Duritaanka Gentamicin

Qanacsan

• Kahor intaadan isticmaalin cirbadeynta 'gentamicin',
• Gentamicin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

Gentamicin waxay sababi kartaa dhibaatooyin kelyo oo daran. Dhibaatooyinka kilyaha ayaa badanaa ku dhici kara dadka waayeelka ah ama dadka fuuqbaxay. U sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabto cudurka kalyaha. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: kaadida oo yaraata; barar wejiga, gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose; ama daal aan caadi ahayn ama daciifnimo.

Gentamicin waxay sababi kartaa dhibaatooyin maqal oo halis ah. Dhibaatooyinka maqalka ayaa badanaa ku dhici kara dadka da'da ah. Dhego beeliddu mararka qaarkood way waari kartaa. U sheeg dhakhtarkaaga haddii aad isku aragto ama aad waligaa yeelatay dawakhaad, vertigo, maqal la'aan, ama dhagaha ka yeeraya. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: maqal la'aanta, guuxa ama dhagaha oo laga yeerayo, ama wareer.

Gentamicin waxay sababi kartaa dhibaatooyin neerfaha. U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa gubatay ama ka xanaaqday gacmaha, gacmaha, cagaha, ama lugaha; murqaha oo dillaaca ama daciifnimo; ama qalal.

Khatarta aad ku yeelan karto kelyo, maqal, ama dhibaatooyin kale oo daran ayaa ka sii weyn haddii aad qaadanaysid dawooyinka dhakhtarku qoro qaarkood ama kuwa aan dhakhtar qorin. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanayso acyclovir (Zovirax, Sitavig); amphotericin (Abelcet, Ambisome, Amphotec); capreomycin (Capastat); antibiyootikada qaarkood ee loo yaqaan 'cephalosporin antibiotics' sida cefazolin (Ancef, Kefzol), cefixime (Suprax), ama cephalexin (Keflex); cisplatin; colistin (Coly-Mycin S); cyclosporine (Gengraf, Neoral, Restasis, Sandimmune); diuretics ('kaniiniyada biyaha') sida bumetanide, ethacrynic acid (Edecrin), furosemide (Lasix), ama torsemide (Demadex). antibiyootikada kale ee aminoglycoside sida amikacin, kanamycin, neomycin (Neo-Fradin), paromomycin, streptomycin, iyo tobramycin; polymyxin B; ama vancomycin (Vanocin). Waxaa laga yaabaa in dhakhtarkaagu uusan rabin in lagaa duro cirbada 'gentamicin'.

U sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelato intaad isticmaaleyso cirbadeynta 'gentamicin', isla markiiba wac dhakhtarkaaga. Gentamicin waxay waxyeelleyn kartaa uurjiifka.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa amri doona baaritaano gaar ah, oo ay ku jiraan baaritaanada maqalka, kahor iyo inta daaweynta lagu jiro si loo hubiyo jawaabta jirkaaga ee gentamicin.

Cirbadeynta 'Gentamicin' waxaa loo isticmaalaa in lagu daaweeyo infekshanno halis ah oo ay sababaan bakteeriyada sida meninjiito (infekshinka xuubka ku wareegsan maskaxda iyo lafdhabarta) iyo infekshinka dhiigga, caloosha (aagga caloosha), sambabaha, maqaarka, lafaha, kalagoysyada, iyo kaadi mareenka. Cirbadda Gentamicin waxay ku jirtaa nooc daawo ah oo loo yaqaanno aminoglycoside antibiotics. Waxay ku shaqeysaa dilka bakteeriyada.

Antibiyootikada sida cirbadeynta 'gentamicin' uma shaqeyn doonto hargabka, ifilada, ama infekshannada kale ee fayraska keena. Qaadashada antibiyootikada markii aan loo baahnayn waxay kordhisaa halista aad u qaadi karto jeermis dambe oo iska caabiya daaweynta antibiyootigga.

Cirbadda Gentamicin waxay u timaaddaa sidii dareere lagu durayo xididka (xididka) ama intramuscularly (muruq). Marka gentamicin lagu duray xididada, badanaa waxaa lagu shubaa (si tartiib ah loogu duraa) mudo ah 30 daqiiqo ilaa 2 saacadood mar 6dii ama 8dii saacadoodba. Dhererka daaweyntaadu waxay kuxirantahay nooca cudurka aad qabtid.

Waxaa laga yaabaa in lagugu mudo irbadda 'gentamicin' ee isbitaalka ama waxaad ku daaweyn kartaa guriga. Haddii guriga lagaa siinayo cirbadeynta 'gentamicin', daryeel caafimaad bixiyahaaga ayaa ku tusi doona sida loo isticmaalo daawada. Hubso inaad fahantay tilmaamahan, oo weydii daryeel caafimaad bixiyahaaga haddii aad wax su'aalo ah qabtid.

Waa inaad bilowdaa inaad ladnaan dareento inta lagu guda jiro maalmaha ugu horeeya ee lagugu daweynayo cirbadeynta 'gentamicin'. Haddii calaamadahaagu aysan fiicnayn ama ka sii darayn, wac dhakhtarkaaga.

Isticmaal cirbadeynta 'gentamicin' illaa aad ka dhammeysid daawada laguu qoray, xitaa haddii aad fiicnaan dareento. Haddii aad si dhakhso leh u joojiso isticmaalka duritaanka 'gentamicin' ama aad ka boodo qiyaasaha, infekshinkaaga gebi ahaanba lama daaweyn karo waxayna bakteeriyadu u adkeysan kartaa antibiyootikada.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Gentamicin sidoo kale mararka qaar waxaa loo isticmaalaa in lagu daaweeyo cudurka miskaha, granuloma inguinale (donovanosis; cudurada galmada lagu kala qaado), iyo infekshanada kale ee halista ah sida cudurka iyo tularemia Kala hadal dhakhtarkaaga khataraha aad u leedahay isticmaalka dawadan xaaladaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin cirbadeynta 'gentamicin',

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay cirbadeynta 'gentamicin'; antibiyootikada kale ee aminoglycoside sida amikacin, kanamycin, neomycin, paromomycin, streptomycin, ama tobramycin; sulfites; daawooyin kale; ama mid ka mid ah maaddooyinka ku jira cirbadeynta 'gentamicin'. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada leh, ee aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: antibiyootiko kale sida amoxicillin (Amoxil, Larotid, Moxatag, in Augmentin, in Prevpac), ampicillin, ama penicillin; dimenhydrate (Dramamine); meclizine (Bonine); ama daawooyinka nonsteroidal anti-bararka sida indomethacin (Indocin, Tivorbex). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la macaamili kara gentamicin, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii aad tahay ama aad qabto ama aad waligaa qabtid cystic fibrosis (xaalad la iska dhaxlo oo saameysa sambabaha iyo nidaamka dheef-shiidka), dhibaatooyinka muruqyadaada sida myasthenia gravis ama cudurka Parkinson.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso cirbadeynta 'gentamicin'.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Gentamicin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• lallabbo
• matagid
• shuban
• rabitaanka cuntada oo yaraaday
• xanuun goobta duritaanka
• madax xanuun
• qandho
• kalagoys xanuun
• daal aan caadi ahayn

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• finan
• xoqidda ama finanka maqaarka
• cuncun
• finan
• bararka indhaha, wejiga, cunaha, carrabka, ama bushimaha
• neefsashada ama wax liqidda oo ku adkaata
• xabeeb

Gentamicin waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Garamycin^® I.V.^¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.