Pochiza matenda ambiri omwe amayamba chifukwa cha mabakiteriya, mankhwala a Cifran amagwiritsidwa ntchito ngati mankhwala. Kuchita bwino kwambiri, mawonekedwe ambiri ochitapo kanthu komanso kulolerana kwabwino kumafotokoza kugwiritsa ntchito mankhwalawa mu urology, gynecology, otolaryngology, opaleshoni, ophthalmology ndi madera ena a zamankhwala.
Dzinalo Losayenerana
Dzinalo losavomerezeka padziko lonse lapansi ndi ciprofloxacin.
Pochiza matenda ambiri omwe amayamba chifukwa cha mabakiteriya, Cifran (Ciprofloxacin) amagwiritsidwa ntchito ngati mankhwala.
ATX
Nambala ya ATX J01MA02.
Kutulutsa mafomu ndi kapangidwe kake
Digran 1000 imapezeka mu mawonekedwe a piritsi, omwe amaphatikizidwa ndi film filming. Amakhala ndi mawonekedwe owumbika ndipo amapakidwa zoyera kapena zamkaka. Pa filimu yomata pali mawu oti "Cifran OD 1000 mg", wopangidwa ndi inki wakuda wowoneka.
Mapiritsi amadzaza matuza a 5 zidutswa. Kuyika - makatoni okhala ndi mapiritsi 5 kapena 10.
Zotsatira za pharmacological
Cifran ndi wothandizira antimicrobial ndipo ndi wa gulu la fluoroquinolones. Kuchita kwake ndikufuna kuwononga bakiteriya enzyme topoisomerase II, yomwe ikuphatikizidwa pakupanga DNA ya bakiteriya. Zotsatira zake, tizilombo toyambitsa matenda tizilombo toyambitsa matenda timataya mwayi wokulitsa ndi kubereka.
Mabakiteriya ambiri amakhudzidwa ndi ciprofloxacin:
- Gram-zabwino aerobic tizilombo. Zina mwa izo ndi enterococci, staphylococci, streptococci, listeria ndi wothandizira wa anthrax.
- Bakiteriya wa a grob-aerobic. Gululi limaphatikizapo ma cytrobacter, Shigella, Salmonella, E. coli ndi Haemophilus fuluwenza, Neiseria, Enterobacteriaceae, mabakiteriya a mtundu wa Campylobacter, Moraxella, Serratia, Providencia.
Ma tizilombo totsatirawa omwe ali ndi vutoli alibe chitetezo chokwanira pa mankhwalawa:
- ambiri tizilombo ta mtundu wa Burkholderia cepacia;
- Clostridium Hardile;
- ena a Stenotrophomonas maltophilia.
Pharmacokinetics
Ciprofloxacin amadziwika ndi mayamwa mwachangu kuchokera m'mimba. Potere, kumasulidwa kwa chinthu chogwira ntchito kumachitika chimodzimodzi, chifukwa chomwe achire umasungidwa pogwiritsa ntchito Tsifran kamodzi pa maola 24 aliwonse.
Kuchuluka kwa plasma ndende kumafika maola 6 pambuyo pa kukhazikitsa. Chizindikiro ichi ndichofanana ndi 0.0024 mg / ml. Kafukufuku wachipatala atsimikizira kuthekera kwa ciprofloxacin kulowa m'madzi onse amthupi. Kupezeka kwa mankhwalawa kwapezeka m'mitsempha, malovu, kutulutsa kwa peritoneal, kutsekeka kwa bronchial secretion, secretion ya mucosa,
Kagayidwe kachakudya limachitika m'chiwindi. Hafu ya moyo ndi maola 3.5-4,5. Kuchoka kumachitika kudzera mu impso (pafupifupi 50%). Pankhaniyi, 15% amachotseredwa mu mawonekedwe a metabolites yogwira.
Kutha kwa theka-moyo wa Tsifran 1000 ndi wofanana ndi maola 3.5-4,5; Kuchotsa kumachitika kudzera mu impso.
Zomwe zimathandiza
Ciprofloxacin imagwira ntchito m'matenda omwe amayamba chifukwa cha mabakiteriya omwe amamva mankhwala. Mndandanda wazidziwitso zomwe Digital imalembedwa:
- sinusitis pachimake;
- kukokoloka kwa chifuwa;
- chibayo
- mavuto a cystic fibrosis, okhala ndi vuto losakhazikika;
- pyelonephritis;
- cystitis ndi matenda ena mkodzo;
- bacteria bacteria prostatitis;
- chinzonono;
- matenda amkati;
- mphamvu ya ndulu;
- cholangitis;
- zotupa zam'mimba;
- peritonitis;
- anthrax;
- matenda oyamba ndi bakiteriya amaso;
- sepsis
- osteomyelitis (pachimake komanso chovuta) ndi matenda ena mafupa ndi mafupa;
- matenda a typhoid;
- matenda opatsirana m'mimba.
