Sumamed kapena Amoxiclav: kuyerekezera ndi komwe kuli bwino

Nthawi zambiri, pamatenda osiyanasiyana a bakiteriya, maantibayotiki a gulu linalake ndi omwe amapatsidwa mankhwala. Mankhwala ogwira ntchito komanso ogwiritsidwa ntchito kwambiri ndi.

Maantibayotiki amapezeka m'njira zosiyanasiyana ndipo ali ndi mphamvu yolimbana ndi mabakiteriya okhala ndi gramu-gramu komanso gram-positive pathogenic. Odwala ambiri akuda nkhawa ndi funso lomwe: kodi ndi mankhwala ati a antibacterial omwe amachokera ku data omwe ali otetezeka komanso othandiza kwambiri?

Azithrimycin - gawo lofunikira la Sumamed

- Ichi ndi mankhwala omwe ali mgulu la antioxotic la macrolide. Ndi azalide yomwe imakhala ndi nthawi yayitali. Zimalepheretsa kukula ndi kubereka kwa mabakiteriya okhala ndi tizilombo toyambitsa matenda omwe amapanga chidwi chachikulu.

Mphamvu zama gramu zabwino komanso gram-negative zimakhudzidwa ndi Sumamed. Makamaka yogwira pa,, mycoplasmas, ureaplasmas.

Maantibayotiki akupezeka m'mitundu iyi:

• Mapiritsi a milligram a 125, 250 ndi 500. Mapiritsiwa adakutidwa ndi zokutira filimu ya buluu. Mbali zonse ziwiri ndizowongoka, zolemba.
• Ufa pakukonzekera kwa madzi mamiligalamu 100 pa mamililita asanu. Ikhoza kukhala ndi kuwala pang'ono chikasu kapena tint yoyera, yokhala ndi fungo la sitiroberi. Mafuta atasungunuka, timadzi tambiri timene timakhala ndi kuwala, pang'ono pang'ono chikasu.
• Ufa wa kuyimitsidwa kwa forte mamiligalamu 200 pa mamililita asanu. Amadziwika ndi katundu omwewo monga ufa wapamwamba wa 100 mg. Mungakhale ndi fungo losiyana.
• Makapisozi a milligram 250. Ndi ma gelatinous, ali ndi kapu wamtambo komanso thupi lamtambo. Makapisozi amakhala ndi ufa wa mtundu wachikaso kapena choyera.

Mapiritsi ali ndi yogwira mankhwala azithromycin. Zosakaniza zothandiza zomwe zili m'gulu la zinthuzi ndi:

• Hypromellose
• Wowuma chimanga
• Calcium calcium phosphate
• Wokongola wa Pregelatinized
• Magnesium wakuba
• Polysorbate
• Sodium Lauryl Sulfate
• Titanium dioxide
• Talcum ufa
• Utoto

Zambiri pazamankhwala a antibacterial zitha kupezeka mu kanema:

The zikuchokera ufa wa madzi - 200 mg yogwira pophika - azithromycin. Muli zinthu zothandiza mmenemo:

• Trisodium Phosphate Anhydrous
• Kubweza
• Xanthan chingamu
• Colloidal silicon dioxide
• Titanium dioxide
• Hyprolose
• Hydroxypropyl cellulose
• Banana, Cherry ndi Vanilla Flavours

Zowonjezera zomwe zili mu mawonekedwe a kapisozi ndi:

• Magnesium wakuba
• Microcrystalline mapadi
• Sodium Lauryl Sulfate
• Titanium dioxide
• Indigo carmine
• Gelatin

Chifukwa chake, kapangidwe kake kamatengera mtundu wa mankhwalawo. Zosakaniza zomwe zimagwira ndizofanana, mwa mitundu yina. Ponena za omwe amapeza mawonekedwe amtundu uliwonse wa Sumamed, ndi osiyana.

Ngati mankhwala mankhwala, contraindication

Sumamed ndi zotchulidwa zotsatirazi matenda a kupuma dongosolo ndi otolaryngological matenda:

Amagwiritsidwa ntchito kwambiri pochiza matenda othandizira komanso opatsirana a minofu yofewa komanso mawonekedwe a khungu, monga:

Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito pa matenda a genitourinary system, monga mankhwalawa a khomo lachiberekero, urethritis wa magwero osiyanasiyana, erythema migrans. Imanenanso za matenda a Lyme.

Amagwira matenda opatsirana pogonana ndi maantibayotiki, omwe ali ndi chlamydia.

Komabe, pali zoletsa zina zokhudzana ndi ntchito ya Sumamed. Mankhwala opha maantibayotiki ataphatikizidwa ndi mankhwala osokoneza bongo.

Mosamala, muyenera kugwiritsa ntchito mankhwalawa pakufooka kwa chiwindi ndi matenda a impso. Komanso, moyang'aniridwa ndi achipatala, amagwiritsa ntchito mankhwalawa mwachisawawa.

Amoxiclav: mawonekedwe, katundu, mawonekedwe

Amoxiclav - mankhwala omwe ali m'gulu la penicillin osiyanasiyana. Mankhwalawa ndi beta-lactamase inhibitor wa bakiteriya wa pathogenic.

Mothandizidwa motsutsana ndi streptococci, staphylococci, enterococci ndi anaerobic infactants komanso aerobic tizilombo.

Maantibayotiki amapangidwa m'njira zingapo:

• 250 ndi 500 milligram mapiritsi. Amakhala atapangidwa ngati filimu.
• Mapiritsi omwazika amatchedwa Amoxiclav Quicktab. Amapangidwa mu milingo ya 875 kapena 500 milligrams of amoxicillin pa 125 milligrams a clavulanic acid.
• Mphamvu ya kuyimitsidwa, yopangira ntchito zamkati.

Kapangidwe ka mankhwala kumatengera mtundu wa mankhwalawo. Zomwe zimagwiritsa ntchito mankhwalawa ndi:

• Amoxicillin
• Clavulanic acid

Omwe amapezekera pamapiritsiwa amaphatikizira croscarmellose sodium ndi cellulose pama microcrystals.

Amoxiclav ufa, pomwe kuyimitsidwa kwa pakamwa kumapangidwira, kumakhala ndi sodium benzoate, mannitol, sodium citrate, microcrystalline cellulose.

Kuphatikizika kwa mapiritsi omwazika kumaphatikizaponso zinthu zopanda ntchito: spartame, talc, mafuta a castor, chikasu chitsulo okusayidi, mapangidwe a silicified mu miccrystals, anhydrous colloidal silicon dioxide, kununkhira.

Zizindikiro ndi contraindication kuti mugwiritse ntchito

Amoxiclav amagwiritsidwa ntchito kwambiri mu otolaryngological, achire, azachipatala, mchitidwe wamatsenga komanso opaleshoni ya maxillofacial.

Zisonyezero zogwiritsidwa ntchito ndi matenda awa:

• Matenda a bronchitis
• Bronchopneumonia
• Pharyngeal abscess
• Mitundu ya Otitis
• Matenda a tonsillitis
• Periodontitis
• Chancroid
• Cystitis
• Cholecystitis
• Pyelonephritis
• Chotupa cham'mimba
• Gonorrhea
• Osteomyelitis

Nthawi zambiri amagwiritsidwa ntchito pochiza matenda a bacteria of genitourinary system, komanso ma pathologies ofewa minofu ndi khungu la bakiteriya oyambira. Amoxiclav imagwiritsidwa ntchito kupewetsa njira zoyeretsa ndi sepsis pambuyo pochita opaleshoni pamtima, impso, ziwalo zam'mimba ndi mafupa aang'ono a pelvis.

Contraindication pakugwiritsa ntchito mitundu yosiyanasiyana ya mankhwalawa ndi monga:

1. Cholestatic jaundice.
2. Hepatitis yoyambira bakiteriya.
3. Khansa ya m'magazi.
4. Kuchulukitsa chidwi chathupi lathu mu zinthu zopanga maantibayotiki.
5. Trimester yoyamba ya mimba.

Mochenjera komanso moyang'aniridwa ndi achipatala, mankhwalawa amayikidwa pakubala kwa mwana ndikuyamwa. Nthawi zambiri zimagwiritsidwa ntchito ngati phindu kwa thupi la mzimayi liposa chiwopsezo cha zotsatira zoyipa kwa mwana.

Sumamed kapena Amoxiclav: pali kusiyana kotani ndipo ndibwino?

Musanadziwe kuti ndi mankhwala ati omwe amawapeza kuti ndi abwino kwambiri, ndikofunika kukumbukira kuti ndalamazi zimasankhidwa ndi katswiri woyenera, poganizira za momwe thupi la wodwalayo lilili. Chifukwa chake, mwanjira iliyonse, iliyonse mwa mankhwalawa ingakhale othandiza kwambiri.

Nthawi zina, pofuna kupewa kukopeka, dokotala angasinthe njira zina. Ngati matenda akudwala, woyamba amupatsa mankhwala, kenaka maantibayotiki ena amamugwiritsa ntchito matenda.

Kusiyana mu mankhwalawa kumatengedwa kuti kumagwirizana ndi magulu osiyanasiyana. Ndi mankhwala a macrolide, Amoxiclav ndi wa mndandanda wa penicillin. Kutengera izi, zigawo zikuluzikulu zomwe mankhwalawa ndi zinthu zosiyanasiyana. Malonda onsewa amapezeka mu mawonekedwe apiritsi, mu mawonekedwe a makapisozi ndi kuyimitsidwa. Amoxiclav imapezekanso mu mawonekedwe a mapiritsi omwazika omwe amasungunuka mwachangu.

Ubwino wa Sumamed ndi nthawi yogwiritsidwa ntchito - masiku atatu okha.

Chifukwa chake, chithandizo chamankhwala chimachitika msanga mukamamwa maantibayotiki. Komabe, mankhwalawa amatsika kwambiri ku Amoxiclav mndandanda wazotsutsana. Sumamed ili ndi zoletsa zambiri zogwiritsidwa ntchito kuposa Amoxiclav. Kuphatikiza apo, mndandanda wazomwe ungagwiritse ntchito mankhwalawa umaphatikizapo matenda omwe samathandizidwa ndi Sumamed. Chifukwa chake, ndizosatheka kudziwa kuti ndi mankhwala ati abwinoko. Popeza maantibayotiki ena ali ndi zabwino komanso zovuta zina.

Sumamed kapena Amoxiclav ndi othandizira ma antibacterial othandizira omwe amagwira ntchito motsutsana ndi gramu-gramu komanso gram-hasi tizilombo. Amapatsidwa mankhwala othandizira kapena pambuyo poti aphunzire zamphamvu za tizilombo toyambitsa matenda.

Makhalidwe a Amoxiclav

Ndibwino kuti mukukonzekera zoyeserera za antibacterial beta-lactam. Muli ndi penicillin antiotic amoxicillin ndi clavulanic acid, choletsa microfial michere beta-lactamases.

Amoxiclav imawonetsa bactericidal, ikuletsa kuphatikizika kwa zigawo za cell khoma la microorganism. Peptidoglycan amasiya kupangidwa, zomwe zimatsogolera ku kufa kwa mabakiteriya. Clavulanic acid amateteza amoxicillin ku chiwonongeko cha beta-lactamase michere, amakulitsa mawonekedwe a zochita za antiotic.

Amoxiclav imakhudza ma gram abwino komanso gram alibe tizilombo. Amapha streptococci (kuphatikiza obiriwira), staphylococci (kuphatikiza golide), corynebacteria - diphtheria bacillus, spore kupanga hay bacillus, anthrax causative agent. Imagwira motsutsana ndi enterococci, enterobacter, listeria, nocardia, pathogenic Escherichia coli, Pfeiffer coli. Amagwira pamavuto akulu am'matumbo oyambitsa matenda a m'mimba - sillonella, yersinia, cholera vibrio.

Imakhala ndi bactericidal kwambiri poyerekeza ndi meningococcus, gonococcus, pertussis, anaerobic tizilombo - peptococci, bacteroids, fusobacteria. Yogwira motsutsana spirochetes - borrelia, ndi causative wothandizila wa syphilis, leptospira. Imachita motsutsana ndi chlamydia.

Amoxiclav amagwiritsidwa ntchito pochiza zilonda zam'mimba, matenda a ENT, enterococcal cystitis, matenda opatsirana, bronchitis, chibayo choyambitsidwa ndi hemophilic bacillus, cholecystitis, peritonitis, matenda a Lyme, osteomyelitis.

Pharmacokinetics

Oral bioavailability - 70%, pazipita mukamagwiritsa ntchito mankhwalawa kumayambiriro kwa chakudya. Amadzilowetsa m'matumbo. Kuzindikira kwakukulu kumatheka ola limodzi pambuyo pa kuwongolera. Kuyankhulana ndi mapuloteni a plasma ndi 18-25%.

Zinthu zonse zomwe zimagwira zimagawidwa bwino pazomera zolimba komanso zofewa. Lowani kudzera mu chotchinga cha magazi mu ndulu yovulala (ndi meningitis), mu placenta ndi mkaka wa m'mawere.

Maantibayotiki omwe ali ndi inhibitor amuchotsa makamaka ndi impso ndi 60% osasinthika. 10% ya amoxicillin amasiya thupi mu mawonekedwe a metabolite - penicilloic acid. Clavulanic acid imachotsedwa osasinthika komanso mawonekedwe a metabolite osagwira kudzera mu impso ndi matumbo.

Ziwopsezo kwa penicillin ndi mankhwala a beta-lactamase, chiwindi chachikulu, impso, mitsempha ya m'mimba, matenda opatsirana a mononucleosis.

Zotsatira zoyipa: nseru, kusanza, bile Reflux, kutsegula m'mimba, kuyamwa, lilime lakuda, kufooka kwa chiwindi, cholestasis, zotupa za anaphylactic, edema ya Quincke, pseudomembranous colitis, kuchepa kwa chiwerengero cha leukocytes, mapulateleti, ma nephritis apakati.

Kufotokozera kwa Sumamed

Bacteriostatic antibacterial mankhwala a gulu la macrolide (azithromycin). Imalepheretsa mapangidwe a mapuloteni pa nthiti za mabakiteriya, kuletsa kubala ndi kukula kwa tizilombo tating'onoting'ono. Mlingo waukulu, amapha.

Zimakhudza tizilombo tating'onoting'ono ta gram - streptococci, staphylococci, bacteriaoids, clostridium perfringens, enterococci. Kugwiritsa ntchito polimbana ndi majeremusi osavomerezeka a gram - fusobacteria, causative wothandizira gonorrhea, meningitis, borreliosis, motsutsana ndi hemophilic bacillus ndi legionella. Amalowa mu cell, akuchita chlamydia, mycoplasmas, ureaplasmas.

Amalembera njira zodwala ndi zotupa za dera lachiberekero (prostatitis, urethritis, endometritis, vaginitis), matenda a Reiter's, mycoplasma chibayo.

Zofanana ndi zosiyana

Ngakhale mankhwalawa ali nthumwi zamagulu osiyanasiyana a mankhwalawa, ali ndi zotsatirapo zoyipa ndi zotsutsana. Izi zikuphatikizapo phenylketonuria, kulephera kwa chiwindi. Mankhwalawa onse amakhudza magazi ndi zida zamagetsi, motero pankhani ya matenda a machitidwe awa, kusankha yoyenera imalephereranso.

Ubwino wa Sumamed pa Amoxiclav ndikugwiritsa ntchito kwake mwa ana okulirapo kuposa zaka 3, zomwe zimapangitsa kuti azitchuka kwambiri machitidwe a ana. Ponena za kutenga pakati komanso kuyamwa, mankhwalawo ali ndi zofananira.

Gawo la ntchito

Kusiyana kwakukulu pakati pa Sumamed ndi Amoxiclav kuli pamlingo wawo.

Sumamed ndi mankhwala ofunikira kwambiri pakuchiza matenda a chlamydial. Izi zimatha kukhala matenda am'munsi mwa genitourinary system, ziwalo za m'chiuno, komanso chlamydia ya komwe sikudziwika. Mankhwala ndi njira yosankhira chlamydia woyembekezera. Nthawi zambiri amagwiritsidwa ntchito pochiza matenda a Lyme.

