Kodi amoxicillin ndi metronidazole angatengedwe nthawi yomweyo?

Helicobacter pylori ndi bacterium yomwe imatha kukhalamo acidic pamimba. Pofufuza kulumikizana komwe kulipo pakati pa kupezeka kwake komanso kukula kwa gastritis, zilonda zam'mimba ndi zilonda zam'mimba, olemba kafukufukuyu adapatsidwa mphoto ya Nobel mu Mankhwala. Ndipo ngati choyambitsa matendawa ndi bakiteriya, ndiye kuti ayenera kuthandizidwa ndi antibacterial. Kulandila Metronidazole ndi Amoxicillin palimodzi amatchulidwa kuti mzere woyamba wa mankhwala ndipo amagwiritsidwa ntchito kwambiri mu gastroenterology yamakono.

Kuphatikiza kwa metronidazole ndi amoxicillin kumagwiritsidwa ntchito pochiza matenda onse am'mimba ndi duodenum omwe amagwirizana ndi Halicobacter pylori. Mankhwalawa amagwiritsidwa ntchito osati palimodzi, komanso ophatikizana ndi proton pump inhibitors omwe amachepetsa m'mimba acidity (Omeprazole, Rabeprazole, etc.). Kuphatikiza apo, Clarithromycin, wina antibayotiki, amagwiritsidwa ntchito m'malo mwa Metronidazole kapena Amoxicillin. Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito pazomwe zimatchedwa quadrotherapy (mankhwala omwe ali ndi mankhwala anayi) a matenda ogwirizana ndi Helicobacter, omwe ndi motere: Omeprazole + Clarithromycin + Amoxicillin + Metronidazole.

Chifukwa chake, mankhwalawa amayenera kuledzera ndi:

• Zilonda zam'mimba
• Zilonda za Duodenal,
• Gastritis yoyambitsidwa ndi Helicobacter pylori.

Contraindication

Kuphatikiza pa kuphatikiza kwachilengedwe kwambiri, kuphatikiza kwa mankhwala kumeneku kuli ndi zotsutsana:

• Kusalolera
• Kuchepa kwa chiwindi,
• Matenda a impso,
• Osakwana zaka 12
• Mimba
• Mowa
• Chithandizo cha khansa,
• Chithandizo cha TB.

Tulutsani mafomu ndi mtengo

Mitengo ya metronidazole imatha kukhala yosiyanasiyana kutengera wopanga:

• Mapiritsi
  • 250 mg, 20 ma PC. - 15 - 25 r
  • 250 mg, 24 ma PC. - 80 - 100 r,
  • 250 mg, 40 ma PC. - 140 - 150 r,
  • 500 mg, 10 ma PC. - 180 - 190 p,
  • 500 mg, 20 ma PC. - 70 - 90 r,

Tiyenera kudziwa kuti pali mankhwala ena okhala ndi metronidazole monga chinthu chogwira, koma ali ndi dzina losiyana.

Amoxicillin imapangidwanso ndi makampani osiyanasiyana, chifukwa mtengo wake umatha kusinthanso (kuti ukhale wosavuta, mitengo yamapiritsi ndi makapisozi amaperekedwa malinga ndi 20 ma PC.):

• Makapiritsi / mapiritsi (apezekanso ma PC 20.):
  • 250 mg - 75 r,
  • 500 mg - 65 - 200 r,
  • 1000 mg - 275 p.

Pulogalamu yogwiritsidwa ntchito amo amoillillin imapezekanso m'mankhwala ambiri okhala ndi mayina osiyanasiyana.

Metronidazole ndi amoxicillin nthawi yomweyo

Ndemanga yoyamba ya kuphatikiza kwa mankhwalawa idawonekera atangoyamba kumene chithandizo cha zilonda zam'mimba. Masiku ano, quadrotherapy (mankhwala omwe ali ndi mankhwala anayi) ndi njira imodzi yothandiza kwambiri yochotsera matenda a Helicobacter pylori. Kugwiritsa ntchito Amoxicillin ndi Metronidazole kuphatikiza ndi mankhwala ena kumapewetsa kugwira ntchito komwe kumachotsa m'mimba limodzi ndi zilonda zam'mimba. Chimodzi mwazinthu zoyipa zazikulu za kuphatikiza uku ndi kufunikira kwa mankhwala othandizira odwala matenda a m'mimba.