Contraindication
Musanagwiritse ntchito mankhwalawa, ndikofunikira kuti muzidziwitsa zolakwika zanu. Zina mwa izo ndi:
- kusalolera kwa ciprofloxacin kapena mankhwala a quinolone;
- Hypersensitivity ku zida za cyfran;
- ana ochepera zaka 18;
- kusowa kwa shuga-6-phosphate dehydrogenase;
- nthawi ya pakati ndi mkaka wa m`mawere;
- mbiri yakulanda;
- pseudomembranous colitis;
- kuwonongeka kwa ubongo.
Ndi chisamaliro
Malangizowo akuwonetsanso zochitika zingapo za momwe zimayenera kusintha kusintha kwa mankhwala ndi Tsifran. Izi ndi:
- kulephera kwa aimpso ndi creatinine chilolezo cha 35-50 ml / min;
- kufalikira kwamatumbo
- matenda amitsempha yamagazi;
- matenda amisala;
- khunyu
- kulephera kwa chiwindi;
- zotupa za tendon chifukwa cha kugwiritsa ntchito fluoroquinolones.
Momwe mungatenge Digital 1000
Mapiritsiwo ayenera kumezedwa lonse ndikutsukidwa ndi madzi ambiri. Kugawa ndi kutafuna sikulimbikitsidwa. Dokotala amasankha kuchuluka kwa mankhwalawo molingana ndi kuzindikira kwa wodwalayo komanso momwe alili.
Ngati mulingo woyenera wa matenda osavuta, piritsi limodzi la Cyfran limachitika kamodzi patsiku (maola 24 aliwonse).
Woopsa matendawa, tsiku lililonse mlingo ungathe kuwonjezeka mpaka 1500 mg. Zochizira gonorrhea yosavuta, mlingo umodzi wa 1000 mg wa mankhwalawo ndi wokwanira.
Kutalika kwa mankhwalawa kumasiyana masiku atatu mpaka 14.
Ndi anthrax, tikulimbikitsidwa kuti mutenge piritsi limodzi la Cyfran patsiku kwa masiku 60.
Kumwa mankhwala a shuga
Pogwiritsa ntchito mankhwalawa kuchiza odwala omwe ali ndi matenda ashuga, kuyang'aniridwa kwakanthawi kachipatala kumafunika.
Zochizira matenda omwe ali ndi odwala omwe ali ndi matenda ashuga, kuyang'anira pafupipafupi kwa mankhwala kumafunika.
Zotsatira zoyipa
Zotsatira zoyipa zomwe zimachitika pakumwa mankhwala a ciprofloxacin ndi awa:
- kufooka kwathunthu;
- zithunzi;
- pseudomembranous colitis;
- thukuta kwambiri;
- candidiasis.
Pali umboni wazotsatira zoyipa kuchokera ku musculoskeletal system. Pankhaniyi, tendovaginitis, nyamakazi, kupindika kwa tendon, arthralgia kapena myalgia.
Matumbo
Nthawi zambiri kuposa ena, nseru, m'mimba kupweteka, kusanza, kusanza. Kutsegula m'mimba, anorexia, cholestatic jaundice, hepatitis, hepatonecrosis ndizochepa.
Hematopoietic ziwalo
Kumbali ya hematopoietic dongosolo, granulocytopenia, leukopenia, hemolytic anemia, thrombocytopenia, thrombocytosis, leukocytosis ndi eosinophilia.
Pakati mantha dongosolo
Odwala ena amadandaula chifukwa cha kusowa tulo, chizungulire, kupweteka mutu, kusakwiya komanso kutopa. Palinso umboni wazotsatira zoyipa monga kusokonezeka, kunjenjemera, kutuluka kwa chikumbumtima, kuyerekezera zinthu zina, kupezeka kwa ma psychotic komanso chiwopsezo cha matenda a m'mitsempha.
Mukamatenga Tsifran 1000, odwala ena amadandaula chifukwa cha kusowa tulo.
Kuchokera kwamikodzo
Mankhwalawa ndi Cifran, hematuria, kuchedwa kutuluka kwa mkodzo, polyuria, crystalluria kumatha kuchitika. Albuminuria, pachimake interstitial nephritis, pachimake aimpso kulephera komanso urethral magazi sizachilendo.