Amoxiclav amagwiritsidwa ntchito kwambiri pazochita zakuchiritsa pochizira matenda opatsirana osiyanasiyana a etiology. Amagwiritsidwanso ntchito pochiza matenda ofewa a minofu.

Zizindikiro zodziwika bwino za mankhwalawa ndi matenda apamwamba a thirakiti.

Kufotokozera kwa Amoxiclav

Bacteria yomwe imayambitsa matenda am'mapapo thirakiti pang'onopang'ono imayamba kugonjetsedwa ndi maantibayotiki. Nthawi yomweyo, sayansi nawonso siyimayima ndipo ikungopanga mankhwala atsopano, komanso kukonza akale. Amoxiclav imatha kutchulidwa ku mankhwalawa. Izi ndi mtundu wa amoxicillin, womwe umasiyanitsidwa ndi kupezeka kwake komanso ntchito yake.

Amoxiclav ndi othandizira komanso antibacterial, chinthu chachikulu chomwe ndi amoxicillin. Mankhwalawa ndi a gulu la ma penicillin. Kuphatikiza pa chophatikizira chachikulu, clavulanic acid imaphatikizidwanso pakupanga mankhwala. Cholinga chachikulu cha zinthu izi ndikupewa kuwonongeka kwa amoxicillin ..jpg "alt =" amooticlav "w>

Monga tanenera kale pamwambapa, mankhwala onse omwe akuwunikidwa akuwonetseredwa, choyambirira, zochizira matenda am'mapapo. Sitikhala pamenepa. Ganizirani momwe mankhwalawa angagwiritsidwe ntchito. Amoxiclav ali ndi zotsutsana zotsatirazi:

• kuwonekera kwa ziwopsezo zake zomwe zimapangidwa ndimankhwala
• mononucleosis ndi kukaikira pa izo,
• jaundice
• lymphocytic leukemia.

Apa mpofunika kutchulapo mwayi wa mankhwalawo. Amoxiclav imatha kuikidwa muubwana, komanso pa nthawi yomwe muli ndi pakati. Mtsikanayo akakhala pamalo kapena poyamwitsa, imwani mankhwalawa mosamala. Tiyenera kumvetsetsa kuti zigawo za chinthucho pazinthu zazing'onoting'ono zimachotsedwa mkaka.

Maantibayotiki ali ndi zovuta zingapo, ndipo amoxiclav ndiwonso. Izi siziyenera kuchita mantha, chifukwa sizipezeka nthawi zonse. Kuphatikiza apo, mankhwalawa amadziwika chifukwa chothandiza. Zina mwazovuta izi ndi izi:

• kuwonongeka kwa dongosolo
• mseru ndi kusanza
• kusokoneza chiwindi,
• chitukuko cha jaundice
• mawonetseredwe amisala (kuyabwa, kuzimiririka, kukwiya, ndi zina).
• chitukuko cha matenda am'magazi,
• migraines
• chizungulire
• kukokana
• kuphwanya kwamikodzo.

Kwenikweni, zoterezi zimatha kuchitika mukamamwa mankhwalawa ngakhale mutapangana. Mlingo uyenera kuonedwa chimodzimodzi ndi malangizo kapena akatswiri. Pamaawonekedwe osayenera, muyenera kufunsa dokotala. Amasintha mankhwalawo ndikusintha mankhwalawo.

Kufotokozera kwa Sumamed

Azithromycin amagwiritsidwa ntchito ngati gawo lofunikira la mankhwalawa. Sumamed ndi ya m'badwo waposachedwa wa mankhwala. Kuchepa kwake kumachitika m'njira zosiyanasiyana, kumatha kupondereza mabacteria osiyanasiyana. Sumamed amachita pa intracellular level.

Maantibayotiki ndi a gulu la macrolides ndipo amatha kufotokozeredwa ngati wodwala sazindikira penicillin. Ndizofunikira kudziwa kuti Samisoni ndi mankhwala osokoneza bongo. Itha kugwiritsidwa ntchito kwa nthawi yayitali. Ngakhale kufunikira kotere sikofunikira nthawi zonse. Nthawi zambiri mapiritsi a macrolides sapitilira masiku atatu ..jpg "alt =" chithunzi chotsimikizika "w>

Contraindication ndi zoyipa

Ngakhale malingaliro ophatikizidwa amatanthauza mankhwala am'badwo waposachedwa, sangagwiritsidwe ntchito ndi aliyense. Ndikofunikira kudziwa kuti mndandanda wazoletsa ndizochepa kwambiri. Motere, mankhwalawa bwino kuposa gulu la penicillin. Chifukwa chake, chosakanizidwa chikutsutsana mu:

• mimba
• Nthawi yonyamula mkaka
• khanda
• tsankho kuti azithromycin.

Mankhwalawa samayambitsa zotsatira zoyipa. Ichi ndichifukwa chake nthawi zambiri amauza odwala. Nthawi zambiri, kuchira kumabwera mwachangu, ndipo zotsatira zosafunikazo sizikhala ndi nthawi yoti ziwonekere. Nthawi zina, izi ndizotheka:

• kumva mseru
• gag Reflex
• zotupa pakhungu.

Kuyerekeza kwa Sumamed ndi Amoxiclav kukonzekera

Amoxiclav ndimankhwala othana ndi bakiteriya omwe amawonetsa bactericidal, chifukwa azithromycin amachita bacteria. Penicillins sachitapo kanthu motsutsana ndi mycobacteria, matenda amkati mwa mycoplasmas. Azithromycin imagwira nawo ntchito. Amoxiclav imatha kudzetsa mabakiteriya opanda mawonekedwe a L mabakiteriya komanso matenda opatsirana.

Kufotokozera kwa Augmentin

Ziyenera kunenedwa nthawi yomweyo kuti augmentin ndi analogue ya amooticlav. Chofunikira chake ndi amoxicillin. Pa ntchito yake yopatsa zipatso, clavulanic acid imaphatikizidwanso pakuphatikizidwa kwa mankhwalawa. Chifukwa cha izi, mankhwalawa amadziwika.

Kodi pali kusiyana kotani pakati pa amoxiclav? Ndi iti mwa mankhwala omwe ali bwino? M'malo mwake, augmentin amasiyana kokha mu dzina ndi wopanga. Ndiye chifukwa chake kuyerekezera mankhwala sikumveka. Zotsatira zawo ndizofanana.

Popeza agumentin ndi buku la amoxiclav, ndiye kuti zotsutsana zidzakhala chimodzimodzi. Mndandanda wazambiri wazotsatira sizinasinthebe. Izi ziyenera kukumbukiridwa mukamagula augmentin. Zachidziwikire, sikulimbikitsidwa kuti mupereke nokha mankhwalawo, chifukwa chiopsezo chokhala ndi "mbali" chikuwonjezeka ..png "alt =" chithunzi cha Augmentin "w>

Kupenda koyerekeza

Ndikofunika kumvetsetsa kuti matenda omwe amapezeka m'mapapo apamwamba, mankhwalawa amasankhidwa mosiyanasiyana. Penicillins (augmentin, amoxiclav) ndiwabwino kwa munthu, macrolides (totupa) kwa winawake. Pali nthawi zina pomwe katswiri amasintha mankhwala. Pambuyo pa maphunziro amodzi, ina imapangidwira kuti igwire bwino kwambiri, chifukwa mabakiteriya amatha kuzolowera mankhwala omwe amagwira ntchito.

Augmentin ali ndi mwayi amodzi momveka bwino. Mankhwalawa amatha kuperekedwa kwa akhanda, pomwe amayamba kupatsidwa kwa ana kuyambira miyezi isanu ndi umodzi yokha. Augmentin, moyang'aniridwa ndi achipatala, amathanso kutumikiridwa pa nthawi yoyembekezera. Mwanjira imeneyi, mankhwalawo ndiwopambana kuposa wopikisana naye.

Pakati pa njira zowunika, ndikofunikira kuti mukhalebe nthawi yayitali. Ichi ndi chizindikiro chofunikira kwambiri, makamaka akayamba kuchitira ana aang'ono. Apa augmentin kapena amoxiclav mwachidziwikire ndi otsika.Amayenera kutengedwa pasanathe sabata, pomwe nthawi yochulukitsa imachepetsedwa mpaka masiku atatu. Chifukwa chake, mankhwalawa amagwira ntchito mwachangu, ndipo kuchira kumachitika kale.

Poyerekeza amoxiclav ndi augmentin, mutha kungoyang'ana mtengo wa mankhwalawa. Popeza mankhwala oyamba adawonekera kanthawi pang'ono, ndiye kuti mtengo wake udzakhala wokwera. Inde, sikuti aliyense amafuna kupitiliza kuchita zomwezo. Uwu mwina ndiye kusiyana kwakukulu pakati pamafanizo awa.

Ndikosatheka kunena mosasiyanitsa kuti ndi njira yanji yothandiza. Mankhwala onse atatuwa ali ndi zabwino komanso zoyipa. Chachikulu ndichakuti aliyense wa iwo atha kuthandiza pamachitidwe ena. Zisankho ziyenera kusiyidwa kwa katswiri yemwe amasankha maantibayotiki payekhapayekha.

ndemanga zoyendetsedwa ndi HyperComments

Data-lazy-type = "chithunzi" data-src = "http://lechenienasmorka.ru/wp-content/uploads/2015/10/Sumamed.jpg"> Kufotokozera zamankhwala Amoxiclav ndi Sumamed ya sinusitis data-lazy-Type = "chithunzi" data-src = "http://lechenienasmorka.ru/wp-content/uploads/2015/11/53.jpg">
"Azithromycin" kapena "Sumamed": chabwino ndi chiyani, pali kusiyana kotani pakati pawo pamasamba-aulesi-mtundu = "fano" data-src = "http://lechenienasmorka.ru/wp-content/uploads/2015/11/1444665605288. jpg ">
Kugwiritsa ntchito maantibayotiki "Doxycycline" ndi "Linkomycin" omwe ali ndi sinusitis

Monga momwe ndimadziwira Summa ndi Amoxiclav, monga momwe ndikudziwira, amagwiritsidwa ntchito kwambiri pochiza matenda a bakiteriya a ziwalo zosiyanasiyana. Adziwonetsa bwino kwa nthawi yayitali. Koma chomwe chimandisangalatsa kwambiri ndi chiyani chomwe chimafotokozedwera kwa tonsillitis - Sumamed kapena Amoxiclav? Kodi pali kusiyana kotani pakati pa mankhwalawa? Chifukwa chiyani, pamankhwala ena, madokotala amakonda Amoxiclav, ndipo ena kwa Sumamed? ”

Ndi mankhwala ati omwe amagwira ntchito bwino

Azithromycin ndi mankhwala atsopano, motero, chiwopsezo cha zochita za antimicrobial ndi chokwanira kwambiri kuposa cha penicillin otetezedwa, ndipo chikuphatikiza mycoplasmas, chlamydia.

Kulemba mankhwala othandiza komanso othandiza kwambiri Amoxiclav amalowa mankhwalawa, wokhala ndi bronchitis ndi matenda ena amtundu wa viral, amalimbana ndi gulu lochulukirapo la tizilombo toyambitsa matenda.

Amoxiclav ndi mankhwala osokoneza bongo, maantibayotiki okhala ndi amoxicillin osakanikirana ndi clavulanic acid.

Amoxicillin, kapena amoxicillin hydrate - mankhwala ophatikizika ochokera ku gulu laling'ono la beta-lactam penicillin. Ndi mankhwala ake, Amoxicillin ali pafupi ndi Ampicillin, koma akamamwa pakamwa, amakhala ndi mwayi wambiri wa bioavailability. Amoxicillin wagwiritsidwa ntchito kwa bronchitis kwa nthawi yayitali, adadutsa mayeso onse omwe amatha, pomwe panali vuto limodzi losafunikira - limawonongeka motsogozedwa ndi michere ya beta-lactamase yopangidwa ndi mabakiteriya ena. Zotsatira zake, phindu la mankhwalawa limachepetsedwa.

Chifukwa chake, mankhwalawa amapangidwa nthawi zambiri molumikizana ndi clavulanic acid, omwe, mbali inayo, amalepheretsa zochita za enzyme, ndipo inayo, amagwira ntchito ngati anti-antiotic. Chifukwa chake, mankhwala odziyimira pawokha Amoxiclav adawonekera, akuphatikiza mayina onse awiriwa mdzina komanso apamwamba kuposa Amoxicillin pazinthu zingapo.

Clavulanic acid imatengera ma pecillinases - michere yomwe imaphwanya ma veta-lactam maantibayotiki (cephalosporins, penicillins). Pulogalamu yokhazikika yokhala ndi enzyme imapangidwa, kwenikweni, chinthu chatsopano chomwe chimalepheretsa kuwonongeka kwa amoxicillin.

Mankhwala opangidwa pophatikiza Amoxicillin ndi beta-lactamase inhibitor mwachangu motsutsana ndi aerobic gram zabwino tizilombo:

• Golide, ndi mitundu ingapo ya staphylococci,
• streptococcus
• entero ndi peptococci,
• Clostridium ndi ena

• mabakiteriya olakwika a grob-gram, kuphatikizapo protein, bordetella, moraxella,
• gramu-alibe anaerobes.

Kuphatikizika kwa amoxicillin ndi clavulanic acid kumachulukitsa zochita za antimicrobial za phagocytes m'magazi a anthu. Kukhazikika kwa chitetezo chathupi motsutsana ndi tizilombo tating'onoting'ono tomwe maantibayotiki akuwonjezekanso.

Katunduyu wa Amoxiclav amapereka Zotsatira zabwino zochizira chimfine chifukwa cha chibayo . Pankhaniyi, leukocytes imapereka, m'chinenedwe cha akatswiri ankhondo, mzere woyamba woteteza ku bakiteriya wa pathogenic.

Sumamed ndi Amoxiclav - mayina osiyanasiyana a mankhwala omwewo kapena osiyanasiyana mankhwala

Sumamed ndi Amoxiclav ali m'magulu osiyanasiyana a antibacterial mankhwala ndipo pali zosiyana zambiri pakati pawo. Zomwe zimagwira ntchito ya Sumamed ndi azithromycin - mankhwala oletsa ma macrolides angapo.

Mankhwalawa ali ndi tanthauzo la bacteriostatic, lomwe limadziwika popewa kaphatikizidwe kazakudya zomanga thupi m'maselo a tizilombo. Izi zimapangitsa kuti zikhale zosatheka kuti ziberekenso ndipo zimawapangitsa kuti aziganizira kwambiri chitetezo chamthupi.

Amoxiclav imakhala ndi penicillin antiotic amoxicillin ndi clavulanic acid penicillinase inhibitor. Wothandizira kuphatikiza ndi mabakiteriya amatha kusintha majeremusi. Amoxicillin amatha kusokoneza umphumphu wa ma membrane am'mimba a tizilomboto tomwe timayambitsa kufa. Clavulanic acid imateteza maantibayotiki ku njira yoteteza mabakiteriya ambiri - kuphatikiza kwa michere yapadera yomwe imaphwanya amoxicillin. Izi zimakulitsa chiwonetsero cha kupatsidwa mankhwala a antibacterial.

Odwala nthawi zambiri amasokoneza Sumamed ndi Amoxiclav chifukwa cha mayina ofananawo a zinthu zomwe zimagwira, komanso chifukwa amalembedwera ma pathologies omwewo.

Amoxiclav kumasulidwa mafomu

Amoxiclav amapangidwa mu mitundu yotsatsira yomwe ili pansipa:

• ndi mapiritsi okhala ndi chipewa choyera kapena chopepuka cha beige 125, 250, 500, 875 1000 mg,
• mu madzi
• mu ufa momwe jakisoni adakonzera - 500 mg, 1000 mg,
• mu ufa wopanga manyumwa a ana, kuyimitsidwa kokhala ndi 125 mg, 250 mg, 400 mg ya mankhwalawa.

