Kusiyana pakati pa amoxicillin ndi augmentin

Potaziyamu clavulanate kapangidwe

Amoxicillin vs Augmentin

Panali chisokonezo pofika pamtundu wa amoxicillin ndi augmentation. Madokotala, mawebusayiti ndi anthu ena amalimbikitsa augmentin kuti atenge matenda enaake, ndiye kuti anganene kuti amoxicillin ingagwire ntchito. Mankhwalawa onse ndi am'banja la penicillin. Awiriwa ndi maantibayotiki omwe amalimbana ndi mabakiteriya oyipa mthupi.

Amoxicillin, poyambira ndipo, mophweka, ndi mtundu wosinthika wa penicillin woyamba kwambiri. Poyerekeza ndi penicillin, amoxicillin amatha kupirira kuwonongeka komwe kumabwera chifukwa cha asidi m'mimba, yomwe imapangitsa kuti ikhale yolimba. Ngakhale amoxicillin amatha kudziwa kuukiridwa ndi ma enzymes ena a staphylococcal, zotsatira zake zimatha kupitilira pamakoma a cell opanda gramu. Madokotala nthawi zambiri amalimbikitsa kugwiritsa ntchito amoxicillin mwa odwala omwe ali ndi matenda omwe amayamba chifukwa chamoyo chilichonse. Komanso, amadziwika kuti amoxicillin ali ndi zotsatira zabwino motsutsana ndi mabakiteriya a anaerobic, omwe amachititsa kuti akhale oyamba kukhala mndandanda wazachipatala zomwe madokotala amapereka kwambiri. Matenda akuluakulu komanso mabakiteriya omwe amoxicillin amatha kuthana nawo ndi matenda a chikhodzodzo, khutu, chibayo ndi E. coli. Pa zovuta zina zamakono zamankhwala, amoxicillin ikhoza kuphatikizidwa ndi mankhwala ena kuti athandizidwe. Izi ndi zina mwazofunikira kwambiri zomwe amoxicillin angapereke.

Ntchito yayikulu ya Augmentin ndikupititsa patsogolo amoxicillin. Augmentin imakhala ndi clavulante ndi mphamvu ya β-lactamase, yomwe imalola amoxicillin kuti afikire ndikugunda magulu osiyanasiyana, kuphatikiza ngakhale zomwe zimagwirizana ndi maantibayotiki. Augmentin ndi mankhwala odziwika odziwika omwe amagwiritsidwa ntchito kwambiri m'nyumba ndi zipatala chifukwa cha zinthu zomwe zimadziwika kale. Amagwira matenda obwera ndi mabakiteriya m'malo otsatirawa: matenda apamwamba am'mapapo thirakiti, monga tillillitis, atitis media ndi sinusitis, matenda am'mimba opatsirana monga bronchopneumonia komanso matenda opatsirana kapena kupweteka kwambiri pamatenda, matenda a mano ndi zotupa monga intraperitoneal sepsis, Escherichia coli ndi ena ambiri.

Kusiyana kwina kwakukulu komwe kuyenera kukumbukiridwa, kuphatikiza pa mikhalidwe yomwe ingathe kuchiritsa mankhwalawa, ndi mawonekedwe awo. Amoxicillin amayima yekha ngati mankhwala, pomwe Augmentin ali ndi amoxicillin wophatikizana ndi potaziyamu clavulant.

Popeza onsewa ndi othandizana ndipo ali ndi zinthu zambiri zofanana, ndizovuta kuti anthu azisiyanitsa wina ndi mnzake. Komabe, ndikulongosola koyenera kwa mankhwalawa komanso kusiyanasiyana, ndikosavuta kuti mudziwe zomwe muyenera kudya. Tsopano mutha kumvetsetsa chifukwa chake madokotala kapena masamba amalimbikitsa augmentin kapena amoxicillin.

1. Amoxicillin amatha kulimbana ndi matenda mu chikhodzodzo, khutu, chibayo ndi Escherichia coli, pomwe Augmentin amatha kuchiritsa matenda opatsirana ndi mabakiteriya, sinusitis, matenda amkhungu, matenda amkodzo thirakiti, ngakhale bronchitis.

2. Amoxicillin ndi mankhwala odziimira pawokha, ndipo augmentin ndi amoxicillin wokhala ndi potaziyamu wambiri.

3. Amoxicillin ndi mtundu watsopano wa penicillin woyamba, pomwe ntchito yayikulu ya Augmentin ndikukula mphamvu ya amoxicillin.

Amoxicillin ndi Augmentin, pali kusiyana kotani ndipo mankhwalawa ndi otani?

Mphamvu ya Amoxicillin imagwirizana ndi dzina la mankhwala. Uwu ndi penicillin wopanga ndi ma antimicrobial komanso antibacterial. Augmentin imakhala ndi amoxicillin ndi clavulanic acid, yomwe imawonjezera mphamvu ya antibayotiki. Augmentin kapena Amoxicillin ntchito mankhwala matenda osiyanasiyana:

kupuma: pharyngitis, sinusitis, pachimake otitis media, bronchitis, purulent tonillitis, chibayo,
genitourinary dongosolo: gonorrhea mu gawo loyambirira, cystitis, endometritis, urethritis, kutupa kwa impso,
m'mimba: bile duct kutupa, enteritis, peritonitis,
kwanira zochizira matenda khungu ndi mucous nembanemba, minofu yofewa, komanso milandu yovuta monga meningitis ndi obstetric sepsis.

Chithunzi 1. Amoxicillin, m'matumba ndi mapiritsi.

Mankhwala omwe mwakambirana ogwira motsutsana tizilombo tating'onoting'ono tambiri, tokhala ndi gramu-stam (Staphylococcus spp. ndi Streptococcus spp.), komanso gram-negative (Neisseria meningitidis ndi gonorrhoeae, Shigella spp. ndi Escherichia coli). Komabe, amoxicillin imagwera otchedwa beta-lactamases, chifukwa chake, mawonekedwe ake ogwirira ntchito samakupatsani mwayi wolimbana ndi mabakiteriya omwe amapanga michere yotere.

ZOFUNIKIRA: clavulanic acid, yomwe ndi gawo la Augmentin, amawapatsa mwayi. Chifukwa cha izi, mankhwalawa amakhudza bwino tizilombo tating'onoting'ono tomwe timatulutsa beta-lactamases. Augmentin awononga a Blogella, hemophilic ndi Escherichia coli, Staphylococcus aureus ndi Salmonella, osagwirizana ndi amoxicillin wangwiro.

Ndi ziti zomwe sizingatenge Amoxicillin ndi Augmentin?

Monga mankhwala ena aliwonse, maantibayotiki ali ndi zotsutsana zina kuti agwiritse ntchito. Ambiri kuphwanya - matenda a virus.

Maantibayotiki amatha kumenyana ndi mabakiteriya, motero, kuzizira kosavuta, amakhala opanda ntchito.

Contraindication

Komanso, Mankhwala omwe ali pamwambawa ali ndi ma contraindication enaake, omwe mumafuna Khalani osamala momwe mungathere.

Hypersensitivitykuphatikiza magulu ena a penicillin.
Matenda oopsa, mphumu, nyengo ya hay fever.
Matenda mononucleosis ndi lymphocytic leukemia (chifukwa chazovuta zomwe zingayambitse matenda otupa).
Colitisngati zoterezi zikuchitika mu ma anamnesis.

CHIYAMBI: kuphatikiza pazotsutsana, Agmentin ali ndi zowonjezera zoletsa kuvomereza:

mbiri yakumvetsetsa kwa beta-lactam,
jaundice, kuwonongeka kwa chiwindi ntchito pakumwa mankhwalawo m'mbuyomu.

Pa nthawi yoyembekezera mankhwalawa amagwiritsidwa ntchito pokhapokha ngati dokotala wachita. Ndi kuyamwitsa, kugwiritsa ntchito mankhwalawa sikuletsedwa, popeza kuchuluka kwazomwe zimagwira ntchito kumalowa mkaka wa m'mawere.

Zotsatira zoyipa

Mwambiri, Amoxicillin ndi Augmentin ndi ofanana; amatchulidwa ngati mankhwala osalolera abwino komanso okhutiritsa. Anthu ochepa akhoza kukumana ndi izi mawonetsero osayenera:

Ziwengo mu mawonekedwe a urticaria, zidzolo, angioedema, rhinitis ndi conjunctivitis. Nthawi zosowa kwambiri, kuwopsa kwa anaphylactic kumawonedwa.
Zosintha mu chiwindi: kawirikawiri cholestatic jaundice ndi hepatitis.
Kuchepetsa mphuno, kusintha kwadzidzidzi kukomoka, kusanza, kutsekula m'mimba, stomatitis, dysbiosis.
Machitidwe a mantha amachitika: nkhawa, kusowa tulo, kukhumudwa, kusakhazikika kwa chikumbumtima, chizungulire, kukwiya.

Anthu omwe ali ndi matenda osachiritsika komanso kukana kuchepa amatha kuyamba zomwe zimatchedwa kupambanapamwamba. Pakakhala bongo, nseru ndi kusanza ndizofanana, nthawi zambiri zimayambitsa m'mimba. Kuti muwone izi, kugwiritsidwa ntchito kwa m'mimba, kuchuluka kwa mafuta, ndipo nthawi zina hemodialysis imagwiritsidwa ntchito.

Ndi mankhwala ati omwe amagwira ntchito kwambiri polimbana ndi chifuwa chachikulu?

Malinga ndi akatswiri, onse mankhwalawa amalimbana mokwanira ndi matenda oyambitsidwa ndi bakiteriya. Komabe, ziyenera kumvedwa kuti ndizofunikira ntchito yoyenera maantibayotiki opezeka ndi matendawa.

Komabe mufunso, Augmentin kapena Amoxicillin, amene ali bwino pochiza TB, Augmentin amapambana, ake mwayi - clavulanic acid.

Chifuwa chachikulu chimafunikira njira yophatikizira chithandizo, ndipo chifukwa cha kupangidwa kwake, Augmentin imatha kukhala yothandiza kwambiri polimbana ndi tizilombo tina tosiyanasiyana.

Kodi Augmentin Aliko bwino Kuposa Amoxicillin?

