{"id":1254,"date":"2013-03-28T23:09:20","date_gmt":"2013-03-29T03:09:20","guid":{"rendered":"http:\/\/blogviejo.sld.cu\/elierortiz\/?p=1254"},"modified":"2020-03-18T14:58:11","modified_gmt":"2020-03-18T14:58:11","slug":"utilizacion-de-antifibroticos","status":"publish","type":"post","link":"https:\/\/blogs.sld.cu\/elierortiz\/2013\/03\/28\/utilizacion-de-antifibroticos\/","title":{"rendered":"Utilizaci\u00f3n de antifibr\u00f3ticos"},"content":{"rendered":"<ul>\n<li><span style=\"color: #3366ff\"><em>Esteroides t\u00f3picos<\/em><\/span><\/li>\n<li><span style=\"color: #3366ff\"><em>Antimit\u00f3ticos<\/em><\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; 5 Fluoracilo (5-Fu)<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Mitomicina C (MMC)<\/span><\/li>\n<\/ul>\n<h2><span style=\"color: #0000ff\">Fluoracilo (5-Fu)<\/span><\/h2>\n<ul>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Co<\/em><em>mposici\u00f3n<\/em><\/span><\/h3>\n<p><span style=\"color: #3366ff\">&#8211; Pirimidina an\u00e1loga<\/span><\/li>\n<\/ul>\n<ul>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Acci\u00f3n<\/em><\/span><\/h3>\n<p><span style=\"color: #3366ff\">&#8211; Competitiva de la enzima timidilata sintetasa<\/span><\/p>\n<p><span style=\"color: #3366ff\">&#8211; Interfiere con las fases de reaplicaci\u00f3n celular y la proliferaci\u00f3n fibrobl\u00e1stica.<\/span><\/li>\n<\/ul>\n<ul>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Complicaciones<\/em><\/span><\/h3>\n<p><span style=\"color: #3366ff\">&#8211; Defectos corneales epiteliales<\/span><\/p>\n<p><span style=\"color: #3366ff\">&#8211; Escapes conjuntivales<\/span><\/p>\n<p><span style=\"color: #3366ff\">&#8211; Ruptura de bulas<\/span><\/p>\n<p><span style=\"color: #3366ff\">&#8211; Toxicidad epitelial corneal<\/span><\/p>\n<p><span style=\"color: #3366ff\">&#8211; Queratitis \u00falceras<\/span><\/li>\n<\/ul>\n<ul>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Contraindicaciones<\/em><\/span><\/h3>\n<p><span style=\"color: #3366ff\">&#8211; Patolog\u00eda corneal previa<\/span><\/li>\n<\/ul>\n<ul>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Utilizaci\u00f3n<\/em><\/span><\/h3>\n<\/li>\n<\/ul>\n<p><span style=\"color: #0000ff\">Transoperatorio<\/span><\/p>\n<p style=\"text-align: center\"><span style=\"color: #3366ff\">&#8211; Esponja imbibida en 5- Fu puro 3 a 5 min.<\/span><\/p>\n<p><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios2.jpg\"><img loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios2-300x196.jpg\" alt=\"\" width=\"200\" height=\"140\" \/><\/a><\/p>\n<p style=\"text-align: left\"><span style=\"color: #0000ff\">Postoperatorio<\/span><\/p>\n<p style=\"text-align: center\"><span style=\"color: #3366ff\">&#8211; Subconjuntival 5 mg. en 0.5 cc. de soluci\u00f3n salina :<\/span><br \/>\n<span style=\"color: #3366ff\"> 1ra semana: 2 v\/d\u00eda<\/span><br \/>\n<span style=\"color: #3366ff\"> 2da semana: 1 v\/d\u00eda<\/span><br \/>\n<span style=\"color: #3366ff\">Dosis m\u00e1xima: 105mg<\/span><\/p>\n<p><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios3.jpg\"><img loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios3-300x217.jpg\" alt=\"\" width=\"200\" height=\"148\" \/><\/a><\/p>\n<h2><span style=\"color: #0000ff\">Mitomicina C<\/span><\/h2>\n<p><span style=\"color: #3366ff\">Antibi\u00f3tico-antineopl\u00e1sico, aislado del streptomyces caespitosus<\/span><\/p>\n<ul>\n<li><span style=\"color: #3366ff\">Reduce la producci\u00f3n de col\u00e1geno<\/span><\/li>\n<li><span style=\"color: #3366ff\">Inhibe la s\u00edntesis del ARN<\/span><\/li>\n<li><span style=\"color: #3366ff\">Impide la duplicaci\u00f3n celular<\/span><\/li>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Complicaciones<\/em><\/span><\/h3>\n<\/li>\n<\/ul>\n<p><span style=\"color: #3366ff\">&#8211; Endoftalmitis<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Hipoton\u00edas<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Maculopat\u00edas<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Dehiscencia de la herida<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Fugas de acuoso<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Blebitis<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Escleritis<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Catarata<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Neovascularizaci\u00f3n corneal<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; \u00dalceras corneales<\/span><br \/>\n<span style=\"color: #3366ff\"> &#8211; Inflamaci\u00f3n del segmento anterior<\/span><\/p>\n<ul>\n<li>\n<h3><span style=\"color: #0000ff\"><em>Utilizaci\u00f3n<\/em><\/span><\/h3>\n<p><span style=\"color: #3366ff\">Transoperatorio<\/span><\/p>\n<p style=\"text-align: center\"><span style=\"color: #3366ff\">Esponja imbibida de 0.2 mg\/ml. Subconjuntival y\/o subescleral (2 a 5 min)<\/span><\/p>\n<\/li>\n<\/ul>\n<p><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios4.jpg\"><img loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios4-300x198.jpg\" alt=\"\" width=\"200\" height=\"126\" \/><\/a><\/p>\n<p style=\"text-align: center\"><span style=\"color: #3366ff\"><strong><em>Bula encapsulada.