Kusiyana pakati pa "Tsifran" ndi "Tsifran ST"

Chithandizo cha Kuzizira & Chimfine

• Panyumba
• Zonse
• Digit kapena tsifran st yomwe ili bwinoko

Ndikulakwitsa, zomwe ndidangozindikira nditafika kunyumba, wafizitsiyo adandigulitsa mapiritsi ena, ngakhale zonse zidalembedwa momveka bwino.

Adalinganiza kuti amwe Tsifran ST.

Ndabwera kunyumba Dijito.

Ndili ndi njira ziwiri: 1) Pitani ku pharmacy ndikumwa mankhwala ena.

2) Imwani zomwe ndagula.

Ndinayenera kuzolowera mankhwala onsewa mwatsatanetsatane.

Kodi pali kusiyana kotani pakati pa Tsifran ndi Tsifran ST?

Kusiyanitsa kwakukulu pakati pa mankhwalawa ndi zinthu zomwe zikugwira ntchito.

Tsifran ST ili ndi kapangidwe ka 600 mg. Tinidazole (antiprotozoal and antimicrobial action) ndi 500 mg ciprofloxacin (anti-spectrum antiotic).

Dijito koma kapangidwe kake kamakhala ndi chinthu chimodzi chogwira - ichi ndi Ciprofloxacin - 500 mg.

Chifukwa chakuti

Tsifran ST - Ichi ndi mankhwala osakanikirana, imakhala ndi zochita zosiyanasiyana, komabe imayikidwa makamaka ndi mavuto a mano. Madokotala a mano amamukonda! Ngakhale mndandanda wazidziwitso ndiwopatsa chidwi kwa onse awiriwa. Koma mndandanda wa contraindication sichochepa. Zofanana ndendende kwa wina ndi mnzake.

Ubwino wa Tsifran ndi Tsifran ST ndi ofanana: kuthamanga, kupanga, kuwononga mabakiteriya okhala ndi tizilombo. Zamoyo zambiri zimakhala tcheru ndi CIPROFLOXACIN.

Zachidziwikire, ndinasankha mankhwala osakanikirana, omwe ndinayeneranso kupita ku pharmacy.

Samalani ndikuyang'ana osasiya desiki ya ndalama zomwe mudayikamo thumba!

Cifran ndi mankhwala otchulidwa kunja otakata-owoneka ngati mankhwala ogwiritsidwa ntchito pothandiza kuchiza matenda opatsirana omwe amayamba chifukwa cha tizilomboti tomwe timayambitsa matenda. Zomwe zimagwiritsidwa ntchito ndi ciprofloxacin (Ciprofloxacin).

Chidachi chimapezeka m'njira zingapo. Mapiritsi akupezeka mayina atatu, mawonekedwe osavuta ndi Tsifran ndi analogues yake Tsifran OD ndi Tsifran ST. Kuchokera munkhaniyi mutha kudziwa za mankhwalawa ndi mawonekedwe ake, kusiyana kwake, zabwino ndi zovuta zake, ndikuwona zomwe zimagwiritsidwa ntchito bwino. Imayerekezera mankhwala otsika mtengo komanso okwera mtengo: Ciprolet, Ciprofloxacin ndi Tsiprobay

Ciprolet ndi mankhwala a antibacterial omwe ali m'gulu la quinolones ofunda. Ichi ndi generic ciprofloxacin, wofanana pakulondola ndi mankhwala oyambirirawo.

Mankhwala osokoneza bongo amapangidwa mwanjira ya mapiritsi ndi njira yothetsera kulowetsedwa, komwe kumakhala kowala kopanda utoto. Fomu yamlomo imapangidwa m'mitundu iwiri:

• Cyprolet - mapiritsi amakhala ndi mamililita 250 kapena 500 a mankhwala ena,
• Ciprolet A ndi mankhwala ophatikiza antimicrobial komanso antiprotozoal omwe ali ndi ziwalo ziwiri zogwira ntchito: 500 mg ya ciprofloxacin ndi 600 mg ya tinidazole.

Cyprolet akuwonetsedwa kuti agwiritse ntchito matenda opatsirana ndi kutupa:

Fomu ya kulowetsedwa imagwiritsidwa ntchito sepsis, kutupa kwa peritoneum, ndipo atamuchita opareshoni.

Mankhwala sagwiritsidwa ntchito milandu:

• mimba
• yoyamwitsa,
• muubwana
• matupi awo okhudzana ndi zinthu zomwe zingagwiritsidwe ntchito ndi mankhwala
• kwambiri matenda a chiwindi ndi impso ntchito.

Pa katundu wa Tsiprolet photosensitizing amadziwika, chifukwa chake polandila ndikofunikira kuti pakhale zochepa padzuwa.

Kusiyana kwa Tsifran ndi Tsiprolet kumangokhala zowonjezera, zinthu zomwe zimagwira mumitundu yofanana kumasulidwa zilipo zofanana. Koma mtundu wotsika piritsi wa Tsiprolet samasinthiratu mawonekedwe ataliatali - Tsifran OD. Kafukufuku wasonyeza kuti chithandizo chokhala ndi mapiritsi owonjezera nthawi zambiri chimapereka chiwonongeko chokwanira cha tizilombo tating'onoting'ono ta matenda am'mapapo ndi kwamikodzo. Malangizo aposachedwa aku Europe pothana ndi matenda a urological mankhwalawa a pyelonephritis ndi cystitis amawonetsa kugwiritsidwa ntchito kwa mapiritsi pang'onopang'ono ndikutulutsa pang'onopang'ono kwa yogwira ntchito.

Kusintha kwa mapiritsi a Cyfran OD ndikusintha kosinthika kwa chophatikizika ndi mawonekedwe ake kumachepetsa kukula kwa mankhwalawa ndikuchepetsa mphamvu ya maantibayotiki

Analog ya Tsifran ST ndi Tsiprolet A, yokhala ndi mitundu yofanana ya zigawo zogwira ntchito. Izi ndi zomwe zitha kuloweza Tsifran ST. Powonjezera tinidazole, mawonekedwe owoneka ndi mawonekedwe ogwiritsira ntchito mankhwalawa - imagwira mabakiteriya a anaerobic ndi majeremusi osagwirizana: amoeba, giardia, trichomonads. Amatha kuchiza matenda a mano komanso matenda opatsirana oyamba ndi impso, impso zomwe zimagwirizanitsidwa ndi kupezeka kwa tizilomboto ta anaerobic.