Ngati munayamba mwapatsidwapo mankhwala opha tizilombo toyambitsa matenda, mwina mumapatsidwa amoxicillin kapena augmentin (amoxicillin clavulanate) nthawi ina kapena ina. Mwana wanu akayamba wafunikira mankhwala ophera tizilombo, atha kukhala kuti akuwapatsa onse awiri.

Ngakhale anthu ambiri amakhulupirira kuti Augmentin ndi buku lamphamvu kwambiri la amoxicillin, zenizeni ndikuti onse amagwiritsa ntchito moyenera komanso momwe angagwiritsidwe ntchito.

Khalidwe la Augmentin

Augmentin amapangidwa kuchokera ku zosakaniza ziwiri zogwira ntchito - amoxicillin ndi clavulanic acid. Gawo loyamba limawononga makoma a bakiteriya, lachiwiri limalepheretsa zochita za beta-lactamases (ma enzyme opangidwa ndi michere ina ndikuwononga maantibayotiki).

Zisonyezero zogwiritsira ntchito mankhwalawa ndi matenda opatsirana:

ziwalo zopumira
bile ducts
minofu yamafupa
genitourinary dongosolo
minofu yofewa ndi khungu.

Khalidwe la Amoxicillin

Amoxicillin amawononga makoma a cell a tizilombo panthawi ya magawo awo ndi kukula. Mankhwalawa amalembera matenda omwe amayamba chifukwa cha mabakiteriya omwe amakhudzidwa nawo: aerobes ndi anaerobes, gram-negative and gram-positive. Mulibe clavulanic acid, chifukwa chake siligwiritsidwa ntchito kuthana ndi tizilombo toyambitsa matenda omwe amatulutsa beta-lactamases.

Mankhwalawa amamwetsa msanga komanso pafupifupi, osawonongedwa m'malo okhala acidic. Amagwiritsidwa ntchito pa matenda am'mapapo ndi bronchi, matenda amtundu wa m'mimba, matenda am'mimba, thirakiti la biliary, mafupa, mafupa, minofu yofewa komanso khungu.

Amoxicillin amagwiritsidwa ntchito pa matenda am'mapapo ndi bronchi, matenda amtunduwu, matenda am'mimba, zotupa za bile, mafupa, mafupa.

Kuyerekeza kwa Augmentin ndi Amoxicillin

Mankhwala samakhala ndi zofanana zokha, komanso zosiyana. Wodwala amatha kudziwa zofananira za mankhwalawa, koma sangathe kusankha mankhwalawo mosadalira.

Zodziwika za maantibayotiki ndi:

Chofunikira chachikulu. Mphamvu ya antibacterial ya mankhwalawa imachitika chifukwa cha zomwe zimapangidwanso - amoxicillin.
Kukula kwa ntchito. Mankhwalawa amagwiritsidwa ntchito pochiza matenda oyambitsidwa ndi bakiteriya omwe amayang'aniridwa ndi amoxicillin.
Gwiritsani ntchito mkaka wa m`mawere, mimba. Kupereka mankhwala kwa azimayi oyembekezera sikulimbikitsidwa pokhapokha ngati pakufunika kuchitapo kanthu mwachangu. Panthawi yoyamwitsa, mankhwala amatha kumwedwa ndi chilolezo cha katswiri. Komabe, ziyenera kukumbukiridwa kuti mwana akhoza kukumana ndi zovuta: ziwopsezo, kutsekula m'mimba, thrush, ndi zina zambiri.

Kodi pali kusiyana kotani?

Mankhwala amasiyana wina ndi mnzake motere:

Kuwonekera kwa antibacterial ntchito. Augmentin imakhala ndi clavulanic acid, yomwe imalepheretsa zochitika za beta-lactamases. Chifukwa chake, kugwiritsa ntchito bwino mankhwalawa pogwiritsa ntchito chida ichi ndikwambiri kuposa pakugwiritsa ntchito analog.
Kutulutsa Fomu. Amoxicillin amapezeka pamapiritsi, makapisozi, granules pokonzekera kuyimitsidwa. Augmentin ali ndi mitundu iwiri ya mankhwala: ufa ndi mapiritsi.
Kupanga. Amoxicillin mulibe gluten ndi glucose, omwe amalola kuti azigwiritsa ntchito shuga.
Wopanga Augmentin amapangidwa ku UK, ndipo ma analogi ake amapangidwa m'maiko osiyanasiyana (Russia, Germany, USA, Netherlands, ndi zina).

Zomwe zili bwino: Augmentin kapena Amoxicillin?

Kuti mankhwalawa agwire ntchito, maantibayotiki ayenera kusankhidwa poganizira zinthu zosiyanasiyana: kuzindikira, kulemera, msinkhu, kuopsa kwa matendawa, etc. Ndikulimbikitsidwanso kuyesa kuyesa kwa kuzindikira kwa tizilombo toyambitsa matenda.

Augmentin amalembera matenda oyambitsidwa ndi tizilombo toyambitsa matenda osadziwika.

Ngati mabakiteriya atengeke ndi Amoxicillin, mankhwala otsika mtengo angagwiritsidwe ntchito. Ngati tizilombo tating'onoting'ono titulutsa beta-lactamases, muyenera kugula wogulitsa magawo awiri - Augmentin. Komanso, mankhwalawa amalembera matenda oyambitsidwa ndi tizilombo toyambitsa matenda osadziwika.

Kugwiritsa ntchito mankhwala osakanikirana kwa 2 ndizoletsedwa, chifukwa Amoxicillin ndi Augmentin ali ndi gawo lomweli.

Kugwiritsa ntchito mankhwala mosiyanasiyana kungayambitse bongo.

Ndemanga za Odwala

Ekaterina, wazaka 27, Ufa: “Mwana atayamba kukhala ndi chifuwa champhamvu, amamuika Amoxicillin. Mankhwalawa anayambitsa kutsegula m'mimba kwambiri, motero ndinasinthira ku Augmentin (ndiyothandizanso pochiza ana). Mankhwalawa adatithandizira kuchotsa bronchitis, palibe zotsatira zoyipa. Poyerekeza ndi maantibayotiki ena, Augmentin ndi wokwera mtengo. ”

Konstantin, wazaka 39, ku Moscow: "Sindimayesera kumwa maantibayotiki, chifukwa amawononga matumbo am'mimba. Koma atayamba kudwala meningitis, kunalibe chosankha. Dokotala anakhazikitsa Amoxicillin: 500 mg katatu patsiku. Kubwezeretsa kunabwera mwachangu. Ndinkakonda kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo, choncho sindinadwala matenda am'mimba komanso zotsatirapo zina kuchokera m'mimba. ”

Svetlana, wazaka 31, Kazan: “Adatenga Augmentin pa nthawi yoyamwitsa, popeza nthawi yotsekera sichili mndandanda wazolakwika. Zotsatira zake zinali kukula kwa candidiasis a mucous nembanemba zamkati zamkati mwa mwana. Nthawi yomweyo anasiya kuyamwitsa ndi kusamutsa mwana wake wamwamuna kuti asakanikirane. Osamwa maantibayotiki popanda chilolezo cha dokotala, makamaka pa nthawi yokumwitsa ndi pakati. "

Madokotala amawunika za Augmentin ndi Amoxicillin

Larisa Aleksandrovna, wothandizira, Voronezh: "Augmentin ndi mankhwala otetezeka komanso othandiza kwambiri, koma okwera mtengo. Mwambiri, itha kutha kuyatsidwa ndi analogue yotsika mtengo kwambiri - Amoxicillin. Musanagwiritse ntchito mankhwala aliwonse othandizira, ndibwino kuti muchite kuyesa kudziwa momwe mabakiteriya akumvera. ”

Igor Mikhailovich, katswiri wa zamankhwala, St. Petersburg: “Mankhwalawa onse angagwiritsidwe ntchito pochiritsa munthu wamkulu komanso mwana. Ngati pali kuphwanya chiwindi, mankhwalawa ayenera kugwiritsidwa ntchito mosamala. Zotsutsana zina ziyeneranso kulingaliridwa. Izi zikuthandizira kupewa kuwonongeka kwaumoyo komanso kukulitsa zovuta. "

Elena Albertovna, dokotala wa ana, Kazan: “Ndimapereka mankhwala kwa ana azaka zonse. Mankhwala amalowa mwachangu m'magazi ndikupha zomera za pathogenic. Mankhwalawa amalekeredwa bwino, makamaka akaphatikizidwa ndi ma protein. ”

Makhalidwe a mankhwala osokoneza bongo

Kuti mufananitse Augmentin ndi Amoxicillin, muyenera kudziwa kuti mankhwala aliwonse ndi chiyani.

Amoxicillin ndi mankhwala osokoneza bongo a mndandanda wa penicillin. Ili ndi mitundu yambiri yochitira. Zimakhala ndi zowononga zamagetsi zamagalimoto za aerobic gram-negative ndi gram zabwino. Amoxicillin alibe mphamvu motsutsana ndi tizilombo toyambitsa matenda omwe amatulutsa beta - lactamase. Mphamvu imeneyi, yotulutsidwa ndi mabakiteriya ena, imawononga mankhwala a Amoxicillin, ndipo chithandizo sichitha.

Augmentin - ndi mankhwala ophatikiza antimicrobial. Mu kapangidwe kake, imakhala ndi mankhwala osokoneza bongo a penicillin - amoxicillin ndi clavulanic acid. Mankhwala ali osiyanasiyana mawonekedwe.

Ubwino wa Augmentin pa Amoxicillin ndikutsutsa kwake kwa tizilombo tating'onoting'ono timene timatulutsa beta-lactamase. Izi ndichifukwa choti kuwonjezera pa amoxicillin, pali clavulanic acid, yomwe siyimalola kuwonongeka kwa maantibayotiki mothandizidwa ndi enzyme iyi.Analogue ya Augmentin ndi Amoxiclav, ili ndi mawonekedwe omwewo ndi ntchito zake.

Kusiyanitsa kwakukulu pakati pa Augmentin ndi Amoxicillin ndikuti antioxotic woyamba amakhala ndi clavulanic acid. Chifukwa chake, Augmentin amatha kulimbana ndi tizilombo tating'onoting'ono tomwe Amoxicillin sitilimbana nawo.

