Cov tub ntxhais tivthaiv ntawmOxytetraccline creamis Oxytetracyclne, with the chemical name 6-methyl-4- (dimethylamino) -3,5,6,10,12,12 - hexaalkyl-1,11-dioxo-1,4,4 , 5,5 , 6,11,12 - olourahydro {}}}}}}}}}}}}}}. cov qauv tsim yog nyob rau hauv daim ntawv ntawm lub teeb daj los yog Daj pleev xim daj lossis muaj cov kab mob tiv thaiv kab tiv thaiv kab mob, nws siv tau los ntawm cov kab mob tiv thaiv kab mob Cov kab mob oxytetracclne, kis mob plab hnyuv, thiab cov tawv nqaij thiab cov cuab yeej siv tawv nqaij, thiab kev txhim kho cov qauv tshiab.
Peb Cov Khoom
Pharmacological Mechanism ntawm kev nqis tes ua
Oxytetrically tshwj xeeb khi mus rau qhov chaw ntawm 30s subming ntawm cov txiaj ntsig, thaiv cov khoom siv roj proteemes, uas tsis muaj cov tshuaj tiv thaiv kab mob mertibacterial. nws cov tshuaj tua kab mob tawm tsam:
Gram cov kab mob zoo:
Staphylococcus aureus, Streptococcus (ib co yeeb tshuaj uas tsis kam lees cov tshuaj paub cov tshuaj) .
01
Gram cov kab mob tsis zoo:
Escherichia coli, pseudomonas aeruginosa, yersinia speis (rhiab heev tau zoo) .
02
Atypical pathogens:
MyCoplasma, chlamydia, rickettsia, spickonetes (rhiab heev) .
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Lwm cov kab ke:
Actinobacteria, Bacillus Anthracis, Nocardia, Vibrio, Brucella .
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Peb Cov Khoom
Oxytetraccline +. coa
Oxytetraccline cream, raws li ib tug sawv cev siv tshuaj ntawm tetraccocline tshuaj tua kab mob, tau ua kom muaj mob rau ib nrab, thiab tawv nqaij thiab cov tawv nqaij tawv nqaij kev formulion .
(1) Cov cim qhia tseem ceeb thiab cov pathogenage
Txoj kev kho mob ntawm cov pa oxytetracclne rau ntawm cov pa ua pa rau nws cov kev paub meej ntawm cov pacogens:
Kev mob zej zog mob ntsws (Cap):
Thaum muaj kab mob atypical pathogens xws li myCoolasma pneumoniae (mic tsawg dua lossis sib npaug lossis sib npaug ntawm 1} Penetrating alveolar macrooles, thiab yog siv tau zoo dua li beta lactams.
Qee tus kab mob gram tsis zoo muaj qhov rhiab ntawm 60% {% rau Haemophilus ua npaws, uas tuaj yeem siv ua kev kho kev kho mob.
Tsev kho mob mob ntsws (HAP):
Lub luag haujlwm kho ua ke: thaum siv ua ke nrog cov Ceaslomens thib peb ntau dua li Cayogonas, tshwj xeeb yog rau cov kab mob ntau tshaj li ntawm multidrug-resistant cov kab mob.
Mob exacerbation ntawm cov kab mob ntsws ua rau muaj kab mob ntsws (Coptern):
Etiological kev cuam tshuam: muaj txiaj ntsig zoo rau ntawm Klassiella (cov hlab mob (cov pa roj av
(2) kev kho mob thiab tswj hwm
Kub taub hau thiab mob nyem:
Oxytetracclne tuaj yeem qis lub cev kub thiab luv luv lub sijhawm ua npaws thiab cov synthesis ntawm cytokines thiab synthesis ntawm cannines xws li}}} thiab tnf - .
Kev Txhim Kho ntawm TUGOH thiab SPUTUM NTAU LAWM:
Kev sib xyaw ntawm cov pa oxytetracclne thiab dexmedetomidididididididididididididididididididididididididididididididididation
Rau cov neeg mob uas muaj cov hnoos qeev, oxytetracclneClT, txo cov hnoos qeev los ntawm 30%, thiab txhawb .
