Kodi pali kusiyana kotani pakati pa amoxiclav ndi azithromycin?

Maantibayotiki nthawi zina amatchulidwa kuchiza matenda opumira. Dokotalayo amalimbikitsa mtundu wina wa mankhwala, motsogozedwa ndi kugwira ntchito kwake komanso luso lake. Nthawi zambiri zimakhala zovuta kudziwa kuti ndi kachilombo kapena kachilombo komwe kamayambitsa matendawa. Izi zikuphatikizapo Azithromycin ndi Amoxiclav. Onsewa ndi ofunikira ndipo amagwiritsidwa ntchito kwambiri pochizira.

Kuti muyankhe funso, lomwe ndi labwino: Azithromycin kapena Amoxiclav, muyenera kuganizira mwatsatanetsatane machitidwe a aliyense wa iwo.

Kupenda koyerekeza

Ndizovuta kunena nthawi yomweyo kusiyana pakati pa Amoxiclav ndi Azithromycin. Aliyense wa iwo ali ndi mawonekedwe ake, ngakhale onse awiri amalimbana moyenera tizilombo tating'onoting'ono tomwe tili: mitundu yambiri ya staphylococci ndi streptococci, hemophilic bacillus, chlamydia, Helicobacter pylori.

Ngati mukufuna kudziwa ngati Amoxiclav angagwiritsidwe ntchito pambuyo pa Azithromycin, ndiye kuti izi zimachitika muzochita zamankhwala. Nthawi zina makhwala awiri amaperekedwa kuchipatala kuti athandizire matenda akulu, mwachitsanzo, chibayo.

Ndi iti mwa mankhwalawa omwe angathane bwino ndi matenda enaake, adokotala amawona kutengera nthawi yayitali. Kusankhaku kumayendetsedwa ndi zaka, mkhalidwe wa thanzi la wodwalayo, kupezeka kwa matenda osachiritsika ndi zina. Mwachitsanzo, pakadali pano chitetezo chamthupi chimagwira, chimatha kuwononga mabakiteriya ndipo Azithromycin ndi yokwanira kuchiza.

Ngati chitetezo chafowoka, sichitha kupha tizilombo tonse tovulaza ndipo kuchira kwathunthu sikungachitike. Kenako ndibwino kugwiritsa ntchito Amoxiclav wamphamvu. Imadziwikanso mwachangu ndikuyamba kugwira ntchito pasanathe ola limodzi ndi theka pambuyo pa utsogoleri. Azithromycin imafunikira pafupifupi maola awiri kuti izi zitheke, koma chithandizo chake chimatenga nthawi yayitali.

Komabe, Amoxiclav ilibe mphamvu yolimbana ndi mabakiteriya ena omwe Azithromycin amatha kupirira nawo. Izi zikuphatikiza: mycoplasma, mitundu ina ya timitengo ta Koch ndi mitundu ina ya legionella.

Amoxiclav kapena Azithromycin a angina amagwiritsidwa ntchito motere: ngati wodwala sakukhudzika ndi penicillin, Amoxiclav imaperekedwa patsogolo, ngati wodwalayo salola mbali iliyonse ya mankhwalawa kapena sagwira ntchito mokwanira, dokotala akuvomereza Azithromycin.

Kuyerekezera kwa Azithromycin ndi Amoxiclav kukuwonetsa kuti iliyonse yaiwo ndi yabwino munjira yake: malinga ndi madotolo, mankhwala oyamba ali ndi zotsatira zoyipa zochepa, ndipo chithandizo chake chimawawononga ndalama zochepa, koma chachiwiri chimakhala ndi mphamvu zambiri.

Nkhani idayendera
Anna Moschovis ndi dokotala wa mabanja.

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Kufotokozera Azithromycin

Azithromycin ndi antibayotiki wa gulu la macrolide. The yogwira pophika mankhwala ndi azithromycin dihydrate. Mankhwalawa amapezeka mu mawonekedwe a mapiritsi okhala ndi makilogalamu ndi makapisozi oyendetsera pakamwa. Piritsi 1 ili ndi 500 mg ya mankhwalawa. Mankhwala ali osiyanasiyana. Limagwirira a azithromycin amagwirizana ndi kuphwanya dongosolo mapuloteni synthesis ndi bakiteriya cell. Mwa kumangirira ku ma ribosomes, azithromycin amathandiza kuti achepetse kukula kwa mabakiteriya ndikulepheretsa kubereka kwawo.

