Zoyenera kusankha: Amoxicillin kapena Sumamed?

Mankhwala othandizira odwala omwe ali ndi bakiteriya amafunika kukhala ndi maantiwonetsedwe obisika omwe amawononga tizilombo tating'onoting'ono kapena kuletsa kubereka kwawo kokula ndi kukula. Magulu omwe amagwiritsidwa ntchito kwambiri komanso otetezeka a antibacterial mankhwala ndi macrolides ndi penicillin.

Kutengera kuzindikira kwa wothandizila wa causative wodwala komanso mbiri ya wodwalayo, adokotala omwe akupezekapo angalimbikitse Amoxicillin kapena Sumamed, komanso fanizo la mankhwalawa, kuti athetse matendawa.

Kutengera kuzindikira kwa tizilombo toyambitsa matenda komanso mbiri ya wodwala, dokotala yemwe akupezekapo angalimbikitse Amoxicillin kapena Sumamed kuti athetse matendawa.

Khalidwe la Amoxicillin

Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndi antibayotiki wa dzina lomwelo (amoxicillin). Ndi gawo la gulu la ma penicillin ndipo ali ndi mawonekedwe ofanana ndi antimicrobial.

Mphamvu ya bactericidal ya amoxicillin imafikira tizilombo toyambitsa matenda monga:

• gram-aerobic microbes (staphylococci, streptococci, pneumococci, listeria, corynebacteria, enterococci, anthrax tizilombo toyambitsa matenda, etc.);
• Ma grob-negative aerobic microbes (E. coli ndi Haemophilus fuluwenza, Helicobacter pylori, Gonococcus, Protea, Salmonella, Shigella, etc.);
• tizilombo toyambitsa matenda a anaerobic (clostridia, peptostreptococcus, etc.);
• mabakiteriya ena (chlamydia).
  

  Mphamvu yogwira ya Amoxicillin ndi mankhwala omwe amapezeka ndi dzina lomwelo (amoxicillin).

Mankhwala olimbana ndi mankhwalawa sagwira ntchito pamagulu a mabakiteriya osagwiritsa ntchito gramu-gramu komanso gram-secrete beta-lactamase (penicillinase). Enzyme iyi imagwiritsa ntchito imodzi mwazomwe zimachitika kuti mabakiteriya azikana mankhwala a antibacterial: imawola mphete ya beta-lactam ya amoxicillin ndipo imalepheretsa bactericidal.

Kuwononga tizilombo tating'onoting'ono tomwe timatulutsa penicillinase, ndikofunikira kuphatikiza amoxicillin ndi beta-lactamase inhibitors (clavulanic acid, sulbactam, etc.).

Zomwe zikugwiritsidwa ntchito ndi ma antibayotiki ndi awa:

• matenda kupuma (tonillitis, otitis media, bakiteriya pharyngitis, chibayo, pulmonary abscess);
• meningitis
• coli enteritis ya bakiteriya chiyambi;
• Helicobacter pylori gastritis ndi duodenitis (wophatikizana ndi metronidazole);
• matenda a cholecystitis, cholangitis;
• purulent dermatological pathologies;
• chinzonono;
• leptospirosis, borreliosis, listeriosis;
• matenda a kubereka ndi kwamikodzo thirakiti (urethritis, prostatitis, pyelitis, adnexitis);
• kupewa chitukuko cha mavuto a mano njira, kuchotsa mimba ndi zina kuchitira opaleshoni.
  

  Zisonyezo zakugwiritsa ntchito Amoxicillin ndi: matenda a kupuma; matenda a kubereka ndi kwamikodzo thirakiti ndi ena bakiteriya matenda.

Amoxicillin ali ndi mitundu ingapo yamasulidwe:

• mapiritsi (0,25 ndi 0,5 g);
• makapisozi (0,25 ndi 0,5 g);
• kuyimitsidwa (50 mg / ml).

Zoyipa zomwe zimagwiritsidwa ntchito pa Amoxicillin ndi:

• ziwengo kwa beta-lactam mankhwala (penicillin, cephalosporins, etc.);
• monocytic tonillitis;
• lymphocytic leukemia;
• matenda opatsirana am'mimba, limodzi ndi matenda am'mimba ndi kusanza;
• ARVI;
• chizolowezi chifuwa (matupi a nsomba za m'mimba, diathesis, mphumu.

