Ciprofloxacin kapena ciprolet - ndi mankhwala ati omwe mungasankhe?

Ciprolet kapena Ciprofloxacin akuyenera kutumizidwa ndi adokotala okha. Kudzipatsa nokha mankhwala kukhala koopsa. Mankhwala onsewa ali nawo antibacterial katundu. Kusiyana pakati pawo ndi momwe mitundu yosiyanasiyana ya mabakiteriya ilili. Mankhwala sothandiza pa matenda a fungal ndi ma virus a paleponema.

Kodi amafanana chiyani?

Pali zizindikiro zofala kwambiri zamankhwala kuposa kusiyana.

Mankhwalawa ndi ofanana mu:

1. Zogwira ntchito.
2. Antibacterial katundu.
3. Kupereka mitundu.
4. Kupereka mankhwala.
5. Zolemba za ciprofloxacin.
6. Mitundu yosiyanasiyana ya ntchito.

Mankhwala onse awiriwa amaperekedwa pamaso pa matenda, kuphatikizapo oyamba.

Kuyerekeza komanso momwe amasiyana

Kuchulukitsa kwa mankhwala ayprolet ndikofunikira, chifukwa mankhwalawa amayeretsedwa kuchokera pazakudya zoyipa zambiri. Zotsatira zake, zimakhala ndi zovuta pamthupi la wodwalayo kuposa analogi yake. Mankhwalawa amapangidwa ku India. Mtengo wake umayamba kuchokera pa ma ruble 117 pamapiritsi 10. Ciprofloxacin amapangidwa ku Russia. Mtengo wake sukula ma ruble 38 pama mapiritsi 10.

Kusankha chida

Malangizo a mankhwala akusonyeza kuti phwando lawo liyenera kuyang'aniridwa ndi adokotala, popeza mankhwalawa onse ali ndi zovuta zingapo.

Mankhwala sanapatsidwe magulu a anthu awa:

• Ana osakwana zaka 18.
• Atsikana oyembekezera komanso oyembekezera.
• Anthu omwe ali ndi vuto losakhazikika lamanjenje.
• Odwala omwe aphwanya dongosolo la urogenital.

Chosankha chimangokhala madontho amaso okha, omwe amafunsidwa kwa odwala azaka 12.

Mankhwala amasinthasintha, koma sagwirizana ndi mankhwala omwe si a antiidal. Ndi munthawi yomweyo makonzedwe, kukula kwa khunyu, kukula kwa aimpso kuledzera, kupezeka kwa ululu m'mimba thirakiti ndikotheka.

Mfundo yogwira ntchito

Ciprofloxacin akulimbana kwambiri ndi tizilombo toyambitsa matenda osiyanasiyana. Zimatulutsa zochita kawiri - zimasokoneza kapangidwe ka mapuloteni m'maselo a bakiteriya ndikuletsa kubereka kwawo. Mothandizidwa ndi tizilombo toyambitsa matenda:

• Staphylococcus aureus (kuphatikizapo Staphylococcus aureus)
• Enterobacteria
• Klebsiella
• E. coli wamagulu osiyanasiyana
• Listeria
• Chlamydia
• Protea
• Beta hemolytic streptococcus.

Vutoli limakhala ndi poizoni wochepa pokhudzana ndi minyewa yathupi ndipo limagawiridwa mwachangu mwa iwo. Kuphatikizika kwa ziwalo za munthu payekha ndikokwera kwambiri kuposa zomwe zili mu seramu yamagazi. Kutsutsa komwe kumagwira ntchito kumapangidwa m'mabakiteriya pang'onopang'ono chifukwa cha kuchepa kwa michere.

Kutulutsa Fomu

Mankhwalawa amapezeka m'mitundu ingapo:

• Mapiritsi a 250 ndi 500 mg ophatikizidwa m'matumba a blister
• Njira yothetsera mtsempha wama cell a 0,2% mu 100 ml Mbale
• Diso ndi khutu zimatsika 0,3% mu botolo la 5 ml

Mankhwalawa adapangira kuti azitha kuchiza matenda opatsirana ambiri:

• Chibayo, bronchiectasis, kuwonjezereka, mapapo, mapapo
• Salmonellosis, kolera, typhoid, kamwazi
• Cholecystitis, khunyu (kuwonjezeredwa) kwa ndulu, ndowe
• Peritonitis ndi sepsis
• Adnexitis, salpingitis, endometritis, prostatitis
• Gonorrhea ndi Chlamydia
• Osteomyelitis ndi septic nyamakazi.

Amadziwikanso kuti apewe matenda a purulent ndi kutupa pambuyo pamimba.

Muzochita za ophthalmic ndi ENT, mankhwalawa amalembedwa kuti:

• Conjunctivitis, blepharitis, keratitis (kupatula viral), zilonda zam'mimba
• Kuvulala kwamaso
• Otitis externa.

Mlingo ndi njira yoyendetsera

Ndi matenda opatsirana amkati, 250-500 mg ndi mankhwala 1 mg 2 kawiri pa tsiku.Ndi zovuta za chibayo komanso njira yoopsa ya njirayo, mlingo umodzi umakulitsidwa kwa 750 mg. The pakati pakati Mlingo ndi 12 maola.

Ndi mtsempha wa intravenous, mlingo umodzi ndi 200 mg (100 ml), kuchuluka kwa mabungwe kumachitika kawiri patsiku. Mu chinzonono chachikulu, prostatitis ndi cystitis popanda zovuta, mlingo ungachepetse 100 mg (50 ml) pa jekeseni imodzi.

Ngati vuto la impso, operewera. Okalamba amachepetsa mlingo wa mankhwalawa 25-30%.

Diso lamaso ndi khutu limagwiritsidwa ntchito molingana ndi ziwembu zogwirizana ndi matenda. Ndi ma eyethalmic pathologies, madontho 1-2 amakhazikitsidwa mu gawo la conjunctival la diso lakhudzidwa maola 4 aliwonse, okhala ndi zilonda zam'mimba - ola lililonse.

Zotsatira zoyipa

Kumwa mankhwalawa kumayambitsa matenda ena omwe amachitika chifukwa cha mthupi:

• Tachycardia, arrhythmia, hypotension
• Kusanza, kusanza, kutulutsa, jaundice, necrosis ya chiwindi
• Maonekedwe amakristali amchere, maselo ofiira amwazi, mapuloteni mumkodzo, glomerulonephritis
• Khungu loyenda, photosensitivity, anaphylactic mantha
• Kuphatikizana ndi kupweteka kwa ligament, kutupa kwa tendon

Zina zoyipa zimatha kuzindikirika ngati chizindikiro cha matenda oyambitsidwa, mwachitsanzo, kutopa, kupweteka kwa mutu komanso leukocytosis ya magazi.

Ndikofunikira kusungira mapiritsi m'makatoni osatsegula popanda kuwala, kuyang'ana kutentha kwa 15 mpaka 25 ° C. Njira yothetsera kulowetsedwa, madontho amaso ndi khutu amasungidwa makabati otsekedwa kapena mufiriji kutentha kwa 2 mpaka 25 ° C. Moyo wa alumali - zaka 2-3, kutengera wopanga.

Zoyanjana pamtanda

Sitikulimbikitsidwa kuphatikiza mankhwalawa ndi mankhwala osapweteka a antiidal omwe ali pachiwopsezo chifukwa cha chiwopsezo cha kugwidwa. Kuphatikiza ndi cyclosporine, kuwopsa kwa impso kumaonekera. Maantacid okhala ndi zotumphukira za aluminiyamu ndi magnesium amachedwetsa kuyamwa kwa chinthu chogwira ntchito m'magazi kudzera m'makoma am'mimba.

Malangizo ogwiritsira ntchito Cyprolet

Ciprolet ndi antibacterial wothandizira omwe ali ndi mawonekedwe osiyanasiyana ochitapo kanthu. Kugwiritsa ntchito polimbana ndi maluwa a staphylococcal, protozoa, Klebsiella, Legionella, mitundu ina ya streptococci, proteina ndi chlamydia. Zothandiza pa bowa ndi wotumbululuka treponema. Amadziwika ndi kukana kochepa kuchokera ku mabakiteriya.

Mankhwala

Mankhwala amachititsa kuti mabakiteriya aphedwe, kuletsa kapangidwe ka mapuloteni ndi ma protein a DNA ofunikira kuti aberekane, komanso kusokoneza kukhulupirika kwa khungu la ma cell ma virus. Mankhwala osokoneza bongo omwe samayambitsa matenda, amagwira ntchito motsutsana ndi tizilombo tating'onoting'ono tambiri:

• streptococcus
• khalimotz,
• Pseudomonas aeruginosa,
• matumbo
• hemophilic bacillus,
• brucella
• legionella ndi ena ambiri.

• kutupa kwa bronchopulmonary dongosolo,
• otitis - kutupa kwa mbali iliyonse ya khutu,
• sinusitis - kutupa kwa sinus,
• matenda a kwamkodzo thirakiti
• matenda opatsirana komanso otupa a m'mimba, kuphatikizira omwe amafanidwa ndi peritonitis (kutupa kwa peritoneum),
• kutupa kwa diso ndi zopindika zake,
• sepsis (kufalikira kwa kachilomboka m'thupi lonse kudzera m'magazi),
• matenda amtundu
• bakiteriya kutupa kwa minofu ndi mafupa dongosolo,
• matenda a pakhungu,
• chinzonono - matenda opatsirana pogonana oyambitsidwa ndi chinzonono,
• njira zopatsirana ndi zotupa za kutengera kwina kulikonse motsutsana ndi maziko a kuponderezedwa kwa chitetezo chokwanira,
• kupewa matenda opatsirana pambuyo opaleshoni, kuphatikizapo ophthalmology.

Zowonjezera contraindication za ciprofloxacin

• kufanana makonzedwe a minisitati zosangalatsaidanidine,
• pseudomembranous colitis - kutupa kwamatumbo chifukwa cha bakiteriya Clostr> Zotsatira zoyipa

• matupi awo sagwirizana
• kusanza, kusanza, kusowa kudya.
• kutsegula m'mimba, kupweteka m'mimba,
• jaundice
• mutu, chizungulire,
• kukokana
• nkhawa, kuyerekezera zinthu m'maganizo, kukwiya, kusowa tulo,
• kusokoneza kwa kaonedwe kabwino ndi kununkhira,
• dzanzi m'm miyendo
• kumva ndi kuwona,
• palpit, kukomoka,
• kumva kutentha mu thupi lonse,
• kuwonongeka kwa tendon
• kuchepa kwa zomwe zili m'maselo am'magazi onse.

Ciprolet kapena Ciprofloxacin - ndibwino?

Ciprolet ndi Ciprofloxacin ndizofanizira pazomwe zimagwira ntchito, zimakhala ndi zofananira zofananira, kotero kunena molondola kuti ndi bwino mankhwalawa, iyi ndi nkhani ya kukhudzika kwaumwini.

Ciprofloxacin, mosiyana ndi Ciprolet, wavomerezedwa kuti azigwiritsidwa ntchito mwa ana azaka 5 zokhala ndi mapapo am'mimba ndi Pseudomonas aeruginosa. Pali zotsutsana zingapo pakusankhidwa kwa ciprofloxacin (pseudomembranous colitis ndi tizanidine), nthawi zambiri zimayambitsa zovuta kuposa chiprolet.

Chinthu chachikulu chomwe Ciprolet chimasiyana kwambiri ndi Ciprofloxacin ndi mtengo. Ndi okwera mtengo katatu kuwirikiza, izi zimachitika chifukwa cha wopanga: amakhulupirira kuti mankhwala a mtundu wa Dr. Ma Reddy ndi abwino komanso odalirika. Ndikosavuta kuyesa kuti izi ndi zowona bwanji, chifukwa kulibe kufananizira kwapadera kwa chiwonetsero chazomwe zimachitika ndi chitetezo cha Ciprolet ndi Ciprofloxacin.

Chimodzi mwazabwino za Tsiprolet ndi mawonekedwe ophatikiza - Tsiprolet A, omwe ali ndi antidicole wa antidicole. Izi zimakuthandizani kuti "mupewe" mitundu yayikulu yamagulu ambiri ndikupeza bwino pakulimbana ndi matenda oyambitsidwa ndi tizilombo toyambitsa matenda angapo.

Ciprolet ndi ciprofloxacin - pali kusiyana kotani?

Mankhwalawa ndi ma analogues oyumbidwa, popeza kuti palibe zosiyana m'gawo lalikulu lomwe limalimbana ndi mabakiteriya omwe amalimva. Mu ciprofloxacin ndi ciprolet, zinthu zomwe zimagwira ciprofloxacin. Ili ndi zabwino zake ndi zovuta zake poyerekeza ndi maantibayotiki ena (onani pansipa), koma mumitundu ndi mitundu yomweyo, mphamvuyo ikuyenera kukhala yofanana kwa onse mankhwalawa.

Pochita izi, sizikhala choncho nthawi zonse, popeza kuchuluka pang'ono kwa kusiyana pakukhathamira kumatengera mtundu wa zosaphika, kuyera kwa kapangidwe kazinthu zama mankhwala ndi zina zowonjezera. Zizindikirazi zili kale pa chikumbumtima cha wopanga wina, chifukwa chake, posankha, ndikofunikira kuti tisathamangitse zotsika mtengo, makamaka chifukwa kusiyana pakati pa Tsiprolet ndi ciprofloxacin zapakhomo ndizochepa kwambiri.

Tsiprolet - chopangidwa ndi kampani yopanga mankhwala ku India Dr. Reddis, yomwe imagwira ntchito yopanga zamagetsi otsika mtengo (ma analogues a mankhwala oyambira ku mabungwe akuluakulu azachipatala). Ipezeka m'mitundu itatu:

1. 250 kapena 500 mg mapiritsi
2. mabotolo okhala ndi yankho la infusions (otsikira) 2 mg / ml,
3. ndipo diso limatsika 3 mg / ml.

Cyprolet 500 mg

Pali mtundu wina wachinayi wopezeka wa Cyprolet A, pomwe 600 mg ya tinidazole (antiprotozoal othandizira), wofanana ndi metronidazole pakuchitika, amapezekanso piritsi lililonse. Amawalembera matenda osakanikirana, omwe nthawi zambiri amagonana.