Mankhwala amagwira bacteriostatic. Chidacho chogwira bwino ntchito mu minofu. Mankhwalawa amachotseredwa ndi impso kudzera m'matumbo. Zisonyezo zakukhazikitsidwa kwa azithromycin ndi:

1. Matenda opatsirana a chapamwamba kupuma thirakiti (laryngitis).
2. Matenda a ziwalo za ENT (atitis media, sinusitis, kuphatikizapo sinusitis, pharyngitis, tonsillitis, matenda a tenillitis).
3. Matenda a m'munsi kupuma thirakiti chifukwa cha tinthu tating'onoting'ono (bronchitis, chibayo).
4. Matenda a pakhungu (erysipelas, streptoderma, staphyloderma, ziphuphu zakumaso, impetigo, dermatosis yachiwiri).
5. Matenda opatsirana a matenda amtundu wa genitourinary popanda zovuta (pyelonephritis, cystitis, urethritis, epididymitis, orchitis, prostatitis, kutupa kwa khomo pachibelekeropo.
6. Borreliosis koyambirira.

Azithromycin sanalembedwe kuti:

• tsankho
• kukanika kwa aimpso,
• kukanika kwambiri kwa chiwindi,
• kugwiritsa ntchito ergotamine,
• Wodwala wochepera zaka 18 (kwa mtsempha wamkati).

Mapiritsi a Azithromycin amatengedwa musanadye kapena chakudya. Mankhwalawa amatha kuperekedwa kokha kudzera m'mitsempha. Wothandizila antibacterial samalimbikitsidwa kuti atenge nthawi yoyembekezera. Mukamamwa Azithromycin pa mkaka wa m`mawere, mungafunike kusiya kuyamwitsa. Mankhwala othandizira atha kuperekedwa kwa ana.

Mapiritsi a Azithromycin amatengedwa musanadye kapena chakudya.

Kufotokozera kwa Amoxiclav

Amoxiclav ndi gulu la maantibayotiki a gulu lotetezeka la penicillins. Kapangidwe ka mankhwalawa kumaphatikizapo amoxicillin ndi clavulanic acid. Mankhwala amapangidwa mwanjira ya mapiritsi oyendetsera pakamwa ndi ufa kuti apeze yankho. Ndi bactericidal. Mankhwalawa amamwetsa msanga. Kudya sikukhudza bioavailability wa mankhwalawa. Amoxicillin amamuchotsa impso ndi mkodzo.

Amoxiclav imaphatikizidwa mu matenda a mononucleosis, hypersensitivity, lymphocytic leukemia (khansa ya magazi), kusowa kwa chiwindi, cholestatic jaundice. Mapiritsi samayikidwa kwa ana osakwana zaka 12.

Kodi pali kusiyana kotani?

Mankhwalawa amasiyana wina ndi mzake:

1. Chitani zinthu zamagulu osiyanasiyana. Azithromycin samapha mabakiteriya, koma amalepheretsa kubereka kwawo ndi kukula, zomwe zimathandiza thupi (maselo chitetezo chathu) kuthana ndi matendawa. Amoxiclav amachita bactericidal, kuyambitsa kuyamwa kwa mabakiteriya ndi kupha tizilombo tina.
2. Amapezeka mumitundu yosiyanasiyana. Azithromycin angagwiritsidwe ntchito ngati makapisozi mkati, komanso kutumikiridwa kudzera mu kukhuthala (pang'onopang'ono). Amoxiclav imapezeka mu ufa mawonekedwe a mtsempha wama mtsempha.
3. Ali m'magulu osiyanasiyana a maantibayotiki.
4. Chitani zinthu zingapo zamavuto. Legionella, borrellia, mycoplasma ndi chlamydia amamva azithromycin. Pneumococci, fecal enterococcus, Staphylococcus aureus, Shigella ndi Salmonella amagwiritsa ntchito mankhwala osokoneza bongo. Chizindikiro cha Amoxiclav ndichakuchita kwake motsutsana ndi tizilombo toyambitsa matenda am'mimba, gardnerella, Helicobacter pylori, cholera vibrio ndi actinomycetes.
5. Ali ndi mawonekedwe osiyana. Amoxiclav imakhala ndi beta-lactamase inhibitor, yomwe imalola kuti ichite mabakiteriya osagwirizana ndi mankhwala a beta-lactam.
6. Azithromycin ali ndi zovuta zina. Mosiyana ndi Amoxiclav, mukamamwa mankhwalawa, matenda a anorexia (kutopa), kuwonongeka kwa makutu, kuchepa kwa mtima, kusokonezeka kwa mtima (palpitations, arrhythmia, tricycyia, kusintha kwa nthawi ya QT, kutsika kwa magazi), kusokonekera kwa kupuma (kufupika kwa mpweya), kusokonezeka kwa m'mphuno ndikotheka. magazi, kukula kwa chiwindi, jaundice, kapamba, kutupa kwa mucous nembanemba mkamwa, kuchepa mphamvu, kusindikiza lilime, kupweteka minofu ndi mafupa, kutupa.
7. Mlingo wosiyanasiyana ndi mtundu wa makonzedwe. Mapiritsi a Azithromycin aledzera 1 nthawi patsiku. Kutalika kwa mankhwalawa ndi masiku 3-5. Amoxiclav amatenga piritsi limodzi pakapita maola 8-12 masiku 5 mpaka 14.
8. Manambala osiyanasiyana mapiritsi aliwonse (3 kapena 6 a Azithromycin ndi 15 a Amoxiclav).
9. Ali ndi mitundu yosiyanasiyana ya tsiku ndi tsiku.
10. Zizindikiro zosiyanasiyana. Zizindikiro zapadera za kutenga Amoxiclav ndimatenda am'mimba, cholecystitis, kutupa kwa ma ducts a bile, matenda osokoneza bongo (oyambitsidwa ndi matenda amano), kamwazi, salmonellosis, sepsis, meningitis, endocarditis, matenda am'mafupa ndi zotupa zolumikizana ndi maziko a zilumidwe za nyama ndi anthu. Zisonyezero zapadera za azithromycin ndi borreliosis (matenda opatsirana tick) mu gawo la erythema, chlamydia, mycoplasmosis ndi ziphuphu.
11. Kuyanjana kosiyanasiyana ndi mankhwala ena. Azithromycin samaphatikizidwa ndi digoxin, zidovudine, warfarin, ergot alkaloids, atorvastatin (chiwopsezo chowonjezereka cha kuwonongeka kwa minofu), terfenadine, lovastatin, rifabutin ndi cyclosporine. Mukamagwiritsa ntchito Amoxiclav, ma bacteriostatic antibayotiki, mankhwala opha maantiacid, glucosamines, allopurinol, rifampicin, probenecid, njira zakulera pakamwa ndi disulfiram sizingagwiritsidwe ntchito munthawi yomweyo.