Amoxicillin: kufotokozera mwachidule

Mankhwala olimbana ndi mankhwalawa amaonedwa kuti ndi opezeka paliponse ndipo ali m'gulu la penicillin. Amagwiritsidwa ntchito pochiza matenda opatsirana omwe amakhudzidwa ndi tizilombo toyambitsa matenda omwe amayang'anira machitidwe a mankhwala. Zizindikiro zazikulu pakugwiritsira ntchito Amoxicillin:

• matenda a kwamikodzo ndi njira zoberekera (kuphatikizapo prostatitis),
• matenda a kupuma dongosolo ndi ziwalo za ENT,
• matenda am'mimba,
• zotupa matenda opatsirana.

Mankhwalawa ndi othandiza kwambiri kuthana ndi tizilombo tating'onoting'ono tambiri, kuphatikiza ndi streptococci, staphylococci, etc.

Kufotokozera Kwachidule kwa Metronidazole

Maantibayotiki ali ndi antiprotozoal komanso antimicrobial. Imaphatikizidwa pamndandanda wamankhwala ofunikira kwambiri komanso ofunikira. Metronidazole amagwiritsidwa ntchito pochiza:

• dermatological matenda a matenda opatsirana,
• zilonda
• uchidakwa wosatha.

Kuphatikiza apo, maantibayotiki amathandiza polimbana ndi amoeba, matumbo giardia, trichomoniasis, ndi ena. Imagwiritsidwanso ntchito kupewa zina zoyipa pambuyo pochita opaleshoni mwa akulu ndi ana. Mlingo ndi muyezo wa mankhwalawa amakhazikitsidwa ndi katswiri woganizira mkhalidwe wa wodwalayo komanso zolinga zake.

Kugwirizana kwa mankhwala

Nthawi yomweyo, mankhwala amathandizidwa ndi odwala omwe ali ndi vuto lotengera zochita zawo. Mlingo wambiri wa pharmacoacaction mukamagwiritsa ntchito kuphatikiza kwa metronidazole + amoxicillin akufotokozedwa ndikuwonetsa kukhudzana kwa antibacterial ndi kupewa kukula kwa chitetezo chokwanira cha pathogenic pazogwira mankhwala. Potere, mankhwalawa amathandizira wina ndi mnzake.

Kuphatikiza kwa mankhwalawa kumatha kuyambitsa zovuta kuchokera m'matumbo am'mimba.

Nthawi zina, odwala amakhala ndi:

• mutu
• cystitis
• kuphwanya kwamikodzo
• kumva kugona komanso kutopa,
• chisokonezo,
• kuphwanya chilengedwe
• kuchepa kwa ndende ya leukocytes m'mwazi seramu.

Pofuna kupewa zovuta, munthawi yamankhwala, muyenera kupewa kumwa mowa ndikutsatira malangizo onse a dokotala.

Momwe mungamwere mankhwala nthawi yomweyo?

Mankhwala amathandizidwa kukonzekera pakamwa malinga ndi chiwembu chokhazikitsidwa ndi adokotala. Mlingo wamba wapakati ndi 0,5 mg wa metronidazole ndi 0,75 mg wa amoxicillin (piritsi 1) katatu patsiku. Odwala ndi mkhutu aimpso ntchito, pafupipafupi kugwiritsa ntchito mankhwala amachepetsedwa mpaka 2 / tsiku.