Ziprofloxacin zapakhomo zimapangidwa ndi makampani angapo. Zimasiyanasiyana mu magulu othandizira mapiritsi ndi mtengo. Zopangira zazikulu zomwe zimapezeka pafupifupi m'mafakitala athu onse zalembedwa patebulopo.

"Ecocifol" 10 tabu.

Kusiyanaku kapangidwe kazinthu zothandiza kuliponso. Mwachitsanzo, Ecocifol mophatikiza imakhala ndi lactulose. Ndipo zomwe zikuyandikira kwambiri pakupanga zinthu kwa nthumwi ya India ya Ciprofloxacin-Teva, yomwe ikhoza kusankhidwa ngati pakufunika kusintha kuchokera ku Ciprolet kupita ku ciprofloxacin.

Zabwino, zoyipa ndi malingaliro ovomerezeka

Ichi ndi mankhwala amphamvu kwambiri, okhala m'gulu la fluoroquinols, a mibadwo 4.Ngakhale zili m'badwo wachiwiri, ciprofloxacin, chifukwa cha kuchuluka kwabwino kwa chitetezo ndi chitetezo, imaphatikizidwa mndandanda wazamankhwala ofunika. Izi zimachitika chifukwa cha mtengo wake wotsika, popeza mtengo umayendetsedwa ndi boma.

Mwa zabwino, kuphatikiza pamachitidwe ambiri, zotsatirazi zimatha kusiyanitsidwa:

• Kusavuta kugwiritsa ntchito - kawiri pa tsiku.
• Ubwino wa bioavailability mukamamwa mapiritsi (ngati simumamwa mkaka, onani chifukwa pansipa), komanso kudzera m'mitsempha. The bioavailability a piritsi ndi 70-80%, zomwe zikutanthauza kuti kamwa mlingo wa 500 mg amapereka plasma wozungulira chimodzimodzi monga mlingo wa 400 mg iv.
• Amamva bwino komanso amathandizira pa matenda a chibayo (chipatala) chibayo, osteomyelitis, kutentha kwa neutropenic, matenda otsekula m'mimba, matenda amtundu wa prostatitis komanso matenda amkodzo.
• Kuthekera kwabwino komanso kwapadera kolowera minyewa ya chida cha Prostate ya amuna poyerekeza ndi ma AB ena, ndikupanga ziwonetsero zambiri zakuya mkati mwake (akhoza kukhala mankhwala osankhidwa a bacterial prostatitis).
• Mankhwala othandizirana kwambiri a P. aeruginosa ndi mabakiteriya omwe amayambitsa matenda am'mapapo, khutu lakunja, thirakiti la mkodzo, kutentha ndi mabala. Ndiwoyimira wowopsa wa matenda a nosocomial, omwe ayamba kulimbana nawo kwambiri.
• Sizimapangitsa kutalikirana kwakukulu mu gawo la QT 1.
• Kupezeka ndi mtengo wotsika.

Komabe, pali zovuta, zomwe mwa izi:

• Zochita zoyipa motsutsana ndi Streptococcus pneumoniae ndizomwe zimayambitsa chibayo ndi meningitis. Kuyambira chiyambi chogwiritsa ntchito kwambiri (nthawi zambiri chosayenera), tizilombo toyambitsa matenda (Salmonella, Neisseria gonorrhoeae) aonekera. Pali chizolowezi chowonjezera kukana, makamaka, kutuluka kwa zosagwira P. aeruginosa amafotokozera kuchokera pamndandanda wazabwino pamwambapa.
• Mafuta amatha kuchepetsedwa kwambiri ndi zinthu zamkaka. Mphamvu yamkaka ndi yogurt pa bioavailability ya ciprofloxacin idaphunziridwa mwa odzipereka athanzi mu phunziroli losasinthika la crossover. Zinapezeka kuti mkaka umakhudza kwambiri kuchuluka kwa maprofloxacin m'madzi a m'magazi. Chifukwa chake osamwa mapiritsi amprofloxacin ndi mkaka mwambiri, sikulimbikitsidwa kudya zinthu zambiri zamkaka mukamalandira chithandizo.
• Zovulaza m'misempha. Achilles tendon ndiwotetezeka kwambiri, koma ma tendon ena (monga gluteus) amathanso kukhudzidwa. Nthawi zambiri, kupuma kwa tendon kumachitika pakangotha ​​nthawi yochepa ya antibayotiki, koma zizindikiro zimatha kuchitika miyezi yambiri atatha kumwa mankhwalawo. Mwa zina zomwe zili pachiwopsezo: kugwiritsa ntchito corticosteroids, hypercholesterolemia, gout, RA, ukalamba, kusinthanitsa kwa nthawi yayitali komanso kupatsirana kwa impso.
• Peripheral neuropathy (zoyipa kuchokera ku zotumphukira zamanjenje). Zizindikiro zake zimaphatikizira kupweteka, kuwotcha, kumva, kugona komanso / kapena kufooka. Zitha kukhala zoperewera pakuwunika pang'ono, kuwawa, kuwonetsa mphamvu. Ngati zizindikiro zotere zikuwoneka, ndiye kuti muyenera kusiya kumwa kuti muchepetse kusintha kwa zinthu zina zosasinthika.
• Zotsatira zoyipa zosiyanasiyana.
• Crystalluria (makhiristo mumkodzo). Zimapangitsa kupangika kwa calculi (miyala ya impso) chifukwa cha kuchuluka kwa mkodzo. Chiwopsezo chikuwonjezeka ndi kuthamanga kwa mkodzo (pH woposa 7.3) ndi Mlingo wa antibayotiki woposa 1000 mg.
• Zithunzi
• Kuchita kwambiri kwa mankhwala osokoneza bongo (mwachitsanzo, theophylline, propranolol). Ciprofloxacin imachepetsa njira yochotsa mankhwalawa kudzera mu chiwindi, chotchedwa CYP1A2. Ngati zoletsa komanso kuti mlingo wake suchepa, ndiye kuti maantibayotiki amatha kudziunjikira m'thupi mpaka kufika poopsa.
• Kuchedwa kugawanika kwa ma fractures.Kafukufuku wotsatira akuwonetsa kuti kugwiritsa ntchito ciprofloxacin pakuchira koyambirira kungasokoneze kuchira.
• Nthawi zambiri zowonongeka m'maso.

Mwachidule, tikuwunikira mfundo zazikuluzikulu zomwe sizingothandiza kudziwa zomwe zili bwino kusankha, komanso kuchititsa bwino chithandizo:

Mfundo za magwiridwe antchito a ciprofloxacin

Maziko a ciprofloxacin ndi fluoroquinolone. Mawonekedwe owonetsera pang'onopang'ono pazinthuzi ndi ochulukirapo. Zotsatira zake zidadziwika mu chithandizo cha matenda amitundu mitundu ndi madigiri azovuta.

Zinthu zomwe zimagwira ndikuwonongeka kwa mitundu yayikulu ya tizilombo toyambitsa matenda. Njira yopanga mapuloteni m'magulu a mabakiteriya imasokonekera, kufalikira kwa ma virus kumachepetsa.

Tizilombo toyambitsa matenda omwe timawopa zochita za mankhwalawa:

• khalimotz,
• enterobacterial mankhwala
• machitidwe patobgenia - Klebsiella,
• Makina ooneka ngati bakiteriya obwera chifukwa cha matumbo,
• tizilombo toyambitsa matenda a listeriosis,
• chlamydia
• Streptococcus beta hemolytic mtundu.

Fluoroquinolone ilibe poizoni wokwanira, chifukwa chake, sichimapanga malo owopsa kwa minofu ndi maselo amthupi. Kupezeka kwake m'magawo ena a thupi ndikwambiri kuposa seramu yamagazi. Mabakiteriya sangapeze chitetezo pamankhwala, alibe ma enzymes omwe amapangitsa kuti pakhale zotchinga za mankhwala.

Ciprofloxacin imapezeka m'mitundu ingapo yamankhwala, yosavuta kugwiritsa ntchito komanso yosankhidwa ndi odwala. Kutulutsa kosiyanasiyana kwa mankhwalawa: mapiritsi a mavoliyumu osiyanasiyana - 250, 500 mg mu chipolopolo ndi matuza, njira yothetsera jakisoni - mabotolo a 100 ml, ndende ya kapangidwe kake - 0,2%, akutsikira maso ndi makutu - mabotolo 5 ml, mawonekedwe a ndende - 0, 3%

Zisonyezero za madokotala kuti azisankhidwa

Chida chachipatala chapangidwa kuti chithandizire matenda opatsirana mwanjira ina.

Ciprofloxacin amachotsa zisonyezo za matenda otere:

• chibayo
• yabwino
• nsomba
• kamwazi
• zotupa zam'mimba,
• typhoid
• kolera
• peritonitis
• prostatitis
• sepsis
• yabwino
• endometritis
• chinzonono
• nyamakazi,
• osteomyelitis
• salpingitis
• cholecystitis.

Mankhwalawa adapangidwa kuti azichita bwino atatengedwa, monga prophylaxis ndi kuthamanga kwa njira zochiritsira pambuyo pakupanga kwa patali kwa dokotala. Chimodzi mwazomwe ndikuwonetsa ndikuchiritsa kwa zotupa za purulent zamkati mwa ziwalo zamkati.

Ciprofloxacin yapezeka kuti imagwiritsidwa ntchito mu ophthalmology komanso pochiza matenda a ENT.

Zimathandizanso pozindikira:

• kuvulala kwamaso
• otitis externa,
• conjunctivitis
• keratitis
• blepharitis

Kuthandizanso ngati wodwala ali ndi zilonda zam'mimba.

Mlingo wa mankhwala

Maphunzirowa amamangidwa malinga ndi mtundu wa mankhwala omwe agula:

1. Mapiritsi Pa maphunziro wamba, adokotala adzalembetsanso mtundu wa mankhwala othandizira: 250-500 mg pa gawo limodzi 2 kawiri pa tsiku. Ndi zovuta komanso mitundu yayikulu ya chibayo, mlingo umakulitsidwa mpaka 750 mg imodzi. Pakati pa kumwa mankhwalawa, gawo la maola 12 limasungidwa.
2. Yankho la jakisoni. Mlingo wa jakisoni imodzi ndi 200 mg. Gawani jakisoni awiri patsiku. Kuchepetsa Mlingo kumachitika mankhwalawa prostatitis, cystitis ndi chinzonono. Zokwanira 50 ml. Zochizira matenda a impso, mlingo umapangidwa wocheperako - 25 ml, womwewo umakhazikitsidwa kwa okalamba.
3. Madontho. Matenda a ophthalmic - mlingo wa 1-2 umatsika maola 4 aliwonse, chithandizo cha zilonda zam'mimba - patatha ola limodzi.

Mankhwala osokoneza bongo amatsogolera kuzinthu zosasangalatsa komanso kukulira vuto la wodwalayo. Munthu amamva kusanza, kuwonekera kwa gag, mutu wake ukuphulika, ndipo chisokonezo chimawonekera m'malo. Kugwiritsa ntchito molakwika mankhwalawa kumabweretsa zotsatirapo zoyipa. Zonse zimatengera umunthu ndi machitidwe a matendawa. Chimodzi mwazomwe zimadzetsa vuto lalikulu.

Zotsatira zina zosasangalatsa:

• kuwonongeka kwa mkodzo,
• kuyamwa kwa cholembera
• anaphylactic shock,
• kumvera
• zotupa za chiwindi.

Malangizo ogwiritsira ntchito Cyprolet

Ciprolet kapena Ciprofloxacin ndi nkhani yomwe dokotala angaganize. Mankhwala onse awiriwa ali ndi mphamvu ya antibacterial. Kusiyana pakukhudzana ndi mitundu ina ya mabakiteriya. Palibe zotsatira zotsutsana ndi mafangasi ndi ma virus opakidwa ndi treponema.

• matenda kupuma
• kuwonongeka kwa impso
• kuwonongeka kwa kubereka ndi ziwalo zomwe zimayendetsa mkodzo,
• matenda a peritoneum, m'mimba thirakiti,
• kuwonongeka kolumikizana
• kuwonongeka kwa mafupa
• zotupa za pakhungu
• matenda a mucous nembanemba.

Zizindikiro zogwiritsidwa ntchito

Amawerengera ngati gawo la mankhwala othandizira opatsirana matenda opatsirana:

• Njira yothandizira - mapapu, pleura, bronchi
• Impso, dongosolo loteteza khungu
• Njira yobereka
• M'mimba, m'mimba, komanso matumbo ang'onoang'ono
• Mafupa ndi mafupa
• Khungu komanso mucous nembanemba.

Mlingo ndi makonzedwe

Mlingo wothandizira amawerengedwa ndi adokotala. Mwa zotupa zambiri komanso zopatsirana zomwe zimafatsa kwambiri, 250-500 mg ndi mapiritsi 2 kawiri patsiku, chibayo, chimbudzi, pyelonephritis, cholecystitis ndi cholangitis, zomwe zimatsatana ndi zovuta - mpaka 750 mg kawiri pa tsiku. Mlingo wapamwamba kwambiri ndi 1,500 mg mu maola 24.

Kwa ambiri a pathologies, mtsempha wa magazi amapatsidwa 200 mg (100 ml) kawiri pa tsiku. Ndi njira yofatsa komanso kusowa kwa zovuta, mlingo umodzi umatha kuchepetsedwa mpaka 100 mg (50 ml).

Maso akutsikira amayikidwa 1-2 mu conjunctival sac maola 4 aliwonse kapena monga akuwonetsera.

Contraindication

Kugwiritsira ntchito mankhwalawa mkati komanso kudzera m'mitsempha kumapangidwa pakukhala ndi pakati, chiwindi komanso kulephera kwa impso, ndi mikwingwirima yapitayi, kusokonezeka kwa malingaliro, khunyu komanso syndromes yopweteka.

Mlingo ndi njira yoyendetsera

Ndi matenda opatsirana amkati, 250-500 mg ndi mankhwala 1 mg 2 kawiri pa tsiku. Ndi zovuta za chibayo komanso njira yoopsa ya njirayo, mlingo umodzi umakulitsidwa kwa 750 mg. The pakati pakati Mlingo ndi 12 maola.