Matenda a gynecological, cholecystitis, kutupa kwa ma ducts a bile, matenda a odontogenic ndi zisonyezo zapadera za kutenga Amoxiclav.

Zomwe zimakhala zamphamvu, Amoxiclav kapena Azithromycin

Amoxiclav ndi mayendedwe ake (Augmentin, Flemoklav Solutab) ndizovuta kuyerekeza ndi mankhwala ozikidwa pa azithromycin chifukwa cha gulu la mankhwala, m'badwo ndi kapangidwe kake. Amoxiclav imafuna nthawi yochulukirapo komanso mapiritsi ochizira matenda. Ndi chibayo cha chibayo cha pneumococcal, iyi ndi mankhwala oyambira, pomwe Azithromycin amatchulidwa kuti penicillin asalole kapena bakiteriya azitsutsa.

Ndi matenda amtundu wina, Azithromycin ndiyothandiza kwambiri. Zonse zimatengera kuti mankhwalawo amalembedwa motsutsana ndi mtundu wanji wa mwana kapena wamkulu.

Kodi ndizotheka kugwiritsa ntchito nthawi imodzi

Azithromycin ndi Amoxiclav sizigwirizana kwenikweni. Maantibayotiki samatchulidwa pamodzi, popeza mphamvu ya mankhwalawa imachepetsedwa. Izi ndichifukwa cha kapangidwe kawo kosiyanasiyana kogwiritsa ntchito. Mankhwala a Bacteriostatic sangaphatikizidwe ndi bactericidal. Kuti mugwiritse ntchito Azithromycin, muyenera kumaliza kumwa Amoxiclav.

Zomwe zili bwino, amoxiclav kapena azithromycin

Zomwe zili bwino, Amoxiclav kapena Azithromycin, palibe amene anganene motsimikiza. Ili ndi nkhani yakusankha. Mankhwalawa amasankhidwa kwa odwala aliyense payekhapayekha. Palibe data pa mtundu wa tizilombo toyambitsa matenda, mankhwala aliwonse angathe kuikidwa. Ngati munthu ali ndi matenda oyambitsidwa ndi Escherichia coli, Shigella, Salmonella, pneumococci, ndiye kuti Amoxiclav amasankhidwa. Ndi matenda a ENT, Azithromycin nthawi zambiri imayikidwa chifukwa cha kutsika kwake komanso kulowa bwino mkati mwa minofu.

Malingaliro a madotolo ndi kuwunika kwa madotolo

Madokotala alibe mgwirizano pazomwe mankhwalawa ali bwino. Odwala a urology nthawi zambiri amapereka Amoxiclav ndi Azithromycin, koma chachiwiri chimagwira kwambiri ku matenda a chlamydial ndi mycoplasma. Mankhwalawa amathandizira kwambiri mabakiteriya a intracellular. Othandizira ndi akatswiri a m'mapapo amalemba mankhwala onse awiri. Akatswiri azachipatala amadziwa kuti penicillins (Amoxiclav) amachita kwambiri mthupi la ana mofatsa ndipo savuta kulolera.