Amoxiclav 125, likupezeka mapiritsi a chowonongera chonse mbali zonse ziwiri komanso mu mawonekedwe a ufa kapena kuyimitsidwa.

Zomwe zimapangidwira ufa ndizoyimitsidwa zimaphatikizapo:

• Amoxicillin trihydrate - 125mg
• Clavulanic acid potaziyamu wamchere - 31.25 mg,
• Citric acid ndi mchere wake wa sodium,
• Carboxymethyl selulosi (chakudya chowonjezera E-466),
• Kuteteza E102,
• silika
• Lokoma - cyclamate wa sodium,
• Manalitol mannitol,
• Zithunzi Zopatsa Zipatso

Amoxiclav 250 (Forte) ndiyenso ufa womwe mankhwalawo amakonzedwa, ofanana ndi amoxiclav 125, kuchuluka kokha kwa zinthu zazikuluzikulu zomwe zimapangidwaku kukuwonjezereka.

Amoxiclav 500, 625, 875, 1000 - mapiritsi, omwe ali ndi kuchuluka kwake kwa zinthu zomwe zikugwira. Mwachitsanzo, Amoxiclav 1000 ili ndi 1000 mg ya antiotic ndi 125 mg ya clavulonic acid.

Amoxiclav Quicktab - mapiritsi okhazikika okhazikika ndi zipatso khalani ndi mitundu iwiri ya piritsi: mankhwalawa ali

• 500 mg ya amoxicillin ndi 125 mg ya clavulanic acid,
• 875 mg ya amoxicillin ndi 125 mg ya clavulanic acid.
  Pochiza ana osakwana zaka 12, kapena kukhala ndi thupi lochepera 40 makilogalamu, Amoxiclav mu mawonekedwe a mapiritsi silikudziwika. Ana amapatsidwa kuyimitsidwa ngati mawonekedwe. Kwa achinyamata opitirira zaka 12 ndi akulu, Mlingo wotsatira umakhazikitsidwa.

Amoxiclav amatha kutumikiridwa katatu patsiku maora 8 aliwonse, kapena kawiri patsiku, maola 12 aliwonse. Chithandizo chitha kupitilira masiku 6 mpaka 15, ndipo maphunzirowa atenga nthawi yayitali bwanji, kuchuluka kwa kuchuluka kwa mankhwalawa ndi komwe wodwala amalandira.

Zosangalatsa. Kupanga, mawonekedwe omasulira, njira yogwiritsira ntchito

Kutchulidwira kumakhazikitsidwa pazinthu zomwe zimatchedwa Azithromycin. Sumamed ndi m'gulu la macrolides. Imakhala ndi nthawi yayitali, imachepetsa chiopsezo cha matenda kufalikira kuchokera pakulimbana ndi ziwalo zina ndi minyewa ya thupi. Sumamed imaletsa ntchito yofunika ya mabakiteriya a gramu-gramu komanso gram-negative, imagwira makamaka pokana staphylococcal ndi zomera za streptococcal, komanso mycoplasma, ureaplasma.

Sumamed amagulitsidwa motere:

• Mapiritsi a Convex okhala ndi zolemba, zokutira ndi filimu yamtambo. Malinga ndi zomwe zili mkati mwake, ali ndi mitundu iwiri - 125 mg ndi 500 mg,
• Mphamvu ya kupanga kuyimitsidwa. Imapezeka mu mlingo wa 100 mg mu 5 ml ya yogwira mankhwala mutakonzekera kuyimitsidwa.Palinso ufa pakukonzekera kuyimitsidwa kwa Sumamed forte, ndi muyezo wa 200 mg mu 5 ml, wopezeka mumitundu ingapo - 15 ml ya ufa, 30 ml ndi 37.5 ml, kukonzekera kwake kumasiyana kokha mu kuchuluka kwa madzi komwe kumayenera kuwonjezeredwa botolo ndi zinthu zowuma, motero, pafupifupi 20 ml, 35 ml ndi 42 ml ya madzi omalizidwa amapezeka. Pulogalamu ya Sumamed ndi Sumamed pakukonzekera kuyimitsidwa sikuti ndi yosiyana, kupatula zomwe zili mu 5 ml ya kuyimitsidwa koyimitsidwa,
• Mu makapisozi a gelatin. Muli 250 mg ya azithromycin.

Zimakhala ndi chiyani

Mphamvu yogwira ya Sumamed ndi Azithromycin.

Zina zomwe zikuphatikizidwa ndi:

• wowonda wa chimanga
• mamolekyulu a calcium hydrogen phosphate ndi polysorbate,
• sodium lauryl sulfate ndi tinthu ta titanium dioxide.

Sumamed ufa umakhala ndi: azithromycin, trisodium phosphate, sucrose, xanth chingamu, colloidal silicon ndi titanium dioxide, hydroxypropyl cellulose. Zovala zokometsera zosiyanasiyana zimaphatikizidwanso mu ufa wa Sumamed.

Makapisozi a Sumamed amaphatikizapo magnesium stearate, sodium lauryl sulfate, titanium dioxide, indigo carmine, gelatin.

Mukamagwiritsa ntchito

Mankhwala a Sumamed amachitika ndikukula kwa matenda a wodwala monga:

• sinusitis ndi tonsillitis,
• tracheitis, bronchitis, bronchotracheitis,
• chibayo, malungo ofiira, otitis media,
• laryngitis ndi pharyngitis.

Sumamed imagwiritsidwa ntchito pofuna kuchiza matenda a pathological omwe amapezeka mu minofu yofewa, ziwalo za ENT - monga impetigo, erysipelas, dermatosis yachiwiri, tonsillitis, atitis media.

Sumamed imagwiritsidwa ntchito pochiza matenda opatsirana ndi kutupa kwa kwamikodzo: urethritis, cervicitis, chlamydia.

Sumamed sayenera kugwiritsidwa ntchito mwa odwala:

• okhala ndi hypersensitivity pazinthu zomwe zimaphatikizidwa,
• Ndi kulephera kwaimpso ndi chiwindi,
• Kusintha kwa impso chifukwa cha zifukwa zosiyanasiyana,
• wokonda kuwonongeka m'moyo wonse chifukwa cha kukokoloka kwa ziwengo.

Kutulutsa Fomu

Amoxiclav amapezeka m'mitundu iyi:

Mapiritsi okhala ndi mafilimu mulingo wa 250 mg, 500 mg ndi 875 mg wa amoxicillin, wokhala ndi clavulanic acid chimodzimodzi - 125 mg,

Amoxiclav Quiktab, mapiritsi omwazika, ndi mlingo wa 500 mg ndi 875 mg. Clavulanic acid imapezekanso muyezo womwewo - 125 mg,

Mosasamala mtundu wa wodwala yemwe amasankha, madokotala amalimbikitsa kuti muphunzire kaye mosamala musanayambe kugwiritsa ntchito mankhwalawo kwa nthawi yoyamba.

Zinthu zogwira ntchito za Amoxiclav, komanso Augmentin, ndi Amoxicillin ndi clavulanic acid, croscarmellose sodium.

Amoxiclav ufa umakhala ndi zinthu monga: benzonate ndi sodium citrate, mannitol.

Mapiritsi omwera ndi Amoxiclav amaphatikizira zinthu monga aspartame, yellow iron oxide, microcrystalline silicate cellulose, colloidal anhydrous silicon dioxide, mitundu mitundu.

Mukasankhidwa

Nthawi zambiri makolo amakhala ndi chidwi ndi dokotala pazomwe zingaperekedwe pakukula kwa angina Sumamed kapena Amoxiclav kwa ana. Amatha kuyankha funsoli atayang'ananso ndikusanthula.

Nthawi zambiri, Amoxiclav amalembedwa ndi akatswiri popanga njira ya pathological yapamwamba kupumira thirakiti. Kuphatikiza apo, imagwiritsidwa ntchito m'magulu a otolaryngology, chithandizo chamankhwala, matenda azachipatala, orthopedics ndi opaleshoni.

Amoxiclav imagwiritsidwa ntchito popanga:

• chibayo ndi matenda a bronchitis,
• bronchopneumonia ndi sinusitis,
• pharyngeal abscesses and otitis media, khutu lapakati,
• Matendawa
• chancroid ndi cystitis,
• cholecystitis ndi pyelonephritis,
• chinzonono ndi mafupa.

Amoxiclav imagwiritsidwanso ntchito ngati munthu apanga kachilombo koyambitsa matenda, kwamikodzo, kuwonongeka kwa minofu yofewa. Kuphatikiza apo, Amoxiclav amalembedwa chifukwa cha prophylactic kuti aletse kukula kwa puritive foci ndi sepsis - nthawi zambiri izi zimatha kuchitidwa pambuyo pa kuchitira opaleshoni ziwalo zamkati.

Komabe, Sumamed ndi Amoxiclav sizingatengedwe nthawi imodzi. Izi zitha kubweretsa kuwonongeka kwakukuru mu thanzi lonse la wodwalayo komanso kuwonekera kwa zovuta zazikulu.

Kodi mankhwalawa amagwiritsidwa ntchito pa matenda omwewa a bakiteriya?

Mndandanda wazowonetsa ku Amoxiclav ndi Sumamed ndiwofanana kwambiri, koma uli ndi kusiyana kwakukulu. Amakhala chifukwa chakuti azithromycin kukonzekera kumakhala kosankha kwamitundu ina yomwe imadzisonkhanitsa. Chifukwa chake, Sumamed imagwiritsidwa ntchito makamaka mu pathologies a awa:

Amoxiclav, chifukwa cha kuchepa kwake kosankha kwa kulowa kwa amoxicillin ndi kudzikundikira m'thupi lathu, zimapangitsa kuti magazi azikhala mwamphamvu kwambiri. Chifukwa chake, maantibayotiki ali ndi mwayi wambiri wogwiritsidwa ntchito. Itha kuphatikiza ndi zomwe zili pamwambapa, zitha kugwiritsidwa ntchito pa ma bacteria a bacteria:

• m'mano,
• ziwalo zamkati wamkazi (nyini, chiberekero, machubu a fallopian, thumba losunga mazira),
• ndulu ndi bile ducts (cholecystitis, cholangitis),
• dongosolo logaya chakudya (gastritis, duodenitis, enteritis, colitis),
• yofewa, yolumikizana minofu ndi dongosolo la masculoskeletal.

Chifukwa chake nthawi ya chithandizo ndi Sumamed ndi Amoxiclav omwe ali ndi matenda amodzi ndizosiyana

Ichi ndi chifukwa chamankhwala omwe amapezeka m'matenda a maantibayotiki. Sumamed imatha kudziunjikira mu zotumphukira za thupi. Zimadutsanso pakatupa, pomwe kuphatikiza kwake kukhoza kukhala 10-30 kuchulukitsa kuchuluka kwa azithromycin m'mitsempha yamagazi.

Pambuyo pa mlingo womaliza wa mankhwalawo, mlingo wake wowonjezera umakhalabe m'matumbo pafupifupi maola 72.

Ku Amoxiclav, kagayidwe kamapezeka m'njira zina. Amoxicillin amalowa m'thupi lathu kwambiri. Nthawi yomweyo, maantibayotiki amatulutsidwa mwachangu kudzera mu impso. Chifukwa chake, kuti mukhalebe othandizirana mu magazi, ndikofunikira kumwa pafupipafupi mankhwala.

Nthawi zambiri, nthawi ya chithandizo ndi Sumamed ndi masiku 2-3 amafupikitsidwa kuposa Amoxiclav.

Ngati wodwala amadwala Amoxiclav, akhoza kuwerengera Sumamed

Yankho ndi inde - inde, mutha kutero. Chiwopsezo cha Amoxiclav chimachitika chifukwa cha Hypersensitivity ku beta-lactam pawiri. Zotsalazo zimaphatikizira penicillin, cephalosporins, monobactams ndi carbapenems. Ngati pali mbiri ya kusintha kwa mankhwalawa kwa mankhwala aliwonse omwe ali m'magulu awa, ndikofunikira kupereka mankhwala enanso opangidwa ndi ma cell opangidwa mosiyanasiyana.

Izi ndizofunikira kwambiri kwa ana omwe ali ndi matupi a diathesis komanso chizolowezi chokhala ndi Quincke edema komanso anaphylactic.

Malinga ndi malingaliro aposachedwa othandizira matenda a bakiteriya, macrolides ndi mankhwala osankha pamenepa. Alibiretu vuto lililonse kudzera m'matumbo am'mimba, zomwe zimapangitsa kuti Sumamed ikhale njira yabwino yothandizira odwala omwe ali ndi chifuwa ku Amoxiclav.

Ndi iti mwa mankhwalawa omwe angagwiritsidwe ntchito pa nthawi yoyembekezera

Pa mimba ndi mkaka wa m`mawere, tikulimbikitsidwa kupereka Amoxiclav. Izi zimachitika makamaka chifukwa cha kuchepa mphamvu kwa ma cell a antibacterial onse. American FDA idapatsa gulu la Amoxiclav B, zomwe zikuwonetsa kuti mankhwalawa amatha kumwedwa panthawi yomwe ali ndi pakati komanso kuti palibe umboni wazowopsa za mwana wosabadwayo.

Azithromycin, chomwe ndi chinthu chogwira ntchito cha Sumamed, chimalowa m'magazi a mwana wosabadwayo mosafunikira, zomwe zimapangitsa kulingalira kosavomerezeka pa izo.

Chifukwa chake, mankhwalawa amayenera kufotokozedwa nthawi yomwe ali ndi pakati, pomwe maubwino omwe angakhalepo pakudikirira amaposa kuvulaza.

Ndi mankhwala ati omwe ndi otetezeka kwa ana

Onse a Sumamed ndi Amoxiclav ndi mankhwala otetezeka kwa ana azaka zilizonse, kuyambira mwezi woyamba wamoyo. Alimbikitsidwa kuti azigwiritsidwa ntchito ndi madokotala ndi mabungwe apamwamba kwambiri padziko lonse lapansi a madokotala.

Kugwiritsa ntchito mankhwala kwakanthawi kochepa kunawonetsa kuti zomwe zimachitika mwa ana sizosiyana kwambiri ndi akuluakulu. Komabe, asanagwiritse ntchito Amoxiclav koyamba, ndikulimbikitsidwa kuchita mayeso a hypersensitivity kwa mankhwalawa.

Makamaka kwa ana, makampani opanga amapanga maantibayotiki ngati madzi. Izi zimathandizira kudziwa molondola kuchuluka kwa mankhwalawo, kutengera zaka komanso kulemera kwa mwana.

Momwe mungamwe mankhwalawa onse

Maantibayotiki amatengedwa ngati mankhwala a dongosolo omwe amachita pamachitidwe osiyanasiyana mthupi la wodwalayo. Chifukwa chake, simungathe kudzisinkhasinkha komanso kutenga Amoxiclav kapena Sumamed popanda kusankha dokotala woyenera.

Monga momwe mchitidwe umasonyezera, kunyalanyaza lamulo losavuta ili kumabweretsa kukula kwamavuto, zovuta komanso kusakhalapo kwa chithandizo chamankhwala chifukwa chomwa mankhwalawo.

Choipa china chowoneka ndi mawonekedwe a mabakiteriya olimbana ndi maantibayotiki, pamankhwala omwe amafunika kugwiritsa ntchito magulu ena a mankhwalawa.

Kuwunikira kwa kugwiritsa ntchito maantibayotiki nthawi zambiri kumachitika patatha maola 48-72 atayamba chithandizo. Chidwi chimatengedwa kuti musinthe kutentha kwa thupi, kuyezetsa magazi ndi momwe wodwalayo alili. Ndi mawonekedwe abwino, chithandizo chamankhwala osankhidwa chikupitirirabe. Pakufunika kofunikira, maantibayotiki ayenera kusinthidwa.

Ndikofunika kumwa mankhwala nthawi yomweyo masana kuonetsetsa kuti magazi alipo ambiri. Ngati mukuphonya, muyenera kumwa mankhwalawa mwachangu, kenako ndikupitiliza kuthandizira nthawi zonse.