Ndi mtsempha wa intravenous, mlingo umodzi ndi 200 mg (100 ml), kuchuluka kwa mabungwe kumachitika kawiri patsiku. Mu chinzonono chachikulu, prostatitis ndi cystitis popanda zovuta, mlingo ungachepetse 100 mg (50 ml) pa jekeseni imodzi.

Ngati vuto la impso, operewera. Okalamba amachepetsa mlingo wa mankhwalawa 25-30%.

Diso lamaso ndi khutu limagwiritsidwa ntchito molingana ndi ziwembu zogwirizana ndi matenda. Ndi ma eyethalmic pathologies, madontho 1-2 amakhazikitsidwa mu gawo la conjunctival la diso lakhudzidwa maola 4 aliwonse, okhala ndi zilonda zam'mimba - ola lililonse.

Zotsatira zoyipa

Kumwa mankhwalawa kumayambitsa matenda ena omwe amachitika chifukwa cha mthupi:

• Tachycardia, arrhythmia, hypotension
• Kusanza, kusanza, kutulutsa, jaundice, necrosis ya chiwindi
• Maonekedwe amakristali amchere, maselo ofiira amwazi, mapuloteni mumkodzo, glomerulonephritis
• Khungu loyenda, photosensitivity, anaphylactic mantha
• Kuphatikizana ndi kupweteka kwa ligament, kutupa kwa tendon

Zina zoyipa zimatha kuzindikirika ngati chizindikiro cha matenda oyambitsidwa, mwachitsanzo, kutopa, kupweteka kwa mutu komanso leukocytosis ya magazi.

Ndikofunikira kusungira mapiritsi m'makatoni osatsegula popanda kuwala, kuyang'ana kutentha kwa 15 mpaka 25 ° C. Njira yothetsera kulowetsedwa, madontho amaso ndi khutu amasungidwa makabati otsekedwa kapena mufiriji kutentha kwa 2 mpaka 25 ° C. Moyo wa alumali - zaka 2-3, kutengera wopanga.

Zoyanjana pamtanda

Sitikulimbikitsidwa kuphatikiza mankhwalawa ndi mankhwala osapweteka a antiidal omwe ali pachiwopsezo chifukwa cha chiwopsezo cha kugwidwa. Kuphatikiza ndi cyclosporine, kuwopsa kwa impso kumaonekera. Maantacid okhala ndi zotumphukira za aluminiyamu ndi magnesium amachedwetsa kuyamwa kwa chinthu chogwira ntchito m'magazi kudzera m'makoma am'mimba.

Bongo

Ngati mlingo wadutsa, nseru, kusanza, chizungulire, kukhumudwa kumayamba.Kuchuluka kumachotsedwa m'thupi pogwiritsa ntchito ma ufiti, monga chithandizo chamankhwala.

Malangizo ogwiritsira ntchito Cyprolet

Ciprolet ndi antibacterial wothandizira omwe ali ndi mawonekedwe osiyanasiyana ochitapo kanthu. Kugwiritsa ntchito polimbana ndi maluwa a staphylococcal, protozoa, Klebsiella, Legionella, mitundu ina ya streptococci, proteina ndi chlamydia. Zothandiza pa bowa ndi wotumbululuka treponema. Amadziwika ndi kukana kochepa kuchokera ku mabakiteriya.

Kutulutsa Fomu

Ipezeka ngati:

• Mapiritsi 250 ndi 500 mg aliyense, 10 pamimba
• Yankho la kulowetsedwa, mu 100 ml - 200 mg yogwira ntchito, mu 100 ml mbale
• Diso limatsika ndi kuchuluka kwa 0,3% mu 5 ml wa botolo lomwe limapereka.

Chofunikira chachikulu pa mankhwalawa ndi chiprofloxacin.

Zizindikiro zogwiritsidwa ntchito

Amawerengera ngati gawo la mankhwala othandizira opatsirana matenda opatsirana:

• Njira yothandizira - mapapu, pleura, bronchi
• Impso, dongosolo loteteza khungu
• Njira yobereka
• M'mimba, m'mimba, komanso matumbo ang'onoang'ono
• Mafupa ndi mafupa
• Khungu komanso mucous nembanemba.

Mlingo ndi makonzedwe

Mlingo wothandizira amawerengedwa ndi adokotala. Mwa zotupa zambiri komanso zopatsirana zomwe zimafatsa kwambiri, 250-500 mg ndi mapiritsi 2 kawiri patsiku, chibayo, chimbudzi, pyelonephritis, cholecystitis ndi cholangitis, zomwe zimatsatana ndi zovuta - mpaka 750 mg kawiri pa tsiku. Mlingo wapamwamba kwambiri ndi 1,500 mg mu maola 24.

Kwa ambiri a pathologies, mtsempha wa magazi amapatsidwa 200 mg (100 ml) kawiri pa tsiku. Ndi njira yofatsa komanso kusowa kwa zovuta, mlingo umodzi umatha kuchepetsedwa mpaka 100 mg (50 ml).

Maso akutsikira amayikidwa 1-2 mu conjunctival sac maola 4 aliwonse kapena monga akuwonetsera.

Zotsatira zoyipa

Mankhwalawa amavomerezedwa bwino ndi odwala kuposa ma analogu ena, chifukwa cha mtundu wa kuyeretsa kuchokera ku zosayera. Koma nthawi zina, kuwonongeka kotereku kumatheka:

• Chizungulire, kugunda kwamantha, kunjenjemera kwa miyendo
• Photosensitivity, zotupa pakhungu, kawirikawiri - edema ya Quincke ndi kuwopsa kwa anaphylactic
• Kupweteka kwam'mimba, kukulira chiwindi, khungu la pakhungu, mseru komanso kusanza
• Glomerulonephritis, mawonekedwe a mkodzo wa maselo ofiira amwazi ndi makhiristo amchere
• Zosokoneza zowonekera, kuyerekezera zinthu zina, kukhumudwa.

Contraindication

Sindikulimbikitsidwa kugwiritsa ntchito mankhwalawa mu mtundu uliwonse wa Mlingo wa pakati, poyamwitsa, kuchepa kwa magazi ku ziwalo, aimpso, kuperewera kwa chiwindi, ndi mavuto amisala. Osagawidwa kwa anthu osakwana zaka 18.

Zomwe zili bwino - Ciprofloxacin kapena Ciprolet

Poyerekeza mankhwalawa, mutha kusankha kuti ndi iti yomwe ingakhale yabwino kwambiri poyerekeza ndi achire.

Mankhwala onse awiriwa amakhazikika pazinthu zomwe zimagwira ntchito ndi antibacterial zotsatira zosiyanasiyana. Chifukwa chake, mankhwalawa amodzi a mankhwalawa amatha kusintha ena.

Gwiritsani ntchito kwa ana

Misozi imagonedwa kwa ana osakwana zaka 12. Kugwiritsa ntchito kwina kulikonse kwa chifanizo ndi mkodzo sikulimbikitsidwa mpaka zaka 16 chifukwa cha chiwopsezo cha zotsatira zoyipa - kufooka kwa matenda a cartilage. Lingaliro lomaliza pa kuthekera kogwiritsa ntchito komanso kuchuluka kwa mankhwalawa limapangidwa ndi adokotala okha.

Pharmacology

Mankhwala oteteza antibacterial ochulukirapo kuchokera pagulu la fluoroquinolones. Ndi bactericidal. Mankhwalawa amalepheretsa puloteni ya puloteni ya DNA gyrase, chifukwa chomwe kubwereza kwa DNA ndi kapangidwe ka mapuloteni am'mabakiteriya amasokonezeka. Ciprofloxacin imagwira ntchito pa zochulukitsa zonse za tizilombo ndi zomwe zili m'mbali.

Mabakiteriya a grob-aerobic atengeka mosavuta ku chiprofloxacin: Escherichia coli, Salmonella spp., Shigella spp., Citrobacter spp., Klebsiella spp., Enterobacter spp. .. morganii, Vibrio spp, Yersinia spp, ena galamu alibe mabakiteriya: Haemophilus spp, Pseudomonas aeruginosa, Moraxella catarrhalis, Aeromonas spp, Pasteurella multocida, Plesiomonas shigelloides, Campylobacter jejuni, Neisseria spp, ena tizilombo toyambitsa matenda okhudza maselo ambiri: ... Legionella pneumophila, Brucella spp ., Chlamydia trachomatis, Listeria monocytogenes, Mycobacterium tuberculosis, Mycobacterium kansasii, Mycobacterium avium-intracellulare.

Mabakiteriya a grob-aerobic amakhudzidwanso kwambiri ndi ciprofloxacin: Staphylococcus spp. (S.aureus, S.haemolyticus, S.hominis, S.saprophyticus), Streptococcus spp. (St. pyogenes, St. agalactiae). Ma staphylococci ambiri okhala ndi methicillin amagwiritsidwanso ntchito ndi ciprofloxacin.

Kuzindikira kwa mabakiteriya Streptococcus pneumoniae, Enterococcus faecalis ndiwofatsa.

Corynebacterium spp., Bacteroides fragilis, Pseudomonas cepacia, Pseudomonas maltophilia, Ureaplasma urealyticum, Clostridium Hardile, Nocardia asteroides amalimbana ndi mankhwalawa. Zotsatira za mankhwalawa pa Treponema pallidum sizimamveka bwino.

Pharmacokinetics

Ukamwa pakamwa, ciprofloxacin imatengeka mwachangu m'mimba. The bioavailability wa mankhwalawa ndi 50-85%. C max wa mankhwala omwe ali mu seramu yamagazi odzipereka athanzi pambuyo pakudya) pamankhwala a 250, 500, 750 ndi 1000 mg pambuyo pa maola 1-1,5 ndipo ndi 1.2, 2.4, 4.3 ndi 5.4 μg / ml, motsatana.

Orphorloxacin omwe amatengedwa pakamwa amagawidwa m'matipi ndi zithupi zamthupi. Kuzama kwa mankhwalawa kumawonedwa mu bile, mapapu, impso, chiwindi, chikhodzodzo, chiberekero, madzimadzi am'mimba, minofu ya prostate, ma toni, endometrium, machubu a fallopian ndi thumba losunga mazira. Kuphatikizika kwa mankhwalawa m'matimu awa ndiwokwera kuposa seramu. Ciprofloxacin imalowanso m'mafupa, madzi ammaso, khungu la bronchi, malovu, khungu, minofu, pleura, peritoneum, ndi mwanabele.

Kuphatikizika kwa kuchuluka kwa ciprofloxacin mu neutrophils yamagazi ndikwambiri nthawi 2-7 kuposa seramu.

V d m'thupi ndi 2-3.5 l / kg. Mankhwalawa amalowa m'magazi a cerebrospinal pang'ono, momwe amachepera 6-10% ya seramu.

Mlingo womangidwa wa ciprofloxacin wokhala ndi mapuloteni a plasma ndi 30%.

Odwala omwe sanasinthidwe aimpso, T 1/2 nthawi zambiri ndi maola 3-5. Njira yayikulu yothetsera ciprofloxacin kuchokera mthupi kudzera mu impso. Ndi mkodzo, 50-70% imachotsedwa. Kuyambira 15 mpaka 30% amachotsera ndowe.

Ndi vuto laimpso, T 1/2 imachulukana.

Odwala omwe ali ndi vuto lalikulu la impso (CC pansi 20 ml / mphindi / 1.73 m2) ayenera kuikidwa theka la tsiku la mankhwala.

Kuchita

Pogwiritsa ntchito munthawi yomweyo Ciprolet ndi didanosine, kuyamwa kwa ciprofloxacin kumachepetsedwa chifukwa cha mapangidwe apangidwe a ciprofloxacin okhala ndi zotayidwa ndi mchere wa magnesium womwe umapezeka mu didanosine.

Kukhazikitsidwa munthawi yomweyo kwa Ciprolet ndi theophylline kungayambitse kuchuluka kwa theophylline m'magazi am'magazi chifukwa cha kuletsa mpikisano kumalo am'magawo a cytochrome P450, zomwe zimapangitsa kuchuluka kwa T 1/2 ya theophylline ndi chiwopsezo chowonjezeka chowopsa chokhudzana ndi theophylline.

Kukhazikitsidwa munthawi yomweyo kwa ma antacid, komanso mankhwala okhala ndi aluminium, zinc, iron kapena magnesium ion, kungayambitse kuchepa kwa mayankho a ciprofloxacin, kotero, pakati pakukhazikitsidwa kwa mankhwalawa kuyenera kukhala osachepera maola 4.

Pogwiritsa ntchito munthawi yomweyo Ciprolet ndi anticoagulants, nthawi yakutuluka magazi imakulanso.

Pogwiritsa ntchito munthawi yomweyo Ciprolet ndi cyclosporine, mphamvu ya nephrotoxic yotsiriza imalimbikitsidwa.

Zotsatira zoyipa

Kuchokera pamimba: kukhumudwa, kutsegula m'mimba, kusanza, kupweteka kwam'mimba, bata, matenda a anorexia, cholestatic jaundice (makamaka odwala omwe ali ndi matenda am'mbuyomu), hepatitis, hepatonecrosis, kuchuluka kwa hepatic transaminases ndi alkaline phosphatase.

Kuchokera kumanjenje: chizungulire, kupweteka mutu, kutopa, nkhawa, kugwedezeka, kusowa tulo, zovuta zam'mimba, zotumphukira paralgesia (anomaly mu malingaliro a kupweteka), thukuta, kuchuluka kwazovuta zam'mimba, nkhawa, chisokonezo, kukhumudwa, kuyerekezera zinthu, komanso mawonekedwe ena. psychotic zimachitika (nthawi zina kupita kumalo kumene wodwala amadzivulaza), migraine, kukomoka, matenda amitsempha yamagazi.

Mbali ya ziwalo zam'maganizo: Kulawa ndi kununkhika, kuwonongeka kwa mawonekedwe (diplopia, kusintha kwa mawonekedwe amtundu), tinnitus, kumva.