Kusiyana pakati pa mankhwalawa:

Kupanga
Zosintha zochita. Omwe ndi a Augmentin
Mtengo Augmentin ndi wokwera mtengo kwambiri kuposa Amoxicillin,
Kutulutsa Fomu. Augmentin amapezeka kokha mu mawonekedwe a piritsi ndi ufa wokonzekera yankho. Ndipo Amoxicillin, kuwonjezera apo, pali mawonekedwe amamasulidwe mumapiritsi.

Ngati mungasankhe pakati pa mankhwalawa, ndibwino kuti musankhe Augmentin. Kupatula apo, ndi mankhwala amakono komanso othandiza, makamaka pokhudzana ndi staphylococci.

Ngakhale Augmentin ndi wokwera mtengo kwambiri, koma nthawi yomweyo amalimbana bwino ndimatenda owopsa, okhudza zovuta zambiri. Chifukwa chake, ndibwino kuchulukitsa, koma pezani chitsimikiziro chogwiritsidwa ntchito ndi antiotic.

Kodi ndingatenge nthawi yomweyo

Mankhwalawa ali ndi mankhwala omwe amapha antimicrobial - amoxicillin. Chifukwa chake, kutenga Augmentin ndi Amoxicillin palimodzi koopsa ku thanzi, popeza bongo la antibacterial limatha kuchitika.

Ngati wodwalayo samamvetsetsa dokotalayo ndikutenga mankhwala awiriwa nthawi imodzi, ndiye kuti pali zotsatirazi:

Ndi zizindikiro za bongo, ndikofunikira kuti muzitsuka m'mimba ndikutenga enterosorbents. Kuti mupewe izi, muyenera kusamala kuti musamwe mankhwala limodzi.

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Kusankha mankhwala oyenera

Ngati muli ndi matenda ndipo simukudziwa kuti ndi mabakiteriya omwe amayambitsa, zitha kuwoneka kuti ndi bwino kugwiritsa ntchito maantibayotiki omwe angaphe tizilombo tambiri. Komabe, izi zitha kubweretsa mavuto akulu.

Vuto linanso lalikulu kwambiri ndikuti kugwiritsa ntchito mankhwala osokoneza bongo osiyanasiyana kumatha kupangitsa kuti anti-antiotic. Kukana kumayamba pamene maantibayotiki omwe mumagwiritsa ntchito sangathe kuwononga mabakiteriya mthupi mwanu, nthawi zambiri chifukwa mumayimitsa chithandizo kale momwe mukuganizira.

Izi zikachitika, mabakiteriya angapo osinthika amatha kupulumuka, enanso mwa omwe atha kukhala osagwirizana ndi maantibayotiki omwe mumamwa. Popeza simunatenge “kachiromboka mokwanira,” opulumuka tsopano amatha kubereka ndi kukhala ponseponse. Chifukwa chake, nthawi ina mukadzayamba kutenga kachilomboka, mankhwalawa sangagwire ntchito kwina kulikonse.

Izi zikachitika ndi mankhwala oteteza khungu lanu monga Augmentin, mungakhale pachiwopsezo chambiri chokhala ndi mitundu ingapo ya kukana mankhwala. Ndi mankhwala ochepetsa mphamvu ya chitetezo monga amoxicillin, zotsatirapo zake zingakhale zochepa.

Mwachidule za kusankha koyenera maantibayotiki

Ma antibacterial ena amakhala ofooka, pomwe ena, mmalo mwake, amakhala ndi mphamvu yotchulidwa. Pochiza matenda opatsirana, pali malamulo ena, kapena otchedwa hierarchy (dongosolo lanu) la mankhwala opha tizilombo.

Muzochita za ana, makamaka, monga akulu, chithandizo nthawi zonse chimayamba ndi ma penicillin: Augmentin, Amoxiclav, Amoxicillin. Nthawi zambiri makolo amafunsa funso kuti: "Ndi mankhwala ati osankhira mwana, omwe azitha kugwira ntchito bwino komanso moyenera?". Ndizofunikira kudziwa kuti adokotala okha ndi omwe amasankhidwa ndi antibacterial agents.

Chithandizo choyenera cha maantibayotiki onse chimawerengedwa kuti ndi chosankha cha mankhwalawo malinga ndi zotsatira za chikhalidwe cha mabakiteriya limodzi ndi mankhwala othana ndi mankhwala, komwe zimawonekera bwino zomwe zidayambitsa matendawa komanso zomwe mankhwala omwe mabakiteriya amakhudzidwa nawo. Kuchita izi ndi "kupitilira khumi."

Odwala ambiri akumana ndi mobwerezabwereza kuti atakhazikitsa mankhwala opha maantibayotiki, zotsatira zake sizinachitike kapena zinali zosakhutiritsa. Izi zimatsatiridwa ndi kusintha kwotsatira ndi mankhwala a gulu lina, ndipo nthawi zambiri chithandizo chotere chimakhala ndi zotsatira zabwino.

Ngati tizingolankhula za matenda a kupuma kwamthupi, ndiye kuti mankhwalawa omwe timawerengera pansipa amatengedwa otchuka kwambiri pankhaniyi ya zamankhwala.

Kuyankha funso loti tisankhe maantibayotiki pakati pa amoxiclav, augmentin, mwachidule ndi amoxicillin (zomwe zili bwino?), Tibwereza mwachidule mankhwalawa ndikupeza mawonekedwe ake.

Amoxicillin (Russia, Serbia, Vietnam)

The yogwira mankhwala a Amoxicillin ndi amoxicillin trihydrate. Mankhwala ndi a semisynthetic penicillin omwe ali ndi mawonekedwe osiyanasiyana. Imagwira kwambiri motsutsana ndi mabakiteriya ena a gram-positive ndi gram-negative aerobic: Sichiwululidwa padera la acidic m'mimba ndipo imayamwa mwachangu kudzera m'mimba.

Mabakiteriya angapo amapanga penicillinase, yomwe imayipitsa Amoxicillin, chifukwa cha zomwe ma tizilombo tosiyanasiyana amayamba kugonjetsedwa ndi maantibayotiki.

Mankhwalawa amapezeka m'mapapu, mapiritsi ndi ufa kuyimitsidwa. Mitundu yonse imapangidwa kuti igwiritsidwe ntchito mkati, jakisoni Amoxicillin sagwiritsidwa ntchito.

Amoxicillin amagwiritsidwa ntchito kuyambira masiku oyamba amoyo wa mwana, ngakhale khanda lakhanda. Kuwerengera kwa mankhwalawa kwa odwala ochepa kwambiri kumachokera pa 20 mg / kg ya kulemera kwa mwana. Mlingo komanso kuchuluka kwa makonzedwe akhanda amasankhidwa ndi ma neonatologists.

Zizindikiro zazikulu pakugwiritsira ntchito Amoxicillin

Mndandanda wazidziwitso ndiwambiri:

sinusitis (pachimake komanso chovuta),
tonsillitis
pharyngitis
laryngitis
otitis media
tonsillitis
bronchitis
tracheitis
kutsogolo
sinusitis
chibayo
meningitis
endometritis
mapa,
sepsis
leptospirosis.

Contraindication

Amoxicillin sanatengedwe milandu:

thupi lawo siligwirizana ndi penicillin ndi cephalosporins,
tsankho pamagawo amodzi a Amoxicillin,
ARVI,
lymphocytic leukemia
matenda akulu am'mimba,
matenda mononucleosis,
Mphumu ya bronchial, makamaka yoopsa,
hay fever
aimpso ndi chiwindi kulephera,
mkaka wa m`mawere, pakati (wachibwenzi pakati - ngati n`koyenera, Amoxicillin zotchulidwa),
matumbo dysbiosis.

Zotsatira zoyipa

Kumwa mankhwalawa nthawi zina kumayendetsedwa ndi zovuta:

nseru
kuphwanya kukoma
kutsegula m'mimba
glossitis
kusanza (kawirikawiri)
mutu
conjunctivitis
urticaria
anaphylactic mantha (osowa kwambiri),
kupweteka kwa molumikizana
kusowa tulo
nkhawa
ataxia
kukokana
candidiasis
mankhwalawa amachepetsa mphamvu za kulera.

Mtengo wa Amoxicillin kwa 500 mg makapisozi 20 zidutswa 20 (Russia) - ma ruble 80, mtengo wa mapiritsi 500 mg No. 20 (Russia) - ma ruble 52, magawo oyimitsa pakamwa 250 mg (Serbia) akuti pafupifupi ruble 95.

Amoksiklav (Slovenia)

Mankhwala ndi a mndandanda wa penicillin, ndipo amathana ndi mabakiteriya ambiri (malingana ndi malangizo aposachedwa). Zosakaniza zogwira - amoxicillin trihydrate ndi clavulanic acid (potaziyamu clavulanate).

Amoxiclav imapezeka mu mawonekedwe a piritsi, ufa wokonzekera kuyimitsidwa kwa achire (pakamwa) ndi yankho la jakisoni. Mapiritsi amagwiritsidwa ntchito pakatha zaka 12,ndipo kulemera kwa wodwalayo kuli pafupifupi 40 kg. Powder (kuyimitsidwa) ndikodziwika mu ana, ndipo amaloledwa kuchokera masiku oyamba a mwana.

Zizindikiro zazikulu pakugwiritsira ntchito Amoxiclav

Maantibayotiki amagwiritsidwa ntchito motere:

sinusitis (pachimake komanso chovuta),
Timbonthemve, tonillopharyngitis,
pharyngitis
otitis media
bronchitis
tracheobronchitis,
kutsogolo
rhinopharyngitis,
sinusitis (ICD-10 - gulu),
chibayo
kupemphapempha
yabwino
khungu, matenda a m'mimba, matenda amtundu, mafupa ndi matenda ena.

Contraindication

Mankhwala sayenera kugwiritsidwa ntchito potsatira milandu:

thupi lawo siligwirizana ndi mankhwala a beta-lactam (cephalosporins, penicillin, ena),
mononucleosis komanso pa matenda
cholestatic jaundice ndi chiwindi zimachitika Amoxiclav,
tsankho limodzi la zigawo za Amoxiclav,
lymphocytic leukemia
matenda owopsa a chiwindi ndi impso,
pseudomembranous colitis (wachibale wobayira, mankhwala mosamala).

Mimba komanso mkaka wa m'mawere - lingaliro la kusankha Amoxiclav limapangidwa pokhapokha malinga ndi mawonekedwe okhwima.

