Ndi ochepa omwe amadziwa kusiyana pakati pa Ampicillin ndi Amoxicillin. Mankhwalawa ndi amodzi a maantibayotiki amtundu wa penisilini. Othandizira awa ali ndi mawonekedwe osiyanasiyana ndipo amalimbana ndi mitundu yambiri ya tizilombo tating'onoting'ono.
Muyenera kudziwa momwe amasiyana, chifukwa Ampicillin ndi Amoxicillin sizofanana.
Khalidwe la Ampicillin
Chofunikira chachikulu ndi pawiri wa dzina lomweli. Kuphatikiza apo, zida zina zothandizira zimapezekanso pakuphatikizidwa. Opanga ndi makampani aku Russia (mwachitsanzo, Synthesis).
Ampicillin ndi Amoxicillin ali ndi zochitika zambiri ndipo amalimbana ndi mitundu yambiri ya tizilombo tating'onoting'ono.
Mitundu ingapo yomasulira yapangidwa:
- Mapiritsi Chidutswa chimodzi chili ndi 0,25 g ya mankhwala othandizira.
- Makapisozi Mu chidutswa chimodzi, 0,25 g ya mankhwala othandizira alipo.
- Kuyimitsidwa 5 ml muli 0,25 ga pazomwe zimagwira.
Ampicillin ndi amodzi mwa othandizira kwambiri antibacterial. Imalepheretsa njira yopanga makoma amipangidwe a maselo mabakiteriya. Mankhwalawa amagwira ntchito zamagulu omwe ali m'gulu la cocci. Izi zikugwira ntchito kwa staphylococci, streptococci, gonococci, meningococci, pneumococci.
Mankhwalawa amathandizira mabakiteriya ambiri opanda gramu. Mwachitsanzo, E. coli, enterobacteria, salmonella, ndi zina zotere. Koma mankhwalawa sathandiza pa zolengedwa zomwe zimapanga penicillin, popeza ampicillin amawonongeka chifukwa cha zomwe amachita.
Kuchuluka kwa gawo logwira ntchito m'magazi kudzakwaniritsidwa maola angapo atatha kugwiritsa ntchito mankhwalawa. Hafu ya moyo ili pafupifupi maola awiri. Thupi limachoka m'thupi ndi bile ndi mkodzo. Mankhwala amawonedwa ngati oopsa. Samadzikundana m'thupi la munthu. Chifukwa cha izi, amaloledwa kutengedwa pamiyeso yayitali kwa nthawi yayitali.
Ampicillin amathandizira mabakiteriya ambiri opanda gramu.
Mankhwalawa amapatsidwa mankhwala ochizira matenda omwe amakhudzidwa ndi ampicillin. Zizindikiro zogwiritsidwa ntchito ndi motere:
- matenda a kutupa kwa zigawo zam'munsi za kupuma, komanso matenda amphuno, pakamwa, pharynx, makutu (amagwiritsidwa ntchito ndi chibayo, bronchitis, tonsillitis, pharyngitis, sinusitis, otitis media, tonsillitis, chimfine;
- urological pathologies yokhala ndi njira yotupa (monga urethritis, cystitis, pyelonephritis, prostatitis, gonorrhea, etc.);
- matenda a gynecological oyambitsidwa ndi matenda;
- yotupa yotupa matenda mu bile ducts (umagwira kwa cholangitis ndi cholecystitis);
- matenda opatsirana a m'matumbo (matenda oterewa amaphatikizapo gastroenteritis, kamwazi, enterocolitis, salmonellosis, typhoid, etc.);
- Kutupa kwa khungu ndi minofu yofewa, yoyambitsa matenda;
- endocarditis;
- rheumatism;
- erysipelas;
- malungo ofiira;
- meningitis
- peritonitis;
- sepsis.
Mankhwala amatchulidwa ndi dokotala. Amatsimikiza dongosolo, mankhwala, nthawi ya mankhwala, kutengera mtundu wa wodwalayo, msinkhu wake, umunthu wake, mawonekedwe ndi kuopsa kwa matendawa.
