Buku Loyamba la Madokotala > Chithandizo ndi kupewa

Kuti achulukitse kuthandizira kwamatenda ena, madokotala nthawi zambiri amagwiritsa ntchito mankhwala awiri kapena atatu kamodzi. Mwachitsanzo, dongosolo la mankhwalawa, kuphatikiza onse a Clarithromycin ndi Amoxicillin, amadziwika kuti ndi othandiza kwambiri polimbana ndi kugonjetsedwa kwa Helicobacter Pylori - wothandizira wa zilonda zam'mimba.

Kufotokozera zamankhwala

Helicobacter pylori Helicobacter amakhala mucous membrane wam'mimba ndipo mpaka nthawi ina, ntchito yake yofunikira imatha kusadziwika. Mikhalidwe yabwino ikabuka, tizilombo toyambitsa matenda timayambitsa, chifukwa chomwe zilonda zam'mimba zimayamba.

Popeza matenda omwe amapatsirana amatenda, madokotala amagwiritsa ntchito mankhwala ochepetsa mphamvu ya kachilombo kuti athane ndi matendawa. Kufunika kotenga Amoxicillin ndi Clarithromycin palimodzi nthawi zambiri kumachitika chifukwa cha kukokoloka kwa zilonda zam'mimba.

Amoxicillin ndi mankhwala osokoneza bongo opanga, omwe amagwira ntchito omwe amapangidwa ndi nkhungu ya penicillium. Dera lokopa la Amoxicillin ndi gramu-gramu komanso gramu-hasi anaerobes, omwe amaphatikizapo Helicobacter pylori.

Clarithromycin nayenso ndi antiotic, koma ochokera ku gulu la Macrolide. Maantibiotic a gulu la Macrolide ali ndi antimicrobial, anti-kutupa komanso bacteriostatic. Komanso, Clarithromycin amatha kupondereza kapangidwe ka mapuloteni ofunikira pamoyo wa tizilombo tating'onoting'ono, ndipo potero amateteza kukula ndi kubereka.

Chifukwa chake, mankhwalawa onse amatha kuthana ndi tizilombo tating'onoting'ono tokhudzana ndi mabakiteriya.

Kukayikira kwa odwala ambiri za ngati Clarithromycin ndi Amoxicillin angatengedwe nthawi imodzi ndikumveka, koma kopanda maziko. Kuphatikizidwa kwa clarithromycin ndi amoxicillin kumapereka mphamvu pazomwe zimayambitsa matenda ndikubweretsa kuwonongeka kwake.

Malangizo achire omwe amagwiritsidwa ntchito kupha Helicobacter pylori amatchedwa kuthetsa. Pali njira zingapo zochizira matenda, zomwe zimakwaniritsa zofunika:

kupereka kuchuluka kwambiri kwa mabakiteriya,
kugwiritsa ntchito mosavuta
osachepera angapo oyipa
kukana tizilombo ta,
Mphamvu ya kukhudzana ndi ulcerative foci.

Monga lamulo, regimen ya Amoxicillin ndi Clarithromycin imaphatikizanso kugwiritsa ntchito mankhwala owonjezera omwe amatha kupondereza kupanga hydrochloric acid. Mankhwalawa amatchedwa proton pump inhibitors (PPIs). Izi zimaphatikizapo omeprazole, lansoprazole, pantoprazole ndi rabeprazole.

Chifukwa chophatikiza patatu cha maantibayotiki - IIT, Amoxicillin ndi Clarithromycin, kugwiritsa ntchito bwino mankhwalawa kumawonjezera, kuchepetsa nthawi ya wodwalayo. Chifukwa chake, akatswiri azamankhwala apanga mankhwala, omwe ali ndi zigawo zikuluzikulu zitatu - Omeprazole, Amoxicillin ndi Clarithromycin. Mankhwalawa amatchedwa Pilobact Neo.

Mankhwala Pilobact Neo ndi ophatikizika pazomwe zimagwiritsidwa ntchito pothana ndi mankhwalawa - mapiritsi a Amoxicillin, mapiritsi a Clarithromycin ndi makapisozi a Omeprazole.

Malinga ndi malangizo, mankhwalawa adapangira maphunziro a masiku asanu ndi awiri. Phukusili lili ndi matuza asanu ndi awiri, chilichonse chimaphatikizapo mapiritsi awiri a Clarithromycion, Amoxicillin ndi Omeprazole. Mulingo umodzi - piritsi limodzi lamtundu uliwonse m'mawa ndi madzulo.

Kwa ana ochepera zaka 16, Pilobact Neo amatsutsana.

Kutenga Amoxicillin ndi Clarithromycin, komanso kutsatira malingaliro a dokotala, ndiyo njira yokhayo yobwezeretsanso thanzi ngakhale mutagonjetsedwa kwambiri ndi matenda a Helicobacter pylori.

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Zambiri

Mankhwala opha tizilombo amagwiritsidwa ntchito kumapeto kwa zaka za zana la 20. Munthawi imeneyi, asayansi komanso makampani opanga mankhwala adawayika, zomwe zidatsogolera unyinji wawo wamitundu ndi magulu. Maantibiotic - chinthu chopangidwa ndi chilengedwe, pamaziko omwe amapangidwa ndi zinthu zina.

Klacid ndi Amoxiclav ndi magulu osiyanasiyana azamankhwalakoma amagwiritsidwa ntchito matenda ena ofanana. Nthawi zina maantibayotiki ena amachotseredwa ndi wina ngati kuchira sikubwera. Ndi iti yomwe ili yotetezeka komanso yothandiza kwambiri? Ndipo azigwiritsa ntchito chiyani?

Klacid ndi antiotic (chindwana) magulu a macrolides. Chimodzi mwa ntchito yake ndikuti amamangiriza ku 50S ribosomal subunit ya mabakiteriya achilengedwe komanso amalepheretsa kuphatikizika kwa mapuloteni. Amasankha zolengedwa za aerobic ndi anaerobic gram-hasi ndi gram.

Klacid imapezeka m'mitundu ingapo:

Mapiritsi achikasu. Pali mitundu iwiri: 250 mg (zidutswa 10 pa paketi) kapena 500 mg (zidutswa 14 pa paketi).
White ufa. Kuchokera pamenepo pangani kuyimitsidwa. Kuti muchepetse kuwawa kwa kulawa, anawonjezera kununkhira kwa zipatso. Mlingo: 125mg / 5ml ndi 250mg / 5ml. Mapaketiwo ali ndi syringe kapena supuni yochepa.
Losophilisate. Kuchokera pamenepo pangani yankho la jekeseni wamkati. Ndi yoyera mu 500 mg pa vial.

Kumwa mankhwalawa sikudalira chakudya.

Amawerengera matenda awa:

Kutupa kwamtundu wamtundu (tracheitis, bronchitis, chibayo).
Conjunctivitis.
Kuthokomola.
Njira zam'mimba zam'mimba zomwe zimakwiya ndi Helicobacter pylori.
Zovuta za ziwalo za ENT.
Matenda a Chlamydial.

Ngakhale ali ndi zabwino, Klacid sangathandize pakakhala mabakiteriya ena opanda gramu (mwachitsanzo, Pseudomonas aeruginosa). Monga ma antibayotiki ena ambiri, zoyipa sizingapeweke. Mokulira, amagwirizana ndi m'mimba thirakiti (nseru, kutsegula m'mimba), mwina kusweka kwamanjenje, mutu.

Zoyipa zotsutsana:

Hypersensitivity ku macrolide zinthu.
Impso ndi chiwindi kukanika.
Kuphatikiza ndi mankhwala ena.
Mimba
Nthawi yochepetsetsa.
Zaka za ana.

Klacid amuchotsetsa impso kapena chiwindi, ngati atengedwa motere, motero wodwala yemwe ali ndi mavuto ndi ziwalozi amafunikira kulumikizidwa kowonjezereka.

Amoxiclav

Amoxiclav - mankhwala gulu la penicillin. Ili ndi mphamvu zambiri (amoxicillin) yokhala ndi beta-lactamase inhibitor (clavulanic acid). Clavulanic acid imalepheretsa kukanikiza kwa ma bacteria a bacteria. Maantibayotiki amawononga tizilombo toyambitsa matenda a anaerobic gram-negative ndi gramu-gramu.

Zopangidwa motere:

Mapiritsi oyera. Nthawi zambiri zotchulidwa 250/125 mg kapena 500/125 mg (Chizindikiro choyamba ndizomwe amamwaillillin, wachiwiri - clavulanic acid). Mu botolo limodzi - 15 zidutswa.
Ufa. Kuyimitsidwa kwakonzedwa kuchokera pamenepo. Mlingo - 125 mg wa amoxicillin ndi 31.25 mg wa clavulonic acid.
Losophilisate. Kuchokera pamenepo pangani yankho la jakisoni. Mlingo - 500/100 mg ndi 1000/200 mg.

Mutha kumwa mankhwalawo mosasamala chakudya.

Zimathandizira ndi matenda otsatirawa:

Matembenuzidwe othandizirana ndi ziwalo za ENT.
Biliary ndi kwamikodzo thirakiti.
Ndi matenda obadwa nawo.
Kusokonezeka kwa M'mimba Koperekedwa ndi Helicobacter pylori.
Mu gynecology.
Khungu komanso minofu yofewa.

Amoxiclav amathetsa mabakiteriya, koma amalephera kuwononga ena: ureaplasma, pseudomonas ndi chlamydia. Zotsatira zoyipa: mavuto ndi m'mimba thirakiti, kupweteka mutu ndi zotupa.

Zoyipa zotsutsana:

Kusagwirizana ndi zinthu za gulu la penicillin.
Hepatitis.
Mavuto a chiwindi ndi impso.
Mononucleosis
Colitis.
Mimba
Nthawi yochepetsetsa.

Kufanana kwa mankhwala

Ngakhale kuphatikiza kosiyanasiyana pamagulu azachipatala, onsewa ndi othandiza pamatenda am'mapapo komanso ziwalo za ENT. Yodziwika ndi osiyanasiyana antibacterial kanthu. Cholandiridwa kuchokera kwa sabata limodzi kapena awiri. Komabe, mndandanda wa contraindication ndi mfundo yowonetsera zinthu zimasiyana. Chifukwa chake, kukhazikitsidwa kwa mankhwala kumadalira zifukwa zambiri. Asanayambe kumwa mankhwalawo, katswiri amafunika kuwunika kuti amvetsetse za tizilombo tosiyanasiyana.

Kufotokozera kwapafupi kwa Klacid

Klacid (Clarithromycin) amatha kuyamwa kwambiri mutatengedwa, imalowa mwachangu ziwalo ndi minyewa. Maantibayotiki amakhala ndi moyo wautali, ndiye mankhwalawa amamwetsa kawiri pa tsiku.

Klacid amalolera bwino ndi odwala. Mapiritsiwo ndiwotsika, opanda ming'alu ndi tchipisi. Klacid 250 mg yopangidwa ku Italy ili ndi 97.2% clarithromycin.

Mapiritsi a mankhwalawa amaphatikiza zodetsa za 1.46%. Zinthu zopangidwa ndi beta-lactamases sizimakhudza mphamvu ya mankhwalawa. Mankhwalawa sadziunjikira mu ziwalo ndi minyewa.

Klacid amagwiritsidwa ntchito pochiza:

zilonda zam'mimba
pachimake bakiteriya sinusitis,
chibayo chopezeka pagulu,
pachimake rhinosinusitis,
Tonthapharyngitis,
urogenital chlamydia
STD

Mankhwalawa amalembera kukonzekera pakamwa musanadye kapena chakudya.

Kodi ndingatenge nthawi yomweyo

Ndi chibayo chopezeka m'deralo, Klacid ndi Amoxiclav amalembedwa nthawi imodzi. Mankhwalawa ali ndi zotsatirazi:

mwachangu kulowa mkati mwa matenda,
kudziunjikira mozama mopitilira kuchuluka kwawo mu seramu yamagazi,
Muli ndi machitidwe ambiri othandizira.

Kuphatikiza kwa mankhwala 2 kumachitika mogwirizana ndi malangizo omwe angagwiritse ntchito: Klacid - 2 kapena tsiku tsiku la 500 mg, Amoxiclav - 2 times / tsiku kuchuluka kwa 1000 mg.

Kugwiritsa ntchito bwino kwamankhwala, madokotala nthawi zambiri amakupangira kugwiritsa ntchito mankhwalawa munthawi ya gastritis yoyambitsidwa ndi Helicobacter pylori (pamene akumwa mankhwala ena):

Amoxiclav: 2 kawiri pa tsiku kwa masiku 14,
Klacid: 2 kawiri pa tsiku kwa masabata awiri,
Omeprazole: 2 kawiri pa tsiku kwa masiku 30.
De-Nol (240 mg): 2 kawiri masabata.

Kuphatikizika kwa olowa kumathandizira kuthana ndi chitetezo chokwanira cha mabakiteriya kuchitira mankhwala. Ma microorganism amafa popanda kukulitsa kukana mankhwala.

Maganizo a madokotala ndi kuwunika kwa odwala

Guzeev G.A., dokotala wamano

Ndimagwiritsa ntchito Klacid kuchiza kuchulukitsa kwa periodontitis, ndi osteomyelitis. Ndimagwiritsa ntchito mankhwala mankhwalawa a tonsillitis. Chithandizo cha mankhwalawa chimapereka zotsatira zabwino.