Kutalika kwa mankhwalawa sikuyenera kupitirira masiku 12. Nthawi zina, imatha kupitilira miyezi ingapo. Amoxicillin tikulimbikitsidwa kuti adye asanadye. Mukatha kudya, ndikofunikira kugwiritsa ntchito metronidazole. Mapiritsiwo amameza lonse osafuna kutafuna, ndikutsukidwa ndi madzi.

Maantibayotiki opatsirana amaphatikizidwa mu ma pathologies a chapakati amanjenje komanso ozungulira, komanso panthawi yoyamwitsa komanso pakati.

Kuphatikiza apo, mankhwalawa saikidwa ngati ana. Munthawi yogwiritsira ntchito mankhwala, ndikofunikira kupewa ntchito yokhudzana ndi kuchuluka kwa chidwi ndi kuthamanga kwa mayankho.

Petr Gavrilov (gastroenterologist), wazaka 51, Syktyvkar

Tizilombo ta pathogenic timasinthasintha mwachangu zochita za mankhwala opha maantibayotiki, chifukwa chake, kuti akwaniritse bwino kwambiri, nthawi zambiri ndimapereka mankhwala a Metronidazole ndi Amoxicillin kuti agwiritsidwe ntchito munthawi yomweyo. Kuphatikiza kwa othandizira awa kumatengera mawonekedwe amthupi la wodwalayo komanso chithunzi cha matenda opatsirana. Sikoyenera kuti musankhe nokha. Kuti muchiritse matendawa mwachangu komanso motetezeka, ndibwino kukambirana ndi dotolo.

Darina Sleptsova, wazaka 40, Bryansk

Ndinkakonda kuchitira helminthiasis ndi Nemosol ndi Decaris. Komabe, sindinasangalale ndi mankhwalawa. Tsopano ndimagwiritsa ntchito Metronidazole ndi Amoxicillin monga adanenera dokotala. Mankhwalawa ndi othandiza, modekha ndi thupi. Sindinawone zotsatira zoyipa panthawi yomwe amagwiritsa ntchito.

Tamara Burguzina, wazaka 34, Stavropol

Dokotala adakhazikitsa metronidazole atachotsa mphutsi. Mankhwalawa ndi othandizira odwala ambiri. Komabe, motsutsana ndi momwe ntchito mankhwalawa imagwiritsidwira ntchito, mankhwalawa adafotokozeredwa. Kenako katswiriyo anapanganso Amoxicillin. Kuphatikiza pamodzi kwa maantibayotikiyi kunandithandiza kwambiri. Zotsatira zoyipa, ndinali ndi mseru wofatsa. Komabe, iyenso adasowa mkati mwa masiku awiri.

Kufotokozera kwapafupi kwa Amoxicillin

Amoxicillin ali ndi izi:

1. Mlingo wa mawonekedwe ndi kapangidwe kake. Mankhwala olimbana ndi mankhwalawa amapezeka mwa mapiritsi, mapiritsi a chipolopolo cha gelatin ndi ufa pokonzekera kuyimitsidwa. Piritsi 1 kapena kapisozi kamakhala ndi 250 kapena 500 mg pazomwe zimagwira.
2. Njira yamachitidwe. Maantibayotiki amasokoneza kupanga mankhwala opanga mapuloteni ofunika pomanga khoma la bakiteriya. Ma microorganism amayamba kuzindikira zinthu zoyipa kenako nkufa. Mankhwalawa amagwira ntchito motsutsana ndi mabakiteriya opanda gramu komanso gramu wopanda mafuta omwe sateteza penicillinase.
3. Pharmacokinetics Mukamamwa pakamwa, amoxicillin amalowetsedwa ndimatumbo ndikugawanidwa monseponse. Ndi kutupa kwa mankhwalawa, mankhwalawa amalowera mu zotchinga magazi muubongo. Ambiri mwa mankhwalawa omwe amaperekedwa amawachotsa mu mawonekedwe ake amkati ndi mkodzo.
4. Kukula kwa ntchito. Mankhwala wololedwa ngati matenda oyambitsidwa ndi tizilombo toyambitsa matenda:
   • matenda opatsirana opatsirana,
   • zotupa mu ziwalo za ENT (tonsillitis, kutupa kwa khutu lapakati, pharyngitis),
   • matenda opatsirana a genitourinary system (prostatitis yayitali, kutupa kwa chiberekero ndi ziwindi, urethritis),
   • zotupa za purative za minofu yofewa,
   • listeriosis
   • gonorrhea wovuta
   • leptospirosis.