Kev txhim kho kev txhim kho:
Nyob rau hauv cov tratment ntawm myCoplasma pneumonia lub sij hawm, ua ke ntawm oxytetracclne thiab glucocorticoids tuaj yeem ua rau lub sij hawm nqus tau los ntawm 14 hnub rau 7 hnub.
Kev kho mob ntawm cov hnyuv hnyuv: kev kho mob uas yuav ua kom raug mob raws plab rau kab mob plab hnyuv
(1) Cov kab mob pathogenic hauv zos thiab tratment mechanism
Qhov ua tau zoo ntawm oxytetracclrowclne hauv kev kho mob plab hnyuv stems los ntawm nws cov kev cuam tshuam dua.
Direct antibacterial:
Shigella genus: tus rhiab tus nqi rau shigella flexneri thiab shignella sonnei yog 90%, uas tuaj yeem ua rau lub sijhawm dysenty los ntawm {}}.
Salmonella genus: ua tau zoo tiv thaiv tsis typmonellurium), tab sis ceev faj yuav tsum tau coj raws li Typponid Salmonella .
Chorkrio chourene: Los ntawm inhibiting lub recition ntawm Enterotoxins, txo qis nrog hloov cov kua hloov cov kua, nws tuaj yeem txo kev tuag ua npaws, nws tuaj yeem txo kev tuag no.
Kev tiv thaiv kab tiv thaiv kab mob:
Inhibiting qhov kev tso tawm ntawm lub plab hnyuv siab tawv (xws li IC -1}}} {1} {.
(2) Cov ntaub ntawv thov tshuaj xyuas thiab cov pov thawj ntawm kev kho tau
Kev sib kis tau ntawm lub plab zom mov:
Tus neeg ncig chaw raws plab: Rau Enterothoxigenic Escherichia coli (etec) tus kab mob oxythtetracclne tuaj yeem ua kom lub sijhawm Diarrhea los ntawm {} {}.
Clostridium strawb kab mob: sib xyaw ua ke nrog Vancomycin tuaj yeem txo qhov kev rov ua dua (los ntawm 25%), tshwj xeeb rau cov neeg mob me rau qhov mob me me.
Cov Kab Mob Mob Ntev Instinal:
Cov kab mob hauv plab (IBD): Raws li ib qho kev hloov tshuaj uas muaj tswv yim)
Cov kab mob hnyuv me me kab mob hnyuv (SIPO): A 14 hnub ntawm tratment tuaj yeem daws cov tsos mob plab thiab raws plab, nrog tus nqi ntawm 70%.
Kho cov tawv nqaij thiab cov hniav muag cov nqaij mos: ib kauj ruam-dhau-kauj ruam kev kho mob los ntawm superficial begcessitis
(1) Cov yam ntxwv ntawm cov kab mob pathogenic thiab tratment xaiv
Txoj kev ua tau zoo ntawmOxytetraccline creamhauv kev kho cov tawv nqaij thiab cov hniav muag muag cov kab los ntawm nws qhov kev nkag siab thiab dav-spectrum cov khoom ntiag tug
Gram cov kab mob zoo:
Staphylococcus aureus: nkag siab rau tsis enzyme tsim cov leeg, tab sis tsis kam mus li 80%, xav tau kev sib xyaw ntawm ampicillin .
Streptococcus genus: nkag siab rau pawg A - HEMOLYtic Streptococcus, tab sis saib xyuas kom muaj kev ua kom muaj kev kub ntxhov (kev siv ntev yuav tsum ua ke nrog penicillin) {2 2}}
Gram cov kab mob tsis zoo:
Pseudomonas aeruginosa: ib txwm resistant (vim muaj oprm efflux twj), puas yuav tsum zam .
Cov kab mob: Nkag mus rau gracacetoids thiab tuaj yeem kho tau ua ke nrog metronidazole rau kev sib kis tau sib xyaw {}}
Atypical pathogens:
Actinobacteria genus: nkag siab txog Actinomycosa, nws yog kab thib ob ntawm cov khoom xaiv rau kev ua yeeb yam rau cov actinomycosis (xws li cervical thiab ntsej muag tsis zoo).