Poyerekeza mankhwalawa Cifran kapena Ciprolet - zomwe zili bwino, muyenera kukumbukira kuti mphamvu ya zochita zawo yotsutsana imatsimikiziridwa ndi maphunziro azachipatala ndipo ndi omwewo. Ali ndi zisonyezo zofanana ndipo amagwiritsidwa ntchito pochiza zomwezo. Mankhwalawa amasinthika, kupatula mapiritsi otulutsidwa. Chofunikira pakusankha ndikupezeka kwawo, chifukwa mtengo umasiyana pang'ono, ndipo kuwunika kwa odwala omwe akutenga Tsifran kapena Tsiprolet kumapereka umboni pazabwino zonse ziwiri.

Ciprofloxacin ndi mankhwala osokoneza bongo, mtengo wake ndiwotsika mtengo kwambiri pakati pa mankhwalawa. Mankhwalawa amagwiritsidwa ntchito pochiza matenda opatsirana komanso otupa oyambitsidwa ndi tizilombo tating'onoting'ono.

Mankhwalawa amapangidwa mwanjira ya mapiritsi a 0,25, 0,5 ndi 0,75 ndi yankho la kulowetsedwa m'mabotolo a mamililita 100 ndi 200.

Zisonyezero zosankhidwa ndi ciprofloxacin ndizotsatira matenda opatsirana komanso otupa:

Ciprofloxacin sayenera kugwiritsidwa ntchito pazotsatirazi:

• tsankho kwa ciprofloxacin kapena fluoroquinolones ena,
• osakwana zaka 16
• mimba ndi mkaka wa m`mawere.

Magawo omwe amafunika kuwunika mosamala ndi kugwiritsa ntchito mankhwalawa:

• matenda a chapakati mantha dongosolo,
• mavuto amisala
• chiwindi ndi matenda a impso,
• m'badwo wa senile.

Mankhwala akunyumba ali ndi mtengo wotsika kwambiri poyerekeza ndi omwe atumizidwa kunja. Koma zotsatira za mankhwala otsika mtengo sizikhala zofanana nthawi zonse ngati zitsanzo zoyambirira za mankhwala othandizira. Mankhwala omwe sanapange kafukufuku wokwanira wofanana sangapereke mphamvu zofunikira zanthawi zonse. Ndipo ngakhale ali ndi ndemanga zowonjezera zambiri, Ciprofloxacin ndi njira yeniyeni yothana ndi mankhwala okwera mtengo. Ichi ndi cholowa m'malo mwa Cyfran, chomwe chimakhala chotsika mtengo kwambiri kasanu.

Ndiwophunziridwa kwambiri pa mankhwalawa, amapangidwa ku Germany ndi Bayer, woyamba kuphatikiza mankhwala omwe amagwira ntchito. Zimapangidwa m'mitundu yonse, kuphatikiza mapiritsi okhala ndi nthawi yayitali, koma samaperekedwa ku Russia. Chifukwa chake, kwa mankhwala a Tsifran OD, analogi ingagulidwe kunja kokha. Mankhwala a ku Russia amapereka mankhwala mwanjira ya mapiritsi a 250 kapena 500 mg ndi njira yothetsera kulowetsedwa ndi 200 mg ya mankhwala othandizira mu botolo limodzi.

Kugwiritsidwa ntchito kwa Tsiprobay kumabweretsa kusokonezeka kwa kapangidwe ka DNA, kusokoneza magwiridwe antchito ndi kubereka kwa tizilombo. Malangizowo akuti mankhwalawa amagwiritsidwa ntchito pochiza matenda omwe amayamba chifukwa cha gram-virus microbes (Klebsiella, Escherichia, Shigella, Salmonella). Mabakiteriya ena omwe ali ndi gramu, monga staphylococci ndi streptococci, nawonso amatenga kachilomboka.

Mapiritsi a Tsiprobay nthawi zambiri amapatsidwa 500 mg kawiri patsiku, okwanira 1500 mg patsiku. Mlingo wa 250 mg sugwiritsidwa ntchito kawirikawiri, chizindikiro chokhacho chogwiritsira ntchito ndi cystitis. Fomu ya kulowetsedwa imagwiritsidwa ntchito tsiku lililonse 800 mg ya jakisoni awiri.

Tsiprobay ndi yoyenera kulowetsa Cyfran m'malo omwe amasulidwe, popeza ndi mankhwala.

Malangizo ogwiritsira ntchito ali pafupifupi ofanana kwa onse mankhwalawa. Opanga Tsifran adaikopera kuchokera ku Tsiprobay, ndikusintha dzinalo. Zizindikiro, ma contraindication, regimen yoikika ndi mawonekedwe ogwiritsira ntchito sizimasiyana.

Malinga ndi ndemanga, mankhwalawa amadziwika ndi kuthamanga kwa zochita komanso ntchito yapamwamba ya antibacterial. Koma poganizira kuti Tsiprobay ndi yamtengo wokwera kwambiri, ndizomveka kuzigwiritsa ntchito ngati zokhazo pokhapokha ngati Tsifran kapena mankhwala ena onse amafunikira.

Mitundu ingapo ya mankhwala omwe amalembetsedwa pamsika wamankhwala opanga mankhwala amachititsa kuti Tsifran ndi Tsifran ST zisinthe. Ngakhale mapangidwe a mankhwalawa ndi ofanana, kusintha kwawo sikumapereka mwayi wogwiritsa ntchito nthawi yomweyo komanso chifukwa chogwiritsa ntchito. Maantibayotiki ndi mankhwala omwe mumalandira, ngati palibe njira yodziwira, funsani dokotala.

Tsifran ST ndi mankhwala ophatikiza antimicrobial opangidwa ndi Indian San Pharmasyutical kampeni, yomwe ili ndi zochitika zambiri za antibacterial komanso kutchulidwa kwama bacteria.

Kwambiri zolimbana ndi matenda osakanikirana. Zomwe zimapangidwa ku Cifran zimayamwa bwino kuchokera m'mimba komanso m'mimba mwa bioavailability atamwa pakamwa (kwa tinidazole - 100%, kwa ciprofloxacin-70%).

Mankhwala amafika msanga m'magazi, chiwopsezo chochuluka (apa Cmax) chimachitika patangotha ​​maola awiri mutangoyendetsa. Peresenti yayikulu ya mankhwalawa imachotsedwa mu mkodzo kuchokera m'thupi, ciprofloxacin imatha kupindika ndi bile, pomwe imayang'anidwanso pang'ono. Zotsalazo zimatsitsidwa ndowe.

Maantibayotiki oyamba amapezeka mu mawonekedwe a mapiritsi okhala ndi filimu yolumikizira zidutswa khumi pa phukusi lililonse, zomwe zimakhala ndi 250 mg / 300 mg ndi 500 mg / 600 mg (forte) ya ciprofloxacin hydrochloride USP / Tinidazole BP.

Mtengo wa Tsifran ST forte muma pharmacies aku Russia ndi pafupifupi ma ruble 400.