Kovalev K. D., wothandizira

Klacid adalembedwa kuti athandize matenda a ENT mu ana (kuyimitsidwa kwa iwo) ndi akulu. Mankhwalawa ndi okwera mtengo.

Proskuryakova T.N., dokotala wa opaleshoni

Amoxiclav ndi mankhwala othandiza omwe ndimagwiritsa ntchito pochita opaleshoni pochiritsa kutupa. Njira ya mankhwala ndi masiku 10. Ndimapereka mankhwala kwa ana ndi amayi apakati. Mankhwala ali ndi mavuto. Ndikofunikira kutenga Linex nthawi yomweyo.

Julia, wazaka 32, Moscow

Mwana ali ndi khutu lakumva. Dokotala adazindikira otitis media ndipo adamuuza Klacid mu mawonekedwe amadzimadzi. Mankhwalawa ndi othandizika, mkhalidwe wa mwana wawo wamkazi wayamba msanga. Panalibe mavuto.

Galina, wazaka 41, Ekaterinburg

Mwana wamkazi ali ndi matenda a bronchitis. Dokotala adadziwitsa Klacid - 4 ml patsiku kwa masiku asanu. Maantibayotiki adagulidwa mu mawonekedwe a ufa kuti ayimitsidwe. Mankhwalawa adathandizira kuthana ndi matendawa mwachangu. Pa mankhwala, zotsatira zoyipa zimawonekera - kugona. Kutentha kunachepa ndi masiku awiri.

Kodi ndiyabwino kwa ana azaka 1 zakubadwa? Kodi ndi chiani kuchokera ku bronchitis: amoxiclav kapena clacid? Zotsatira zoyipa.

M'nyengo yozizira iyi mwana wanga wamkazi wadwala, kutentha pang'ono kunayamba, ndipo anayamba kutsokomola. Adotolo adati kutsokomola pachabe, osapereka kanthu.Patatha masiku atatu, kutentha kwambiri kumadzuka, adotolo ku chipinda chodzidzimutsa akuti maantibayotiki sangathe kugawidwa, kutupa kumakhala kale m'munsi kupuma. Amoxiclav adayikidwa. Tinamwa maphunzirowa, mwana wanga wamkazi akupitilirabe kutsokomola. Tinapita kwa dokotala wodalirika ndipo adalemba kale kacidid, adati amoxiclav mu bronchitis sikugwira ntchito. Pamodzi ndimankhwala ena angapo adapereka maantibayotiki. Pambuyo masiku 1.5 kuvomerezedwa, mwana anasiya kutsokomola ndipo sanatchulidwenso.

Umu ndi momwe bokosi limawonekera

Mkati muli malangizo abwino.

Ndipo botolo lokha ndi ufa, lomwe liyenera kuchepetsedwa ndi madzi owiritsa (osasokonezedwa ndi madzi otentha). Muyenera kuwonjezera pang'ono ndikugwedezeka, ndiye kuti muwone ngati kuchuluka kwa mankhwalawo kukufikira gawo lomwe likufunsidwa m'botolo.

Zofunika! Mankhwalawa amatha kusungidwa kwa masiku 14 okha. Ndikosavuta kuti mutha kuisunga mufiriji osadikirira kuti itenthe.

Chophimbacho ndichachilendo, palibe chitetezo kuchokera kwa ana.

Atasungunuka ndikugwedezeka kwa nthawi yayitali, adatsanulira supuni ndikuwona kuti mbewu sizinasungunuke. Adagwedezeka kwa nthawi yayitali, mpaka ngakhale atatha kudya, ufa wosasungika unakhalabe.

Mwanayo anakana kumwa, amayenera kuthira madziwo (Ndipo ndinadziwa chifukwa chake: ndisanampatse mwanayo ndinayesa ndekha. Madzi amadzimadzi ndiwotsekemera, koma njerezi zimakhala zowawa kwambiri, makamaka zikangofika mano ndi kutafuna, kuwawa kumakhalabe mkamwa pafupifupi theka la tsiku, ndipo chifukwa ndidayesera pang'ono, choncho ndidapereka maantibayotiki ndipo nthawi yomweyo ndidampatsa phala kapena china. Zikuwoneka kuti mutha kuchita monga mwa malangizo.

Dokotala anatiuza kuti tizipereka 3 ml kawiri pa tsiku. Mlingo uyenera kutumikiridwa poganizira kulemera, msinkhu, kuopsa kwa matendawa.

Ngakhale mwana wanga wamkazi adayamba kuchira, ndidamwa mankhwalawa kwa masiku 5. Zotsatira zoyipa zinali kudzimbidwa m'masiku oyambilira, adapereka acipol ndipo zonse zinali bwino.

Anandithandiza, ndimalimbikitsa. Koma, zoona, adotolo ayenera kusankha kuti apereke antibayotikiyu.

Mpofunika kuwerenga

ZOFUNIKIRA Zambiri patsamba lino zimaperekedwa pazachidziwitso chokha. Osadzisilira. Pa chizindikiro choyamba cha matenda, funsani dokotala.

Ngati mankhwala a clacid sioyenera odwala, nthawi zambiri chisankho chidzagwera ndi mankhwala a gulu lina la antibacterial. Mtengo wa klacid sunakhutire, mutha kusankha mayendedwe achilengedwe, omwe mtengo wake umakhala wotsika mtengo.

Mulimonsemo, musanalowe m'malo mwa clacid, muyenera kudziwa bwino za mankhwala enieniwo, zomwe zimakhala, kenako ndikuwonekeratu kuti ndi yankho liti lomwe lingakhale lokwanira ngati analogue.

Chida chachikulu (yogwira) cha clacid ndi clarithromycin (anti-synthetic antiotic, ATX: J01FA09).

Klacid imapezeka mu mawonekedwe a piritsi ndi ufa (pokonzekera njira zothetsera kulowetsedwa ndi kuyimitsidwa).

Mtengo wa mankhwalawa umatengera mawonekedwe, mlingo ndi kuchuluka kwa clacid. Mpaka pano, ndondomeko yamitengo ndi motere:

Klacid 125 mg / 5 ml kapena 250 mg / 5 ml (ufa womwe kuyimitsidwa kwawokonzedwako) umawononga ma ruble a 360 kapena 440,
500 mg klacid (1 botolo, ufa pakukonzekera njira ya kulowetsedwa) umalipira ma ruble 590,
Klacid SR No. 14 ingagulidwe ma ruble 900,
klacid 250 mg kapena 500 mg No. 14 amatengera 670-700 rubles.

Monga momwe tikuwonera kuchokera pazomwe zaperekedwa, Klacid sangathe kutchedwa kuti mtengo wotsika mtengo.

Wopanga: Ma Abbott Laboratories. Mankhwala ndi a m'gulu la mankhwala a macrolides. Imatha kuwononga microflora yambiri yama bakiteriya kuphatikiza tizilombo ta anaerobic komanso aerobic Komanso mankhwalawa amathandizira mabakiteriya monga mycoplasma pneumoniae, legionella pneumophila ndi ena.

Kusowa kwa Clacid - kulephera kupondereza mabakiteriya ena osavomerezeka, monga Pseudomonas aeruginosa ndi enterobacteriaceae.

Microflora iliyonse yamtundu wazinthu zomwe zawonetsa kukhudzika kwa clacid ndichizindikiro pakugwiritsa ntchito kwake. Nthawi zambiri, clacid amalembedwa zotsatirazi pathologies:

matenda a m'munsi mwa kupuma dongosolo (tracheitis, bronchitis, chibayo, pleurisy),
wambiri chifuwa
conjunctivitis, makamaka gonorrheal ndi chlamydial chiyambi,
matenda a ENT ziwalo - sinusitis, pharyngitis, tonsillitis, otitis media,
Njira zopatsira matenda a mycobacterial,
matenda ofewa a minofu - folliculitis, zilonda, ma carbuncle, ma abscesses, impetigo, erysipelas, ena,
zilonda zam'mimba, duodenum ndi thirakiti lonse la m'mimba,
matenda a chlamydial.

Klacid sayenera kumwedwa pansi pazinthu izi:

hypokalemia
kwambiri matenda a chiwindi ndi impso,
mimba ndi mkaka wa m`mawere
porphyria
kutentha kwa mtima
macrolide tsankho.

Klacid silivomerezedwanso kuti agwiritsidwe ntchito ndi mankhwala ena; zambiri zimatha kupezeka mu malangizo a boma.

Mtundu wa piritsi umaloledwa pokhapokha zaka 12, chifukwa odwala ochepa kwambiri ndioyimitsidwa koyenera (kuwerengetsa kwa mlingo kumayenderana ndi kulemera).

Mukamagwiritsa ntchito mankhwalawa mkati, mutha kuoneka zizindikiro zosonyeza kuphwanya kwam'mimba, monga: nseru, kusanza, kupweteka kwa epigastric, matenda am'mimba. Nthawi zambiri, pogwiritsa ntchito clacid, odwala amakhala ndi nkhawa chifukwa cha nkhawa, kusokonezeka kwa malingaliro, tinnitus, mutu. Zowonjezereka zokhudzana ndi zonse zomwe zingachitike m'mbali zalembedwa m'malamulo ovomerezeka.

Mlingo uliwonse umatengera mtundu wosankhidwa wa Clacid. Mwachitsanzo, mapiritsi a 500 mg ayenera kumwedwa kamodzi patsiku limodzi. Ngati ndi kotheka, pawiri mlingo. Mlingo wa kuyimitsidwa umawerengeredwa pamaziko a 7.5 mg / kg 2 nthawi / tsiku.

Mankhwala aliwonse osavomerezeka mu sabata 12 zoyambirira za mimba, osanenapo antibacterial. Kusiyana ndi izi. Palibe chidziwitso chotsimikizika pachitetezo chake ponyamula ndi kuyamwitsa. Ngati palibe njira ina, ndipo moyo wa mayiyo uli pachiwopsezo, ndiye kuti klacid angagwiritsidwe ntchito ngati chithandizo.

Mukamayamwitsa, zimalimbikitsidwa kusiya kwakanthawi ntchito zomwe mwana amakonda. Muyenera kugwiritsa ntchito njira zamkaka zomwe zimasinthidwa. Mkazi ayenera kufotokozeratu mkaka kuti kuuma kwake kusakhale pachifuwa chake ndipo mastitis asawonekere.

CHIYAMBI! TIMALANDIRA

Zochizira komanso kupewa matenda a rhinitis, tonsillitis, matenda opatsirana pachimake komanso fuluwenza mwa ana ndi akulu, a Elena Malysheva amalimbikitsa chida chothandiza kupewa matenda osagwirizana ndi asayansi aku Russia. Chifukwa cha kupadera kwake, komanso chofunikira kwambiri, 100%, mankhwalawa ali ndi mphamvu zambiri pochiza matenda a zilonda zapakhosi, kuzizira komanso kuwonjezera chitetezo chokwanira.

Mtundu wa piritsi umavomerezedwa kuti ugwiritse ntchito kuyambira wazaka 12 zokha, ndipo kulemera kwa wodwala sikuyenera kukhala ochepera 40 makilogalamu. Kuyimitsidwa ndikulimbikitsidwa kuti mugwiritse ntchito makanda omwe kulemera kwawo ndi 8 kg. Mpaka miyezi isanu ndi umodzi, Clacid imayikidwa pokhapokha pokhapokha. Pankhaniyi, ndikwabwino kugwiritsa ntchito analogi yomwe imaloledwa mu ana kuyambira nthawi yamkati. Kulowetsedwa komanso kugwiritsa ntchito nthawi yayitali clacid ndikovomerezeka pokhapokha zaka 18.

Zizindikiro zazikulu za clacid mu ana: njira zosiyanasiyana za bakiteriya (tonsillitis, sinusitis, bronchitis, chibayo, atitis media, ena).

M'malo klacid mutha kugwiritsa ntchito mankhwala ofanana kapena ofanana, komanso ndalama zamagulu ena azamankhwala. Zolocha zotchuka kwambiri pazogwira ntchito ndi ecositrin, clarithromycin, Kuchokera kwa fromilid, clearbact ndi ena. Fomu la analog limasankhidwa ndi adokotala.

Ngati clearithromycin sioyenera, ma macrolides ndi oyenera monga ena:

totem (azithromycin) - yogwiritsidwa ntchito kuyambira miyezi 6 (kuyimitsidwa), mapiritsi ochokera zaka zitatu, zoyenera
Macropen (midecamycin) - mapiritsi amagwiritsidwa ntchito ndi wodwala wolemera oposa 30 kg, kuyimitsidwa kumaloledwa kuchokera kwa makanda.
vilprafen (josamycin) - kwa mankhwalawa, kulemera kwa wodwala kuyenera kukhala osachepera 10 kg,
azitrox (azithromycin) - makapisozi amatchulidwa kuyambira azaka khumi ndi ziwiri, madzi amatha kuperekedwa kuyambira miyezi isanu ndi umodzi.

Zotsatira zabwino polimbana ndi matenda opatsirana komanso kutupa kumapereka mankhwala a cephalosporin onga suprax. Ngati matendawa atapitirira popanda zovuta, ma virus opepuka - penicillin (augmentin, ospamox, flemoxin, ena) atero.

Nthawi zambiri, kubwezeretsanso kwa clacid kumachitika ngati thupi lanu siligwirizana, kapena mtengo wa mankhwalawa sugwirizana ndi wodwalayo.