Mutha kumwa piritsi kapena madzi a mankhwalawo ndi madzi okha. Simungagwiritse ntchito soda, mankhwala a mkaka, khofi kapena tiyi wamphamvu pacholinga ichi, chifukwa amatha kusintha mayamwidwe ndi kagayidwe kachakudya, kamene kamawonetsedwa molakwika ndi zotsatira zake.

Sitikulimbikitsidwanso kuletsa maantibayotiki atangoyamba kumene kusintha.

Izi zimatha kupangitsa kuti mabakiteriya azikaniza mankhwalawo, komanso kuti matenda ayambenso. Dokotala wokha yemwe ali ndi ufulu woletsa Sumamed kapena Amoxiclav.

Zoyenera kuchita ngati zotsatira zoyipa zimachitika chifukwa chotenga Sumamed kapena Amoxiclav

Ngati mukukumana ndi zotsatila zilizonse chifukwa chotenga maantibayotiki, muyenera kulankhulana ndi ogwira ntchito kuchipatala kapena dokotala wanu.

Nthawi yomweyo, ziyenera kumvetsedwa kuti kupezeka kwawo kokha sichizindikiro chotsimikizirika chosiya mankhwala.

Zizindikiro za Dyspeptic, kupweteka mutu, kuwonjezeka pang'ono kwa kuchuluka kwa michere ya creatinine kapena chiwindi mu plasma ya magazi sikungakhale chifukwa ch chomwa mankhwalawo, komanso matenda a bakiteriya omwe. Ngati kupezeka kwawo kumachitika ndendende ndikugwiritsa ntchito maantibayotiki, ndiye kuti nthawi zambiri izi zimatha kutha pambuyo poti chithandizo chatha.

Ndi mankhwala ati omwe ndi okwera mtengo kwambiri

Sumamed ndi mankhwala odziwika bwino a antibacterial ochokera ku kampani yopanga mankhwala ku Croatia Pliva, yomwe idapangidwa koyamba mu 1980. Amoxiclav ndi generic, yomwe imapangidwa ndi kampani yaku Slovenia "Lek".Ichi ndichifukwa chake Sumamed mu ma shopu ogulitsa mankhwala ogulitsa ndiwodula kuposa Amoxiclav.

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

Sumamed kapena Amoxiclav ndi othandizira ma antibacterial othandizira omwe amagwira ntchito motsutsana ndi gramu-gramu komanso gram-hasi tizilombo. Amapatsidwa mankhwala othandizira kapena pambuyo poti aphunzire zamphamvu za tizilombo toyambitsa matenda.

Makhalidwe a Sumamed

Mphamvu yogwira ya antibayotiki ndi azithromycin. Mankhwala ali ndi tanthauzo la bakiteriya. Kupanga kwake kwa kachitidwe ndikulepheretsa kaphatikizidwe ka mapuloteni mkati mwa maselo a tizilombo tating'onoting'ono, chifukwa chomwe njira yopititsira patsogolo maselo ndi kubereka imayima. Zisonyezo zogwiritsidwa ntchito:

• matenda opatsirana kupuma thirakiti: chibayo, chifuwa chachikulu, laryngitis, tracheitis,
• Matenda a ENT: sinusitis, tonsillitis, pharyngitis, atitis media, tonsillitis,
• zotupa zapakhungu, mwachitsanzo, erythema yosamukira,
• Matenda a genitourinary system: chlamydia, matenda opatsirana kudzera mukugonana komanso kukhala wofatsa.

Zoyipa poyerekeza ndi Sumamed ndi:

• tsankho lililonse pazigawo za mankhwala,
• milandu ya thupi lawo siligwirizana m'mbuyomu kugwiritsa ntchito maantibayotiki ndi azithromycin.

Maantibayotiki m'mapiritsi amatha kuperekedwa kwa ana pokhapokha kulemera kwa mwana ndi 45 kg kapena kupitirira.

Mankhwala opha mabakiteriya pa nthawi ya bere amapatsidwa mankhwala pokhapokha ngati dokotala angaganize kuti zotsatira zake zabwino zimagwiritsidwa ntchito mopitilira muyeso wa chizindikiro cham'mbali ndi zovuta zina.

Mankhwala amatengedwa 1 kapena 2 maola chakudya chachikulu chisanachitike. Fomu yotulutsira ndi mapiritsi (amatengedwa popanda kutafuna) ndi ufa pokonzekera kuyimitsidwa.

Zotsatira zoyipa:

• candidiasis pa mucous nembanemba wamkamwa, mwa azimayi - candidiasis,
• khansa ya m'magazi ndi chizindikiro chachilendo
• chisokonezo cha kugona, mantha ambiri,
• matenda am'mimba dongosolo - nseru, kusanza, kutsegula m'mimba,
• mawonekedwe owopsa pakhungu,
• kupweteka kwam'mimba.

Sumamed amatengedwa matenda opatsirana kupuma thirakiti, chibayo, laryngitis, tracheitis.

Mankhwala othandizira pochiza matenda opatsirana ndi mapiritsi atatu patsiku, amatengedwa 1 mg. Chithandizo cha matenda opatsirana pogonana - gawo limodzi la mapiritsi 4. Chithandizo cha matenda opatsirana a pakhungu - tsiku loyamba 4 ma PC., Masiku 4 otsatira, 2 ma PC. patsiku. Njira ya mankhwala opha maantibayotiki ndi masiku 5.

Amoxiclav mtsempha wamagazi

Amoxiclav ufa wa jekeseni wamkati uli ndi magawo 5 a Amoxicillin ndi gawo limodzi la clavulanic acid.

Kuti mupeze jakisoni wamkulu, 600 mg ya mankhwalawa imaphatikizidwa mu 10 ml ya madzi a jekeseni. Chifukwa chake, botolo lomwe lili ndi magalamu 1.2, 20 ml ya jekeseni wa madzi adzafunika. Njira yothetsera vutoli imalowetsedwa m'mitsempha kwa mphindi 3-4. Kwa kukapanda kulera kwa makonzedwe a 50, 100 ml ya kulowetsedwa kumawonjezeredwa, motero. Kuchepetsa kulowetsedwa kwa yankho kumatenga mphindi 30 mpaka 40.

Jakisoni wokonzekera kugwiritsa ntchito uyenera kugwiritsidwa ntchito mkati mwa mphindi 20 . Sungani makamaka osautsa mankhwala osokoneza bongo.

Kuyerekezera kwa Sumamed ndi Amoxiclav

Pali zofanana zingapo pakati pa maantibayotiki awiri, koma pali zosiyana zambiri.

Makhalidwe ofanana ndi awa:

1. Mankhwala onse awiriwa amapatsidwa mankhwala amodzimodzi.
2. Njira kumasulidwa - mapiritsi ndi ufa kuyimitsidwa.
3. Mothandizanso othandizira odwala ndi machitidwe a ana.
4. Ndiwo mankhwala ogwiritsa ntchito njira zosiyanasiyana.Amakhudza machitidwe ambiri mthupi, motero amakhala ndi mawonekedwe osiyanasiyana - matenda opatsirana a kupuma, khungu ndi khungu.
5. Zosakaniza zomwezo zothandiza mwanjira zosiyanasiyana kumasulidwa.
6. Ngakhale kuti amaloledwa ndi odwala bwino, kudya kwawo nthawi zambiri kumayendetsedwa ndi zovuta zam'mimba - kumverera kolemetsa pamimba, dysbiosis.
7. Sizikhudzanso kuchuluka kwa shuga m'magazi, chifukwa chake matenda monga matenda ashuga sikuti obweretsa magazi pakugwiritsa ntchito mankhwala onse a antibacterial.

Kodi pali kusiyana kotani?

Mankhwala ali m'magulu osiyanasiyana achire: Sumamed - macrolides, Amoxiclav - penicillin antibayotiki.

Sumamed ili ndi chuma chodziunjikira minofu yofewa, chifukwa chake kuchuluka kwake m'thupi kumakhala kosasinthika kwakanthawi. Kagayidwe kazinthu zazikulu za Amoxiclav zimachitika mosiyanasiyana, zimatulutsidwa mwachangu kuchokera mthupi kudzera mu impso ndi zinthu. Pankhaniyi, Amoxiclav nthawi zambiri amatengedwa. Mankhwala a Sumamed amakhala masiku ochepa.

Cholimba ndi chiani?

Ndikovuta kuyerekeza kugwira ntchito kwa onse antibacterial mankhwala, chifukwa Mphamvu ya ntchito zimatengera zinthu zingapo - mavuto a pathogenic microflora, kuopsa kwa vuto la matenda ndi machitidwe a thupi.

Chifukwa chakuti Sumamed imasonkhana mu zotumphukira, pochizira matenda omwewo, idzachita nthawi yayitali kuposa Amoxiclav. Koma izi sizitanthauza kuti mankhwalawa ali ndi mphamvu, amangomwa pakumwa zochepa osati pafupipafupi monga mankhwala achiwiri.

Chili bwino ndi chiyani - Sumamed kapena Amoxiclav?

Sumamed imagwira ntchito mwachangu, koma ili ndi mndandanda waukulu wa zotsutsana. Amoxiclav amadziwika ndi kanthu pang'onopang'ono, njira yogwiritsira ntchito ndiyotenga masiku angapo, koma mndandanda wa contraindication umakhala wocheperako, komanso mwayi wazizindikiro zam'mbali.

Njira zonsezi zimagwiritsidwa ntchito popanga ana, koma Amoxiclav ndiwo amawakonda. imakhala yofatsa komanso yofatsa thupi ndipo nthawi zambiri imayambitsa zovuta. Koma ngati vutolo ndi lalikulu, matenda opatsirana amakhala ndi chithunzi chachikulu, mankhwalawo nthawi zambiri amachitidwa ndi Sumamed.

Ndemanga za odwala pa Sumamed ndi Amoxiclav

Marina, wazaka 34, ku Moscow: “Ndimapatsa ana Amoxiclav ngati pali zilonda zapakhosi kapena bronchitis, ndipo ine ndi mwamuna wanga timamwa Sumamed. Amoxiclav amachita zinthu zofewa, ndipo Sumamed, monga dotolo amafotokozera, akulimbikitsidwa kupatsa ana pokhapokha ngati matendawa ali oopsa, ndipo maantibayotiki ena samathandiza kapena kuchita pang'onopang'ono. "

Vadim, wazaka 36, ​​Stary Oskol: "Zochizira matenda a m'matumbo, adotolo adamuuza Sumamed. Tsiku loyamba la kugwiritsidwa ntchito kwake linali labwinobwino, ndinamvanso bwino, koma kenako matendawa ayamba kuwoneka - m'mimba mwanga ukupweteka, ndimadwaladwala, ndimamva chizungulire. Wochiritsayo adalongosola izi ponena kuti ndili ndi vuto lililonse pazinthuzi, motero ndidalamula Amoxiclav. Ndidasinthiratu maantibayotiki pafupipafupi, popanda zovuta zilizonse, ndipo zidandithandiza mwachangu. ”

Anna, wazaka 24, Pskov: “Nthawi yomweyo ndinali kudwala Amoxiclav. Dotolo adanenanso kuti ndimalekerera ma penicillin. Ndipo Sumamed adatenga bwino thupi langa. Ngakhale kuti maantibayotiki ambiri amayambitsa matenda a dysbiosis, sizinachitike. ”

Madokotala amafufuza

Tamara, wazaka 52, dokotala wa ana, Murmansk: “Mankhwala onse awiriwa amaperekedwa kwa ana, koma maulendo osiyanasiyana. Amoxiclav mu ana amawakonda, chifukwa sizimayambitsa mavuto; ana amakonda kukoma kwa kuyimitsidwa. Ndipo Sumamed imatha kukhala yothandiza pa matenda opatsirana kapena ngati matendawa ali ndi chithunzi chachikulu chachipatala.Kuziyerekeza ndi zovuta kwambiri, chifukwa mankhwalawa ndi a magulu osiyanasiyana azachipatala, ngakhale ali ndi mawonekedwe ofanana. "

Irina, wazaka 39, wazachipatala, Perm: “Sumamed ndi mankhwala amphamvu, amathandiza bwino komanso mwachangu poyerekeza ndi Amoxiclav. Koma popeza magulu awo ndiosiyana, amapatsidwa matenda osiyanasiyana omwe amakhudzana ndi matenda. ”

Mawonekedwe a phwando

Amoxiclav ali ndi vuto pa impso, kotero odwala omwe ali ndi vuto la impso amafunikira kuchepetsedwa, kapena kuwonjezeka kwa nthawi pakati Mlingo wa mankhwala.

Amoxiclav mu ana

Amoxiclav sakuvomerezeka kwa ana aang'ono popanda mankhwala a dokotala. Ngati ndi kotheka, dokotala mwiniwakeyo amuuze mankhwala kwa odwala ang'ono, ngakhale kuyambira koyamba kwa moyo wake. Ndikofunika kuyang'anira kuchuluka kwa mankhwalawa komanso kuzungulira kwa mankhwalawa.

Mlingo weniweni wa mankhwalawa woperekedwa kwa ana ayenera kuganiziradi kulemera kwawo. Kwa ana kuyambira miyezi itatu kufika 12 wazaka 12 kapena masekeli osachepera 40 makilogalamu omwe ali ndi matenda opatsirana oyenera, chizolowezi cha tsiku ndi tsiku cha Amoxiclav chimakhazikitsidwa pa 25 mg pa 1 kg yolemera. Kutengera kuti mankhwalawa amaperekedwa katatu, kuchuluka kwa tsiku lililonse kwa mankhwalawa kumagawidwa m'magawo awiri kapena atatu. Mwachitsanzo, mwana amalemera makilogalamu 8. Chifukwa chake, gawo limodzi la mankhwalawa ndi 25x8: 2 = 100 mg, potengera kuwerengera kwa Amoxicillin. M'matenda akulu, tsiku lililonse, kuchuluka kwa nthawi imodzi kumachulukanso.

Kwa ana mpaka miyezi itatu, mankhwalawa amapatsidwa 2 pa tsiku, pomwe tsiku lililonse mankhwala amakhala 30 mg pa 1 kg yolemera. Ngati mwana, mwachitsanzo, akulemera makilogalamu 4, mlingo wa tsiku lililonse udzakhala 120 mg, motero, mlingo umodzi udzakhala - 60 mg.

Mlingo wowonetsedwa, kulemera kwa thupi kwa mwana kuyeneranso kuganiziridwa pakukonzekera kuyimitsidwa. Choyamba, botolo lomwe lili ndi ufa limagwedezeka, kenako limawonjezeredwa ndi madzi otentha owiritsa mu 2 waukulu. Nthawi yomweyo, iyenera kugwedezeka nthawi iliyonse kuti zomwe zili mkati zitheke. Mu phukusi, supuni yoyesera yokhala ndi 5 ml ya yankho imalumikizidwa ndi madzi a ufa.

Zotsatira zoyipa za Amoxiclav ndi contraindication

Odwala omwe amamwa Amoxiclav akhoza kukumana ndi izi mavuto . Nthawi zambiri, minyewa yam'mimba imayambitsa mavuto. Kumwa mankhwala akhoza limodzi ndi

• Anachepetsa chilako
• Kuchepetsa mphumu limodzi ndi kusanza
• Kutsegula m'mimba.

Pali kuthekera kwa njira zina zotupa, mwachitsanzo, stomatitis, vaginitis, colitis. Allergic odwala sachedwa kuyabwa, zotupa mu mawonekedwe a urticaria.

Amoxiclav nthawi zambiri amatengedwa ngati yankho la bronchitis, koma chifuwa cha penicillin chingayambitse bronchospasm, angioedema, ndipo kawirikawiri, kugwedezeka kwa anaphylactic.

Zambiri zokhazokha zimadziwika. ntchito ya chiwindi ikasokonekera mchikakamizo cha mankhwalawa, panali zizindikiro za hepatitis, kuchuluka kwa kusintha kwa magazi m'mwazi kumawonjezeka. Amoxiclav imaphatikizidwanso mu mononucleosis yopatsirana.