Kuchokera pamtima dongosolo: tachycardia, mtima arrhythmias, kutsika magazi, kuthina kwa nkhope.

Kuchokera pa hemopoietic dongosolo: leukopenia, granulocytopenia, kuchepa magazi, thrombocytopenia, leukocytosis, thrombocytosis, hemolytic anemia.

Mbali ya labotale magawo: hypoprothrombinemia, hypercreatininemia, hyperbilirubinemia, hyperglycemia.

Kuchokera kwamikodzo dongosolo: hematuria, crystalluria (makamaka ndi mkodzo wa zamchere ndi kuchepa kwapafupipafupi), glomerulonephritis, dysuria, polyuria, kuchepa kwamikodzo, albuminuria, kutaya magazi mu urethral, ​​hematuria, kuchepa kwa impso ya minyewa ya m'mimba, kuchepa kwa pakati.

Thupi lawo siligwirizana: pruritus, urticaria, mapangidwe amtundu limodzi ndi magazi, ndi timinofu tating'onoting'ono tomwe timapanga khungu, kutentha kwa magazi, kutuluka kwam'mimba (petechiae). , Stevens-Johnson syndrome (erythema yolakwika), eproscyal necrolysis yoopsa (matenda a Lyell).

Kuchokera kwamankhwala amisempha: arthralgia, nyamakazi, tendovaginitis, kupindika kwa tendon, myalgia.

Zina: kufooka wamba, superinfection (candidiasis, pseudomembranous colitis).

Matenda opatsirana komanso otupa omwe amayambitsidwa ndi tizilombo tating'onoting'ono ta ciprofloxacin, kuphatikizapo:

• matenda kupuma thirakiti
• Matenda a ENT
• matenda a impso ndi kwamkodzo
• matenda amtundu
• matenda am'mimba thirakiti (kuphatikizapo mkamwa, mano, nsagwada),
• matenda a gallbladder ndi biliary thirakiti,
• matenda a pakhungu, mucous nembanemba
• matenda a musculoskeletal,
• sepsis
• peritonitis.

Kupewa komanso kuchiza matenda kwa odwala omwe ali ndi chitetezo chokwanira (mankhwalawa a immunosuppressants).

Malangizo apadera

Odwala omwe ali ndi khunyu, mbiri ya kukomoka, matenda am'mitsempha komanso kuwonongeka kwa ubongo chifukwa cha chiwopsezo cha mavuto obwera kuchokera ku dongosolo lapakati lamanjenje Tsiprolet ® amayenera kulembedwa pokhapokha chifukwa cha thanzi.

Ngati kutsegula kwambiri kwa nthawi yayitali kumachitika pakatha kapena chithandizo cha Ciprolet, matenda a pseudomembranous colitis sayenera kuyikidwa kunja, omwe amafunikira kusiya mankhwalawa mwachangu ndikukhazikitsidwa kwa chithandizo choyenera.

Ngati pali zowawa m'misempha kapena ngati zizindikiro zoyambirira za tenosynovitis zikuwoneka, chithandizo chiyenera kusiyidwa chifukwa chakuti milandu yokhayokha yotupa komanso kupasuka kwa tendons munthawi ya chithandizo ndi fluoroquinolones afotokozedwa.

Mankhwalawa ndi Ciprolet ndikofunikira kuti mupereke madzi okwanira kwinaku mukumayang'ana modabwitsa.

Mankhwalawa ndi Ciprolet, kulumikizana ndi dzuwa mwachindunji kuyenera kupewedwa.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Odwala omwe akutenga Ciprolet ® ayenera kusamala poyendetsa galimoto ndikuchita zina zomwe zingakhale zovulaza zomwe zimafuna chidwi chochulukirapo komanso kuthamanga kwa zochitika zama psychomotor (makamaka ndikumwa mowa).

Amapereka ndemanga kuchokera kwa alendo omwe amabwera patsamba lino - ogwiritsa ntchito mankhwalawa, komanso malingaliro a akatswiri azachipatala pakugwiritsa ntchito Ciprolet pochita zawo. Chopempha chachikulu ndikuti muwonjezere ndemanga zanu za mankhwalawa: mankhwalawo adathandizira kapena sanathandizire kuchotsa matendawa, ndizovuta ziti zomwe zimawoneka ndi zotsatirapo zake, mwina sizinalengezedwe ndi wopanga. Analogs a Tsiprolet pamaso pazochitika zopanga mawonekedwe. Gwiritsani ntchito mankhwalawa a tonsillitis, sinusitis, cystitis ndi matenda ena opatsirana akuluakulu, ana, komanso panthawi yoyembekezera komanso mkaka wa m`mawere.

Ciprolet ndi mankhwala ochepetsa mphamvu ya antibacterial ochokera pagulu la fluoroquinolones. Ndi bactericidal. Mankhwalawa amalepheretsa puloteni ya puloteni ya DNA gyrase, chifukwa chomwe kubwereza kwa DNA ndi kapangidwe ka mapuloteni am'mabakiteriya amasokonezeka. Ciprofloxacin (mankhwala omwe amagwiritsidwa ntchito ndi mankhwala a Ciprolet) amagwira ntchito mochulukitsa tizilombo tating'onoting'ono tomwe timatulutsa.

Mabakiteriya a gramu-gramu-gramu-gram-virus komanso ma patracellular tizilombo toyambitsa matenda amatha chidwi ndi ciprofloxacin: Legionella pneumophila, Brucella spp. Ma staphylococci ambiri okhala ndi methicillin amagwiritsidwanso ntchito ndi ciprofloxacin.

Kuzindikira kwa mabakiteriya Streptococcus pneumoniae, Enterococcus faecalis ndiwofatsa.

Corynebacterium spp., Bacteroides fragilis, Pseudomonas cepacia, Pseudomonas maltophilia, Ureaplasma urealyticum, Clostridium Hardile, Nocardia asteroides amalimbana ndi mankhwalawa. Zotsatira za mankhwalawa pa Treponema pallidum sizimamveka bwino.

Ukamamwa pakamwa, Ciprolet imatengedwa mwachangu kuchokera mumimba. Orphorloxacin omwe amatengedwa pakamwa amagawidwa m'matipi ndi zithupi zamthupi. Kuzama kwa mankhwalawa kumawonedwa mu bile, mapapu, impso, chiwindi, chikhodzodzo, chiberekero, madzimadzi am'mimba, minofu ya prostate, ma toni, endometrium, machubu a fallopian ndi thumba losunga mazira. Kuphatikizika kwa mankhwalawa m'matimu awa ndiwokwera kuposa seramu. Ciprofloxacin imalowanso m'mafupa, madzi ammaso, khungu la bronchi, malovu, khungu, minofu, pleura, peritoneum, ndi mwanabele. Mankhwalawa amalowa m'magazi a cerebrospinal pang'ono, momwe amachepera 6-10% ya seramu.

Njira yayikulu yothetsera ciprofloxacin kuchokera mthupi kudzera mu impso. Ndi mkodzo, 50-70% imachotsedwa. Kuyambira 15 mpaka 30% amachotsera ndowe.

Matenda osakanikirana obwera chifukwa cha gram-positive ndi gram-tizilombo tosiyanasiyana, poyanjana ndi anaerobic tizilombo ndi / kapena protozoa:

• kupuma thirakiti matenda (pachimake bronchitis, bronchitis aakulu pachimake siteji, chibayo, bronchiectasis),
• matenda a ziwalo za ENT (otitis media, sinusitis, frontal sinusitis, sinusitis, mastoiditis, tonsillitis, pharyngitis),
• matenda am`kamwa (pachimake ulcerative gingivitis, periodontitis, periostitis),
• matenda a impso ndi kwamikodzo thirakiti (cystitis, pyelonephritis),
• matenda a ziwalo zamkati ndi kumaliseche (prostatitis, adnexitis, salpingitis, oophoritis, endometritis, tubular abscess, pelvioperitonitis),
• matenda amkati mwa m'mimba (matenda am'mimba, thirakiti lochulukirapo, zotupa zamkati),
• matenda a pakhungu ndi zofewa:
• matenda am'mafupa ndi mafupa (osteomyelitis, septic nyamakazi),
• matenda opatsirana.

250 mg ndi mapilogalamu 500 okhala ndi mafilimu.

Diso limatsika 3 mg / ml.

Njira yothetsera kulowetsedwa (jakisoni mumapakisoni a jekeseni) 2 mg / ml.

Mapiritsi okhala ndi filimu okhala Tsiprolet A.

Malangizo ogwiritsira ntchito ndi mlingo

Mlingo wa Ciprolet umatengera kuuma kwa matendawa, mtundu wa matenda, momwe thupi, zaka, kulemera kwa thupi ndi ntchito ya impso.

Mu zovuta matenda a impso ndi kwamikodzo, 250 mg 2 kawiri pa tsiku zotchulidwa, ndipo milandu milandu, 500 mg 2 kawiri pa tsiku.

Matenda a m'munsi kupuma thirakiti zolimbitsa mwamphamvu - 250 mg 2 pa tsiku, ndi milandu milandu - 500 mg 2 kawiri pa tsiku.

Ngati matenda a gynecological, enteritis ndi colitis ndi koopsa ndi kutentha thupi, prostatitis, osteomyelitis, 500 mg 2 pa tsiku mankhwala (mankhwalawa a matenda otseguka m'mimba, mutha kugwiritsa ntchito mlingo wa 250 mg kawiri pa tsiku).

Mapiritsi amayenera kumwedwa pamimba yopanda kanthu, kutsukidwa ndi madzi okwanira.

Kutalika kwa mankhwalawa kumatengera kuopsa kwa matendawa, koma chithandizo chiyenera kupitilira kwa masiku osachepera awiri atatha kuonekera kwa matendawa. Nthawi zambiri, nthawi ya chithandizo ndi masiku 7 mpaka 7.

Mankhwalawa amayenera kuperekedwa kudzera mu mtsempha wa magazi kwa mphindi 30 (200 mg) ndi mphindi 60 (400 mg). Njira yothetsera imayenderana ndi 0.9% sodium chloride solution, yankho la Ringer, 5% ndi 10% dextrose solution, 10% yankho la fructose, komanso yankho lomwe lili ndi 5% dextrose yankho ndi 0,2525% kapena 0,45% sodium chloride solution.

Mlingo wa Ciprolet umatengera kuuma kwa matendawa, mtundu wa matenda, mkhalidwe wamthupi, zaka, kulemera kwa thupi ndi ntchito ya impso mwa wodwalayo.

Mlingo umodzi, pafupifupi, ndi 200 mg (wokhala ndi matenda opatsirana kwambiri), pafupipafupi oyendetsera - 2 kawiri pa tsiku. Kutalika kwa mankhwalawa kumatengera kuopsa kwa matendawa ndipo ndi milungu iwiri, ngati pakufunika kutero, pakhale nthawi yayitali kuti mankhwalawa athe.

Mu chinzonono cha mphuno, mankhwalawa amamuika kamodzi pa mlingo wa 100 mg.

Pofuna kupewa matenda a postoperative, Zamin amathandizidwa pamaso pa opaleshoni ya dosemg.

• kusanza, kusanza,
• kutsegula m'mimba
• kupweteka m'mimba
• chisangalalo
• kukomoka
• chizungulire
• mutu
• kutopa,
• nkhawa
• kunjenjemera
• kusowa tulo
• zolota
• zotumphukira paralgesia (anomaly mu malingaliro a kupweteka),
• thukuta
• kuchuluka kwazovuta zamkati,
• nkhawa
• chisokonezo,
• kukhumudwa
• kuyerekezera
• migraine
• kukomoka
• kuphwanya kukoma ndi kununkhira,
• kuwonongeka kwa mawonekedwe (diplopia, kusintha kwamitundu),
• tinnitus
• kusamva
• tachycardia
• kutentha kwa mtima
• kutsika kwa magazi,
• leukopenia, granulocytopenia, kuchepa magazi, thrombocytopenia, leukocytosis, thrombocytosis, hemolytic anemia,
• hematuria (magazi mkodzo),
• glomerulonephritis,
• kusungika kwamikodzo
• Khungu
• urticaria
• point hemorrhages (petechiae),
• kupuma movutikira
• vasculitis
• erythema nodosum,
• arthralgia
• nyamakazi
• tenosynovitis,
• kupindika kwa tendon,
• kufooka wamba
• michere (candidiasis, pseudomembranous colitis),
• kupweteka ndi kuwotcha pamalo a jekeseni.

• pseudomembranous colitis,
• shuga-6-phosphate dehydrogenase akusowa,
• mimba
• mkaka wa m'mawere (yoyamwitsa),
• ana ndi achinyamata osakwana zaka 18 (mpaka kumaliza kupanga mafupa),
• Hypersensitivity kwa ciprofloxacin kapena mankhwala ena kuchokera pagulu la fluoroquinolones.

Mimba komanso kuyamwa

Mankhwala contraindicated mu mimba ndi mkaka wa m`mawere.

Ngati kutsegula kwambiri kwa nthawi yayitali kumachitika pakatha kapena chithandizo cha Ciprolet, matenda a pseudomembranous colitis sayenera kuyikidwa kunja, omwe amafunikira kusiya mankhwalawa mwachangu ndikukhazikitsidwa kwa chithandizo choyenera.

Ngati mukumva kupweteka m'misempha kapena ngati zizindikiro zoyambirira za tendovaginitis zikuoneka, chithandizo chikuyenera kutha.

Mankhwalawa ndi Ciprolet ndikofunikira kuti mupereke madzi okwanira kwinaku mukumayang'ana modabwitsa.

Mankhwalawa ndi Ciprolet, kulumikizana ndi dzuwa mwachindunji kuyenera kupewedwa.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Odwala omwe akutenga Ciprolet ayenera kusamala poyendetsa galimoto ndikuchita zina zomwe zingakhale zowopsa zomwe zimafuna kuwonjezeredwa chidwi komanso kuthamanga kwa zochitika zama psychomotor (makamaka ndi kumwa nthawi yomweyo).

Chifukwa kuchepa kwa ntchito ya microsomal oxidation njira mu hepatocytes, imawonjezera ndende ndikuyamba T1 / 2 ya theophylline (ndi ena xanthines, mwachitsanzo, caffeine), mankhwala a m'kamwa a hypoglycemic, anticoagulants, ndikuthandizira kuchepetsa prothrombin index.