Alexei, wazaka 32, yemwe ndi dokotala wa mano, ku Moscow: “Amoxiclav ndimankhwala osokoneza bongo omwe nthawi zambiri ndimapereka kwa odwala anga ndi cholinga chopewa matenda opatsirana mano. Vutoli limaphatikizapo kusalolera pafupipafupi komanso kuuma ngati chothandiza. ”

Ulyana, wazaka 37, dokotala wa opaleshoni, ku Yekaterinburg: "Amoxiclav ndi mankhwala osankhidwa a erysipelas obwerezabwereza, matenda opweteka, kulumwa, ndi matenda opatsirana. Zotsatira zake zimathamanga. Zoyipa zake ndikuchepa kwapadera kwa mapiritsi mu matenda am'mapapo am'mimba komanso osteomyelitis. "

Maria, wazaka 35, wazachipatala, a Kirov: "Azithromycin ndi wabwino ngati patapezeka kachilomboka ndipo mankhwala atapezekapo. Ubwino ndi njira yosavuta yothandizira. Vutoli limaphatikizidwa ndi m'mimba ndi matumbo. ”

Amoxiclav ndi azithromycin - pali kusiyana kotani?

Ndi zilonda zapakhosi, matenda a bronchitis ndi matenda ena opatsirana, mankhwala opatsirana amagwiritsidwa ntchito kuperekera mankhwala, ofanana pang'ono. Chimodzi mwazomwe chimagwiritsidwa ntchito kwambiri ndi Azithromycin ndi Amoxiclav, omwe akuyenera kufananizidwa.

Zomwe zimapangidwira azithromycin zimaphatikizanso zomwe zimatulutsa azithromycin. Amoxiclav imakhala ndi amoxicillin ndi clavulonic acid.

Njira yamachitidwe

• Azithromycin imasokoneza mapangidwe a mapuloteni m'maselo a bakiteriya, omwe amalepheretsa kukula kwawoko ndi kubereka. Nthawi yomweyo, mabakiteriya samamwalira mwachindunji ndi maantiotic, koma ingoletsani kubereka - chitetezo cha mthupi chimayenera kuwapha.
• Amoxicillin amasokoneza mapangidwe ofunikira ofananira ndi bakiteriya - peptidoglycan. Izi zimabweretsa kufa kwa tizilombo. Komabe, mabakiteriya ali ndi puloteni yotha kuyerekeza amoxicillin komanso yofanana ndi maantibayotiki, β-lactamase. Clavulonic acid timalepheretsa ntchito ya enzyme imeneyi, potero timapititsa patsogolo mphamvu ya amoxicillin.

Azithromycin imagwiritsidwa ntchito:

• Pharyngitis (matenda a pharyngeal),
• Matenda a Tonsillitis
• Bronchitis,
• Chibayo,
• Matenda opatsirana a ziwalo za ENT,
• Matenda opatsirana
• Matenda opatsirana a chotupa cha khomo pachibelekeromo,
• Dermatoses zopatsirana (zotupa za pakhungu),
• Zilonda zam'mimba zoyambitsidwa ndi matenda Helicobacter pylori - monga gawo la mankhwala.

• Matenda opatsirana a thirakiti
• Matenda opatsirana otitis (kutupa kwamakutu),
• Chibayo (kupatula viral ndi chifuwa chachikulu),
• Zowawa,
• Matenda a genitourinary
• Matenda oyendetsa bile
• Khungu ndi matenda ofewa a minyewa,
• Zilonda zam'mimbazi zophatikizana ndi matenda Helicobacter pylori - monga gawo la mankhwala,
• Mukabayidwa:
  • Gonorrhea
  • Kupewa matenda opaleshoni,
  • Matenda a m'mimba.

Contraindication

Azithromycin sayenera kugwiritsidwa ntchito:

• Kusagwirizana ndi mankhwalawo,
• Macrolide antiotic tsankho (erythromycin, clarithromycin, etc.),
• Kulephera kupweteka kwambiri,
• Kuyamwitsa (kuyenera kusiyidwa ndikumwa mankhwalawo),
• Zofika zaka 12 kapena kulemera mpaka makilogalamu 45 - makapiritsi ndi mapiritsi,
• Zaka mpaka zaka 6 - pakuyimitsidwa.

• Kusalolera kwa mankhwalawa, ma penicillin ena kapena cephalosporins,
• Matenda mononucleosis,
• Kulephera kwakukulu kwaimpso.

Mankhwalawa onse amavomerezedwa kuti azigwiritsidwa ntchito ngati ali ndi pakati ngati phindu lomwe lakonzedwa liposa kuvulaza.

Zotsatira zoyipa

Azithromycin angayambitse:

• Chizungulire
• Kumva kutopa
• Kupweteka pachifuwa
• Matenda am'mimba
• Vaginal candidiasis (thrush),
• Thupi lawo siligwirizana, incl. padzuwa.

Zotsatira zoyipa za Amoxiclav:

• Thupi lawo siligwirizana
• Matenda am'mimba
• Kuwonongeka kwa chiwindi, impso,
• Chizungulire
• Matenda oyamba ndi mafangasi.