<\/em> No disminuye con<br \/>\nel uso de antifibr\u00f3ticos solamente<\/strong><\/span><\/p>\n<p><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios5.jpg\"><img loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios5-300x190.jpg\" alt=\"\" width=\"200\" height=\"131\" \/><\/a><\/p>\n<p style=\"text-align: center\"><span style=\"color: #3366ff\"><strong><em>Maculopat\u00eda hipotonica<\/em>. M\u00e1s<br \/>\nfrecuente con el uso de antifibr\u00f3ticos<\/strong><\/span><\/p>\n<p style=\"text-align: center\"><img loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios6.jpg\" alt=\"\" width=\"200\" height=\"173\" \/><br \/>\n<span style=\"color: #3366ff\"><strong><em>Infecci\u00f3n.<\/em> M\u00e1s frecuente con<br \/>\nel uso de antifibr\u00f3ticos.<\/strong><\/span><\/p>\n<p><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios7.jpg\"><img loading=\"lazy\" class=\"aligncenter\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios7-300x187.jpg\" alt=\"\" width=\"200\" height=\"126\" \/><\/a><\/p>\n<p style=\"text-align: center\"><strong><span style=\"color: #3366ff\"><em>Esclera<\/em> antes del uso de<\/span><br \/>\n<span style=\"color: #3366ff\">Mitomicina C<\/span><\/strong><\/p>\n<p style=\"text-align: center\"><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios8.jpg\"><img loading=\"lazy\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios8-300x219.jpg\" alt=\"\" width=\"200\" height=\"143\" \/><\/a><\/p>\n<p style=\"text-align: center\"><span style=\"color: #3366ff\"><strong><em>Esclera <\/em>despu\u00e9s del uso de<br \/>\nMitomicina C<\/strong><\/span><\/p>\n<p style=\"text-align: center\"><a href=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios9.jpg\"><img loading=\"lazy\" src=\"http:\/\/blogs.sld.cu\/elierortiz\/files\/2011\/05\/refractarios9.jpg\" alt=\"\" width=\"200\" height=\"143\" \/><\/a><\/p>\n<h2><span style=\"color: #0000ff\"><em>Cuidados generales en la utilizaci\u00f3n de antimetabolitos<\/em><strong><em><br \/>\n<\/em><\/strong><\/span><\/h2>\n<ul>\n<li><span style=\"color: #3366ff\">Colgajo conjuntival de base limbo<\/span><\/li>\n<li><span style=\"color: #3366ff\">Tipo y colocaci\u00f3n de la esponja<\/span><\/li>\n<li><span style=\"color: #3366ff\">Preservaci\u00f3n de la c\u00e1psula de Tenon<\/span><\/li>\n<li><span style=\"color: #3366ff\">Integridad conjuntival<\/span><\/li>\n<li><span style=\"color: #3366ff\">Lugar de la cirug\u00eda<\/span><\/li>\n<li><span style=\"color: #3366ff\">Irrigaci\u00f3n abundante<\/span><\/li>\n<li><span style=\"color: #3366ff\">Evaluaci\u00f3n riesgo beneficio<\/span><\/li>\n<\/ul>\n<p style=\"text-align: right\"><span style=\"color: #0000ff\"><a style=\"color: #0000ff\" href=\"https:\/\/blogs.sld.cu\/elierortiz\/\">Inicio<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Esteroides t\u00f3picos Antimit\u00f3ticos &#8211; 5 Fluoracilo (5-Fu) &#8211; Mitomicina C (MMC) Fluoracilo (5-Fu) Composici\u00f3n &#8211; Pirimidina an\u00e1loga Acci\u00f3n &#8211; Competitiva de la enzima timidilata sintetasa &#8211; Interfiere con las fases de reaplicaci\u00f3n celular y la proliferaci\u00f3n fibrobl\u00e1stica. Complicaciones &#8211; Defectos corneales epiteliales &#8211; Escapes conjuntivales &#8211; Ruptura de bulas &#8211; Toxicidad epitelial corneal &#8211; Queratitis [&hellip;]<\/p>\n","protected":false},"author":127,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[12,14,31,44],"_links":{"self":[{"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/posts\/1254"}],"collection":[{"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/users\/127"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/comments?post=1254"}],"version-history":[{"count":7,"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/posts\/1254\/revisions"}],"predecessor-version":[{"id":1820,"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/posts\/1254\/revisions\/1820"}],"wp:attachment":[{"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/media?parent=1254"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/categories?post=1254"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.sld.cu\/elierortiz\/wp-json\/wp\/v2\/tags?post=1254"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}