Zotsatira zoyipa

Pazithunzi za kumwa mankhwalawa, zoyipa zimasonyezedwa pang'ono. Nthawi zambiri, Amoxiclav amalekereredwa bwino ndi odwala, koma kuthekera kwazomwe zimachitika pakadali pano sikumachotsedwa, ali motere:

nseru
kutsegula m'mimba
kusanza (chosowa kwambiri)
mutu
urticaria
ma allergoses
kuyanʻanila kuchuluka kwa magazi (thrombocytopenia, kuchuluka kwa mayesero a chiwindi - ALT, AST, eosinophilia, ena),
kusowa tulo
candidiasis
ena.

Mtengo wa mapiritsi a Amoxiclav 250 mg (zidutswa 15) ndi ma ruble 230, mtengo wa ufa wopumira pakuyimitsidwa kwa 250 mg ndi ma ruble 280.

Amoxicillin kapena Amoxiclav - ndibwino kusankha?

Mankhwalawa onse ali m'gulu la ma penicillin ndipo ali ndi amoxicillin m'mapangidwe awo, koma Amoxiclav imathandizira ndi clavulanic acid, chifukwa chomwe imakulitsa mawonekedwe ambiri. Chifukwa chake, Amoxiclav akuwonetsedwa chifukwa cha matenda oopsa. Amoxicillin ndi "wosavulaza" kutsogolo kwa beta-lactomas, ndipo izi ndi zovuta zake.

Amoxiclav imatha kudziwika ngati mankhwala othandiza komanso osavuta. Pokhudzana ndi staphylococci, Amoxiclav momveka bwino amaposa Amoxicillin.

Ukoma wokhawo wa amoxicillin ndi mtengo wake, ndi wotsika mtengo kwambiri kuposa Amoxiclav.

Mukamasankha zida ziwiri izi, titha kunena kuti: ndibwino kulipirira mankhwala odalirika kuposa pamenepo kuyang'ana ma analogu omwe angakhalebe okwera mtengo kwambiri. Ngakhale sizowona kuti Amoxicillin ndiwabwino ndipo adzathetsa vutoli ndi tizilombo tating'onoting'ono, komanso ngakhale ndi ndalama zochepa.

Augmentin kapena Amoxiclav?

Augmentin ndi mndandanda wokhala ndi Amoxiclav. Ndizofanana kwathunthu pakupanga, zikuwonetsa, ma contraindication ndi magawo ena. Chifukwa chake, kuyankha funso lomwe limafunsidwa kuti: "Chiti ndi chiyani - Augmentin kapena Amoxiclav?" Sizovuta.

Maantibayotiki amasiyana mu opanga okha komanso amatha pang'ono pamtengo. Mapiritsi amatenga ndalama zofanana, ndipo ufa wokonzekera kuyimitsidwa kwa Augmentin ndi wotsika mtengo pang'ono - ma ruble 150.

Madokotala ena amakonda kugwiritsa ntchito Augmentin kwa ana pafupipafupi, pomwe ena sawona mfundo poyerekeza. Pofuna kuti musamayike ubongo wanu, perekani kusankha kwa mankhwala ndi chithandizo kwa dokotala.

Sumamed (Croatia)

Sumamed si ya penicillin, monga mankhwala onse am'mbuyomu omwe anaganiziridwa, koma ndi a macrolides (azalide). Chomwe chimagwira ndi azithromycin dihydrate. Mankhwalawa amapangidwa mu mawonekedwe a makapisozi, mapiritsi ndi granular ufa komwe kuyimitsidwa kokhazikika ndi kukoma kwa nthochi ndi chitumbuwa.

Mankhwala ali ndi antimicrobial chifukwa chifukwa chofuna kupondereza kaphatikizidwe ka cell bacteria. Kulowa mkati mwachisawawa, Sumamed mwachangu imawononga maluwa a pathogenic. Imakhala ndi zochitika poyerekeza ndi mitundu yambiri yamafuta.

Maantibayotiki ndi omwe amapangidwa bwino pambuyo pa antioticogram, chifukwa chakuti pali mabakiteriya angapo omwe poyamba amatsutsana nawo, mwachitsanzo, Staphylococcus spp. kapena Bacteroides fragilis.

Zizindikiro

Mankhwalawa amatha kugwiritsidwa ntchito ngati matenda otsatirawa akukhudzidwa ndi Sumamed, monga:

Matenda a mbali zonse za kupuma:

Matenda opatsirana a pakhungu:

impetigo
thonje,
mapa,
mangochin,
ziphuphu

cystitis
pyelonephritis,
pyelitis
matenda a impso ovuta mabakiteriya,
glomerulonephritis,
matenda amitsempha.

Kodi Sumamed sigwiritsidwa ntchito liti?

Zotsatirazi ndizosiyana ndi kumwa mankhwalawa:

kusalolera kwa kapangidwe kazinthu.
aimpso ndi chiwindi kulephera,
zaka za ana pamitundu yosiyanasiyana ya mankhwalawa ndizochepa (mapiritsi - mpaka 3 zaka, makapisozi - mpaka zaka khumi ndi ziwiri, malinga ngati kulemera kwa thupi sikotsika ndi 45 makilogalamu, kuyimitsidwa - mpaka miyezi 6),
osatengedwa ndi ergotamine (alkoloid) ndi dihydroergotamine (alpha-blocker).

Zotsutsana:

arrhythmias
myasthenia gravis
bradycardia
mimba ndi mkaka wa m`mawere
matenda oopsa a mtima organic.

Zotsatira zoyipa

Potengera momwe tatengera Sumamed, zotsatirazi ndizotheka:

Khungu
urticaria
candidiasis
pseudomembranous colitis,
kusintha kwa kuchuluka kwa magazi,
anaphylactic shock,
mutu
kusowa tulo
zamkhutu
kukomoka
kuphwanya kununkhiza, kupenya, kumva.
tinnitus
tachycardia
kupuma movutikira.

Chosangalatsa ndichakuti madotolo amaganiza kuti Sumamed ndi mankhwala othandiza komanso otetezeka, ngakhale atakhala ndi mndandanda wazotsatira zoyipa (onani malangizo oyamba).

Pochita, mankhwalawa amathandizadi, ngakhale matenda onga owuma amasowa m'masiku atatu. Pafupifupi maphunziro, monga lamulo, samakhala ndi mavuto.

Mtengo pa Sumamed zimatengera mtundu ndi mankhwalawa a mankhwalawa, mwachitsanzo, makapisozi (250 mg) No. 6 mtengo wa 460 ruble, mapiritsi (500 mg) No. 3 - 430 rubles, ufa woimitsidwa - ma ruble 200.

Sumamed kapena Amoxiclav - ndizomwe zimagwira bwino?

Mankhwalawa ndi osiyana kwathunthu, ali m'magulu osiyanasiyana, amasiyana pa chinthu chachikulu chogwira ntchito. Amoxiclav amaloledwa kugwiritsidwa ntchito kuyambira miyezi yoyamba ya moyo, Sumamed - kuyambira miyezi 6. Amoxiclav ndi wotsika mtengo, koma Sumamed ali ndi maphunziro apafupi. Nthawi zambiri amalembedwa kwa masiku atatu, ndipo penicillin amatenga sabata. Kuthamanga kwa zochita za Sumamed kumachepetsa nthawi yayitali ya matendawa.

Ndizosatheka kunena momveka bwino kuti ndi mankhwala ati omwe amaposa, onse payekhapayekha. Mankhwala aliwonse amakhala ndi zabwino komanso zoyipa, ndipo chokhacho chomwe dokotala angachite chikuwonetsa kusankha koyenera.

Maantibayotiki a angina

Nthawi zambiri, patsamba la intaneti, odwala amafunsa mafunso okhudza chithandizo cha matenda ena omwe ali ndi maantibayotiki, makamaka: "Ndikwabwino kusankha ndi angina, omwe maantibayotiki angathandize mwachangu?".

Zachidziwikire, funso ili silingayankhidwe mosasamala. Angina ndimatenda opatsirana omwe amayambitsidwa ndi mabakiteriya, omwe nthawi zambiri amakhala a streptococci kapena staphylococci. Matendawa amatha kukhala ndi mawonekedwe a catarrhal (ofatsa) komanso owonetsa kwambiri (follicular, lacunar, herpetic kapena necrotic tonsillitis, mpaka chitukuko cha chotupa cha pharyngeal).

Maantibayotiki amasankhidwa malinga ndi chithunzi cha matendawa komanso kuchuluka kwa kachilombo ka bacteria kamene kamapezeka. Amayesa kuyambitsa chithandizo ndi penicillins (Augmentin, Amoxiclav), ndipo ngati sangathe, amasintha kupita ku macrolides (Azithromycin, Sumamed) kapena cephalosporins (Cephalexin, Cefatoxime, Cefazolin, Ceftriaxone).

Azithromycin amagwiritsidwa ntchito kwambiri muzochita za ana, koma chithandizo chokwanira muyenera kudziwa malangizo olondola amagwiritsa ntchito azothromycin kwa ana.

Kudzisankhira kwa antibacterial othandizira sikumayikidwa, poganiza za chiwopsezo chotuluka cha mitundu yolimba (yokhazikika) yamatenda. Chithandizo chokwanira cha angina, pomwe maantibayotiki amatenga mbali yayikulu, amachotsa matendawo mkati mwa masiku asanu ndikupereka mwayi wonena kuti matendawo angayambenso matenda m'tsogolo. Khalani athanzi!

Momwe mungachiritsire zilonda zapakhosi ndi ma antiak a Dr. Komarovsky

Ambiri nthawi zambiri amabwera ndi funso: omwe mankhwalawa amakhala othandiza kwambiri pochiza matenda opatsirana. Amoxiclav, Augmentin amadziwika kuti ndi otchuka kwambiri.Ndiye chabwino kugula? Kodi pali kusiyana kotani pakati pa mankhwalawa? Tiyeni tiyese kuzindikira. Ndikofunika kudziwa kuti palibe kusiyana kwakukulu pakati pa mankhwalawa. Pali ochepa okha.

Chifukwa chake, yankho la funso lodziwika: "Chiti ndi chiyani - Augmentin kapena Amoxiclav?" Zikuwonekeratu. Komabe, timakhazikika pa aliyense payekhapayekha ndikufananiza.