Mtengo wokwera kwambiri wa mankhwalawa umaperekedwa ndi momwe amagwirira ntchito m'matenda ambiri komanso machitidwe osiyanasiyana a antimicrobial, chifukwa cha kukhalapo kwa m'badwo wachiwiri wa fluoroquinolone komanso 5-nitroimidazole derivative. Izi ziyenera kuganiziridwa posankha njira ina.

Werengani mowonjezeranso: Malangizo ogwiritsira ntchito mapiritsi Tsifran ST 500 + pam pharmacies + ndemanga

Ayi, kulibe.

Zophatikizira zonse za chiprofloxacin ndi tinidazole zimapangidwa ndi India.

1. Zoksan TZ - FDS Limited (tikambirana zambiri),
2. Cyprolet A - Dr. Reddy's (werengani pansipa).

Zisonyezero zoika Tsifran St ndi mankhwala ofananawa ndi matenda opatsirana komanso otupa:

• khungu ndi mafuta amkati (zilonda zam'mimba, cellulitis, zilonda zam'mimba, zilonda zopatsirana ndikuwotcha, zilonda za kupsinjika),
• mpweya wapamwamba komanso wotsika. njira (sinusitis, chibayo chachikulu, akasinja. bronchitis, bronchiectasis, pleurisy, empyema),
• Ziwalo za ENT (otitis, mastoiditis),
• minofu yolowa ndi mafupa (osteomyelitis, nyamakazi ya septic),
• m'mimba thirakiti (amoebic kutsegula m'mimba kapena Bac. chikhalidwe, typhoid fever, cholangitis, cholecystitis, etc.),
• genitourinary system (pyelonephritis, cystitis, prostatitis, epididymitis),
• ziwalo za m'chiuno (endometritis, salpingitis).

Mankhwala ndi othandiza:

• ndi urethritis, proctitis ndi pharyngitis oyambitsidwa ndi gonococci,
• popewa zovuta za septic panthawi yochitidwa opaleshoni,
• mu nkhani ya matenda ambiri odwala kuchepetsedwa chitetezo chokwanira (septicemia ndi bacteremia).

Mankhwala ena omwe ali mgululi ali ndi zisonyezo zomwe amagwiritsidwa ntchito: fluoroquinolones kuphatikiza ndi mankhwala ena antimicrobial:

1. Ciprofloxacin + Ornidazole (Orzipol) wopangidwa ndi Bailey-Pangani, France,
2. Ofloxacin + Ornidazole (Ofor, Polymic, Combiflox) - mankhwala onse amapangidwa ndi India.

Komabe, maantibayotiki onsewa amatenga mtengo wamtengo wapatali kuposa Tsifran ST, mtengo m'mafakitala aku Russia ndi wochokera ku ruble 1000 pa phukusi lililonse. Kupatulako ndi kwa Ofor - ma ruble pafupifupi 550 phukusi lililonse.

Mtengo kuchokera kuma ruble 300 phukusi lililonse.

Analogue yotsika mtengo ya Tsifran ST 500, ili ndi mndandanda womwewo wazomwe ungagwiritsidwe ntchito, chifukwa cha kapangidwe kake komanso kuchuluka kwa zinthu zomwe zimagwira. Piritsi limodzi lili ndi ma milligram 500 a ciprofloxacin ndi 600 ml ya tinidazole.

Chipangizocho chili ndi ntchito ya bactericidal chifukwa cha kusankha kwa mabakiteriya a gitase ya michere ndi kuletsa njira zawo zoberekera.

Makina ochitira ndi kuwonekera kwa ntchito ndi chifukwa cha kuphatikiza kwa antibacterial wothandizila kuchokera m'badwo wachiwiri wa fluoroquinolones ndi antiprotozoal mankhwala, omwe ndi ochokera ku 5-nitroimidazole.

Zoxan TK ilibe bactericidal kwambiri pa anaerobic saprophytes, chifukwa chake kugwiritsa ntchito sikumayambitsa kusokonezeka kwamatumbo am'mimba.

Tinidazole amagwira ntchito motsutsana:

• tizilombo toyambitsa matenda a anaerobic (clostridium Hardile, bacteriaoids, peptococci),
• protozoa (dysenteric amoeba, giardia, Trichomonas).

Ciprofloxacin amakhudza:

• tizilombo ta aerobic (Escherichia coli, Klebsiella, Salmonella, Yersinia, Shigella, gonococcus, Haemophilus fuluwenza, Staphylococcus aureus)
• tizilombo toyambitsa matenda a m'magazi (chlamydia, mycoplasma, legionella).

Sikugwira ntchito motsutsana ndi zovuta zina za streptococci, ureaplasma, treponema. Pochiza matenda osakanikirana a genitourinary thirakiti chifukwa cha chlamydia ndi ureaplasma, Ofloxacin + Ornidazole (Ofor) ndi woyenera kwambiri.

Cmax mu plasma imachitika pafupifupi maola atatu atatha kumwa. Mafuta ochokera m'mimba okhudzana ndi kukodola kwamkamwa pafupifupi 85%, omwe ndi otsika kuposa omwe adagwiritsidwa ntchito ndi mankhwala oyambira. Amamuchotsa m'thupi mwanjira yosasintha ndi mkodzo komanso pang'ono ndi ndowe.

Njira ya mankhwalawa imatenga masiku asanu mpaka khumi (matenda a chlamydial). Akuluakulu omwe ali ndi thupi lozolimbitsa thupi komanso ntchito yampweya yolimba, timalimbikitsidwa kumwa piritsi lililonse maola 12. Kuti tiwonetsetsetse kwambiri digestibility, Zoxan TK imatengedwa ola limodzi mutadya. Pofuna kuchepetsa chiwopsezo cha mavuto obwera chifukwa chogwiritsa ntchito, mankhwalawa amamwa kwambiri mpaka malita awiri patsiku (madzi, tiyi wopanda mafuta, kompositi yopanda zipatso).

Kwa odwala omwe ali ndi thupi lozama, okalamba kapena odwala omwe ali ndi creatinine chilolezo pansi pa 30 ml / mphindi, piritsi limodzi ndi limodzi limayikidwa maola 12 aliwonse.

Panthawi yamankhwala, tikulimbikitsidwa kuti tisatengere mkaka muzakudya, popeza amawononga maantibayotiki, kuchepetsa mphamvu ya mankhwalawo.

Ndikofunika kukumbukira kuti mankhwalawa sagwirizana ndi zakumwa zilizonse, chifukwa choopsa chokhala ndi zotsatira zofanana ndi kuwonongeka kwa chiwopsezo mu ubongo.