(2) Cov ntaub ntawv thov tshuaj kho mob thiab kev tshuaj xyuas kev ua tau zoo
Ntsig Kev Yeem:
Boil thiab abscess: kev sib xyaw ua ke ntawm tetracycline thiab hauv zos kub compress tau luv luv ntawm lub sij hawm loj heev los ntawm 3 hnub thiab txo tus nqi ntawm kev phais thiab tso dej.
Folliculitis: Nws tsis muaj txiaj ntsig tawm tsam malassezia foliculitis, tab sis tuaj yeem kho cov kab mob folliculitis (xws li Staphylococcus aureus tus kab mob).
Sib sib zog nqus tau tus kab mob:
Honeycomb o: Thaum siv hauv kev sib xyaw nrog ceacholin, nws tuaj yeem npog lub streptococcus thiab staphylococcus, txo lub sijhawm los ntawm 7 hnub rau 4 hnub {2} {2}
Necrotizing fasciitis: Ua lwm txoj hauv kev ua kom haum, nws yuav tsum muaj kev sib xyaw ua ke ntawm kev tiv thaiv thiab kev sib xyaw ua ke (rau inhibit toxin ntau lawm) .
Tus kab mob tshwj xeeb:
Tsiaj tom kis tsiaj: nkag siab txog cov kab mob pasteurella (xws li canine beving cov kab mob), tuaj yeem tiv thaiv qhov txhab zoo .
Kab mob postoperative: Nws tsis muaj txiaj ntsig rau Methicillin-resistant staphylococcus aureus (MRSA), tab sis tuaj yeem kho enzyme ua cov kab mob sib kis tau tus mob {}}
Soj ntsuam cov lus qhia thiab npaj tshuaj
1.} cov lus qhia tseem ceeb
Oxytetraccline creamyog tsim rau cov tawv nqaij hauv qab no thiab cov mos mos muag:
Pustular ecer (dej daj roj (mob purulent
Follicular impetigo: o ncig cov hauv paus cov hauv paus plaub hau, nrog rau kev tsim cov pustules, feem ntau pom ntawm lub hau thiab ntsej muag .
Cov tawv nqaij roj ntshaeraCititis: Cov ntaub tawv nqaij cov ntaub qhwv kab mob nrog cov kab mob .
BEARD SORES: Purulent kis tau cov hauv paus ntawm cov hauv paus plaub hau thiab cov ntaub so ntswg nyob ib puag ncig hauv thaj chaw hwj txwv .
Lwm yam kab mob: plaub ntug tus kab mob, kab mob kis tau tus kab mob, ua ke ua ke, Tasa cov kab mob sib tw, thiab lwm yam.
3.}}} kev ua haujlwm ntawm cov qauv tshuaj
Tu cov cheeb tsam cuam tshuam: Ntxuav cov tawv nqaij nrog cov tshuaj qab ntsev ua ntej noj ua ntej noj tshuaj ntsuab thiab zais ntshis .
Cov ntawv thov nyias nyias: Noj cov tshuaj pleev kom tsim nyog thiab thov nws tusyees rau thaj chaw muaj kev cuam tshuam kom tsis txhob muaj ntau ntxiv {}}
Zam kev sib cuag nrog cov membanes cov membranes: tsis txhob siv rau cov quav tsw zoo xws li qhov muag, thiab qhov ncauj los tiv thaiv kev txob txob lossis tsis nqus dej lom {}}
Kev Kho Kom Zoo: Cov mob hnyav tuaj yeem kho nrog cov tshuaj tua kab mob ntawm qhov ncauj (xws li oxicillin), tab sis yuav tsum zam kev sib xyaw ua ke nrog lwm cov tetracyclines (hla kev tawm tsam) {}}}
Cim npe nrov: Oxytetraccline cream, cov chaw muag khoom, chaw tsim khoom, Hoobkas, lag luam Wholesale, yuav, nqe, loj, rau muag