Mankhwala osapatsirana omwe amaletsa kutupa (kuphatikiza acetylsalicylic acid) amawonjezera chiopsezo cha kugwidwa.

Metoclopramide imathandizira kuyamwa kwa ciprofloxacin, yomwe imayambitsa kuchepa kwa nthawi yomwe imafika ku Cmax.

Kuphatikiza kwa uricosuric mankhwala kumabweretsa kutsika pakuchotsa (mpaka 50%) ndikuwonjezeka kwa plasma ndende ya ciprofloxacin.

Kuphatikizidwa ndi ma antimicrobials (beta-lactams, aminoglycosides, clindamycin, metronidazole), synergism nthawi zambiri imawonedwa, ingagwiritsidwe ntchito bwino limodzi ndi azlocillin ndi ceftazidime pa matenda oyambitsidwa ndi Pseudomonas spp., Ndi meslocillin, azlocillin ndi mankhwala ena a beta-lactam Matenda a streptococcal, omwe ali ndi isoxazolylpenicillins ndi vancomycin - omwe ali ndi matenda a staphylococcal, omwe ali ndi metronidazole ndi clindamycin - omwe ali ndi matenda a anaerobic.

Ikulimbikitsa nephrotoxic zotsatira za cyclosporine, kuchuluka kwa serum creatinine kumadziwika, chifukwa chake, mwa odwala, kuwongolera kwa chizindikirochi 2 pa sabata ndikofunikira.

Nthawi yomweyo, imakulitsa mphamvu ya anticoagulants osadziwika.

Njira yothetsera imayenderana ndi mankhwala ndipo singagwirizane ndi mayankho onse okonzekera komanso kukonzekera komwe kumakhala kosakhazikika mwanjira ya acidic (pH ya kulowetsedwa kwa ciprofloxacin ndi 3.5-4.6).

Mndandanda wa mankhwala Ciprolet

Zofanana muzochitika zamagulu:

Tsiprolet 500 mg - malangizo ogwiritsira ntchito, mtengo, ndemanga, analogi

Matenda a urogenital

Matenda opatsirana a ndulu ndi ndulu za ndulu,

Matenda a pakhungu ndi minofu yofewa,

Matenda opatsirana amafupa kapena mafupa,

Campylobacteriosis, shigellosis, kutsekula m'mimba,

Chitetezo chochepa (pochiza ndi kupewa matenda opatsirana),

Kusankha matumbo decontamination ndi kuchepetsedwa chitetezo chokwanira,

Pulmonary mawonekedwe a anthrax zilonda (zochizira ndi kupewa).

Zoyipeza za Cyprolet

Analogue ndiyotsika mtengo kuchokera ku ma ruble 39.

Wopanga: Ozone LLC (Russia)

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 11.

Wopanga: Krka (Slovenia)

• Mapiritsi a 250 mg 10 ma PC, mtengo kuchokera ku ma ruble 67
• 500 mg mapiritsi 10 ma PC, mtengo kuchokera pa ma ruble 118

Mitengo ya Ciprinol m'mafakitale opezeka pa intaneti

Analogue ndiokwera mtengo kwambiri kuyambira ma ruble 193.

Wopanga: Bayer Pharma AG (Germany)

• Mapiritsi a 250 mg Ma PC 10, mtengo kuchokera ku ma ruble 249
• 500 mg mapiritsi 10 ma PC, mtengo kuchokera pa ma ruble 366

Mitengo ya Tsiprobay m'mafakitale apulaneti

Chonde ndikuuzeni, ndipo Tsifran ndi analogue a mankhwalawa.

Zofananira zonse 22 za ciprolet zamitengo ndi zambiri

Ciprolet ndi mankhwala antimicrobial, omwe ndi othandizira omwe amapanga chiprofloxacin. Ciprofloxacin ndi mankhwala a fluoroquinolone a m'badwo wachiwiri omwe ali ndi bactericidal. Zimakhudza ma enzymes a isomerization, omwe amatsogolera pakulepheretsa ntchito yakubereka ya DNA tating'onoting'ono, ndipo timayambitsa kusintha kwa morphological mu membrane ndi khoma la maselo.

Ureaplasma ureality, streptococcus, pseudomonas ndi clostridium zovuta sizigwirizana ndi zochita za antiotic. Mankhwala samakhudza oimira microflora yaumwini ndi matumbo.

Cyprolet imatengedwa bwino, bioavailability ndi 80 peresenti. Kuchuluka kwa plasma concentration (Cmax) kumafika pafupifupi ola limodzi ndi theka. T1 / 2 ndi maola atatu kapena asanu. Ciprolet imapangidwa ku India ndi DR. REDDY`S LABORATORies, amagwiritsidwa ntchito kwambiri m'magulu osiyanasiyana azachipatala: otolaryngology, pulmonology, mano, dermatology, urology, ophthalmology, nephrology, gastroenterology.

Maantibayotiki amapezeka mu mawonekedwe a mapiritsi: Ciprolet 250 ili ndi 250 mg ya ciprofloxacin, ndipo Ciprolet 500 ili ndi 500 mg.

Mitundu yotsika mtengo ya ciprolet

Ciproloxacin AKOS - zotumphukira za fluoroquinolone, zimapezeka ngati mawonekedwe amaso. Zimasokoneza kaphatikizidwe ka DNA, kamene kamayambitsa kukhudzidwa ndikuchotsa pathogen. Osavomerezeka chifukwa cha keratitis ya etiology yovomerezeka. Mukatenga, kuyabwa, kuwotcha, Photophobia, kuchepa kwakanthawi kwakanthawi kwamaso acuity ndikotheka.

Vero-ciprofloxacin imaphwanya kukhazikika kwa zimitsempha za khungu la bakiteriya. Amagwiritsidwa ntchito matenda a pakhungu ndi minofu yofewa, ziwalo za ENT, ziwalo zam'mimba, impso, impso, kwamkodzo thirakiti ndi ziwalo za m'chiuno. Amawerengera zotupa zapakhungu zomwe zimayambika kumbuyo kwa kumwa mankhwala a immunosuppress omwe amagwiritsidwa ntchito popanga chitetezo chokwanira. Zotsatira zoyipa zimaphatikizapo kutsekula m'mimba, kusokonezeka kwa kugona, kuda nkhawa, kukhumudwa, kutupa kwa agranulocytosis, thrombocytopenia, ndi kutupa kwa nkhope.

Quintor ndi mankhwala amphamvu omwe zosakaniza zake zapamwamba ndi ciprofloxacin. Mothandizidwa ndi Quintor, momwe ma protein amafanana ndi kusintha kwa tizilombo toyambitsa matenda komanso kuwonjezeka kwa kuchuluka kwa mabakiteriya. Mankhwala olimbana ndi mankhwalawo amagwira ntchito motsutsana ndi ma gram-tizilombo tosiyanasiyana mu gawo lililonse ndi mabakiteriya a gramu + omwe ali pakapanikizidwe.Mankhwala a antimicrobial amagwiritsidwa ntchito pochiza matenda a peritonitis, typhoid fever, phlegmon, osteomyelitis. Quintor imapangidwira matenda omwe amapanga motsutsana ndi maziko a kusokonezeka kwa chitetezo chachilengedwe.

Quinolones Wachiwiri Wachiwiri

Quinolones agawika m'mibadwo 4:

• osasinthika
• gram alibe
• kupuma
• kupuma + antianerobic.

Zomwe zimagwiritsidwa ntchito kwambiri pazochita zamankhwala ndi ma quinolones a m'badwo wachiwiri, kapena gram-negative.

Ciloxane ndi mankhwala omwe ali ndi bactericidal. Madontho amathandiza kuthetsa matenda omwe amayamba chifukwa cha gramu + ndi gram, komanso ma aerobes ndi anaerobes. Zotsatira za ciloxane zimagwirizana ndi maltophilia stenotrophomonas ndi fragmentoid bacteroids. Kutsutsana ndi mtanda ndi antibacterial mankhwala a magulu ena sikunapezeke.

Ciloxane amaloledwa bwino ndi odwala. Zosafunika mankhwala pambuyo kumwa mankhwala safuna apadera.

Ecocifol (ciprofloxacin) ndi zotumphukira za quinolone. Ikamamwa pakamwa, imamwa kuchokera m'mimba. Bioavailability kuyambira 50 mpaka 80 peresenti. Cmax imafika mphindi. Zotsatira zoyipa zimachitika kuchokera m'matumbo am'mimba, chapakati chamanjenje, mafupa am'mimba, hematopoietic system. Maantibayotiki amathandizira kuti khungu lizimva kutentha kwa dzuwa.

Lomefloxacin ali ndi zochita zotsika kwambiri za antimicrobial poyerekeza ndi ena oimira gulu la fluoroquinolone. Pafupifupi sizinachite chilichonse pa Streptococcus pneumoniae ndi Pseudomonas aeruginosa. Lomefloxacin amapezeka kwambiri, ndipo amafikira 100 peresenti. Kuchotsa theka-moyo kumapangitsa pafupifupi maola asanu ndi awiri. L - n akusonyeza matenda am'munsi kupuma ndi kwamikodzo thirakiti. Mu Russian Federation imagwiritsidwa ntchito ngati gawo la zovuta zochizira chifuwa chachikulu.

Norfloxacin amapanga kukhathamiritsa kwakukulu m'matumbo am'mimba komanso kwamikodzo. Digestibility ifika 70 peresenti. Wachilengedwe theka moyo ndi maola anayi. Norfloxacin imagwira ntchito pa matenda a prostatitis, salmonellosis, shigellosis ndi chinzonono. Choprolet 500 wolowa m'malo amatengedwa ola limodzi asanadye kapena maola awiri chakudya chatha.

Ofloxacin ali ndi mabakiteriya ochulukirapo kwambiri pakati pa gram-negative quinols poyerekeza ndi Streptococcus pneumoniae ndi Chlamydia. Pafupifupi adsorbed m'mimba thirakiti. Ofloxacin ndi 100% bioavava. Amalembera matenda am'mimba ndi ziwalo zam'mimba.

Pefloxacin amalowa mu zotchinga magazi ndi ubongo kuposa ma fluoroquinolones ena. Kutenga Pefloxacin kuli ndi kutupa ndi kuwonongeka kwa tendons. Kuchotsa theka-moyo ndi maola. The bioavailability wa mankhwala osokoneza bongo popanda kudya. Mankhwala amapatsidwa matenda a pakhungu la minofu, minofu ndi mafupa. Analog ya Ciprolet imapezeka mu mapiritsi ndi ma ampoules.

Fluoroquinolones mu ophthalmic machitidwe

Tsiprolet ndi fanizo lake zimagwiritsidwa ntchito mwachangu ku ophthalmology. Mankhwala opha antioxotic a gulu la mankhwalawa amapatsidwa matenda amtundu wa bakiteriya komanso matenda opatsirana am'mimba ndi zida zamagetsi. Maantibayotiki amawonetseredwa pambuyo pakuchita opaleshoni ya maso ndi kuvulala. Mankhwala othandizira antibiotic omwe ali ndi fluoroquinolones ndi gawo limodzi la opaleshoni ya ophthalmic.

Uniflox ndi mankhwala ogwiritsidwa ntchito kwambiri mu ophthalmic. Uniflox tikulephera topoisomerases a mtundu wachiwiri. Madontho amakwiriridwa ana osakwana zaka zitatu. Uniflox sinafotokozeredwe matenda obadwa nawo a conjunctivitis a etiology osakhala mabakiteriya. Mankhwala othandizira ayenera kupewedwa. Mukakhazikika m'maso omwe akhudzidwa, achirewo amakhazikika kwa maola anayi.

Cypromed ndi mankhwala ocheperako omwe amalepheretsa gyrase, yomwe imayambitsa kusokonezeka kwa biosynthesis ya mapuloteni am'melo komanso kubwezeretsanso kwa deoxyribonucleic acid. Cypromed amachita pa tizilombo tating'onoting'ono tomwe tonse tili mu gawo la exponential komanso loyimira. Matope amayamba kuchita mphindi khumi. Pambuyo kugwiritsa ntchito, bactericidal zotsatira zimapitirira kwa maola 5. Ophthalmologists amatipatsa mankhwala a kutupa kwa mebomian, ziwalo zamkati zamkaso, kupindika kwa diso ndi anterior uveitis.

Phloxal ndi mankhwala ogwiritsa ntchito antimicrobial opangidwa kuti azigwiritsidwa ntchito popanga. Yogwira polimbana ndi gram tizilombo. Anaerobes ambiri amalephera Phloxal. Mankhwala opha tizilombo amasonyezedwa

chlamydial conjunctivitis, zilonda zam'mimba komanso kutupa kwa ziphuphu. Phloxal imakhazikitsidwa mu gawo lophatikizira lamaso la dontho kamodzi pa tsiku. Popewa Photophobia, valani magalasi okhala ndi mandala amdima.

Signicef ​​ndi donimicrobial eye dontho, chinthu chachikulu chomwe ndi levofloxacin hemihydrate.

Oftaquix ndi antimicrobial ophthalmic othandizira omwe amagwiritsidwa ntchito pochiza matenda amaso omwe amayamba chifukwa cha ana a levofloxacin. Yogwira ntchito motsutsana ndi Streptococcus, Staphylococcus, Klebsiella, Escherichia coli, Corynebacterium diphtheriae, Mycobacterium, Haemophilus influenzae, Neisseria gonorrhoeae. Oftaquix ndi yovomerezeka kugwiritsa ntchito kuyambira chaka chimodzi. Misozi ya antibacterial imayikidwa mu conjunctival sac. Oftaquix ndi contraindicated vuto la hypersensitivity chimodzi mwazinthu zomwe zimapangidwa. Gawo la benzalkonium chloride limatha kuyambitsa kukhumudwa kwa mucous membrane wa diso.