Amoxicillin ali ndi mitundu ingapo yomasulidwa. Mapiritsi amapezeka mu 0,25 ndi 0,5 g.

Makapisozi a Amoxicillin amapezeka mu 0,25 ndi 0,5 g.

Amoxicillin Kuyimitsidwa kumapezeka mu 50 mg / ml galasi vial.

Ndi matenda a impso, kusintha kwa mankhwalawa kumafunikira malinga ndi chilolezo cha creatinine.

Mankhwalawa amaloledwa kugwiritsidwa ntchito pochiza akhanda kuyambira m'miyezi yoyambirira ya moyo, zotchulidwa pa nthawi yoyembekezera komanso mkaka wa m`mawere (mosamala).

Makhalidwe a Sumamed

Chothandizira chophatikizika ku Sumamed ndi azithromycin. Maantibayotiki ndi a gulu la macrolide. Mphamvu ya antibacterial imafikira ku tizilombo toyambitsa matenda:

• mabakiteriya a grob-aerobic (streptococci, kuphatikizapo pneumococci, staphylococci, listeria, corynebacteria, etc.);
• gram-negative aerobic microbes (moraxella, gonococci, hemophilic bacillus);
• mabakiteriya a anaerobic (porphyromonads, clostridia, borrelia);
• Tizilombo toyambitsa matenda opatsirana pogonana (mycoplasmas, chlamydia, treponema, etc.).

Kusankhidwa kwa Sumamed ndikulimbikitsidwa pazotsatira zotsatirazi:

• bakiteriya matenda a kupuma thirakiti;
• matenda opatsirana komanso otupa a minofu yofewa ndi khungu (erysipelas, ziphuphu zakumaso, kachilombo koyambira ndi dermatitis ndi dermatoses);
• gawo loyamba la matenda a Lyme;
• urogenital dongosolo pathologies oyambitsidwa ndi matenda opatsirana a STI ndi ma virus ena (mycoplasmosis, cervicitis, chlamydia, urethritis, pyelitis, etc.).

Chothandizira chophatikizika ku Sumamed ndi azithromycin.

Monga mankhwala a penicillin, Sumamed amaloledwa kugwiritsidwa ntchito ngati prophylactic atatha kuchitapo kanthu opaleshoni.

Sumamed ndi imodzi mwa mitundu ingapo ya mulingo:

• mapiritsi otayika (0.125, 0,25, 0,5 ndi 1 g);
• mapiritsi (0,125, 0,5 g);
• makapisozi (0,25 g);
• kuyimitsidwa (40 mg / ml);
• yankho la jakisoni (500 mg).

Kuvomerezedwa Sumamed kumapangidwa motsutsana ndi:

• ziwengo kwa macrolides ndi ketolides;
• tsankho kwa anthu obwera nawo omwe ali m'gulu la mankhwala;
• matenda akulu, chiwindi kulephera;
• creatinine chilolezo chochepera 40 ml pa mphindi;
• kwambiri pathologies a mtima, chiwindi ndi impso, kukweza kwa QT imeneyi, munthawi yomweyo makonzedwe anticoagulants ndi antiarrhythmic mankhwala (mosamala);
• zaka za ana (mpaka zaka 3).

Sumamed imapezeka m'mitundu ingapo.

Kuletsa kugwiritsa ntchito mankhwalawa mankhwalawa kwa ana kumangogwira mawonekedwe ake omwazika. Kuyimitsidwa kumaperekedwa kwa mwana wolemera oposa 5 kg.

Mu shuga mellitus, kuchuluka kwa sucrose yomwe imaperekedwa pa mlingo woyimitsidwa uyenera kuganiziridwa.

Kuyerekezera kwa Amoxicillin ndi Sumamed

Sumamed ndi Amoxicillin ali ndi njira yofanana yochizira ndipo angagwiritsidwe ntchito pazofanana zomwezi (matenda a kupuma komanso ma genitourinary system, m'mimba ndi minofu yofewa).