Amoxicillin (Amoxicillin): Kufotokozera Mwachidule

Amoxicillin ndi mankhwala penicillin magulu, pang'ono. Analogue iyi ya ampicillin imagwira ntchito motsutsana ndi kuchuluka kwa tizilombo toyambitsa matenda.

Mankhwalawa amagwira ntchito motsutsana ndi bakiteriya wopanda gram:

• gonococcus,
• meningococcus,
• E. coli
• shigella,
• nsomba,
• klebsiella.

Yogwira polimbana ndi mabakiteriya oyipa:

1. staphylococcus,
2. streptococcus.

Kufotokozera Mwachidule kwa Metronidazole

Wothandizira antiprotozoal amapezeka mu mawonekedwe apiritsi. Ili ndi machitidwe awa:

1. Kugwira ntchito bwino. Metronidazole amasokoneza kapangidwe ka DNA ka protozoa ndi mabakiteriya omwe amayang'anira gawo lophatikizika. Mankhwalawa amagwira ntchito motsutsana ndi Trichomonas, gardnerella, Giardia, amoeba. Tiziganizira kwambiri mankhwala ndi mabakiteriya a anaerobic. Bacteria yemwe amakhala m'malo okhala ndi okosijeni amakhala osagwiritsa ntchito mankhwala.
2. Kukula kwa ntchito. Mndandanda wazisonyezo zogwiritsira ntchito metronidazole umaphatikizapo matenda otsatirawa:
   • trichomonas lesion wa urethra ndi nyini,
   • Giardiasis
   • amoebiasis
   • matenda oyambitsidwa ndi anaerobic tizilombo,
   • kusakaniza matenda oyambitsidwa ndi moyo wokangalika wa bakiteriya wa aerobic ndi anaerobic,
   • kupewa mavuto obwera pambuyo pake,
   • uchidakwa wosatha.
3. Contraindication Mankhwala sinafotokozedwe zotupa za ubongo, chiwindi ndi impso, komanso kusalolera kwa metronidazole. Simungatenge antiprotozoal wothandizila kumayambiriro kwa mimba.
4. Njira yogwiritsira ntchito. Mankhwala amatengedwa 250-750 mg katatu patsiku. Mlingo wa ana wakhazikitsidwa pamlingo wa 5-15 mg / kg. Kutalika kwa njira ya achire kumatsimikiziridwa ndi kuopsa kwa njira ya matendawa.
5. Zotsatira zoyipa. Mukamamwa mapiritsi, matenda am'mimba amatha kupezeka m'mimba, kusanza, kakhalidwe kosasangalatsa mkamwa, ndi m'mimba. Mphamvu ya mankhwalawa pakhungu lamanjenje ikuwoneka ndi mutu, kuwonongeka kwa chikumbumtima, chizungulire komanso kukomoka. Ndi chidwi cha zigawo zikuluzikulu za mankhwalawa, matupi awo sagwirizana ndi uritisaria, kuyabwa kwa khungu, mphuno.

Zomwe zili bwino - Amoxicillin kapena Metronidazole

Mankhwala ali ndi njira zosiyanasiyana zochitira, chifukwa chake nkovuta kunena kuti ili bwino.

Amoxicillin molumikizana mankhwala amagwiritsidwa ntchito pofuna kuchiza gastritis yoyambitsidwa ndi matenda a Helicobacter pylori.

