Saib kom paub! Kev siv tsis raug ntawm cov menyuam yaus tuaj yeem ua rau lag ntseg (Tshooj 1)

Tsis ntev tas los no, CCTV tau tshaj tawm zaj yeeb yaj kiab qhia txog kev noj qab haus huv rau menyuam yaus kev noj tshuaj nyab xeeb, tus neeg ua yeeb yam5Tus txiv neej hluas nkauj txhais lus ntxiag yws yws yws tias nws tau ntsib ntau yam los ntawm kev siv tshuaj tsis raug, thiab nws tau quaj muaj neeg suav tsis txheeb. Nws raug tshaj tawm tias Tuam Tshoj muaj txog txhua xyoo310,000 tus menyuam yaus raug ntes nyob rau hauv lub ntiaj teb ntsiag to vim yog kev siv tshuaj tsis raug cai, ua rau lub siab ua rau lub siab thiab lub siab hlwb. Kev ntxhov siab feem ntau tsuas yog ib pliag xwb, niam txiv nco ntsoov: tus me nyuam tsis yog koj tus qauv me, cov me nyuam yuav tsum tau siv tshuaj rau menyuam yaus!

Txhua leej txhua tus nco2005Puas yog qhov kev lom zem "Ib Txhiab Tes Guanyin" ua yeeb yam rau lub caij nplooj ntoo hlav thiab yav tsaus ntuj?21Ntawm cov neeg ua yeeb yam18Cov tib neeg tshwm sim los ntawm cov tshuaj, feem ntau lawv2Tom qab lub hnub nyoog kub taub hau, kev siv tshuaj tua kab mob ua rau lag ntseg lag ntseg.

Avalokiteshvara

Cov tshuaj twg tuaj yeem ua rau lag ntseg ntawm cov menyuam yaus

1

Aminoglycosides

Hauv Suav teb, kev siv tshuaj tsis raug cai lossis kev tsim txom ntawm cov tshuaj tua kab mob aminoglycoside yog thawj zaug hauv kev lag luam hauv lub tebchaws tsis hnov ​​lus. Nws yog qhov tseem ceeb tshaj plaws thiab muaj tus kabmob caries, thiab nws tau maj mam dhau los ua rau yug menyuam mos liab thiab txais kev lag ntseg thiab cov laus lag ntseg. Qhov xub thawj ntawm txhua yam ntawm kev ua phem rau lwm yam. Kev txhaj tshuaj ntawm aminoglycosides hauv kev xeeb tub thiab cov pojniam ua rau menyuam yaus tuaj yeem ua rau tsis hnov ​​lus ntawm cov menyuam tshiab thiab yuav tsum tau txwv.

Cov hlwv pob kws ua haujlwm, nrog rau lwm cov tshuaj ototoxic, kev kho mob ntev(> 10hnub)thiab1Tshuaj Hnub>3 mg/kgOtotoxicity muaj feem ntau tshwm sim, yog li lub plasma cov ntsiab lus yuav tsum tau saib xyuas hauv cov xwm txheej.

tshuaj

2

β-Lactams

Muaj cov ntaub ntawv qhia tias penicillins xws li ampicillin, chlorpyrimin, phenacetam, thiab phenylpyrazine, zoo li cephalosporins xws li cephalexin, cefazolin, thiab cefradine, kuj tseem muaj kev phiv tshuaj rau tinnitus lossis tsis hnov ​​lus, tshwj xeeb tshaj yog lub raum tsis ua haujlwm. Hauv cov neeg mob, cov tsos mob feem ntau daws tom qab tshem tawm.

3

Tetracycline

Xws li tetracycline, chlortetracycline, oxytetracycline thiab tetracyclines ib nrab hluavtaws(Doxycycline, metacycline thiab minocycline)Cov. Cov kev tshawb fawb pom tau tias qhov kev siv tshuaj tiv thaiv kab mob ntawm tetracyclines ntawm ototoxicity yog qhov tseem ceeb heev. Piv txwv li, cov koob tshuaj minocycline ntau dua tuaj yeem ua rau vestibular dysfunction ua hauj lwm-koob tshuaj, thiab cov poj niam muaj ntau dua li tus txiv neej, thiab cov neeg laus muaj ntau dua li cov hluas. Nws yog tsiag ntawv los ntawm kiv taub hau, tinnitus, ataxia, xeev siab, ntuav, thiab lwm yam.24-48Nws tuaj yeem rov qab tau tom qab cov sijhawm.