Kusankha kwa maantibayotiki kuyenera kuchitika ndi adotolo malinga ndi madandaulo a wodwala, mbiri yake ya zamankhwala, kupezeka kwa concomitant pathologies ndi zotsatira za kufufuza kwachipatala.

Kufanana

Amoxicillin ndi Sumamed ali ndi zotsatirapo zosiyanasiyana zaumoyo ndipo amagwiritsidwa ntchito onse pochiza odwala akuluakulu komanso machitidwe a ana.

Maantibayotiki onsewa amadziwika kuti Gulu B malinga ndi gulu la chitetezo cha FDA. Izi zikutanthauza kuti palibe zinthu za teratogenic ndi mutagenic zomwe zapezeka pakukonzekera ndipo zitha kugwiritsidwa ntchito panthawi yoyembekezera ngati phindu lomwe mayi woyembekezerayo ali nalo lili lokwera kuposa chiopsezo cha mwana wosabadwayo.

Amoxicillin ndi Sumamed ndi mankhwala osankha mankhwalawa opatsira mabakiteriya amayi oyamwitsa: maantibayotiki amadutsa mkaka wa m'mawere, koma osakhala ndi vuto lililonse kwa mwana. Pochiza mayi wolerera, khanda limatha kuyamwa chifukwa cha mankhwalawo kapena chizindikiro cha dyspepsia chifukwa chovutikira m'matumbo am'mimba.

Ngati mukumwa ndi amoxicillin ndi mankhwala ena a penicillin, ndikotheka kusintha mankhwalawa ndi Sumamed. Mosiyana ndi izi, ndikofunikira kuti m'malo mwa macrolide mukhale amoxicillin wotetezedwa - Amoxiclav.

Amoxicillin ndi Sumamed ali ndi zotsatirapo zosiyanasiyana zaumoyo ndipo amagwiritsidwa ntchito onse pochiza odwala akuluakulu komanso machitidwe a ana.

Sumamed ndi Amoxicillin ali ndi chithandizo chofanana ndipo chitha kugwiritsidwa ntchito ndi zofanana.

Sumamed imaloledwa kugwiritsidwa ntchito ngati prophylactic pambuyo pa kuchitapo kanthu kwa opaleshoni.

Amoxicillin ndi Sumamed ndi mankhwala osankha mankhwalawa opatsirana kudzera mu bacteria ya amayi oyamwitsa /

Kodi pali kusiyana kotani?

Kusiyana pakati pa mankhwalawa kumawonedwa m'mbali zotsatirazi:

1. Limagwirira wa antimicrobial zotsatira. Amoxicillin amasokoneza kaphatikizidwe kamapuloteni akuluakulu a cell khoma la tizilombo tating'onoting'ono tomwe timayambitsa kuwonongeka kwawo mwachangu. Sumamed (azithromycin) imalepheretsa kuphatikiza mapuloteni a pathogen pa ribosomes ndikuchepetsa kukula ndi kubereka kwa tizilombo toyambitsa matenda, koma sikuti kumayambitsa mabakiteriya oyambitsa.
2. Kuwonekera kwa antibacterial ntchito. Poyerekeza ndi Sumamed, Amoxicillin ali ndi mphamvu yocheperako yotsatsira: samawonetsa bactericidal motsutsana ndi gram-negative aerobic ndi bakiteriya wa anaerobic, komanso tizilombo tating'onoting'ono topanga penicillinase.
3. Mankhwala regimen ndipo analimbikitsa kutalika kwa makonzedwe. Azithromycin imasungidwa ziwalo zamkati ndi zofewa kwa nthawi yayitali, chifukwa chake Sumamed amatengedwa 1 nthawi patsiku. Kutalika kwa mankhwalawa kungakhale kuyambira 1 mpaka 5-7 masiku. Amoxicillin amatengedwa katatu patsiku kwa masiku 5-10.
4. Mtundu ndi pafupipafupi za zotsatira zoyipa. Zotsatira zoyipa zimawonedwa kawirikawiri ndi mankhwala a Sumamed. Zotsatira zoyipa za amoxicillin zimawonetsedwa makamaka mu mawonekedwe a thupi lawo siligwirizana, kupezeka kwamphamvu kapena kusokonezeka kwapakati kwamanjenje. Zotsatira zoyipa ndi mankhwala a Sumamed zimawonedwa pafupipafupi. Pa mankhwala, kupezeka kwa mavuto a mtima ndi kubereka, m'mimba thirakiti, chapakati mantha dongosolo, etc.

