**Te Werohanga Tylosin Tartrate me te Gentamycin: He Tirohanga Whānui**

Ko te Tylosin Tartrate me te Gentamicin Werohanga, e wātea ana i roto i ngā kukū o te 10% me te 5%, he huinga kaha e whakamahia ana i roto i te rongoā kararehe hei rongoā i ngā momo mate kararehe. Ko te mārama ki te kararehe e rongoātia ana, te mate e rongoātia ana, ngā pānga o ngā rongoā, me te haumaru o te rongoā i te kararehe he mea nui ki te tiaki kararehe whai hua.

NGĀ KARAREHE HEI MĀTAURANGA

Ko te nuinga o te wā ka whakamahia tēnei werohanga ki ngā kararehe, tae atu ki ngā kau, ngā poaka, me ngā heihei. E tohuhia ana hoki mō te rongoā i ngā kararehe hoa i raro i te tirotiro a te rata kararehe. He whānui te mahi patu huakita o te tylosin (he paturopi macrolide) me te gentamicin (he paturopi aminoglycoside) puta noa i ngā momo momo.

**He aha ngā mate e rongoātia ana**

He whai hua tēnei huinga ki te whawhai ki te whānuitanga o ngā mate kitakita. He tino whai hua te Tylosin mō te rongoā i ngā mate manawa, te mate puku, me ētahi atu mate i puta mai i ngā kitakita tairongo. Ka whakarei ake te Gentamicin i tēnei pānga mā te aro ki ngā kitakita Gram-kino, ka whai hua ai te werohanga ki ngā mate pēnei i te niumōnia me te sepsis i roto i ngā kararehe.

Ngā hua e tumanakohia ana

Mā ngā pānga tahi o te tylosin me te gentamicin ka tere te whakapai ake i ngā tohu haumanu e pā ana ki te mate. He maha ngā wā ka kitea e ngā tākuta kararehe te hekenga o te kirika, te pikinga o te hiahia kai, me te whakaoranga whānui i roto i ngā kararehe kua rongoatia. Heoi, he mea nui kia aroturukitia ngā kararehe mō ngā pānga kino i te wā e rongoatia ana.

**Te Haumaru o ngā Kararehe Whakaora**

Ko te haumaru te mea nui hei āwangawanga mā te whakamahi i tētahi rongoā. Kua rangahaua whānuitia te werohanga Tylosin tartrate me te gentamicin, ā, he haumaru te nuinga mō ngā momo kararehe e whāngaihia ana ina whakamahia kia rite ki ngā aratohu a te rata kararehe. Heoi anō, me aroturuki ngā pānga taha pea, pērā i ngā mate pāwera, ngā raruraru puku rānei.

**NGĀ ĀHUATANGA O TE RONGOĀ**

Mā ngā āhuatanga pharmacokinetic o te tylosin me te gentamicin ka taea e rāua te uru pai ki roto i ngā kiko, kia tutuki ai ngā taumata rongoā i te wāhi i pangia ai te mate. He mea nui tēnei āhuatanga mō te angitu o te rongoā i ngā mate pūnaha.

Hei whakamutunga, he taputapu whai hua te werohanga tylosin tartrate me te gentamicin i roto i te rongoā kararehe e whakarato ana i te maimoatanga whai hua mō ngā momo mate maha i roto i ngā momo kararehe, me te whakarite hoki i te haumaru me te whai huatanga ina whakamahia tika.