Zotsatira zosagwirizana ndi mankhwalawa (chimodzimodzi pa mankhwala onse ophatikiza ciprofloxacin ndi tinidazole):

• tsankho limodzi kwa fluoroquinolones kapena zotumphukira za nitroimidazole,
• matenda a magazi ndi mkodzo wa hematopoiesis m'mafupa,
• porphyria ndi zithunzi zapamwamba,
• Zowonongeka kwa CNS
• kuphatikiza pofikirako minofu yapakati (tizanidine),
• khunyu
• Mimba ndi kuyamwa
• pansi pa zaka khumi ndi zisanu ndi zitatu.

Kuletsa kugwiritsidwa ntchito kwa amayi apakati kumayenderana ndi kupweteka kwa minidicole ndi zotsatira za Tinidazole, komanso mphamvu ya teratogenic ya Ciprofloxacin. Maantibayotiki onse amatha kudutsa mkaka wa m'mawere.

Mochenjera, malinga ndi mawonekedwe okhwima (ngati kuli kotheka kugwiritsa ntchito maantibayotiki a magulu ena), amalembedwa kwa odwala omwe ali ndi vuto la atherosulinosis kapena matenda a m'mitsempha yamaubongo, matenda amisala, impso ndi hepatic insufficiency.

Werengani zambiri: Timatiuza zonse za maantibayotiki pa nthawi ya pakati pa 1, 2nd ndi 3 trimester

Zotsatira zoyipa kuchokera ku Tsifran ST ndi mitengo yake yotsika mtengo:

• kuphwanya zam'mimba m'njira zosiyanasiyana zovuta,
• kutsegula m'mimba kuphatikizana ndi mankhwala opha maantibayotiki ndi pseudomembranous colitis,
• kwambiri fungal superinfection, candidiasis a mucous nembanemba zamkamwa, kumaliseche ndi khungu,
• vaginitis ndi bakiteriya vaginosis,
• thupi lawo siligwirizana
• chopinga wa hematopoiesis, leukemia ndi neutropenia, pancytopenia, hemolytic kuchepa magazi, magazi ogwirizana ndi thrombocytopenia,
• kutentha kwa mtima
• vasculitis,
• mutu, kusowa tulo, nkhawa, kusakwiya, kuyerekezera zinthu zina, kukhumudwa, manic phobias, kukokana, kusintha pakumverera kwa khungu,
• kuchuluka kwazovuta zamkati,
• zithunzi,
• kuphwanya kumveka bwino kwa masomphenya ndi malingaliro amitundu,
• kusinitsa ndi kusamva kwa makutu,
• kupuma movutikira,
• cholestatic jaundice komanso matenda a chiwindi, chiwindi,
• kapamba
• kusintha kwa mkodzo, tubulointerstitial nephritis, kulephera kwa impso, hematuria, cylindruria,
• hypo- ndi hyperglycemia,
• Zotsatira zoyipa za zida za ligamentous, kupindika kwa Achilles tendon, myasthenia gravis, arthralgia ndi myalgia.

Ciprolet A amapangidwa ndi kampeni yaku India A Dr. Reddy's. Mtengo wa mapiritsi khumi okhala ndi mamiligalamu 500 a ciprofloxacin ndi 600 ml ya tinidazole pa tabu imodzi. ndi pafupifupi ma ruble 230. Poganizira momwe zimapangidwira komanso kuchuluka kwa zinthu zomwe tikugwira, titha kunena kuti Tsiprolet St ndi Tsifran A ndizofanana.

Zoyipiritsa pakuika analogue yotsika mtengo ndizofanana ndi njira zoyambirira, kuphatikiza:

• kupezeka kwa tsankho la glucose,
• kuchepa kwa lactase
• shuga ndi galactose malabsorption.

Zochita zamankhwala ndi mawonekedwe a mankhwala a Tsiprolet A ndi Tsifran ST ndi ofanana.

Kuchiza kuyenera kuyendetsedwa ndi kuchuluka kwa magazi, kuchuluka kwa glucose, coagulograms, ndi chiwindi ndi impso ntchito.

Sitikulimbikitsidwa kupatsa Cifran ST ndi mawonekedwe ake kwa odwala omwe ali ndi matenda osokoneza bongo omwe amalandila mapiritsi ochepetsa shuga, chifukwa choopsa cha hypoglycemia. Komanso, mankhwalawa amatha kuonjezera ndende ndikuwonjezera nthawi yochotsa anticoagulants, omwe angayambitse magazi.

• Kuphatikizidwa ndi Theophylline kumatha kuledzera kwambiri.
• Kugwiritsa ntchito mankhwalawa ndi NSAIDs kungayambitse kukopeka.
• Kudya ndi ma antacid kwambiri kumachepetsa kuyamwa kuchokera m'matumbo am'mimba komanso kukhudzana kwa mankhwala a bioavailability.
• Kuphatikiza ndi cyclosporine kumathandizira poizoni.

Mankhwalawa, odwala ayenera kupewa kuwonekera padzuwa ndikugwiritsa ntchito mafuta omwe amakhala ndi chitetezo chokwanira cha SPF. M'pofunikanso kuchepetsa kuchita masewera olimbitsa thupi, kutsatira dongosolo lokhazikika la kumwa komanso zakudya zomwe zimathandizira mkodzo wa acid.

Ngati pakumveka kutengeka ndi kuwala kwa dzuwa, mawonekedwe a m'mimba ndi kupweteka m'malo olumikizirana mafupa ndi minyewa, mankhwalawo amaletseka pomwepo.

Ndikofunika kukumbukira kuti maantibayotiki amatha kuchepetsa kuchuluka kwa momwe angachitire komanso kugona, izi ziyenera kukumbukiridwa popereka chithandizo kwa oyendetsa kapena anthu omwe akugwiritsa ntchito njira zoopsa.

Maantibayotiki onsewa amapangidwa ndi kampeni yaku India ya San Fakmasyutikal.

Kusiyanitsa pakati pa Cifran OD ndi Cifran ST ndikuti OD ilibe Tinidazole, ndikukonzekera kwanthawi yayitali ya Ciprofloxacin. Ndiye kuti, ilibe ntchito yolimbana ndi tizilombo toyambitsa matenda a protozoa ndi anaerobic.

Mtengo wa mapiritsi khumi a OD omwe ali ndi Ciprofloxacin a 500 ndi 1000 mg ndi 220 ndi 340 rubles, motsatana.

Kapangidwe kake ka mankhwalawa chifukwa cha bactericidal zotsatira za fluoroquinolone wachiwiri, komwe kungalepheretse DNA gyrase ndi topoisomerase wa tizilombo tating'onoting'ono, kupewa: kuwerenga kwa ma genetic, momwe kapangidwe ka bacteria amagwiritsidwira ntchito, kapangidwe ka kapangidwe ka mabakiteriya, komanso kukula kwa kusintha kwa maselo a khungu. .