Ofloxacin ndi mankhwala oteteza khungu ku gulu la fluoroquinolones omwe amakhudza topoisomerase ndikuyika ma cheni ma DNA omwe amachititsa kuti tizilombo toyambitsa matenda tichotse. Ofloxacin imagwira ntchito motsutsana ndi gramu ndi gramu + mabakiteriya, komanso michere yama intracellular. Kugwiritsa ntchito madontho kumatha kuyambitsa mavuto monga lacrimation, kuyabwa, redness ndi kusasangalala m'maso. Ofloxacin ndi chovomerezeka kugwiritsa ntchito panthawi yoyembekezera pokhapokha ngati akuwonetsa zoopsa komanso pakakhala kuti palibe mankhwala ena. Madontho amakhala ndi poizoni wochepa, woperekedwa ndi ophthalmologists komanso nthawi yayitali ya matenda.

Zakunja ndi Russian fanizo la mankhwala

Tsiprobay imalepheretsa gyrase yopangidwa ndi tizilomboti, chifukwa chomwe kukula ndi kubalanso kwa nthumwi za zikakamira zimasiya. Tsiprobay imawonetsa zochitika zapamwamba motsutsana ndi aerobes, gram + ndi bacteria ya gramu. Kutenga maantibayotiki kumayambitsa kufafaniza kwa zopsira zomwe zimapanga β-lactamase. Tsiprobay imalowetsedwa kudzera khoma lamatumbo. Maantibayotiki amatchulidwa ngati njira yothanirana ndi matenda a postoperative ndi agranulocytosis.

Ififpro imakhala ndi bactericidal chifukwa kuchepa kwa mayendedwe achilendo achilendo. Amawonetsa kukhudzika kwakukulu kwachipatala pochiza matenda a sinusitis, purulent pleurisy, cystic fibrosis, epididymitis, matenda a mabala owotcha, angiocholitis, nyamakazi ya septic. Analog iyi ya Tsiprolet 500 imaphatikizidwa kwa odwala omwe ali ndi khunyu ndipo amakhala ndi mtima wam'mitsempha. Pankhaniyi, imayikidwa malinga ndi zofunikira pakuwonetsa.

Zindolin-250 ndi mankhwala amphamvu omwe amachita bactericidal. Amawonetsera matenda opweteka kwambiri a kupuma, masisitirofu, chiwindi ndi ndulu, komanso m'mimba thirakiti. Pa mndandanda wazotsatira zoyipa, zovuta za dyspeptic ndizofunikira kwambiri. Panthawi yamankhwala, zakumwa za ethanol ziyenera kutayidwa.

Liproquin imasokoneza spiralization wa DNA, imagwira ntchito nthawi zonse za bacteria.Liproquin imalembedwa chifukwa cha bronchiectasis, sinusitis, pyelonephritis, adnexitis, endometritis, pelvioperitonitis, chancroid, salmonella, typhoid fever komanso zilonda zopatsirana. Mwa zina zoyipa, ndikofunikira kudziwa migraine, kusokonezeka kwa dyspeptic, kuchuluka kwa gasi, kumva kuwonongeka, leukocytosis, kuchepa magazi, poyizoni wa khungu, kupweteka kwa erythema, etc.

Afenoxin amakhudza zida za majini. Yogwira ntchito motsutsana ndi Staphylococcus, Streptococcus, Listeria, Pseudomonas, Shigella, Legionella, etc. Afenoxin amathana ndi matenda amtundu wa genitourinary system, ziwalo za ENT, khungu komanso zokhudzana ndi zotupa. Afenoxin sagwiritsidwa ntchito ngati ana, monga ana ndi achinyamata maonekedwe a nkhope, ma ligamu ndi makapisozi sanapangidwe kotheratu.

Quipro amalowa m'maselo ndi kuletsa topoisomerase ya wachiwiri. Ikamamwa pakamwa, imalowetsedwa mwachangu. Bioavailability ukufika 80 peresenti, zimapukusidwa mu chiwindi. Kudya kumachepetsa. Mankhwalawa otsatirawa atchulidwa mu malangizo omwe akuphatikizana: eosinophilia, leukopenia, kusokonezeka kwa tulo, komanso kugwedezeka kwa malekezero. Quipro imayikidwa mu okalamba odwala ndi achinyamata osakwana zaka 18. M'malo mwa Tsiprolet sangatengedwe ndi atherosulinosis komanso ndi ma pathologies a kufalikira kwamitsempha.

Microflox akuwonetsa kwambiri achire zotsatira mankhwalawa kwamikodzo thirakiti matenda. Microflox antiotic mankhwala siabwino kwa odwala omwe ali ndi khunyu komanso matenda a impso. Nkhope edema, kutsekula m'mimba, mseru, mantha, kufooka chifukwa cha zotsatira zoyipa ndi zovuta zoyipa mukamamwa mankhwala opha tizilombo. Pakumapeto kwa maphunzirowa, kusintha kwa magawo a kuyezetsa magazi nthawi zambiri kumawonedwa.

Ciprofloxacin kapena Ciprolet: ndibwino bwanji?

Zinthu zomwe zimagwiritsidwa ntchito popanga maantibayotiki ndizofanana, kotero titha kulankhula za kusinthana kwa mankhwala. Mankhwalawa amagwira ntchito mankhwalawa matenda oyamba ndi bakiteriya.

Ciprofloxacin ndi Ciprolet zimakhudzanso thupi, koma zimakhala m'magulu osiyanasiyana amtengo. Ciprofloxacin wapanyumba umakhala ndi ma ruble 30, ndipo Ciprolet, wopangidwa ndi kampani yopanga mankhwala ku India, imalipira ma ruble 70. Pamsika wogulitsa mankhwala, Ciprofloxacin, wopangidwa ku Netherlands, amapezeka.

Tsifran kapena Tsiprolet?

Chofunikira chachikulu cha Cifran ndi ciprofloxacin. PM amatanthauza fluoroquinolones. Kuchiritsa kumatheka chifukwa cha kukhudza ma CD a maselo ndikulepheretsa kubereka kwa ana. Tsifran ikugwira ntchito yolimbana ndi gramu + ndi gram tizilombo tosagwirizana ndi maantibayotiki a penicillin, cephalosporin ndi aminoglycoside. Tizilombo toyambitsa matenda a syphilis, bowa, ma virus ndi zina za anaerobic sizigwirizana ndi maantibayotiki.

Patsani thanzi lanu akatswiri! Pangana ndi dokotala wabwino kwambiri mumzinda wanu pompano!

Dokotala wabwino ndi katswiri wamba yemwe, potengera zomwe mukuwona, azidziwitse matenda anu ndikukupatsani chithandizo chamankhwala. Patsamba lathu mutha kusankha dokotala kuzipatala zabwino kwambiri ku Moscow, St.

* Kukanikiza batani kumakubweretserani patsamba lapadera la tsambalo ndi mawonekedwe osakira ndi kujambula kwa katswiri wa mbiri yomwe mumakonda.

* Mizinda yomwe ikupezeka: Moscow ndi dera, St. Petersburg, Yekaterinburg, Novosibirsk, Kazan, Samara, Perm, Nizhny Novgorod, Ufa, Krasnodar, Rostov-on-Don, Chelyabinsk, Voronezh, Izhevsk

Ziprolet analogues - zotsika mtengo komanso zothandiza

Ciprolet imapezeka mu mawonekedwe a mapiritsi kapena madontho amaso, omwe ali ndi katundu wothandizirana.Mankhwala ndi othandizika kwambiri polimbana ndi kupanga beta-lactamases. Ciprofloxacin imagwiritsidwa ntchito ngati chogwira ntchito polimbana ndi matenda.

Koma ngati mankhwalawo sioyenera mtengo wake kapena sanali munkhokwe, funso likubwera, ndingasinthe bwanji madontho kapena mapiritsi a Ciprolet? Pali mitundu isanu ya mankhwala omwe ali ndi vuto lofananalo la mankhwala ndipo amalimbana ndi matenda omwewo. Koma musanasankhe analogues a Tsiprolet, muyenera kufunsa dokotala.

Kodi chiprofloxacin chimasemphana ndi ndani?

Malangizo ogwiritsira ntchito akuti m'malo mwa Ciprolet sayenera kulandiridwa ndi odwala omwe ali m'magulu otsatirawa a anthu,

1. Amayi oyembekezera.
2. Zaka mpaka 18.
3. Odwala omwe ali ndi khunyu.
4. Ndi tsankho la munthu pazigawo za mankhwala.
5. Amayi oyamwitsa.

Ciprinol ndi mankhwala omwe amatha kusintha mapiritsi a Ciprolet 500. Chosakaniza chophatikizika chomwe ndi gawo la mankhwalawa ndi chiprofloxacin. Chifukwa chake, chidachi ndi chothandiza polimbana ndi matenda opatsirana. Mawonekedwe a mankhwalawo, mapiritsi okha, mtengo wawo umachokera ku 57 mpaka 120 rubles. Chifukwa chake, zitha kugulidwa zotsika mtengo kwambiri kuposa zoyambirira.

Ndani sayenera kutenga Ciprinol?

Mapiritsi amatha kuvulaza ena mwa odwala, awa ndi awa:

• amayi apakati, ngakhale atakhala kuti mwana ali ndi zaka zambiri,
• odwala omwe angadwale mankhwala.
• anthu osakwana zaka 18,
• amayi panthawi yoyamwitsa,
• kugwiritsa ntchito ciprinol ndikoletsedwa nthawi imodzi ndi tizanidine.

Malangizo apadera akuwonetsa kuti mapiritsi ayenera kumwedwa mosamala ngati wodwala atanena kuti atherosulinosis.

Kuchiza ndi Ciprinol kudzakhala koyenera pankhani ya matenda monga:

1. Matenda okhudza ziwalo za ENT.
2. Matenda okhudzana ndi masculoskeletal system.
3. Matenda opatsirana a kumunsi kwa urethra.
4. Chibayo mabakiteriya ndi matenda ena kupuma.
5. Matenda a pakhungu.
6. Matenda opatsirana a kumaliseche.

Kodi bongo zingachitike?

Ngati piritsi ili ndi Mlingo wolakwika, ndipo silikhala wambiri, koma kupitilira, izi zimatha kuyambitsa kusanza, kupweteka mutu, kusanza kwakanthawi, ndi m'mimba.

Ngati vutolo likukulirakulirakulira, chinthu chogwira chimatha kugwedeza, kukokana, kapena kuyerekezera. Njira yothetsera mavutowa ndi chithandizo chamankhwala.

Mtundu womasulidwa wa Cypromed ndi madontho amaso ndi makutu. Analog iyi ya Tsiprolet ili ndi chinthu chofananira, koma mutha kuchigulira ndi zotsika mtengo (mtengo kuchokera kuma ruble 130). Mankhwalawa anali kugwiritsidwa ntchito kwambiri mu otorhinolaryngology ndi ophthalmology. Mwa madontho onse omwe aperekedwa, Tsipromed ndi imodzi yothandiza kwambiri polimbana ndi matenda amaso ndi zowonjezera zawo.

Ndi matenda ati omwe Cyfran amalimbana nawo?

Mwa fanizo lonse la Tsiprolet, Tsifran ndiotsika mtengo kuposa enawo; mtengo wake umangoyambira ma ruble 50, koma izi sizikulepheretsa kuti asagwire matenda ovuta otsatirawa:

• matenda a ziwalo za ENT,
• matenda a kwamkodzo thirakiti
• matenda oyambitsidwa ndi matenda opumira,
• matenda ofewa a minofu
• matenda am'mimba
• matenda opatsirana a mafupa ndi mafupa,
• zochizira odwala omwe ali ndi chitetezo chamthupi chofooka.

Cifran imagwiritsidwanso ntchito popewa matenda opatsirana pambuyo pakuchita opaleshoni.

Ndani sayenera kutenga Cyfran?

Pafupifupi kubwereza kulikonse pa intaneti kukuwonetsa kuti mankhwalawa sayenera kumwedwa ndi anthu omwe ali ndi chidwi ndi zomwe zimagwiritsidwa ntchito ndi mankhwala, zomwezi zimagwiranso ntchito kwa ana omwe sanakwanitse zaka 12.

Zotsutsana zina zimaphatikizapo magulu otsatirawa a odwala:

1. Anthu olumala amisala.
2. Ndi kutchulidwa kwa atherosulinosis.
3. Odwala omwe ali ndi khunyu.
4. Anthu okalamba.
5. Ndi zovuta zamagazi muubongo.

Zotsatira zoyipa zimatha?

Nthawi zambiri zimachitika kuti mankhwala otsika mtengo amatha kuyambitsa mavuto ambiri. Tsifran sichinali chimodzimodzi, ndipo chifukwa chake, kudya kwake kungakhale limodzi ndi zopatuka zotsatirazi m'thupi la wodwalayo:

• mseru, kusanza, kupweteka m'mimba,
• nyamakazi
• kukodza pokodza
• kufooka
• mutu
• kuchepa magazi
• kugwedezeka kwa dzanja
• kumva kuwonongeka
• kuwonongeka kwamawonekedwe
• chiwindi
• thrombocytosis
• tachycardia.

Amoxicillin

Amoxicillin amapezeka mu mawonekedwe a mapiritsi, yankho, kuyimitsidwa kapena makapisozi. Ndi mankhwala, kupezeka kwake m'mafakisi pafupifupi nthawi zonse kumakhala kokhazikika, kotero kupeza mankhwalawa kulibe kovuta konse. Pankhani yake, mankhwalawa akuwonetsa ntchito yayikulu polimbana ndi tizilombo tomwe timatulutsa penicillinase.

Pomaliza

Mankhwala onse omwe amasankhidwa pochiza ma ocular kapena matenda ena oyenera ayenera kuyanjanitsidwa ndi dokotala mwanjira yovomerezeka. Zimaganizira chisonyezo chilichonse ndi zovuta zake, kuyerekeza zinthu zonse ndi mawonekedwe a thupi la wodwalayo.

Popeza wodwalayo sangathe kupenda yekha payekha ndikupereka mankhwala olondola, onetsetsani kuti mwakumana ndi dokotala. Izi zikuthandizira kuti mankhwalawo akhale othandiza komanso kupewa mavuto oyipa.

Analogue yomwe ndiyofunika kuyang'aniridwa, koma sanatchulidwe mu nkhaniyi, ndi Tsiprobay.