Ngati mupanga mndandanda wa analogi za clacid, ndiye kuti zidzakhala zazitali. Koma, kwa owerenga athu, komabe tidzapereka mndandanda wosangalatsa wazofanizira zomwe sizinatchulidwe pamwambapa. Chifukwa chake, fanizo la clacid:

Klacid kapena analogue iliyonse yake imangotchulidwa ndi katswiri. Dokotalayo ndi amene amadziwa mtundu wa mankhwalawo ndi mtundu wa mankhwalawo, amasiya ndikusankha m'malo mwake. Kudzilimbitsa nokha kumabweretsa zotsatira zoyipa, musaiwale za izi.

Ngati klacid ikufunika kusinthidwa, mankhwala ayenera kusankhidwa omwe angagwirizane bwino ndi wodwalayo, kuphatikizapo zochizira, komanso mtengo wake. Tiyeni tiyerekeze ma fanizo angapo, ndikuyesera kupeza njira yabwino.

Mankhwalawa ali ndi mawonekedwe osiyanasiyana, chifukwa chake sangathe kutchedwa kuti a analogues. Ponena za dera lofunsira, limakhala lambiri ndi clacid, chifukwa chake, mankhwalawa ali ndi mphamvu yochizira. Mankhwala onsewa ali ndi zotsutsana zambiri, koma klacid imaposa, ndipo izi ndiye zochuluka.

Mwakutero, mankhwala onse othandizira a antibacterial ndi oopsa kuposa mankhwala wamba "apakati", chifukwa chake kugwiritsa ntchito kumafunika kuyang'aniridwa ndi achipatala. Mankhwala onse awiriwa amagwiritsidwa ntchito ngati ana.

Mtengo wa mapiritsi 7 a suprax mu mlingo wa 400 mg ndi 900 ma ruble. Sikovuta kunena kuti suprax ndi analogue yamtengo wapatali ya clacid.
Zomwe zili bwino - klacid kapena suprax - funsani dokotala funso ili. Katswiri wokha ndi yemwe angawunike mtundu wina wamankhwala, anamnesis, ndikukuuzani chomwe ndibwino kuti mugwiritse ntchito.

Nthawi zambiri, suprax imagwiritsidwa ntchito ngati njira yochepetsetsa ya matenda; klacid ndi mankhwala "odabwitsa".

Kukonzekera ndi gawo limodzi la ma pharmacological gulu (macrolides), koma aliyense ali ndi gawo lake lomwe limagwira. Akatswiri akukhulupirira kuti chitsulo chimakhala champhamvu, ndipo mawonekedwe ake ndi ochulukirapo. Klacid amagwiritsidwa ntchito kwambiri mu pulmonology komanso matenda a pakhungu.

Mankhwalawa onse amaloledwa kuyambira azaka za miyezi isanu ndi umodzi mwanjira yoyimitsidwa. Ponena za contraindication, zomwe zingakhalepo pazoyipa pakakonzedwe, palibe kusiyana kwapadera.

Sumamed 500 mg No. 3 imawononga ndalama pafupifupi ma ruble 480. Mapiritsi atatu nthawi zambiri amakhala okwanira mu njira yonse ya chithandizo. Mapeto - totenga ndi yotsika mtengo komanso yosavuta kulandira.

Othandizira onsewa akuimira gulu la macrolides, koma zophatikizira ndizosiyana. Josamycin ndiye chinthu chogwira ntchito mu vilprafen, ndipo chafotokozeredwa kwambiri ndi chithithromycin.

Malinga ndi malipoti ena, akukhulupirira kuti vilprafen ndi wamphamvu kuposa clacid, mopanda chifukwa imagwiritsidwa ntchito ngati matenda ofiira komanso diphtheria.

Mtengo wa vilprafen 500 mg No. 10 ndi 600 ma ruble. Mwakutero, onse mankhwalawa ali mumalingaliro amitengo yomweyo.

Kukonzekera ndi fanizo mwapangidwe, chifukwa chake, kusankha komwe kuli munjira imodzi kudzadalira zomwe akukonda malinga ndi wopanga komanso mtengo wake.

Klacid imapangidwa ndi kampani ya Abbot, yomwe ili ndi nthambi m'maiko osiyanasiyana. Kampaniyi ndiyotchuka ndi zinthu zapamwamba kwambiri, zimagwirizana ndi matekinoloje onse aposachedwa, chifukwa chake imawononga asidi wambiri.
Clarithromycin ndi analogue yotsika mtengo ya clacid, imapangidwa ndi opanga ku Russia, India ndi mayiko ena a East Europe. Malinga ndi akatswiri, chiopsezo chokhala ndi zinthu zotsika kwambiri m'maderawa ndizokwera.

Kutsiliza - ndibwino kusankha bwino, ngati zingatheke kuti wodwalayo apange mwayi wazachuma.

Mankhwalawa ali ndi mawonekedwe osiyana, komanso ali m'magulu osiyanasiyana a mankhwala.Zithandizo zakuchulukitsa kwa klacid ndizolimba, koma kachiwiri, zimatengera kuopsa kwa njira yotengera matendawa. Ndi pathologies zosavuta, amoxiclav imakwaniritsa zonse zofunikira, ndipo kawopsedwe kake ndizochepa.

Amoxiclav imasinthidwa kukhala yolimba milandu pomwe wodwala, mwachitsanzo, salola penicillin, kapena pali ziwopsezo ku clavulanic acid. Ngati dokotala akuwona kuti patsiku lachiwiri kuyambira chiyambi cha chithandizo, amoxiclav sichitha, mkhalidwe wodwalayo umakulirakulira, ndiye macrolide, kwa ife, clacid, ndi yoyenera ngati analog.

Zomwe mungasankhe klacid kapena amoxiclav - siyani ntchitoyi kwa katswiri, kudzipereka nokha ndi wowopsa thanzi!

Amoxiclav 500 mg + 125 mg 15 ma PC. mtengo pafupifupi ma ruble 400, mawu ake ndi oti mankhwalawa ndi otsika mtengo kuposa clacid.

Pali mikangano yambiri yokhudza maula. Pafupifupi theka la omwe adafunsidwa, kuphatikiza madokotala ndi odwala, amapereka ndemanga zabwino, pomwe ena amakhala ndi malingaliro olakwika.

Mwa zabwino, zotsatirazi zitha kudziwika: odwala ndi akatswiri amati mankhwalawa ndi othandiza kwambiri makamaka pakakumana ndi zovuta pamene maantibayotiki ena sanathandize. Mankhwalawa amachita mwachangu, zomwe zimapangitsa kuti matendawa athe kudwala matendawa amasowa tsiku loyamba kulowa.

Mankhwala osavomerezeka amabwera chifukwa chakuti mankhwalawa ndi ovuta kulekerera, ndipo ngakhale ndi chithandizo chochepa, zotsatira zoyipa zimayamba msanga. Zoipa izi ndizolimba kotero kuti wodwalayo amawadwala, ngati angachotse matenda. Odwala amayamba kumwa mapiritsi osiyanasiyana am'mutu, kutsegula m'mimba, chifuwa, ndi zina zambiri. Chithandizo chake chikuwonjezereka komanso kukhala okwera mtengo.

Palinso zodandaula zambiri kuti mankhwalawa ndi oopsa, ndipo mtengo wake sukhutira nthawi zonse.
Ndemanga zazokhudza analogues ndizosiyana. Monga tanena kale, mankhwala am'mankhwala am'magazi osiyanasiyana amatha kukhala ngati chithunzi cha clacid. Mwachilengedwe, ma penicillin amakhala ofooka komanso otsika mtengo. Cephalosporins sangagonjere ku gulu la macrolide.

Ngati wodwala wadwala zilonda zapakhosi, ndipo adamulembera mwachitsanzo, kuwonjezeredwa, ndiye kuti zinthu zitha kuchira msanga. Koma kodi ndizoyenera? Kugwiritsa ntchito mankhwala "ofooka" - penicillin ndikokwanira, ndipo zotsatira zake sizikhumudwitsanso wodwalayo.

Nthawi zina mabakiteriya amakokana ndi antibacterial wothandizila ena amapezeka. Odwala akudabwitsidwa kuti mankhwala amphamvu omwe adapangidwira adalembedwa, koma palibe nzeru. Zowonadi, nthawi zina zimachitika. Chifukwa chake, mtundu wapamwamba wamtunduwu ndi mankhwala aantiotic pambuyo pa bacteriosis. Tsoka ilo, zotsatira za kafukufuku ziyenera kudikira osachepera sabata, ndipo matendawa ayenera kuthandizidwa masiku ano ndi pano. Pano pali bwalo loipa kotero, mankhwala opha maantibayotiki nthawi zambiri amalembedwa mosazindikira.

Munkhani yathu, tidakumana ndi mankhwalawa Klacid. Dziwani zambiri za malo ake, zikuwonetsa, zotsutsana, zoyipa. Tidazindikira kuti ma analogu ndiotani, ndikuwapatsanso mankhwala ena.

Kuchokera kuzidziwitso zonse zomwe zaperekedwa, titha kunena kuti maantibayotiki ndi mankhwala akuluakulu omwe sangathe kuchiza, komanso kuvulaza thupi. Kuthana ndi matenda opatsirana mwachangu komanso mosatetezeka kungodziwa za dokotala ndi komwe kungathandize. Kusankha mlingo, nthawi ya chithandizo, ngati kuli koyenera, pezani analogue, iyi ndiyinso ntchito ya katswiri.

Pambuyo powerenga nkhaniyi, odwala ayenera kumvetsetsa bwino, timangopatsa chidziwitso chokhacho, osati chitsogozo chamankhwala. Kumbukirani, thupi la munthu aliyense ndiwopadera, kotero njira yothandizira mankhwalawo iyenera kukhala payokha. Zomwe zidathandiza mnansi Gale sizingakuthandizeni nthawi zonse. Khalani athanzi!

Ndipo pang'ono zinsinsi.

Ngati inu kapena mwana wanu mukudwala kawirikawiri ndipo mumalandira chithandizo chamankhwala othandizira nokha, dziwani kuti mumangochiza zotsatira zake, osati zomwe zimayambitsa.

Chifukwa chake mumangotaya ndalama kumakampani ogulitsa mafakitale ndi makampani azilimidwe ndipo mumadwala pafupipafupi.

DANDAULANI! zokwanira kudyetsa sizikudziwika kuti.Mukungofunika kukweza chitetezo chanu ndipo mumayiwala tanthauzo la kudwala!

Pali njira ya izi! Yotsimikizidwa ndi E. Malysheva, A. Myasnikov ndi owerenga athu! .

Clarithromycin ndi ma antiotic a gulu la macrolide. Amagwiritsidwa ntchito makamaka ngati etiotropic mankhwala a sinusitis, otitis media, omwe ali ndi sinusitis, matenda opatsirana a kupuma, omwe ali ndi angina komanso bakiteriya kutupa kwa maxillofacial dera. Mankhwalawa amathandizanso polimbana ndi matenda oyambitsidwa ndi Mycobacterium intracellulare ndi Mycobacterium avium. Malangizo ogwiritsira ntchito, analogi, ndemanga, zovuta za mankhwala, contraindication ndi zisonyezo pakugwiritsa ntchito kwake, komanso ngati angagwiritsidwe ntchito kwa ana ndikuyamwa komanso pakati - zonse zomwe zapezeka munkhaniyi zimaperekedwa ndi madokotala.

Mankhwala oyamba amatchedwa Klacid. Pa iye, pakadali pano pali makope pafupifupi 40 - zida zamagetsi. Sikovuta kulemba mankhwala a clarithromycin a Chilatini. Mu Chilatini, zikuwoneka motere:

Rp. Tab. Clarithromycini 0.25
D.t.d: Na. 10
S: piritsi limodzi kawiri patsiku, masiku asanu.

Amanena za antibacterial othandizira omwe ali ndi bacteriostatic action. Ili ndi zovuta zingapo.

Kuchokera ku gulu lomwe mankhwalawo ali, gulu la mankhwala ake limadalira. Kuphatikizika kwa mankhwalawa kumaphatikizapo 250 kapena 500 mg yogwira ntchito.

Clarithromycin sakupezeka mu ma ampoules, ndipo monga kuyimitsidwa, suppository, mafuta kapena kapisozi. Fomu yotulutsira mapiritsi okhaokha okhala ndi chipolopolo cha Opadry II, pomwe 250 ndi 500 mg pa chinthu chilichonse chitha kupezeka piritsi limodzi. Kugwiritsa ntchito mankhwalawo kukuwonetsedwa mkati.

Omwe amachokera ku mankhwalawa ndi awa:

wowuma mbatata
povidone
sodium lauryl sulfate,
MCC
Aerosil
pregelatinized wowuma
magnesium wakuba.

Ku Russia, imapangidwa ndikudzaza mu chithuza chokhala ndi zidutswa za mapiritsi 5. M'katoni imodzi yolondola kuchokera ku matuza awiri kapena awiri.

Kodi ndalama yacacithromycin imakhala ndalama zingati? Mtengo wake ndi wotsika mtengo kwambiri kuposa wa analogi. Kodi pali kusiyana kotani pamenepa? Kusiyana pamlingo wakuyeretsa kwamankhwala ndi wopanga. Mtengo wokwera kwambiri ndi mankhwala oyamba - Klacin. Mitundu yamagetsi ndi yotsika mtengo.