Mawu ochepa za Amoksiklav ndi Augmentin

Amadziwika kuti mabakiteriya omwe amayambitsa matenda apumidwe am'mimba kwambiri pakapita nthawi kukana antiotic. Sayansi nayo siyimayima, koma ili mkati mwachitukuko nthawi zonse. Osati zida zatsopano zomwe zikupangidwa, koma zachikale zikuyenda bwino. Amoxiclav amangokhala m'gulu lachiwiri. Amoksikalv - amoxicillin yemweyo, yekha mawonekedwe apamwamba kwambiri. Ichi ndi mankhwala ochokera ku gulu la penicillin.

Augmentin ndi chithunzi cha Amoxiclav chochokera ku gulu limodzi la penicillin.

Zomwe zimagwira ntchito kwambiri pa Augmentin ndi Amoxiclav ndizofanana - iyi ndi amoxicillin ndi clavunic acid. Chokhacho ndikuti pali zosiyana m'magawo othandizira a mankhwalawa. Ndizofunikira kudziwa kuti popanga Amoxiclav kuchuluka kwazowonjezera zomwe ndizapamwamba kuposa za Augmentin. Chifukwa chake, titha kuganiziranso kuti pochiritsidwa ndi Amoxiclav Kuopsa kwa matupi awo sagwirizana ndi apamwamba.

Mankhwala onse ndi amodzi ali ndi mawonekedwe omwewo:

mapiritsi, ndi muyezo wa 375, 625 ndi 1000 mg.,
ufa wa kuyimitsidwa,
ufa wa jakisoni.

Mankhwala onse awiriwa ali ndi vuto lofananalo.. Koma Augmentin ali ndi zisonyezo zingapo zowgwiritsira ntchito. Amagwiritsidwa ntchito ngati matenda opatsirana a m'mapapo ndi bronchi, khungu ndi zofewa, kwa sepsis, cystitis, pyelonephritis, matenda opatsirana a m'chiberekero komanso matenda opatsirana pambuyo pake.

Amoxiclav amagwiritsidwa ntchito pochiza matenda a ENT, kutupa kwamikodzo, ndi matenda opatsirana a m'matumbo omwe amayenda limodzi ndi kutupa, matenda opatsirana am'mimba, khungu, mafupa ndi minofu.

Mankhwala onse awiriwa amathandizira kuthetsa mabakiteriya owopsa: streptococci, staphylococci, listeria, echinococcus ndi ena.

Onse a Augmentin ndi Amoxiclav kwa kanthawi kochepa amalowa m'magazi, pomwe zomwe zimafalikira m'thupi lonse, ndikuwonongeka kwa tizilombo toyambitsa matenda. Muyenera kudziwa izi onsewa amalowa m'mimba mwa mwana wosabadwayo. Ndipo yoyamwitsa, chotsekedwa mkaka.

Ndiwonso chimodzimodzi pakati pa mankhwala osokoneza bongo.

Augmentin ndi Amoxiclav wolekeredwa bwino ndi odwala. Komabe, zotsutsana zina zilipo. Zambiri:

Kusagwirizana ndi zigawo za mankhwala.
Ziwengo
Matenda a impso, chiwindi.
Nthawi ya bere ndi kuyamwitsa.

Pali zotsutsana zina ku Amoxiclav: kugwiritsa ntchito mankhwalawa imodzi ndi antibacterial othandizira omwe ali m'gulu la sulfonamides ndi tetracyclines. Komanso, singagwiritsidwe ntchito mononucleosis kapena kukayikira kwake, jaundice, lymphocytic leukemia.

Nthawi zina, Amoxiclav imatha kuperekedwa kwa amayi apakati kapena amayi oyamwitsa. Pankhaniyi, muyenera kuigwiritsa ntchito mosamala.

Amoxiclav angathe lembani masiku osapitilira 14. Pankhaniyi, palibe zoyipa zomwe zimawoneka. Ndi kugwiritsidwa ntchito kwa nthawi yayitali, kuposa nthawi yomwe ikunenedwayi, kusokonezeka kwa dongosolo la m'mimba kumatha kuchitika, kuchuluka kwa leukocytes ndi mapulateleti kumachepa, zovuta mu chiwindi zimatha kuwoneka, ndikugwira ntchito kwamanjenje kumatha kusokonezeka. Kuphatikiza apo, nthenda zosasangalatsa monga candidiasis kapena urticaria, migraine, chizungulire, komanso kukomoka zimatha.

Zotsatira zake zimachitika pokhapokha ngati mankhwala atengedwa ndi contraindication. M'pofunika kutsatira kuchuluka kwa mankhwalawa. Komabe, ngati mawonedwe oyamba osafunikira akuchitika, ndiye kuti muyenera kufunsa dokotala. Ndi iye yekha amene angasinthe mankhwalawo ngati ndi kotheka, m'malo mankhwalawa.

Augmentin ali ndi zotsika zingapo zoyipa zomwe zingachitike. Ngati zikuwoneka, ndizosowa. Kuphatikiza apo, mawonekedwe awo adzakhala ofatsa. Matenda a dongosolo logaya chakudya, urticaria, candidiasis, ndi ntchito ya chiwindi amathanso kuoneka.

Kupanga ndi mtengo

Augmentin ndi Amoxiclav ali ndi mayiko osiyanasiyana opanga, chifukwa chake mtengo wa mankhwalawa umakhala ndi kusiyana pang'ono.

Dziko lomwe adachokera Augmentin - United Kingdom. Mtengo woyenerera wa thumba limodzi loyimitsidwa ndi ma ruble 130. Kwa botolo la 1.2 g - 1000 ma ruble.

Dziko la Amoxiclav lopanga - Slovenia. Mtengo woyenerera wa phukusi loyimitsidwa ndi ma ruble 70, pa botolo - 800 ma ruble.

Kodi ndingathe kupatsa ana

Amoxiclav ndi Augmentin onse amagwiritsidwa ntchito pochiza ana. Koma pankhaniyi, onse mankhwalawa ali ndi mawonekedwe apadera omasulidwa.

Madokotala ena amakhulupirira zimenezo za ana Augmentin bwino, motero, mankhwala mankhwala. Madokotala ena amakhulupirira kuti palibe kusiyana pakati pa Augmentin ndi Amoxiclav.

Mwina nkoyenera kupatsa adotolo chisankho cha mankhwala amodzi kapena ena ndi chithandizo chamankhwala?

Kutengera ndi zomwe tafotokozazi, zikuwoneka kuti palibe kusiyana pakati pa Augmentin ndi Amoxiclav. Chifukwa chake, nthawi zambiri amaloledwa kusintha wina ndi wina, kudziwitsa adokotala. Kusiyanitsa kumangokhala pagawo la mitengo komanso dziko lomwe mudachokera.

Titha kunena kuti Augmentin ndiyabwino, popeza momwe thupi limachepera. Komabe, ndibwino kupatsa lingaliro kusankha mankhwala kwa dokotala, popeza katswiriyo ali wodziwa bwino pankhani imeneyi.

Augmentin (Amoxiclav) Ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza matenda opatsirana mwa ana ndi akulu. Augmentin ndi mankhwala osakanikirana, omwe amakhala ndi zinthu ziwiri zazikulu zamankhwala: amoxicillin ndi clavulanic acid. Amoxicillin ndi anti-virus wambiri. Imawononga mabakiteriya, kusokoneza kapangidwe ka khoma la maselo awo. Clavulanic acid imatsutsa michere yama bakiteriya yomwe imawononga amoxicillin ndipo potero imawonjezera chithandizocho.

Augmentin, monga tafotokozera pamwambapa, ali ndi, kuwonjezera pa amoxicillin, clavulanic acid. Ichi ndi chinthu chomwe chimathandiza amoxicillin kuwonetsa zomwe zimachitika. Chowonadi ndi chakuti tizilombo tating'onoting'ono tomwe timayambitsa matupi athu samayima chitukuko. Amakonzedwa nthawi zonse, motero amapezeka kuti amalimbana ndi maantibayotiki omwe amadziwika kale. Chifukwa chake, ngakhale titakhala ndi maantibayotiki ambiri m'matumbo, nthawi zina sitingathe kuchiritsa matenda ena, chifukwa kukana kumatha kukhala ambiri mwa maantibayotiki. Ma Microbes ali ndi njira zambiri zodzitetezera ku mankhwala athu. Imodzi mwa njirazi ndikupangidwa ndi mabakiteriya omwe amaphulitsa mamolekyulu amomwe amapanga mankhwala ndikupangitsa kuti ikhale yogwira ntchito. Chifukwa chake, tizilombo tina tating'onoting'ono timatulutsa β-lactamase, chinthu chomwe chimawononga molekyulu ya amoxicillin ndikuwonjezera ntchito yake. Clavulanic acid ndi chinthu chomwe chimalimbikitsa β-lactamase yokha. Monga gawo la augmentin, imateteza amoxicillin ku β-lactamases, motero imapangitsa ngakhale mabakiteriya osagonjetsedwa ndi maantibayotiki ena kuti azindikire chithandizo cha augmentin.

Augmentin amagwiritsidwa ntchito kwambiri machitidwe a madokotala a akatswiri ambiri. Mankhwalawa amagwira ntchito mwa matenda otsatirawa, pokhapokha ngati causative othandizira a matendawa akumvera augmentin:

matenda apamwamba ndi am'munsi opatsirana matenda opatsirana: kupweteka pachiwindi, tracheitis, tracheobronchitis, chibayo, mapapo, kupuma mphamvu,
Matenda a ENT: sinusitis, tonsillitis, otitis media,
matenda a kwamkodzo thirakiti: cystitis, urethritis, pyelonephritis, prostatitis, gonorrhea, azimayi amakhalanso ndi khomo lachiberekero la khomo lachiberekero), salpingitis (matenda am'matumba a fallopian), salpingoophoritis (matenda am'mimba ndi mazira), endometritis (kutupa kwa chiberekero) vaginitis, pambuyo sepsis, matenda opatsirana pambuyo mimba,
matenda a m'mimba thirakiti: cholangitis (kutukusira kwa ma ducts a bile), cholecystitis,
matenda a m'mimba: kamwazi, salmonellosis,
matenda a pakhungu ndi minyewa yofewa: erysipelas (kuwonongeka kwa khungu ndi streptococcus), bala la phlegmon (chiwonongeko cha minofu ya purulent), abscess, dermatoses yachiwiri yopatsirana,
kufooka kwa mafupa: osteomyelitis (chiwonongeko champhamvu cha minofu yamafupa).
endocarditis - matenda amkati mwa mtima,
meningitis - kutupa kwam'mimba,
kupewa matenda opatsirana opaleshoni.