Mukamamwa kumwa pamodzi Amoxicillin ndi Metronidazole

Zisonyezero zogwiritsira ntchito kuphatikiza kwa mankhwala ndi matenda otere:

• gastritis yoyambitsidwa ndi matenda a Helicobacter pylori,
• zilonda zam'mimba ndi duodenum,
• zovuta za ulcer dyspeptic,
• kuchuluka kwa minyewa yam'mimba,
• kuchira pambuyo pochotsa zilonda zam'mimba,
• gastroesophageal Reflux.

Momwe amoxicillin amatengedwa

Amoxicillin ndi wa gulu la penicillin ndipo amagwiritsidwa ntchito pazotsatira izi:

• matenda a chapamwamba ndi apansi kupuma dongosolo,
• bakiteriya akatupa kwamkodzo,
• matenda a minofu yofewa, njira ya m'mimba ndi njira yoberekera (kuphatikizira omwe amayamba ndi gonococci, listeria ndi leptospira),
• kupewa mabakiteriya azovuta a mano komanso opaleshoni.

Kodi Metronidazole amalembera chiyani?

Mosiyana ndi amoxicillin, metronidazole amagwira ntchito osati motsutsana ndi mabakiteriya okha, komanso protozoa (mphutsi, giardia). Mankhwala ozikidwa pa antibayotiki awa amapatsidwa:

• zovuta mankhwala a matenda oopsa ndi tizilombo tating'ono ta anaerobic ndi aerobic tizilombo,
• giardiasis
• kamwazi ndi matenda ena am m'mimba omwe amayamba chifukwa cha maluwa omwe amakhudzidwa ndi mankhwala.
• kutupa kwa genitourinary dongosolo chifukwa trichomonads,
• kupewa kwamikodzo thirakiti mavuto ndi m'mimba thirakiti.

Metronidazole angagwiritsidwe ntchito ngati uchidakwa wopanda vuto kuti apangitse malingaliro osokoneza bongo a ethanol.

Kuphatikizika kwa Amoxicillin ndi Metronidazole

Kuphatikiza kwakukulu kwa mankhwalawa kumawonedwa motsutsana ndi bakiteriya Helicobacter pylori. Metronidazole imakhudza molakwika mtundu wa Helicobacter, kusokoneza njira yake yobwereza.

Mankhwala ochepetsa mphamvu ya penicillin amalepheretsa kukula kwa microorganism kukana Metronidazole.

Kuchita bwino kwa maphunzirowa kumadalira kupezeka kwazinthu zina zamankhwala (kuphatikizapo clarithromycin) ndi kuzindikira kwa tizilombo tomwe timayambitsa zovuta za maantibayotiki.

Amoxicillin ndi metronidazole - mungatenge bwanji ndi gastritis?

Gastritis yolumikizidwa ndi matenda a H. pylori amayenera kuyesedwa mwankhanza. Kupanda kutero, pamakhala chiopsezo chachikulu chokhala ndi zilonda. Pazaka zambiri pogwiritsa ntchito quadrotherapy amatilola kusankha bwino mankhwala. Malinga ndikuwunika kwa onse gastroenterologists komanso odwala omwewo, zabwino kwambiri zimatheka ndi njira yotsatira ya masiku 7:

• Omeprazole 20 mg 2 kawiri pa tsiku,
• Clarithromycin 0,5 ga 2 pa tsiku,
• Amoxicillin 1 g 2 pa tsiku,
• Metronidazole 0,5 ga 2 pa tsiku.

Tiyenera kumvetsetsa kuti kugwiritsa ntchito Metronidazole kokha ndi Amoxicillin sikungathandize. - Clarithromycin ndi Omeprazole ayenera kupita nawo limodzi. Mankhwala owonjezera a antibacterial ndi ofunika kutsimikizira kuwonongeka kwa mabakiteriya. Omeprazole amakulolani kuti muchepetse mphamvu ya hydrochloric acid pakhoma la m'mimba la helicobacter. Nthawi yomweyo, pali zosiyana zambiri za mitundu yonse ya quadrotherapy yokha (ndikukonzekera kwa bismuth, tetracycline, ndi zina) ndi njira zosiyanasiyana zoyesera zothetsera Helicobacter pa se. Pofuna kulephera kapena kuthekera kochita mankhwalawa, ndikofunikira kusankha mitundu ina ya mankhwalawa.