Mapiritsi amayenera kumwedwa pakamwa theka la ola musanadye kapena maola awiri atatha. Kwa wodwala wamkulu ndi mwana yemwe zaka zake ndi zopitilira 14, mlingo umodzi umachokera ku 0,25 mpaka 1 g. 2-3 g umaloledwa patsiku, koma osapitirira 4. Zimatengera matenda:
- Matenda a ziwalo za ENT - 0,25 g kamodzi pa maola 6, koma ndi chibayo - 0,5 g.
- Matenda a kwamikodzo ndi machitidwe oberekera - 0.5 g kamodzi pa maola 6 aliwonse.
- Typhoid - 1-2 g kamodzi pa maola 6;
- Gonorrhea popanda complication - 2 g 1 nthawi.
Kwa ana azaka za 6 mpaka 14, mlingo wa tsiku ndi tsiku ndi 100 mg wa kilogalamu ya kulemera kwa munthu. Kuchuluka kwake ndikuyenera kumagawika ma servings asanu. Maphunzirowa amakhala sabata limodzi, koma amatha kupitilira masiku 21 ngati pakufunika kutero.
Khalidwe la Amoxicillin
Amawerengedwa ngati analogi ya Ampicillin. Amapangidwa ndi makampani angapo aku Russia. Mutha kugula mankhwalawa mu mawonekedwe a makapisozi a 250 ndi 500 mg, mapiritsi, ndipo pali granules pokonzekera kuyimitsidwa.
Mankhwalawa amalepheretsa kupanga ma michere a zimagwira ma cell a bacteria. Izi zimabweretsa kuti amafa. Ma cellular amangopasuka. Mankhwalawa amalimbana ndi mabakiteriya aerobic a mtundu wa gram-gramu ndi gram-negative, chlamydia.
Amoxicillin amagwira mabakiteriya aerobic a mtundu wa gram-positive ndi gram-negative mtundu, chlamydia.
Amoxicillin adalembera:
- kamwazi, kutsegula m'mimba ndi zina zomwe zimayambitsa matenda am'mimba;
- pachimake endocarditis;
- atitis media of the middle and kunja mtundu;
- Matenda a ENT omwe ali ndi zotupa chifukwa cha matenda obwera chifukwa cha bakiteriya;
- matenda amkodzo ndi njira zoberekera.
Mlingo umakhazikitsidwa payekhapayekha kwa wodwala aliyense. Kwa ana opitirira zaka 10 ndi akulu, kutumikiridwa kamodzi ndi 250-500 mg, koma ngati matendawa ndi oopsa, amathanso kuwonjezeka mpaka 1 kwa ana osakwana zaka 2, mlingo wa tsiku ndi tsiku umafika pa 20 mg pa kilogalamu ya thupi. Imayenera kumwa mankhwalawa maola 8 aliwonse. Ngati wodwalayo wasokoneza ntchito yaimpso, ndiye kuti kupuma ndi maola 12-14.
Kuyerekezera kwa Ampicillin ndi Amoxicillin
Kuti mudziwe mankhwala omwe ali bwino, muyenera kuwayerekezera ndikuwona kufanana, kusiyanitsa mawonekedwe.
Kufanana
Mankhwalawa onse ali ndi mphamvu yotsutsa. Izi zikutanthauza kuti masauzidwe omwewo a tizilombo tating'onoting'ono sitingatengeke ndi Amoxicillin ndi Ampicillin. Mwachitsanzo, ngati munthawi ya mankhwalawa bronchitis mmodzi mankhwala sanathandize, ndiye kuti wachiwiri sangaperekenso zotsatira.
Ampicillin ndi Amoxicillin amatsutsana mu mphumu ya bronchial.
Kufanana kwina ndiko kukhalapo kwa zotsutsana wamba. Izi zikuphatikiza:
- kuchuluka kwa mankhwala osokoneza bongo kapena zida zake, komanso penicillin kapena mankhwala ena a gululi;
- kugaya chakudya kwambiri;
- leukemia pachimake;
- matenda mononucleosis;
- mphumu ya bronchial;
- ma virus matenda opatsirana;
- diathesis wamtundu wamatsenga.
Ndi matenda ashuga, muyenera kupitilira mosamala.