Kugwiritsidwa ntchito kofala kwa Augmentin kukufotokozedwa ndikugawa kwake m'matupi onse a thupi, mankhwala atalowa m'magazi. Mankhwala amathandizidwa ndi impso, chifukwa chake, ndi kulephera kwaimpso, Mlingo wa augmentin amasankhidwa payekha.

Augmentin amapezeka mu mawonekedwe a mapiritsi, ufa wowuma pokonzekera manyowa ndi ufa wosalala pokonzekera jakisoni. Jakisoni amaperekedwa kudzera m'mitsempha ndipo samayendetsedwa ndi intramuscularly. Mapiritsi ndi madzi nthawi zambiri amatengedwa kumayambiriro kwa chakudya. Mlingo wa mankhwalawa ndi njira yakhazikitsidwe imakhala payokhapokha kwa wodwala aliyense, kutengera zaka, kulemera kwa thupi, kuuma komanso malo omwe akupatsirana, kupezeka kwa matenda opatsirana.

Akuluakulu ndi ana opitirira zaka 12 zokhala ndi zovuta za matenda opatsirana amapatsidwa piritsi limodzi 375 mg katatu patsiku, ovulala kwambiri amapatsidwa piritsi 675 mg katatu patsiku. Ngati ndi kotheka, intravenous makonzedwe, okwanira limodzi mlingo umatulutsa 1,2 g, jakisoni amapangidwa maola onse a 6-8. Pazipita tsiku lililonse la intravenous makonzedwe ndi 7.2 g.

Kwa ana ochepera zaka 12, Augmentin ndi mankhwala wampweya. Ufa umaphatikizidwa ndi madzi owiritsa. Mlingo umodzi umatengera zaka, ndi 250 mg kwa ana azaka 7-12, 125 mg kwa 2 mpaka 7 zaka, 62,5 mg kwa miyezi 9 mpaka 2 wazaka. Mlingo wosankhidwa umaperekedwanso katatu patsiku. Ikaperekedwa kwa ana, Mlingo amawerengedwa payekhaponse kutengera kulemera kwa thupi.
Pamaso pa kulephera kwa impso, Mlingo wa Augmentin umachepetsedwa ndikuthandizidwa ndikupumula kwakutali.

Amawoneka kawirikawiri, nthawi zambiri amasinthidwa. Mukamamwa Augmentin, nseru, kusanza, kutsegula m'mimba, ndi kupweteka m'mimba. Ndikosowa kwambiri kuti anthu okalamba akhale ndi hepatitis ndi jaundice chifukwa cha kusayenda kwa ndulu mumayendedwe a biliary. Kusintha uku ndikosintha ndipo kumatha atasiya kumwa mankhwalawo. Thupi lawo siligwirizana.

. Milandu ya candidiasis, kachilombo koyambitsa matenda a mucous nembanemba ndipo

. Nthawi zina mutu, chizungulire.

Augmentin kudya pa mimba ndi mkaka wa m`mawere

Augmentin amawoloka chotchinga ndi kulowa m'magazi a mwana wosabadwa, koma palibe zovuta zomwe zimapezeka pa mwana wosabadwayo. Popereka mankhwala kwa amayi apakati, ndikofunikira kuyesa kupindulira kwa amayi ndi chiopsezo chotheka kwa mwana wosabadwayo.
Augmentin amuchotsekera mkaka wa m'mawere, motero pali chiopsezo chotengeka ndi chidwi (kuchuluka kwa chidwi cha mwana). Kupanda kutero, mankhwalawa sakukhudza thupi la ana.

Kuphatikizana kwa allopurinol kumawonjezera chiopsezo cha ziwopsezo. Augmentin amatha kuchepa mphamvu ya njira zakulera zamkamwa. Augmentin sayenera kusakanizika mu botolo limodzi ndi maantibayotiki a gulu la aminoglycoside (giramicin, streptomycin ndi ena), popeza ntchito yotsirizayi yatayika kwathunthu.

Anthu amafunsa nthawi zonse kuti ndi njira yanji yochizira matenda. Ndikofunikira kusankha mankhwala otetezeka, mwachitsanzo, Amoxiclav (Amoxicillin) ndi Augmentin (Ecoclave). Kuti mupeze zomwe zili bwino, muyenera kuchita kafukufuku wofanana ndi zida ziwiri izi.

Mankhwalawa ndi mankhwala amakono a penicillin, omwe ali ndi gawo lalikulu lochitapo kanthu. Mulinso amoxicillin ndi clavulanic acid.

WHO yawonjezera Augmentin pamndandanda wamankhwala omwe ndiofunikira chifukwa ali ndi malingaliro abwino angapo:

Imatha kuthetsa mabakiteriya owononga
Ili ndi ntchito yayikulu yolimbana ndi tizilombo tating'onoting'ono, tomwe timatha kupezeka tonse tili ndi mpweya, komanso osakhalapo
Kugwiritsa ntchito motsutsana ndi ma enzyme omwe amawononga ma penicillin
Kanani ndi beta-lactamase.

Posakhalitsa, zigawo za mankhwala zimalowa m'magazi. Ndi kayendedwe ka magazi, mankhwalawo amapatsirana minofu ndi ziwalo zosiyanasiyana, ndikuwononga tizilombo tating'onoting'ono. Mankhwalawa amalowa m'mimba mwa mwana wosabadwayo ndipo amachotseredwa mkaka wa mayi. Maantibayotiki okhala ndi mkodzo ndi ndowe amachotsedwamo.

Mankhwalawa amatha kupezeka m'mitundu itatu:

Mapiritsi Oval (375, 625 ndi 1000 mg)
Panja la Slurry
Ufa wa jakisoni.

Chida ichi chili ndi ziwonetsero zambiri zogwiritsidwa ntchito:

Matenda a bronchi ndi mapapu
Minofu yofewa komanso matenda apakhungu
Cystitis, urethritis, pyelonephritis
Sepsis
Matenda a Pelvic
Matenda a postoperative.

Augmentin pafupifupi nthawi zonse amakhala wololera. Pali zolakwika zina zokha pakugwiritsa ntchito:

Kuchulukitsa kwa magawo a mankhwala
Kusokonezeka kwa chiwindi
Urticaria
Mimba ndi mkaka wa m`mawere (jakisoni ndi magawo oyamba a trimester yoyamba)
Thupi lawo siligwirizana.

Mutha kuphunzira zambiri za kugwiritsidwa ntchito kwa Augmentin pa nthawi ya pakati komanso HB munkhaniyi: Augmentin chifukwa cha kupweteka kwa mkaka ndi mkaka wa m`mawere.

Pazaka zisanu ndi ziwiri mpaka khumi ndi ziwiri, muyenera kumwa mankhwalawa katatu patsiku, 10 ml iliyonse, kuyambira zaka ziwiri mpaka zisanu ndi ziwiri - 5 ml iliyonse, kuyambira miyezi isanu ndi inayi mpaka zaka ziwiri - 2.5 ml iliyonse. Ana opitirira zaka khumi ndi ziwiri ndi akulu amapatsidwa piritsi limodzi katatu (0.375 g) katatu patsiku.

Zotsatira zoyipa ndizosowa, ndipo zimafotokozedwa mofooka. Mankhwala angayambitse:

Zodandaula
Kuphwanya chiwindi, kusayenda kwa ndulu
Urticaria
Candiosis

Pamalo owuma. Kuyimitsidwa kumasungidwa mufiriji osapitilira sabata limodzi.

Augmentin akupezeka ku UK. Mtengo wa malonda amtunduwu umachokera ku zana limodzi ndi makumi atatu (ufa kwa kuyimitsidwa kwa 125 mg.) Mpaka ma ruble chikwi (mabotolo a 1,2 g).

Mankhwalawa ndi othandizanso amakono a gulu la penicillin.

Mankhwala Amoxiclav ndi othandiza, chifukwa tizilombo tosiyanasiyana tambiri timazindikira:

Streptococci ndi staphylococci
Listeria ndi Echinococcus
Bacteria yomwe imayambitsa chitukuko cha salmonellosis ndi brucellosis, etc.

Kuchuluka kwa nsonga m'mwazi kumafikira ola limodzi pambuyo pothana ndi mankhwalawa. Ndi magazi, madziwo amalowa m'matimu ndi mumadzi, ndikuwononga tizilombo tating'onoting'ono. Mankhwalawa amalowa mwana wosabadwayo pamimba komanso mkaka wa amayi.

Mankhwalawa amapezeka m'mitundu itatu yayikulu:

Mapiritsi Oval (375, 625, 725 ndi 1000 mg)
Panja la Slurry
Ufa wa jakisoni.

Amoxiclav ali ndi mawonekedwe osiyanasiyana. Amagwiritsidwa ntchito ngati pali:

Matenda a ENT
Kutupa kwamitseko thirakiti
Gynecological matenda opatsirana komanso kutupa
Matenda a pakhungu, minofu ndi mafupa
Matenda opumira kwambiri a m'mapapo.

Amoxiclav nthawi zambiri amavomerezedwa bwino ndi odwala azaka zilizonse. Pali zotsutsana:

Matenda oopsa
Kusagwirizana ndi zigawo za mankhwala
Matenda akulu a impso ndi chiwindi
Kugwiritsa ntchito munthawi yomweyo Amoxiclav ndi antibacterial othandizira angapo tetracyclines ndi sulfonamides.

Ana kuyambira miyezi itatu kufika zaka khumi ndi ziwiri amapatsidwa 30 mg. pa kilogalamu ya thupi pambuyo maola asanu ndi atatu.Kwa ana opitirira zaka khumi ndi ziwiri ndi akulu, mankhwalawa amayikidwa 1.2 g maola asanu ndi atatu alionse kapena piritsi limodzi (0,375 g) katatu patsiku.

Amoxiclav satenga kuposa masiku khumi ndi anayi. Zochitika zosasangalatsa kwambiri zimachitika pogwiritsa ntchito nthawi yayitali ndipo zafotokozedwa motere:

Zodandaula
Kuchepa kwa magazi, ma cell oyera
Kulephera kwa chiwindi
Matenda amisala
Urticaria
Candiosis

Pamalo amdima, owuma.