Kuchokera pamtima
Odwala ena amakhala ndi kuthamanga kwa magazi, kusokonezeka kwa mtima, kumadzidzimuka nkhope ndi tachycardia.
Matupi omaliza
Wodwala akakhala ndi hypersensitivity ku fluoroquinolones kapena mankhwala enaake, pamakhala mavuto ena omwe amakumana nawo. Imayendera limodzi ndi kuyabwa pakhungu, ming'oma, mankhwalawa. Nthawi zina, zovuta zoyambazi zimatheka. Ena mwa mavutowa ndi poizoni wa epidermal necrolysis, vasculitis, erythema multiforme exudative, ndi matenda a Stevens-Johnson.
Malangizo apadera
Kuchepetsa chiwopsezo cha photosensitivity, odwala ayenera kupewa radiation ya ultraviolet. Ndikofunikira kwambiri kuti musalole kuwala kwa dzuwa mwachindunji. Pakakhala kuwala kwa kuwala, mankhwala amasiya.
Chimodzi mwazomwe zimachitika poyambira ndi crystalluria. Kuti mupewe izi, muyenera kugwiritsa ntchito madzi okwanira.
Dokotala ayenera kuchenjeza odwala za kuwonekera kwa zowawa m'misempha. Ndi chizindikiro ichi, Ciphran imathetsedwa chifukwa cha chiwopsezo chachikulu chotumphukira kwa tendon.
Kuyenderana ndi mowa
Kuphatikiza chithandizo cha maantibayotiki ndi zakumwa zoledzeretsa sikuletsa. Pali chiopsezo chachikulu cha zovuta zoyipa.
Kuphatikiza chithandizo ndi Tsifran 1000 ndi kumwa mowa ndizoletsedwa.
Zokhudza mphamvu pakuwongolera njira
Mukamalandira chithandizo, muyenera kupewa kuyendetsa galimoto ndikuchita nawo zinthu zina zowopsa, kuphatikizapo masewera ena.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Madokotala samapereka mankhwala kwa amayi panthawi yomwe ali ndi pakati. Pa mkaka wa m`mawere, gawo laling'ono la ciprofloxacin limadutsa mkaka wa m'mawere. Pazifukwa izi, mkaka wa m'mawere uyenera kusokonezedwa.
Cholinga cha Tsifran kwa ana 1000
Ana, mapangidwe achangu a mafupa. Pofuna kupewa kukula kwa ma pathologies, Tsifran imatsitsidwa mwa ana osakwana zaka 18.
Gwiritsani ntchito mu ukalamba
Mukamapereka mankhwala, anthu okalamba ayenera kuganizira za kuwonongeka kwa impso. Kutengera izi, adotolo ayenera kusintha mlingo.
Popereka mankhwala kwa achikulire, mankhwala azisinthidwa ndi dokotala.
The ntchito aimpso kuwonongeka
Odwala kwambiri aimpso kulephera, kuchepa kwa mankhwala a antibacterial kumachitika. Pofuna kupewa bongo, kuchuluka kwa mankhwalawa kuyenera kusinthidwa poganizira chilolezo cha creatinine.
Mulingo wampangidwe wa Creatinine (ml / min) | Mlingo wovomerezeka wa Cyfran |
Opitilira 50 | Mlingo wofanana (1000 mg) |
Pakati pa 30 ndi 50 | 500-1000 mg |
5 mpaka 29 | Mankhwala salimbikitsidwa |
Odwala a hememalysis | Digital sanapatsidwe |
Bongo
Kuonjezera mlingo wovomerezeka kungayambitse vuto la impso. Pankhaniyi, zizindikiro monga chizungulire, mseru, ulesi, kugona, kusanza, chisokonezo zimachitika.
Palibe mankhwala enieni, choncho madokotala amatenga zotsatirazi:
- chapamimba;
- kudya kwa activated kaboni ndi madzi ambiri;
- kumwa mankhwala okhala ndi calcium ndi magnesium;
- hemodialysis.
Pankhani ya mankhwala osokoneza bongo a Cyfran, makala okhazikika ndi madzi ambiri ayenera kumwedwa.
Kuchita ndi mankhwala ena
- Ndi metronidazole, aminoglycosides, clindamycin. Akatengedwa limodzi, pamakhala chiopsezo chotengera ma synergies.
- Ndi tizanidine. Mwina kutsika kwakukulu kwa kuthamanga kwa magazi, mawonekedwe a kugona.