Mtengo wa phukusi limodzi la mapiritsi 10 a Clarithromycin ndi ofanana ndi ma ruble. Mankhwalawa atha kugulidwa ku malo ogulitsa mankhwalawa malinga ndi chithunzi ndi kufotokozera.

Zizindikiro zogwiritsidwa ntchito ndizonyamula ndi matenda omwe amayambitsa mawonekedwe onse a othandizira opatsirana pathupi. Chifukwa chiyani kapena chomwe chimathandiza, chimathandizidwa ndi chiyani? Momwe muyenera kukhalira mukamamwa mankhwala ndi njira ya makonzedwe, pamene njira yochizira mankhwalawa amachotsedwa m'thupi.

Mankhwala othandizira antibacterial amtunduwu amatengedwa ndi:

Njira zopatsirana zomwe zimayambitsidwa ndi Mycobacterium, chlamydia ndi ma virus ena opatsirana pogonana,
puritis komanso osadziwika otitis media ndi pachimake sinusitis,
pharyngitis yacute komanso yotupa, thonje, khansa, tracheitis, sinusitis,
chibayo popanda kutchula kachilombo,
bronchitis, onse pachimake kapena aakulu,
chikopa, chithupsa, mafuta amoto,
folliculitis.

Nolpase, Metronidazole, Amoxiclav, Azithromycin, Deilide, Vilprafen, Zentiva, Amoxicillin, Klacid ndi ma syncms ena othandizira antibacterial angagwiritsidwenso ntchito ngati mankhwala a matenda. Ndi maantibayotiki omwe angakhale abwinoko kwa wodwala winawake amadziwika ndi chidwi cha tizilomboti. Mankhwala onsewa siofanana. Ndipo madokotala amayenera kusankha chithandizo choyenera cha wodwala wina.

Mwachitsanzo, mankhwala a gulu lomwelo a Erythromycin ali ndi vuto lalikulu kwambiri loletsa (MIC) poyerekeza ndi Clarithromycin (Erythromycin amafunikira kawiri kuti aletse kukula kwa bakiteriya).

Clarithromycin Teva ndi chopanga chopanga cha macrolide chochokera ku erythromycin. Ili ndi mitundu yambiri yochitira. Kapangidwe kake ndikuti mankhwalawo amalepheretsa kaphatikizidwe ka mapuloteni chifukwa chomangira mabakiteriya atulutsira ma 50s subunit. Imapha ndikulepheretsa kukula kwa zonse za aerobic ndi anaerobic gram zabwino, zopanda gram.

Madzi okhazikika a Refithromycin m'magazi amapitilira maola 12. Tear ya Clarithromycin ili ndi 250 mg yogwira ntchito. Zomwe amachiritsa zimafanana ndi mtundu wosavuta wa clarithromycin.

Clarithromycin monga chinthu amachititsidwa atadutsa chiwindi. Metabolite yake ya 14-hydroxy ili ndi antimicrobial. Kutengera ndi izi, ndikofunikira kudziwa momwe angapangire mankhwala oyenera kuti akwaniritse bwino.

Musanadye kapena mutatha kumwa mapiritsi?

Ndikofunika kuti musamwe mankhwalawo nthawi yomweyo monga ena asanadye. Izi zimachepetsa kwambiri bioavailability ndikuchepetsa kuyamwa kwa mankhwalawo komanso ndende yake. Ndipo momwe chakudya chimabweretsera ndikuchiza matenda sizigwirizana.

Kugwiritsa ntchito ndi ureaplasma, sinusitis, gastritis, mlingo wa chlamydia

Mankhwala Clarithromycin amagwiritsidwa ntchito ngati ureaplasma, prostatitis, cystitis, chlamydia ndi matenda ena amkodzo. Ndi mankhwala enieni osagwirizana ndi chlamydia, chifukwa amatha kulowa ndikuchita mwachidwi.

Mlingo waukulu: 500 mg kawiri pa tsiku kwa akulu azaka zopitilira 18. Nthawi ya makonzedwe amayambira masiku 7 mpaka 10, kutengera ntchito ya matendawa.

Ndikofunika kuphatikiza kutenga Clarithromycin ndi kugwiritsa ntchito madzi amchere kuti muchepetse kuwopsa kwa mankhwalawa impso.

Pa nthawi yoyembekezera, yoyamwitsa

Mankhwala sinafotokozedwe mu trimester yoyamba ya kutenga pakati. Ndipo ngati mayi amene wabereka mwana ayamwitsa ndipo amathandizidwa ndi antibacterial, kuyamwitsa kumatsutsana. Kudyetsa kuyenera kupewedwa kwa masiku asanu pamene Clarithromycin amatengedwa ndikuphatikiza tsiku kuti amalize mthupi.

Mankhwalawa amadziwikiritsa kwa anthu omwe ali ndi matenda osachiritsika a chiwindi ndi impso, ndiye kuti, aimpso ndi / kapena kulephera kwa chiwindi.

Zopanda malire kwenikweni ndi:

Hypersensitivity pazinthu zina zilizonse za mankhwala,
porphyria
trimester yoyamba ya mimba
nthawi yoyamwitsa.

Simungatenge chisapride, pimozide, terfenadine nthawi yomweyo mongacacithromycin.

Pofuna kupewa zovuta za mankhwalawa pazomera zomwe zimawonongeka kale ndi zilonda zam'mimba, zilonda zam'mimba komanso zilonda zam'mimba, Omeprazole (proton pump inhibitor) amatengedwa nthawi yomweyo Clarithromycin, muthanso kumwa DeNol kapena m'malo mwake. Omez ndi Omeprazole ndi mayina amalonda pazomwe zimagwiritsidwa ntchito, kusiyana pakati pa mankhwalawa ndi kochepa.

Komanso, anthu omwe sagwirizana ndi mankhwala aliwonse omwe amagwiritsidwa ntchito pokonzekera sayenera kumwa Clarithromycin. Zotsatira zoyipa zimaphatikizapo hepato- ndi nephrotoxicity.

Amoxiclav ndi Clarithromycin onse ndi oyimira gulu la antibacterial. Amakhala ndi zotsatila zomwezi. Chifukwa chake, kugwiritsa ntchito mitundu iwiriyi sikuti sikungathandize kuti antibacterial akhale bwino, koma kumapangitsa kuchuluka kwa zovuta zoyipa. Mutha kuzitenga nthawi imodzi, koma izi zikuyenera kuchitika mosamala kwambiri. Pankhaniyi, kuwawa mkamwa kumatha kuwoneka. Ndichite chiyani? Chifukwa chake ndikuchotsa maantibayotiki owonjezera.

Monga mankhwala aliwonse odana ndi maantibayotiki, Clarithromycin sayenera kugwiritsidwa ntchito ndi mowa. Popeza pamenepa, ethanol yokonzedwa imakhudza kwambiri chiwindi.Ndipo popeza mankhwalawo amatha kudutsa hepatocytes, kutsetsereka kwa mowa kumabweretsa kuwonongera kwa chinthucho komanso kupweteka kwake. Osamwa mowa ndikuyang'ana kuti mugwirizane ndi mankhwala. Kenako mankhwalawa (mowa) sangakhudze nthawi yomwe amapezeka mankhwalawa, omwe amakhala ndi tsiku.

M'matenda a ziwalo za ENT ndi bronchi, magulu anayi akuluakulu a maantibayotiki amagwiritsidwa ntchito. Awa ndi ma penicillin, cephalosporins, macrolides ndi fluoroquinolones. Ndiwosavuta chifukwa amapezeka m'mapiritsi ndi makapisozi, ndiko kuti, pakumwa pakamwa, ndipo atha kutengedwa kunyumba. Iliyonse mwa magulu omwe ali ndi mawonekedwe ake, koma pa maantibayotiki onse pamakhala malamulo ovomerezeka omwe akuyenera kutsatiridwa.

Maantibayotiki amayenera kutumizidwa ndi adokotala kuti azindikire zina. Kusankha kwa maantibayotiki kumatengera mtundu komanso kuuma kwa matendawo, komanso mankhwalawa omwe wodwala adalandira kale.
Maantibayotiki sayenera kugwiritsidwa ntchito pochiza matenda a virus.
Kugwiritsa ntchito kwa antibayotiki kumawunikiridwa m'masiku atatu oyambilira. Ngati maantibayotiki agwira bwino ntchito, simuyenera kusokoneza njira ya mankhwalawa nthawi isanakwane ndi dokotala. Ngati maantibayotiki sangathe (Zizindikiro za matendawa sizingafanane, kutentha kumatentha), dziwitsani dokotala. Ndi madokotala okha omwe amasankha m'malo mwa mankhwala oletsa antimicrobial.
Zotsatira zoyipa (monga. Nthawi zambiri, kungosintha mlingo wa mankhwalawo kapena kuwonjezereka kwa mankhwala omwe amachepetsa mavuto kumakhala kokwanira. Njira zothetsera mavuto zimatsimikiziridwa ndi adokotala.
Zotsatira za kumwa maantibayotiki zimatha kukhala kutulutsa m'mimba. Ngati muli ndi zikumba zambiri zotayikira, pitani kuchipatala msanga. Musayesere kuchiza matenda am'mimba oyamba chifukwa chmwa mankhwalawo.
Musamachepetse mlingo womwe dokotala wakupatsani. Mlingo wochepa wa maantibayotiki amatha kukhala owopsa, chifukwa akatha kugwiritsa ntchito pali kuthekera kwakukulu kwa mabakiteriya osagwira.
Mosamala kwambiri nthawi yakumwa maantibayotiki - kuchuluka kwa mankhwalawa m'magazi kuyenera kusamalidwa.
Maantibayotiki ena amayenera kumwedwa musanadye, ena atatha. Kupanda kutero, amatengeka kwambiri, kotero onetsetsani kuti mwayang'ana ndi dokotala izi.

Zowonetsa: Ma anti-sipekitiramu ambiri. Amagwiritsidwa ntchito kwambiri mu intramuscularly komanso intravenly kwa chibayo komanso matenda ena ambiri opereshoni, urology, gynecology. Mwa mankhwala opaka pakamwa, nthawi yokhazikika yomwe imagwiritsidwa ntchito tsopano.

Zotsatira zoyipa kwambiri:

Chachikulu contraindication: munthu tsankho.

Zowawa
Kuchulukirachulukira kwa matenda a mamiliyoni ambiri
Pachimake otitis media
Sinusitis
Kuchulukitsa kwa matenda osakhazikika
Chibayo chopezeka pagulu
Kutentha thupi
Matenda a pakhungu
Acute cystitis, pyelonephritis ndi matenda ena

Mawonekedwe: maantibayotiki ocheperako poizoni.

Zotsatira zoyipa kwambiri:

Chachikulu contraindication: munthu tsankho.

Amoxicillin DS (Mekofar Chemical-Pharmaceutical)

Flemoklav Solutab (Astellas)

Matenda a Mycoplasma ndi chlamydia (bronchitis, chibayo mwa anthu opitirira zaka 5)
Zowawa
Kuchulukirachulukira kwa matenda a mamiliyoni ambiri
Pachimake otitis media
Sinusitis
Kuchulukitsa kwa matenda osakhazikika
Kuthokomola

Mawonekedwe: maantibayotiki, omwe amagwiritsidwa ntchito makamaka ngati mapiritsi ndi kuyimitsidwa. Chitani pang'onopang'ono kuposa maantibayotiki a magulu ena. Izi ndichifukwa choti macrolides samapha mabakiteriya, koma siyani kubereka kwawo. Si kawirikawiri zomwe zimayambitsa chifuwa.

Zotsatira zoyipa kwambiri: thupi limagwirira, kupweteka komanso kusasangalala pamimba, nseru, m'mimba.

Chachikulu contraindication: munthu tsankho.

Clubax OD (Ranbaxi)

Sever otitis externa
Sinusitis
Kuchulukitsa kwa matenda osakhazikika
Chibayo chopezeka pagulu
Kamwazi
Salmonellosis
Cystitis, pyelonephritis
Adnexitis
Chlamydia ndi matenda ena

Mawonekedwe: maantibayotiki amphamvu, omwe nthawi zambiri amagwiritsidwa ntchito pa matenda oopsa. Amatha kusokoneza mapangidwe a cartilage, chifukwa chake amakhala ophatikizika mwa ana ndi amayi oyembekezera.

Zotsatira zoyipa zomwe zimachitika: kuthana ndi matendawa, kupweteka kwa ma tendon, minyewa ndi mafupa, kupweteka komanso kusamva bwino m'mimba, nseru, kutsegula m'mimba, kugona, chizungulire, chidwi chochulukirapo cha misewu ya ultraviolet.

Chachikulu contraindication: munthu tsankho, pakati, kuyamwitsa, zaka mpaka 18.

(Mustafa Nevzat Ilach Sana'i)

Kumbukirani kuti, kudzipereka nokha ndiwopseza, funsani dokotala kuti akuuzeni malangizo a mankhwalawa.

Kusankha koyenera kwa mankhwalawa kuyenera kuchitidwa ndi adotolo, koma pokambirana moyenera ndi ogwira ntchito kuchipatala sichingakhale chopanda pake kudziwa za mawonekedwe a antibacterial othandizira amakono.

Maantibayotiki onse amagawidwa m'magulu osiyanasiyana, iliyonse yomwe ili ndi mawonekedwe ake ndi njira zake polimbikitsira microflora ya pathogenic. Magulu ena amakhala ndi vuto lochepa, lomwe nthawi zambiri silimalumikizana ndi zotsatira zoyipa, pomwe ena amakhala ndi zotsatira zochizira, koma zowononga thanzi, chifukwa chake sangathe kugwiritsidwa ntchito pochiritsa ana.