Mawonekedwe a Azithromycin

Azithromycin ndi antibacterial wothandizira gulu la macrolide. Amapezeka mu mawonekedwe a makapisozi ndi mapiritsi. Ili ndi bactericidal kwenikweni - imangiriza kugonjera kwa 50S ya nthiti, inhibits synthesis.

Ili ndi zotulukapo zozikika:

• streptococci,
• khalimotz,
• hemophilic bacillus,
• campylobacter
• Achinyamata
• legionella
• moraxella
• gardnerella,
• ma bacteria
• clostridia
• peptostreptococcus,
• treponema
• ureaplasma
• mycoplasma.

Mukamwa, pakamwa amapezeka mofulumira kuyamwa, bioavailability - 37%. Amatha kudutsa zotchinga, ma cell nembanemba.

• matenda a kupuma thirakiti, ziwalo za ENT (pharyngitis, tonsillitis, bronchitis, chibayo, otitis media, laryngitis, sinusitis),
• matenda a genitourinary (urethritis, cystitis, cervicitis),
• bakiteriya matenda a pakhungu ndi mucous nembanemba (erysipelas, bakiteriya dermatoses),
• Matenda a Lyme
• m'mimba thirakiti matenda ogwirizana ndi Helicobacter pylori.

Azithromycin akuwonetsa matenda a kupuma thirakiti, ziwalo za ENT (pharyngitis, tonsillitis, bronchitis, chibayo, otitis media, laryngitis, sinusitis).

• Hypersensitivity yogwira mankhwala
• matenda a chiwindi ndi impso,
• nthawi yoyamwitsa,
• zaka mpaka 12.

Mochenjera, mankhwalawa akhoza kuyatsidwa:

• woyembekezera (ngati phindu kutenga ndi lalitali kuposa chiopsezo kwa mwana wosabadwayo),
• kutentha kwa mtima.

• Zizindikiro zamitsempha - chizungulire, kupweteka mutu, kuphwanya zamkhungu, khungu kusokonezeka, nkhawa,
• kupweteka pachifuwa
• palpitations
• dyspeptic syndrome - nseru, kusanza, kusowa chakudya, kusintha kwa chopondapo, kupweteka pamimba),
• matenda am`mimba thirakiti - kapamba, pseudomembranous colitis, chiwindi kulephera,
• kuchuluka kwa transaminase ndi bilirubin,
• yade
• candidiasis pamkamwa, kumaliseche,
• mawonetseredwe a ziwengo - zotupa pakhungu ndi kuyabwa, edema ya Quincke,
• bronchospasm.

Mankhwala ayenera kumwedwa ola limodzi musanadye kapena maola awiri mutadya. Imwani madzi ambiri osafuna kutafuna.

Zochita za Amoxiclav

Amoxiclav ndi anti-spectrum yoteteza ku gulu la ma penicillin apangidwe. Kuphatikizira amoxicillin ndi clavulanic acid. Amapezeka m'mapiritsi ndi mawonekedwe a ufa pokonzekera kuyimitsidwa, mayankho amtsempha wamkati. Imakhala ndi bactericidal zotsatira. Amoxicillin mu mawonekedwe ake oyera amawonongeka ndi beta-lactamase, ndipo clavulanic acid imalepheretsa enzyme iyi, ndikupangitsa kuti ikhale yothandiza kwambiri.

Amoxiclav ndi anti-spectrum yoteteza ku gulu la ma penicillin apangidwe.

Mankhwala amagwira ntchito motsutsana:

• khalimotz,
• streptococcus
• enterobacteria
• Escherichia
• ndodo za hemophilic,
• Klebsiella
• moraxell
• anthrax wands,
• corynebacteria,
• mndandanda
• clostridium
• peptococcus
• peptostreptococcus,
• brucella
• gardnerell,
• Helicobacter pylori,
• mango,
• protozoal matenda
• nsomba
• Shigella
• cholera vibrio,
• Yersinia
• chlamydia
• borellium
• leptospira
• treponem.

Mankhwala mwachangu odzipereka m`mimba thirakiti, bioavailability - 70%. Popanda kutupa kwamankhwala, mankhwalawa samalowa mu chotchinga cha magazi. Imafukufuku kudzera mumkodzo, imadutsa mkaka wa m'mawere, kudzera mu chotchinga chachikulu.

Zisonyezero zogwiritsidwa ntchito:

• matenda a kumtunda ndi kwam'munsi kupuma thirakiti, ziwalo ENT (tonsillitis, pharyngitis, pharyngeal abscess, sinusitis, otitis media, bronchitis, chibayo),
• matenda a genitourinary system (cystitis, urethritis, pyelonephritis),
• matenda a pakhungu ndi minofu yofewa,
• kuwonongeka kwa minofu ndi mafupa
• kutupa kwamitsempha yam'mimba komanso kumimba kwam'mimba,
• kutentha thupi kochokera kochepa kochokera,
• matenda odontogenic
• matenda opatsirana pogonana.