Zizindikiro zogwiritsidwa ntchito

Chidachi chimagwiritsidwa ntchito ngati chithandizo cha matenda oyambitsidwa ndi bakiteriya omwe angayambike:

• minofu yofewa
• mu m'mimba,
• mu ziwalo zopumira
• mu wodekha chivundikiro
• mu ENT-Zakudya
• mu matumbo,
• mu genitourinary ziwalo.

Mankhwala amapezeka mu mitundu ingapo yazachipatala:

1. mu mapiritsi,
2. mu magule,
3. motani ufa gawo lapansi
4. mu makapisozi,
5. motani ufa (kuphatikizapo kumwa).

Chithunzi 1. Mapiritsi a Amoxicillin, 1000 mg, 20 ma PC, wopanga - ALIUD PHARMA.

Amoxicillin ndi mankhwala okhala ndi antibacterial ndi bactericidal kwambiri, omwe ndi njira yothandiza kwambiri ya mzere wachitatu wa chemotherapy ya chifuwa chachikulu.

Zofunika! Akaphatikizidwa ndi metronidazole, zinthu zomwe zimagwira zimakana Helicobacter pylori. Chifukwa cha Amoxicillin, mu Helicobacter pylori kulimba sikukula to metronidazole.

Zizindikiro zogwiritsidwa ntchito munthawi yomweyo

Chizindikiro chachikulu cha kuphatikiza mankhwalawa ndi kuchiza kwa mankhwala - kuwonongedwa kwa tizilomboto tating'onoting'ono ta H. pylori, chomwe chiri chifukwa chachikulu chokwiyitsa komanso kupweteka kwamakoma am'mimba.

Kuphatikiza kwa mankhwalawa kungaperekedwe pazotsatira zotsatirazi:

• kuchuluka kwa zilonda zam'mimba zothandizirana ndi Helicobacter,
• atrophic gastritis,
• dyspepsia of gen -is ulcer genesis,
• neoplasia yoyipa ya minyewa yokhala ndi minyewa ya m'mimba,
• chotupa chotupa cham'mimba,
• khansa ya m'mimba mwa abale ake apamtima,
• gastroesophageal Reflux matenda, kugwiritsidwa ntchito kwa nthawi yayitali kwa NSAIDs (mosamala).

Ngati mankhwala a mzere woyamba sagwira ntchito kapena ngati mankhwala owonjezera, zovuta za amoxicillin + metronidazole zitha kutumikiridwa chifukwa cha chifuwa chachikulu komanso poyambira chlamydia, ngakhale kuti ntchito ya antichlamydial ilibe kanthu.

Mlingo wa mankhwalawa komanso kutalika kwa nthawi ya chithandizo akutsimikiza ndi dokotala.

Khalidwe la Amoxicillin

Mankhwalawa amaperekedwa monga mapiritsi, mapiritsi kapena kuyimitsidwa pakamwa. Amoxicillin amalepheretsa ntchito za ma enzymes omwe amapanga peptidoglycan, mapuloteni ofunika pomanga khoma la bakiteriya. Wothandizila antibacterial amaletsa magawano ndipo amathandizira kuti kufa kwa microorganism. Omvera ku Amoxicillin:

• mabakiteriya a grob-aerobic (streptococci, staphylococci, kupatula zovuta zopatula beta-lactamases),
• Magram-negative aerobic tizilombo (Escherichia coli, Proteus, Haemophilus influenzae, gonococci, meningococci, Salmonella, Klebsiella, Shigella, Helicobacter pylori).

Thupi siligwira ntchito polimbana ndi ma protein a Proteus, enterobacter, serging, rickettsia, ma virus ndi majeremusi okhudzana ndi intracellular.

