Aminoglycoside amalungiselelo - amagama

I-Aminoglycosides ihlanganisa iqembu lama-antibiotics elibhekiswe ngesakhiwo esifanayo, isimiso sesenzo kanye nesilinganiso esiphakeme sobuthi. Aminoglycoside amalungiselelo anempahla ecacile ye-antimicrobial futhi ayasebenza ngokumelene nama-Gram-positive ne-Gram-negative bacteria.

Ukuhlukaniswa kwama-aminoglycosides

Kuncike emkhakheni wesicelo kanye nemvamisa yentuthuko yokumelana, izizukulwane ezine zezidakamizwa zabelwe. Ake sicabangele izici eziyisisekelo futhi sizophumela ohlwini lwamagama amalungiselelo-aminoglycosides.

Imithi Yesizukulwane Sokuqala

Lezi yizi:

Zisetshenziswa ekwelapheni ngokumelene nezifo ezifuywayo zesifo sofuba kanye namanye amabhaktheriya atypical. Ngokumelene ne-staphylococci kanye nama-bacteria amaningi-gram-negative, izidakamizwa azizinamandla. Manje basebenzise cishe.

Aminoglycosides yesizukulwane sesibili

Ummeleli weqembu lesibili lama-antibiotics-aminoglycosides yi-Gentamicin, esebenza kakhulu kuneqembu langaphambilini lemithi.

Isizukulwane sesithathu se-aminoglycosides

Inqwaba yethonya lesizukulwane sesithathu ifana neGentamycin, kodwa isebenza kahle ngokumelene ne-enterobacter, klebiciella ne- Pseudomonas aeruginosa . Leli qembu lifaka:

Isizukulwane sesine

Leli qembu lihlanganisa i-antibiotic i-Izepamycin, okungezelela ukuthi ikwazi ukulwa ne-nocardia, i-cytobacter, i-aeromonas.

Imiphumela emibi ye-aminoglycosides

Phakathi nenkathi yokwelashwa nale mithi, isiguli singase sibhekane nenani lezinto ezingathandeki. Impendulo eyinhloko yezidakamizwa ubuthi. Kubonakala kulezi zibonakaliso ezilandelayo:

  1. I-Ototoxicity, eholela ekwehliseni ubukhulu bokuzwa, ukubonakala komsindo ezindlebeni, umuzwa wokuzizwa.
  2. Umthelela we-Nephrotoxic, izimpawu zazo omile, ushintsho ngobuningi bomchamo, ukunciphisa ukuhlunga kwe-glomerular.
  3. Ukuwohloka kokuhlanganiswa kokunyakaza nokuzizwa kahle, okuyisici esivela kubantu asebekhulile.
  4. Ezingxenyeni zesimiso sezinzwa, ukuphazamiseka emlonyeni, ukunganaki, ubuthakathaka, ikhanda lokukhwabanisa, ama-twitchings aguquguqukayo, kubhekwe ukulala.
  5. Ukubonakala kwezimpawu zokuvimbela i-neuromuscular, kubonakala ekubuyeni kwemisebenzi yokuphefumula kuze kufike ekukhubazekeni okuphethwe imisipha yokuphefumula, kwandisa ingozi ngokulawulwa okufanayo kwe-antibiotics-aminoglycosides nge- relaxant muscle kanye ne-anesthetics, kanye nokumpontshelwa kwegazi eligculisiwe.

Izibonakaliso zokuphendula okweqile azivamile.