• Hypersensitivity pamagawo a mankhwala,
• cholestatic jaundice:
• ntchito ya chiwindi chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo m'mbuyomu,
• lymphoid leukemia,
• matenda mononucleosis,
• kulephera kwa aimpso
• phenylketonuria.

Mankhwala ayenera kumwedwa mosamala ngati:

• mbiri ya pseudomembranous colitis ilipo,
• matenda am`mimba thirakiti, matenda a chiwindi ndi impso,
• Pa nthawi yobala mwana ndi kudyetsa,
• akaphatikizidwa ndi anticoagulants.

• dyspeptic syndrome
• stomatitis, glossitis,
• enamel wa dzino
• matenda am`mimba thirakiti - enterocolitis, pseudomembranous colitis, matenda a chiwindi, chiwindi, kuchuluka kwa transaminases ndi bilirubin,
• matupi awo sagwirizana
• kuchepa magazi, leukopenia, thrombocytopenia / thrombocytosis, eosinophilia, agranulocytosis,
• yade
• candidiasis
• Zizindikiro zamitsempha - kusokonezeka kwa kugona, kuda nkhawa, kusakhazikika.

Kuphatikizidwa kwa Amoxiclav ndi Methotrexate kumabweretsa kuwonjezereka kwa kawopsedwe kazotsiriziro. Akaphatikizidwa ndi maantacid, aminoglycosides ndi mankhwala ofewetsa tuvi tambiri, kuchepa kwa mphamvu ya Amoxiclav kumawonedwa. Kupititsa patsogolo mphamvu ya maantibayotiki, ndikofunikira kuti mutengere limodzi ndi vitamini C. Amoxiclav imachepetsa kutenga njira zolerera, zomwe zimayenera kuganiziridwa kwa azimayi azaka zakubala.

Mankhwala ayenera kumwedwa musanadye, ndi madzi ambiri. Maphunzirowa amatsimikiziridwa ndi adotolo, chifukwa zimatengera kuopsa kwa kuchuluka kwa matendawo, mkhalidwe wa wodwalayo, ndi mawonekedwe a thupi.

Chotsika mtengo ndi chiyani?

1. Fomu ya piritsi imachokera ku ruble 220 mpaka 500, kutengera mtundu wa amoxicillin.
2. Ufa pakukonzekera kuyimitsidwa - kuchokera ku 100 mpaka 300 ma ruble.
3. Ufa wa yankho la jakisoni - pafupifupi ma ruble 900.

1. Fomu lamapiritsi - kuchokera ku 80 mpaka 300 ma ruble.
2. Makapisozi - kuchokera ku ma ruble 150 mpaka 220.

Kutengera ndi mitengo ya mitengo, Azithromycin ndi yotsika mtengo.

Kodi ndizotheka kusintha Azithromycin ndi Amoxiclav?

Ndikotheka kusintha Azithromycin ndi Amoxiclav ngati chomerachi chikuyenda bwino pothana ndi tizilombo tosiyanasiyana (tomwe tapezedwa ndi chikhalidwe cha bacteriological). Pamene tizilombo toyambitsa matenda ndi mycoplasma kapena ureaplasma, pamenepo, Amoxiclav sidzakhala ndi vuto lililonse. Kusintha kwa mankhwalawo kuyenera kuchitika kokha ndi adokotala, sikulimbikitsidwa kuti muchite izi nokha.

Mankhwalawa onse akufunika pakati pa madokotala okhudzana ndi matenda opatsirana, koma kusankha kumapangidwa payekhapayekha, poganizira zotsutsana.

Ndemanga za Odwala

Victoria, wazaka 32, Vladivostok

Mimba yachiwiri, pa sabata la 27, chingamu chidayatsidwa, zidayamba kuti idayamba kuphulitsa dzino lanzeru. Adotolo adatcha Amoxiclav, chifukwa panali zotulutsa mafinya. Panali nkhawa kuti mankhwalawa angakhudze mwana, koma adotolo adatsimikiza kuti matendawa pawekha sangathe, ndipo popanda kugwiritsa ntchito mankhwala osokoneza bongo amangoipitsa. Anatenga masiku 5 ndipo zonse zapita. Mwanayo adabadwa wathanzi.

Daniel, wazaka 24, Orenburg

Amayika matenda osakhazikika. Kangapo pachaka, chimawipira, ndikofunikira kuchiza ndi maantibayotiki. Ngati ndiyamba kumwa munthawi yake, ndiye kuti sinditha jakisoni. Kuti tizilombo tosiyanasiyana tisakhale mankhwala osokoneza bongo omwe timagwiritsa ntchito nthawi zonse, ndimasinthana ndi Amoxiclav ndi Azithromycin.

Nikolai Ivanovich, wazaka 53

Madokotala apeza matenda ambiri, matenda a prostatitis komanso mphumu ya bronchial omwe nthawi zambiri amasokonezedwa. Nthawi zonse ndimamwa Azithromycin, koma adokotala amalimbikitsa Amoxiclav. Ndiokwera mtengo kwambiri, sikuti kugula ndizotheka, chifukwa chake ndimangotenga pamene zilembo zimatchulidwa kwambiri, nthawi zina ndimangoikamo.