Chofunikira pa Kukonzekera kwa Boprofloxacin ndichakuti kugwiritsa ntchito kwawo sikungapangitse kupangika kwa maantibayotiki ena. Imathandizanso kwambiri polimbana ndi tizilombo totsutsana ndi aminoglycosides, beta-lactams, tetracyclines, etc.

OD yotsutsana:

• wodwala, wazaka zosaposa khumi ndi zisanu ndi zitatu,
• azimayi oyembekezera komanso oyembekezera
• Odwala omwe ali ndi matumbo akulu komanso kutupa m'mimba chifukwa cha mbiri ya fluoroquinolones,
• porphyria
• pamaso pa Hypersensitivity pazinthu zomwe zimapangidwa,
• ndi kulephera kwa impso ndi chilolezo cha creatinine chotsika mamililita 30 pamphindi.

Osavomerezeka: akhunyu, anthu omwe ali ndi vuto la ubongo komanso matenda amtundu wamatumbo, matenda amanjenje, chiwindi ndi zida zina za m'magazi. Mwa okalamba, ndikofunikira kuchita ndi kusintha kwa mankhwalawa, pokhudzana ndi kuchepa kwa zaka zokhudzana ndi kuchuluka kwa kusefera kwa glomerular.

Nkhani yokonzedwa ndi dokotala wa matenda opatsirana
Chernenko A. L.

Kodi mumadziwa kuti Tsifran St imagwiritsidwa ntchito kwambiri pochiza adnexitis?

Werengani: Mankhwala 16 oletsa mankhwalawa adnexitis mwa alfabeti

Mudakali ndi mafunso? Pezani kuonana ndiulere kuchipatala pompano!

Kukanikiza batani kumabweretsa tsamba lapadera la tsamba lathu ndi fomu ya mayankho ndi katswiri wa mbiri yanu.

Kufunsira kwaulere kwa madokotala

Mankhwala ophatikiza. Tinidazole ndi antiprotozoal komanso antimicrobial ofanana ndi imidazole, yogwira motsutsana ndi anaerobic tizilombo monga Clostridium Hardile, Clostridium perfringens, Bacteroides fragilis, Peptococcus ndi Peptostreptococcus anaerobius.

Ciprofloxacin - ndi sipekitiramu yotakata mankhwala, yogwira motsutsana tizilombo kwambiri aerobic galamu HIV ndi galamu alibe monga Escherichia coli, Klebsiella spp, nsomba typhi ndi tizilombo ta zina nsomba, Proteus mirabilis, Proteus vulgaris, Yersinia enterocoilitica, Pseudomonas aeruginosa, Shigella flexneri, Shigella sonnei. , Haemophilus ducreyi, Haemophilus influenzae, Neisseria gonorrhoeae, Moraxella catarrhalis, Vibrio cholerae, Bacteroides fragilis, Staphylococcus aureus (kuphatikizapo tizilombo ta methicillin zosagwira), Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus pneumoniae, Mycoplasma, Legionella ndi Mycobacterium TB.

The bioavailability wa tinidazole ndi 100%, mapuloteni omanga ndi 12%. T1 / 2 - 12-14 maola. Tinidazole amalowa m'madzi amchere mu ndende yofanana ndi ya plasma, ndikuwabwezeretsanso kuyamwa. Tinidazole amachotseredwa mu bile m'malo ozungulira pang'ono 50% ya ndende yake ya m'magazi. Pafupifupi 25% imachotsedwa mu mkodzo, 12% - mu mawonekedwe a metabolites. Zing'ono zochepa zimatulutsidwa mu ndowe.

The bioavailability wa ciprofloxacin pafupifupi 70%. Kudya nthawi yomweyo kumachepetsa kuyamwa. Kuyankhulana ndi mapuloteni - 20-40%. Ciprofloxacin imalowa bwino m'madzi a m'thupi ndi minyewa: mapapu, khungu, adipose, minofu, ndi cartilage, komanso mafupa ndi ziwalo zamkodzo, kuphatikizapo gland ya prostate. Ciprofloxacin imapangidwa pang'ono mu chiwindi. T1 / 2 - pafupifupi maola 3.5-4,5, amatha kupitilira nthawi yayitali ndi kulephera kwaimpso komanso kwa okalamba. Pafupifupi 50% imachotsedwa mu mkodzo, 15% mwa njira yogwira metabolites (kuphatikizapo oxociprofloxacin). Otsalawo amawapaka mu ndulu, pang'ono odziwikanso. Pafupifupi 15-30% ya ciprofloxacin imachotsedwa ndowe.

Ma PC 10 - matumba a matuza (1) - mapaketi a makatoni
Ma PC 10 - matumba otumphuka (10) - mapaketi a makatoni.

Mkati, mutatha kudya, kumwa madzi ambiri. Osathyola, kutafuna, kapena kuthyola phale.

Mlingo wovomerezeka: mapiritsi okhala ndi kuchuluka kwa ciprofloxacin / tinidazole 250/300 mg - mapiritsi 2. 2 nthawi / tsiku, 500/600 mg - 1 tabu. 2 nthawi / tsiku

Kuchita

Imawonjezera zotsatira za anticoagulants osalunjika (kuti muchepetse magazi, mankhwalawa amachepetsa 50%) ndi zochita za ethanol (disulfiram-like reaction).

Yogwirizana ndi sulfonamides ndi maantibayotiki (aminoglycosides, erythromycin, rifampicin, cephalosporins).

Sitikulimbikitsidwa kupereka mankhwala ndi ethionamide.

Phenobarbital Iyamba Kuthamanga kagayidwe.

Chifukwa cha kuchepa kwa ntchito ya microsomal oxidation njira mu hepatocytes, imawonjezera ndende ndikuyamba T1 / 2 ya theophylline (ndi xanthines zina, kuphatikizapo caffeine), mankhwala a hypoglycemic, komanso anticoagulants osadziwika, ndikuthandizira kuchepetsa prothrombin index.

Akaphatikizidwa ndi mankhwala ena antimicrobial (mankhwala a beta-lactam, aminoglycosides, clindamycin, metronidazole), synergism nthawi zambiri imawonedwa.

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

Kukonzekera kwa pakamwa pamodzi ndi mankhwala okhala ndi chitsulo, mankhwala a sucralfate ndi antacid okhala ndi magnesium, calcium, mchere wa aluminium kumapangitsa kuchepa kwa kuperewera kwa ciprofloxacin, chifukwa chake uyenera kuyikidwa maola 1-2 asanafike kapena maola 4 mutatha kumwa mankhwalawa pamwambapa.

NSAIDs (kupatula acetylsalicylic acid) imawonjezera chiopsezo cha kugwidwa.

Didanosine amachepetsa mayamwidwe a ciprofloxacin chifukwa mapangidwe a maofesi okhala ndi magnesium ndi ma ayoni a aluminium omwe amapezeka mu didanosine.