Amoxicillin akatengedwa pakamwa, amalowetsedwa mwachangu m'magazi ndikugawana mwachangu monse.

Zolemba malire pazinthu zimapezeka mphindi 60-120 pambuyo pakulowetsa. Mu chiwindi, maantibayotiki amasinthidwa kukhala ma metabolites osagwira, omwe amatsitsidwa mkodzo.

Amoxicillin amaletsa magawano ndipo amathandizira kuti kufa kwa tizilombo toyambitsa matenda.

Zochita za metronidazole

Metronidazole ali ndi antimicrobial komanso antiprotozoal. Kuchita bwino kumafotokozedwanso kuthekera kobwezeretsa gulu la 5-nitro pakulowera mu ma cell a pathogenic microorganism. Chithandizo chogwira ntchito chimalowa mu DNA, ndikuletsa kaphatikizidwe kazinthu zama acid, zomwe zimayambitsa kufa kwa mabakiteriya. Mankhwalawa amagwira ntchito motsutsana ndi tizilombo toyambitsa matenda:

• Trichomonas vaginalis,
• dysenteric amoeba,
• gardnerella,
• Giardia
• ma bacteria
• fusobacteria,
• clostridia
• peptococci,
• peptostreptococcus.

Mabakiteriya a Aerobic ndi majeremusi oyang'anitsitsa samvetsetsa zomwe zimagwira. Pamaso pa maluwa osakanikirana, metronidazole imawonjezera mphamvu ya maantibayotiki. Mankhwala amachepetsa kukana kwa zotupa zoyipa ku radiation, amalimbikitsa kukula kwa zakumwa zoledzeretsa, zimathandizira kuchira. Tilowetsedwa, tinthu tomwe timagwiritsidwa ntchito mothandizika timagawika pogawana minofu ndi ziwalo, kuthana ndi zotchinga za histoological. Mu chiwindi, metronidazole amasinthidwa kukhala metabolites yogwira yomwe imatulutsidwa mkodzo.

Momwe mungatenge Amoxicillin ndi Metronidazole palimodzi?

Mankhwala amatengedwa pakamwa katatu patsiku. Mlingo amasankhidwa ndi adotolo. Ngati vuto la impso, kusokonezeka pakati pa Mlingo kumawonjezeka mpaka maola 12. Njira ya mankhwala kumatenga masiku 10-12. Nthawi zina, amapitilira miyezi isanu ndi umodzi. Amoxicillin amatengedwa asanadye, Metronidazole - itatha. Mapiritsi amasambitsidwa ndi madzi ambiri.

Zotsatira zoyipa za Amoxicillin ndi Metronidazole

Ngati mutsatira dongosolo lomwe dokotala wapanga, zotsatira zoyipa sizimachitika. Nthawi zina zotere zimawonedwa:

• mutu
• febrile syndrome
• mavuto pokodza
• mgwirizano wolakwika,
• kugona ndi kutopa,
• kusintha kwa magazi.

Malingaliro a madotolo

Peter, wazaka 45, gastroenterologist, Tver: "Metronidazole ndi Amoxicillin amagwiritsidwa ntchito kawirikawiri pochiza gastritis ndi zilonda zam'mimba. Mankhwalawa amalimbikitsa kuthandizana, komwe kumathandizira kuthetsa Helicobacter pylori, chomwe chimayambitsa matenda otupa a kumtunda kwam'mimba. Mutha kumwa maantibayotiki pokhapokha mukauzidwa ndi dokotala. Kupanda kutero, mwayi wazotsatira zimawonjezeka. "

Irina, wazaka 54, dokotala wamkulu, Barnaul: "Metronidazole osakanikirana ndi Amoxicillin amagwiritsidwa ntchito pochiza matenda oyambitsidwa ndi tizilombo toyambitsa matenda. Mankhwalawa amagwira ntchito pa chifuwa chachikulu, zilonda zam'mimba, trichomoniasis. Malangizo a mankhwalawa akuyenera kuchitika poganizira zomwe zimachitika mthupi. Osadzimvera chisoni. ”