Chifukwa chake, musanapereke mankhwala, dokotala ayenera kuonetsetsa kuti wodwalayo samadwala penicillin, cephalosporins kapena clavulonic acid. Chisamaliro chachikulu chiyenera kulipira odwala ochepa.

Kugwiritsa ntchito maantibayotiki munthawi yobala mwana kapena poyamwitsa kumaloledwa, koma kuyang'aniridwa ndi dokotala ndipo ngati pali zifukwa zokwanira. Simungatenge mopepuka maantibayotiki, ndipo sibwino kuti mwangotenga kachilomboka monga mankhwala ochizira matenda onse.

Ngakhale adachenjezedwa kwambiri pa zolakwika ndi "zovuta," ndemanga pamabungwe akuwonetsa kuti Amoxiclav imadziwika bwino kuposa maantibayotiki ena.

Amoxiclav mu bronchitis ndi matenda ammero. Kodi ndimankhwala ati omwe amathandizanso matenda a bronchitis?

Palibe contraindication, Amoxiclav imagwiritsidwa ntchito moyenera pa mankhwalawa a kupuma kwapakati komanso bronchitis chifukwa cha microflora yodziwika bwino ndi mankhwalawa. Ndikulimbikitsidwa kuti ana apatsidwe kuyimitsidwa, popeza kuti mankhwalawa "amatsitsa" pakhosi, ndipo potero zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimayamba kugwira ntchito mwachindunji pamatenda otupa pakhosi ndi bronchi. Mankhwala ndi osangalatsa kukoma kwake: Ana amakonda kumwa mosangalala kwambiri kuposa mapiritsi.

Aminopenicillins, gulu lomwe limaphatikizapo Amoxiclav, Amoxicillin, Augmentin, Tawonani chithandizo chabwino kwambiri cha bronchitis , popeza amakwirira tizilombo tambiri tomwe timayambitsa matenda a bronchial. Choyipa chokha cha gululi ndimankhwala osokoneza bongo.

Augmentin ndi chizindikiro cha mankhwala, analogue of Amoxiclav, pomwe amasiyana okha pazinthu zomwe zimakhudza kukoma kwa mapiritsi ndi manyumwa. Zinthu zomwe zimagwira mmenemo ndizofanana: amoxicillin + clavulonic acid.

Mankhwala othandizira a Flemoxin ndi Amoxicillin

trihydrate, koma ilibe asidi wa clavulonic.

Chosungidwa ndi mankhwala ochokera ku gulu laling'ono la azalides. Gawo lake lalikulu ndi azithromycin. Izi sizikutanthauza kuti azalides, kapena maantibayotiki ena, ndi abwino kapena oyipa kuposa ma penicillin achilengedwe. Amasiyana. Mankhwala omwe atchulidwa a bronchitis ayenera kuikidwa ndi matenda oyenerera a bacteria. Chifukwa chake, kusankha ndi cholinga cha mankhwalawa ziyenera kuchitika pokhapokha ngati ma label asankhidwa ndi matenda a causative, pamaso paziwonetsa ndi contraindication kwa mankhwala ena, poganiza momwe mankhwalawa amaphatikizidwira.

Pamodzi ndi mankhwala, adagwiritsa ntchito bwino zida za Almag za bronchitis . Mothandizidwa ndi magnetotherapy, ma cell a bronchial amasinthidwanso, machitidwe a maantibayotiki ndi bronchodilators amathandizidwa.

Kugwirizana kwa Amoxiclav ndi mankhwala ena

Anthu amakono, makamaka okalamba, nthawi zambiri amadwala matenda angapo, monga amanenera, ali ndi gulu lonse la matenda omwe mankhwalawa amamwa.

Ndipo popeza Amoxiclav si mankhwala osavuta kwambiri omwe amakhudzidwa kwambiri ndi thupi, ndipo amapangidwa ndi zinthu zosiyanasiyana zopangidwa ndi mankhwala. amatha kucheza ndi zigawo zina za mankhwala ena , muyenera kuganizira kuphatikiza kwawo kapena, m'malo mwake, kusagwirizana kwa mankhwala osiyanasiyana.

Ndi munthawi yomweyo

• Ndi methotrexate - chiopsezo cha poizoni chikuwonjezeka,
• Ndi ma anticoagulants - magazi amayamba kuchepa
• Ndi Allopurinol - nthawi zambiri kumabweretsa kukula kwa exanthema, matenda opatsirana omwe amakhudza khungu, michere ndi ziwalo zina.
• Ndi probenecid, kuthetsedwa kwa amoxicillin m'thupi kumachepa, komwe kumayambitsa kudzikundikira.

Kuphatikiza ndi macrolide, tetracycline ndi ma antibayotiki ena, mwachitsanzo, Biseptol akagwiritsidwa ntchito poyambitsa matenda a bronchitis, ntchito ya Amoxiclav imachepa.

Mankhwalawa sagwirizana ndi njira zothetsera thupi, zomwe zimakhala ndimagazi, mapuloteni, lipids, glucose. Amoxiclav sangakhale wosakanizika mu syringe yomweyo ndi mankhwala ena.

Akazi ayenera kudziwa kuti mankhwalawa amachepetsa mphamvu ya mankhwala oletsa kubereka.

Maantibiotic a bronchitis mwa achikulire, makamaka ana, amasankhidwa ndikuwunika atapimidwa mozama, kuyesedwa ndikuzindikira koyenera. Makamaka mosamala, kuwunika koteroko kuyenera kuchitika ngati wapezeka wamphamvu kwambiri wa bronchitis.

Kuyerekezera kwa Amoxiclav ndi Sumamed

Ndi chitukuko cha mthupi la wodwalayo chopatsirana komanso kutukusira kwa mabakiteriya, madotolo amatumiza mankhwala a antibacterial. Amoxiclav ndi Sumamed amadziwika kuti ndi amodzi mwa mankhwala otchuka kwambiri opatsirana.Amapangidwa m'mitundu yosiyanasiyana, kotero wodwala amatha kusankha mawonekedwe omwe ali oyenera kwambiri kwa iye. Kugula imodzi mwa izo, nthawi zambiri odwala amadzifunsa funso ili: Kodi pali kusiyana kotani pakati pa Sumamed ndi Amoksiklav? Ndi iti mwa mankhwalawa omwe ndi othandiza kwambiri komanso ocheperako omwe amawononga thanzi la munthu - tikambirana munkhaniyi.

Contraindication

Amoxiclav sanalembedwe milandu:

• Ndi chitukuko cha wodwala matenda monga cholestatic jaundice, lymphocytic leukemia, chiwindi,
• ndi kufalikira kwamphamvu kwa ziwengo,
• ndi chidwi chachikulu ndi magawo ake,
• azimayi omwe akuyamwitsa kapena kubereka mwana, makamaka oyamba kumene. Itha kugwiritsidwa ntchito ngati mapindu ake ogwiritsidwa ntchito kwa mkazi akakhala ochulukirapo kuposa chiwopsezo chomwe chidzaikidwe kwa mwana.

Kusiyana kwawo kwakukulu:

• Sumamed ndi Amoxiclav ndi mitundu yosiyanasiyana ya ma antibacterial: Sumamed ndi mankhwala a macrolide, ndipo Amoxiclav ndi antibacterial penicillin,
• Mulinso zinthu zingapo zogwira ntchito,
• Amoxiclav, mosiyana ndi Sumamed, imapezeka m'mapiritsi omwe amatha kusungunuka bwino m'madzi ndipo amatha kugwiritsidwa ntchito ndi anthu omwe akuvutika ndi kumeza, komanso ana aang'ono,
• Sumamed, mosiyana ndi Amoxiclav, muyenera kugwiritsa ntchito masiku atatu okha. Chifukwa cha ichi, zotsatira zabwino zimadza mwachangu pakugwiritsidwa ntchito,
• Amoxiclav ali ndi mndandanda wocheperako wa contraindication poyerekeza ndi Sumamed,
• Amoxiclav amathandizira kuchotsa matenda omwe sangathe kuchiritsidwa ndi mankhwala monga Sumamed,
• Mndandanda wotsika mtengo wa Sumamed ndi Azithromycin, womwe umadziwika kuti ndi gawo la Amoxiclav.

Chifukwa chofananizira Sumamed ndi Amoksiklav, ndizosatheka kuyankha mosakayikira funso lomwe ili labwino kwambiri mwa iwo. Aliyense wa iwo ali ndi kuchuluka kwake pamakhalidwe abwino komanso oyipa. Zidzatsimikizika kuti ndibwino kuchitapo kanthu kwa wodwala winawake, ndi akatswiri odziwa bwino omwe angatero.

Nkhani idayendera
Anna Moschovis ndi dokotala wa mabanja.

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Sumamed kapena Amoxiclav - ndibwino ndi kusiyana kotani?

Nthawi zambiri, pamatenda osiyanasiyana a bakiteriya, maantibayotiki a gulu linalake ndi omwe amapatsidwa mankhwala. Mankhwala othandiza komanso ogwiritsidwa ntchito kwambiri ndi Amoxiclav ndi Sumamed.

Maantibayotiki amapezeka m'njira zosiyanasiyana ndipo ali ndi mphamvu yolimbana ndi mabakiteriya okhala ndi gramu-gramu komanso gram-positive pathogenic. Odwala ambiri akuda nkhawa ndi funso lomwe: kodi ndi mankhwala ati a antibacterial omwe amachokera ku data omwe ali otetezeka komanso othandiza kwambiri?

Kuphatikizika: mwatsatanetsatane za mankhwalawa

Azithrimycin - gawo lofunikira la Sumamed

Sumamed ndi mankhwala omwe ali m'gulu la antioxotic la macrolide. Ndi azalide yomwe imakhala ndi nthawi yayitali. Zimalepheretsa kukula ndi kubereka kwa mabakiteriya okhala ndi tizilombo toyambitsa matenda omwe amapanga chidwi chachikulu.

Mphamvu zama gramu zabwino komanso gram-negative zimakhudzidwa ndi Sumamed. Makamaka othandiza pa staphylococci ndi streptococci, mycoplasmas, ureaplasmas.

Maantibayotiki akupezeka m'mitundu iyi:

• Mapiritsi a milligram a 125, 250 ndi 500. Mapiritsiwa adakutidwa ndi zokutira filimu ya buluu. Mbali zonse ziwiri ndizowongoka, zolemba.
• Ufa pakukonzekera kwa madzi mamiligalamu 100 pa mamililita asanu. Ikhoza kukhala ndi kuwala pang'ono chikasu kapena tint yoyera, yokhala ndi fungo la sitiroberi. Mafuta atasungunuka, timadzi tambiri timene timakhala ndi kuwala, pang'ono pang'ono chikasu.
• Ufa wa kuyimitsidwa kwa forte mamiligalamu 200 pa mamililita asanu. Amadziwika ndi katundu omwewo monga ufa wapamwamba wa 100 mg. Mungakhale ndi fungo losiyana.
• Makapisozi a milligram 250.Ndi ma gelatinous, ali ndi kapu wamtambo komanso thupi lamtambo. Makapisozi amakhala ndi ufa wa mtundu wachikaso kapena choyera.

• Hypromellose
• Wowuma chimanga
• Calcium calcium phosphate
• Wokongola wa Pregelatinized
• Magnesium wakuba
• Polysorbate
• Sodium Lauryl Sulfate
• Titanium dioxide
• Talcum ufa
• Utoto

Zambiri pazamankhwala a antibacterial zitha kupezeka mu kanema:

The zikuchokera ufa wa madzi - 200 mg yogwira pophika - azithromycin. Muli zinthu zothandiza mmenemo:

• Trisodium Phosphate Anhydrous
• Kubweza
• Xanthan chingamu
• Colloidal silicon dioxide
• Titanium dioxide
• Hyprolose
• Hydroxypropyl cellulose
• Banana, Cherry ndi Vanilla Flavours

Zowonjezera zomwe zili mu mawonekedwe a kapisozi ndi:

• Magnesium wakuba
• Microcrystalline mapadi
• Sodium Lauryl Sulfate
• Titanium dioxide
• Indigo carmine
• Gelatin

Chifukwa chake, kapangidwe kake kamatengera mtundu wa mankhwalawo. Zosakaniza zomwe zimagwira ndizofanana, mwa mitundu yina. Ponena za omwe amapeza mawonekedwe amtundu uliwonse wa Sumamed, ndi osiyana.

Kufotokozera kokwanira kwa amoxiclav

Amoxiclav ndi anti-spectrum antioxotic ambiri omwe amachokera ku amooticillin. Uwu ndiye analogue wake, womwe umawerengedwa ngati kusintha kwamakono ndi kuphatikizika kwa clavulanic acid. Iyo, imachepetsa kuwonongeka kwa maantibayotiki (imakulitsa nthawi yochulukirapo) ndikukulolani kuti mupange mankhwalawa monga mapiritsi, kuyimitsidwa pakukonzekera yankho, osati monga jakisoni.

Malinga ndi zamankhwala, amoxiclav amatanthauza ma penicillin, kotero kugwiritsa ntchito kwake sikuyenera kuperekedwa kwa iwo omwe amayambitsa mavuto. Kodi ndimatenda otani omwe amoxiclav amagwira? Chifukwa cha kukhalapo kwa beta-lactamase m'mapangidwe ake, amawononga mosavuta:

• streptococcus
• Listeria
• khalimotz,
• enterococci,
• peptococci,
• Klebsiella
• tizilombo ta aerobic (gramu-gramu ndi gram-negative).

Ili ndiye mndandanda wathunthu wamatenda omwe amayambitsa angina. Ndikulimbikitsidwa kuti mwana apatsidwe amoxiclav ngati madzi kapena ngati madzi amchere (kuchokera pamadzi owonjezera). Njira yotsirizayi imaloledwa ngakhale kwa makanda, pomwe mapiritsi ndi ufa, malinga ndi malingaliro a wopanga, amaloledwa kutengedwa kuchokera wazaka 12 zokha. Mulingo wambiri watsiku ndi tsiku ndi ma milligram 45 pa kilogalamu imodzi yakulemera kwa thupi. Njira yabwino ndiyo ma milligram 30, monga momwe malangizo akugwiritsira ntchito. Ndikulimbikitsidwa kuperekera mankhwalawa kwa Mlingo wotalikirana ndi ma 3-4 ndi nthawi yofanana ya nthawi (maola onse a 6-8).

Zotsutsana ndi phwando lake ndi:

• kutupa kwa impso
• pachimake tizilombo matenda am'mimba thirakiti.

Zotsatira zoyipa zoterezi zimatheka mukatenga: ziwengo, jaundice, zamitsempha, zotupa za chiwindi, chifuwa, migraines, chizungulire.

Makhalidwe Abwino

Azithromycin ndi mankhwala oteteza khungu ku matenda okhala ndi mphamvu yayitali (amachotsedwa m'thupi kwa nthawi yayitali). Ndi pamaziko omwe anapangidwira. Ndi gulu la macrolide. Nthawi zambiri amadziwika pamaso pa ziwopsezo za penicillin, ndiye kusiyana kwake kwakukulu ndi amoxiclav.

Imasiyidwa payokha ndikuyerekeza kwa ana. Osati zoletsedwa, koma osavomerezeka muukhanda. Mankhwalawa amasiyana mu gawo la ntchito yogwiritsidwa ntchito (325 mamililita, mapiritsi 0,5 akulimbikitsidwa). Zotsatira zoyipa, kusanza kokhako, kusunthidwa kwa Refresh Reflex, komanso kuwonekera kwakanthawi pakhungu kungadziwike, koma kuthekera kwa mawonekedwe awo ndikotsika kwambiri (1 mwa 100,000).

Ogwirizana zotsatirazi:

• mimba
• Nthawi yokhala ndi mkaka wa m'mawere (nkoletsedwa kulandira amayi),
• tsankho kuti azithromycin.

Malangizo ogwiritsira ntchito akuwonetsa kuti mumatsatira mosamalitsa dongosolo la kumwa mankhwalawo. Izi zichitike osachepera ola limodzi musanadye kapena maola awiri mutatha kudya. Kupanda kutero, kuchuluka kochepa kwambiri kwa azithromycin kukalowa m'magazi.