Ana osakwana zaka 3 amapatsidwanso mankhwala okha malinga ndi momwe dokotala amafotokozera. Zomwezi zimagwiranso kwa azimayi panthawi yoyembekezera komanso nthawi yobereka.
Zotsatira zoyipa zimakonda mankhwala osokoneza bongo. Izi zikuphatikiza:
- urticaria, kutupa;
- rhinitis, conjunctivitis;
- kuchuluka kwa mtima, kutsika kwa magazi;
- leukopenia, thrombocytopenia, kuchepa magazi;
- nseru, mavuto a patulo;
- hepatitis;
- stomatitis
- yade;
- chizungulire, kupweteka mutu, manjenje, mavuto ndi mgwirizano wamatenda, kulephera kudziwa;
- kupuma movutikira, bronchospasm, dyspnea;
- kufooka kwa minofu, myalgia, arthralgia, tendonitis;
- kunjenjemera;
- malungo
- kuwopsa kwa anaphylactic, edema ya Quincke, matenda a Lyell - kawirikawiri.
Ngati zizindikiro zotere zikuwoneka, ndiye kuti musiye kugwiritsa ntchito mankhwalawo ndikupita kuchipatala. Chithandizo cha Zizindikiro.
Kodi pali kusiyana kotani?
Ngakhale pali kufanana zambiri, pali zosiyana zingapo pakati pa mankhwalawa.
Ampicillin imachotsedwedwa mwachangu ndikulowetsedwa bwino. Chifukwa cha izi, ziyenera kumwedwa nthawi zambiri kuposa Amoxicillin - kanayi pa tsiku. Kuphatikiza apo, ampicillin sagwira bwino ntchito. 60% yolumikizira imachotsedwa isanafike kuderali.
Ku Amoxicillin, chiwerengerochi ndi 80-95%, kutengera mtundu wa kumasulidwa. Uwu ndi mwayi pamankhwala othandizira.
Zomwe zimakhala zotsika mtengo
Ampicillin akhoza kugulidwa pamtengo wa ma ruble 20. piritsi 250 mg. Kwa Amoxicillin, mtengo wake umachokera ku ma ruble 60. Koma mapiritsiwo ali ndi mlingo wa 500 mg.
Zomwe zili bwino: Ampicillin kapena Amoxicillin
Mankhwala ali ndi mawonekedwe ofanana amtundu, mawonekedwe ogwiritsira ntchito, contraindication, mavuto. Chifukwa cha izi, mankhwala amatha kusinthana wina ndi mnzake ngati pakufunika.
Koma Ampicillin ali ndi zovuta zingapo: samatengedwa bwino ndipo amathiridwa mwachangu. Chifukwa cha zokonda izi, amaperekabe Amoxicillin.
Ndemanga za Odwala
Sergey, wazaka 42, ku Moscow: "Ampicillin ndi mankhwala akale, abwino komanso odalirika. Kwa zaka zingapo ndakhala ndikugwiritsa ntchito mankhwala ozizira ngati mankhwala.
Inga, wazaka 38, Dagomys: "Amoxicillin nthawi zonse amakhala mukabati ya mankhwala kunyumba. Ndi mankhwala abwino. Choyamba, Klacid adalembedwa, koma mawonekedwe ake ndi ofanana, koma mtengo wake umakhala wochepa, motero mnzake wa adotolo adandiwuza kuti ndisinthe mankhwalawa."
Madokotala amawunika Ampicillin ndi Amoxicillin
Budanov EG, dokotala wa ENT, Kazan: "Ampicillin ndi mtundu wopangidwa ndi penicillin wa m'badwo woyamba. Imagwira ntchito kwambiri motsutsana ndi streptococcus ndi mabakiteriya ena, chifukwa chake amalembera fever, pharyngitis, tonsillitis. kudya. "
Nazemtseva I. L., dokotala wazachipatala, Chelyabinsk: "Amoxicillin ndi antibayotiki wabwino. Simaligwiritsidwa ntchito kawirikawiri machitidwe azachipatala. Amavomerezedwa kuti azitha kuzindikira ma tizilombo tating'onoting'ono omwe adapezeka panthawi ya bakiteriya."