Ndemanga za Odwala

Tatyana, wazaka 45, Kazan: “Nditachotsa mphutsi, dokotala adandiuza kuti nditenge Metronidazole. Mankhwalawa amalimbana ndi matenda omwe amachitika motsutsana ndi maziko a ntchito za parasitic. Zotsatira zake sizinatchulidwe mokwanira, chifukwa chake, mankhwalawo anali othandizira ndi Amoxicillin. Kuphatikiza apo, mankhwalawa adachita bwino, zomwe zidachepetsa nthawi yayitali ya njira yochizira. Chithandizo chiyenera kuphatikizidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo omwe akulepheretsa kukula kwa dysbiosis. ”

Marina, wazaka 42, Ivanovo: “Metronidazole ndi Amoxicillin ndi mankhwala okwera mtengo koma odalirika. Kuphatikiza komweku kunagwiritsidwa ntchito pochiza matenda opatsirana a kupuma. Mankhwalawa mwachangu adathana ndi matendawa. Sanandipeze mavuto. ”

Metronidazole (Metronidazole): mafotokozedwe achidule

Metronidazole ndi yotakata yotakata mankhwala opha ma antimicrobial, antibacterial ndi antiprotozoal. Mankhwalawa amagwiritsidwa ntchito mochizira matenda a parasitic komanso matenda opatsirana.

Mankhwala amagwira ntchito motsutsana ndi mabakiteriya otsatirawa:

• dysenteric amoeba
• urogenital trichomoniasis,
• matumbo lamblia,
• gardnerella.

Motsutsana ndi mabakiteriya okhala ndi gramu:

• peptostreptococcus,
• eubacteria,
• clostridia,
• Helicobacter pylori (gram-negative).

Mabakiteriya a anaerobic:

• veilonella,
• anaerobic matenda
• ma bacteria.

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimakhudzidwa munthawi yomweyo za mitundu iwiriyi sizimasiyana ndi zomwe zimagwiritsidwa ntchito mosiyana. Nthawi zina, izi zimachitika:

• Kuchokera mmimba matenda am'mimba, nseru, kusanza,
• matupi awo onse zimachitika
• teturam-ngati zotsatira.

Zolakwika zotsatirazi zingachitike:

• mavuto azantchito kugaya chakudya,
• cystitis,
• kuchepetsa magazi maselo oyera m'magazi
• mavuto ndi kukodza,
• kuchuluka kutentha
• mutu kupweteka
• khungu zotupa,
• kuphwanya mgwirizano,
• chisokonezo kuzindikira.

Ndi mndandanda wawukulu wazotsatira zoyipa, mavuto omwe akusokonezedwa ndi kugona ndi kutopa nthawi zambiri amawonedwa.

Kugwiritsa ntchito bwino

Chifukwa chakuti mankhwalawa amathandizira zochita za wina ndi mnzake, titha kulankhula molimba mtima za kugwira ntchito kwawo. Koma muzochitika zonsezi, kufunika kwa chithandizo ndi mankhwalawa kuyenera kuganiziridwanso aliyense payekhapayekha, poganizira mbali zonse za matendawa.

Nthawi zambiri, izi ndizofunikira kwa odwala omwe mankhwala ena amatsatiridwa kapena ngati ndalama izi sizipereka kufunika.

Momwe mungatenge Amoxicillin ndi Metronidazole palimodzi

Mlingo woyenera wa mtundu wa H. pylori kufafaniza umaphatikizapo kumwa piritsi limodzi katatu patsiku. Mlingo wa tsiku ndi tsiku wa mankhwalawa sapitirira 2000 mg. Nthawi yayitali ya maphunzirowa ndi masiku 12.

Ndi chifuwa chachikulu, ndalama zimatengedwa pakatha miyezi isanu ndi umodzi.

Mankhwala osokoneza bongo a Penicillin aledzera asanadye, ndipo antiprotozoal pambuyo.