Metoclopramide imathandizira kuyamwa, zomwe zimapangitsa kuchepa kwa nthawi kuti ifike ku Cmax.

Kuphatikizika kwa uricosuric mankhwala kumabweretsa kuchepa kwapang'onopang'ono (mpaka 50%) ndikuwonjezeka kwa plasma ndende ya ciprofloxacin.

Kuchokera pamimba: kuperewera kwa chakudya, kutsekemera kwa pakamwa, "kutsekemera" pamlomo, nseru, kusanza, kutsekula m'mimba, kupweteka kwam'mimba, cholendatic jaundice (makamaka odwala omwe ali ndi matenda am'mbuyomu), hepatitis, hepatonecrosis.

Kuchokera kumbali ya chapakati mantha dongosolo ndi zotumphukira mantha dongosolo: mutu, chizungulire, kuchuluka kutopa, kuphwanya mayendedwe (kuphatikizapo locomotor ataxia), dysarthria, zotumphukira neuropathy, kawirikawiri - kupweteka, kufooka, kugona, kugona kwambiri, kuchuluka kwina kukhudzika, chisokonezo , kukhumudwa, kuyerekezera zinthu m'maganizo, komanso kuwonetsera kwina kwa ma psychotic, migraine, ubongo.

Pa mbali ya ziwalo zam'maganizo: Kulawa ndi kununkhika, kusawona bwino (diplopia, kusintha kwamitundu), tinnitus, kumva.

Kuchokera pamtima dongosolo: tachycardia, arrhythmia, kutsika magazi, kukomoka.

Kuchokera ku ziwalo za hemopoietic: leukopenia, granulocytopenia, magazi (kuphatikiza hemolytic), thrombocytopenia, leukocytosis, thrombocytosis.

Kuchokera kwamikodzo dongosolo: hematuria, crystalluria (ndi mkodzo zimachitika mkodzo ndi kuchepa kwa mkodzo), glomerulonephritis, dysuria, polyuria, kwamikodzo posachedwa, kuchepa kwa nayitrojeni wa exretory ntchito ya impso, interstitial nephritis.

Thupi lawo siligwirizana: pruritus, urticaria, zotupa pakhungu, mankhwala, petechiae, kutupa kwa nkhope kapena khosi, dyspnea, eosinophilia, photosensitivity, vasculitis, erythema nodosum, exryative erythema multiforme (kuphatikizapo Stevens-Johnson syndrome), sanali poizoni epermus. (Matenda a Lyell).

Mbali ya labotale magawo: hypoprothrombinemia, kuchuluka kwa "chiwindi" transaminases ndi zamchere phosphatase, hypercreatininemia, hyperbilirubinemia, hyperglycemia.

Zina: arthralgia, nyamakazi, tendovaginitis, kupindika kwa tendon, asthenia, myalgia, superinfection (candidiasis, pseudomembranous colitis), kuthina kwa nkhope, kuchuluka thukuta.

Matenda osakanikirana oyambitsidwa ndi anaerobic achilengedwe komanso ma aerobic tizilombo:

• aakulu sinusitis
• chotupa cha m'mapapo
• kuphatikiza
• matenda am'mimba
• matenda am'mimba otupa,
• matenda ogwirira ntchito ndi kupezeka kwa mabakiteriya aerobic ndi anaerobic,
• aakulu osteomyelitis,
• matenda a pakhungu ndi minofu yofewa,
• zilonda za pakhungu ndi phazi la matenda ashuga,
• zironda
• matenda amkamwa (kuphatikizapo periodontitis ndi periostitis).

Kutsegula m'mimba kapena kamwazi ka amoebic kapena kusakanikirana (amoebic ndi bacteria) etiology.

Mochenjera: kwambiri matenda a arteriosulinosis, ngozi ya m'matumbo, matenda amisala, matenda a khunyu, mbiri ya kukomoka, aimpso komanso / kapena kulephera kwa chiwindi, ukalamba.

Zambiri

Mutu wokambirana ndi maantibayotiki othandiza. Iliyonse mwa iyo ili ndi ciprofloxacin - chinthu chogwira ntchito chomwe chingaletse kugawidwa kwa mabakiteriya owononga ndikuwononga kapangidwe ka maselo awo. Mankhwala amachita mosasamala gawo lomwe tizilombo toyambitsa matenda, matalala, kapenanso kubereka.

Tizilombo tambiri tambiri kwambiri sitingathe kulekerera zotsatira za ciprofloxacin, mwachitsanzo, salmonella, staphylococcus ndi streptococcus, shigella yooneka ngati ndodo ndi mitundu ina ya toyesa matenda. Momwemo, mankhwalawo omwe akukambitsirana ali olimba motsutsana ndi mndandanda waukulu wazowonetsa matenda.

Mwa zina mwazomwe zimatha kuchiritsidwa mothandizidwa ndi maantibayotiki alipo: bronchitis, sinusitis, chibayo, cystitis, gonorrhea, salmonellosis, zilonda zamkhungu. Monga mukuwonera, mankhwalawa amathandizira kuthana ndi matenda omwe amapezeka m'malo osiyanasiyana a thupi, ndipo izi ndi poyambira mndandanda.

Tiyenera kudziwa kuti kusiyanasiyana kwathunthu kwa mankhwala amodzi sikupangidwa ndi ziwiri, koma magawo atatu. Koma, choyamba, lingalirani kusiyana pakati pa "Tsifran" ndi "Tsifran ST". Awa ndimankhwala onse mwachizolowezi osakhala ndi anthu ena m'dzina:

"Tsifran" imapangidwa ndikuphatikizidwa kwa chinthu chimodzi chogwira ntchito - zaprofloxacin pamwambapa. Mapiritsi oterewa ayenera kuledzera pamankhwala omwe amaperekedwa kawiri pa tsiku.

Ndipo nayi "Tsifran ST":

"Tsifran ST"

Mankhwalawa ndi osiyana chifukwa amaphatikiza zinthu ziwiri ndi zochizira: ciprofloxacin, omwe katundu wake wafotokozedwa kale, ndi tinidazole, yomwe imakhudza, pakati pa zolengedwa zina, protozoa. Chifukwa cha kaphatikizidwe kameneka, "Tsifran ST" amathandiza ndi matenda ena ambiri. Amawerengera zovuta. Kuchita kawiri kumayambitsa mtengo pamankhwala awa.

Tazindikira kuti pali kusiyana kotani pakati pa "Tsifran" ndi "Tsifran ST", ndikofunikira kulabadira njira yachitatu yomwe ikukhudzana ndi iwo. Ndi "Tsifran OD".

"Tsifran OD"

Ilinso ndi chigawo chimodzi chokha chotchedwa ciprofloxacin. Komabe, pankhaniyi, zotsatira zazitali zimaperekedwa, zomwe zimafotokozedwa mukuamasulidwa kwapang'onopang'ono kwa mankhwala othandizira. Mapiritsi a pulani iyi amapangidwira kudya kamodzi tsiku lililonse.