Ndi mankhwala ati omwe ndi otsika mtengo

Mtengo wa mankhwalawa umatengera mawonekedwe ake ndikumasulidwa. Mtengo wa Amoxiclav ndiwokwera chifukwa cha kapangidwe kake, momwe mumakhala zinthu zingapo zogwira ntchito, kotero zotsatira za mankhwalawa zimathamanga. Azithromisin ndiotchipa kangapo.

Paketi ya mapiritsi a Amoxiclav imakhala ndi ma ruble 235. kwa phukusi loyenera la ma PC 15.

Musaiwale kuti onse mankhwala ndi mankhwala opha tizilombo. Chifukwa chake, mutha kugula kokha ndi mankhwala.

Zomwe zili bwino - Amoxiclav kapena Azithromycin

Kupenda koyerekeza kwawonetsa kuti aliyense wa mankhwalawa ali ndi zabwino komanso zowawa. Poyerekeza kuchokera pakuwona zosakanikirana, Azithromycin kwenikweni alibe ndipo amatha kugwiritsidwa ntchito kuyambira ubwana. Koma Amoxiclav ndi wamphamvu polimbana ndi tizilombo toyambitsa matenda.

Mukamasankha mankhwala oyenera, dokotalayo amadalira zotsatira za mayeso ndi kufufuza kwa wodwalayo.

Njira ya mankhwalawa imayikidwa kutengera mtundu wa mabakiteriya, matenda, magulu amisinkhu ndi machitidwe a thupi. Mwachitsanzo, mutha kuganizira za matenda a chlamydia. Kugwiritsidwa ntchito kwa Amoxicillin sikukukhudza, ndipo Azithromycin apirira bwino ndi matenda omwe akutuluka.

Makhalidwe a Amoxiclav

Amoxiclav - maantibayotiki omwe ali ndi zochita zambiri, amatanthauza ma penicillin. Mankhwalawa amaletsa mapuloteni omwe amamanga ma peptide omwe amathandizira kupanga khoma la bakiteriya, ndikuthandizira kuti afe. Amoxiclav silivulaza thupi la munthu, chifukwa mapuloteni omangira ma peptide sapezeka m'maselo amunthu.

Zisonyezero zogwiritsira ntchito mankhwalawa ndi matenda:

• odontogenic
• Ziwalo za ENT, thirakiti yapamwamba yopumira (kuphatikizapo sinusitis, sinusitis, pharyngitis, media atitis, tonsillitis, etc.),
• kupuma kochepa thirakiti (kuphatikiza pachimake ndi matenda a chifuwa, chibayo),
• zotupa ndi mafupa
• kwamikodzo
• minofu yofewa ndi khungu,
• zamankhwala
• biliary thirakiti (cholangitis, cholecystitis).

Kugwiritsa ntchito Amoxiclav kumatsutsana pazochitika zotsatirazi:

• lymphocytic leukemia
• matenda mononucleosis,
• kukhalapo kwa mbiri ya cholestatic jaundice kapena kuphwanya kwa chiwindi ntchito chifukwa chotenga Clavulanic acid kapena Amoxicillin,
• kusalolera kwa yogwira mankhwala.
• Hypersensitivity zimachitika zomwe zimachitika chifukwa cha kumwa mankhwala a gulu la cephalosporins, penicillin ndi zina za beta-lactam antibacterial.

Kodi azithromycin imagwira ntchito bwanji?

Azithromycin ndi mankhwala opanga a gulu la macrolide, omwe ali ndi bacteriostatic. Zimalepheretsa kukula kwa maluwa obwera chifukwa cha chopinga cha translocase, chinthu chofunikira pakuphatikizidwa kwa mapuloteni komanso magawo a bacteria. Mphamvu ya bactericidal imawonetsedwa mwa odwala omwe amamwa Mlingo wambiri.

Zisonyezero zogwiritsira ntchito maantibayotiki:

• matenda a ziwalo za ENT ndi kupuma kwapadera thirakiti (sinusitis, pharyngitis, tonsillitis, tonsillitis, otitis media),
• matenda opatsirana a pakhungu ndi minofu yofewa,
• matenda am'munsi kupuma thirakiti (chibayo, bronchitis),
• matenda a kwamkodzo osavuta (cervicitis, urethritis),
• erythema migrans.

Milandu yolakwika yotenga Azithromycin:

• tsankho la azithromycin, erythromycin, macrolides ena kapena ma ketolide,
• kuchitira pamodzi ndi Ergotamine ndi Dihydroergotamine,
• matenda a chiwindi ndi impso (kwambiri kuwonongeka aimpso ndi kwa chiwindi ntchito).