- Ndi theophylline. Mphamvu ya mankhwalawa imachulukitsidwa, motero, kusintha kwa mlingo kumafunika.
- Ndi mankhwala omwe amatsekera katulutsidwe ka tubular (kuphatikizapo phenenecid). Mchitidwe waimpso wa antimicrobial amachepetsa.
- Ndi maantacid, omwe ali ndi magnesium kapena aluminium hydroxide. Kuphatikiza uku sikulimbikitsidwa, popeza kuyamwa kwa Cyfran kumachepetsedwa.
- Ndi analgesics. Mukagwiritsidwa ntchito limodzi, zotsatira zoyipa zamagetsi zamagetsi zimawonekera nthawi zambiri.
- Ndi cyclosporine. Mphamvu ya Nephrotoxic imachuluka. Muzochitika izi, kuyang'anira serum creatinine kawiri pa sabata kumafunika.
- Ndi kukonzekera kwa uricosuric. Pali kutsika pang'onopang'ono pochotsa mankhwalawa ndi 50%.
- Ndi warfarin ndi mankhwala ena amkamwa. Mphamvu ya mankhwalawa imalimbikitsidwa, mwina ikukhudza magazi.
- Ndi glyburide. Kuphatikiza kumatha kuyambitsa kukula kwa hypoglycemia.
Analogi
Mapiritsi a Tsifran ali ndi mitundu yambiri. Mwa iwo ayenera kutchedwa:
- Tsifran OD;
- Tsifran ST;
- Ciprofloxacin;
- Basidzhen;
- Vero-Ciprofloxacin;
- Procipro
- Quintor;
- Ififpro;
- Narzip
- Ciprinol.
Sikulimbikitsidwa kuti musinthe mankhwalawo ndi analogue paokha. Kuti muchite izi, funsani dokotala wanu, monga kusintha kungafunikire.
Maholide a Tsifran 1000 ochokera ku malo ogulitsa mankhwala
Mankhwalawa amaperekedwa ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala ogulitsa omwe ali mgululi sogulitsidwa.
Mtengo
Mtengo wa Cifran wokhala ndi Mlingo wa 1000 mg umasiyana kuchokera pa 350 mpaka 390 rubles pa mapiritsi 10 aliwonse.
Zosungidwa zamankhwala
Muyenera kusunga mankhwalawo pamtunda wa + 15 ... + 25 ° C pamalo otetezedwa ndi chinyezi komanso kuwala kwadzuwa.
Tsiku lotha ntchito
Kutalika kwa yosungirako - zaka 2 kuyambira tsiku lotuluka.
Wopanga Tsifran 1000
Mankhwalawa amapangidwa ndi kampani ya San Pharmaceutical Industrial Ltd. (India).
Digital Pharmaceuticals San Industries Co Ltd. imapanga Digital. (India).
Ndemanga ya Tsifran 1000
Madokotala amadziwa kuyendetsa bwino kwambiri kwa Cyfran ndi kulolera bwino. Izi zitha kuweruzidwa kuchokera kumawunikidwe ambiri.
Madokotala
Eugene, dokotala wazamankhwala, wodziwa ntchito zamankhwala - zaka 21
Ndi matenda am'mimba a bakiteriya, Tsifran ndi amodzi mwa mankhwala othandiza kwambiri. Mlingo wa 1000 mg uli ndi mphamvu yayitali, choncho, kutenga kamodzi patsiku ndikokwanira.
Konstantin, dokotala wa opaleshoni, odziwa ntchito zamankhwala - zaka 27
Njira yovomerezeka yochepa imayikidwa pakanthawi kogwira ntchito kuti muchepetse zovuta. Mankhwalawa ndi othandiza. Pochita, pakhala pali zovuta zingapo zoyipa. Odwala anayamba thupi lawo siligwirizana.
Odwala
Polina, wazaka 45, Novokuznetsk
Ndinapita ku chipatala ndi a ARVI. Kwanthawi yayitali adayesetsa kuchitira kunyumba ndikuyembekeza kuti amva bwino. Pakutha kwa tsiku lachiwiri la chithandizo ndi Cifran, zidayamba kukhala zosavuta. Kutentha kunachepa, kutsokomola kunayamba kusokoneza.
Valery, wazaka 38, Vladivostok
Dotolo adatchulanso mapiritsiwo kuti abweze omwe sanathandize (sindikukumbukira dzinalo). Matendawa ndi bacterial prostatitis. Chithunzicho chinathandiza. Anamuchitira kwa nthawi yayitali, pafupifupi milungu itatu.