Zomwe zimakhala zotsika mtengo

Mtengo wa Amoxicillin umachokera ku ma ruble 40. mapiritsi 20 (500 mg), ndi Sumamed - kuchokera 378 ma ruble. mapiritsi atatu (500 mg). Popeza mulingo woyenera kwambiri wa mankhwalawa komanso pafupipafupi mankhwala, mankhwala a macrolide oteteza mankhwalawa angawononge katatu kapena kuposa apo.

Zomwe zili bwino - Amoxicillin kapena Sumamed

Amoxicillin ndi mankhwala osankha matenda osapepuka a bakiteriya am'mapapo, a Helicobacter kuthetsa ndi gastroduodenitis (kuphatikiza ndi Metronidazole) komanso kupewa mavuto a mano ndi opaleshoni.

Sumamed ndi mankhwala othandiza kwambiri. Imagwira ntchito ngati tizilombo toyambitsa matenda atypical komanso kugonjetsedwa ndi tizilombo toyambitsa matenda (amoyo), matenda opatsirana pogonana) ndipo amagwiritsidwa ntchito ngati ziwengo kupita ku beta-lactams.

Ndemanga za Odwala

Elena, wa zaka 34, ku Moscow

Wowona Amoxicillin malinga ndi wotsogolera monga njira yothanirana ndi antibayotiki. Mlingo woyamba utayamba kupuma, kutentha kunachepa. Ndinkamwa mankhwalawo nthawi yonseyi, sindinazindikire mavuto aliwonse, ngakhale ndimomwe ndimakonda. Ubwino wabwino wa Amoxicillin ndizotsika mtengo.

Oksana, wazaka 19, Barnaul

Mchimwene wadwala kwambiri nthawi yozizira: Ma ARVI amabwera ndi matenda a bronchitis ndi chibayo. Maantibayotiki omwe adotchulidwa ndi adotolo sanathandizireni nthawi zonse, koma Sumamed adalemba pa imodzi mwa maulendo a ENT, akuvomereza kuti ndi njira yomaliza. Mankhwalawa amatengedwa masiku atatu okha, koma amaletsa matendawa kwathunthu. Zina mwa zophophonya ndi mtengo wokwera.

Mtengo wa Amoxicillin umachokera ku ma ruble 40. mapiritsi 20 (500 mg), ndi Sumamed - kuchokera 378 ma ruble. mapiritsi atatu (500 mg).

Ndemanga za madotolo za Amoxicillin ndi Sumamed

Budanov E.G., otolaryngologist, Sochi

Amoxicillin ndi mankhwala othana ndi mankhwala opangidwa kuchokera ku nyumba. Ili ndi mawonekedwe ochepa kwambiri a antibacterial kanthu ndipo imagwiritsidwa ntchito makamaka matenda a streptococcal a kupuma thirakiti, pakhungu, ndi zina zambiri.

Imalekereredwa bwino ndi akulu ndi ana, koma osagwira motsutsana ndi maantibayotiki ena chifukwa cha kuchuluka kwa zovuta zotsutsana.

Nazemtseva R.K., dokotala wazamankhwala, Krasnodar

Sumamed ndi mankhwala abwino ochokera ku gulu la macrolide. Ndimalimbikitsa mankhwalawa matenda opatsirana pogonana (makamaka chlamydia) komanso mankhwalawa ovuta kutukusira ziwalo za m'chiuno. Ndi kusalolera kapena kusakwanira kwa penicillin, Sumamed imagwiritsidwanso ntchito pochiza matenda a tonsillitis, pharyngitis ndi matenda ena oyambitsidwa ndi kupuma.

Mankhwalawa ali ndi mitundu ingapo yomasulidwa komanso njira yoyenera yoyendetsera.