Awa ndi mankhwala amakono omwe amakhudza thupi. Kuchita kwa macrolides cholinga chake kupondereza kuphatikizira kwa mapuloteni mu tizilombo tating'onoting'ono, kotero kuti amalephera kubereka.

Mphamvu ya bacteriostatic ndi bactericidal ya mankhwala ena a gululi amalola kuchepetsa antioxotic masiku atatu.

Izi ndizofunikira kwambiri pochiza matenda a bronchitis ana, chifukwa maantibayotiki amatha kuwononga thupi. Ena mwa mankhwala omwe amakonda kwambiri ndi awa:

Clarithromycin (mapiritsi, makapisozi), ndi am'badwo wachiwiri wama macrolides ndipo amakhala ndi zochita zambiri. Kugwiritsa ntchito motsutsana: streptococci, staphylococci, hemophilic bacillus, neisseria, legionella, mycoplasma, chlamydia, moraxella. Mankhwalawa angagwiritsidwe ntchito pochiza matenda a bronchitis mwa akulu ndi ana. Kwa munthu wamkulu, mlingo wa tsiku ndi tsiku wa clarithromycin ndi 500 mg, womwe umatha kutengedwa onse kamodzi kapena kugawidwa pawiri. Njira yonse ya chithandizo sayenera kupitirira masiku 14. Kwa ana, kuwerengera kwa mankhwalawa kuyenera kuchitika malinga ndi chiwembu: 7.5 mg ya mankhwalawa pa 1 kg ya kulemera kwa thupi. Osatenga masiku opitilira 10,
Klacid (mapiritsi, ufa woyimitsidwa) amatanthauza mankhwala opangira theka. Imagwira pakulimbana ndi tizilombo tating'ono tambiri, ngakhale omwe amatha kubisa beta-lactamase. Kwa ana, klacid mu ufa angagwiritsidwe ntchito kukonza kuyimitsidwa. Mankhwala okonzedwera amatha kusungidwa mufiriji osapitilira milungu iwiri, ndipo clacid imatha kuperekedwa ndi mkaka, womwe ndi wofunikira kwambiri makamaka pochiza ana. Mlingo wa mankhwalawa amawerengedwa poyerekeza ndi kulemera kwa thupi: 7.5 mg pa 1 kg ya kulemera. Mankhwalawa sayenera kupitirira masiku 10. Kwa akulu, mapiritsi kapena jakisoni ndi mankhwala. Mlingo wa tsiku ndi tsiku wovundikira wambiri sayenera kupitirira 500 mg / tsiku,

Erythromycin (mapiritsi) ndi mankhwala osokoneza bongo omwe amawononga mwachangu tizilombo monga: staphylococcus, streptococcus, neisseria, hemophilic bacillus, legionella, mycoplasma, chlamydia. Mankhwalawa amagwiritsidwa ntchito pochiza ana chibadwire. Makanda obadwa kumene amapatsidwa kudzutsidwa pa kilogalamu imodzi ya kulemera 1 pa tsiku. Ana kuyambira miyezi 4 mg pa 1 makilogalamu kulemera katatu pa tsiku. Mlingo wa erythromycin kwa munthu wamkulu ndi mg pa nthawi.

Maantibayotiki omwe ali mgululi amapatsidwa mankhwala ochulukirapo kuposa ena onse. Izi ndichifukwa cha chidziwitso chawo ndikuchita bwino.Zotsatira zakuchiritsira zamafuta awa zimakhazikika pa kuthekera koteteza ma kaphatikizidwe ka cell bacteria. Ma penicillin amapangidwa kuchokera ku zinthu zachilengedwe, monga bowa, nkhungu, etc., koma nthawi zina amatha kusinthidwa pang'ono labotale kuti azitha kugwira bwino ntchito. Ma penicillin amenewa amatchedwa aumboni.

Zochita za penicillin zimangotengera tizilombo tating'onoting'ono tomwe timayambitsa matenda, chifukwa chake, zachilengedwe zamunthu wachilengedwe nthawi ya mankhwala sizivuta.

Choipa cha gululi ndikupanga pafupipafupi zotsatira zoyipa:

Amoxil (mapiritsi) amatanthauza mankhwala omwe ali ndi zochita zambiri, zomwe zimagwira motsutsana ndi mabakiteriya onse omwe amachititsa kuti bronchi ikhale yotupa. Amoxil samachita zinthu zomwe zimapanga penicillinase. Kwa ana ochepera zaka ziwiri, muyezo umodzi wa 30 mg pa 1 makilogalamu kulemera kwake, kuyambira 2 mpaka 5 - 125 mg, kuyambira 5 mpaka 10 - 250 mg. Mlingo wa tsiku ndi tsiku wa munthu wamkulu ndi 500 mg, koma utha kuwonjezeka mpaka 1 g,
Ampicillin (mapiritsi, granles, makapisozi, ufa) ndi mankhwala opangidwa ndi theka. Ili ndi zochitika zingapo, chifukwa chomwe imagwirira ntchito motsutsana ndi: staphylococci (kupatula omwe amapanga penicillinase), streptococci, enterococci, listeria, neisseria. Osagwiritsa ntchito ma bacteria opanga beta-lactamase. Mlingo wa ampicillin umayikidwa payekhapayekha, koma mlingo umodzi wa akulu suyenera kupitirira 500 mg, komanso kwa ana olemera 20 kg - 25 mg,
Amoxicillin (mapiritsi, granules, makapisozi) amatanthauza mankhwala ena opanga omwe ali ndi asidi wokana. Chithunzithunzi chochulukirapo chimapangitsa kuti chithandizire kuthana ndi tizilombo tambiri, kupatula omwe amatulutsa penicillinase. Zochizira ana osaposa zaka 10, ziyenera kugwiritsidwa ntchito mosamala kwambiri komanso ngati kuyimitsidwa. Mlingo: osachepera zaka 2 - 20 mg pa kilogalamu imodzi ya kulemera, zaka 2-5 - 2,5 ml panthawi, zaka 5 - 5 ml - 5 ml nthawi. Mlingo wovomerezeka wa akulu mg 3 pa tsiku,
Augmentin (mapiritsi, ufa) amakhala ndi clavulanic acid, chifukwa amayamba kugwira ntchito motsutsana ndi mabakiteriya popanga beta-lactamase. Chifukwa chake, Augmentin wokhala ndi bronchitis amatchulidwa nthawi zambiri kuposa ma penicillin ena. Mlingo wa mankhwalawa umaperekedwa potengera momwe thupi limayendera komanso matendawa. Kuti mukwaniritse zochizira zambiri, Augmentin ayenera kumwedwa kwa masiku osachepera asanu, koma njira yodziwika bwino yamankhwala sayenera kupitirira masabata awiri,

Maantibayotiki a Fluoroquinolone ali ndi mphamvu, omwe amakana bactericidal. Mankhwala a gululi amalepheretsa bakiteriya wa DNA gyrase komanso amalepheretsa mapuloteni amtundu wa pathogenic. Fluoroquinolone antibacterial othandizira akugwira ntchito motsutsana ndi mabakiteriya omwe amapanga beta-lactamase.

Maantibayotiki a gululi ali ndi zovuta zambiri, komanso zowononga thanzi lanu. Fluoroquinolones nthawi zambiri imayambitsa kuphwanya matumbo microflora, yomwe imadziwonetsa yokha mu dysbiosis.

Tsifran (mapiritsi, yankho) sololedwa kupatsa ana, amayi apakati ndi oyamwitsa. Zimakhala zovulaza kuchuluka kwa mabakiteriya, koma zimakhala ndi zovuta zingapo zoyipa. Mlingo wa tsifran umayang'aniridwa mosiyanasiyana, koma kutalika kwa maphunzirowa sikuyenera kupitirira masiku 30,

Cyprolet (mapiritsi, yankho) yoletsedwa kwa amayi apakati ndi oyamwitsa, sayenera kuperekedwa kwa ana. Mankhwalawa amawononga mabakiteriya ambiri omwe amayambitsa matenda a bronchitis, koma amakwiya mthupi. Chifukwa chake, amalembedwa pokhapokha ngati pakufunika kuchitapo kanthu mwachangu. Mlingo wa ciprolet umasankhidwa mosiyanasiyana, ndipo nthawi yayitali ya mankhwala sayenera kupitirira masiku 10,
Ciprofloxacin (mapiritsi, yankho) sayenera kumwedwa ndi ana, amayi oyembekezera komanso oyembekezera.Amagwira kwambiri motsutsana ndi hemophilic bacillus, shigella, salmonella, neisseria, mycoplasma, staphylococcus, enterococcus, chlamydia. Nthawi zambiri zimayambitsa kukhumudwa. Mlingo wa ciprofloxacin umayikidwa payekha, koma kuchuluka kokwanira tsiku lililonse sikuyenera kupitirira 1.5 g,

Mankhwala a antibacterial a Cephalosporin ali ndi zochitika zambiri komanso poizoni wambiri.

Kuwonongeka kwa tizilombo toyambitsa matenda kumachitika mwa kuwononga maselo a membrane wawo, omwe amapereka mofulumira mukatha kumwa mankhwalawa. Mankhwala othandizira a Cephalosporin amagawika m'magulu atatu, pomwe omaliza, m'badwo wachitatu, amakhala ndi zipatso zochulukirapo. Maantibayotiki omwe ali mgululi ali ndi zovuta zochepa zoyipa.

Cephalexin (mapiritsi, granles, makapisozi) amatha kuthandizidwa kuti athandize ana aang'ono, oyembekezera komanso othira mkaka. Koma chithandizo chikuyenera kuchitika moyang'aniridwa ndi madokotala. Cephalexin ndi m'badwo woyamba, koma umaloledwa bwino ndi thupi ndipo umachotsedwa osasinthika. Mlingo wa makanda sayenera kupitilira 1 mg wa kulemera kanayi pa tsiku, ndipo kwa akulu - 500 mg osachepera maola 6 aliwonse,

Cefazolin ndi gulu loyamba la mankhwala omwe amabwera mu mawonekedwe a ufa kuti apange jekeseni wothandizira. Itha kulembedwa kwa ana kuyambira mwezi umodzi, koma imayikidwa mwa amayi apakati. Zotsatira zoyipa zimayamba nthawi zina ndipo zimachitika mosavuta. Mlingo wa cefazolin ndi mankhwala, koma mankhwalawa sayenera kupitirira masiku 10,
Suprax (granules ndi makapisozi) angagwiritsidwe ntchito pochiritsa ana komanso panthawi yapakati. Mankhwalawa ndi a m'badwo wachitatu, chifukwa chake amaloledwa mosavuta ndi thupi ndipo sikuti amayambitsa mavuto. Zochizira ana kuyambira miyezi isanu ndi umodzi mpaka zaka 12, tikulimbikitsidwa kugwiritsa ntchito kuyimitsidwa, ndipo mlingo wake ndi 8 mg pa kilogalamu imodzi ya kulemera kamodzi pa maola 24 aliwonse. Akuluakulu, Suprax amayikidwa 400 mg maola 24 aliwonse,

Maantibayotiki am'magulu ena samatchulidwa, koma pazochitika zina (mwachitsanzo, tsankho pamagulu ena) zitha kugwiritsidwa ntchito:

Lincomycin (makapisozi, yankho) amatanthauza gulu la linkosamide, lomwe limalepheretsa kuphatikizika kwa mapuloteni m'maselo a bakiteriya. Imagwira polimbana ndi mabakiteriya a staphylococcus, streptococcus, ndi anaerobic. Itha kuperekedwa kwa ana kuyambira mwezi umodzi, popeza sizikhudza m'mimba microflora yamatumbo. Mlingo wa lincomycin wa ana ochepera zaka 14 mg mg pa 1 makilogalamu kulemera kwa munthu wamkulu - 500 mg mpaka 4 pa tsiku,
Doxycycline (makapisozi) ndi mankhwala othana ndi tetracycline gulu, lomwe silikulimbikitsidwa kwa ana, amayi oyembekezera komanso oyembekezera. Kuchita kwa mankhwalawa kumadalira kuponderezedwa kwa mapuloteni a cell ya bakiteriya ndikuphwanya ntchito zake zina. Ambiri mabakiteriya okhala ndi gramu-gramu komanso gram alibe chidwi ndi doxycycline. Mankhwala amakhala ofatsa ndipo mwina sasokoneza matumbo a microflora. Doxycycline ingagwiritsidwe ntchito kuyambira zaka 12, ndipo mlingo wake watsiku lililonse sayenera kupitirira 200 mg,

Bioparox ndi antibacterial aerosol yogwira fusafugine. Ili ndi mphamvu yotsutsana ndi streptococci, staphylococci, neisseria, mycoplasma. Itha kugwiritsidwa ntchito kwa ana kuyambira zaka 2,5. Bioparox ndi mankhwala chifukwa cha bronchitis matenda monga laryngitis, pharyngitis, tracheitis, etc.

Wothandizira aliyense wa antibacterial amayenera kutumizidwa ndi dokotala yekha yemwe wazindikira bwino momwe wodwalayo alili. Kudzipatsa nokha mankhwala kapena kulandira mankhwala osokoneza bongo popanda kufufuza koyambirira ndikuwunikira kungapangitse kudwala kapena kufalikira kwa mawonekedwe osakhazikika.