Mimba komanso kuyamwa

Kugwiritsa ntchito mankhwalawa panthawi yapakati sikulimbikitsidwa. Tinidazole amatha kukhala ndi vuto la mafinya komanso mutagenic. Ciprofloxacin iwoloka chotchinga.

Tinidazole ndi ciprofloxacin amafufuzidwa mkaka wa m'mawere. Chifukwa chake, ngati pakufunika kugwiritsa ntchito mankhwalawa panthawi yoyamwitsa, yoyamwitsa iyenera kusiyidwa.

Ndi chenjezo: Kulephera kwamphamvu kwa chiwindi.

Chenjezo: Kulephera kwambiri kwaimpso.

Wochita ana ndi achinyamata osakwana zaka 18.

Tsifran ndi Tsifran ST - pali kusiyana kotani?

Mankhwala amagwiritsidwa ntchito pokhapokha ngati akuwongolera dokotala

Cifran wokhazikika amaphatikiza muyeso wokhawo wa 250 kapena 500 mg wa ciprofloxacin, ndipo pambali ya mtengo, sizili zosiyana ndi zofanana ndi India Ciprolet kapena anzawo aku Russia. Cifran ST ndi mankhwala ophatikiza omwe, kuwonjezera pa antiotic, omwe ali ndi tinidazole monga gawo lachiwiri la antimicrobial. Tinidazole amagwira ntchito kwambiri motsutsana ndi protozoa: lamblia, trichomonads, amoeba ndipo akufanana kwambiri pochita ndi metronidazole (Trichopolum) wodziwika bwino.Izi zimapereka chithunzithunzi chambiri, komabe palinso zovuta.

Kodi tinidazole ku Cifran ST ndi iti?

Amadziwika kuti ciprofloxacin imakhala ndi ntchito yochepetsedwa yolimbana ndi tizilombo toyambitsa matenda a anaerobic, yomwe nthawi zambiri imayambitsa matenda opatsirana a m'matumbo, nthawi zambiri matumbo (magawo apansi) ndi patsekeke lamkamwa. Chifukwa chake, kuphatikiza kwa ciprofloxacin wothandizirana ndi antimicrobial wothandizila kutsutsana ndi anaerobes kumapangitsa luso la matenda osakanikirana. Kwambiri kumawonjezera kuphimba kwa antibacterial kanthu, komwe kumatha kukhala mwayi pamankhwala a pathogen osadziwika. Komabe, zingapo zoyipa zimatsata kuphatikiza uku.

• Ziprofloxacin ndi tinidazole sizimathandizira pakulimbana ndi matenda ambiri ndipo zimakhala zoyenera kugwiritsidwa ntchito munthawi zina.
• Chiwopsezo cha mavuto amabwera, makamaka kuchokera m'mimba, komanso ma contraindication amawonjezeredwa: tinidazole sichingatheke ndi matenda a hematological (matenda a magazi) ndi hematopoiesis.
• Zinthu zonsezi zimapukusidwa mu chiwindi, zomwe zimakulitsa katundu pazinthuzo.
• Mapiritsi a Tsifran ST mu kuchuluka kwa 500 + 600 mg (kumwa kamodzi kawiri pa tsiku) ndi okulirapo ndipo amatha kupangitsa zovuta kumeza ambiri, koma sangathe kuthyoledwa.

Kuphatikiza kwamtundu wa tinidazole ndi ciprofloxacin osagwira nawo mankhwalawa sikuphatikizidwa mu protocol iliyonse yamankhwala, koma amagwiritsidwa ntchito kwambiri chifukwa cha kupezeka ndi kutsika mtengo kwa Indian generic, yomwe imakhala yodzaza ndi zikutuluka zamtundu wapamwamba.

Zotchuka ndi Madokotala a mano

Tsifran ST ndi maantibayotiki omwe madokotala a mano amakonda kupereka, makamaka ku Russia. Inde, makamaka ma anaerobic tizilombo, nthawi zina mitundu ingapo, amatenga matenda amkamwa ndi m'kamwa. Kuphatikizidwa kwa mitundu iwiri yamafuta opatsirana kumakupatsani mwayi "kulowa" mu pathogen popanda tanthauzo lake ndikuwunikira kowonjezera. Pamenepa, zopindulitsa pakuwombera kankhuni kumapeto kwa mpheta zimatha. Sizokayikitsa kuti pakuyenda kogula kwa makasitomala ambiri, wamano asanakhazikitsidwe akufotokozerani za kukhalapo kwa zovuta zokhudzana ndi m'mimba, thirakiti la mankhwala a fluoroquinol, ndi zina zambiri. Pakadali pano, mavuto obwera chifukwa cha kuphatikiza mankhwala ndiofala.

Mankhwala a prophylactic a mankhwala opha maantibayotiki nthawi zambiri amachitidwa, mwachitsanzo, asanachotsedwe dzino ndipo sikuti nthawi zonse amakhala wolondola. M'magulu apamwamba, izi ndizofunikira kwambiri kuti tipewe zovuta pambuyo pa opareshoni, koma nthawi zina madokotala a mano amangoyesa kuti ntchito yawo ikhale yosavuta. Kutulutsa koyenera kwakuthupi ndikuyambitsa momveka bwino kwa chithandizo cha pakamwa chothandizira kumachotsa kufunikira kwa maantibayotiki ngati kutupa kwambiri ndi kutentha sizikuchitika.

Khalidwe Tsifran ST

Tsifran ST ndi njira yophatikizira yopangidwa pamaziko a zigawo ziwiri:

1. Ciprofloxacin. Thupi lomwe limakhala ndi bactericidal. Ili ndi zochitika zapamwamba motsutsana ndi kuchuluka kwa mabakiteriya, kuphatikizapo staphylococci, streptococci, Escherichia coli, Proteus, etc.
2. Tinidazole Thupi lokhala ndi antibacterial. Tinidazole amagwira ntchito yolimbana ndi mabakiteriya, omwe ntchito yake yofunika imatheka popanda zinthu zopanda mpweya (anaerobes). Zamoyo zoterezi zimaphatikizapo clostridia, peptococcus, giardia, Trichomonas, etc.

Mankhwalawa ali ndi mtundu umodzi wamasulidwa - mapiritsi omwe amafunikira pakamwa.