4

Raug tshuaj ntau dua

Cov tshuaj tua kab mob macrolide tuaj yeem ua rau muaj kev phiv tshuaj rau tinnitus thiab hnov ​​lus, tshwj xeeb tshaj yog thaum siv cov tshuaj tiv thaiv zoo, thiab tshem tawm lossis txo tuaj yeem rov qab los. Xws li erythromycin ethylsuccinate, tuaj yeem tsim cov tshuaj koob tshuaj, thim rov qab ob sab sib luag puas ntsoog, feem ntau nrog tinnitus. Qee tus neeg mob tau hnov ​​los ntawm kev hnov ​​lus tsis meej tom qab noj cov tshuaj azithromycin, suav nrog kev hnov ​​lus, pob ntseg thiab(Or)Lag ntseg yog txuam nrog qhov koob tshuaj ntawm cov tshuaj no, tab sis nws feem ntau yog qhov thim rov qab.

Cov menyuam hnov

5

Glycopeptide hmoov

Xws li vancomycin, norvancomycin, teicoplanin, thiab lwm yam, muaj qee lub raum, ototoxicity, koob tshuaj thiab daim ntawv thov ntev ntev tshwj xeeb tshaj yog tshwm sim, tuaj yeem tsim cov tshuaj tiv thaiv tinnitus, tshuaj tsis hnov ​​lus zoo. Piv txwv li, vancomycin yuav muaj pob ntseg lossis pob ntseg ntawm pob ntseg, pob ntseg hnov ​​los sis txawm tias ploj, thiab hnov ​​puas ntsoog. Nyob rau hauv high koob(Feem ntau ntshav siab> 60 mg / L)Lub sijhawm ntev, neeg laus lossis lub raum tsis txaus tshwj xeeb yog tshwm sim thaum thov.

6

Fluoroquinolone

Fluoroquinolones yog cov tshuaj tua kab mob tua kab mob uas siv dav hauv kev soj ntsuam hauv xyoo tsis ntev los no, thiab muaj cov ntaub ntawv hais txog ototoxicity los ntawm qhov ncauj los yog tso ntshav nrog kev tswj hwm. Tom qab tsum tsis noj cov tshuaj, cov tsos mob feem ntau relieved lossis ploj lawm.

7

Antifungal tshuaj

Xws li griseofulvin, kev siv tshuaj ntau dua ntev ntev tuaj yeem ua rau tinnitus, lag ntseg, cov tsos mob tuaj yeem ploj tom qab txiav cov tshuaj, cov mechanism ntawm lag ntseg tseem tsis meej.

8

Lwm cov tshuaj tua kab mob ototoxic

Polymyxin, chloramphenicol, isoniazid, metronidazole, thiab lwm yam tau tshaj tawm tias yuav ua ototoxicity hauv kev siv tshuaj. Piv txwv li, kev ua haujlwm ntawm lub cev ntawm chloramphenicol muaj cov teebmeem ototoxic, thiab lub ntsej muag hauv lub zos tuaj yeem ua rau tsis hnov ​​lus. Polymyxin tuaj yeem ua rau vestibular kev puas tsuaj, qee zaum tinnitus, tab sis tsis hnov ​​lus zoo, xws li cov leeg hlwb tau yooj yim tshwm sim thaum txhaj tshuaj intrathecal ntau dua, rov zoo siab tom qab txiav cov tshuaj.

Feem ntau, cov hlab ntaws ntawm cov menyuam yaus tsis tau loj hlob zoo, thiab nws lub siab ua kom lub siab ua haujlwm, ua kom lub raum tsis ua haujlwm tsis zoo, lossis qee yam mob siab thiab mob raum ua rau muaj cov tshuaj ototoxic.

Tshuaj muaj qaug rau lag ntseg

Kev quav yeeb tshuaj feem ntau yog tom qab noj tshuaj tas1 ~ 2Txhua lub limtiam, cov menyuam yaus qhov ua rau muaj tshuaj yeeb yog feem ntau ua ob sab thiab mus tas li.

Yog tias koj tus me nyuam txawv txav lossis nyob ntsiag to tom qab siv tshuaj, nco ntsoov nrhiav tswv yim kho mob kom sai!

Hauv Suav teb, kev siv tshuaj tsis raug cai lossis kev tsim txom ntawm cov tshuaj tua kab mob aminoglycoside yog thawj zaug hauv kev lag luam hauv lub tebchaws tsis hnov ​​lus. Nws yog qhov tseem ceeb tshaj plaws thiab muaj tus kabmob caries, thiab nws tau maj mam dhau los ua rau yug menyuam mos liab thiab txais kev lag ntseg thiab cov laus lag ntseg. Qhov xub thawj ntawm txhua yam ntawm kev ua phem rau lwm yam.

Yog li, cov niam txiv yuav tsum nkag siab tias yog tsev neeg muaj tshuaj muaj cov tshuaj uas ua rau lag ntseg, tsis txhob muab cov tshuaj no rau tus menyuam yav tom ntej.

Txuas :Saib kom paub! Kev siv tsis raug ntawm cov menyuam yaus tuaj yeem ua rau lag ntseg (Tshooj 1)

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