Monga mukudziwa, matenda ambiri amayamba chifukwa cha mabakiteriya. Masiku ano, sizingatheke popanda kugwiritsa ntchito antibacterial othandizira - maantibayotiki ndi antimicrobials. Otchuka kwambiri ndi asing'anga ndi Tsiprolet, omwe amalembedwa kuti athane ndi matenda osiyanasiyana. Komabe, odwala nthawi zambiri amakhala ndi funso loti Cyprolet ndi antiotic kapena ayi. Kusokonezeka kumachitika chifukwa chakuti magwero osiyanasiyana amamasulira mosiyanasiyana. Ndiye tiyeni tichite bwino.

Kodi Ciprolet ndi antiotic kapena ayi?

M'malo mwake, palibe yankho limodzi ku funso ili. Pali kutsutsanabe kuti ndi gulu liti la mankhwala fluoroquinolones lomwe liyenera kuperekedwa. Kuchita kwawo ndikufuna kusokoneza kapangidwe ka DNA ya microorganism ndi kufa kwina. Kuphatikiza apo, zinthu izi zimagwira ntchito motsutsana ndi tizilombo tating'onoting'ono tomwe timapuma komanso pakufalikira. Kuwonekera kwa zomwe akuchita ndikufuna kuwononga mabakiteriya omwe ali ndi gramu komanso gram-negative, zomwe zimapangitsa kuti azigwiritsa ntchito matenda osiyanasiyana opatsirana. Uku ndiko kufanana kofanana kwa fluoroquinolones okhala ndi maantibayotiki.

Komabe, zinthu zonsezi zimasiyana wina ndi mnzake mu kapangidwe ka mankhwala ndi magwero ake. Mosiyana ndi maantibayotiki, omwe amapangidwa mwachilengedwe kapena analogue yopanga, fluoroquinolones alibe machitidwe m'chilengedwe. Chifukwa chake, funso loti Tsiprolet ndi antiotic kapena ayi ndiwotsutsana kwambiri.

Mbali ya momwe mankhwalawo alili

Tsiprolet, monga tafotokozera pamwambapa, ndi antibacterial wothandizila kunkhondo. Zomwe zimagwiritsidwa ntchito ndi ciprofloxacin kuchokera pagulu la fluoroquinolones, lomwe lili ndi katundu:

• zimawononga kwambiri majeremusi ambiri,
• kulowa mkati mwa maselo ndi minyewa yathupi,
• kugwiritsa ntchito nthawi yayitali sikuti mankhwala osokoneza bongo,
• sizimapangitsa kuwonongeka koyimilira komanso kuchuluka kwa nyini ndi matumbo a microflora.

Makhalidwe onse awa ndiwofanana ndi Tsiprolet. Ngati ilowa mu cell ya bakiteriya, mankhwalawa amaletsa mapangidwe a michere omwe amathandizira kuchulukitsa kwa tizilombo toyambitsa matenda, pambuyo pake maselo a ma virus amafa.Masiku ano, mankhwalawa amapatsidwa mankhwala ochizira matenda ambiri, popeza ali ndi zochita zambiri ndipo mabakiteriya ochepa okha amawonetsa kukana. Kwenikweni, "Tsiprolet" imagwiritsidwa ntchito poyambira matendawa kapena ngati mankhwala ena akhala osagwira.

Masiku ano pali mibadwo 4 ya fluoroquinolones. Ciprolet (antiotic) amatanthauza m'badwo wa 2. Imalimbana bwino ndi mabakiteriya owopsa monga E. coli, staphylococci ndi streptococci. Mankhwalawa ali bwino ndipo amatengeka mosavuta m'matumbo, pambuyo pake amalowa m'magazi, omwe amalowa ndi ziwalo, ziwalo ndi mafupa. Amasiya thupi makamaka ndi mkodzo, ndipo ena onse ndi ndowe ndi ndulu.

Chifukwa cha mtengo wotsika mtengo komanso kuchita bwino kwambiri, odwala ambiri amadzipangira okha mankhwala othandizira. Koma apa ndikofunikira kumvetsetsa kuti tizilombo toyambitsa matenda sangakhale nako chidwi nthawi zonse. Kuphatikiza apo, Tsiprolet ili ndi contraindication ake, motero ndikofunikira kuyitenga mosamala mu matenda ena.

Pazomwe zimayikidwa

"Ciprolet" (antibayotiki) amagwira ntchito yochizira matenda osiyanasiyana opatsirana omwe amayamba chifukwa cha mabakiteriya omwe amagwiritsa ntchito chinthu (chiprofloxacin).

• Mankhwalawa ndi mankhwala opatsirana pachimake kupuma, monga chifuwa, chifuwa, chibayo, kuponderezedwa ndi matenda ambiri.
• Komanso, ndi chithandizo chake, matenda otupa a impso ndi chikhodzodzo amathandizidwa. Mlingo wocheperako wa mankhwala amatha kuchotsa cystitis ndikuchotsa njira yotupa mu impso.
• Nthawi zambiri amagwiritsidwa ntchito kulimbana ndi matenda omwe amayambitsa matenda amisala ndi matenda a urological, kuphatikizapo matenda omwe amapatsirana kudzera mukugonana.
• Tsiprolet (kapangidwe kake ka mankhwalawo adayesedwa ndi ife) amalola kuti pakhale opanga opaleshoni. Chifukwa chake, amagwiritsidwa ntchito kwambiri pochiza zotupa, ma carbuncle, zilonda, mastitis ndi matenda ena opatsirana pakhungu ndi minofu yofewa.
• Mankhwala othandizira amathandizidwanso kuti athetse matenda a ziwalo za ENT.
• Amagwiritsidwanso ntchito mu njira yotupa m'mimba yam'mimba (peritonitis, abscess).
• Mu matenda a mafupa ndi mafupa (pachimake ndi matenda osteomyelitis, purulent nyamakazi).
• Ndi matenda opatsirana amaso, monga keratitis, conjunctivitis, blepharitis ndi ena. Potere, madontho a Ciprolet amagwiritsidwa ntchito.
• Pofuna kupewetsa matenda operewera, mankhwalawa amatchulidwa pambuyo pa opareshoni.

Tsiprolet (mapiritsi)

Pankhani ya kufinya kocheperako, mankhwala a Cyprolet amapatsidwa mapiritsi. Buku lamapiritsi limalimbikitsa kutenga vuto la bronchitis, cystitis, urethritis, prostatitis, ndi matenda amtundu.

Komanso, kumwa mankhwalawa m'njira imeneyi kumachitika ndi pachimake tracheitis, sinusitis ndi zotupa za larynx.

Mapiritsi a antibiotic amathandizira mafupa am'mitsempha ndi arthrosis mu gawo lovuta. Kuphatikiza apo, kukonzekera kwa Ciprolet tikulimbikitsidwa kugwiritsa ntchito piritsi ngati mankhwala omwe amagwiritsidwa ntchito pakamwa, salmonellosis ndi typhoid fever, komanso pakuwonjezera matenda a cholecystitis, duodenitis ndi cholangitis.

Kumwa mankhwala piritsi mawonekedwe ikuchitika zochizira zovuta caries ndi periodontitis.

Zotsatira Zoyipa Zovomerezeka

Mankhwala amasiyana ma analogu mu mtundu wa kapangidwe kake. Zilibe zodetsa, zinthu zopangidwa ndi mankhwala zomwe zimadetsa maselo ndi minyewa yamkati.

Nthawi zina, kutenga Ciprolet kumabweretsa kusintha kotere:

• chizungulire
• kunjenjemera
• zotupa pakhungu
• anaphylactic shock,
• kupweteka kwam'mimba
• kusintha kwamkodzo.

Kuwonongeka kwamasomphenya, mawonekedwe a kuyerekezera zinthu, kugwera mu kukhumudwa ndi mantha zimayenderana ndi zolakwika zomwe zimachitika ndi chithandizo cha Ciprolet.Zotsatira zoyipa zimatha kukhala chilonda chimodzi, koma nthawi zambiri zimakhala zovuta za matenda. Zotsatira zosiyanazi zimachitika chifukwa chakufanana kwa chamoyo chilichonse.

Kodi Tsiprolet amatengedwa motani komanso kuchuluka kwake?

Mlingo umakhazikitsidwa kutengera mtundu wamatenda, zovuta za matendawa, zaka, kulemera ndi thanzi la wodwalayo.

Chifukwa chake, ndi matenda opatsirana a impso, kwamikodzo komanso kupuma kwamphamvu, 250 mg wa antibayotiki amatengedwa kawiri patsiku. Mwazovuta zina, mlingo wa mankhwalawa ndi 500 mg kawiri pa tsiku.

Gonorrhea amathandizidwa ndi limodzi mlingo wa Kuproletlet mu Mlingo wa 250-500 mg.

Matenda amadzimadzi, enteritis ndi colitis ndi kutentha kwambiri komanso madigiri ambiri, prostatitis, osteomyelitis amafunikira kawiri mlingo wa 500 mg patsiku.

Kuti mukwaniritse bwino, tikulimbikitsidwa kumwa maantibayotiki m'mapiritsi musanadye ndi madzi okwanira. Kutalika kwa chithandizo kumatengera kuuma kwa matendawa. Ndikofunikira kudziwa kuti mankhwalawa amayenera kumwedwa pakatha masiku awiri zizindikirike. Monga lamulo, njira yochizira imatenga masiku 7-10.

Jekeseni wa Cyprolet

Ma jakisoni mawonekedwe a mankhwalawo amapatsidwa milandu yambiri. "Tsiprolet" jekeseni amagwiritsidwa ntchito adnexitis, zotupa zam'mimba, sepsis, pyelonephritis ndi glomerulonephritis, kwambiri chapamwamba kupuma thirakiti matenda.

Katemera amangogwiritsidwa ntchito kuchipatala. Mlingo wofunikira umasankhidwa ndi dokotala woganizira kulemera, msinkhu, kuopsa kwa matendawa komanso matenda ena.

Tsiprolet (madontho)

Malangizo a mankhwalawa amaufotokoza kuti ndi mankhwala omwe amafunsidwa kuti athetse matenda a kutupa ndi okhudza ziwalo za masomphenyawo. Izi zikuphatikizapo: conjunctivitis, keratitis, blepharitis.

Kuphatikiza apo, malangizo a "Tsiprolet" (akutsikira) amalimbikitsa kuti agwiritsidwe ntchito ngati prophylaxis atachitidwa opaleshoni yamaso, yomwe imathandiza kupewa zovuta.

Komanso, maantibayotiki omwe ali ngati madontho amagwiritsidwa ntchito kuti apewe matenda achiwopsezo ngati akuvulala ndi maso kapena akhudzana ndi thupi lachilendo.

Chithandizo chimatengera kuopsa kwa njira yotupa. Pa matenda operewera, tikulimbikitsidwa kukhetsa madontho awiri maola anayi aliwonse. Milandu yayikulu kwambiri imafuna kuphunzitsidwa kwa ola limodzi. Kutalika kwa mankhwalawa kuyambira 4 mpaka 14 masiku.

Cyprolet ndi mowa

Ambiri ali ndi chidwi ndi funso loti kodi ndizotheka kuphatikiza mankhwala opha maantibayotiki ndi mowa. Monga mukudziwa, zakumwa zoledzeretsa, makamaka mu milingo yayikulu, palokha ndi poizoni woopsa womwe ungayambitse chiwindi. Malangizo a mankhwalawa akuti nthawi zina Ciprolet, monga mbali yothandizira, imayambitsa hepatitis. Izi zikufotokozedwa ndikuti mankhwalawo ali ndi mphamvu yotupa. Chifukwa chake, ndizachilengedwe kuti Tsiprolet ndi mowa sizigwirizana, monga chiwindi chimavutika kawiri. Ndipo izi, zimatha kudwala matenda oopsa. Kuphatikiza apo, mothandizidwa ndi mowa, mankhwalawa amagwira ntchito moyenera, chifukwa chomwe ma virus omwe Tsiprolet amafunikira kuti awononge apitirizebe kukhala ndi moyo ndipo kuchira sikuchitika.

Chifukwa china chosiya kugwiritsa ntchito nthawi yomweyo mankhwala opha maantibayotiki ndi mowa ndikuti zinthu zonse ziwiri, zikaphatikizidwa, zimasokoneza mgwirizano, zimapangitsa kuti mantha azikhala pakati.

Kodi anzawo a Tsiprolet ndi ati? Maantibayotiki ali ndi mankhwala ambiri olowa mmalo omwe amapangidwa ndi makampani onse akunja ndi akunja a mankhwala. Monga Ciprolet, analogues imakhalanso ndi yogwira mankhwala ciprofloxacin, omwe amayimira gulu la fluoroquinolone.Mpaka pano, mankhwalawa ali ndi zofanana: Ciprofloxacin, Tsiprobay, Tsiprinol, Quintor, Microflox, Alzipro, Oftocipro ndi ena. Kusiyana kwawo kuli pamtengo, womwe umasiyanasiyana mosiyanasiyana.

Mwachidule

Kutengera malingaliro ambiri a mankhwalawa, titha kunena kuti ichi ndi chida chodalirika komanso chothandiza chomwe chitha kuthandiza ngakhale pazovuta kwambiri. Monga momwe zamankhwala zimasonyezera, tizilombo tambiri timakhudzidwa ndi Ciprolet. Mankhwalawa amagwira ntchito pomwe ma antioxotic ena alibe mphamvu. Komabe, munthu sayenera kuyiwala kuti, monga maantibayotiki onse, Tsiprolet ili ndi zotsutsana zina. Chifukwa chake, pofuna kuti tisawononge kwambiri thanzi, ndibwino kuti tisamadziyese tokha, koma kufunafuna upangiri wa dokotala.

Chosakaniza chophatikizika cha mankhwalawa awiri a Ciprofloxacin ndi Ciprolet ndi ciprofloxacin. Amanena za maantibayotiki, gulu la fluoroquinolones.

Koma pali njira zina zomwe zili m'gululi, komabe, ndizokhazokha zomwe zimapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Mankhwalawa ali ndi mphamvu yotsatsira.

