathi kweziyobisi ezinokuthi zithathwe nakutsha olutsha.
I-cefotaxime yeziyobisi
I-Cefotaxime yipoda ephuma kwiqela le-cephalosporins. Kuyi-antibiotitic semi-synthetic yesizukulwana sokugqibela, ebonisa ukuba ayisebenzisi kuphela, kodwa ikhuselekile kakhulu. Esi sidakamizwa sinesiganeko esikhulu senzathelo kwaye senzelwe ukulawulwa kwabazali.
Izibonakaliso zokusetyenziswa kwe-cefotaxime izifo ezibangelwa zizilwanyana ezincinci:
- izifo zendlela yokuphefumula esezantsi (i-pneumonia, i-bronchitis, i-abscesses okanye i-pleurisy);
- izifo zephepha lomchamo;
- umsebenzi wokuguguqula;
- izifo zendlebe, umphimbo kunye neempumlo (i-otitis okanye iholo emzimbeni, kodwa kungekhona ukungenwa kwe-enterococcal);
- septicemia;
- Isifo seLyme;
- endocarditis;
- izifo zethambo ezinqabileyo, amathambo, isisu esiswini;
- Izifo ezithathelwanayo zesifo se-gynecological (chlamydia, i-gonorrhea engaxakekanga);
- i-bacterial meningitis (ngaphandle kwe-listeriosis).
Kwakhona, i-cefotaxime kubantwana nakwabantu abadala banokumiselwa ukuthintela iingxaki zokuhamba emva kokusebenza.
Indlela yesicelo
I-Cefotaxime imiselwe nge-intravenously, intramuscularly, by drip and jet. Nangona ukuba umongikazi okanye ugqirha kwiziko lempilo uza kuzisa iyeza, bafuna ukubona ukuba baya kwenza okulungileyo, wonke umama ufuna. Ukwenza oku, kufuneka ukwazi ukuhlaziya i-cefotaxime kubantwana. I-injection ye-intramuscular, i-0.5 g ye powder yile mveliso yongezwa kwisisombululo se-lidocaine. Ungene ngaphakathi kwi-gluteus muscle.
Ngokulawulwa kwe-intravenous, i-0.5 g yesilwanyana yokuqala iyachithwa kwi-2 ml yamanzi angenayo yongxube, kwaye ihlaziywe kwi-10 ml nge-solvent. Umlinganiselo we-cefotaxime kubantwana ungaphantsi koomntu omdala, kodwa nangona kunjalo, ulawulwa ngokukhawuleza, malunga nemizuzu emi-3-5. Isingeniso sokuqhaqha kwi-vein sithatha imizuzu engama-50 ukuya kweyesi-60 kwaye le 2 g yesilwanyana iyachithwa kwisisombululo se-glucose (5%) okanye kwi-100 ml ye-isotonic sodium chloride.
Umlinganiselo oqhelekileyo we-cefotaxime, xa ama-injections okanye amaconsi anikezelwa abantwana abangaphantsi kweminyaka eyi-12 okanye kwiintsana, u-50-100 mg nge-1 kg yesisindo somzimba ngosuku. Ngelo xesha, izikhala kufuneka ziqwalaselwe ezibekwe ngabanye ukusuka kwiiyure ezingama-6 ukuya kwi-12. Idhamo lemihla ngemihla yeintsana ezingaphambi kwexesha kufuneka ingadluli kuma-50 mg / kg.
Imiphumo emibi kunye nokuchasene
Ngaphambi kokunciphisa i-cefotaxime kubantwana, ugqirha ngamnye uyazisa unina womntwana ukuba eli liyeza linemiphumo emibi. Emva kokuqala kwayo kungabonakala:
- izimpembelelo (i-hyperemia, i-rashes, i-fever, kwiimeko ezinqabileyo, ukutshatyalaliswa kwe-anaphylactic);
- isicupunu, ukuhlanza, i-dysbiosis, intlungu yesisu, ukungabikho komzimba, isifo sohudo kubantwana ;
- utshintsho kwimimiselo yezinto eziphilayo;
- intloko;
- intlungu kwi-injection site, ukuvutha kwezicubu.
I-cefotaxime inokuchasene. Ukuba umntwana wakho unomdla ophakamileyo kumachiza e-cephalosporin okanye i-penicillin, ukuphuma kwamanzi okanye i-enterocolitis kwimbali, qi ni sekise ukuba wazise umboneleli wakho wempilo ukuba le nkunkuma ayihambelani nezi zifo, kwaye lumkiso kufuneka ithathwe nge-cefotaxime kubantwana abanokukhubazeka okusebenzayo isibindi.