Mankhwala omwe tikambirana m'nkhaniyi akukhudzana ndi ma antibacterial, zomwe zikutanthauza kuti amatha kuwononga microflora ya pathogenic.

Maantibayotiki apeza kuti amagwiritsidwa ntchito osati mankhwalawa matenda a kupuma, komanso amagwiritsidwa ntchito bwino ku ziwalo zonse za mthupi komwe ma tizilombo toyambitsa matenda adakhazikika.

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:

• tonsillitis
• pharyngitis
• laryngitis
• otitis media
• tonsillitis
• bronchitis
• tracheitis
• kutsogolo
• sinusitis
• chibayo
• meningitis
• endometritis
• mapa,
• sepsis
• leptospirosis.

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
• mkaka wa m`mawere, pakati (wachibwenzi -
• matumbo dysbiosis.

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 ntchito - 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.

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.

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 wophatikizira 250 mg ndi ma ruble 280.

Kanema: Momwe dokotala amasankhira mankhwala opha tizilombo

1. Malangizo azachipatala (protocol ya chithandizo) popereka chithandizo chamankhwala a ana omwe ali ndi tonsillitis (pachimake streptococcal tonillitis), FSBI NIIDI FMBA RUSSIA, GBOU VPO KrasGMU im. prof. V.F. Voyno-Yasenetsky Ministry of Health of the Russian Federation, MBUZ GDKB 1. (Krasnoyarsk), Public Organisation "Eurasian Society for matenda opatsirana", Public Organisation "Association of matenda opatsirana a madokotala a St. Petersburg ndi Leningrad Region" (AVISPO),
2. Shcherbakova M.Yu., Belov B.S. A-Streptococcal tonsillitis: zinthu zamakono - GOU VPO RSMU Roszdrav, GU Institute of Rheumatology RAMS, Moscow.

Mwambiri, ndi angina, Augmentin nthawi zambiri amaloledwa kuposa Sumamed. Mankhwala a Augmentin ndi amoxicillin, mankhwala oyamba a maamba ...

Mwa mankhwala awiriwa - Flemoxin Solutab ndi Sumamed - wokhala ndi angina, nthawi zambiri amalimbikitsidwa kusankha Flemoxin Solutab. Chothandizira chake ...

Sumamed ndi Suprax yokhala ndi angina ndi ofanana. Amapereka zomwe zimachitika, amakhala ndi chitetezo chofanana. Muyenera kusankha pakati pawo, podziwa ...

Nthawi zambiri, pamatenda osiyanasiyana a bakiteriya, maantibayotiki a gulu linalake ndi omwe amapatsidwa mankhwala. Mankhwala othandiza komanso ogwiritsidwa ntchito kwambiri ndi Amoxiclav ndi Sumamed.

Maantibayotiki amapezeka m'njira zosiyanasiyana ndipo ali ndi mphamvu yolimbana ndi mabakiteriya okhala ndi gramu-gramu komanso gram-positive pathogenic. Odwala ambiri akuda nkhawa ndi funso lomwe: kodi ndi mankhwala ati a antibacterial omwe amachokera ku data omwe ali otetezeka komanso othandiza kwambiri?

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.

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

Maantibayotiki amasiyana mu opanga okha komanso amatha pang'ono pamtengo. Mapiritsi ali ofanana pafupifupi, 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.

Kodi ndimwe maantibayotiki ati?

Mabakiteriya a Streptococcal omwe amachititsa kuti tonsillitis azimvera kwambiri penicillin, nthawi zambiri madokotala amalimbikitsa mankhwala ngati amenewa.

Amoxicillin ndi mankhwala a gulu la penicillin. Ubwino wa mankhwalawa ndikuti umapezeka m'njira zosiyanasiyana: mapiritsi, manyumwa, makapisozi. Izi ndizothandiza makamaka kuchiza ana aang'ono, omwe nthawi zina amakhala ovuta kupaka jakisoni kapena kuwanyengerera kuti amwe piritsi.

Amoxiclav ndimtundu wa amoxicillin wokhala ndi clavulanic acid, womwe umathandizira mphamvu ya mankhwalawa.

Milandu yomwe singalole penicillin (ziwengo) kapena mabakiteriya sazindikira penicillin, mankhwala a gulu la macrolide nthawi zambiri amapatsidwa mankhwala. Maantibayotiki a gululi ndi othandiza kwambiri, ochepa poizoni, amawononga tizilombo tambiri. Mankhwala oyamba m'gululi ndi erythromycin, koma tsopano mankhwala, totrolide, chemomycin, omwe ndi fanizo la erythromycin, amadziwika bwino.

Ngati penicillin alibe nkhawa, ndi bwino kugwiritsa ntchito mankhwalawa chifukwa ndi owopsa mthupi. Amoxiclav, amoxicillin amawonetsa zotsatira zabwino.

Amoxiclav ndi mankhwala othandiza kwambiri, chifukwa ndi mankhwala obwera. Komabe, nthawi zina zimakhala zosatheka kugwiritsa ntchito penicillin (zomwe zimapangitsa kuti pakhale chiwopsezo cha angina sizigwirizana ndi chinthu, zotupa za penicillin, etc.), motero, maantiwifi ena ophatikizika amagwiritsidwa ntchito: clacid, lendacin, totere, cephalexin, siflox, erythromycin, cefazolin.

Ngati simumayamba mankhwala a antibayotiki, angayambitse zovuta zazikulu (otitis media, glomerulonephritis, sinusitis).

Maantibayotiki a angina amasintha kwambiri mkhalidwe wa wodwalayo m'maola ochepa atatha kuperekedwa. Pa kutentha kwambiri, mumafunikiranso kutenga ma antipyretic, ma painkillers, omwe angathandize kupweteketsa mutu, kufooka, etc. Sizikulimbikitsidwa kuti muchepetse mankhwala osachepera 38 madigiri omwe ali ndi mankhwala, chifukwa panthawiyi thupi limapanga ma antibodies ambiri kuti athane ndi matendawa.

Mzere wa penicillin

Ma penicillin ndi amodzi mwa mankhwala oyamba omwe anthu anayamba kugwiritsa ntchito. Masiku ano, makonzedwe ena a penicillin sanathenso kugwira bwino ntchito chifukwa cha kukana mabakiteriya omwe amapangidwa kwa iwo, koma zabwino zomwe zimawasiyanitsa ndi maantibayotiki ena amalimbikitsa akatswiri kuti apange mankhwala atsopano otengera penicillin.

Ubwino wamaantiwa akuphatikizira kuvulaza kwawo pang'ono mthupi, zochitika zambiri, komanso ntchito yayitali ya antibacterial. Zotsatira zoyipa za penicillin zimachitika kawirikawiri kuposa momwe mumagwiritsira ntchito maantibayotiki ena. Nthawi zambiri, zochita zoyipa zimawonetsedwa mu mawonekedwe a ziwopsezo, kusokonezeka kwa microflora yamatumbo, nthawi zina kutupa kumachitika jekeseni. Penicillin sangathe kugwiritsidwa ntchito ndi anthu omwe ali ndi vuto losiyanasiyana losiyanasiyana, omwe ali ndi matenda amphumo a bronchial.

Mankhwala ambiri a gulu la penicillin amagwiritsidwa ntchito ngati jakisoni, popeza malo omwe amakhala ndi asidi m'mimba amawaononga kwambiri, ndipo amalephera kugwira ntchito, makamaka mankhwala osokoneza bongo (opangidwa ndi biosynthesis). Chosiyana ndi phenoxyphenicillin chokha, chogwirizana ndi acidic malo ndipo chimatha kutengedwa pakamwa.

Kukonzekera kwa penicillin kuyenera kuphatikizidwa mosamala ndi othandizira ena, kumatsutsana kuti atenge nthawi yomweyo ndi maantibayotiki ena. Penicillins amaperekedwa makamaka pochiza matenda oyambitsidwa ndi mabakiteriya okhala ndi gramu (staphylococci, streptococci, pneumococci).

Flemoxin Solutab

Mankhwala osankhidwa moyenera amatha kuchepetsa mkhalidwe wa wodwalayo ndikuwonongeratu matenda omwe ali mthupi.

Zochizira za tonsillitis, penicillin wopanga mankhwala okhala ndi bactericidal amagwiritsidwa ntchito kwambiri. Flemoxin salutab bwino amalimbana ndi staphylococci, zomwe zimatsogolera pakukula kwa tonsillitis. The yogwira pophika mankhwala ndi amoxicillin. Flemoxin salutab amagwiritsidwa ntchito onse a angina ndi matenda ena opatsirana komanso otupa a kupuma, ma genitourinary system, komanso mawonekedwe amkati am'mimba omwe amayamba chifukwa cha tizilombo tating'ono tomwe timayamwa mankhwalawo.

Flemoxin salutab ali ndi kukana bwino kwa asidi, mlingo wa mankhwalawa umaperekedwa ndi dokotala payekha, potengera kuwopsa kwa matendawa. Nthawi zambiri, kwaofatsa pang'ono matenda, njira ya mankhwala kumatenga masiku 5-10, woopsa masiku 10-14. Mankhwala ayenera kumwedwa ngakhale kutha kwa chiwonetsero chachikulu cha matendawa (kutentha, zilonda zapakhosi), apo ayi, ma tizilombo tosiyanasiyana titha kukana mankhwalawa, zomwe zingapangitse kuti mtsogolo mupeze chithandizo. Ngati mukumwa flemoxin, palibe kusintha m'masiku atatu mpaka anayi, ndikofunikira kusintha m'malo mwake ndi mankhwala enanso.

Flemoxin salutab imaphatikizidwa mu matenda opatsirana a mononucleosis, leukemia, tsankho kwa magawo ena a mankhwalawa.

Kugwiritsa ntchito mankhwalawa sikukhumudwitsa zotsatira zoyipa (kusanza, kusanza, kutsekula m'mimba, matupi osokoneza bongo).

Augmentin (amoxicillin-clavulanate) ndi othandizira antibacterial. Mankhwala nthawi zambiri amagwiritsidwa ntchito pochiza matenda a tonsillitis ali mwana.Mankhwalawa ali ndi zinthu ziwiri zogwira ntchito nthawi imodzi - amoxicillin ndi clavulanic acid, omwe amasiyanitsa ena ndi ena.

Amoxicillin ndi mankhwala osokoneza bongo a gulu la penicillin, omwe ali ndi chitetezo champhamvu kwambiri poyerekeza ndi mabakiteriya ambiri opanda gramu komanso gramu-negative. Clavulanic acid ili ndi kapangidwe kofanana ndi penicillin, imathetsa ma enzymes a beta-lactamase opangidwa ndi mabakiteriya a pathogenic kuti apange antiotic anti. Ndi chifukwa cha asidiyu kuti amoxicillin sawola chifukwa cha michere, yomwe imakulitsa kuchuluka kwake kwa mabakiteriya ambiri omwe amalimbana ndi amoxicillin ndi mankhwala ena a gulu la penicillin.

Augmentin ali ndi mphamvu yonse ya antibayotiki yomwe imakhudza ma bactericidal ambiri, kuphatikiza apo amachotsa mphamvu ya beta-lactamases.

Mankhwala amapezeka mu mawonekedwe a mapiritsi, jakisoni, kuyimitsidwa. Mlingo pakuthandizira ana wakhazikitsidwa kutengera zaka, kulemera kwa mwana.

Cephalexin

Kukonzekera kochokera pagululi, monga cephalexin, ndikosavuta chifukwa amatha kuthandizidwa mosasamala chakudyacho. Wodwala wamkulu akulimbikitsidwa kuti asamamwe 2 ga patsiku la mankhwalawa. Mlingo uyenera kugawidwa mu Mlingo wambiri (nthawi zambiri 3-4). Woopsa matenda, Mlingo ukuwonjezeka mpaka 4 g patsiku. Muubwana, mlingo umadalira kulemera kwa thupi ndipo ndi 25-50 mg pa kilogalamu, mankhwalawa amayeneranso kugawidwa angapo. Ngati matendawa ndi oopsa, mlingo umawonjezereka mpaka 100 mg.

Maantibayotiki am'deralo a tonsillitis

Angina ndi matenda opatsirana ofala momwe mumakhala kupsinjika kwamphamvu m'deralo mu pharynx. Kugwiritsa ntchito mankhwala akumadera pochiza matenda wamba sikungathandize. Chithandizo cha angina chikuyenera kuchitika paliponse: kupumula, kumwa kwambiri, maantibayotiki. Chithandizo cham'deralo (kupopera mankhwala pakhosi ndi ma aerosols, mapiritsi otsekemera apadera, ma rinses, ndi zina) ziyenera kuwonjezeredwa ku chithandizo chazonse kuti zitheke zotsatira zabwino za chithandizo.

Kodi bioparox angagwiritsidwe ntchito?

Bioparox mankhwalawa angina angagwiritsidwe ntchito limodzi ndi ambiri mankhwala. Ma antibacterial othandizira koyambirira kwa matendawa (mapangidwe a mafinya asanachitike) ndiye njira yoyamba komanso yofunika pakuchiritsira. Mwachilengedwe, bioparox sichigwiritsidwa ntchito kawirikawiri mankhwalawa a angina, chifukwa palibe chifukwa chowonjezera chothandizira kuchipatala.

Bioparox amagwiritsidwa ntchito ngati chithandizochi. Mankhwalawa amagwiritsidwa ntchito osaposa masiku 10. Monga kuphatikiza kwa maantibayotiki ena, ndikofunikira kuzindikira kuwonongeka kwa tizilombo toyambitsa matenda. Popanda kusanthula koteroko, chithandizo cha matenda omwe ali ndi zotupa chimatha kuyambitsa mavuto ambiri: kuwonongeka kwathunthu kwa microflora yopindulitsa mu pharynx, yomwe idaletsa kukula kwa mabakiteriya atizilombo, pambuyo pake tizilombo tomwe timayamba kuchulukana ndi mphamvu yochulukirapo, yomwe ingayambitse kutupa kwambiri.

Momwe mungagwiritsire ntchito bioparox pochiza matenda oopsa a tenillitis?

Bioparox sangathe kugwiritsidwa ntchito mosalamulirika. Katswiri wokhawo yemwe angalimbikitse mankhwala kuti athandizidwe. Bioparox amathandiza kwambiri ndi zovuta chithandizo cha matenda a tonsillitis (kutupa kwamatumbo).

Nthawi zambiri, gawo limodzi limalembera achikulire maola anayi aliwonse, muubwana - maola 6 aliwonse. Gawoli limatanthawuzira kupweteka kwamlomo, komwe kungafunike mphuno yapadera yomwe imavalidwa m'botolo, yomwe ili mkatikati mwa milomo yoyandikira pafupi ndi toni yoyaka. Pambuyo pake, kudina kawiri kumapangidwa kuti kuthirira toni imodzi, kenako kudina awiri kumapangidwira wina. Mukatha kugwiritsa ntchito, mphuno iyenera kutsukidwa m'madzi oyenda.

Mankhwala opha tizilombo toyambitsa matenda pakhungu la ana

Maantibayotiki a angina mwa ana ayenera kuperekedwa malinga ndi zomwe zimayambitsa matendawa: kachilombo ka bacterium kapena streptococcus bacterium. Monga lamulo, palibe kusiyana kowoneka komwe kumawonekera pakuwoneka koyang'ana, mabakiteriya a streptococcus amatha kuwonekera pokhapokha kuyesa kwapadera (chikhalidwe cha bacteriological).

Nthawi zina, maantibayotiki amatha kugwiritsa ntchito odwala ochepa, komabe, zotsatira zabwino sizimawonedwa nthawi zonse ndi chithandizo chotere. Choyamba, maantibayotiki pakuwonongeka kwa kachilomboka amawononga chitetezo cha mwana wosasinthika. Ndi zilonda zapakhosi zoyambitsidwa ndi kachilomboka, thupi limatha kupirira lokha, ndikofunikira kupatsa mwana kupumula kwathunthu, kumwa kwambiri, zakudya zopatsa thanzi za vitamini. Ndi streptococcal angina, nthawi zambiri, mudzafunika kumwa maantibayotiki, ofunikira kuti muchepetse zovuta zina zowopsa.