Chizindikiro chachikulu chogwiritsa ntchito maantibayotiki ndi chithandizo cha matenda omwe amayamba chifukwa cha tizilombo toyambitsa matenda omwe timayang'ana kuphrofloxacin ndi tinidazole. Awa ndi matenda omwe amapezeka munyumba ndi machitidwe osiyanasiyana:

• ma airways - bronchitis, chibayo, zotupa zamapapo, ndi zina zambiri,
• Ziwalo za ENT - otitis media, sinusitis, etc.,
• kwamikodzo dongosolo
• Njira zoberekera, kuphatikiza matenda opatsirana pogonana, monga chinzonono,
• ziwalo za pelvic
• zam'mimba dongosolo - cholecystitis, peritonitis, etc.,
• mafupa ndi mafupa - osteomyelitis, etc.

Mankhwalawa amathandiza kupewetsa zovuta zomwe zimachitika chifukwa cha mabakiteriya, chifukwa chake, odwala omwe amachitidwa opaleshoni ndipo amatha kuchepa chitetezo, amapatsidwa mankhwala othana ndi mankhwalawa pofuna kupewa.

Mankhwalawa ali ndi contraindication ambiri, choncho chithandizo chikuyenera kuvomerezedwa ndi adokotala. Simungathe kutenga maantibayotiki kwa amayi panthawi yoyembekezera komanso yoyamwitsa, ana ndi achinyamata ochepera zaka 18.

Tsifran ST imathandiza kupewa mavuto obwera chifukwa cha mabakiteriya.

Poyerekeza ndi momwe matengere mapiritsi amakhalira, zotsatira zoyipa zimayamba. Systems akhoza kugwiritsidwa ntchito molakwika ndi mankhwala opha tizilombo:

• chimbudzi - pakamwa pouma, kusowa chakudya, kupweteka pamimba, jaundice, ndi zina zambiri,
• zamtima - tachycardia, arrhythmia, kukomoka,
• wamanjenje - chizungulire komanso kupweteka m'mutu, kukokana, kusowa kwa malankhulidwe, ndi zina zambiri.

Uwu si mndandanda wathunthu wazotsatira zoyipa za antiotic. Ngati zizindikiro zosasangalatsa zikuwoneka munthawi ya chithandizo, muyenera kusiya kumwa mapiritsi ndi kufunsa dokotala.

Makhalidwe a Tsifran OD

Cifran OD imakhazikitsidwa pazinthu 1 zogwira ntchito za ciprofloxacin. Fomu yotulutsira mapiritsi okhazikitsidwa ndi 500 mg ndi 1000 mg. Mankhwalawa ali ndi bactericidal kwambiri ndipo amagwira ntchito yolimbana ndi mabakiteriya ambiri opanda gramu komanso gramu.

Maantibayotiki ndi omwe amapatsidwa matenda omwe amayambitsidwa ndi tizilombo tating'onoting'ono ta ciprofloxacin:

• chibayo ndi zina zomwe zimapangitsa matenda kupuma,
• sinusitis pachimake
• cystitis ndi zina zambiri za kwamikodzo dongosolo,
• chinzonono, prostatitis,
• cholecystitis, zotupa mkati mwa m'mimba ndi zina zama cell dongosolo
• osteomyelitis ndi matenda angapo opatsirana omwe amakhudza mafupa ndi mafupa.
• matenda opatsirana m'mimba
• anthrax, typhoid fever.

Mankhwalawa sangatengedwe ndi odwala onse. Amaphatikizidwa m'matenda ambiri, choncho, mankhwalawa amayenera kuchitidwa monga adokotala amafotokozera.

Amayi oyembekezera komanso oyembekezera, ana ndi achinyamata osakwana zaka 18 ayenera kukana kumwa mankhwalawo.

Mlingo ndi nthawi yayitali yothandizira odwala imasankhidwa ndi dokotala payekhapayekha kwa wodwala aliyense. Odwala ayenera kutsatira malangizo a dokotala kuti asayambitse zovuta zina zamankhwala. Ngati mukumwa mankhwalawa, mumayenera kumwa mapiritsi anu ndi kufunsa dokotala.

Kusiyana pakati pa mankhwalawa Tsifran ST ndi Tsifran OD

Kusiyana pakati pa mankhwalawa ndikuti chophatikiza chachiwiri, tinidazole, chimalowetsedwa mu CT. Izi zimakuthandizani kuti mugwiritse ntchito mankhwalawa matenda omwe amapezeka ndi tizilombo tating'onoting'ono komanso bacteria wa anaerobic.

Mtengo wa mankhwala ulinso wosiyana. Mtengo wa Tsifran OD mu Mlingo wa 500 mg ndi pafupifupi ma ruble 190. mapiritsi 10. Kuchuluka kwa Tsifran SD kumakhala pafupifupi ma ruble 320.

Ndemanga za madotolo ndi odwala

Svetlana, 49, Otolaryngologist, Novosibirsk: "Mankhwalawa ndi othandizika, koma ali ndi zotsutsana zambiri. Chifukwa chake, ndisanapereke mankhwala opha maantibayotiki ndi ciprofloxacin, ndimaphunzira mbiri yakale. Ngati odwala atsatira malangizowo, ndiye kuti zotsatirapo zake sizichitika. "

Anatoly, 57, dermatologist, Krasnodar: "Maantibayotiki onse adziwonetsa okha pochiza matenda apakhungu. Mankhwala okhala ndi ciprofloxacin ndi tinidazole ndi okwera mtengo kwambiri, motero odwala amafunsidwa kuti apangire analog ya chimodzi. Ndikumana ngati chithunzi cha chipatala chilola kuti izi zichitike. "

Olga, wazaka 27, Blagoveshchensk: “Ndinabwerera kuchokera kuulendo wokacheza ku Asia ndi ululu wam'mimba, womwe pang'ono ndi pang'ono unayamba kusanza, kusanza komanso kutsegula m'mimba. Ndinayenera kuwona dokotala yemwe adayambitsa Tsifran ST. Nthawi yamankhwala idatenga masiku 5, koma matendawo awiriwo anali atayamba kale. Ndipo amayi adatenga Tsifran OD atapezeka kuti ali ndi bronchitis yovuta. Ndipo mankhwalawa adathandizira kuthana ndi matendawa. Palibe zotsatira zoyipa zochokera ku mankhwala alionse. ”

Zinaida, wazaka 61, Rostov-on-Don: “Ndidabweretsa zilonda ndikugwira ntchito mdziko muno. Sindinatchere khutu mwachangu, koma pang'onopang'ono zinthu zinayamba kuipiraipira. Zinali zoyipa kwambiri mpaka ndinapita kwa dokotala yemwe amandipatsa Tsifran OD. Adatenga 1 pc. tsiku lililonse 1 sabata. Chilichonse chidayenda mwachangu. Zinthu zinasintha patapita masiku atatu, koma adotolo adati ndikuyenera kumaliza maphunziro onse, zomwe ndidachita. Panalibe mavuto. Mankhwalawa ndi osavuta kugwiritsa ntchito - piritsi limodzi lokha patsiku. "