Kuyerekezera kwa Amoxiclav ndi Azithromycin

Ngakhale kuti mankhwalawa onse ndi antibacterial othandizira, pali zosiyana pakati pawo.

Kufanana kwa mankhwalawa ndi motere:

1. Mitundu yambiri ya antibacterial. Mankhwala amatha kuthana ndi matenda ambiri a streptococci ndi staphylococci (kuphatikiza Staphylococcus aureus), Helicobacter pylori, Haemophilus influenzae, causative agents a gonorrhea, shigillosis ndi whoping chifuwa.
2. Kutulutsa Fomu. Malonda onsewa amapezeka pamapiritsi okhala ndi mafilimu m'matumba ndi makatoni. Zogulitsanso ndi ufa pokonzekera kuyimitsidwa komanso yankho la makina a makolo.
3. Gwiritsani ntchito ana. Mapiritsi sayikidwa kwa ana osakwana zaka 12 kapena kulemera kwa thupi zosakwana 40-45 kg, ndi yankho la intravenous makonzedwe kwa odwala osakwana zaka 18.
4. Gwiritsani ntchito pa nthawi ya bere, kuyamwa. Mankhwala amawerengedwa kwa amayi apakati nthawi zambiri (phindu lomwe likuyembekezeka limakulirapo kuposa chiopsezo). Kumwa mapiritsi nthawi yotsekemera kumatha pokhapokha kuthetseratu mkaka wa m'mawere.

Zotsatira pambuyo pothana ndi mankhwala azithromycin pang'onopang'ono, koma zimatenga nthawi yayitali.

Kodi ndizotheka kusintha mankhwalawa ndi wina?

Ngati kugwiritsa ntchito mankhwalawa sikutheka chifukwa cha zoyipa kapena zosakanikirana, zitha kusinthidwa ndi analog. Izi zisanachitike, muyenera kufunsa dokotala ndikuwonetsetsa kuti mankhwalawo ndi oyenera pochiza matenda omwe alipo.

Azithromycin sichimawononga mphamvu ya Amoxiclav, yomwe imakhala ndi yogwiritsira ntchito amoxicillin.

Komanso, maantibayotiki amatha kumwa nthawi yomweyo. Kafukufuku wachipatala adawonetsa kuti azithromycin ndi ma macrolides ena samakhudza mphamvu ya Amoxicillin. Kugwiritsa ntchito mankhwala a 2 ndikotheka pochiza matenda opatsirana (kuphatikizapo ziphuphu ziwiri) mchipatala.

Madokotala amawunika za Amoxiclav ndi Azithromycin

Olga Sergeevna, katswiri wa zamankhwala, ku Moscow: "Mankhwala onse awiriwa adatsimikizika, koma amachita mosiyana ndi thupi. Amoxiclav amapha maluwa a pathogenic, ndipo Azithromycin amaletsa mabakiteriya kuchulukana. Zotsatira zoyipa nthawi ya chithandizo ndizosowa, koma kusamala ndikofunikira. Pazithandizo zamankhwala, ndimalimbikitsa kugwiritsa ntchito mankhwala osokoneza bongo kuti ndipewe kukula kwa matenda am'mimba. "

Igor Mikhailovich, katswiri wa zamankhwala, Kazan: "Maantibayotiki awa ndi otchuka chifukwa cha zochitika zambiri. Amalandira matenda osiyanasiyana, kuyambira kuzizira ndi kutha ndi matenda olowa. Simungamwe mankhwala popanda chilolezo cha akatswiri: mutha kukulitsa vutolo ndikukulitsa matendawa.

Anna Alekseevna, katswiri wa zamankhwala, St. Petersburg: "Posankha imodzi ya mankhwalawa, zinthu zambiri ziyenera kukumbukiridwa, kuphatikiza kukhalapo kwa ma concomitant pathologies. Wodwala akapezeka ndi matenda a shuga, ndimapereka Amoxiclav (pamenepa amamuyesa wabwino). Ngati wodwala sanaphunzitsidwe zachipatala, sangasankhe yekha maantibayotiki. ”

Azithromycin kapena Amoxiclav - zili bwino?

Amoxiclav ndi mayendedwe ake akuwonetsedwa muupangiri wadziko lonse wothandizira matenda opatsirana a kupuma thirakiti (kuphatikizapo sinusitis) ngati mankhwala oyambira. Komabe, kufalikira kwawo komanso kugwiritsidwa ntchito kosalamulirika kwapangitsa kuti bakiteriya azikaniza. Palibe kukana kwa azithromycin tsopano, komabe, kumakhala ndi mawonekedwe ambiri a contraindication ndi zoyipa. Njira yabwino yothetsera vutoli ndi kusinthana kwa maantibayotiki: woyamba kumwa mapangidwe a Amoxiclav, nthawi yotsatira ndi kuzizira - njira ya Azithromycin, etc. Njira iyi imakupatsani mwayi wothana ndi kukana kwa tizilombo.