Werengani zambiri za kugwiritsidwa ntchito kwa maantibayotiki ana pano.

Chithandizo cha tonsillitis akuluakulu

Anthu ambiri amakayikira maantibayotiki, akukhulupirira kuti kuvulaza thupi kuchokera kwa iwo kumapitilira zabwino zake. Izi zimamveka, chifukwa maantibayotiki samangowononga tizilombo toyambitsa matenda, amawononganso microflora yomwe imathandiza thupi lathu - chifukwa chake dysbiosis imayamba. Komanso, kugwiritsa ntchito maantibayotiki kumatha kupangitsa kuti anthu asinthe.

Koma, mwatsoka, matenda ena sangathe kuchiritsidwa popanda kugwiritsa ntchito mankhwala othandizira. Maantibiotic a angina, makamaka ngati pali ma pustule pamatayala, kutentha kwambiri kwanyamuka, kufooka konse kwayamba motsutsana ndi maziko a kuledzera kwa thupi, sikungapewe. Koma maantibayotiki ayenera kumwedwa moyenera kuti athetse vuto. Nthawi zambiri mankhwala opha maantibayotiki ndi pafupifupi masiku 7. Koma anthu ambiri amasiya kumwa mankhwalawo atatha kutha kwa zizindikiro zazikulu kuti achepetse zoyipa zomwe zimachitika mthupi kumwa maantibayotiki. Chisankhochi ndi cholakwika ndipo chitha kuyambitsa mavuto akulu. Ngakhale zizindikiro za matendawa zitatha (zilonda zam'mimba, kufooka, kutentha thupi), matendawa akupitilizabe kukhala "mthupi". Ngati muleka kumwa maantibayotiki, ndikuthekanso kukonzanso kwa matendawa, komwe kukufunikira chithandizo choopsa, popeza ma tizilombo tayamba kale kukana mtundu wina wa antibayotiki. Angina nthawi zambiri amakhala ovuta chifukwa cha matenda amtima komanso rheumatism, popeza mabakiteriya amafalikira osati pakungopezeka kotupa - pakhosi, koma mthupi lonse ndikulowa ziwalo zonse.

Mukamamwa maantibayotiki, muyenera kutsatira ndandanda inayake, apo ayi imawopseza kukhazikitsa njira yotupa kwambiri. Potere, kugwiritsa ntchito mankhwalawa kufunikira, zotsatira zoyipa za thupi zomwe zimakhala zolimba.

Kuti muchepetse zotsatira zoyipa mukamamwa maantibayotiki, muyenera kumwa mankhwala apadera kuchokera masiku oyamba a mankhwalawa kuti mukonzenso microflora yamatumbo, komanso chiwindi.

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.

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

Matenda a mbali zonse za kupuma:

• sinusitis
• pharyngitis
• tonsillitis
• tracheitis
• bronchitis
• yabwino
• bronchopneumonia.

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).

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

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 ma ruble 460, mapiritsi (500 mg) No. 3 - 430 rubles, ufa woimitsidwa - ma ruble 200.

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.

Kutalika kwakanthawi ndi chithandizo cha mitundu yosiyanasiyana ya tonsillitis

Njira ya mankhwalawa pogwiritsa ntchito mankhwala opha maantibayotiki imatengera mankhwalawo, magawo a matendawa, kuuma kwa njirayo, mkhalidwe wa chitetezo chamunthu, ndi zina zambiri. Nthawi yayitali masiku 10 ovomerezeka

Ndi mtundu wofatsa kwambiri wa angina, maantibayotiki tikulimbikitsidwa kuti atenge masiku 5-7. Milandu yowonjezereka, tikulimbikitsidwa kupitiliza chithandizo mpaka masiku 10-14.

Kuletsa mankhwala osokoneza bongo sikuyenera kuimitsidwa pambuyo poti zinthu zayamba kuyenda bwino, kutentha kwachepa, ndipo zilonda zam'mimba zatha. Ndikofunikira kwambiri kulandira chithandizo chokwanira cha antibayotiki kuti matenda awonongeke mthupi.

Izi ndizofunikira, choyambirira, kupewa kuti matenda asayambirenso. Ndiina Komanso, angina amatha kupanikizika chifukwa cha matenda oopsa a mtima, rheumatism.

Mulimonsemo, muyenera kumwa mankhwalawo monga adokotala amakupatsirani.Simungathe kusintha mankhwalawa nokha, komanso nthawi yamankhwala.

Purangan tonillitis

Angina amatha kuwonekera pazaka zilizonse, nthawi zambiri amygdala mmodzi amakhudzidwa kuposa wina. Ngati zilonda zapakhosi sizichiritsidwa, zimatha kulowa mu mawonekedwe oyera ndikuwonjezereka ndi zovuta za mtima.

Ndi zilonda zam'maso za m'mimba, pamakhala zilonda zam'mimba kwambiri, zomwe pakapita nthawi zimakulirakulira, kumeza kumakhala kovuta, kutentha kumawuka (nthawi zina mpaka kumatula kwambiri). Matani amakhala ofiira owala, ndi oyera oyamwa. Submandibular lymph node pia yatupa.

Chithandizo chovuta chimaphatikizaponso poika mankhwala opha maantibayotiki a angina, omwe ali ndi mawonekedwe a purulent. Mankhwala omwe amaperekedwa kuchokera ku gulu la penicillin, cephalosporins.

Omwe amagwira ntchito yolimbana ndi causative othandizira a mamillionitis (gulu A streptococci) ndimakonzedwe a penicillin, omwe akuyenera kutengedwa masiku 10. Ndi zilonda zapakhosi zotupa, mapiritsi ena a penicillin angagwiritsidwe ntchito, monga augmentin, azithromycin, ampicillin.

Vuto lodziwika bwino la penicillin ndi mankhwala amoxicillin. Siziwononga mabakiteriya, koma imaletsa kukula kwawo, ndikuwononga makoma a cell.

Maantibayotiki a gulu la cephalosporin ali ofanana pakupanga mankhwala pakukonzekera kwa penicillin. Mankhwala othandizira cephalexin amalepheretsa mapangidwe a khoma la cell, lofunikira kuti ma bacteria apulumuke, omwe pamapeto pake amwalira.

Erythromycin ndi tetracycline amagwiritsidwa ntchito ngati sayanjana ndi penicillin ndi zotumphukira zake. Erythromycin ndi anti-virus wampweya wodziwika bwino womwe umagwira motsutsana ndi mabakiteriya ambiri. Imafanana ndi penicillin malinga ndi zochita za antibacterial, chifukwa chake ndi njira ina yabwino kwa anthu omwe ali ndi vuto la penicillin.

Tetracycline imasokoneza kapangidwe ka mapuloteni, omwe amaletsa kukula kwa mabakiteriya. Mankhwalawa amagwiritsidwa ntchito piritsi la penicillin kuchiza matenda oyamba ndi bakiteriya.

Werengani nkhani yonse pamazina ndi momwe mungagwiritsire ntchito maantibayotiki pano.

Follicular tonsillitis

Follicular tonillitis imakhudzanso ma follicles amondi, kunjaku mutha kuwona kuwonjezeka kwawo kwamphamvu, kutupa. Ma follicles a purulent amawoneka, omwe amatha kukhala oyera kapena achikuda chikasu (kutengera kutalika kwa matendawa). Kukula kwa abscess ndi kocheperako - pafupifupi 1 - 2 mm. Pambuyo kuthyola zotupazo, utoto wazungu umaonekera pamatayala.

Wothandizila wa causative wa matenda nthawi zambiri amayambitsa matenda a streptococcal kapena pneumococcal. Matenda amayamba ngati kuchepa kwa chitetezo cha m'thupi, hypothermia, matenda amkamwa. Follicular zilonda zapakhosi zimatha kudwala wamkulu komanso mwana, koma muubwana, matendawa amapezeka nthawi zambiri ndipo amakhala ndi zina. Kwenikweni, matendawa amakula munthawi ya kuzizira - nthawi yophukira-yozizira.

Mankhwalawa follicular tonsillitis, ndikofunikira kuti musangowononga kachilomboka mthupi, komanso kuchotsa kuledzera. Pazizindikiro zoyambirira za matendawa, muyenera kupuma pabedi ndi kumwa madzi ambiri. Pofuna kuti musakhumudwitse zilonda zapakhosi, muyenera kudya zakudya zamadzimadzi, zazing'ono.

Makampani amakono azachipatala amapereka mankhwala osiyanasiyana othandizira matenda opatsirana mwa akulu ndi ana ang'ono.

Mankhwala odziwika bwino othandizira angina ndi Erythromycin, Flemoxin, Sumamed, Ampicillin, ndi zina zotero. Muthanso kugwiritsa ntchito mankhwala am'deralo kuti muchepetse zilonda zapakhosi: orasept, pharyngo-spray, etc. Komanso musaiwale kuteteza matumbo anu ku zotsatira zoyipa za maantibayotiki.Monga lamulo, kusintha microflora, ndikofunikira kuti mutenge Linex.

Lacunar angina

Lacunar angina ndi matendaofala masiku ano. Kwenikweni, nthendayo imakhudza thirakiti la kupumira kwapamwamba, koma ngati matendawa sakhudzidwa, ndiye kuti kutupa kumayambira mwachindunji pakhosi. Ngati palibe ma toni (ochotsedwa mwachipongwe) kapena kuvulala, lacillar tonillitis munthawi yochepa imapereka zovuta - chibayo.

Kugwiritsa ntchito mankhwala okhala ndi mawonekedwe owoneka ambiri ayenera kuyamba ndi mawonekedwe a matenda oyamba. Ngati kufesa chiwopsezo cha microflora ya pathogenic ku maantibayotiki, njira yothandizira mankhwalawa imakhala yothandiza kwambiri. Thupi laumunthu limatha kuthana ndi zikuluzikulu za matendawa mkati mwa sabata, koma matendawa amakhalabe mkati, ndipo nthawi iliyonse ali ndi zinthu zakunja (kutsika chitetezo cha m'thupi, hypothermia, ndi zina) zimapangitsa angina. Zotsatira zake, matenda pafupipafupi amatsogolera pamavuto akulu - rheumatism, kulemala. Chifukwa chake, ndikofunikira kwambiri kusankha njira yabwino yothandizira, yomwe mtsogolomo ingathandize kuthetsa mavuto azaumoyo.

Kumayambiriro kwa matendawa, tikulimbikitsidwa kumwa maantibayotiki okhala ndi mawonekedwe ambiri a cephalosporins, sulfonamides. Mwachitsanzo, pazizindikiro zoyambirira za matendawa, ndibwino kumwa piritsi tsiku lililonse kapena piritsi limodzi la ciprolet kawiri patsiku. M'pofunikanso kutenga ma antihistamines (suprastin, diazolin, pipolfen) kuti muchepetse kutupa kwa matayala ndikuwathandiza kumeza.

Kulimbitsa chitetezo cha mthupi, vitamini C amapatsidwa 1 g pa tsiku. Njira yabwino yothetsera angina ndi ascorutin, yomwe imakhala ndi rutin ndi ascorbic acid. Mankhwalawa samangokulitsa kukana matenda a thupi, komanso amalimbitsa makhoma a mtima, omwe angapewe DIC.

Herpetic zilonda zapakhosi

Khosi lachiberekero cha Herpetic ndi matenda opatsirana kwambiri opatsirana omwe amayamba chifukwa cha tizilombo tating'onoting'ono ta banja la Enterovirus, Coxsackie. Kumayambiriro kwa matendawa, kumatentha kwambiri (mpaka madigiri 40), zilonda zapakhosi, zotupa zopweteka, mutu. Nthawi zina kusanza ndi kutsegula m'mimba kumachitika. Ma vesicles ang'onoang'ono amawoneka pakhoma lofewa, ma toni, khoma lachiberekero, lomwe limatseguka m'masiku ochepa ndikuchira kumayamba.

Maantibayotiki a angina amtunduwu ndi osathandiza. Chithandizo chachikulu chimathandizira kuthetsa zizindikiro za matendawa. Nthawi zambiri zotchulidwa gargling, antipyretic mankhwala, kupuma ndi kumwa kwambiri.

Catarrhal zilonda zapakhosi

Catarrhal tonillitis nthawi zambiri imayamba kufooka chitetezo cha thupi (kusowa kwa mavitamini, hypothermia, ndi zina). Nthawi zambiri, matendawa amakula kumapeto kwa dzinja, kumayambiriro kwamasika. Komanso, catarrhal tonillitis imakwiya ndi tizilombo tating'onoting'ono tomwe timakhala pa mucous membrane wa pharynx ndi thirakiti la kupuma kwapamwamba. Ngati matendawa ndi olondola komanso ndi othandizira ayambitsidwa, mawonetseredwe akulu am matendawo nthawi zambiri amatha pambuyo masiku ochepa. Chithandizo chimagwiritsidwa ntchito kunyumba (kuchipatala pokhapokha zovuta kwambiri).

Maantibayotiki a angina amalembedwa zochita zingapo - bactrim, augmentin, erythromycin, streptocide. Kuti muthandizidwe moyenera, mankhwalawa amayenera kumwa kwa masiku osachepera 7, apo ayi matendawa amakhalabe ali mthupi "ogona" ndipo amatha kuyambitsa mavuto. Mankhwala a tonsillitis, mankhwala am'deralo angagwiritsidwe ntchito kuti muchepetse zilonda zapakhosi - kupsinjika, kuthilira ndi ma erosos apadera, mapiritsi otengedwa, ndi zina. .

Zilonda zapakhosi

Maantibayotiki othandizira zilonda zapakhosi zomwe zimayambitsidwa ndi ma virus sikugwira ntchito.Kufalikira kwa kachilomboka kumachitika ndi m'malovu - m'mene mukumazizira, kutsokomola, kudzera pazinthu zanu - foni, mpango, zoseweretsa, zoseweretsa, etc. Chithandizo cha angina panthawiyi chimakhala pochepetsa zizindikiro za matendawa - kutentha, zilonda zapakhosi, kufooka. Ma antipyretic, mankhwala obwezeretsa nthawi zambiri amakhazikitsidwa. Kuchepetsa kutakataka ndi zilonda zapakhosi, kutsinira ndi mankhwala a zitsamba (chamomile, sage, eucalyptus), mapiritsi olandilira apadera (pharyngosept, neoangin, etc.) amathandiza bwino.

Angina popanda malungo

Zizindikiro zake zapakhosi zimawoneka kuti ndi zilonda zapakhosi ndi kutentha kwambiri (mpaka madigiri 40). Koma pali nthawi zina pamene angina amapita popanda kuwonjezeka kwa kutentha kwa thupi. Nthawi zambiri izi zimachitika ndi catarrhal tonillitis, pomwe pamwamba pa matayilowo ndi omwe amakhudzidwa, palibe phula loyera.

Koma kusowa kwa kutentha sikutanthauza kuti njira siziyenera kutengedwa kuti athane ndi matendawa. Ndikofunikira, monga mitundu ina ya angina, kuti mupumule pakama, pang'onopang'ono kuti muthandizire kumeza (yankho la mchere ndi koloko yophika, decoctions zitsamba ndizoyenera). Kumwa zamadzi zambiri kumalimbikitsidwa kuti muchepetse kuchepa kwa madzi ndi kuchotsa kuwonongeka kwa mabakiteriya.

Maantibayotiki a angina, ngakhale ngati palibe kutentha, amawapatsa mankhwala osiyanasiyana, makamaka gulu la penicillin (amoxicillin, ampicillin).

Streptococcal tonillitis

Streptococcal angina imapezeka makamaka ubwana. Matenda a Streptococcal sakukhudza matendawa, koma matendawa amatupa kwambiri, kufooka, kutupa kwa mwanabele. Wothandizira wa matendawa, monga momwe dzinalo limanenera, ndi mabakiteriya a streptococcal. Matendawa amatha kupatsirana kuchokera kwa iye wonyamula matendawa (omwe mwina sangadziwe) Kuyambira pa nthawi yomwe matendawa ayamba kudwala mpaka kuyamba kwa zizindikiro, nthawi zambiri zimadutsa masiku angapo, matendawa amapitilira mawonekedwe osavuta ndipo amafanana ndi matenda opumira kwambiri.