Zambiri zomwe zaperekedwa patsamba lino ndizongowerenga. Osadzisilira. Pa chizindikiro choyamba cha matenda, funsani dokotala. Chiyanjano chogwira ntchito chimafunikira mukamawerenga.

Ndikofunika kudziwa kuti ampicillin ndi amoxicillin, omwe ali ofanana kapangidwe kake, ziwalo zawo zimawonongeka m'thupi la munthu. Kuwonongeka konseku kumachitika mothandizidwa ndi penicillinase enzyme.

Mankhwala amangoperekedwa ndi adokotala. Pazaka 2, ndikofunikira kugwiritsa ntchito 20 mg pa mankhwalawa, makamaka pa kilogalamu imodzi ya kulemera kwa thupi la munthu, mlingo patsiku. Pa mlingo umodzi, izi ndi zochuluka, kotero mlingo umagawika katatu tsiku lililonse.

Dziwani kuti kwa akhanda, mankhwalawa amayikidwa payekhapayekha, kotero dokotala amafotokozera momwe amamwa amoxicillin pakadali pano.

Amoxicillin wa sinusitis angagwiritsidwe ntchito pazaka 5 mpaka 10. Chonde dziwani kuti mulingo wa amoxicillin sayenera kupitilira 250 mg. Kuti mumveke bwino, izi ndi pafupifupi 1 scoop ya kuyimitsidwa, kumwa katatu patsiku, mutamwa mankhwalawa, kumwa madzi kuti mukhale osavuta kumeza kuyimitsidwa.

Paukalamba, ndi sinusitis, amoxicillin iyi imatha kuledzera mwa mapiritsi kapena mapiritsi.

Mwa contraindication akuti: hay fever, bronchial mphumu, siyingatengedwe ndi kulephera kwa aimpso.

Kuphatikiza apo, mankhwalawa sagwiritsidwa ntchito pochiza matenda a mononucleosis kapena pa mkaka wa m`mawere.

Mndandanda wazotsatira zake ndizambiri, motero muyenera kudziwa masiku angati omwe mumamwa, momwe mungatenge amoxicillin muubwana ndi ukalamba kuti mupewe zovuta zotsatirazi.

Thupi lawo siligwirizana, dysbiosis, nseru, chizungulire nthawi zambiri zimachitika kapena zotsatira zoyipa za chapakati mantha dongosolo.

Mankhwala enieni amatha kubwera m'njira zingapo. Makapisozi, mu phukusi limodzi ali ndi zidutswa 16, pomwe kapisozi palokha imakhala ndi 250 mg. Fomu yachiwiri yotulutsira mankhwalawa imapezekanso mu kapisozi kapamwamba, koma kokha ndi mlingo wa 500 mg. Fomu yachitatu imawonetsedwa mu mawonekedwe a granules. Ali m'mabotolo, mtsogolomo ndikofunikira kukonzekera kuyimitsidwa kuchokera kumagulu.

Dziwani kuti mtundu uliwonse wamankhwala ndi wongogwiritsa ntchito mkati kokha.

Si wodwala aliyense amene amaloleza mankhwalawa. Chifukwa chake, madotolo amatha kuyambitsa analogi. Mwachitsanzo, augmentin, mankhwalawa ndi mawonekedwe analogue a Amoxicillin.

Mtengo wa augmentin ndi wocheperako kuposa mankhwala Amoxicillin, pafupifupi ma ruble 150. Ndizofunikira kudziwa kuti ngakhale augmentin ali ndi zisonyezo zomwe amagwiritsidwa ntchito, ndizosiyana pang'ono mu contraindication. Augmentin sinafotokozedwe chifukwa cha matupi awo sagwirizana ndi mankhwala a cephalosporins, opatsirana mononucleosis, komanso chiwindi ntchito.

Yankho la funso, kodi ndi chiyani chomwe chiri Augmentin kapena Amoxicillin? Ndi dokotala yekha yemwe angayankhe. Kupatula apo, mankhwalawa amadziwitsidwa molingana ndi kuuma kwa matendawa, komanso kutengera zaka za wodwalayo.

Analogue yabwino yachiwiri ndi ciprolet. Amasiyana osati mu kapangidwe ka chikoka, komanso kapangidwe kofunikira. Nthawi zambiri, ciprolet imalembedwa kwa akulu. Ciprolet ikhoza kugulidwa ngati piritsi, yankho, kapena madontho amaso. Njira ya ciprolet imakhala ndi zochita zowoneka bwino, ngakhale ndizotsika mtengo zochepa. Mapiritsi angagwiritsidwe ntchito pochiza matenda akuluakulu a sinusitis, rhinitis kapena chifuwa cha matumbo. Kuphatikiza apo, njira zamkati zotupa mu chikhodzodzo, kuwonongeka kwa khungu, komanso mawonekedwe a purulent a minofu yolumikizidwa amadziwika kuchokera kuzowonetsa.

Amoxiclav ndizofanizira zamankhwala, pokhapokha ndizopanga. Mankhwalawa, amakhalanso ndi amoxicillin chinthu chokhala ndi clavulanic acid. Chifukwa chake, ili ndi mawonekedwe owoneka bwino owonekera mthupi la munthu. Ndikofunikanso kuzindikira mtundu wina wa mankhwalawo, uku ndi kugwiritsa ntchito mankhwalawa amoxicillin, mwachindunji ndi clavulanic acid.

Kukonzekera kwa Amoxicillin ndi clavulanic acid ndi mankhwala ambiri.Mapiritsi amatha kuledzera ndi sinusitis, otitis media, komanso ndi osteomyelitis kapena matenda a pakhungu. Am amoillillin yokhala ndi clavulanic acid imaperekedwanso monga prophylaxis yopatsira matenda opaleshoni. Amoxicillin wokhala ndi asidi aclavulanic amatha kugwiritsidwa ntchito kuyambira miyezi itatu. Mlingo waukulu pazaka izi amawerengedwa pa 25 mg / kg / tsiku.

Ndizofunikira kudziwa kuti paukalamba, mankhwalawa amadziwitsidwa muyezo waukulu.

Ponena za Amoxicillin, kusiyana kwakukulu kudzakhala pazisonyezo ndi mavuto. Chonde dziwani kuti Amoxiclav ndi wokwera mtengo kwambiri kuposa mankhwala enieni.

Clarithromycin imatha kubwera m'njira zingapo. Mwachitsanzo, mu mawonekedwe a mapiritsi kapena makapisozi. Chomwe chimagwiritsidwa ntchito kwambiri mankhwalawo ndichowona.

Mankhwala ndi mankhwala a chapamwamba kupuma thirakiti, mwachitsanzo, chimfine, sinusitis, angagwiritsidwenso ntchito pa matenda a mycobacterial matenda kapena chapamimba chilonda. Kodi kuposa bwino hlalithromycin? Itha kugwiritsidwa ntchito muubwana (woposa zaka 12). Malinga ndi zowerengera, zidadziwika kuti ufafanuzi wa syithromycin sachititsa kuti pakhale zovuta, mosiyana ndi chithandizo chomwe chimatchulidwa kapena amoxicillin.

Koma kodi kwenikweni kumatanthauza chiyani kusankha inu? Dokotala akhoza kukuthandizani pankhaniyi, yemwe adzaphunzira bwino mbiri yanu ya zamankhwala ndikupeza zofunikira zonse zoyesedwa. Kupatula apo, si aliyense amene amadziwitsidwa kuti ndi mtundu wacacithromycin, Amoxicillin kapena Sumamed, komanso mitundu ina ya mankhwala.

Chonde dziwani, talemba mndandanda wambiri wa mankhwalawa, momwe angakuthandizireni, dokotala yekha ndi amene angakuuzeni. Kwa wodwala aliyense, mankhwala awo amasankhidwa.

Amoxicillin kapena ampicillin, muyenera kusankha chiyani? Chifukwa chiyani tidalemba "FAMOUS". Chowonadi ndi chakuti, ambiri mwa fanizo, madokotala amakonda kupereka mankhwala ampicillin. Awa ndi mankhwala owoneka bwino omwe angagwiritsidwe ntchito osati ngati chithandizo cha matenda a ENT.

Nthawi zambiri amatanthauza njira yothetsera matenda a genitourinary system, m'mimba, matenda ammimba komanso matenda a pakhungu.

Chonde dziwani kuti malangizowo sanena momwe angatengere ubwana. Popeza mankhwalawa amayikidwa payekhapayekha. Dotolo sayenera kungodziwa yekha za mwanayo, komanso kudziwa kuopsa kwa zovuta komanso kusankha mlingo woyenera wa mankhwalawo.

Amawononga ndalama kuchokera ku ruble 89 mpaka 143, kutengera mtundu wa ndalamazo. Pewani kufikira ana. Moyo wa alumali wa ma CD osapanganika ndi zaka ziwiri.

Dokotala akapereka mankhwala opha tizilombo, amasankha mankhwala othandiza kwambiri komanso otetezeka a matenda enaake. Komabe, odwala nthawi zambiri amafunsa funso kuti "Chiti ndi chiyani: Klacid kapena Augmentin?" Nthawi zina amafunsa kuti afotokoze kusiyana pakati pa ma antibacterial.

Maantibayotiki ndi mankhwala omwe amapha mabakiteriya. Amagwiritsidwa ntchito pa matenda ambiri omwe amayambitsidwa ndi tizilombo tating'onoting'ono iti.

Ma antibacterial ali m'magulu osiyanasiyana. Zomwe zimagwiritsidwa ntchito kwambiri ndi izi:

Gulu lirilonse la mankhwala limakhala ndi mawonekedwe ake ochita. Nthawi zambiri, imakhala yotalikirapo ndipo imaphatikizapo mabakiteriya omwe alibe gramu komanso gram.

Nthawi zambiri, madokotala amatipatsa mankhwala kuchokera ku gulu la penicillin ndi macrolides - mwachitsanzo, amoxicyclav (Augmentin) ndi clarithromycin (Klacid).

Ngakhale kuti chiwonetsero cha zochita za mankhwalawa ndi chofanana, pali zosiyana pakati pawo. Kuphatikiza apo, amalekeredwa mosiyanasiyana ndipo ali ndi mndandanda wazotsatira zoyipa.

Ndi mawonekedwe awa omwe amawongolera katswiri yemwe amapereka mankhwala awa kapena antiotic.

Kuti mumvetsetse zomwe dokotala akuchita, muyenera kupereka mawonekedwe ndi contraindication kuti mupatsidwe mankhwala ena ake, komanso mphamvu zake, kagayidwe kachakudya ndi njira yotulutsira mankhwala.

Mwina mankhwala odziwika bwino kwambiri kuchokera ku gulu la penicillin ndi Augmentin. Ndikulimbikitsidwa ndi akatswiri azachipatala komanso madokotala a ana, madokotala othandizira odwala matenda am'mimba ndi akatswiri azachipatala, ma urologist.

Mankhwala othana ndi mankhwalawa amagwiritsidwa ntchito bwino pochiza amayi apakati komanso amayi oyamwitsa. Gulu ili la odwala ali ndi malire omwe angagwiritse ntchito, komabe, Augmentin ndi mankhwala osankhidwa kwa iwo.

Kutchuka kwa maantibayotiki kumayenderana ndi zinthu zingapo:

Kugwiritsa ntchito kwambiri kwa mankhwalawa.
Kuyambitsa mwachangu.
Kugwiritsa ntchito mosavuta.
Kulekerera kwabwino.
Jekeseni ndi mitundu ya piritsi.
Kuthekera kwa ntchito muubwana.
Kanani ndi beta-lactamases.

Popeza penicillin adagwiritsidwa ntchito pazachipatala kwa nthawi yayitali, mabakiteriya ambiri adayamba kuwateteza. Ena atenga kukana, zomwe zimawapangitsa kuti asagwidwe ndi mabakiteriya omwe ali ndi maantibayotiki. Ndipo ena amatulutsa zinthu zapadera - ma enzyme omwe amatha kuwononga ndikuyambitsa mankhwalawo. Amatchedwa beta-lactamases ndipo amagwira ntchito kwambiri motsutsana ndi penicillin.

Maantibayotiki ena ali mgulu lomwe sangathe kuthandizira ma enzyme ena, komabe ali ndi zovuta zina - mwachitsanzo, mawonekedwe ochepa, osagwira ntchito, achotsedwa mthupi mwachangu.

Kupereka maantibayotiki a gululi, adayamba kuphatikiza ndi mankhwala ena ndi malowa. Chifukwa chake kunali amoxiclav (Augmentin). Chifukwa cha kupezeka kwa clavulanic acid mu kapangidwe kake, mabakiteriya sangathe kuwononga mankhwalawo ndikuchepetsa ntchito yake.

Kuchuluka kwa Augmentin ndikokulira.

Augmentin itha kugwiritsidwa ntchito pama pathologies osiyanasiyana. Izi ndichifukwa cha mawonekedwe ake ochita.

Ma microbes ambiri opanda gram komanso gram-negative amawaganizira mankhwalawa. Nthawi zambiri amatchulidwa matenda a kupuma dongosolo, komanso ziwalo ENT. Kuphatikiza apo, imagwiritsidwa ntchito kwambiri pamatenda a genitourinary system (pyelonephritis, cystitis) ndi m'mimba m'mimba (pachimake cholecystitis).