Amoxiclav opangidwa ku Slovenia. Mtengo wa mankhwalawa umasiyanasiyana kuchokera makumi asanu ndi awiri (ufa kwa kuyimitsidwa kwa 125 mg.) Mpaka ma ruble mazana asanu ndi atatu (mabotolo a 1,2 g).

Kupenda koyerekeza kwa Aumentin ndi Amoxiclav

Kutengera ndi zomwe tafotokozazi, kuwunika koyerekeza kungachitike.

Kapangidwe kazomwe mankhwalawo amafanana. Kusiyanaku kumangokhala pazinthu zothandizira, Amoxiclav ali ndi zochulukirapo, motero, pali mwayi waukulu wokhudzana ndi matupi awo.

Zochita zamankhwala onse awiriwa ndizofanana, koma Augmentin ali ndi zowonetsa pang'ono pang'ono zogwiritsira ntchito. Amoxiclav atagwiritsidwa ntchito masiku opitilira anayi amayambitsa zovuta zingapo.

Chiwerengero cha contraindication ndichofanana.

Amoxiclav satenga kuposa masiku khumi ndi anayi. Panthawi imeneyi, zinthu zoyipa sizimawoneka. Zochitika zosasangalatsa zimachitika pogwiritsa ntchito nthawi yayitali. Augmentin amawonetsa zotsatira zoyipa zochepa, kuchuluka kwawo ndizochepa.

Kusiyanitsa kwakukulu pakati pa mankhwalawo ndi dziko lopanga ndi mitengo. Mtengo wa Augmentin ndiwokwera pang'ono.

Mankhwalawa onse amagwiritsidwa ntchito pochiza ana, chifukwa izi zimaperekedwa mwapadera.

Augmentin ndi Amoxiclav ali chimodzimodzi. Komabe, Augmentin amachepetsa thupi. Kusiyana kwakukulu pakati pawo ndi mtengo ndi dziko lomwe adachokera.

"Kodi pali chiyani Augmentin kapena Amoxiclav?" - ili ndi funso lomwe nthawi zambiri limafunsidwa ndi anthu omwe amamwa maantibayotiki pogwiritsa ntchito amoxicillin. Izi zimapezeka mu mankhwala amodzi ndi amodzi. Amaphatikizanso gawo lothandizira - mchere wa potaziyamu wa clavulanic acid, womwe umalepheretsa beta-lactomas. Chifukwa cha izi, mphamvu ya antibayotiki imatheka. Ndi malo awo, onse mankhwalawa ndi ofanana ndipo ali ndi zosiyana pang'ono.

Chiyambire kupezeka kwa maantibayotiki, zaka zopitilira 80 zapita. Munthawi imeneyi, adapulumutsa anthu mamiliyoni ambiri. Mankhwala amagwiritsidwa ntchito pochiza matenda opatsirana komanso opatsirana omwe amayambitsidwa ndi mitundu yosiyanasiyana ya tizilombo. Popita nthawi, mabakiteriya ena anayamba kugonjetsedwa ndi maantibayotiki, motero asayansi anakakamizidwa kuti ayang'ane njira zomwe zingapangitse kusintha.

Mu 1981, ku UK, m'badwo watsopano wamankhwala opha tizilombo udapezeka. Zotsatira zakufufuzaku zidatsimikiza kugwiritsidwa ntchito bwino kwa mankhwalawo, ndipo kuphatikiza kwa zinthu kumeneku kunayamba kudziwika kuti "antiotic antiotic". Pambuyo pazaka 3, UK itatha, chidachi chidayamba kugwiritsidwa ntchito ku United States.

Mankhwalawa ali ndi zochitika zosiyanasiyana, motero adatchuka m'maiko ambiri padziko lapansi. Amagwiritsidwa ntchito pochiza ziwalo zopumira, zotupa zamafinya, matenda opatsirana, komanso matenda opatsirana pogonana.

Analogs a Augmentin ndi Amoxiclav

Mankhwala odziwika kwambiri a gulu la penicillin ndi Amoxiclav ndi Augmentin. Koma pali ma fanizo ena omwe ali ndi kapangidwe kake kogwira ntchito - amoxicillin:

Flemoxin Salutab,
Amosin
Zosangalatsa
Amoxicillin
Azithromycin
Suprax ndi ena.

Kusiyana pakati pa Amoxiclav ndi Augmentin ndikochepa, komabe, kuli. Kuti mupeze mankhwala omwe ali bwino, muyenera kuphunzirapo chilichonse cha mankhwalawa.

Amoxiclav - malangizo ntchito

Mankhwalawa ndi amitundu yatsopano ya maantibayotiki, omwe ali m'gulu la penicillin. Chipangizochi chimalimbana ndi microflora ya pathogenic:

Matenda a streptococcal ndi staphylococcal,
echinococcus,
Listeria
tizilombo toyambitsa matenda a brucellosis,
Salmonella ndi ena ambiri.

Kuphatikizika kofunikira kwa mankhwala m'magazi kumachitika mphindi 60 mutatha kumwa mankhwalawa. Ndi magazi, maantibayotiki amafalikira mthupi lonse, kulowa ziwalo zosiyanasiyana. Zimakhudza kapangidwe ka mapuloteni a ma cell mabakiteriya, potero amawawononga.

Amoxiclav ndi mitundu itatu yamasulidwe:

mu mapiritsi
ufa pokonzekera kuyimitsidwa (kogwiritsidwa ntchito pakamwa),
ufa wosakaniza wamkati wamitsempha (wothira madzi ndi jekeseni).

Amoxiclav imathandizadi pochiza:

matenda opuma
matenda a gynecological omwe amayamba chifukwa cha kutupa ndi matenda opatsirana,
matenda a genitourinary system,
Tillillitis, sinusitis, sinusitis ndi matenda ena a ENT,
postoperative yotupa njira.

Njira ya mankhwalawa ndi kuyambira masiku 5 mpaka 7. Mochulukitsa matendawa, amatha kuthandizanso masiku ena 7.

Akuluakulu amatha kumwa mankhwala ndi mlingo wa yogwira osaposa 1000 mg patsiku. Chikhalidwe kwa ana chimawerengeredwa mogwirizana ndi kulemera kwa thupi. Pa kilogalamu imodzi yakulemera, zomwe zimachitika tsiku ndi tsiku sizoposa 30 mg ya amoxicillin.

Pa nthawi yoyembekezera komanso yoyamwitsa, ndikofunika kuti musatenge Amoxiclav. Ili ndi ufulu kulowa mkati mwa chikhodzodzo komanso mkaka m'mawere.

Koma, ngati mayi akudwala, ndipo kulandira chithandizo modekha sikupereka zotsatira zabwino, dokotalayo amatha kukupatsani mankhwala opha tizilombo. Mankhwala, malangizo omwe dokotala akutsatira akuyenera kutsatira. Mu trimester yoyamba ya mimba, kutenga antibacterial othandizira ndikuloledwa.

Nthawi zambiri, odwala amalekerera momwe Amoxiclav amathandizira. Koma, monga mankhwala aliwonse, pali zotsutsana ndi zotsatira zoyipa.

Ma Antibiotic osavomerezeka kuti agwiritse ntchito:

pamaso pa zovuta zonse,
ngati pali tsankho kwa chinthu chilichonse chomwe ndi gawo la mankhwalawo.
ndi zovuta aimpso ndi kwa chiwindi.

Ndizoletsedwa kuphatikiza kugwiritsa ntchito maantibayotiki a gulu la penicillin ndi tetracyclines ndi sulfonamides.

Ngati chithandizo cha mankhwala chadutsa masiku 14, wodwala akhoza kukumana ndi zovuta:

zam'mimba thirakiti,
urticaria, totupa ndi kutupa kwa minofu,
kukhumudwa,
kuchuluka kwa chiwindi kukondoweza, chitukuko cha jaundice ndi hepatitis,
zamagetsi zamanjenje,
kuchepa kwa maselo oyera am'magazi ndi mapiritsi ounikira magazi.

Malangizo ogwiritsira ntchito Augmentin

Mankhwalawa adaphatikizidwa ndi WHO pamndandanda wamankhwala ofunikira, ndipo pali mafotokozedwe awa:

Augmentin amawonetsa zotsatira zoyipa zochepa, mosiyana ndi anzawo,
Mankhwalawa amalimbana ndi zovuta zama gramu zabwino komanso za gramu,
Chifukwa cha clavulanic acid, mankhwalawa amalimbana ndi beta-lactomas,
Mankhwalawa ndi othandiza kwambiri polimbana ndi mabakiteriya omwe amatha kukhala m'malo okhala ndi okosijeni komanso osakhalapo,
Chogulacho sichigwirizana ndi ma enzyme omwe amatha kuwononga maantibayotiki a gulu la penicillin.

Mosiyana ndi ma analogu ambiri, Augmentin amachepetsa thupi.. Zida zomwe zimapanga, kudzera m'magazi, zimalowa mu ziwalo za thupi zomwe zakhudzidwa ndi mabakiteriya. Zinthu zomwe zimagwira mwachangu zimawononga tizilombo toyambitsa matenda, ndikuwononga ma cell awo. Zotsalira za chinthucho zimakhutitsidwa ndi thupi kudzera pokodza komanso kuwonongeka.

Mankhwala amatengedwa ngati mapiritsi, kuyimitsidwa, komwe amakonzedwa kuchokera ku ufa wapadera ndi jekeseni wamkati.

Mankhwalawa amalembera matenda osiyanasiyana opatsirana komanso otupa omwe amayambitsidwa ndi tizilombo toyambitsa matenda:

bronchitis, chibayo, pleurisy,
matenda azamankhwala,
poyizoni wamagazi (sepsis) ndi matenda omwe amapezeka nthawi ya postoperative,
mavuto a genitourinary system (pyelonephritis, cystitis, urethritis) ndi zina zambiri.

Augmentin pa nthawi yapakati, makamaka trimester yoyamba - imatsutsana. Izi zimalumikizidwa ndi chiopsezo chachikulu ku thanzi la mwana wosabadwa. Ngati munthawi imeneyi, mkazi amafunika chithandizo cha matenda aliwonse, ndikofunikira kugwiritsa ntchito mankhwala ochepetsetsa kwambiri. Katswiri wodziwa bwino yekha ndi amene amasankha mtundu wa mankhwala ndikuwapatsa mankhwala oyenera. Ngati dokotala wakupatsani mankhwala othandizira, muyenera kutsatira malangizowo mukagwiritsa ntchito Augmentin panthawi yapakati.