Othandizira a antibacterial omwe amagwira ntchito motsutsana ndi streptococci amalembedwa: cephalexin, amoxicillin, cefuroxime, cefprosil, etc. Kwa thupi lawo siligwirizana, erythromycin ndi mankhwala. Kutalika kwa mankhwalawa kuyenera kuchitika mosamalitsa, chithandizo sichiyenera kusokonezedwa pazokha, ngakhale zizindikiro zonse zikatha.

Kupereka mankhwala ophera tizilombo kumathandizira kuchepetsa zovuta za angina.

Mankhwala omwe tikambirana m'nkhaniyi akukhudzana ndi ma antibacterial, zomwe zikutanthauza kuti amatha kuwononga microflora ya pathogenic.

Maantibayotiki apeza kuti amagwiritsidwa ntchito osati mankhwalawa matenda a kupuma, komanso amagwiritsidwa ntchito bwino ku ziwalo zonse za mthupi komwe ma tizilombo toyambitsa matenda adakhazikika.

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.

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 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.

Chingalowe m'malo ndi mankhwala Azithromycin ndi chiyani? Analogs, mtengo, zabwino ndi zovuta.

Ubwino wa azithromycin poyerekeza ndi mawonekedwe ake ndi awa:

Zinthu zosiyanasiyana, monga mtengo wopezera mankhwala, kufunikira kwa maupangiri angapo azachipatala, kuzindikira mayeso, ndi kuchuluka kwa zolephera kapena zovuta zomwe zingachitike, zingapangitse njira zina zopindulitsa kwambiri komanso zotsika mtengo.

Ubwino ndi kuipa kwa magawo osiyanasiyana azidziwitso othandiza kuzindikira. streptococcal pharyngitis. Zolinga zamankhwala ndizothandiza kuchepetsa zizindikiro ndikupewa zovuta zatsukidwe komanso zopanda purifungo. Odwala omwe ali ndi pachimake streptococcal pharyngotonisillitis, ngakhale popanda chithandizo, amakonda kuthana ndi matendawa pokhapokha, ndipo ochepa mwa odwala omwe sanalandidwe omwe amapezeka ndi chithunzi cha kuphwanya thupi kapena zovuta zina. Kuchiza ndi antibacterial othandizira amathandizira kupewa kupewetsa nyamakazi, zovuta zomwe zimakhudzana ndi matenda amtima wamitsempha komanso mawonekedwe a zovuta zina.

m'malo wotsika mtengo wa antibayotiki, chifukwa chake ndizotsika mtengo kugwiritsa ntchito analog ya Sumamed - Azithromycin, mtengo wake womwe umayambira ku ruble 125 , theka lalitali laumoyo wa mankhwala poyerekeza ndi zina za Azithromycin, zotsatira zoyipa sizipezeka 2 peresenti ya milandu.

The bioavailability ya azithromycin ndiyotsika pang'ono kuposa momwe amafanizira ambiri, palibe mitundu yotulutsira jakisoni ndi ana.

Kodi mankhwala abwino a Sumamed (analog Azithromycin) ndi ati? Kuphatikizika ndi pharmacology.

Kuphatikizidwa kwa Sumamed kumakhala ndi yogwira mankhwala a Azithromycin, komanso zothandizira zomwe zimathandizira kumasulidwa kwa chinthucho ndi mayamwidwe ake. Machitidwe a antibacterial a chinthu chogwira ntchito samakhazikitsidwa pakuwonongedwa, koma kuponderezana kwa kukula kwa bakiteriya, kubereka kwawo. Izi zimatheka popewa kuphatikiza mapuloteni omwe amaphatikizidwa ndi kapangidwe ka tinthu tating'onoting'ono. Mankhwala a Sumamed mu kwambiri komanso alinso ndi bactericidal, zomwe zikutanthauza kuti amawononga "alendo osayitanidwa". Amalimbana ndi streptococci, chlamydia, staphylococci ndi mycoplasma.

Kusankha njira yabwino kwambiri yothandizira antimicrobial m'malo osiyanasiyana opezeka pamafunika pamafunika kuyerekezera komwe kumachitika pakukhudzika kwamankhwala komanso bacteria, zovuta zomwe zimagwirizana ndi zomwe zimachitika komanso mtengo wake. Njira zina zamankhwala zomwe zilipo zimaphatikizapo kugwiritsa ntchito ma depic penicillin, mankhwala opatsirana pakamwa m'magulu achikhalidwe kapena magawo ofupikitsidwa.

Pachimake bronchitis: kodi maantibayotiki amafunikira kutupa kwa bronchi mwa ana?

Mankhwala a penicillin.Komabe, maumboni osiyanasiyana amathandizira ndikuthandizira kugwiritsidwa ntchito kwake popewa matenda ammimba, omwe amadziwika kuti ndi othandiza popewa kudwala komanso kuthandizira pakuthana ndi matendawa.

Mwapeza typo? Sankhani chidacho ndikutumiza kukanikiza Ctrl + Lowani.

Moni Dzina langa ndine Anna, ndili ndi zaka 29 zakubadwa. Nthawi zambiri, ndimakhala ndi sinusitis, nthawi iliyonse ndikafuna upangiri ndi kupangana ndi adotolo. Nthawi zambiri ndimasankhidwa kuti Sumamed, koma Amoxiclav adayikidwa komaliza. Ndiuzeni, ndibwino chiyani kwa sinusitis: Sumamed kapena Amoxiclav?

Mu ntchito yomwe yatchulidwa, achire adayankha mwachangu ndi machitidwe ophatikizidwa. Kuwongolera kwa phala la streptococcal pharyngitis ndi regimens yachikhalidwe yamkamwa. Tidaphunzira mankhwala osiyanasiyana othandizira a streptococcal pharyngotonisillitis, kudzipatula kwa cephalosporins ndi ma macrolides osiyanasiyana pakati pawo. Zambiri mwazomwezi zimayerekezedwa ndi muyezo wagolide pamankhwala omwe amaperekedwa ndi phenoxymethylpenicillin omwe amaperekedwa masiku opitilira 10, ndipo maphunziro apangidwa makamaka mwa odwala.

Kuphatikiza kwa mayeso kunaphatikizapo, pakati pa ena, cefadroxil, cefaclor, cefprozil ndi cefixime. Kafukufuku adayerekezeranso cephalosporins osiyanasiyana wina ndi mnzake popanda kuwonetsa kusiyana pakumveka kwawo kwamankhwala, ngakhale olemba ena amapereka lipoti lokwera ndi mankhwala ena.

Moni Anna! Ndikosavuta kunena mosatsimikiza kuti ndibwino, Sumamed kapena Amoxiclav pochiza sinusitis, popeza lirilonse la mankhwalawa limakhala ndi zabwino komanso zopweteka. Kuphatikiza apo, zomwe zimachitika mthupi zimaganiziridwa pano.

Mwachitsanzo, Sumamed ndi mtundu watsopano wa antibacteria, imakhala ndi zovuta zingapo pa bacteria wa pathogenic wamitundu yosiyanasiyana, kuphatikizapo omwe amayambitsa sinusitis, ndipo ali m'gulu la macrolide. Imatengeka mosavuta, sizimayambitsa zotsatira zoyipa zilizonse, ndipo sizitenga masiku opitilira 5 kuti itenge. Komabe, amakhalanso ndi zovuta zake, choyambirira, izi ndi zotsutsana. Kuvomerezeka kwa mankhwalawa kuli ndi zoletsa zaka zake, amadziwikanso m'mimba komanso matenda oopsa a chiwindi.

Mu maphunziro awa, zovuta zoyambira zinali zapamwamba kwambiri kwa odwala omwe amalandira macrolides. Mapulogalamu omwe amasungidwa m'magawo akale a masiku 10 amafanana ndi chithithromycin, dirithromycin, ndi roxithromycin. Kafukufuku wokhala ndi clindamycin mu Mlingo wosiyanasiyana adapeza zotsatira zabwino zamankhwala komanso microbiological.

Ubwino wowonera ungaphatikizidwe ndi kukana kwa ma β-lactamases amtundu wachiwiri komanso wachitatu wa cephalosporins. Njirayi imalimbikitsa kutsatira njira zochizira matendawa ndipo zimachepetsa mayendedwe osagwirizana ndi mtengo wake. Pafupifupi, kafukufukuyu adawonetsa zotsatira zofanananso ndi luso la zamankhwala, kuchotsedwa kwa mabakiteriya ndi kuchuluka kwa kubwereranso kusiyana ndi komwe kunawonedwa ndi chithandizo chamankhwala masiku 10. Mu odwala, ma regimens omwe ali ndi erythromycin kwa masiku 5, amoxicillin kwa masiku 6, cefuroximaxetil, ndi cephalosporins a m'badwo wachitatu.

Ponena za Amoxiclav, mankhwalawa amakhudzanso maantibayotiki omwe ali ndi zochita zambiri, ku gulu la semisynthetic penicillin. Amoxiclav imawononga kwambiri makoma a mabakiteriya, chifukwa chake amafa msanga. Nthawi zambiri, mankhwalawa amapatsidwa mankhwala a sinusitis, otitis media, cystitis, bronchitis. Mlingo wa Amoxiclav kwa akulu nthawi zambiri kawiri patsiku.

Ngakhale kuchuluka kofananira kachipatala kofananira, maphunziro omwe ali ndi azithromycin regimens kwa masiku atatu adalumikizidwa ndi chiwopsezo chobwereranso mwa odwalawa, chomwe chimasokoneza malingaliro awo. Mitundu yofupikirako idaphunziranso mu odwala akuluakulu. Cephalosporins omwe adawerengedwa adaphatikiza mankhwala omwe amaperekedwa masiku oposa 5. Mankhwala omwe amafupikitsidwa ndi amoxicillin amagwiritsidwa ntchito kwa masiku osachepera 6 komanso muyezo waukulu.Mayeso omwe azithromycin 3 adawonetsa momwe amagwiritsidwira ntchito masiku 10 pogwiritsa ntchito mankhwala ena, koma sizikudziwika ngati odwala ali pachiwopsezo chachikulu chobwereranso, monga momwe akuonera ana.

Ngati tikunena za kuchuluka kwa njira yothetsera vuto lotere, ndiye kuti choyenera kuwonetsa kukhudzana ndi zotsatirapo zoyipa, pakati pa zomwe zimachitika ndi mawonekedwe a khungu totupa, dysbiosis, kupweteka.

Monga mukuwonera, njira zonsezi ndi zabwino pochiza matendawa, chifukwa chake ndimasankha zoyenera kutenga, Sumamed kapena Amoxiclav chifukwa cha sinusitis, ndikupangira ndi dokotala. Chowonadi ndichachidziwikire, mankhwala aliwonse omwe ali pamwambawa angakuthandizeni mwachangu komanso moyenera kuthana ndi matendawo.

Zosintha pamagawo a erythromycin kuchokera 4 mpaka 2 jakisoni tsiku lililonse zimayendetsedwa ndi kuchuluka komweko kwamankhwala. Kuwunika Microbiological pambuyo mankhwala. Iyenera kufunsidwa pokhapokha pamikhalidwe yapadera, ndipo imaphatikizaponso. Odwala omwe ali ndi mbiri yodwala matenda am'mimba ndipo ali ndi chikhalidwe chabwino chamankhwala atalandira chithandizo ayenera kulandira chithandizo chatsopano, ngakhale atakhala kuti alibe zizindikiro.

Kuwongolera kobwerezabwereza pharyngitis ndi achire kulephera. Chithandizo cha Clindamycin chitha kuchitidwa asanachitike opareshoni. Kusamutsa chifuwa cha wothandizirayi kumakhala kofala m'mabanja, makamaka ana, ngakhale kuti pafupipafupi matenda obwera mwanjira imeneyi siachilendo. Popeza kulumikizana kumayambira pakukula kwa matenda omwe amapha anthu ambiri kapena kufa kwamphamvu kwambiri kapena akatswiri ena asayansi, akatswiri ena amawona kuti ndizofunikira kuphunzira ndikuwathandiza anthu omwe ali ndi vuto lalikulu.

Zizindikiro zogwiritsidwa ntchito

Amoxiclav amagwiritsidwa ntchito kwambiri mu otolaryngological, achire, azachipatala, mchitidwe wamatsenga komanso opaleshoni ya maxillofacial.

Zisonyezero zogwiritsidwa ntchito ndi matenda awa:

• Chibayo
• Matenda a bronchitis.
• Bronchopneumonia.
• Sinusitis
• Pharyngeal abscess.
• Mitundu ya Otitis.
• Matenda a tonsillitis.
• Periodontitis
• Chancroid.
• Cystitis.
• Cholecystitis.
• Pyelonephritis.
• Chifuwa chotupa.
• Gonorrhea
• Osteomyelitis

Nthawi zambiri amagwiritsidwa ntchito pochiza matenda a bacteria of genitourinary system, komanso ma pathologies ofewa minofu ndi khungu la bakiteriya oyambira. Amoxiclav imagwiritsidwa ntchito kupewetsa njira zoyeretsa ndi sepsis pambuyo pochita opaleshoni pamtima, impso, ziwalo zam'mimba ndi mafupa aang'ono a pelvis.

Contraindication pakugwiritsa ntchito mitundu yosiyanasiyana ya mankhwalawa ndi monga:

1. Cholestatic jaundice.
2. Hepatitis yoyambira bakiteriya.
3. Khansa ya m'magazi.
4. Kuchulukitsa chidwi chathupi lathu mu zinthu zopanga maantibayotiki.
5. Trimester yoyamba ya mimba.

Mochenjera komanso moyang'aniridwa ndi achipatala, mankhwalawa amayikidwa pakubala kwa mwana ndikuyamwa. Nthawi zambiri zimagwiritsidwa ntchito ngati phindu kwa thupi la mzimayi liposa chiwopsezo cha zotsatira zoyipa kwa mwana.

Kodi pali kusiyana kotani, komwe kuli bwino?

Musanadziwe kuti ndi mankhwala ati omwe amawapeza kuti ndi abwino kwambiri, ndikofunika kukumbukira kuti ndalamazi zimasankhidwa ndi katswiri woyenera, poganizira za momwe thupi la wodwalayo lilili. Chifukwa chake, mwanjira iliyonse, iliyonse mwa mankhwalawa ingakhale othandiza kwambiri.

Nthawi zina, pofuna kupewa kukopeka, dokotala angasinthe njira zina. Ngati matenda akudwala, woyamba amupatsa mankhwala, kenaka maantibayotiki ena amamugwiritsa ntchito matenda.

Kusiyana mu mankhwalawa kumatengedwa kuti kumagwirizana ndi magulu osiyanasiyana. Sumamed ndi macrolide antiotic, Amoxiclav ndi wa mndandanda wa penicillin. Kutengera izi, zigawo zikuluzikulu zomwe mankhwalawa ndi zinthu zosiyanasiyana. Malonda onsewa amapezeka mu mawonekedwe apiritsi, mu mawonekedwe a makapisozi ndi kuyimitsidwa.Amoxiclav imapezekanso mu mawonekedwe a mapiritsi omwazika omwe amasungunuka mwachangu.

Chifukwa chake, chithandizo chamankhwala chimachitika msanga mukamamwa maantibayotiki. Komabe, mankhwalawa amatsika kwambiri ku Amoxiclav mndandanda wazotsutsana. Sumamed ili ndi zoletsa zambiri zogwiritsidwa ntchito kuposa Amoxiclav. Kuphatikiza apo, mndandanda wazomwe ungagwiritse ntchito mankhwalawa umaphatikizapo matenda omwe samathandizidwa ndi Sumamed. Chifukwa chake, ndizosatheka kudziwa kuti ndi mankhwala ati abwinoko. Popeza maantibayotiki ena ali ndi zabwino komanso zovuta zina.