Opaleshoni amapereka Augmentin matenda a pakhungu (erysipelas) ndi zofewa.

Amoxiclav ndi mankhwala osankhidwa a angina ndi chibayo.

Nthawi zambiri Augmentin amapatsidwa pneumonia ngati mankhwala oyamba a antibayotiki. Ma bacteria omwe nthawi zambiri amayambitsa chibayo (pneumococci) amawadziwa.

Monotherapy yotere nthawi zambiri imakhala yopambana ndipo safuna kuti pakhale mankhwala ena owonjezera. Komabe, izi zimachitika pokhapokha ngati mtundu wofatsa wa matenda.

Nthawi zina madokotala amaphatikiza amoxiclav ndi azithromycin. Kuphatikiza uku kumagwira ntchito pothana ndi ma gram-negative, ma gram-virus, komanso mycoplasmas ndi chlamydia.

Mitundu yocheperako mpaka yolimba, amoxiclav imathandizidwa kudzera m'mitsempha.

Angina amatchedwa tonsillitis. Komabe, mosiyana ndi tonsillitis wamba, mawuwa nthawi zambiri amatanthauza matenda oyambitsidwa ndi beta-hemolytic streptococcus.

Angina ali wofundidwa ndi poizoni wa michere m'mitima ndi m'mitima. Kuphatikizika kwake pafupipafupi ndi glomerulonephritis, komwe kungayambitse kulephera kwa impso.

Angina amathandizanso pakupanga matenda apadera - rheumatism. Matendawa amayamba ndi kuwonongeka kozungulira, koma mtima umakhudzidwa kwambiri. Zotsatira za tonsillitis yosasinthika ndi zolakwika zingapo zomwe amapeza - stenosis ndi kusakwanira kwa ma mitral, aortic, ma travipid maalves.

Beta hemolytic streptococcus imakhudzidwa makamaka ndi ma penicillin mankhwala. Ichi ndichifukwa chake Augmentin amalembedwa pafupipafupi ndi angina.

Amoxiclav imapezeka mu mitundu yosiyanasiyana.Izi zimakuthandizani kuti mugwiritse ntchito muzochita za ana komanso mankhwalawa akuluakulu. Kuphatikiza apo, zomwe zili pazomwe zimagwira zimapangitsa kuchuluka kwa mapiritsi (kapena jakisoni).

Augmentin angathe kumwedwa kawiri kapena katatu patsiku. Njira ya mankhwala pafupifupi masiku 5-7, ngati kuli kotheka, kumatenga masiku khumi.

Njira ya utsogolere wa mankhwala ndi jakisoni wambiri. Amasankhidwa pamitundu yoopsa yamatendawa.

Jekeseni amathandizira kuti mankhwalawo alowe mwachindunji m'magazi, omwe amathandizira mofulumira.

Pochiza ndi amoxiclav, palibe chifukwa chotsatira zakudya zinazake, komabe, mankhwalawa amayenera kumwedwa nthawi zonse. Izi zipangitsa kuti magazi azisungunuka m'magazi.

Amoxiclav nthawi zambiri amayambitsa zoyipa kuchokera m'mimba thirakiti. Odwala amawona kusokonezeka m'mimba, mawonekedwe a nseru komanso kusanza. Zotsatira zoyipa kwambiri ndizoyambitsa m'mimba.

Imapezeka mwa odwala ambiri omwe amalandira maantibayotiki, ndipo ndizomwe zimapangitsa kuti adziwe "dysbiosis".

Komabe, matendawa amapita okha popanda chithandizo chamankhwala chitha. Ndi pokhapokha nthawi pomwe matenda oopsa amakula - colitis yokhudzana ndi maantiotic omwe amafunikira chithandizo chachikulu.

Clarithromycin ndi mankhwala ochokera ku gulu la macrolide. Ma tizilombo totsatirawa timazindikira izi:

Staphylococci ndi streptococci.
Listeria, Neisseria ndi Moraxella.
Haemophilus influenzae.
Legionella.
Mycoplasmas.
Chlamydia
Mycobacteria.
Clostridia.
Ma Spirochetes.
Campylobacter.

Clarithromycin imagwirizana ndi beta-lactamases, ma enzymes awa sangathe kuyambitsa. Komabe, zovuta zina za staphylococci sizingachiritsidwe ndi maantibayotiki. Tikulankhula za tizilombo ta oxaline ndi methicillin.

Pogwirizana ndi ma tizilombo tating'ono tating'ono, clarithromycin amatha kuwonetsa bactericidal.

M'mafakisoni, clarithromycin amadziwika ndi mayina otsatirawa:

Mu ziwonetsero zoikidwa kwacacithromycin, matenda a kupuma ndi ziwalo za ENT nthawi zambiri amasonyezedwa. Izi zikuphatikiza:

Bronchitis.
Mitundu ya Otitis.
Sinusitis (purulent frontal sinusitis, sinusitis, ethmoiditis, pansinusitis).
Chibayo (makamaka mitundu yake ya atypical).

Kuphatikiza apo, maantibayotiki amagwiritsidwa ntchito ngati erysipelas, impetigo, furunculosis. Imafotokozedwanso kwa matenda oyambitsidwa ndi mycobacteria.

Pali malire ake ndi Klacid mankhwala. Chifukwa chake, sichikulimbikitsidwa pa nthawi yoyembekezera, makamaka pa trimester yoyamba, komanso mkaka wa m`mawere.

Pochiza ndi maantibayotiki, pamakhala chiwopsezo chachikulu chotenga candidiasis - thrush. Pankhani imeneyi, madokotala nthawi zambiri amakupatsani mankhwalawa omwe amakhudzana ndi mankhwala a antifungal - mwachitsanzo, Fluconazole.

Clarithromycin sayenera kugwiritsidwa ntchito mwa odwala omwe amalephera kwambiri aimpso.

Mwa zina zoyipa za mankhwalawa ndi kuwonongeka kwa chiwindi - hepatitis ya mankhwala. Ndichizindikiro chakuchotsa kwacacithromycin ndi kukonza mankhwala.

Mbiri yachitetezo chacacithromycin imadziwika. Zotsatira zoyipa ndizosowa ndipo nthawi zambiri izi zimakhala zizindikiro zosasangalatsa kuchokera m'matumbo am'mimba.

Odwala angadandaule za:

Izi mawonetseredwe nthawi zambiri safuna chithandizo chapadera ndikungopereka kwa iwo atasiya kumwa mankhwalawo. Komabe, nthawi zina, madokotala amayenera kusintha antibacterial.

Nthawi zina, clarithromycin imatha kukhala poizoni m'magazi, ndikupangitsa agranulocytosis ndi thrombocytopenia.

Poyerekeza zakumbuyo kwanthawi yayitali wokhala ndi mankhwala opatsirana ku macrolide, odwala adazindikira kusowa tulo, nkhawa komanso kukwiya, kupweteka mutu, chizungulire, komanso kusamva kwamakutu.

Kuphatikiza apo, kuthandizidwa ndi mankhwalawa kumatha kuyambitsa zovuta zingapo zoyipa.

Koma nthawi zambiri, mankhwala a clearithromycin amaloledwa bwino. Nthawi zambiri amalembedwa monga mapiritsi omwe amatengedwa kawiri patsiku.

Mankhwala oterewa amavomerezedwa kuti agwiritsidwe ntchito mwa ana. Komabe, mpaka zaka 12, madokotala amalimbikitsa kugwiritsa ntchito mankhwala othana ndi antibayotiki ngati pakuyimitsidwa.

Zimakhala zovuta kuti wodwala azindikire kuti ndi mankhwala ati omwe ali bwino - clarithromycin kapena amoxiclav. Ichi ndichifukwa chake kusankha kwa mankhwala opha majakisoni nthawi zonse kumakhala kwa dokotala yemwe amapezeka, zomwe zimaganizira za matenda, contraindication ndi mawonekedwe a wodwala.

Mankhwala oyamba amatchedwa Klacid. Pa iye, pakadali pano pali makope pafupifupi 40 - zida zamagetsi. Sikovuta kulemba mankhwala a clarithromycin a Chilatini. Mu Chilatini, zikuwoneka motere:

Rp. Tab. Clarithromycini 0.25
D.t.d: Na. 10
S: piritsi limodzi kawiri patsiku, masiku asanu.

Amanena za antibacterial othandizira omwe ali ndi bacteriostatic action. Ili ndi zovuta zingapo.

Kuchokera ku gulu lomwe mankhwalawo ali, gulu la mankhwala ake limadalira. Kuphatikizika kwa mankhwalawa kumaphatikizapo 250 kapena 500 mg yogwira ntchito.

Omwe amachokera ku mankhwalawa ndi awa:

wowuma mbatata
povidone
sodium lauryl sulfate,
MCC
Aerosil
pregelatinized wowuma
magnesium wakuba.

Ku Russia, imapangidwa ndikudzaza mu chithuza chokhala ndi zidutswa za mapiritsi 5. M'katoni imodzi yolondola kuchokera ku matuza awiri kapena awiri.

Mtengo wa phukusi limodzi la mapiritsi 10 a Clarithromycin ndi ofanana ndi ma ruble. Mankhwalawa atha kugulidwa ku malo ogulitsa mankhwalawa malinga ndi chithunzi ndi kufotokozera.

Mankhwala othandizira antibacterial amtunduwu amatengedwa ndi:

Njira zopatsirana zomwe zimayambitsidwa ndi Mycobacterium, chlamydia ndi ma virus ena opatsirana pogonana,
puritis komanso osadziwika otitis media ndi pachimake sinusitis,
pharyngitis yacute komanso yotupa, thonje, khansa, tracheitis, sinusitis,
chibayo popanda kutchula kachilombo,
bronchitis, onse pachimake kapena aakulu,
chikopa, chithupsa, mafuta amoto,
folliculitis.

Mwachitsanzo, mankhwala a gulu lomwelo a Erythromycin ali ndi vuto lalikulu kwambiri loletsa (MIC) poyerekeza ndi Clarithromycin (Erythromycin amafunikira kawiri kuti aletse kukula kwa bakiteriya).

Madzi okhazikika a Refithromycin m'magazi amapitilira maola 12. Tear ya Clarithromycin ili ndi 250 mg yogwira ntchito. Zomwe amachiritsa zimafanana ndi mtundu wosavuta wa clarithromycin.

Musanadye kapena mutatha kumwa mapiritsi?

Kugwiritsa ntchito ndi ureaplasma, sinusitis, gastritis, mlingo wa chlamydia

Mlingo waukulu: 500 mg kawiri pa tsiku kwa akulu azaka zopitilira 18. Nthawi ya makonzedwe amayambira masiku 7 mpaka 10, kutengera ntchito ya matendawa.

Ndikofunika kuphatikiza kutenga Clarithromycin ndi kugwiritsa ntchito madzi amchere kuti muchepetse kuwopsa kwa mankhwalawa impso.

Pa nthawi yoyembekezera, yoyamwitsa

Mankhwalawa amadziwikiritsa kwa anthu omwe ali ndi matenda osachiritsika a chiwindi ndi impso, ndiye kuti, aimpso ndi / kapena kulephera kwa chiwindi.

Zopanda malire kwenikweni ndi:

Hypersensitivity pazinthu zina zilizonse za mankhwala,
porphyria
trimester yoyamba ya mimba
nthawi yoyamwitsa.

Simungatenge chisapride, pimozide, terfenadine nthawi yomweyo mongacacithromycin.

Komanso, anthu omwe sagwirizana ndi mankhwala aliwonse omwe amagwiritsidwa ntchito pokonzekera sayenera kumwa Clarithromycin. Zotsatira zoyipa zimaphatikizapo hepato- ndi nephrotoxicity.

Monga mankhwala aliwonse odana ndi maantibayotiki, Clarithromycin sayenera kugwiritsidwa ntchito ndi mowa. Popeza pamenepa, ethanol yokonzedwa imakhudza kwambiri chiwindi. Ndipo popeza mankhwalawo amatha kudutsa hepatocytes, kutsetsereka kwa mowa kumabweretsa kuwonongera kwa chinthucho komanso kupweteka kwake. Osamwa mowa ndikuyang'ana kuti mugwirizane ndi mankhwala. Kenako mankhwalawa (mowa) sangakhudze nthawi yomwe amapezeka mankhwalawa, omwe amakhala ndi tsiku.

>> Tsambali limapereka mitundu yambiri ya mankhwala ochizira sinusitis ndi matenda ena amphuno. Gwiritsani ntchito thanzi!

Ma macrolides ndi penicillin ndi amodzi mwa magulu otetezeka kwambiri komanso othandiza kwambiri a antibacterial. Amagwiritsidwa ntchito pochizira matenda amkati, minofu yofewa komanso khungu. Kutengera ndi zomwe zikuwonetsa kugwiritsidwa ntchito ndi wothandizira wa matendawa, adotolo atha kutumiza Klacid kapena Amoxiclav, komanso mankhwala ofanana ndi kapangidwe kake ndikuwakhudza (Clarithromycin, Augmentin, Sumamed).

Chogwira ntchito cha Klacid ndi macrolide antioxylacithithaccin. Kuwonekera kwa ntchito yake ya antibacterial kumafikira tizilombo toyambitsa matenda ambiri opatsirana. Tizilombo tomwe tili ndi nkhawa:

mabakiteriya a gram-positive ndi gram-negative aerobic (streptococci, pneumococci, moraxella, hemophilus bacillus, listeria, ndi zina).
Tizilombo toyambitsa matenda a anaerobic (clostridia, etc.),
wothandizila panusative wa STDs (chlamydia, mycoplasma, ureaplasma),
toxoplasma
Borrelia
Helicobacter pylori (H. pylori),
mycobacteria (musamawonetsetse chokwanira pokhapokha mutapezeka ndi chifuwa chachikulu cha chifuwa chachikulu).