Kodi pali kusiyana kotani pakati pa Augmentin ndi Sumamed? Ndi iti mwa mankhwalawa omwe ndi abwino komanso othandiza, momwemo - omwe afotokozedwera pansipa.

Kodi ndi mankhwala omwewo, kapena awiri ndi osiyana?

Augmentin ndi Sumamed ndi ma antibacterial osiyanasiyana omwe nthawi zambiri amapatsidwa matenda omwewo. Komanso, kugwiritsa ntchito bwino kwa mankhwalawa kumatsimikiziridwa osati kokha, komanso ndi kugwiritsa ntchito mankhwalawa kwa nthawi yayitali.

Augmentin ndi mankhwala ophatikiza antimicrobial, omwe amapangidwa ndi penicillin antiotic amooticillin ndi beta-lactamase inhibitor clavulanic acid.

Mphamvu ya bactericidal imadziwika ndi mankhwalawa - ma cell ake amalowetsedwa mu cell ya bakiteriya ndikuphwanya umphumphu wa michere ya cytoplasmic. Ichi ndi chifukwa chomwalira kwawo mwachangu. Clavulanic acid imalepheretsa ma michere kupanga omwe mabakiteriya amapanga kuti agwetse mamolekyulu a mankhwalawa. Kuphatikiza apo, ilinso ndi antimicrobial effect, yomwe imakulitsa mawonekedwe owoneka a mankhwala.

Sumamed ndi mankhwala okhala ndi azithromycin, omwe amadziwika ndi othandizira a bacteriostatic ochokera ku gulu la macrolide.

Amadziwika ndi kuchitapo kanthu kothana ndi tizilombo toyambitsa matenda tambiri tomwe timayambitsa kupuma ziwalo. Mphamvu ya momwe mankhwalawo amagwirira ntchito ndi osiyana - imalepheretsa kugwira ntchito kwa ribosomes, zomwe zimabweretsa kulephera kudula khungu la bakiteriya.

Ndi mankhwala ati, Sumamed kapena Augmentin, omwe ali otetezeka?

Zomwe zili bwino, Augmentin kapena Sumamed molingana ndi zovuta, ndizovuta kuyankha. Onse ma penicillin ndi macrolides ndi magulu a antibacterial othandizira omwe ali ndi chitetezo chabwino pamachitidwe azachipatala. Zakhala zikugwiritsidwa ntchito kwazaka zambiri, ndipo panthawiyi palibe mankhwala omwe anapangidwa ndi zotsatira zoyipa zochepa.

Mbiri yachitetezo cha mankhwala onsewa yatsimikiziridwa pamagulu osiyanasiyana a odwala. Onse a Sumamed ndi Augmentin amaloledwa kugwiritsa ntchito nthawi yapakati, kuyamwa, komanso kuyambira chaka choyamba cha mwana, ngati akuwonetsedwa.

Sumamed ndi Augmentin amasiyana pazotsatira zoyipa zomwe zimapezeka zikagwiritsidwa ntchito. Kotero kwa Augmentin, komanso mankhwala onse a penicillin, zimachitika zosiyanasiyana zomwe sizigwirizana ndi zomwe zimachitika.

Pafupifupi 10% yaanthu onse ali ndi hypersensitive kwa mankhwala opatsirana a beta-lactam, kotero asanagwiritse ntchito koyamba amafunika kuyesa ngati ali ndi vutoli.

Mukamatenga matenda a Sumamed, mtima wamavuto amawonedwa pafupipafupi (kukulira kwa tachyarrhythmias pamaso pa kusokonezeka kwa dongosolo la conduction), kuwonjezeka kwa kanthawi kochepa kwa hepatic cytolysis ndi micirubin michere, matenda oopsa a hepatitis, kukula kwa matenda opatsirana a sekondale komanso matenda am'mimba.

Kodi Sumamed ndi Augmentin amatha kusinthana ndi ma antibacterial?

Ngakhale, nthawi zambiri, Sumamed ndi Augmentin amapatsidwa matenda omwewo, pali kusiyana kwakukulu pakuwonetsa kwa mankhwalawa. Izi zimachitika makamaka chifukwa cha mawonekedwe a pharmacodynamics ndi kagayidwe ka maantibayotiki.

Augmentin amatengeka bwino ndi kayendetsedwe kamlomo. Mu thupi, mankhwalawa sikuti amapezeka mu metabolism ndipo amadziunjikika m'njira zosiyanasiyana zamthupi.

Potere, kufafaniza kwa mabakiteriya kumachitika pafupifupi kudzera mu genitourinary system. Chifukwa chake, sagwiritsidwa ntchito osati matenda a bakiteriya am'mapapo, komanso impso, kwamikodzo thirakiti, Prostate, ndi minofuyofupa.

Sumamed ali ndi tropism yotchulidwa kupuma epithelium. Pambuyo makonzedwe, yake ndende mucous nembanemba wa kupuma thirakiti amatha kupitilira maulendo makumi angapo nkhani zake m'magazi a wodwalayo. Gawo limodzi la mankhwalawa limadutsa mu njira za inactivation zosiyanasiyana metabolites mu chiwindi, ndipo gawo linalo limapukusidwa mkodzo.

Chifukwa cha izi, Sumamed imapangidwira makamaka matenda a m'magazi, bronchi ndi mapapu, komanso matenda a chlamydial.

Ndi mankhwala ati omwe amagwira bwino ntchito kwa bronchitis kapena chibayo?

M'malangizo amakono azithandizo za chibayo kapena bronchitis, Sumamed ndi Augmentin amatengedwa ngati mankhwala ofanana. Aliyense wa iwo atha kupatsidwa mtundu wovuta wa matenda odwala osakhudzika kwambiri ndi matendawa.

Kafukufuku wokhudza mphamvu yama antibacterial osiyanasiyana amachitika mdziko lapansi. Zakhala zofunikira posachedwa motsutsana ndi kuzungulira kwa chidziwitso chakuchulukana kwa maluwa a pathogenic kwa omwe amagwiritsidwa ntchito kwambiri antibacterial. Izi zidathandizidwanso ndikugwiritsa ntchito mankhwala osokoneza bongo mosasamala, makamaka kuperekedwa kwa mankhwala osungika a mitundu yochepetsetsa ya pathologies komanso kugwiritsa ntchito mosagwiritsa ntchito matenda a virus.

Zambiri zaposachedwa zikuwonetsa kuwonjezeka kwa kukana kwa microflora ku mankhwala a penicillin, makamaka, Augmentin.

Tsopano oposa 20% ya milandu yothana ndi mankhwalawa, ndikofunikira kuisintha ndi antibacterial ina chifukwa chosagwira ntchito bwino.

Mkhalidwe wabwino ndi Sumamed. Ngakhale kuti mankhwalawa agwiritsidwa ntchito mosamala m'zochitika zamankhwala kuyambira 1980s, mitundu yonse ya antibayotiki yolimbana ndi maluwa ozama sapitilira 5%. China chomwe chikuyankhula moyenera ku Sumamed ndichotheka kuphatikiza ndi cephalosporins a m'badwo wachitatu, omwe amathandizira kwambiri antibacterial.

Ndi iti mwa mankhwala awa omwe ndi yabwino kwambiri pakugwiritsa ntchito bwino?

Apa yankho lake ndiwodziwikiratu -. Pazithandizo zamankhwala ambiri a bacteria of the kupuma thirakiti (kupatula chibayo), mapiritsi atatu okha ndi okwanira. Nthawi yomweyo, kudya kamodzi kokha patsiku kumafunikira, ngakhale chakudya. Mankhwalawa atagwiritsidwa ntchito pomalizira, kuchuluka kwake kumakhala m'minyewa inanso kwa masiku atatu, omwe amalola kuti wodwala achiritsidwe.

Augmentin amachotsedwa mwachangu kwa wodwala. Chifukwa chake, ayenera kumwedwa kwa masiku osachepera maola 12 aliwonse. Nthawi zina, mankhwalawa amalimbikitsidwa kugwiritsidwa ntchito katatu patsiku.

Komabe, lingaliro lomwe lamankhwala liti loti lipereke pazochitika zina, Augmentin kapena Sumamed, limangopangidwa ndi dokotala woyenera kupita kuchipatala.

Kanemayo amakamba za momwe mungachiritsire mwachangu chimfine, chimfine kapena SARS. Maganizo a dokotala wodziwa zambiri.

Ngati munthu akudwala matenda opatsirana, ndiye kuti ayenera kukonzekera kuti adokotala amupatse mankhwala omwe angalandire mankhwala atalandirira. Ndipo pakadali pano, wodwalayo nthawi zambiri amadzifunsa kuti: "Kodi Augmentin kapena Amoxicillin wabwino ndi uti, ndipo pali kusiyana kotani pakati pa mankhwalawa?"

Kupewa mankhwala othana ndi antibayotiki

Nthawi zonse muzimwa mankhwala oletsa antibayotiki monga momwe tafotokozera.
Malizani maphunziro onse, ngakhale mutakhala bwino.
Osasunga maantibayotiki kuti mugwiritse ntchito mtsogolo.
Osagwiritsa ntchito mankhwala a anthu ena.
Osamamwa maantibayotiki atenda ma virus.
Pewani kumwa kwambiri. Imwani mankhwala okhawo ngati dokotala akuwona kuti ndi ofunika.

Mawu ochokera ku Health-Ambulansi

Ngakhale mutalandira mankhwala augmentin, amoxicillin kapena mankhwala aliwonse, awa siali "mphamvu" kwambiri ya mankhwalawa omwe muyenera kuda nkhawa nawo.

Ngati simukukhulupirira kuti maantibayotiki othandizira ndi "olimba mokwanira," lankhulanani ndi dokotala. Izi zimakhala choncho makamaka ngati muli ndi dokotala watsopano kapena simumakakumana ndi dokotala.

Ngati m'mbuyomu mudadwala matenda omwe amathandizanso omwe sanathandize, dziwitsani dokotala. Dokotala wanu akamadziwa zambiri zokhudza momwe mumagwiritsira ntchito kale maantibayotiki, angathe kusankha bwino.