Zochita za ciprofloxacin ndizowononga gramu zabwino komanso gram alibe tizilombo. Amatha kupirira ndi staphylococcus, streptococcus.

Mankhwalawa amagwiritsidwa ntchito piritsi ndikutsukidwa ndi madzi, ndipo jakisoni amaperekedwanso. Mankhwalawa amathandizira mwachangu ngati mutsatira malangizo omwe mungalandire - theka la ola musanadye kapena ola limodzi mutatha kudya. Pazipita ndende yogwira ntchito m'magazi imakwaniritsidwa pambuyo pa ola limodzi ndi theka.

Ngati jakisoni atapangidwa, ndiye kuti nsonga ibwera theka la ola. Mankhwalawa amafalikira thupi lonse, kulowa m'matumbo onse, ndikuthira mkodzo.

Fomu yopanga zinthu

Cyprolet amapangidwa m'mitundu itatu:

• Diso limatsika. Amapangidwa mu botolo laling'ono lokhala ndi 5 ml.
• Mapiritsi
• Njira yothetsera kulowetsedwa kwa mtsempha.

Mankhwala a Ciprofloxacin amapezeka m'mitundu itatu:

• Mapiritsi
• Njira yothetsera kulowetsedwa.
• Yokhazikika yankho mu ampoules.

Bongo

Mankhwala, palibe mankhwala omwe angakuthandizeni ndi mankhwala osokoneza bongo ambiri.

Izi zikachitika, pamafunika kuthana ndi ambulansi, ndipo munthuyo amuika kuchipatala komwe akatswiri azachipatala amamuwunika.

Pamenepo amachapira zam'mimba, nampatsa madzi ambiri kuti amwe, ndikuthiranso m'mitsempha. Kuphatikiza apo, maphunziro a hemodialysis amachitidwa.

Zotsatira zoyipa

Zotsatira zoyipa zimadziwonetsa mosiyanasiyana, zonse zimatengera mtundu wa mankhwala omwe wodwala amatenga. Mwachitsanzo:

• Mapiritsi ndi yankho la kulowetsedwa kwa mtsempha.

1. Matumbo am'mimba: nseru, kusanza, kutsegula m'mimba, kuchuluka kwakukulu kwa mpweya, kukana kudya, hepatitis, mavuto a chiwindi.
2. Mchitidwe wamsempha: kupweteka mutu, kufooka kwathunthu, kunjenjemera kwa malekezero, kugona tulo, zovuta za usiku, kukakamira kwa magazi, kuchuluka kwa thukuta, thrombosis.
3. Zokhudzana ndi zomverera: kuphwanya malingaliro a kukoma, kununkhiza, masomphenya ndi kumva.
4. Mtima dongosolo: palpitations, hypotension.
5. Hematopoiesis: kuchepa magazi, kusintha kwa maselo ambiri, maselo oyera.
6. Dongosolo la genitourinary: Kusintha kwamkodzo.
7. Mafupa ndi mafupa: nyamakazi, kupindika kwa tendon.
8. Ziwengo: zotupa pakhungu, kuyabwa, kutupa, kufupika, ndi zina zambiri.
9. Zochitika zambiri, kupweteka panthawi ya kulowetsedwa, kufooka, mawonekedwe a mafangasi.

• Diso limatsika.

Ziwengo, kuyabwa, kuwotcha, kutupa, nthawi zina kuwopa kuwala kowala, kupukutidwa kwamaso, kuwona kwamaso.

Kugwirizana kwina ndi mankhwala ena

Mankhwala omwe amapezeka ndi matenda a shuga: amatha kuonjezera kuchuluka kwa mankhwalawa m'magazi.

Mankhwala othana ndi kutupa, koma asipirini sawagwira: amawonjezera ngozi yakugwidwa.

Mankhwala okodzetsa: kuwonjezera plasma ndende.

Maantibayotiki omwe ali m'magulu ena: kuchuluka kwa mankhwalawa kumawonjezeka.

Mukamagwiritsa ntchito cyclosporine, momwe impso zimawonongera.

Musati kuchepetsa kulowetsedwa ndi madzi ndi acidity yoposa isanu ndi iwiri.

Zowona kuti madontho amaso amatha kugwiritsidwa ntchito ndi mankhwala ena, palibe chidziwitso.

Koma pali kusiyana kotani pakati pa njira ziwiri izi

Chomwe chimagwira ntchito m'magulu awiriwa ndizofanana, zimatsatizana kuti zimasinthana. Mankhwalawa amathandizira bwino ndi matenda opatsirana omwe amakhala ndi matenda osakhazikika omwe adayamba chifukwa cha kufinya kwa mabakiteriya okhala ndi tizilombo toyambitsa matenda.

Poyerekeza kusiyana kwawo, titha kunena kuti Ciprolet siowopsa ngati Ciprofloxacin. Chifukwa chimatsukidwa ndimitundu yosiyanasiyana yoyipa, kuphatikiza apo, zimayambitsa zotsatirapo zochepa.

Kuphatikiza pazomwe zimagwira, amatha kuwona kusiyana kwa mlingo, kugwiritsidwa ntchito ndi mawonekedwe a kumasulidwa. Ndi ofanana kwathunthu.

Ngati tikulankhula za contraindication, iwonso amafanana, mwachitsanzo, mankhwala ophatikizira a Ciprofloxacin sangagwiritsidwe ntchito panthawi yakubala kwa mwana ndi kuyamwitsa. Amapatsirana odwala osakwana zaka 18. Kuphatikiza apo, sikulimbikitsidwa kwa khunyu.

Ndalama ndizofanana, pokhapokha pali kusiyana, izi ndiye mtengo wake wa mankhwalawo.

Ciprofloxacin ndi theka la mtengo wa Ciprolet wopangidwa ndi kampani yaku India.

Inu nokha mumasankha zomwe mungatenge kuti mukwaniritse bwino chithandizo.

Ciprofloxacin ndi wa gulu la fluoroquinolones. Mankhwala ndi amodzi mwa othandiza kwambiri antibacterial. Nthawi zambiri amagwiritsidwa ntchito pazachipatala, amapangidwa ndi opanga pansi pa mayina osiyanasiyana ogulitsa. Mankhwala a Ciprofloxacin ndi Ciprolet ndi mankhwala omwe mankhwalawa amagwira ntchito ngati mankhwala osakaniza.

Mankhwala ali ndi antibacterial, amatha kuyambitsa kupha kwa tizilombo tating'onoting'ono. Zimapangidwa ndi opanga angapo aku Russia. Komanso pamsika wamankhwala ndi miyala yopangidwa ndi Israeli.

Mitundu yotsatirayi ya mankhwalawa imapezeka:

• mapiritsi (250 ndi 500 mg),
• njira yothetsera kulowetsedwa (200 mg pa 100 ml),
• madontha amaso ndi makutu (3 mg),
• mafuta (0,3 g pa 100 g).

Zomwe zimagwiritsidwa ntchito ndi ciprofloxacin. Imakhala ndi vuto chifukwa cha bakiteriya wa DNA gyrase, kusokoneza njira yolumikizira DNA ndikupanga mapuloteni a ma cell mu tizilombo tating'onoting'ono.

Ntchito ya mankhwalawa imawonetsedwa motsutsana ndi mabakiteriya omwe ali pachiwonetsero cha kubereka komanso kubereka.

Khalidwe la Cyprolet

Mankhwalawa amapangidwa ndi wopanga ku India Dr. Reddy's Laboratories Ltd. Imapezeka m'mitundu iyi:

• 250 ndi 500 mg mapiritsi
• njira yothetsera mtsempha wa mtsempha (2 mg pa 1 ml),
• diso lakutsikira (3 mg).

Chofunikira chomwe chimapangidwira ndi ciprofloxacin. Pharmacological zotsatira zimagwirizana ndendende ndi zochita za kale mankhwala.

Kuyerekeza kwa Ciprofloxacin ndi Ciprolet

Mankhwalawa onse ndi ma antioxoraquinolone group.

Poyerekeza mankhwala, katundu wake wamkulu samasiyana:

1. Muli zinthu zomwezo.
2. Mankhwalawa ali ndi mtundu womwewo wa kusankha ndi kusankha. Njira zochizira matendawa komanso kutalika kwa maphunziridwe zimadalira matendawa, omwe amawerengedwa payekhapayokha ndi adokotala, powerengera zaumoyo ndi mbiri ya wodwalayo.
3. Njira yamachitidwe. Mu mabakiteriya, puloteni yotchedwa gyrase enzyme (ya gulu la topoisomerases) imayang'anira ntchito yopanga ma supercoils mu mphete ya DNA. Yogwira pophika imalepheretsa ntchito ya enzyme. Izi zimabweretsa kuyimitsa kukula kwa mabakiteriya ndi kufa kwawo, kusiyidwa kwa matenda.
4. M'magawo onse awiriwa, gawo logwira ntchito limagwira ntchito motsutsana ndi ma cellobacteria angapo, ma cell pathogens, ndikugwira ntchito pazovuta za gram komanso gram.Bacteria Ureaplasma urealyticum, Clostridium zovuta, Nocardia asteroides amakhala ndi kukana kwa chinthu. Sachita chidwi ndi Treponema pallidum ndi bowa.
5. Zizindikiro zogwiritsidwa ntchito. Mankhwala onse awiriwa amaperekedwa pochiza matenda opatsirana m'njira zosavuta komanso milandu yolumikizana ndi matenda opatsirana yachiwiri. Zizindikiro zimaphatikizira matenda amtundu wa kupuma, ziwalo za ENT. Ogwiritsa ntchito bwino zotupa zam'maso, matenda a impso ndi urogenital system. Mndandanda wamankhwala omwe akupatsidwawu umaphatikizapo matenda am'mimba, dongosolo la biliary, khungu, mafupa ndi minofu yofewa. Mankhwalawa amagwiritsidwa ntchito pa sepsis ndi peritonitis.
6. Mankhwala ali ndi mndandanda womwewo wa contraindication ogwiritsira ntchito: pakati ndi nthawi yoyamwitsa, zaka zosakwana zaka 18, kusalolera kwa munthu payekha. Kugwiritsa ntchito mosamala kumafuna mbiri ya kusayenda bwino kwa magazi ndi matenda a ziwalo zamitsempha, matenda amisala, komanso khunyu. Kuchiza kumafuna kuwongolera mwapadera odwala okalamba, komanso pamaso pa matenda a shuga komanso kuperewera kwakukulu kwa hepatic ndi aimpso.
7. Zotsatira zoyipa kuchokera mu mtima ndi zamanjenje, m'mimba ndi chiwindi, minyewa ya mafupa, ndi dongosolo la hematopoietic sizisiyana. Mawonetseredwe akunja a thupi lonselo amatha.
8. Munthawi ya chithandizo, kuchepa kwa liwiro la ma psychomotor zimachitika komanso chidwi.
9. Mankhwala amayenera kutsagana ndimatenda okwanira amadzimadzi kuti muchepetse crystalluria.

The pharmacokinetics ya mankhwala onsewa imadziwika ndi kulowa mwachangu m'makoma a m'mimba.

Kufanana kwa mankhwalawa kumasonyezedwanso pamafakitale a mankhwala:

1. Kuphatikiza ndi mankhwala angapo odana ndi kutupa sikulimbikitsidwa chifukwa chakuwopsa.
2. Kugwiritsa ntchito bwino kwa zinthu zomwe zimagwira kumatsika ndikumamwa maantacidid, komanso mankhwala okhala ndi calcium, iron ndi zinc salt.
3. Mukamayanjana ndi Theophylline, kuchuluka kwa zinthu zomaliza kumatha kuchuluka m'magazi.
4. Kusanja munthawi yomweyo ndalama zokhala ndi cyclosporine kumawonjezera kuchuluka kwa seramu creatinine.
5. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimawonjezera zotsatira za mankhwala okhala ndi warfarin.

Mankhwalawa onse ndi mankhwala.

Kuyerekeza mitundu iwiri ya mankhwala

Kuti mumvetsetse mankhwalawa, Ciprofloxacin ndi Ciprolet, othandiza kwambiri, muyenera kufunsa dokotala.

Pali zizindikiro zofala kuposa kusiyana:

• ntchito yogwira
• antibacterial zotsatira
• mitundu ya mankhwala
• Mlingo
• yogwira mankhwala ndende
• ntchito zosiyanasiyana.

Mankhwala onsewa amalimbikitsidwa pakulimbana ndi matenda osiyanasiyana, kuphatikizapo matenda osachiritsika. Zabwino kwambiri, chithandizo cha mankhwala okhala ndi cyprolet chimawoneka ngati chifukwa chakuti chipangizochi chimayeretsedwa bwino.

Ndi yogwira chimodzimodzi boprofloxacin, wogwiritsa ntchito antimicrobial amamasulidwa - Cipronate. Mankhwalawa ndi osiyana muzochita ndi njira zamankhwala.

M'malo azachipatala, mankhwala amatha kusinthana wina ndi mnzake.

Kuperekedwa kwa msika wa Ciprofloxacin kumakhala ndi opanga awiri:

1. Russia
2. Netherlands (mapiritsi).

Cyprolet amamasulidwa ku India. Mtengo umatengera dziko lakapangidwe: mankhwala apakhomo ndi otsika mtengo.

Njira Zapadera

Njira zimaphwanya malamulo. Iwo ali osavomerezeka panthawi ya bere, mkaka oyamwa. Asanaikidwe, dokotala amayang'ana kukhudzidwa kwa magawo a kapangidwe kake.

Mankhwala sagwiritsidwa ntchito pochiza odwala omwe ali ndi vuto la m'maganizo, matenda osakwanira impso ndi chiwindi. Zomwe zimapangidwira sizikusankhidwa kuti zisafike zaka 18.

Mankhwalawa onse ndi osinthika, koma mwina sangakhale ogwirizana ndi mankhwala omwe si a antiidal.

Zotheka kuchitirana:

• anti-kutupa mankhwala - kukulitsa khumbo,
• Cyclosporin - aimpso toxicosis,
• aluminium, maantacidiyamu a magnesium - kuwonongeka kwa makoma am'mimba.

Mulimonsemo, posankha mankhwala, amaphunzira malangizo ndikutsatira malangizo a madokotala.