Klacid ndi Amoxiclav amagwiritsidwa ntchito pochizira matenda amkati, minofu yofewa komanso khungu.

Makulidwe ochulukirapo a imprithromycin amakupatsani mwayi wofotokozera Klacid ndi izi:

matenda oyambitsidwa ndi bakiteriya a m'munsi komanso m'munsi mwa kupuma (sinusitis, tonsillitis, pharyngitis, media atitis, tracheobronchitis, chibayo cha atypical, etc.),
folliculitis, erysipelas, zotupa zina za pakhungu ndi zotupa zina,
matenda amtundu ndi oyamba omwe amayamba chifukwa cha mycobacteria (kupatula bacillus wa Koch),
kupewa matenda a mycobacterial opsinjika ndi a aumum mwa odwala omwe ali ndi kachilombo ka HIV omwe ali ndi zotsika za othandizira a T,
zilonda zam'mimba ndi duodenal (kuti muchepetse kuchuluka kwa H. pylori mu antibacterial course),
Matenda opatsirana opatsirana omwe amapezeka ndi tizilombo toyambitsa matenda timene timayang'ana ku clearithromycin,
kupewa mabakiteriya pambuyo mano mano (kuphatikizapo sepsis ndi endocarditis).

Kutengera ndi kupezeka kwa wodwala komanso zaka zake, adotolo atha kukulembera imodzi mwanjira zotsatirazi za kutulutsidwa kwa Klacid:

Mapiritsi (kuchuluka kwa mankhwala othandizira - 250 ndi 500 mg),
kuyimitsidwa (kuchuluka kwa maantibayotiki mu 5 ml ya mankhwala omaliza ndi 125 kapena 250 mg),
ufa pakukonzekera kulowetsedwa njira yovomerezeka yacacithromycin - 500 mg mu botolo limodzi.

Chogwira ntchito cha Klacid ndi macrolide antioxylacithithaccin.

Klacid sinafotokozedwe jekeseni: makonzedwe amkati a macrolide amachitika kwa ola limodzi kapena nthawi yayitali.

Zoyipa zomwe zimagwiritsidwa ntchito pacacithromycin ndi:

Hypersensitivity ku macrolide ndi mankhwala a ketolide, zida zothandizira za mankhwala,
kulephera kwa mtima, matenda amtima, corricary arrhythmia ndi tachycardia, kupezeka kwa zinthu za proarrhythmogenic ndi chiopsezo chowonjezereka cha nthawi ya QT (mwachitsanzo, kuchepa kwa potaziyamu ndi magnesium),
kuphatikiza kwa impso ndi chiwindi
cholestatic jaundice, wokwiyitsidwa ndi kugwiritsa ntchito maantibayotiki (mbiri yakale),
kuyamwa
mimba (mu trimester 2-3, n`zotheka kugwiritsa ntchito malingana ndi ziwonetsero zovuta),
osakwana miyezi 6
matenda a porphyrin
mankhwala omwe ali ndi mankhwala osagwirizana ndi clarithromycin (Ergotamine, Colchicine, Ticagrelor, Midazolam, Ranolazine, Cisapride, Astemizole, Terfenadine, statins, etc.).

Ngati chiwindi chimagwira ndi matenda a impso (ngati Cl creatinine ndi yocheperako, koma yoposa 30 ml / min), chithandizo chakufotokozeraku chithandizidwe kuyenera kuchitika moyang'aniridwa ndi achipatala komanso kuwunika ma biochemistry. Mukamapereka mankhwala a Klacid kuyimitsidwa kwa odwala omwe ali ndi matenda osokoneza bongo, kuchuluka kwa mankhwala omwe amafunika kumawerengera mankhwala kuyenera kuganiziridwanso.

Mukamapereka mankhwala a Klacid kuyimitsidwa kwa odwala omwe ali ndi matenda osokoneza bongo, kuchuluka kwa mankhwala omwe amafunika kumawerengera mankhwala kuyenera kuganiziridwanso.

Amoxiclav imakhala ndi antibacterial complication (amoxicillin) ndi beta-lactamase inhibitor (clavulanic acid). Clavulanic acid imalepheretsa ma enzyme omwe amapha mphete ya beta-lactam. Kuphatikizidwa kwazinthu ziwirizi kumakupatsani mwayi woti mupange kuphatikizapo ndi tizilombo tosaoneka ndi ma penicillin osatetezedwa.

Kuwonekera kwa ntchito ya amoxicillin kufalikira kwa tizilombo toyambitsa matenda:

gram zabwino aerobic tizilombo (staphylococci, streptococci, pneumococci),
gram-negative aerobic cocci (hemophilic ndi Escherichia coli, moraxella, Klebsiella, enterobacteria).

Zowonetsa kugwiritsa ntchito mankhwalawa ndi izi:

bakiteriya matenda am'munsi komanso m'munsi kupuma,
yotupa njira ya kwamikodzo chifukwa cha aerobic tizilombo,
matenda am'mimba (zilonda zam'mimba ndi zilonda zam'mimba, kutupa kwa ndulu ndi ndulu za ndulu),
matenda opatsirana a kubala,
matenda odontogenic, kupewa mabakiteriya pambuyo pakuchita mano,
osteomyelitis, matenda a minofu
mabakiteriya akhungu ndi zotupa
kwa mtsempha wa magazi a Amoxiclav: STD (gonorrhea, chancre yofatsa), kutupa kwamkati pamimba, kupewa zovuta pambuyo pa opaleshoni.

Amoxiclav imapezeka mu mitundu ingapo:

mapiritsi (kipimo cha amoxicillin ndi 250, 500 kapena 875 mg),
mapiritsi otayika (sungunuka) (ali ndi 500 kapena 875 mg wa antiotic),
lyophilisate yopanga makonzedwe a mtsempha wa mtsempha wa magazi (muyezo wa antibacterial mu 1 botolo la lyophilisate ndi 500 mg kapena 1 g),
ufa wopangira kuyimitsidwa (5 ml ya mankhwala omaliza amakhala ndi 125, 250 kapena 400 mg ya chinthu chogwira, kutengera mlingo womwe unawonetsedwa).

Amoxiclav imakhala ndi antibacterial complication (amoxicillin) ndi beta-lactamase inhibitor (clavulanic acid).

Contraindication kutenga Amoxiclav ndi ma pathologies monga:

Hypersensitivity a mankhwala a penicillin ndi cephalosporin, komanso monobactam ndi carbapenem,
thupi lawo siligwirizana ndi kagayidwe kachakudya michere yowonjezera ya Amoxiclav (phenylketonuria),
matenda monocytic tonillitis,
lymphocytic leukemia
kuwonongeka kwa chiwindi ntchito chifukwa amoxicillin mankhwala (mbiri),
Mukamapereka mankhwala a Amoxiclav: Siyani yankho

Chikhalidwe cha Klacid

mabakiteriya a gram-positive ndi gram-negative aerobic (streptococci, pneumococci, moraxella, hemophilus bacillus, listeria, ndi zina).
Tizilombo toyambitsa matenda a anaerobic (clostridia, etc.),
wothandizila panusative wa STDs (chlamydia, mycoplasma, ureaplasma),
toxoplasma
Borrelia
Helicobacter pylori (H. pylori),
mycobacteria (musamawonetsetse chokwanira pokhapokha mutapezeka ndi chifuwa chachikulu cha chifuwa chachikulu).

Makulidwe ochulukirapo a imprithromycin amakupatsani mwayi wofotokozera Klacid ndi izi:

matenda oyambitsidwa ndi bakiteriya a m'munsi komanso m'munsi mwa kupuma (sinusitis, tonsillitis, pharyngitis, media atitis, tracheobronchitis, chibayo cha atypical, etc.),
folliculitis, erysipelas, zotupa zina za pakhungu ndi zotupa zina,
matenda amtundu ndi oyamba omwe amayamba chifukwa cha mycobacteria (kupatula bacillus wa Koch),
kupewa matenda a mycobacterial opsinjika ndi a aumum mwa odwala omwe ali ndi kachilombo ka HIV omwe ali ndi zotsika za othandizira a T,
zilonda zam'mimba ndi duodenal (kuti muchepetse kuchuluka kwa H. pylori mu antibacterial course),
Matenda opatsirana opatsirana omwe amapezeka ndi tizilombo toyambitsa matenda timene timayang'ana ku clearithromycin,
kupewa mabakiteriya pambuyo mano mano (kuphatikizapo sepsis ndi endocarditis).

Kutengera ndi kupezeka kwa wodwala komanso zaka zake, adotolo atha kukulembera imodzi mwanjira zotsatirazi za kutulutsidwa kwa Klacid:

Mapiritsi (kuchuluka kwa mankhwala othandizira - 250 ndi 500 mg),
kuyimitsidwa (kuchuluka kwa maantibayotiki mu 5 ml ya mankhwala omaliza ndi 125 kapena 250 mg),
ufa pakukonzekera kulowetsedwa njira (mlingo wa clarithromycin - 500 mg mu 1 botolo).

Chogwira ntchito cha Klacid ndi macrolide antioxylacithithaccin.

Klacid sinafotokozedwe jekeseni: makonzedwe amkati a macrolide amachitika kwa ola limodzi kapena nthawi yayitali.

Zoyipa zomwe zimagwiritsidwa ntchito pacacithromycin ndi:

Hypersensitivity ku macrolide ndi mankhwala a ketolide, zida zothandizira za mankhwala,
kulephera kwa mtima, matenda amtima, corricary arrhythmia ndi tachycardia, kupezeka kwa zinthu za proarrhythmogenic ndi chiopsezo chowonjezereka cha nthawi ya QT (mwachitsanzo, kuchepa kwa potaziyamu ndi magnesium),
kuphatikiza kwa impso ndi chiwindi
cholestatic jaundice, wokwiyitsidwa ndi kugwiritsa ntchito maantibayotiki (mbiri yakale),
kuyamwa
mimba (mu trimester 2-3, n`zotheka kugwiritsa ntchito malingana ndi ziwonetsero zovuta),
osakwana miyezi 6
matenda a porphyrin
mankhwala omwe ali ndi mankhwala osagwirizana ndi clarithromycin (Ergotamine, Colchicine, Ticagrelor, Midazolam, Ranolazine, Cisapride, Astemizole, Terfenadine, statins, etc.).

Mukamapereka mankhwala a Klacid kuyimitsidwa kwa odwala omwe ali ndi matenda osokoneza bongo, kuchuluka kwa mankhwala omwe amafunika kumawerengera mankhwala kuyenera kuganiziridwanso.

Kodi pali kusiyana kotani?

Kusiyana pakati pa Klacid ndi Amoxiclav ndikofunikira kwambiri. Kusiyana kwa mankhwala kumawonedwa pazinthu monga:

Gulu la Chitetezo cha FDA. Amoxicillin amakonda kwambiri kugwiritsidwa ntchito ndi amayi oyembekezera.
Kutheka kwa ntchito pa mkaka wa m`mawere. Amoxiclav amaloledwa kugwiritsidwa ntchito poyamwitsa, ndipo Klacid ndi osavomerezeka.
Zaka zochepera pazomwe mankhwalawa angagwiritsidwe ntchito. Amoxicillin wothandizila amatha kupatsidwa kwa ana kuyambira masiku oyamba amoyo. Klacid amalembedwa kwa ana okulirapo kuposa miyezi isanu ndi umodzi.
Tsiku lililonse achire mlingo wa antiotic. Mukalandira chithandizo ndi Amoxiclav, ndi 750-1750 mg, ndi Klacid - 500-1000 mg.
Zosintha zosiyanasiyana. Clacid amadziwika ndi zovuta zowonjezera pafupipafupi kuchokera ku dongosolo lamkati lamanjenje (kumva ndi kununkhira kwakusokonekera, kusowa tulo, kupweteka mutu.

Ndemanga za Odwala

Maria, wazaka 31, Astrakhan

Mwana nthawi zambiri amakhala ndi vuto la kummero (tonsillitis, pharyngitis). M'mbuyomu, adotolo adatchula Amoxicillin ndi mawonekedwe ake, koma pano maantibayotiki sanathandize, sanathenso kutentha. Pambuyo masiku atatu odwala, mankhwalawa adasinthidwa kukhala Klacid. Pa tsiku lachiwiri lovomerezeka, kutentha kunatsika kwambiri, ndipo mwanayo anayamba kuchira.

Ndine wokhutira ndi zomwe zimachitika, koma mankhwalawa ali ndi zotsatira zoyipa - nseru.

Olga, wazaka 28, Krasnodar

Amoxiclav ndi chida chachikulu chowonera chomwe chimatha bwino ntchito yake. Mankhwalawa adamulembera matenda a mwana wake ali ndi chaka chimodzi chokha. Mwanayo anali wokondwa kumwa mankhwalawo m'njira yoyimitsidwa, ndipo atatha masiku 1-2 zotsatira zake zinali zowoneka kale.

Mankhwalawa ndi oyeneranso achikulire, motero ndikofunika kusunga mapiritsi ndi ufa m'nyumba yamatendawa kunyumba.